Gespeichert in:
| Titel: | Healthcare management managed care organisations and instruments |
|---|---|
| Von: |
Volker Eric Amelung
|
| Person: |
Amelung, Volker E.
1965- Verfasser aut |
| Hauptverfasser: | |
| Format: | Buch |
| Sprache: | Englisch Deutsch |
| Veröffentlicht: |
Berlin
Springer
2013
|
| Schriftenreihe: | Springer Texts in Business and Economics
|
| Schlagworte: | |
| Online-Zugang: | http://deposit.dnb.de/cgi-bin/dokserv?id=4314658&prov=M&dok_var=1&dok_ext=htm http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=027068673&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| Beschreibung: | XIII, 267 Seiten Diagramme 235 mm x 155 mm |
| ISBN: | 9783662524596 |
Internformat
MARC
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Datensatz im Suchindex
| _version_ | 1819342864887316480 |
|---|---|
| adam_text | PART I BASIC IDEAS OF MANAGED CARE
1 DEFINITIONS AND CONCEPTS 3
1.1 SUPPORTING AND INHIBITING FACTORS OF MANAGED CARE 4
1.2 DEFINITIONS OF MANAGED CARE 6
1.3 WHICH INSTRUMENTS AND ORGANISATIONAL FORMS BELONG
TO MANAGED CARE? 8
1.4 WHAT CHANGES FOR THOSE INVOLVED IN THE MANAGED
CARE CONTEXT? 9
2 MAIN CHARACTERISTICS OF THE AMERICAN HEALTHCARE SYSTEM 15
3 THEORETICAL CONCEPTS FOR THE ASSESSMENT OF MANAGED CARE 23
3.1 TRANSACTION COST THEORY 23
3.2 REASONS FOR MARKET FAILURE: WILLIAMSON S ORGANISATIONAL FAILURE
FRAMEWORK (1975) 29
3.3 PRINCIPAL-AGENT THEORY 29
3.4 INFORMATION ASYMMETRIES AND BEHAVIOURAL UNCERTAINTIES 29
PART II MANAGED CARE ORGANISATIONS AND PRODUCTS
4 PRELIMINARY REMARKS 41
5 INSURANCE-BASED MANAGED CARE ORGANISATIONS AND PRODUCTS ... 45
5.1 STAFF, GROUP, IPA AND NETWORK MODEL HMOS 45
5.2 CONSUMER-DRIVEN HEALTH PLANS (CDHPS)
AND HEALTH SAVINGS ACCOUNTS 55
6 PROVIDER-BASED MANAGED CARE ORGANISATIONS AND PRODUCTS .... 63
6.1 INDEPENDENT PRACTICE ASSOCIATIONS (IPA) 63
6.2 PREFERRED PROVIDER ORGANISATIONS (PPO) 64
HTTP://D-NB.INFO/1034227270
XII CONTENTS
6.3 NETWORKS 65
6.4 INTEGRATED DELIVERY SYSTEMS (IDS) 69
6.5 ACCOUNTABLE CARE ORGANISATIONS (ACO) 76
6.6 PATIENT-CENTRED MEDICAL HOMES (PCMH) 77
7 INSTITUTIONS IN THE MANAGED CARE ENVIRONMENT 83
7.1 MANAGEMENT SERVICE ORGANISATIONS (MSO) 83
7.2 PHYSICIAN PRACTICE MANAGEMENT COMPANIES (PPMC) 85
7.3 PHARMACY BENEFIT MANAGEMENT (PBM) 87
8 CONCLUSION 93
PART III MANAGED CARE INSTRUMENTS
9 CONTRACT DESIGN 99
9.1 SELECTIVE CONTRACTING 99
9.2 STRUCTURING THE INSURANCE CONTRACTS 104
10 COMPENSATION SYSTEMS 115
10.1 FOUNDATION 115
10.2 FORMS OF COMPENSATION 118
10.3 PAY-FOR-PERFORMANCE (P4P) AND PUBLIC REPORTING 130
11 QUALITY AND COST MANAGEMENT 149
11.1 GATEKEEPING 149
11.2 GUIDELINES AND CLINICAL PATHWAYS 159
11.3 FORMULARIES 167
11.4 UTILISATION REVIEW AND MANAGEMENT 171
11.5 DISEASE MANAGEMENT AND CHRONIC CARE 176
11.6 CASE MANAGEMENT 186
11.7 DEMAND MANAGEMENT 192
11.8 PATIENT COACHING 196
11.9 QUALITY MANAGEMENT 200
12 EVALUATION PROCEDURE 219
12.1 OVERVIEW 219
12.2 HEALTH ECONOMIC EVALUATION 220
12.3 PREFERENCE MEASUREMENT 227
12.4 EVIDENCE-BASED MEDICINE (EBM) 234
12.5 HEALTH SERVICES RESEARCH 237
