title: Managed care and integrated health care.
abstract: Managed care and integrated care may be viewed as stages in the evolution of the U.S. health care system. The authors discuss the essential characteristics of an integrated delivery system, including patient satisfaction, maintenance of clinical skills, cost-effective practice, and professional reputation.
authors.affiliation: Department of HealthCare Systems, Wharton School, University of Pennsylvania, Philadelphia 19104, USA.
authors.forename: L R
authors.initials: LR
authors.lastname: Burns
authors.forename: D P
authors.initials: DP
authors.lastname: Thorpe
mesh_terms: D005075:Biological Evolution; D002983:Clinical Competence; D003362:Cost-Benefit Analysis; D019033:Delivery of Health Care, Integrated / Q000145:classification* / Q000458:organization & administration / Q000639:trends; D005544:Forecasting; D006302:Health Services Research; D006304:Health Status; D008329:Managed Care Programs / Q000145:classification* / Q000458:organization & administration / Q000639:trends; D009936:Organizational Innovation; D017060:Patient Satisfaction; D010820:Physicians / Q000592:standards; D014481:United States