Studies highlight the interaction between managed care and market forces and their impact on quality of care

The impacts of Malaysian managed care on doctor–patient relationships, ethical practice of medicine, and quality of care: A study on primary care physicians' perception

International Journal of Healthcare Management ◽

10.1080/20479700.2015.1101914 ◽

2016 ◽

Vol 9 (2) ◽

pp. 119-126 ◽

Cited By ~ 2

Author(s):

Paul Chan Hong Kit ◽

Siti Zaleha Abdul Rasid ◽

Maizaitulaidawati Md Husin

Keyword(s):

Primary Care ◽

Quality Of Care ◽

Managed Care ◽

Primary Care Physicians ◽

Ethical Practice ◽

Practice Of Medicine ◽

Patient Relationships

Download Full-text

Does Quality of Care for Cardiovascular Disease and Diabetes Differ by Gender for Enrollees in Managed Care Plans?

Women s Health Issues ◽

10.1016/j.whi.2007.03.001 ◽

2007 ◽

Vol 17 (3) ◽

pp. 131-138 ◽

Cited By ~ 42

Author(s):

Chloe E. Bird ◽

Allen M. Fremont ◽

Arlene S. Bierman ◽

Steve Wickstrom ◽

Mona Shah ◽

...

Keyword(s):

Cardiovascular Disease ◽

Quality Of Care ◽

Managed Care ◽

Care Plans

Download Full-text

The association between quality improvement activities performed by managed care organizations and quality of care

The American Journal of Medicine ◽

10.1016/j.amjmed.2004.02.046 ◽

2004 ◽

Vol 117 (5) ◽

pp. 297-304 ◽

Cited By ~ 13

Author(s):

Jeff Borenstein ◽

Enkhe Badamgarav ◽

James M. Henning ◽

Anacleto D. Gano ◽

Scott R. Weingarten

Keyword(s):

Quality Improvement ◽

Quality Of Care ◽

Managed Care ◽

Managed Care Organizations

Download Full-text

P279 Potential of managed care programmes for patients with inflammatory bowel diseases – results from a large survey study among physicians and IBD-patients in Germany, Austria and Switzerland (the EASEIBD study)

Journal of Crohn s and Colitis ◽

10.1093/ecco-jcc/jjab076.404 ◽

2021 ◽

Vol 15 (Supplement_1) ◽

pp. S310-S313

Author(s):

B Bokemeyer ◽

C Kaiser ◽

C Primas ◽

G Novacek ◽

L Biedermann ◽

...

Keyword(s):

Quality Of Life ◽

Patient Satisfaction ◽

Quality Of Care ◽

Managed Care ◽

Structural Characteristics ◽

Perceived Quality ◽

Survey Study ◽

Structural Quality ◽

Structured Care

Abstract Background IBD-care may be challenging and benefits from a multidisciplinary, cross-sectoral treatment approach and active patient involvement. However, occasionally there is a lack of patients′ empowerment and additionally, a necessity for the optimisation of physicians′ treatment is apparent. Furthermore, there is a deficiency in evidence regarding the effectiveness of structured care approaches (“managed care”) on patient-related outcomes (PROs). Therefore, our study aims to evaluate the potential of managed care programmes for IBD patients. Methods EASEIBD is a cross-border study conducted by IBD-DACH, an IBD working group in Germany (D), Austria (A) and Switzerland (Ch). Within the DACH-region, a cross-sectional survey of patients and physicians from IBD hospital-outpatient departments and gastroenterology practices was carried out. The questionnaire evaluated the effect of instruments and contextual factors of IBD-care with regard to quality of life (QoL). Additionally, the effects of “managed care” instruments were examined while considering centre-related structural characteristics. The analysis was performed using a multivariate multilevel regression model, controlled by various physician and patient characteristics. Results 2536 IBD-patients from 66 centres (643 IBD-patients/quarter; 31% hospital out-patient departments) were consecutively enrolled in EASEIBD (centres/IBD-pat.: D-52/1735; A-10/647; Ch-4/154). Overall, patient satisfaction (77-84%) (Fig. 1) as well as perceived quality of care (82-87%) (Fig. 2) was high and comparable in the descriptive analysis between German, Austrian and Swiss IBD-patients. Statistically significant differences were only found in single characteristics, e.g. in quality of life (EQ5D-VAS) (p=0.004) (Fig. 3). However, these do not appear clinically relevant with regard to the absolute values. In the entire DACH-region there were detectable effects of elements representing structural quality and assessments of the centres, with regard to the perceived quality of patient care (Fig. 4), whereby, in particular, a positive influence of web-based instruments (e.g. homepage) (p=0.040) and potential use of homecare calprotectin (0.046) had the most pronounced effect. Noteworthy, in Germany, the implementation of specialised IBD nurses was associated with a beneficial impact on patients′ QoL (0.027) when compared to the cumulative results from the entire DACH region (p=0.681). Conclusion Our study shows that the use of elements of managed care programmes resulted in a high process quality, which is evident from the reported high patient satisfaction and quality of care by IBD-patients in the entire DACH region, and qualifies this area as a suitable common study landscape.

Download Full-text