Integrated health care, capitated payment, and quality: the role of regulation
Article Abstract:
Thoughtful regulation by local, state, and federal agencies may help to balance the needs for cost containment and essential patient services in the current health care market. Researchers outlined the development of the current state of managed care and proposed changes to the regulation of the system. Proposed changes include developing local committees composed of elected or appointed citizens, health professionals and managed care providers given the task of reviewing proposed cost-containing measures. States could develop agencies to review the quality of care and financial stability of all managed care organizations within the state. Managed care groups could allocate available funds based on the group's size, historical risk, and type of care provided. Managed care groups could also publicly report their yearly performance based on patient satisfaction, cost-effectiveness, and preventive health services statistics.
Publication Name: Annals of Internal Medicine
Subject: Health
ISSN: 0003-4819
Year: 1996
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Practice guidelines and malpractice litigation: a two-way street
Article Abstract:
Practice guidelines regarding appropriate health care for specific medical situations may be used in malpractice suits both to absolve doctors of wrongdoing and to implicate them in malpractice. A review of 259 malpractice claims at two insurance companies revealed that 17 claims involved practice guidelines. Four of these cases used guidelines to absolve doctors, while 12 used them to implicate doctors. A survey of 578 malpractice attorneys found that many think the use of guidelines in litigation is increasing. Guidelines may be used to dismiss malpractice claims. More lawyers may use guidelines to implicate doctors in malpractice than to absolve them. Health care reform proposals at the state and federal levels should emphasize the use of guidelines not only to absolve but also to implicate doctors.
Publication Name: Annals of Internal Medicine
Subject: Health
ISSN: 0003-4819
Year: 1995
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Causes of death in homeless adults in Boston
Article Abstract:
The most common causes of death among Boston homeless adults appears to vary according to age. Researchers reviewed records for 17,300 adults cared for by a homeless health care program and compared death rates to the Boston population overall. Homicide caused the most deaths among men aged 18 to 24, exceeding rates in the general population fourfold. AIDS caused the most deaths in men and women aged 25 to 44, exceeding rates in the general population twofold in men and fivefold in women. Heart disease and cancer caused the most deaths in persons aged 45 to 65.
Publication Name: Annals of Internal Medicine
Subject: Health
ISSN: 0003-4819
Year: 1997
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