"Trade-off" between medical cost controls and quality of care? Maybe, maybe not! Part II.
In Part I of this article, published in the last issue of the JQA (February/March 1990, Vol. 12, No. 1), Majors Varney and Schroeder reviewed the issues surrounding the impact of the Medicare prospective pricing system (PPS). After defining "quality health care" and discussing indicators of quality, the authors presented several arguments by anti-cost containment advocates. In Part II, research is presented on the effects of cost containment on access to health care, substance abuse programs, improved care, severity indexing, alternative care, and utilization review programs.
Varney
R A
RA
U.S. Army-Baylor University Graduate Program in Health Care Administration, Academy of Health Sciences, Fort Sam Houston, TX.
Schroeder
D J
DJ
D003363:Cost Control; D005069:Evaluation Studies as Topic; D006801:Humans; D011445:Prospective Payment System; D011787:Quality of Health Care / Q000191:economics*; D019966:Substance-Related Disorders; D014481:United States