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Volumn 47, Issue 6, 1998, Pages 442-459

Managed care;Managed care. Auswirkungen auf das gesundheitswesen der USA, insbesondere im bereich anasthesie und intensivmedizin

Author keywords

Cost; Health system; Managed care; Quality

Indexed keywords

ANESTHESIST; ARTICLE; COST MINIMIZATION ANALYSIS; GERMANY; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE ORGANIZATION; HEALTH CARE SYSTEM; HEALTH INSURANCE; MANAGED CARE; MANAGED CARE ORGANIZATION; UNIVERSITY HOSPITAL;

EID: 0031825020     PISSN: 00032417     EISSN: None     Source Type: Journal    
DOI: 10.1007/s001010050582     Document Type: Article
Times cited : (4)

References (52)
  • 1
    • 0029974334 scopus 로고    scopus 로고
    • Anesthesia providers, patient outcomes, and costs
    • Abenstein JR, Warner MA (1996) Anesthesia providers, patient outcomes, and costs. Anesth Analg 82:1273-1283
    • (1996) Anesth Analg , vol.82 , pp. 1273-1283
    • Abenstein, J.R.1    Warner, M.A.2
  • 3
    • 0344050367 scopus 로고    scopus 로고
    • Schattauer, Stuttgart New York
    • •• Arnold M, Lauterbach KW, Preuß K-J (1997) Managed care. Schattauer, Stuttgart New York Umfassende Darstellung von managed care in den USA. Diskussion der Übertragungsmöglichkeiten dieses Konzepts auf das deutsche Gesundheitswesen aus gesundheitsökonomischer Sicht.
    • (1997) Managed Care
    • Arnold, M.1    Lauterbach, K.W.2    Preuß, K.-J.3
  • 4
    • 0030050220 scopus 로고    scopus 로고
    • Anesthesia workforce trends-prosperity or peril?
    • Becker KE, Orkin FK (1996) Anesthesia workforce trends-prosperity or peril? Am J Anesthesiology 23:33-38
    • (1996) Am J Anesthesiology , vol.23 , pp. 33-38
    • Becker, K.E.1    Orkin, F.K.2
  • 5
    • 0023941737 scopus 로고
    • Reimbursement for intensive care services under diagnosis-related groups
    • Beckes C, Fleming S, Scott W (1988) Reimbursement for intensive care services under diagnosis-related groups. Crit Care Med 16:478-481
    • (1988) Crit Care Med , vol.16 , pp. 478-481
    • Beckes, C.1    Fleming, S.2    Scott, W.3
  • 6
    • 0029156101 scopus 로고
    • Potential effects of managed care on specialty practice at a university medical center
    • Billi JE, Wise CG, Bills EA, Mitchell RL (1995) Potential effects of managed care on specialty practice at a university medical center. N Engl J Med 333:979-983
    • (1995) N Engl J Med , vol.333 , pp. 979-983
    • Billi, J.E.1    Wise, C.G.2    Bills, E.A.3    Mitchell, R.L.4
  • 7
    • 0029831518 scopus 로고    scopus 로고
    • The HMO backlash-righteous or reactionary?
    • • Bodenheimer T (1996) The HMO backlash-righteous or reactionary? N Engl J Med 335:1601-1604 Überblick über die Entwicklung der HMOs und der Instrumente von managed care. Kritisch werden die Auswirkungen auf die Patienten-Arzt-Beziehung und die Bedrohung der ärztlichen Autonomie aufgezeigt. Gesetzgeberische Initiativen gegen Leistungsbeschränkungen für Patienten durch managed care-Organisationen werden genannt.
    • (1996) N Engl J Med , vol.335 , pp. 1601-1604
    • Bodenheimer, T.1
  • 8
    • 0028487207 scopus 로고
    • Critical care medicine in managed competition and a managed care environment
    • •• Chalfin DB, Fein AM (1994) Critical care medicine in managed competition and a managed care environment. New Horiz 2:275-282 Komprimierter Überblick über die potentiellen Auswirkungen von managed care auf die Intensivmedizin: es droht eine Reduktion der Intensivkapazität.
