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Related Experiment Videos

Managed care. Origins, principles, and evolution

G Fairfield1, D J Hunter, D Mechanic

  • 1Nuffield Institute for Health, University of Leeds.

BMJ (Clinical Research Ed.)
|June 21, 1997
PubMed
Summary
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Managed care aims to reduce healthcare costs while maintaining quality, but evidence for its success is mixed. Careful evaluation of its implications for healthcare systems is essential.

Area of Science:

  • Healthcare reform
  • Health economics
  • Health services research

Background:

  • Managed care is a complex concept in healthcare reform, often misunderstood.
  • It emerged in the US to address rising costs and fragmented services.
  • Managed care encompasses a spectrum of activities aimed at cost-effective healthcare.

Purpose of the Study:

  • To clarify the meaning and purpose of managed care.
  • To evaluate the evidence for managed care's ability to control costs and maintain quality.
  • To consider the desirability of managed care for the National Health Service (NHS).

Main Methods:

  • The series reviews existing literature and evidence on managed care.
  • It analyzes the spectrum of managed care activities and their organizational settings.

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  • The focus is on understanding how managed care influences professional practice towards cost-effectiveness.

    • Main Results:

    • Evidence supporting managed care's effectiveness in cost reduction and quality maintenance is inconclusive.
    • Managed care is characterized by its attempt to modify healthcare professional behavior.
    • Its constantly evolving nature makes it a 'slippery concept'.

    Conclusions:

    • Managed care presents a mixed picture regarding its ability to achieve cost savings and quality.
    • Its potential benefits require careful appraisal of its broader implications.
    • The suitability of managed care for systems like the NHS warrants thorough consideration.