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HMO outcomes research: lessons from the field.

B E Lewis1

  • 1Fallon Clinic, Worcester, MA.

The Journal of Ambulatory Care Management
|December 9, 1994
PubMed
Summary

This study explores outcomes research within managed care, detailing study types, costs, and labor. It proposes collaborations between managed care organizations, academic institutions, and pharmaceutical companies for effective outcomes research.

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Area of Science:

  • Health Services Research
  • Managed Care
  • Outcomes Research

Background:

  • Managed care organizations (MCOs) are increasingly involved in outcomes research.
  • Understanding the landscape of outcomes research is crucial for MCOs.
  • The Fallon Healthcare System's experience provides a practical perspective.

Purpose of the Study:

  • To examine outcomes research from an MCO perspective.
  • To categorize and analyze different types of outcomes studies.
  • To propose a collaborative model for outcomes research.

Main Methods:

  • Review of outcomes research conducted by The Fallon Healthcare System.
  • Categorization of outcome studies based on research questions.
  • Analysis of cost and labor implications for different study types.

Main Results:

  • Outcomes research encompasses diverse study types.
  • Each category of outcomes research has distinct cost and labor requirements.
  • Current collaborative efforts in outcomes research are suboptimal.

Conclusions:

  • Managed care organizations play a vital role in outcomes research.
  • A structured partnership is needed among MCOs, academic institutions, and pharmaceutical companies.
  • Enhanced collaboration can advance the field of outcomes research.

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