scholarly journals Managed healthcare in South Africa : impact on patient care and ethical pharmaceutical sales in Kwa-Zulu-Natal

2003 ◽  
Author(s):  
◽  
Krishnavelli Marla Naidoo
Keyword(s):  
South Africa ◽  
Managed Care ◽  
Medical Care ◽  
Patient Care ◽  
General Practitioners ◽  
Evidence Based Medicine ◽  
Evidence Based ◽  
Pharmaceutical Sales ◽  
Based Medicine

Managed care is defined by Chetty (1999: 1) as "the practice of evidence based medicine with an approach to managing both the quality and cost of medical care". Managed care was introduced into South Africa in the last decade due to increasing cost of healthcare. All forms of managed care represent attempts to control costs by modifying the behaviour of general practitioners.

Evidence-Based Medicine and Headache Patient Management by General Practitioners in Italy

Cephalalgia ◽  
2005 ◽  
Vol 25 (10) ◽  
pp. 767-775 ◽  
Author(s):  
A Bianco ◽  
MM Parente ◽  
E De Caro ◽  
R Iannacchero ◽  
U Cannistrà ◽  
...  
Keyword(s):  
Clinical Trials ◽  
General Practitioners ◽  
Evidence Based Medicine ◽  
Clinical Effectiveness ◽  
Clinical Approach ◽  
Evidence Based ◽  
Sources Of Information ◽  
Headache Patient ◽  
Practice Characteristics ◽  
Based Medicine

The study explores the awareness of technical terms used in evidence-based medicine (EBM) and manner of treating patients with migraine among a random sample of 500 general practitioners (GPs). A mailed questionnaire included questions on GPs' demographics and practice characteristics; awareness of EBM; sources of information about migraine and EBM; and patient's treatment behaviour. Only 27.2% of GPs agreed that clinical trials are needed to evaluate the efficacy of treatments and this awareness was higher in those who learned about migraine from scientific journals or continuing education courses and who attended courses on EBM. For two-thirds of GPs, disability is equivalent to illness diagnosis, and this behaviour was more prevalent in those who agreed that clinical trials are needed to evaluate the efficacy of preventive or curative treatments of migraine and that the clinical approach to migraine required an evaluation of clinical effectiveness, in those who treated a lower number of headache patients, who were older, and in those who did not use guidelines. The majority (93.1%) of GPs indicated that it is important to integrate clinical practice and the best available evidence, and this behaviour was significantly more frequent in those who agreed that the clinical approach to migraine required a clinical effectiveness evaluation, that clinical trials are needed to evaluate the efficacy of preventive or curative treatments of migraine, and in those who attended courses on EBM. Training and continuing educational programmes on EBM and guidelines on treatments of headache for GPs are strongly needed.

Medical care for individual patients: concepts beyond evidence-based medicine

2004 ◽  
Vol 42 (12) ◽  
pp. 680-689
Author(s):  
J. Bonelli ◽  
K. Felsenstein ◽  
E.H. Prat ◽  
M. Schwarz
Keyword(s):  
Medical Care ◽  
Evidence Based Medicine ◽  
Evidence Based ◽  
Based Medicine

scholarly journals Autonomy and automatons: managed care in the USA

1998 ◽  
Vol 22 (12) ◽  
pp. 765-768
Author(s):  
Kwame McKenzie
Keyword(s):  
Health Care ◽  
New York ◽  
Managed Care ◽  
San Francisco ◽  
Evidence Based Medicine ◽  
Cost Effective ◽  
Evidence Based ◽  
The Usa ◽  
Based Medicine

Managed care is a phrase on the lips of every US psychiatrist. Some believe that this revolution in health care has brought US doctors kicking and screaming into the age of ‘cost-effective’, ‘evidence-based medicine’ (Mechanic, 1997). But most psychiatrists I interviewed from Boston, San Francisco and New York, thought it had transformed them from autonomous professionals to automatons.

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