Managed care systems and emerging infections challenges and opportunities for strengthening surveillance, research, and prevention : workshop summary, based on a workshop of the Forum on Emerging Infections, Division of Health Sciences Policy, Institute of Medicine

Detalles Bibliográficos
Autor Corporativo: Institute of Medicine (U.S.) (-)
Otros Autores: Davis, Jonathan R. (-)
Formato: Libro electrónico
Idioma:Inglés
Publicado: Washington, DC : National Academy Press 2000.
Edición:1st ed
Materias:
Ver en Biblioteca Universitat Ramon Llull:https://discovery.url.edu/permalink/34CSUC_URL/1im36ta/alma991009622149906719
Tabla de Contenidos:
  • Managed Care Systems and Emerging Infections
  • Copyright
  • REVIEWERS
  • Preface
  • Contents
  • Summary
  • BASIC AND CLINICAL RESEARCH
  • CLINICAL PRACTICE GUIDELINES
  • SURVEILLANCE AND MONITORING
  • EDUCATION AND OUTREACH
  • DRUG FORMULARIES
  • 1 Introduction
  • BACKGROUND
  • ABOUT THE WORKSHOP AND ORGANIZATION OF THE WORKSHOP SUMMARY
  • 2 Conducting Basic and Clinical Research in the Managed Care Setting
  • PERSPECTIVE OF ASSOCIATION OF AMERICAN MEDICAL COLLEGES ON BASIC AND CLINICAL RESEARCH
  • OPPORTUNITIES FOR POPULATION-BASED CLINICAL RESEARCH USING DATA FROM MANAGED CARE ORGANIZATIONS
  • CONDUCTING CLINICAL RESEARCH WITHIN MANAGED CARE ORGANIZATIONS
  • NIH ACTIVITIES RELATED TO CLINICAL RESEARCH AND MANAGED CARE
  • SUMMARY OF CHALLENGES AND OPPORTUNITIES
  • Supporting the Functions of Academic Health Centers
  • Ensuring Adequate Databases for Clinical Research
  • Exploiting the Unique Advantages of Managed Care for Surveillance and Research
  • Promoting Collaboration
  • Summary
  • 3 Clinical Practice Guidelines
  • CLINICAL PRACTICE GUIDELINES FOR EMERGING INFECTIONS AND MANAGED CARE
  • REALITIES OF IMPLEMENTING GUIDELINES
  • MAKING GUIDELINES INSTRUMENTAL: THEORY VERSUS PRACTICE
  • SUMMARY OF CHALLENGES AND OPPORTUNITIES
  • Promoting Adoption and Use of Guidelines in Managed Care Organizations
  • Involving Clinicians in Guideline Development and Implementation
  • The Need for Systemwide, Standardized Guidelines
  • Promoting Professional and Public Education
  • Summary
  • 4 Surveillance and Monitoring
  • AN EMPLOYER'S PERSPECTIVE
  • MANAGED CARE AND INFECTIOUS DISEASE SURVEILLANCE: OPPORTUNITIES FOR COLLABORATION
  • COLLABORATIVE SURVEILLANCE EFFORTS AND MONITORING OF DATA
  • LATTER DAY SAINTS HOSPITAL'S SYSTEM
  • LABORATORY-BASED REPORTING AND MANAGING ENCOUNTER-LEVEL DATA
  • LABORATORY-BASED REPORTING ISSUES
  • LEGAL CONCERNS.
  • SUMMARY OF CHALLENGES AND OPPORTUNITIES
  • Understanding Professional Roles in Surveillance and Monitoring
  • Ensuring Availability of Data
  • Promoting Sharing of Data
  • Tracking Nosocomial Infections
  • Accurate Reporting of Encounter-Level Data
  • Overcoming Structural Barriers
  • Summary
  • 5 Education and Outreach
  • COORDINATING HEALTH PLAN RESEARCH AND EDUCATIONAL EFFORTS
  • IMPACTS OF MANAGED CARE SYSTEM'S EDUCATIONAL EFFORTS ON CONTROL OF ANTIBIOTIC USE
  • EDUCATION AND OUTREACH PERSPECTIVES OF THE NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES
  • MANAGED CARE SYSTEMS AND EMERGING INFECTIONS: EDUCATION AND OUTREACH
  • SUMMARY OF CHALLENGES AND OPPORTUNITIES
  • Promote Professional Education Efforts
  • Encourage Judicious Antibiotic Use
  • Invest in Educational Programs
  • Summary
  • 6 Drug Formularies
  • REGULATORY ISSUES
  • RELATIONSHIP BETWEEN MANAGED CARE FORMULARIES AND TREATMENT OUTCOMES
  • BACTERIAL RESISTANCE, THE ANTIBIOTIC FORMULARY, AND OTHER MANAGEMENT STRATEGIES
  • ECONOMICS OF RESTRICTIONS ON PHARMACEUTICALS
  • SUMMARY OF CHALLENGES AND OPPORTUNITIES
  • Ensuring Availability of Current Information on New Drugs
  • Managing Antibiotic Selective Pressure
  • Need for New Management Strategies for Cost Reduction
  • Achieving Quality Care and Cost Containment
  • Summary
  • 7 Concluding Remarks
  • References
  • Appendix A Veterans Health Administration and Infectious Disease
  • CLINICAL RESEARCH
  • CLINICAL PRACTICE
  • Information Technology
  • Homelessness
  • SURVEILLANCE AND MONITORING
  • Emerging Pathogens Initiative
  • Annual Infectious Diseases and Infection Control Report
  • EDUCATION
  • DRUG FORMULARY
  • Appendix B Glossary and Acronyms
  • Acronyms
  • Glossary
  • Appendix C Workshop Agenda
  • Appendix D Forum Member and Staff Biographies
  • FORUM MEMBERS
  • STUDY STAFF.