MANAGED CARE IS FAST becoming the cominant form of medical care delivery and financing in the United States, yet its effects on public health practice remain largely unknown.
Tuberculosis (TB) is a classic example of a disease with both public health and medical care implications, and as such it provides an opportunity for examining the impact on public health of the shift towards managec care in the medical marketplace.
The authors approach the role of managed care in TB control by first considering the need for interorganizational coordination at the community level.
The authors identify four basic models of how managed care organizations may fit into TB control efforts in local communities, using observations from 12 local public health jurisdictions to illustrate these models.
These TB control models provide insight into the general mechanisms through which managed care organizations may affect other areas of public health practice.
Mots-clés Pascal : Tuberculose, Mycobactériose, Bactériose, Infection, Soin intégré, Organisation santé, Programme sanitaire, Evaluation performance, Homme, Politique sanitaire, Etats Unis, Amérique du Nord, Amérique, Appareil respiratoire pathologie
Mots-clés Pascal anglais : Tuberculosis, Mycobacterial infection, Bacteriosis, Infection, Managed care, Public health organization, Sanitary program, Performance evaluation, Human, Health policy, United States, North America, America, Respiratory disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0172907
Code Inist : 002B30A03A. Création : 21/05/1997.