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:
Table of Contents
|2: Opening Remarks||17-20|
|3: Keynote Address||21-30|
|4: What Would Ideal Care Look Like?||31-72|
|5: Managed Care and Rheumatiod Arthritis: Utilization and Outcomes Over 11 Years||73-94|
|6: Measuring Medical Outcomes: Longitudinal Data on the Differential Impact of Health Care Systems on Chronic Diseases||95-114|
|7: Changing Health Care Systems and Access to Care for the Chronically ill||115-146|
|8: Training and Utilization of Generalists and Subspecialists at the University of California, Los Angeles||147-168|
|9: How Easily Do Health Care Systems Adopt New Knowledge, and What Are the Likely Future Developments?||169-188|
|10: Issues and Insights Regarding Research, Education, and Training||189-208|
|11: Commentary on the Day's Papers||209-212|
|12: Conclusions and Recommendations||213-222|
|Appendix A: Biographies of Committee Members and Speakers||223-238|
|Appendix B: Workshop Guests||239-240|
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