    • (1994) New Horiz , vol.2 , pp. 275-282
    • Chalfin, D.B.1    Fein, A.M.2
  • 9
    • 84942950704 scopus 로고
    • Access and outcomes of elderly patients enrolled in managed care
    • Clement DG, Retchin SM, Brown RS, Stegall MH (1994) Access and outcomes of elderly patients enrolled in managed care. JAMA 271:1487-1492
    • (1994) JAMA , vol.271 , pp. 1487-1492
    • Clement, D.G.1    Retchin, S.M.2    Brown, R.S.3    Stegall, M.H.4
  • 10
    • 0029953979 scopus 로고    scopus 로고
    • The impact of health maintenance organization care authorization policy on an emergency department before California's new managed care law
    • Derlet RW, Hamilton B (1996) The impact of health maintenance organization care authorization policy on an emergency department before California's new managed care law. Acad Emerg Med 3:338-344
    • (1996) Acad Emerg Med , vol.3 , pp. 338-344
    • Derlet, R.W.1    Hamilton, B.2
  • 11
    • 0029589637 scopus 로고
    • What really happens when capitation arrives? Strategies for successfull integration into anesthesia practices
    • •• Dritz RA (1995) What really happens when capitation arrives? Strategies for successfull integration into anesthesia practices. Int Anesthesiol Clin 33:151-162 Kompakter Überblick über die Auswirkungen von managed care auf die Anästhesie einschließlich der Folgen für die finanzielle Vertragsgestaltung
    • (1995) Int Anesthesiol Clin , vol.33 , pp. 151-162
    • Dritz, R.A.1
  • 12
    • 0028247168 scopus 로고
    • Health system reform -will controlling costs require rationing service?
    • • Eddy DM (1994) Health system reform -will controlling costs require rationing service? JAMA 272:324-328 Analyse der ökonomischen Situation des US Gesundheitswesens. Nach der Meinung des Autors ist eine radikale Kostenkontrolle unausweichlich. Eine Rationalisierung ist wahrscheinlich nicht ausreichend, so daß eine Rationierung von Gesundheitsleistungen erfolgen muß mit der drohenden Gefahr eines Qualitätsverlusts für die medizinische Versorgung der Bevölkerung.
    • (1994) JAMA , vol.272 , pp. 324-328
    • Eddy, D.M.1
  • 13
    • 0030266799 scopus 로고    scopus 로고
    • Resource utilization and pathways: Meeting the challenge of cost containment
    • Edwards WH, Edwards WH, Martin RS, Mulherin JL, Bullock D (1996) Resource utilization and pathways: meeting the challenge of cost containment. Am Surg 62:830-834
    • (1996) Am Surg , vol.62 , pp. 830-834
    • Edwards, W.H.1    Edwards, W.H.2    Martin, R.S.3    Mulherin, J.L.4    Bullock, D.5
  • 14
    • 0029768079 scopus 로고    scopus 로고
    • Managed care - Work in progress
    • Ellwood PM, Lundberg GD (1996) Managed care - work in progress. JAMA 276:1083-1086
    • (1996) JAMA , vol.276 , pp. 1083-1086
    • Ellwood, P.M.1    Lundberg, G.D.2
  • 15
    • 0029045284 scopus 로고
    • No breathing room in the anesthesia turf battle
    • Firshein J (1995) No breathing room in the anesthesia turf battle. Hosp Health Netw 69:48-52
    • (1995) Hosp Health Netw , vol.69 , pp. 48-52
    • Firshein, J.1
  • 16
    • 0028004141 scopus 로고
    • Academic surgical group practices at the dawn of health reform
    • •• Flint L, Flint CB (1994) Academic surgical group practices at the dawn of health reform. Ann Surg 220:374-378 Präzise Analyse der Auswirkungen von managed care auf die Universitäten Zentren: der dramatische Rückgang der Einnahmen aus der klinischen Patientenversorgung gefährdet zahlreiche Ausbildungs-und Forschungsprogramme.
