The managed care system of health care delivery has grown tremendously in popularity in the United States in the past decade in response to demands by payors for cost-containment, enhanced access, and improved quality.
In this article, the evolution of managed care is traced to provide a historical perspective.
In addition, characteristic features that distinguish managed care from traditional fee-for-service medicine are presented to enhance an understanding of this health care delivery method.
An appreciation of the history and distinguishing features of managed care should set the stage for more in-depth articles on specific managed care topics later in this issue.
In addition, this understanding should help prepare the gastroenterologist to effectively function in this system and to successfully care for patients, manage the risk structure, and succeed professionally under this changed health care paradigm.
Mots-clés Pascal : Soin intégré, Définition, Historique, Organisation santé, Diagramme canalisation, Décision optimale, Risque, Surcharge, Coût, Evolution, Etude critique, Homme, Etats Unis, Amérique du Nord, Amérique, Economie santé
Mots-clés Pascal anglais : Managed care, Definition, Case history, Public health organization, Channeling pattern, Optimal decision, Risk, Overload, Costs, Evolution, Critical study, Human, United States, North America, America, Health economy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0095424
Code Inist : 002B30A06A. Création : 14/05/1998.