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  1. Future shock : trauma in the managed care ear.

    Article - En anglais

    This study examines the effects of managed care on the treatment of 1724 trauma patients seen over a 2-year period at an urban Level I trauma center.

    Fifty-one per cent of all trauma patients were insured.

    Managed care plans represented 42 per cent of the insurance coverage overall, increasing from 39 per cent in the first year to 45 per cent in the second.

    All treatment was provided by the receiving general surgery trauma team and was rendered independent of insurance status.

    Eighty per cent of patients completed their hospitalization at the trauma center.

    Clinical outcome, transfer rates, and mortality were similar regardless of insurance type.

    We conclude that managed care plans represent a significant and increasing portion of the insurance coverage of trauma patients, and propose that national guidelines should be developed to guarantee quality and continuity of trauma care.

    Mots-clés Pascal : Traumatisme, Assurance maladie, Organisation santé, Etats Unis, Economie santé, Législation, Homme, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Trauma, Health insurance, Public health organization, United States, Health economy, Legislation, Human, North America, America

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

    Cote : 95-0082056

    Code Inist : 002B30A04C. Création : 09/06/1995.