Is gatekeeping better than traditional care? A survey of physicians' attitudes

Article Abstract:

A survey of primary care physicians who participate in a traditional fee-for-service plan as well as an HMO found that most rated the two plans equally. Most HMO physicians act as gatekeepers, coordinating all the patient's care and reducing duplication in health care services. A total of 202 such physicians said that gatekeeping effectively controlled costs and increased the appropriateness of care. However, gatekeeping increased paperwork and time on the telephone and reduced time spent with patients, physician autonomy and overall quality of care. Over 70% rated gatekeeping as good as or better than fee-for-service.

Evaluation, Medical care, Quality management, Medical care quality, Beliefs, opinions and attitudes, Health maintenance organizations, Physicians (General practice), General practitioners

---

TennCare and academic medical centers: the lessons from Tennessee

Article Abstract:

Moving Medicaid recipients into managed care programs may have serious consequences for academic medical centers. In Jan, 1994, the state of Tennessee enrolled all Medicaid recipients and a large number of uninsured people into managed care plans. The result for the 4 academic medical centers in the state was a loss of state funding for residency programs, an increased number of sicker patients and difficulty recruiting patients for clinical trials. Some medical centers have reduced services and staff. However, the move may have forced these medical centers to respond to a changing health care system.

Innovations, Economic aspects, Social policy, Managed care plans (Medical care), Medicaid, Tennessee

---

Academic-industrial relationships in the life sciences

Article Abstract:

A detailed analysis of cooperative agreements between universities and the biomedical industry is presented. Topics include the history of academic-industrial cooperation, the public promotion of academic-industrial cooperation, and the consequences of academic-industrial cooperation. This cooperation can involve industry providing financial support to research and training, paying faculty members as company consultants, offering faculty members shares in the company, and outright gifts and donations to universities.

Joint ventures, General Medical and Surgical Hospitals, General medical & surgical hospitals, University Medical Centers, Pharmaceutical industry, Medical equipment and supplies industry, Medical equipment industry, Company joint venture, Hospitals, University, University hospitals

Similar abstracts:

• Abstracts: Visual effects. Better continence care through use of research in clinical practice. Raging against fate
• Abstracts: Middle-class health behaviour: motivations and constraints in a sample of private patients. Diet, obesity and being overweight: a qualitative research study
• Abstracts: Recommendations for follow-up of health-care workers after occupational exposure to hepatitis C virus. Hepatitis C virus transmission from an antibody-negative organ and tissue donor -- United States, 2000-2002
• Abstracts: What I learned by working at the Oscars. If we gave out Oscars. The Oscars of bad taste
• Abstracts: Screening for Chlamydia - a key to the prevention of pelvic inflammatory disease. Genital chlamydial infections

This website is not affiliated with document authors or copyright owners. This page is provided for informational purposes only. Unintentional errors are possible.