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Health outcomes and managed care: discussing the hidden issues.
Am J Manag Care. 1997 May; 3(5):756-62.AJ

Abstract

Too often the debate over health outcomes and managed care has glossed over a series of complex social, political, and ethical issues. Exciting advances in outcomes research have raised hopes for logical medical reform. However, science alone will not optimize our patients' health, since value judgements are necessary and integral parts of attempts to improve health outcomes within managed care organizations. Therefore, to form healthcare policy that is both fair and efficient, we must examine the fundamental values and ethical concerns that are imbedded in our efforts to shape care. We must openly discuss the hidden issues including: (1) trade-offs between standardization of care and provider-patient autonomy; (2) effects of financial incentives on physicians' professionalism; (3) opportunity costs inherent in the design of insurance plans; (4) responsibilities of managed care plans for the health of the public; (5) judicious and valid uses of data systems; and (6) the politics of uncertainty.

Authors+Show Affiliations

University of Chicago Medical Center, IL 60637, USA.

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

10169537

Citation

Chin, M H.. "Health Outcomes and Managed Care: Discussing the Hidden Issues." The American Journal of Managed Care, vol. 3, no. 5, 1997, pp. 756-62.
Chin MH. Health outcomes and managed care: discussing the hidden issues. Am J Manag Care. 1997;3(5):756-62.
Chin, M. H. (1997). Health outcomes and managed care: discussing the hidden issues. The American Journal of Managed Care, 3(5), 756-62.
Chin MH. Health Outcomes and Managed Care: Discussing the Hidden Issues. Am J Manag Care. 1997;3(5):756-62. PubMed PMID: 10169537.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Health outcomes and managed care: discussing the hidden issues. A1 - Chin,M H, PY - 1997/4/7/pubmed PY - 1997/4/7/medline PY - 1997/4/7/entrez KW - Analytical Approach KW - Health Care and Public Health SP - 756 EP - 62 JF - The American journal of managed care JO - Am J Manag Care VL - 3 IS - 5 N2 - Too often the debate over health outcomes and managed care has glossed over a series of complex social, political, and ethical issues. Exciting advances in outcomes research have raised hopes for logical medical reform. However, science alone will not optimize our patients' health, since value judgements are necessary and integral parts of attempts to improve health outcomes within managed care organizations. Therefore, to form healthcare policy that is both fair and efficient, we must examine the fundamental values and ethical concerns that are imbedded in our efforts to shape care. We must openly discuss the hidden issues including: (1) trade-offs between standardization of care and provider-patient autonomy; (2) effects of financial incentives on physicians' professionalism; (3) opportunity costs inherent in the design of insurance plans; (4) responsibilities of managed care plans for the health of the public; (5) judicious and valid uses of data systems; and (6) the politics of uncertainty. SN - 1088-0224 UR - https://www.unboundmedicine.com/medline/citation/10169537/Health_outcomes_and_managed_care:_discussing_the_hidden_issues_ L2 - https://www.ajmc.com/pubMed.php?pii=2039 DB - PRIME DP - Unbound Medicine ER -