Managed Health Care
ISBN: , SKU: , AUTHOR: Robinson, Ray / Steiner, Andrea, PUBLISHER: Open University Press, Healthcare in the United States has undergone a managed care revolution. The approach has transformed the way in which health services are financed and delivered. Arising from this experience, techniques such as utilization management, physician profiling and disease management are attracting attention worldwide. Many management consultants, pharmaceutical companies and policy analysts advocate managed care as the way forward for improving the performance of healthcare systems. In this headlong rush, far too little attention has been paid to the research evidence on managed care. This book carries out a systematic review of the high quality research evidence on managed care in the US. Through a detailed analysis of the research literature they assess the performance of managed care in terms of its impact on utilization, costs, health promotion and screening, quality of care and other key indicators. Following this analysis, they consider the development of managed care approaches in the NHS with particular reference to the early research evidence primary care based, total purchasing pilot projects.