    • (1994) Ann Surg , vol.220 , pp. 374-378
    • Flint, L.1    Flint, C.B.2
  • 17
    • 0031003857 scopus 로고    scopus 로고
    • Managed care and merger mania
    • Fuchs VR (1997) Managed care and merger mania. JAMA 277:920-921
    • (1997) JAMA , vol.277 , pp. 920-921
    • Fuchs, V.R.1
  • 18
    • 0030935112 scopus 로고    scopus 로고
    • Managed care - A look back and a look ahead
    • Ginzberg E, Ostow M (1997) Managed care -a look back and a look ahead. N Engl J Med 336:1018-1020
    • (1997) N Engl J Med , vol.336 , pp. 1018-1020
    • Ginzberg, E.1    Ostow, M.2
  • 19
    • 0027945478 scopus 로고
    • Perspectives of an HMO leader
    • Gumbiner R (1994) Perspectives of an HMO leader. Inquiry 31:330-333
    • (1994) Inquiry , vol.31 , pp. 330-333
    • Gumbiner, R.1
  • 20
    • 0028871424 scopus 로고
    • A cardiovascular intensive care nursing staff response to managed care: A change in practice
    • Henry L, Duffy J (1995) A cardiovascular intensive care nursing staff response to managed care: a change in practice. Crit Care Nurse Q 18:28-35
    • (1995) Crit Care Nurse Q , vol.18 , pp. 28-35
    • Henry, L.1    Duffy, J.2
  • 21
    • 0023607059 scopus 로고
    • Financial incentives for physicians in HMOs: Is there a conflict of interest?
    • Hillman AL (1987) Financial incentives for physicians in HMOs: Is there a conflict of interest? N Engl J Med 317:1743-1748
    • (1987) N Engl J Med , vol.317 , pp. 1743-1748
    • Hillman, A.L.1
  • 22
    • 0029934543 scopus 로고    scopus 로고
    • Critical care in 1996: Doing too much? Doing too little? Keeping the patient in focus during a time of smoke and fire
    • Hoyt JW (1996) Critical care in 1996: doing too much? Doing too little? Keeping the patient in focus during a time of smoke and fire. Crit Care Med 24:890-892
    • (1996) Crit Care Med , vol.24 , pp. 890-892
    • Hoyt, J.W.1
  • 23
    • 0028081110 scopus 로고
    • Rapid changes for academic medical centers. First of two parts
    • Iglehart JK (1994) Rapid changes for academic medical centers. First of two parts. N Engl J Med 331:1391-1395
    • (1994) N Engl J Med , vol.331 , pp. 1391-1395
    • Iglehart, J.K.1
  • 24
    • 0029149097 scopus 로고
    • Academic Medical Centers enter the marked: The case of Philadelphia
    • Iglehart JK (1995) Academic Medical Centers enter the marked: The case of Philadelphia. N Engl J Med 333:1019-1023
    • (1995) N Engl J Med , vol.333 , pp. 1019-1023
    • Iglehart, J.K.1
  • 25
    • 0028896775 scopus 로고
    • Rapid changes for academic medical centers. Second of two parts
    • Iglehart JK (1995) Rapid changes for academic medical centers. Second of two parts. N Engl J Med 332:407-411
    • (1995) N Engl J Med , vol.332 , pp. 407-411
    • Iglehart, J.K.1
  • 26
    • 0028152701 scopus 로고
    • Academic Medical Centers under siege
    • Kassirer JP (1995) Academic Medical Centers under siege. N Engl J Med 331:1370-1371
    • (1995) N Engl J Med , vol.331 , pp. 1370-1371
    • Kassirer, J.P.1
  • 27
    • 0030903503 scopus 로고    scopus 로고
    • Is managed care here to stay?
    • Kassirer JP (1997) Is managed care here to stay? N Engl J Med 336:1013-1014
    • (1997) N Engl J Med , vol.336 , pp. 1013-1014
    • Kassirer, J.P.1
  • 28
    • 0029123466 scopus 로고
    • Managed care and capitation in California: How do physicians at financial risk control their own utilization?
