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

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Pestronk, RM; Oxman, GL; Gilliss, CL; Dempster, JS; Badgett, JT; Garrett, EA; Parham, D; Toro-Alphonso, J

Published Date

  • March 1994

Published In

Volume / Issue

  • 6 / 3

Start / End Page

  • 121 - 124

PubMed ID

  • 8003361

Electronic International Standard Serial Number (EISSN)

  • 1745-7599

International Standard Serial Number (ISSN)

  • 1041-2972

Digital Object Identifier (DOI)

  • 10.1111/j.1745-7599.1994.tb00927.x


  • eng