Do we understand the effects of'managed care'in ophthalmology ? A review and analysis.
Litte has been published that directly assesses the effect of structures for providing managed care or the effects of capitated, prepaid financing on the cost and quality of eye care services.
Managed care organizations use fewer ophthalmologists and may provide more screening for diabetic retinopathy.
Studies of nonophthalmologic care show lower patient satisfaction with care, and mixed effects on cost, quality of care, and access to care, but are difficult to generalize to eye care.
We reviewed the published peer-reviewed literature about this topic.
Notable gaps exist in the knowledge of critical elements of the influence of managed care on providing eye care and on patient outcomes.
Existing measures of quality, cost, satisfaction, and access could easily be adapted for use in evaluating the influence of managed care and guiding health care policy.
Mots-clés Pascal : Soin intégré, Ophtalmologie, Etats Unis, Amérique du Nord, Amérique, Economie santé, Qualité, Homme
Mots-clés Pascal anglais : Managed care, Ophthalmology, United States, North America, America, Health economy, Quality, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0281374
Code Inist : 002B09N. Création : 15/07/1997.