The coming third health care revolution: personal empowerment.
The financing and organization of health care in the United States has been rapidly evolving in the last 30 years. Managed care and capitation have largely replaced fee-for-service as a way to pay providers. Cost-control initiatives were developed by payers. These crude cost-control methods proved insufficient and new approaches were developed. These might be referred to as disease management that includes evidence-based medicine and outcomes measurement. It is proposed that a third revolution, patient empowerment, is just starting. The potential far-reaching consequences are described, discussed, and analyzed here, including their cost consequences.
Neuhauser
Duncan
D
Case Western Reserve University, Department of Epidemiology & Biostatistics, Cleveland, Ohio, USA.
D002204:Capitation Fee; D000529:Complementary Therapies; D003363:Cost Control; D003695:Delivery of Health Care / Q000191:economics / Q000639:trends*; D019468:Disease Management; D019317:Evidence-Based Medicine; D018588:Fee-for-Service Plans; D006801:Humans; D008329:Managed Care Programs; D010358:Patient Participation; D011209:Power, Psychological; D011787:Quality of Health Care; D012648:Self Care; D014481:United States