Specialty Care in the Era of Managed Care: Cleveland Clinic versus University Hospitals of Cleveland pdf epub fb2

Specialty Care in the Era of Managed Care: Cleveland Clinic versus University Hospitals of Cleveland by John A. Kastor MD epub fb2 djvu

Author: John A. Kastor MD
Title: Specialty Care in the Era of Managed Care: Cleveland Clinic versus University Hospitals of Cleveland
ISBN: 0801881749
ISBN13: 978-0801881749
Other Formats: azw docx txt lrf
Pages: 288 pages
Publisher: Johns Hopkins University Press; 1 edition (September 2, 2005)
Language: English
Size EPUB version: 1338 kb
Size FB2 version: 1378 kb
Category: Politics & Social Sciences
Subcategory: Politics & Government

Limiting the use of specialists is one of the highest priorities of managed care, which requires patients and their primary care physicians to focus on a health maintenance approach. Preventive medicine programs, encouraged by insurers and HMOs, theoretically reduce the need for expensive specialty care and thus lower overall costs. But where does this leave specialists and their institutions?

Dr. John A. Kastor has studied two leading centers in specialty care, the Cleveland Clinic and the University Hospitals of Cleveland, to learn what these institutions are doing to survive in the current era. Using the findings of more than two hundred interviews with physicians, administrators, investigators, and trustees, the author describes in detail these rival organizations, their individual struggles against the economic pressures presented by managed care, and their sometimes bitter competition for patients.

The insights that emerge from this struggle will be of value to anyone interested in how high-profile hospitals and academic medical centers operate, particularly in economically and socially challenging situations.


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