The impact of managed care on gastroenterology.
Managed care has emerged out o pressures to reduce the high cost of healthcare and has brought about unprecedented change and uncertainty for the specialist. To flourish in a managed care environment the subspecialist will need to rely on strategic planning. Four emerging approached to healthcare lend themselves to strategic planning. They are 1) practice-based clinical trials, 2) outcomes research, 3) clinical practice guidelines, and 4) systems-based disease management. This report explains how subspecialists in private practice can participate in and profit from each of these new approaches.
Division of Digestive Diseases, UCLA School of Medicine, Los Angeles, California 90095-1684, USA.
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Fullerton
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Gitnick
D002986:Clinical Trials as Topic; D019468:Disease Management; D005762:Gastroenterology; D006801:Humans; D008329:Managed Care Programs; D017063:Outcome Assessment, Health Care; D017410:Practice Guidelines as Topic