Why managed care cannot contain hospital costs--without rationing.
نویسندگان
چکیده
منابع مشابه
Evidence based medicine guidelines: a solution to rationing or politics disguised as science?
"Evidence based medicine" (EBM) is often seen as a scientific tool for quality improvement, even though its application requires the combination of scientific facts with value judgments and the costing of different treatments. How this is done depends on whether we approach the problem from the perspective of individual patients, doctors, or public health administrators. Evidence based medicine...
متن کاملSYMPOSIUM ON EVIDENCE BASED MEDICINE Evidence based medicine guidelines: a solution to rationing or politics disguised as science?
‘‘Evidence based medicine’’ (EBM) is often seen as a scientific tool for quality improvement, even though its application requires the combination of scientific facts with value judgments and the costing of different treatments. How this is done depends on whether we approach the problem from the perspective of individual patients, doctors, or public health administrators. Evidence based medici...
متن کاملWhy managed care has failed to contain health costs.
Much evidence points to the fact that managed care plans (health maintenance organizations and preferred provider insurance) reduce costs and offer value for money. Yet they apparently have not helped to slow national health expenditures. One explanation is that the practices of purchasers (including government and employers), the tax laws, and other market imperfections have reduced the demand...
متن کاملImpact of managed care on mental health services.
The cost of mental health care continues to rise at a rate greater than that of the rest of the health care sector. Efforts to contain the rising costs of psychiatric and substance abuse care have spawned different strategies for reducing use of expensive hospital resources. Strategies that focus on the management of hospital episodes case by case fall under the rubric of managed care. In this ...
متن کاملJust health care rationing: a democratic decisionmaking approach.
Michael S. was born in 1984 to unmarried teenage parents who were without health insurance. He was born with necrotic small bowel syndrome. Surgery at-birth determined that he would not be able to process food in the normal way. Hence, he would have to remain in an intensive care unit, fed via total parenteral nutrition (TPN). After six months the hospital administrator approached the attending...
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ورودعنوان ژورنال:
- Health affairs
دوره 11 2 شماره
صفحات -
تاریخ انتشار 1992