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Managed-care research, Part 2: Researching the domain.
G L Ingersoll1, R Spitzer, J A Cook
1Vanderbilt University School of Nursing, Nashville, Tennessee, USA.
The Journal of Nursing Administration
|December 28, 1999
Summary
Research on managed care shows a lack of understanding regarding how its components affect patient care outcomes. Further investigation is needed to clarify the impact of managed care characteristics on healthcare delivery.
Area of Science:
- Healthcare Management
- Health Services Research
- Quality Improvement
Background:
- Managed care's widespread adoption has altered healthcare delivery.
- Existing research offers limited insight into the specific impacts of managed care components on outcomes.
- Uncertainty persists regarding which managed care characteristics influence observed healthcare outcomes.
Purpose of the Study:
- To review the existing research literature on managed care.
- To identify deficiencies in the current body of knowledge regarding managed care's impact on care delivery.
- To highlight research gaps within the five domain components of managed care.
Main Methods:
- Literature review of research on managed care.
- Analysis of studies focusing on the relationship between managed care components and healthcare outcomes.
- Identification of research deficiencies and knowledge gaps.
Main Results:
- Significant gaps exist in understanding the impact of managed care components on care delivery outcomes.
- Characteristics of managed-care systems are infrequently examined in relation to outcomes.
- Previous research has not adequately addressed the specific contributions of managed care domains to observed results.
Conclusions:
- More research is required to understand how specific managed care elements influence healthcare outcomes.
- Future studies should focus on dissecting the effects of various managed care characteristics.
- Addressing these research deficiencies is crucial for optimizing managed care strategies and improving patient care.