    • Kerr EA, Mittman BS, Hays RD, Siu AL, Leake B, Brook RM (1995) Managed care and capitation in California: how do physicians at financial risk control their own utilization? Arch Intern Med 123:500-504
    • (1995) Arch Intern Med , vol.123 , pp. 500-504
    • Kerr, E.A.1    Mittman, B.S.2    Hays, R.D.3    Siu, A.L.4    Leake, B.5    Brook, R.M.6
  • 29
    • 0029900506 scopus 로고    scopus 로고
    • Groping for the reins: ERISA, HMO malpractice, and enterprise liability
    • • Kilcullen JK (1996) Groping for the reins: ERISA, HMO malpractice, and enterprise liability. Am J Law Med 22:7-50 Umfangreiche Review der medikolegalen Aspekte von managed care: zahlreiche Gesetzesinitiativen werden dargestellt, die alle das Ziel haben, die Macht der managed care-Organisationen einzuschränken. Überblick über zahlreiche Einzelurteile gegen HMOs aufgrund aggressiver Leistungseinschränkungen für versicherte Patienten.
    • (1996) Am J Law Med , vol.22 , pp. 7-50
    • Kilcullen, J.K.1
  • 30
    • 0030932463 scopus 로고    scopus 로고
    • When will managed care come to anesthesia?
    • •• Klein JD (1997) When will managed care come to anesthesia? J Health Care Finance 23:62-86 Umfassender Überblick über die anästhesiologische Versorgung durch Anästhesisten oder CRNAs. Diskussion der Qualität und Kosten der Anästhesieleistungen durch die Anästhesisten oder Pflegekräfte.
    • (1997) J Health Care Finance , vol.23 , pp. 62-86
    • Klein, J.D.1
  • 31
    • 0004285237 scopus 로고    scopus 로고
    • Aspen Publishers. Gaithersburg, Maryland
    • •• Kongstvedt PR (1996) The Managed Health Care Handbook. 3rd edn. Aspen Publishers. Gaithersburg, Maryland Ein 1045 Seiten starkes Buch, das nahezu alle Aspekte von managed care abdeckt. Von besonderem Interesse ist das Kapitel über die Academic Health Centers (5.215ff). Leider wird das Problem der Spezialisten, und der Anästhesisten insbesondere, nicht erwähnt.
    • (1996) The Managed Health Care Handbook. 3rd Edn.
    • Kongstvedt, P.R.1
  • 32
    • 0027431130 scopus 로고
    • The effect of cost containment policies on rates of coronary revascularization in California
    • Langa KM, Sussman EJ (1993) The effect of cost containment policies on rates of coronary revascularization in California. N Engl J Med 329:1784-1789
    • (1993) N Engl J Med , vol.329 , pp. 1784-1789
    • Langa, K.M.1    Sussman, E.J.2
  • 33
    • 0030995512 scopus 로고    scopus 로고
    • Absence of association between insurance compayments and delays in seeking emergency care among patients with myocardial infarction
    • Magid DJ, Koepsell TD, Every NR, Martin JS, Siscovick DS, Wagner EH, Weaver WD (1997) Absence of association between insurance compayments and delays in seeking emergency care among patients with myocardial infarction. N Engl J Med 336:1722-1729
    • (1997) N Engl J Med , vol.336 , pp. 1722-1729
    • Magid, D.J.1    Koepsell, T.D.2    Every, N.R.3    Martin, J.S.4    Siscovick, D.S.5    Wagner, E.H.6    Weaver, W.D.7
  • 34
    • 0028367654 scopus 로고
    • HMO case management and the surgical patient
    • McNabb MS (1994) HMO case management and the surgical patient. Semin Perioper Nurs 3:22-26
    • (1994) Semin Perioper Nurs , vol.3 , pp. 22-26
    • McNabb, M.S.1
  • 35
    • 84942950665 scopus 로고
    • Managed care plan performance since 1980: A literature analysis
    • • Miller RH, Luft HS (1994) Managed care plan performance since 1980: a literature analysis. JAMA 271:1512-1519 Ausführliche Übersicht über die Entwicklung der verschiedenen Organisationsformen von managed care. Darstellung der Versicherungsbeiträge unter managed care, das Hauptkriterium der Industriefirmen, Gruppenverträge mit managed care Organisationen abzuschließen.
