Increasingly, patients with tuberculosis are receiving clinical care in managed care organizations as a result of enrollment in Medicaid or Medicare, or coverage under privately purchased insurance policies or employee benefit plans.
This represents a change from the system that has been in place for decades, where the clinical care and public health functions concerning treatment and control of tuberculosis occurred primarily in local health departments.
The separation of individual patient care from the public health aspects of tuberculosis control has created challenges for managed care administrators, medical providers, and public health officials.
To assist in the integration of the goals of managed care and public health with respect to the prevention and control of tuberculosis, we developed a set of model contract specifications for use by purchasers of managed care and by managed care organizations concerning the management of patients with tuberculosis and other related public health issues.
These specifications can assist health officials in continuing their leadership roles by ensuring that managed care contracts address public health needs.
Mots-clés Pascal : Tuberculose, Mycobactériose, Bactériose, Infection, Prévention, Contrôle, Soin intégré, Système santé, Contrat, Spécification, Assurance maladie, Etats Unis, Amérique du Nord, Amérique, Recommandation, Homme
Mots-clés Pascal anglais : Tuberculosis, Mycobacterial infection, Bacteriosis, Infection, Prevention, Check, Managed care, Health system, Contract, Specification, Health insurance, United States, North America, America, Recommendation, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0536242
Code Inist : 002B05B02O. Création : 23/03/1999.