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Related Experiment Videos

Understanding managed behavioral health care.

M A Hoge1, N M Thakur, S Jacobs

  • 1Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.

The Psychiatric Clinics of North America
|July 26, 2000
PubMed
Summary
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Managed care, a developing force in healthcare, is understood through its history, evolution, and diverse forms. Understanding its varied dimensions is key for consumers and providers navigating its implementation.

Area of Science:

  • Health Services Research
  • Healthcare Management
  • Public Health Policy

Background:

  • Managed care evolved as a response to provider practices and public sector care management.
  • It represents a significant shift in healthcare delivery, acting as a 'fourth party' in transactions.

Purpose of the Study:

  • To provide a comprehensive understanding of managed care from historical, developmental, and dimensional perspectives.
  • To guide consumers and providers in interpreting managed care's varied implementations.

Main Methods:

  • Historical analysis of managed care's origins and evolution.
  • Examination of managed care as an emerging entity with distinct generational phases.
  • Analysis of the multifaceted dimensions characterizing managed care initiatives.

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Main Results:

  • Managed care is presented as a dynamic entity with a complex history.
  • It is characterized as an evolving 'fourth party' in healthcare, continually redefining service organization and delivery.
  • Significant variation exists in managed care's implementation across different regions and communities.

Conclusions:

  • A singular, simple definition of managed care is currently elusive due to its diverse forms and functions.
  • Understanding managed care requires appreciating its historical context, developmental stages, and the specific dimensions of its local application.
  • Further uniformity in managed care's structure and operation is needed for clearer definition and implementation.