    • (1994) JAMA , vol.271 , pp. 1512-1519
    • Miller, R.H.1    Luft, H.S.2
  • 36
    • 0030871835 scopus 로고    scopus 로고
    • The Medicare HMO revolving door: The healthy go in and the sick go out
    • Morgan RO, Virnig BA, DeVito CA, Persily NA (1997) The Medicare HMO revolving door: the healthy go in and the sick go out. N Engl J Med 337:169-175
    • (1997) N Engl J Med , vol.337 , pp. 169-175
    • Morgan, R.O.1    Virnig, B.A.2    Devito, C.A.3    Persily, N.A.4
  • 37
    • 0029924291 scopus 로고    scopus 로고
    • Unterstanding different models of health maintenance organizations
    • • Offner E, Zacker HB (1996) Unterstanding different models of health maintenance organizations. Curr Opin Pediatr 8:171-175 Knappe Übersicht über die verschiedenen managed care-Organisationen.
    • (1996) Curr Opin Pediatr , vol.8 , pp. 171-175
    • Offner, E.1    Zacker, H.B.2
  • 38
    • 0029582687 scopus 로고
    • Work force planning for anesthesia care
    • • Orkin FK (1995) Work force planning for anesthesia care. Int Anesth Clin 33:69-101 Exzellente Analyse des Bedarfs des US Gesundheitswesens an Anästhesisten. Die Überproduktion an Fachärzten durch die ausgedehnten residency-Programme bei gleichzeitiger Reduktion der Nachfrage durch Rückgang der operativen Leistungen unter managed care verursachen eine steigende Arbeitslosigkeit bei Anästhesisten. Erfahrungen mit HMOs lassen darauf schließen, daß nur halb so viele Anästhesisten wie bei den klassischen Versicherungsformen benötig werden.
    • (1995) Int Anesth Clin , vol.33 , pp. 69-101
    • Orkin, F.K.1
  • 39
    • 0026480912 scopus 로고
    • Resource utilization among intensive care patients. Managed care vs traditional insurance
    • Rapoport J, Gehlbach S, Lemeshow S, Teres D (1992) Resource utilization among intensive care patients. Managed care vs traditional insurance. Arch Intern Med 152:2207-2212
    • (1992) Arch Intern Med , vol.152 , pp. 2207-2212
    • Rapoport, J.1    Gehlbach, S.2    Lemeshow, S.3    Teres, D.4
  • 40
    • 0029951607 scopus 로고    scopus 로고
    • Economics
    • Reinhardt UE (1996) Economics. JAMA 275:1802-1804
    • (1996) JAMA , vol.275 , pp. 1802-1804
    • Reinhardt, U.E.1
  • 41
    • 0030741941 scopus 로고    scopus 로고
    • Outcomes of stroke patients in Medicare fee for service and managed care
    • Retchin SM, Brown RS, Yeh SC, Chu D, Moreno L (1997) Outcomes of stroke patients in Medicare fee for service and managed care. JAMA 278:119-124
    • (1997) JAMA , vol.278 , pp. 119-124
    • Retchin, S.M.1    Brown, R.S.2    Yeh, S.C.3    Chu, D.4    Moreno, L.5
  • 42
    • 0029879743 scopus 로고    scopus 로고
    • Resident workforce in a time of US health-care system transition
    • Reves JG, Rogers MC, Smith LR (1996) Resident workforce in a time of US health-care system transition. Anesthesiology 84:700-711
    • (1996) Anesthesiology , vol.84 , pp. 700-711
    • Reves, J.G.1    Rogers, M.C.2    Smith, L.R.3
  • 43
    • 0029743742 scopus 로고    scopus 로고
    • Decline in hospital utilization and cost inflation under managed care in California
    • Robinson JC (1996) Decline in hospital utilization and cost inflation under managed care in California. JAMA 276:1060-1064
    • (1996) JAMA , vol.276 , pp. 1060-1064
