Tabla de Contenidos:
  • ""Changing Health Care Systems and Rheumatic Disease""; ""Copyright""; ""Preface""; ""Contents""; ""1 Introduction ""; ""CHANGING HEALTH CARE SYSTEMS""; ""CHRONIC DISEASE""; ""RHEUMATIC DISEASE""; ""PRACTICES AND ACHIEVEMENTS OF MANAGED CARE SYSTEMS""; ""Hospital Use""; ""Physician Use""; ""Tests and Procedures""; ""Home Health and Skilled Nursing Care""; ""Social/Health Maintenance Organizations""; ""WORK FORCE ISSUES""; ""RESEARCH, EDUCATION, AND TRAINING""; ""THE WORKSHOP""; ""2 Opening Remarks ""; ""3 Keynote Address ""; ""CHANGING HEALTH CARE""; ""HOSPITALS""; ""MANAGED CARE""
  • ""PHYSICIAN PAYMENT""""SPECIALIST-GENERALIST INTERACTION""; ""POLICY ISSUES""; ""4 What Would Ideal Care Look Like? ""; ""INTRODUCTION""; ""INVITED ADDRESS""; ""INVITED REACTION""; ""INVITED REACTION""; ""INVITED REACTION""; ""The Patient""; ""The Role of The Physician and the Relationship Between the Primary Care Provider and the Specialist""; ""Other Elements in An Ideal System of Care""; ""Rehabilitation""; ""Exercise""; ""Nonrestrictive Drug Formularies""; ""Alternative Delivery Mechanisms""; ""Structured Care""; ""Relationship Between Financing and Care""
  • ""Measurement of Outcomes in an Ideal Care System""""Access to an Ideal Care System""; ""Conclusion""; ""DISCUSSION""; ""5 Managed Care and Rheumatoid Arthritis: Utilization and Outcomes Over 11 Years ""; ""INTRODUCTION""; ""INVITED ADDRESS""; ""Literature on Health Care Utilization and Outcomes in FFS and HMOs""; ""Study Design""; ""Results""; ""Health Care Utilization""; ""Health Outcomes""; ""Summary of FFS-PGP Comparisons""; ""Comparisons of Care Provided by Rheumatologists and Nonrheumatologists""; ""Conclusions""; ""INVITED REACTION""; ""INVITED REACTION""; ""DISCUSSION""
  • ""6 Measuring Medical Outcomes: Longitudinal Data on the Differential Impact of Health Care Systems on Chronic Disease""""INTRODUCTION""; ""INVITED ADDRESS""; ""INVITED REACTION""; ""INVITED REACTION""; ""DISCUSSION""; ""7 Changing Health Care Systems and Access to Care for the Chronically Ill ""; ""INTRODUCTION""; ""INVITED ADDRESS""; ""The Chronically Ill: Promises and Risks in An Era of Managed Care and Competitive Markets""; ""Chronic Illness""; ""Risk and Current Managed Care Market Dynamics""; ""Capitation: Moving to the Provider Level?""; ""Standards of Comparison""
  • ""Inadequately Insured Chronically Ill: A Harsher Future""""Vulnerable Populations""; ""Policy Implications""; ""INVITED REACTION""; ""INVITED REACTION""; ""DISCUSSION""; ""8 Training and Utilization of Generalists and Subspecialists at the University of California, Los Angeles""; ""INTRODUCTION""; ""INVITED ADDRESS""; ""Primary Care Physicians""; ""Subspecialty and Specialty Consultation""; ""Transportation Systems""; ""Education Systems""; ""Graduate Medical Education""; ""Integrating Subspecialty Medicine Into General Internal Medicine""; ""Continuing Medical Education""