title: Managed care can be better care for all citizens: a primary care perspective.
abstract: The CPN seeks to enhance the care of patients by judicious expenditure of health care dollars, currently for the Unit "Community" Network, but ultimately also for other insurers who would enter risk-sharing relationships with the CPN. Improvements in health care delivery will be made in enhanced access to primary care, including telephone access to nurse triage; in collaboration and communication between the selected consultant and the referring primary care giver, including an electronic network allowing for selected information sharing; and in renewing medicine's collective commitment to care provided as close to home as possible, or in the home if this is the highest quality. The care of the uninsured remains a challenge and a normal obligation from which the CPN does not shrink. The economic realities of primary care delivery must be improved, with additional resources allocated being substantially rededicated to patient care. The patient's control of the selection of the site of health care and the absence of incentives to their primary care provider for a referral pattern different than the patient's choice will remain important to the CPN. The CPN hopes to provide the diplomacy between third party payers to enhance collaboration and minimize competition in the delivery of care in communities.
authors.forename: T
authors.initials: T
authors.lastname: Bartholow
mesh_terms: D003362:Cost-Benefit Analysis; D006297:Health Services Accessibility; D006801:Humans; D007400:Interprofessional Relations; D008329:Managed Care Programs / Q000458:organization & administration*; D010344:Patient Advocacy; D011320:Primary Health Care / Q000458:organization & administration*; D011787:Quality of Health Care; D014922:Wisconsin