title: Prevention and the reforming U.S. health care system: changing roles and responsibilities for public health.
abstract: This review presents historical and cost-effectiveness perspectives of prevention in health care; discusses the nature, extent, and determinants of health system change, particularly the transition to managed care with large integrated health care corporations; and identifies implications for public health agencies and opportunities for prevention within the reforming health system.
authors.affiliation: Public Health Practice Program Office, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
authors.forename: R L
authors.initials: RL
authors.lastname: Gordon
authors.forename: E L
authors.initials: EL
authors.lastname: Baker
authors.forename: W L
authors.initials: WL
authors.lastname: Roper
authors.forename: G S
authors.initials: GS
authors.lastname: Omenn
mesh_terms: D002423:Cause of Death; D003362:Cost-Benefit Analysis; D005260:Female; D018166:Health Care Reform / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008329:Managed Care Programs / Q000458:organization & administration; D008484:Medicaid; D009936:Organizational Innovation; D011314:Preventive Health Services / Q000458:organization & administration*; D011635:Public Health Administration; D014481:United States / Q000453:epidemiology