    • Robinson, J.C.1
  • 44
    • 0028063155 scopus 로고
    • Cultural and organizational implications of academic managed-care networks
    • Rogers MC, Snyderman R, Rogers EL (1994) Cultural and organizational implications of academic managed-care networks. N Engl J Med 331:1374-1377
    • (1994) N Engl J Med , vol.331 , pp. 1374-1377
    • Rogers, M.C.1    Snyderman, R.2    Rogers, E.L.3
  • 45
    • 0029666202 scopus 로고    scopus 로고
    • Medical ethics under managed care
    • Schwartz P (1996) Medical ethics under managed care. Int J Fertil Menopausal Stud 41:124-128
    • (1996) Int J Fertil Menopausal Stud , vol.41 , pp. 124-128
    • Schwartz, P.1
  • 46
    • 0030052503 scopus 로고    scopus 로고
    • Effect of a copayment on use of the emergency department in a health maintenance organization
    • Selby JV, Fireman BH, Swain BE (1996) Effect of a copayment on use of the emergency department in a health maintenance organization. N Engl J Med 334:635-641
    • (1996) N Engl J Med , vol.334 , pp. 635-641
    • Selby, J.V.1    Fireman, B.H.2    Swain, B.E.3
  • 48
    • 0028489216 scopus 로고
    • Nursing and labor cost reduction
    • Walleck CA (1994) Nursing and labor cost reduction. New Horiz 2:291-295
    • (1994) New Horiz , vol.2 , pp. 291-295
    • Walleck, C.A.1
  • 49
    • 0029773862 scopus 로고    scopus 로고
    • Differences in 4-year health outcomes for elderly and poor, chronically ill patients treated in HMO and fee-for-service systems. Results from the Medical Outcomes Study
    • Ware JEJ, Bayliss MS, Rogers WH, Kosinski T, Tarlov AR (1996) Differences in 4-year health outcomes for elderly and poor, chronically ill patients treated in HMO and fee-for-service systems. Results from the Medical Outcomes Study. JAMA 276:1039-1047
    • (1996) JAMA , vol.276 , pp. 1039-1047
    • Ware, J.E.J.1    Bayliss, M.S.2    Rogers, W.H.3    Kosinski, T.4    Tarlov, A.R.5
  • 50
    • 0028206221 scopus 로고
    • Forecasting the effects of health reform on US physician workforce requirement. Evidence from HMO staffing patterns
    • Weiner JP (1994) Forecasting the effects of health reform on US physician workforce requirement. Evidence from HMO staffing patterns. JAMA 272:222-230
    • (1994) JAMA , vol.272 , pp. 222-230
    • Weiner, J.P.1
  • 51
    • 0028472886 scopus 로고
    • The doorman at Hotel HMO
    • • Williams BJ (1994) The doorman at Hotel HMO. Postgrad Med 96:23 Satirischer Kurzbericht eines family physicians über seine Rolle als Türhüter (gate kepper) zum "Hotel" HMO und seine Allmacht, dem Patienten den Zugang zum Spezialisten zu erlauben oder zu verweigern:."I've got the power. I'm the doorman."
    • (1994) Postgrad Med , vol.96 , pp. 23
    • Williams, B.J.1
  • 52
    • 0028783762 scopus 로고
    • Global fees for managed care in ambulatory surgery
    • •• Wilson TD (1995) Global fees for managed care in ambulatory surgery. J Clin Anesth 7:578-580 Knapper Bericht, was managed care und capitation für den Anästhesisten bedeutet: die Entgeltung aller Leistungen im Voraus über Kopfpauschalen verschiebt das finanzielle Risiko zu Lasten des Anästhesisten.
    • (1995) J Clin Anesth , vol.7 , pp. 578-580
    • Wilson, T.D.1


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