Related Experiment Video
Updated: Aug 13, 2026
14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Managed care: theoretical or practical
1D.C. Chartered Health Plan, Inc., Washington, DC 20002.
Journal of Health Care for the Poor and Underserved
|January 1, 1994
Summary
Managed care organizations serving low-income populations require targeted outreach and health education. This model can efficiently serve the underserved while remaining competitive.
Area of Science:
- Healthcare Management
- Public Health
- Health Equity
Background:
- Managed care organizations (MCOs) face distinct challenges when serving impoverished populations.
- Effective strategies are needed to engage and educate underserved communities about healthcare benefits.
Purpose of the Study:
- To explore the unique challenges and opportunities for MCOs serving the poor.
- To highlight the importance of tailored outreach and health education in these settings.
Main Methods:
- Qualitative analysis of MCO operational strategies for underserved populations.
- Review of best practices in community health engagement and disease prevention.
Main Results:
- MCOs must prioritize patient empowerment through awareness and knowledge of benefits.
- Outreach must be sensitive to diverse urban and rural needs.
- Emphasis on health education and preventive care is crucial for success.
Conclusions:
- The managed care model offers an efficient framework for addressing the needs of the underserved.
- MCOs can be competitive by providing effective, sensitive, and educational services to low-income populations.
Related Concept Videos
01:30Theoretical Foundations of Nursing Practice
Theories play an essential role in organizing patient care. Theories refer to a proposed or followed belief, policy, or procedure that is the basis for action. Nursing theories are knowledge-based concepts that guide nurses' actions, influence nursing education and practice, and allow nurses to care for their patients.
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:13Patient-centered Care
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
01:15Nursing Implementation
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
01:29Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities