To manage or to be managed: that is the question.
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.
Kissick
W L
WL
School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
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