Cover image for The rise and fall of managed care : a comprehensive history of a mass medical movement
The rise and fall of managed care : a comprehensive history of a mass medical movement
Smith, Richard Dean.
Personal Author:
Publication Information:
Bristol, IN : Wyndham Hall, [2001]

Physical Description:
ii, 228 pages ; 22 cm

Format :


Call Number
Material Type
Home Location
Central Library R729.5.H43 S65 2001 Adult Non-Fiction Central Closed Stacks

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Choice Review

Smith (John Muir Medical Center, Walnut Creek, California) presents a chilling indictment of managed care in which prepaid medical services controlled by "gatekeeper" physicians are delivered to a defined, voluntarily enrolled population. Nine chapters treat beginnings, expansion, enthusiastic contagion, adoption, finances, cautions, the bind of captivity, early warnings, and late signs, followed by a conclusion with considerations after a predicted fall. Each chapter is written in a reader-friendly style, utilizing numbered sections and comprehensive notes and citations. A cumulative index is also included. The author, a physician, makes a thoughtful and scholarly presentation of managed care as an irrational mass movement driven by definable political, social, and psychological factors in which profit and greed have created a system where incentives are provided for subminimal care and disincentives for quality care. A vital acquisition for every library serving the needs of the health care professions, public health and public policy organizations, and the general public. General readers; upper-division undergraduates through professionals. R. E. Darnell University of Michigan--Flint

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