Evaluating the quality control system for managed care in the United States.
Though idiosyncratic, the system for controlling managed care in the United States is surprisingly robust. This article reviews the mechanisms available to providers, patients, insurers, and governments to assess ongoing quality of care. It suggests that those contracting for care use the Donabedian Matrix to assess where contracts are strong and where the provisions are weak.
McLaughlin
C P
CP
Kenan-Flagler Business School, School of Public Health, University of North Carolina, Chapel Hill, USA.
D003363:Cost Control; D003659:Decision Making, Organizational; D006801:Humans; D008329:Managed Care Programs / Q000191:economics / Q000458:organization & administration / Q000592:standards*; D015397:Program Evaluation; D011786:Quality Control; D013597:Systems Analysis; D017749:Total Quality Management / Q000379:methods / Q000458:organization & administration*; D014481:United States; D014600:Utilization Review