Changing health care systems and rheumatic disease
| Autor principal: | |
|---|---|
| Autores Corporativos: | , |
| Otros Autores: | , |
| Formato: | Libro electrónico |
| Idioma: | Inglés |
| Publicado: |
Washington, D.C. :
National Academy Press
1996.
|
| Edición: | 1st ed |
| Materias: | |
| Ver en Biblioteca Universitat Ramon Llull: | https://discovery.url.edu/permalink/34CSUC_URL/1im36ta/alma991009622060906719 |
Tabla de Contenidos:
- Changing Health Care Systems and Rheumatic Disease
- Copyright
- Preface
- Contents
- 1 Introduction
- CHANGING HEALTH CARE SYSTEMS
- CHRONIC DISEASE
- RHEUMATIC DISEASE
- PRACTICES AND ACHIEVEMENTS OF MANAGED CARE SYSTEMS
- Hospital Use
- Physician Use
- Tests and Procedures
- Home Health and Skilled Nursing Care
- Social/Health Maintenance Organizations
- WORK FORCE ISSUES
- RESEARCH, EDUCATION, AND TRAINING
- THE WORKSHOP
- 2 Opening Remarks
- 3 Keynote Address
- CHANGING HEALTH CARE
- HOSPITALS
- MANAGED CARE
- PHYSICIAN PAYMENT
- SPECIALIST-GENERALIST INTERACTION
- POLICY ISSUES
- 4 What Would Ideal Care Look Like?
- INTRODUCTION
- INVITED ADDRESS
- INVITED REACTION
- INVITED REACTION
- INVITED REACTION
- The Patient
- The Role of The Physician and the Relationship Between the Primary Care Provider and the Specialist
- Other Elements in An Ideal System of Care
- Rehabilitation
- Exercise
- Nonrestrictive Drug Formularies
- Alternative Delivery Mechanisms
- Structured Care
- Relationship Between Financing and Care
- Measurement of Outcomes in an Ideal Care System
- Access to an Ideal Care System
- Conclusion
- DISCUSSION
- 5 Managed Care and Rheumatoid Arthritis: Utilization and Outcomes Over 11 Years
- INTRODUCTION
- INVITED ADDRESS
- Literature on Health Care Utilization and Outcomes in FFS and HMOs
- Study Design
- Results
- Health Care Utilization
- Health Outcomes
- Summary of FFS-PGP Comparisons
- Comparisons of Care Provided by Rheumatologists and Nonrheumatologists
- Conclusions
- INVITED REACTION
- INVITED REACTION
- DISCUSSION
- 6 Measuring Medical Outcomes: Longitudinal Data on the Differential Impact of Health Care Systems on Chronic Disease
- INTRODUCTION
- INVITED ADDRESS
- INVITED REACTION
- INVITED REACTION
- DISCUSSION.
- 7 Changing Health Care Systems and Access to Care for the Chronically Ill
- INTRODUCTION
- INVITED ADDRESS
- The Chronically Ill: Promises and Risks in An Era of Managed Care and Competitive Markets
- Chronic Illness
- Risk and Current Managed Care Market Dynamics
- Capitation: Moving to the Provider Level?
- Standards of Comparison
- Inadequately Insured Chronically Ill: A Harsher Future
- Vulnerable Populations
- Policy Implications
- INVITED REACTION
- INVITED REACTION
- DISCUSSION
- 8 Training and Utilization of Generalists and Subspecialists at the University of California, Los Angeles
- INTRODUCTION
- INVITED ADDRESS
- Primary Care Physicians
- Subspecialty and Specialty Consultation
- Transportation Systems
- Education Systems
- Graduate Medical Education
- Integrating Subspecialty Medicine Into General Internal Medicine
- Continuing Medical Education
- INVITED REACTION
- INVITED REACTION
- DISCUSSION
- 9 How Easily Do Health Care Systems Adopt New Knowledge, and What Are the Likely Future Developments?
- INTRODUCTION
- INVITED ADDRESS
- INVITED REACTION
- INVITED REACTION
- DISCUSSION
- 10 Issues and Insights Regarding Research, Education, and Training
- INTRODUCTION
- INVITED ADDRESS
- Research
- Education
- Training
- Conclusion
- INVITED REACTION
- DISCUSSION
- 11 Commentary on the Day's Papers
- 12 Conclusions and Recommendations
- CONCLUSION 1
- CONCLUSION 2
- CONCLUSION 3
- CONCLUSION 4
- CONCLUSION 5
- CONCLUSION 6
- CONCLUSION 7
- CONCLUSION 8
- CONCLUSION 9
- A FINAL NOTE
- Appendix A Biographies of Committee Members and Speakers
- Appendix B Workshop Guests.
