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Centre for Policy on Ageing | |
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Managed care
— origins, principles, evolution | | Author(s) | Gillian Fairfield, David J Hunter, David Mechanic |
| Journal title | British Medical Journal, vol 314, no 7096, 21 June 1997 |
| Pages | pp 1823-1826 |
| Keywords | Health services ; Management [care] ; Finance [care] ; Commercial care ; United States of America ; Western Europe. |
| Annotation | This is the first in a series of three articles aiming to raise understanding of the issues surrounding managed care. The concept developed in the United States as a response to spiraling healthcare costs and fragmented services. It is not a discrete activity but a range of activities carried out in a range of organisational settings. It has three dimensions - health policy, system management, and disease management - which interact in an attempt to provide quality service while containing costs. This article looks at ways of modifying clinicians' practice, techniques of managed care in Europe, and its application to the NHS - general practitioner (GP) fundholders who purchase services from preferred providers, and implicit rationing mechanisms being two examples. |
| Accession Number | CPA-970807009 A |
| Classmark | L: QA: QC: PI: 7T: 76 * |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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