Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Managed care in the doctor's office: Has the revolution stalled?
Autore:
Stoddard, JJ; Reschovsky, JD; Hargraves, JL;
Indirizzi:
Ctr Studying Hlth Syst Change, Washington, DC USA Ctr Studying Hlth Syst Change Washington DC USA ange, Washington, DC USA
Titolo Testata:
AMERICAN JOURNAL OF MANAGED CARE
fascicolo: 11, volume: 7, anno: 2001,
pagine: 1061 - 1067
SICI:
1088-0224(200111)7:11<1061:MCITDO>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
HEALTH PLANS; COSTS; TRACKING; SYSTEM;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Reschovsky, JD 600 Maryland Ave SW,Suite 550, Washington, DC 20024 USA 600 Maryland Ave SW,Suite 550 Washington DC USA 20024 USA
Citazione:
J.J. Stoddard et al., "Managed care in the doctor's office: Has the revolution stalled?", AM J M CARE, 7(11), 2001, pp. 1061-1067

Abstract

Objective: To assess trends in the involvement of US physicians with managed care. Study Design: Comparison of data from 2 consecutive rounds of a national survey. Method's: Longitudinal data were obtained from the 1996/1997 (n = 12,528) and the 1998/1999 (n = 12,304) rounds of the Community Tracking Study (CTS)Physician Survey, a large, ongoing nationally representative survey of US physicians involved in patient care. Indicators used to assess involvement with managed care included global measures of managed care participation, risk contracting, exposure to financial incentives, and impact of care management tools. Changes in these measures over the 2 study periods are reported. Analyses were conducted for all physicians, as well as for primary care physicians (PCPs) and specialists separately. Results: The percentage of practice revenue derived from managed care increased only modestly over the study period (from 42% to 45%). Mean numbers of managed care contracts per physician increased minimally (from 12 to 13). Trends in acceptance of capitation and exposure to financial incentives remained stable over the study period. Among PCPs, employment in staff/group health maintenance organizations declined slightly, whereas gatekeeping function increased, modestly. Among care management tools, only treatment guidelines had a significantly increased impact on medical practice, primarily among PCPs (from 46% to 52%; P < .001). Conclusions: Many aspects of managed care leveled off between 1996 and 1999 in ways not accurately reflected by plan enrollment patterns. This "flattening of the curve" trend appears to hold generally across multiple measures. A stalling of the managed care "revolution," if it is sustained, may portend future escalation in healthcare costs.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/05/20 alle ore 16:00:12