National Academies Press: OpenBook

Changing Health Care Systems and Rheumatic Disease (1996)

Chapter: Appendix B: Workshop Guests

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Suggested Citation:"Appendix B: Workshop Guests." Institute of Medicine. 1996. Changing Health Care Systems and Rheumatic Disease. Washington, DC: The National Academies Press. doi: 10.17226/5472.
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Appendix B
Workshop Guests

Joyce Dubow

Senior Analyst

Public Policy Institute

American Association of Retired Persons


Robert S. Epstein, M.D., M.S.

Vice President

Merck-Medco


Theodore Fields, M.D.

Director

Rheumatology Faculty Practice Plan

Hospital for Special Surgery

Cornell Medical School


Richard Finkbiner, M.D., Ph.D.

Senior Analyst

The National Committee for Quality Assurance


Claude Earl Fox, M.D., M.P.H.

Deputy Assistant Secretary for Health (Disease Prevention and Health Promotion)

Public Health Service

US Department of Health and Human Services


Julia Freeman, Ph.D

Director, Centers Program

National Institute of Arthritis and Musculoskeletal and Skin Diseases


Steven J. Hausman, Ph.D.

Deputy Director

National Institute of Arthritis and Musculoskeletal and Skin Diseases

Suggested Citation:"Appendix B: Workshop Guests." Institute of Medicine. 1996. Changing Health Care Systems and Rheumatic Disease. Washington, DC: The National Academies Press. doi: 10.17226/5472.
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John Huber

Executive Director

Lupus Foundation of America


John K. Iglehart

Editor, Health Affairs Quarterly

National Correspondent

New England Journal of Medicine


Stanley B. Jones

Director

George Washington University Health Insurance Reform Project


Stephen I. Katz, M.D.

Director

National Institute of Arthritis and Musculoskeletal and Skin Diseases


Harry R. Kimball, M.D.

President

American Board of Internal Medicine


C. Ronald MacKenzie, M.D.

Assistant Professor of Internal Medicine

Hospital for Special Surgery

Cornell Medical School


Laura Robbins, D.S.W.

Director, Education Division

Hospital for Special Surgery

Cornell Medical School


Helen Simon

Director, Office of Program Planning and Evaluation

National Institute of Arthritis and Musculoskeletal and Skin Diseases


Susana Serrate-Sztein, M.D.

Chief, Rheumatic Diseases Branch

National Institute of Arthritis and Musculoskeletal and Skin Diseases

Suggested Citation:"Appendix B: Workshop Guests." Institute of Medicine. 1996. Changing Health Care Systems and Rheumatic Disease. Washington, DC: The National Academies Press. doi: 10.17226/5472.
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Page 239
Suggested Citation:"Appendix B: Workshop Guests." Institute of Medicine. 1996. Changing Health Care Systems and Rheumatic Disease. Washington, DC: The National Academies Press. doi: 10.17226/5472.
×
Page 240
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Market forces are driving a radical restructuring of health care delivery in the United States. At the same time, more and more people are living comparatively long lives with a variety of severe chronic health conditions. Many such people are concerned about the trend toward the creation of managed care systems because their need for frequent, often complex, medical services conflicts with managed care's desires to contain costs. The fear is that people with serious chronic disorders will be excluded from or underserved by the integrated health care delivery networks now emerging. Responding to a request from the National Institute of Arthritis and Musculoskeletal and Skin Diseases, this book reflects the results of a workshop that focused on the following questions:

  • Does the model of managed care or an integrated delivery system influence the types of interventions provided to patients with chronic conditions and the clinical and health status outcomes resulting from those interventions?
  • If so, are these effects quantitatively and clinically significant, as compared to the effects that other variables (e.g., income, education, ethnicity) have on patient outcomes?
  • If the type of health care delivery system appears to be related to patient care and outcomes, can specific organizational, financial, or other variables be identified that account for the relationships?
  • If not, what type of research should be pursued to provide the information needed about the relationship between types of health care systems and the processes and outcomes of care provided to people with serious chronic conditions?
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