The managed care factor in antibiotic resistance

Article Abstract:

The focus of health maintenance organizations (HMOs) on lowering costs contributes to increased bacterial resistance to antibiotics. Medical staff at HMOs are expected to increase patient satisfaction while spending less time in explanations for treatment. Therefore, patients who expect antibiotics for such non-life-threatening conditions as colds are often given these drugs. Misuse of antibiotics is not cost-effective, lowers the quality of medical care, and creates cynical providers.

Care and treatment, Finance, Communicable diseases, Drug resistance in microorganisms, Microbial drug resistance

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Case management: past, present, future - the drivers for change

Article Abstract:

Combining case management with improved databases, demand management, disease management, managed care, and a restructuring of health care can improve the quality of care provided to all patients. Such action will decrease the number of patients misplaced due to segmentation within health care and will help doctors and hospitals cooperate more effectively. The result would be increases in patient satisfaction and in the caliber of care and service, and decreases in cost.

Analysis, Medical case management, Reengineering (Management)

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Is it really managed, and is it really care?

Article Abstract:

Managed care has been criticized, characterized as caring solely about costs, and for some this may be true, but this is changing for the better. The criteria for measuring levels of health care have become more comprehensive, improving quality assurances. The judgment of clinicians and the well-being of patients are returning to the center of decisions. The system of managed care is young, many of the early mistakes are being reviewed and changes are being made.

Forecasts and trends, Medical care

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