Managed care and assessment of clinical outcomes.
While managed care strategies have been associated with reductions in the utilization of clinical resources, their impact on health care outcomes in general, and women's health services, in particular, remains unclear. This review summarizes recent literature regarding the impact of managed care on clinical resource use, outcomes of women's health services, and cost effectiveness of women's health care processes. Implications of these findings for women's health providers, women's health services and policy, and health services research are discussed.
Department of Obstetrics and Gynecology, University of Iowa College of Medicine, Iowa City, USA. robert-reiter@uiowa.edu
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D003362:Cost-Benefit Analysis; D005260:Female; D006801:Humans; D008329:Managed Care Programs / Q000191:economics / Q000592:standards; D010043:Outcome and Process Assessment, Health Care; D014481:United States; D016387:Women's Health