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  1. Managed care and the treatment of skin disease, 1995 : Continued growth and emerging dominance.

    Article - En anglais

    Objective 

    To document changes in the type of financing for office-based visits for the treatment of common skin conditions and to dermatologists.

    Design 

    Data from a national survey of visits to office-based practitioners conducted by the National Center for Health Statistics were used.

    The stratified sampling technique permits estimation of the total number of office visits with specific characteristics in the United States.

    Setting 

    A national probability sample of visits to office-based practitioners occurring in 1995.

    Subjects 

    In 1995,36 875 visits were sampled.

    Of these, 2121 were for common skin problems to any physician and 1886 were visits for any reason to dermatologists.

    Main Outcome Measures 

    The distribution source of payment and presence of managed care arrangements for office visits for common skin problems and to dermatologists.

    Intervention 

    None.

    Results 

    In 1995, preferred provider and health maintenance organizations provided payment for 34% of all ambulatory care and 38% of office visits for common skin complaints.

    Conclusions 

    Managed care is already the dominant mechanism of payment for the treatment of skin disease for many patient groups and in many areas of the country.

    Preferred provider organizations are much more likely to employ dermatologists to provide care of common skin problems than are health maintenance organizations. (...)

    Mots-clés Pascal : Peau pathologie, Soin intégré, Etude statistique, Etats Unis, Amérique du Nord, Amérique, Homme, Coût, Economie santé

    Mots-clés Pascal anglais : Skin disease, Managed care, Statistical study, United States, North America, America, Human, Costs, Health economy

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

    Cote : 98-0449436

    Code Inist : 002B08J. Création : 25/01/1999.