| Description |
xvi, 287 pages : illustrations ; 24 cm |
| Contents |
Machine derived contents note: Foreword - E. Wagner -- Preface -- 1. Introduction -- Defining Chronic Illness -- Defining Managed Care/Managed Care Organizations -- Organizing the Literature Review and Synthesis -- Searching for Relevant Literature -- Appendiz: Description of Illnessq -- 2. Chronic Illness and Managed Care: What Are the Issues? -- People With Chronic Illness -- The Shift to Managed Care -- Early Concerns -- Current Debate -- Research Issues -- 3. Individuals With Chronic Illness: MCO Versus Fee-for-Service Comparisons -- Discussion -- 4. The Prevalence of Chronic Illness Management Programs in Managed Care Organizations -- Background -- Small-Scale Studies -- The Wagner et al. Study -- The InterStudy Survey -- Vendor Products and Chronic Illness "Carve-Outs" -- Vendor Products for Use With Multiple Diseases -- Vendor Products for Specific Chronic Illness -- Discussion -- 5. Use of Administrative and Medical Records Data by MCOs for Chronic Illness Management -- Benchmarking -- Assessment of Quality of Care -- Identification of Opportunities for Improvement -- Profiling of Clinics and Providers -- Characterization of High-Risk Patients -- Simulation of Disease Management Interventions -- Summary -- 6. The Effectiveness of Targeted Initiatives in Treating Chronic Illnesses -- Some Definitions -- Criteria for Study Selection -- Overview of Review Process -- Diabetes -- Asthma -- Congestive Heart Failure -- Cardiovascular Disease -- Arthritis -- Overall Summary and Conclusions -- Appendix A -- Appendix B -- Appendix C -- Appendix D -- Appendix E -- 7. Conclusions and Future Research Directions -- Observations on Existing Research -- Research Challenges for the Future -- Index -- About the Authors |
| Bibliography |
Includes bibliographical references and index |
| Subject |
Chronically ill -- Medical care -- United States.
|
|
Managed care plans (Medical care) -- United States.
|
| Author |
Christianson, Jon B.
|
| LC no. |
2001001025 |
| ISBN |
0761919678 |
|
