We presented a general model of the structure and functioning of managed care and described elements (provider networks, fiscal elements, risk estimation, case-mix, management information systems, practice parameters, and quality improvement) critical to service delivery for people with developmental disabilities.
A number of technical elements of managed care systems were delineated and reviewed in relation to the inclusion of people with developmental disabilities.
Several managed care demonstration projects were described and, finally, a multi-year hypothetical budget model, including long-term care, was presented as a framework for considering how managed care affects specific service structures.
Implications for people with developmental disabilities were discussed.
Mots-clés Pascal : Système santé, Soin intégré, Politique fiscale, Service santé, Economie santé, Modèle, Article synthèse, Trouble développement, Arriération mentale, Homme
Mots-clés Pascal anglais : Health system, Managed care, Fiscal policy, Health service, Health economy, Models, Review, Developmental disorder, Mental retardation, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0435226
Code Inist : 002B18H05B. Création : 19/12/1997.