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.
Fullerton
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Division of Digestive Diseases, UCLA School of Medicine, Los Angeles, California 90095-1684, USA.
Gitnick
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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