Managed care in the Organization for Economic Cooperation and Development countries: prospects for quality, effectiveness, and equity.
The perceived need to contain the level of health expenditure has driven reform in many OECD countries over the past decade. Using various countries as examples, the author examines the interaction between cost containment and the three desired goals of health care: quality, effectiveness, and equity.
Nolan
B
B
Economic and Social Institute, Dublin, Ireland.
D003362:Cost-Benefit Analysis; D017598:Efficiency, Organizational; D005060:Europe; D006302:Health Services Research / Q000379:methods; D015271:Insurance Pools; D015273:Insurance Selection Bias; D007348:Insurance, Health / Q000191:economics / Q000592:standards* / Q000706:statistics & numerical data; D008329:Managed Care Programs / Q000458:organization & administration / Q000592:standards* / Q000706:statistics & numerical data; D011787:Quality of Health Care; D019057:Quality-Adjusted Life Years; D012308:Risk Management / Q000379:methods; D012935:Social Justice; D013673:Technology Assessment, Biomedical / Q000191:economics; D016896:Treatment Outcome; D014481:United States