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Managed outcomes: a strategy to improve the nation's health.

Publication ,  Journal Article
Pestronk, RM; Oxman, GL; Gilliss, CL; Dempster, JS; Badgett, JT; Garrett, EA; Parham, D; Toro-Alphonso, J
Published in: Journal of the American Academy of Nurse Practitioners
March 1994

Current health care delivery systems in the United States have led to high cost, uneven quality, less than universal coverage, undue emphasis on a medical/clinical model, and scant attention to primary care and prevention. In the context of health care reform, a new strategy is introduced that reverses present trends and incentives, called managed outcomes. This strategy is not specific to any particular health care delivery system. Managed outcomes encourages experimentation and flexibility in the design of health care systems and fosters primary care, health promotion, and disease prevention models. It links purchasing decisions to established specific and measurable goals that can provide quality and cost-effective services to improve health.

Duke Scholars

Published In

Journal of the American Academy of Nurse Practitioners

DOI

EISSN

1745-7599

ISSN

1041-2972

Publication Date

March 1994

Volume

6

Issue

3

Start / End Page

121 / 124

Related Subject Headings

  • United States
  • Outcome Assessment, Health Care
  • Nursing
  • Models, Organizational
  • Managed Care Programs
  • Humans
  • Health Status
  • Health Care Reform
  • 1110 Nursing
 

Citation

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ICMJE
MLA
NLM
Pestronk, R. M., Oxman, G. L., Gilliss, C. L., Dempster, J. S., Badgett, J. T., Garrett, E. A., … Toro-Alphonso, J. (1994). Managed outcomes: a strategy to improve the nation's health. Journal of the American Academy of Nurse Practitioners, 6(3), 121–124. https://doi.org/10.1111/j.1745-7599.1994.tb00927.x
Pestronk, R. M., G. L. Oxman, C. L. Gilliss, J. S. Dempster, J. T. Badgett, E. A. Garrett, D. Parham, and J. Toro-Alphonso. “Managed outcomes: a strategy to improve the nation's health.Journal of the American Academy of Nurse Practitioners 6, no. 3 (March 1994): 121–24. https://doi.org/10.1111/j.1745-7599.1994.tb00927.x.
Pestronk RM, Oxman GL, Gilliss CL, Dempster JS, Badgett JT, Garrett EA, et al. Managed outcomes: a strategy to improve the nation's health. Journal of the American Academy of Nurse Practitioners. 1994 Mar;6(3):121–4.
Pestronk, R. M., et al. “Managed outcomes: a strategy to improve the nation's health.Journal of the American Academy of Nurse Practitioners, vol. 6, no. 3, Mar. 1994, pp. 121–24. Epmc, doi:10.1111/j.1745-7599.1994.tb00927.x.
Pestronk RM, Oxman GL, Gilliss CL, Dempster JS, Badgett JT, Garrett EA, Parham D, Toro-Alphonso J. Managed outcomes: a strategy to improve the nation's health. Journal of the American Academy of Nurse Practitioners. 1994 Mar;6(3):121–124.
Journal cover image

Published In

Journal of the American Academy of Nurse Practitioners

DOI

EISSN

1745-7599

ISSN

1041-2972

Publication Date

March 1994

Volume

6

Issue

3

Start / End Page

121 / 124

Related Subject Headings

  • United States
  • Outcome Assessment, Health Care
  • Nursing
  • Models, Organizational
  • Managed Care Programs
  • Humans
  • Health Status
  • Health Care Reform
  • 1110 Nursing