Health care without managed care in Hong Kong.
Although managed care may be more effective than fee-for-service in containing health care costs in the United States, it is less effective in countries with a national health service. In Hong Kong, costs have been contained despite the fact that 95% of general practitioners still practice on a solo, fee-for-service basis. The author describes in detail how the system of tax-based hospitals guarantees universal access without escalating costs.
Yuen
P P
PP
Department of Management, Hong Kong Polytechnic University.
D003363:Cost Control; D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration*; D005194:Family Practice / Q000191:economics; D018588:Fee-for-Service Plans; D018166:Health Care Reform; D006723:Hong Kong / Q000453:epidemiology; D006779:Hospitals, Public / Q000191:economics / Q000458:organization & administration*; D007348:Insurance, Health; D008329:Managed Care Programs; D017146:Models, Organizational; D011331:Private Practice / Q000191:economics / Q000458:organization & administration*; D017149:Private Sector; D011634:Public Health / Q000706:statistics & numerical data; D017150:Public Sector; D012456:Salaries and Fringe Benefits