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  1. Fulltext. Health policy and ethics forum : Managed care plan performance since 1980 : Another look at 2 literature reviews.

    Article - En anglais

    Fulltext.

    Objectives

    This article compares the quality of care provided by man-aged care plats (MCPs) and indemnity (or fee-for-service [FFS]) plans since 1980.

    Methods The 44 studies examined are the studies that Miller and Luft cited in their 1994 and 1997 reviews of the literature comparing MCPs with FFS plans, These studies are examined to determine how well they met Miller and Luft's selection criteris and, in addition, whether they controlled for differences in the breadth of insurance Results.

    The 44 studies generated 57 observations.

    MCPs seared better than FFS plans on 10 of these, equally well on 25, and worse on 22, However, only 44 of these observations met the Miller-Laft criteria plus the coverage criterion.

    Four of these indicated that MCP care was better, 19 that MCP and FFS care were equivalent, and 21 that MCP care was worse.

    Conclusions

    The small body of reliable studies comparing the quality of MCP care with that of FFS care indicates that the quality of care provided by MCPs tends to be equal or inferior to that provided by FFS plans.

    Mots-clés Pascal : Etats Unis, Amérique du Nord, Amérique, Homme, Santé, Système santé, Soin intégré, Qualité, Soin, Assurance qualité, Revue bibliographique, Etude comparative

    Mots-clés Pascal anglais : United States, North America, America, Human, Health, Health system, Managed care, Quality, Care, Quality assurance, Bibliographic review, Comparative study

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

    Cote : 99-0393815

    Code Inist : 002B30A01C. Création : 22/03/2000.