The Fort Bragg managed care experiment: What do the results mean for publicly funded systems of care?

1996 ◽  
Vol 5 (2) ◽  
pp. 191-195 ◽  
Author(s):  
Donald W. Kingdon ◽  
Craig K. Ichinose
Keyword(s):  
Managed Care ◽  
Systems Of Care ◽  
Publicly Funded ◽  
Fort Bragg ◽  
Care Experiment

The Fort Bragg managed care experiment

1996 ◽  
Vol 5 (2) ◽  
pp. 169-172 ◽  
Author(s):  
Mary E. Evans ◽  
Steven M. Banks
Keyword(s):  
Managed Care ◽  
Fort Bragg ◽  
Care Experiment

Evaluation of the Fort Bragg managed care experiment

1996 ◽  
Vol 5 (2) ◽  
pp. 173-176 ◽  
Author(s):  
John D. Burchard
Keyword(s):  
Managed Care ◽  
Fort Bragg ◽  
Care Experiment

The Fort Bragg managed care experiment: Short term impact on psychopathology

1996 ◽  
Vol 5 (2) ◽  
pp. 137-160 ◽  
Author(s):  
Leonard Bickman ◽  
Craig Anne Heflinger ◽  
E. Warren Lambert ◽  
Wm. Thomas Summerfelt
Keyword(s):  
Managed Care ◽  
Short Term ◽  
Fort Bragg ◽  
Care Experiment

The Impact of Publicly Funded Managed Care on Adolescent Substance Abuse Treatment Outcomes

2006 ◽  
Vol 32 (3) ◽  
pp. 379-398 ◽  
Author(s):  
Brooke S. Harrow ◽  
Christopher P. Tompkins ◽  
Paul D. Mitchell ◽  
Kevin W. Smith ◽  
Stephen Soldz ◽  
...  
Keyword(s):  
Substance Abuse ◽  
Managed Care ◽  
Substance Abuse Treatment ◽  
Treatment Outcomes ◽  
Adolescent Substance Abuse ◽  
Publicly Funded ◽  
Adolescent Substance ◽  
Abuse Treatment ◽  
The Impact ◽  
Adolescent Substance Abuse Treatment

GERIATRICS IN MANAGED CARE: Systems of Care for Older Populations of the Future

1998 ◽  
Vol 46 (4) ◽  
pp. 499-505 ◽  
Author(s):  
Chad Boult ◽  
Lisa Boult ◽  
James T. Pacala
Keyword(s):  
Managed Care ◽  
Systems Of Care ◽  
The Future ◽  
Care Systems ◽  
Older Populations

Allocating Scarce Resources in a Publicly Funded Health System: Ethical Considerations of a Canadian Managed Care Proposal

1999 ◽  
Vol 6 (3) ◽  
pp. 240-249 ◽  
Author(s):  
Trish Reay
Keyword(s):  
Managed Care ◽  
Publicly Funded ◽  
Ethical Considerations ◽  
Scarce Resources ◽  
The Public ◽  
Canadian Health Care System ◽  
Canadian Health ◽  
Canadian Health Care ◽  
The Government ◽  
Allocation Decisions

In the Canadian health care system, the Government is responsible for allocating scarce resources in a fair and equitable manner. A proposal to implement managed care as a method of reimbursing physicians in Alberta, Canada, needs careful ethical consideration, because physicians are not well prepared, and should not be asked, to make the resulting difficult allocation decisions. The Government must continue to be held responsible for ensuring that all citizens have equal access to necessary medical services, and we must find ways to encourage the public to become more involved in deciding how resources are best allocated. Health professionals other than physicians must take an interest and enter into this debate.

scholarly journals Effect of Managed Care on Perinatal Transports for the Publicly Funded in Upstate New York

2004 ◽  
Vol 25 (2) ◽  
pp. 79-85 ◽  
Author(s):  
Robert A Sinkin ◽  
Susan G Fisher ◽  
Ann Dozier ◽  
Timothy D Dye
Keyword(s):  
New York ◽  
Managed Care ◽  
Publicly Funded ◽  
Upstate New York

The Impact of Managed Care on Systems of Care That Serve Children With Serious Emotional Disturbances and Their Families

2002 ◽  
Vol 5 (1) ◽  
pp. 21-36 ◽  
Author(s):  
Beth A. Stroul ◽  
Sheila A. Pires ◽  
Mary I. Armstrong ◽  
Susan Zaro
Keyword(s):  
Managed Care ◽  
Systems Of Care ◽  
Emotional Disturbances ◽  
Serious Emotional Disturbances ◽  
The Impact

Implementation of the Community Outpatient Practice Experience in a Large Pediatric Residency Program

PEDIATRICS ◽  
1995 ◽  
Vol 96 (1) ◽  
pp. 90-98
Author(s):  
Kimberlee C. Recchia ◽  
Teresa M. Petros ◽  
S. Andrew Spooner ◽  
Janet L. Cranshaw
Keyword(s):  
Managed Care ◽  
Tertiary Care ◽  
Community Practice ◽  
Publicly Funded ◽  
Community Based ◽  
Patient Age ◽  
Pediatric Residency ◽  
Health Supervision ◽  
Patient Âgé ◽  
Care Practices

Objectives. To determine the feasibility of implementing the Community Outpatient Practice Experience (COPE), a community-based continuity program, in a large, tertiary-care-oriented pediatric residency; to assess the impact of the continuity program on pediatric residents' experience; and to compare the experience in a variety of community practice settings. Settings. Continuity clinic settings included a hospital-based residents' group practice (RGP) clinic (1989 through 1991) and a community-based program in which each resident was paired with a practicing pediatrician in the community (1991 through 1993). Community practice types included publicly funded clinics (n = 9), private practices (n = 38), and managed-care practices (n = 14). In all settings, residents spent half a day per week in continuity activity. Methods. Measures of residents' experience (patient encounters, patient age distribution, and diagnostic mix) were compared in both settings and among community practice types. RGP data were derived from a patient scheduling database, and COPE data were obtained from patient encounter records submitted by each resident. Results. Residents in RGP (108.5 resident years) had 5294 encounters with 1568 patients. In COPE (102.5 resident years), 21 978 encounters with 19 235 patients occurred. COPE residents saw significantly more patients per session (6.2 vs 1.7) than residents in RGP. The mean patient age in COPE was significantly higher than RGP (5.3 vs 2.6 years). A greater proportion of encounters in RGP were for health supervision (61% vs 30%), but a greater number of health supervision encounters per resident occurred in COPE. There was a higher proportion of patients with chronic disease in RGP (38% vs 7%), but a greater number of patients with chronic disease was seen per resident in COPE. Analysis of COPE data by practice type showed fewer patient encounters per session and a younger patient age in publicly funded sites than in private- or managed-care practices. The proportion of health supervision encounters was greatest in publicly funded sites, but the greatest number of health supervision encounters per resident occurred in managed-care practices. Conclusions. We successfully integrated a large-scale community-based continuity experience into a large, tertiary-care-oriented pediatric residency program. We present COPE as an alternative to the hospital-based continuity clinic and suggest it as a model for improving residents' primary-care experience.

Sign in / Sign up

Export Citation Format

Share Document