Risky business: managing the health care of urban low-income families.
The article examines the managed care movement and its threat of neglecting the public health needs of particular populations. Case studies and service parameters of an urban perinatal home visiting program exemplify the health and illness needs of low-income families and the urgent need for nursing representation at managed care planning forums. Client, provider, planner, and environmental characteristics that will contribute to the financial risks or health successes of managed care organizations are discussed. One potential risky design for low-income urban populations is described. Nursing input into the design and implementation of managed care programs is advocated.
Kinsey
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D000293:Adolescent; D000328:Adult; D005190:Family / Q000523:psychology*; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008329:Managed Care Programs / Q000458:organization & administration*; D010500:Perinatology / Q000458:organization & administration*; D011203:Poverty; D011637:Public Health Nursing / Q000458:organization & administration*; D014504:Urban Health