マネージドケア規制:各州の研究室で
1Department of Health Policy, Mount Sinai School of Medicine, New York, NY 10029, USA. Tracy Miller@smptlink.mssm.edu
JAMA
|October 7, 1997
まとめ
州政府は現在,医療政策改革を主導しており,1995年以来,管理ケア規制に焦点を当てています. これらの州政策の評価は,政府の政策を理解するために不可欠です.
科学分野:
- 健康政策と健康管理について
- 公衆衛生法 公衆衛生法 公衆衛生法
- ヘルスケア・アドミニストレーション・ヘルスケア・アドミニストレーション
背景:
- 全国保健医療改革の失敗は,政策の責任を州政府に移した.
- 1995年以来,各州は管理介護を厳しく規制しています.
- これらの規制は,患者,医師,医師と患者の関係に影響を与えます.
研究 の 目的:
- 州レベルのマネージドケア政策の影響を評価する.
- 管理介護の時代に政府の役割を理解する.
- 医師と患者の関係と職業上の権利の促進を評価する.
主な方法:
- 1995年以来採択された州レベルの管理介護規則の分析.
- 患者と医師に対する政策的影響の検討.
- 異なる市場における規制活動を推進する共通の懸念の評価.
主要な成果:
- 州の政策立案者は,マネージドケア規制に集中しています.
- 規制活動は,管理介護の慣行に関する共通の国家的な懸念を反映しています.
- 政策は,患者,医師,そして医師と患者の関係に大きな影響を及ぼします.
結論:
- 州政府は,国家改革が行われていない状態で,保健政策の中心的な役割を担っています.
- マネージドケア規制は,国家政策の重点となる重要な分野である.
- これらの州政策の評価は,患者および専門家の権利を保護する政府の役割を定義するために不可欠です.
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