Do we understand the effects of 'managed care' in ophthalmology? A review and analysis.

Journal Article (Journal Article;Review)

Little has been published that directly assesses the effect of structures for providing managed care or the effects of capitated, prepaid financing on the cost and quality of eye care services. Managed care organizations use fewer ophthalmologists and may provide more screening for diabetic retinopathy. Studies of nonophthalmologic care show lower patient satisfaction with care, and mixed effects on cost, quality of care, and access to care, but are difficult to generalize to eye care. We reviewed the published peer-reviewed literature about this topic. Notable gaps exist in the knowledge of critical elements of the influence of managed care on providing eye care and on patient outcomes. Existing measures of quality, cost, satisfaction, and access could easily be adapted for use in evaluating the influence of managed care and guiding health care policy.

Full Text

Duke Authors

Cited Authors

  • Asch, S; Goldzweig, CL; Lee, P

Published Date

  • April 1997

Published In

Volume / Issue

  • 115 / 4

Start / End Page

  • 531 - 536

PubMed ID

  • 9109765

International Standard Serial Number (ISSN)

  • 0003-9950

Digital Object Identifier (DOI)

  • 10.1001/archopht.1997.01100150533016


  • eng

Conference Location

  • United States