Do we understand the effects of 'managed care' in ophthalmology? A review and analysis.
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.
Duke Scholars
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DOI
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Related Subject Headings
- Quality of Health Care
- Patient Satisfaction
- Ophthalmology & Optometry
- Ophthalmology
- Managed Care Programs
- Humans
- Health Services Accessibility
- Health Care Costs
- Cost Control
- 1113 Opthalmology and Optometry
Citation
Published In
DOI
ISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Quality of Health Care
- Patient Satisfaction
- Ophthalmology & Optometry
- Ophthalmology
- Managed Care Programs
- Humans
- Health Services Accessibility
- Health Care Costs
- Cost Control
- 1113 Opthalmology and Optometry