The rhetoric and realities of managed care are easily confused.
The rapid growth of managed care in the United States has had many implications for patients, doctors, employers, state and federal programmes, the health insurance industry, major medical institutions, medical research, and vulnerable patient populations.
It has restricted patients'choice of doctors and limited access to specialists, reduced the professional autonomy and earnings of doctors, shifted power from the non-profit to the for-profit sectors and from hospitals and doctors to private corporations.
It has also raised issues about the future structuring and financing of medical education and research and about practice ethics.
However, managed care has also accorded greater prominence to the assessment of patient satisfaction, profiling and monitoring of doctors'work, the use of clinical guidelines and quality assurance procedures and indicated the potential to improve the integration and outcome of care.
Mots-clés Pascal : Système santé, Relation médecin malade, Evaluation, Aspect social, Coût, Allocation ressource, Facteur risque, Responsabilité professionnelle, Qualité service, Homme, Organisation santé, Politique sanitaire
Mots-clés Pascal anglais : Health system, Physician patient relation, Evaluation, Social aspect, Costs, Resource allocation, Risk factor, Occupational responsibility, Service quality, Human, Public health organization, Health policy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0369998
Code Inist : 002B30A04D. Création : 12/09/1997.