TY - CHAP
T1 - Managed care
T2 - The changing environment for consumers and health care providers
AU - Furlong, Beth
AU - Wilken, Marlene
N1 - Funding Information:
and can be leading to the following: (a) physicians putting their own financial interests above the welfare of patients (which is the antithesis of the medical profession's Code of Ethics); (b) physicians losing control of their professional practice; and (c) the potential erosion of the public's confidence in physicians' competence. This latter fear is supported by the following trend noted in a Gallop Poll. In 1983 40% of Americans thought the medical profession was an admirable profession. By 1996 that number had eroded to 14% (Rich, Seminar presentation, November, 1999). In addressing all of these concerns, Dr. Rich advocated these five strategies to problem solve: (a) use evidence-based practice as one's basic practice pattern; (b) improve one's medical practice through research; (c) be an actor who is redesigning financial incentives; (d) reward service and quality; and (e) practice a community orientation, that is, be culturally competent, provide community service and be involved in public education and advocacy.
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2001
Y1 - 2001
N2 - "Managed care is the health law issue of 1999" (Leibold, 1999, p. 5). This chapter addresses changes in the health care system initiated by the managed care paradigm - which, in turn, has prompted many legal changes and challenges. Specifically, this chapter will describe the following: (a) an overview of the managed care system versus the traditional fee-for-service system; (b) a selected review of research literature on the strengths and limitations of the managed care system; and (c) a projection of the future trends of the managed care system for patients, consumers, health providers and society. The second area, the review of research literature, will include the impact of managed care on patients, consumers, physicians and nurses. In this chapter, the word patient, means someone who is ill; the word consumer, means someone who has health insurance and may become ill in the future and needs to utilize the health delivery system.
AB - "Managed care is the health law issue of 1999" (Leibold, 1999, p. 5). This chapter addresses changes in the health care system initiated by the managed care paradigm - which, in turn, has prompted many legal changes and challenges. Specifically, this chapter will describe the following: (a) an overview of the managed care system versus the traditional fee-for-service system; (b) a selected review of research literature on the strengths and limitations of the managed care system; and (c) a projection of the future trends of the managed care system for patients, consumers, health providers and society. The second area, the review of research literature, will include the impact of managed care on patients, consumers, physicians and nurses. In this chapter, the word patient, means someone who is ill; the word consumer, means someone who has health insurance and may become ill in the future and needs to utilize the health delivery system.
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U2 - 10.1016/s0275-4959(01)80004-1
DO - 10.1016/s0275-4959(01)80004-1
M3 - Chapter
AN - SCOPUS:33645840576
SN - 0762308087
SN - 9780762308088
T3 - Research in the Sociology of Health Care
SP - 3
EP - 20
BT - Changing Consumers and Changing Technology in Health Care and Health Care Delivery
PB - JAI Press
ER -