Managed Care Systems and Emerging Infections Challenges and Opportunities for Strengthening Surveillance, Research, and Prevention: Workshop Summary (2000) / Chapter Skim
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5 Education and Outreach
5 Education and Outreach
Pages 52-61
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From page 52... ...
However, efforts to revamp the system to encourage educational outreach programs not only for health care professionals but also for the general public are under way. The following presentations discuss the effects of managed care on educational and outreach efforts in addressing emerging and reemerging infectious diseases.
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From page 53... ...
IMPACTS OF MANAGED CARE SYSTEM'S EDUCATIONAL EFFORTS ON CONTROL OF ANTIBIOTIC USE Presented by Benjamin Schwartz, M.D. Deputy Director of the Epidemiology and Surveillance Division, National Immunization Program, Centers for Disease Control and Prevention The CDC and its National Center for Infectious Diseases recognize that managed care organizations are well positioned to provide infectious diseaserelated health care education to providers and patients.
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From page 54... ...
A number of reasons for the overuse of antimicrobial agents have been proposed. Studies indicate that economic factors influence the prescription practices of physicians who work in managed care organizations.
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From page 55... ...
Targets for educational interventions therefore include managed care administrators, health care providers, and patients. Reducing conflicting messages and providing incentives for good clinical practice will be important to achieving behavioral changes and reducing the rates of antibiotic resistance.
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From page 56... ...
Assistant Directorfor International Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health Unlike health maintenance organizations and managed care organizations, the National Institute of Allergy and Infectious Diseases (NIAID) has focused on promoting the basic scientific underpinnings of clinical research instead of direct educational and outreach activities to the medical community.
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From page 57... ...
Senior Medical Advisor, Center for Outcomes and Electiveness Research, Agencyfor Health Care Policy and Research Although in everyday parlance "costs" may be conceived of in terms of monetary payments, economic theory considers the costs of medical care to be the resources-physicians and nursing time, chemical and biological products, supplies and equipment, vehicles, and buildings-that are used for patient care instead of other purposes (Gerber et al., 1996~. Managed care has reduced the level of spending for medical care, but reduced spending is not synonymous with reductions in the underlying cost of that care (Chernew et al., 1997~.
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From page 58... ...
Managed care organizations are increasingly able to be accountable for the appropriateness and quality of clinical care. Not only do they have the infrastructure to improve infectious disease surveillance through the systematic collection of encounter-level data and the standardization of computerized systems for the monitoring of data on health care, but they are also equipped to educate providers on the importance of their role In accurate disease reporting.
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From page 59... ...
To facilitate this, managed care organizations must resolve the conflicting messages and the sometimes competing incentives of good clinical practice and cost control. Targets for educational interventions include managed care administrators, providers, and patients.
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From page 60... ...
Managed care organizations have the responsibility to educate providers regarding their critical role in accurate infectious disease reporting. Managed care organizations should invest in educational efforts on emerging infections and initiate partnerships with buyers to identify key educational program opportunities and increase the level of awareness of emerging infections beyond antimicrobial resistance.
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From page 61... ...
61 promoting the values of education Id outreach, including tree (protected) time or subsidies far continuing education Id bonuses far judicious =hbiotic prescription behavior.
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