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Regulación de la atención administrada: en el laboratorio de los estados
1Department of Health Policy, Mount Sinai School of Medicine, New York, NY 10029, USA. Tracy Miller@smptlink.mssm.edu
JAMA
|October 7, 1997
Resumen
Los gobiernos estatales ahora están liderando la reforma de la política de salud, centrándose en la regulación de la atención administrada desde 1995. La evaluación de estas políticas estatales es crucial para comprender las políticas gubernamentales.
Área de la Ciencia:
- Políticas y Gestión de la Salud.
- Derecho de Salud Pública Derecho de Salud Pública.
- Administración de la Administración del Cuidado de la Salud.
Sus antecedentes:
- Los fracasos de la reforma nacional de la atención médica trasladaron la responsabilidad política a los gobiernos estatales.
- Desde 1995, los estados han regulado intensamente la atención administrada.
- Estas regulaciones afectan a los pacientes, los médicos y la relación médico-paciente.
Objetivo del estudio:
- Evaluar el impacto de las políticas de atención administrada a nivel estatal.
- Comprender el papel del gobierno en la era del cuidado administrado.
- Evaluar la promoción de las relaciones médico-paciente y los derechos profesionales.
Principales métodos:
- Análisis de las regulaciones de atención administrada a nivel estatal adoptadas desde 1995.
- Examen de las implicaciones políticas para pacientes y médicos.
- Evaluación de las preocupaciones compartidas que impulsan la actividad reguladora en diversos mercados.
Principales resultados:
- Los formuladores de políticas estatales se han centrado intensamente en la regulación de la atención administrada.
- La actividad reguladora refleja una preocupación nacional compartida con respecto a las prácticas de atención administrada.
- Las políticas tienen amplias implicaciones para los pacientes, los médicos y la relación médico-paciente.
Conclusiones:
- Los gobiernos estatales son fundamentales para la política de salud en ausencia de una reforma nacional.
- La regulación de la atención administrada es un área clave del enfoque de la política estatal.
- La evaluación de estas políticas estatales es esencial para definir el papel del gobierno en la protección de los derechos de los pacientes y profesionales.
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