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  1. Managed care and its impact on American urology.

    Article - En anglais

    America's health care is undergoing a revolution.

    A previous private, fee-for-service, delivery system chiefly centered around hospital specialty care is rapidly being replaced by a commercialized system of managed care, controlled by businessmen whose prime motive is profit.

    Increasing emphasis of these managed care organizations is upon primary physicians who function as gatekeepers.

    While this new commercialized method of health care has been attended with reductions in the previous omnipresent health care inflation our country has experienced for the past several decades, its impact on quality of care and patient choice of physician remain a great concern.

    Especially vulnerable in this new system are our nation's academic centers, which, burdened with responsibility for education and research, are at a disadvantage in the competitive cost-based bidding for managed care contracts.

    Urology work force issues and the number of urologists in our nation remain another concern for urologists as they compete for access to patients in this new highly competitive environment.

    In a 1995 survey of a cohort of urologists in seven states, the respondents reported 35. (...)

    Mots-clés Pascal : Gestion personnel, Gestion hospitalière, Politique sanitaire, Etats Unis, Amérique du Nord, Amérique, Commercialisation, Spécialité médicale, Appareil urinaire pathologie, Effet secondaire, Relation médecin malade

    Mots-clés Pascal anglais : Staff management, Hospital management, Health policy, United States, North America, America, Marketing, Medical specialty, Urinary system disease, Secondary effect, Physician patient relation

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0319100

    Code Inist : 002B30A04B. Création : 27/11/1998.