title: To manage or to be managed: that is the question.
abstract: As managed care becomes more common, physicians must take part in its evolution or lose their autonomy. The author proposes "the Ben Franklin scenario," which emphasizes six elements: consumer-provider choice, enrolled population, community-weighted capitation, organized practice, prospective budgets, and cost-effective health care. Prototypes for health care reform are also examined.
authors.affiliation: School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
authors.forename: W L
authors.initials: WL
authors.lastname: Kissick
mesh_terms: D003363:Cost Control / Q000379:methods; D003953:Diagnosis-Related Groups; D004470:Economics, Medical; D018166:Health Care Reform; D006297:Health Services Accessibility; D006302:Health Services Research; D008329:Managed Care Programs / Q000191:economics / Q000458:organization & administration*; D017146:Models, Organizational; D010344:Patient Advocacy; D010817:Physician-Patient Relations; D017410:Practice Guidelines as Topic; D017009:Professional Autonomy; D011785:Quality Assurance, Health Care; D012017:Referral and Consultation; D015895:Relative Value Scales; D014481:United States; D014600:Utilization Review