12.6 HEALTH TECHNOLOGY ASSESSMENT (HTA) 239
PART IV EVALUATION OF MANAGED CARE
13 PRELIMINARY REMARKS 245
14 COST EFFECTS OF MANAGED CARE 249
CONTENTS XIII
15
QUALITY EFFECTS OF MANAGED CARE 251
16 ACCESS EFFECTS OF MANAGED CARE 255
17 ACCEPTANCE OF MANAGED CARE 257
18 CONCLUSION 261
ABOUT THE AUTHORS 263
INDEX 265
|
| any_adam_object | 1 |
| author | Amelung, Volker E. 1965- |
| author_GND | (DE-588)13051571X |
| author_facet | Amelung, Volker E. 1965- |
| author_role | aut |
| author_sort | Amelung, Volker E. 1965- |
| author_variant | v e a ve vea |
| building | Verbundindex |
| bvnumber | BV041627702 |
| classification_rvk | XC 5400 |
| ctrlnum | (OCoLC)864662419 (DE-599)DNB1034227270 |
| dewey-full | 362.104258 |
| dewey-hundreds | 300 - Social sciences |
| dewey-ones | 362 - Social problems and services to groups |
| dewey-raw | 362.104258 |
| dewey-search | 362.104258 |
| dewey-sort | 3362.104258 |
| dewey-tens | 360 - Social problems and services; associations |
| discipline | Soziologie Wirtschaftswissenschaften Medizin |
| format | Book |
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| geographic | USA (DE-588)4078704-7 gnd |
| geographic_facet | USA |
| id | DE-604.BV041627702 |
| illustrated | Not Illustrated |
| indexdate | 2024-12-20T16:50:57Z |
| institution | BVB |
| isbn | 9783662524596 |
| language | English German |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-027068673 |
| oclc_num | 864662419 |
| open_access_boolean | |
| owner | DE-2070s DE-1050 |
| owner_facet | DE-2070s DE-1050 |
| physical | XIII, 267 Seiten Diagramme 235 mm x 155 mm |
| publishDate | 2013 |
| publishDateSearch | 2013 |
| publishDateSort | 2013 |
| publisher | Springer |
| record_format | marc |
| series2 | Springer Texts in Business and Economics |
| spellingShingle | Amelung, Volker E. 1965- Healthcare management managed care organisations and instruments Gesundheitswesen (DE-588)4020775-4 gnd Managed Care (DE-588)4461436-6 gnd Organisation (DE-588)4043774-7 gnd |
| subject_GND | (DE-588)4020775-4 (DE-588)4461436-6 (DE-588)4043774-7 (DE-588)4078704-7 |
| title | Healthcare management managed care organisations and instruments |
| title_auth | Healthcare management managed care organisations and instruments |
| title_exact_search | Healthcare management managed care organisations and instruments |
| title_full | Healthcare management managed care organisations and instruments Volker Eric Amelung |
| title_fullStr | Healthcare management managed care organisations and instruments Volker Eric Amelung |
| title_full_unstemmed | Healthcare management managed care organisations and instruments Volker Eric Amelung |
| title_short | Healthcare management |
| title_sort | healthcare management managed care organisations and instruments |
| title_sub | managed care organisations and instruments |
| topic | Gesundheitswesen (DE-588)4020775-4 gnd Managed Care (DE-588)4461436-6 gnd Organisation (DE-588)4043774-7 gnd |
| topic_facet | Gesundheitswesen Managed Care Organisation USA |
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