Institutional Change and Healthcare Organizations : From Professional Dominance to Managed Care
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(as of Nov 24,2024 08:18:33 UTC – Details)
Publisher : University of Chicago Press; 1st edition (May 1, 2000)
Language : English
Paperback : 452 pages
ISBN-10 : 0226743101
ISBN-13 : 978-0226743103
Item Weight : 1.44 pounds
Dimensions : 6 x 1 x 9 inches
In recent years, healthcare organizations have undergone significant institutional changes, moving away from traditional models of professional dominance towards managed care. This shift has been driven by various factors, including cost pressures, advances in technology, changing patient expectations, and a growing emphasis on value-based care.
One of the key drivers of this shift towards managed care has been the need to control rising healthcare costs. In the past, healthcare providers had significant autonomy in determining treatment plans and billing practices, leading to inefficiencies and unnecessary expenses. Managed care organizations, on the other hand, focus on coordinating care and controlling costs through measures such as utilization management, provider networks, and capitated payment models.
Another factor driving this institutional change is the increasing focus on value-based care. Healthcare organizations are now being incentivized to deliver high-quality care at lower costs, with an emphasis on outcomes and patient satisfaction. This has led to a shift towards a more patient-centered approach, with a focus on preventive care, care coordination, and population health management.
As healthcare organizations transition towards managed care models, there are several challenges and opportunities that they must navigate. These include the need to engage and align with providers, develop robust data analytics capabilities, and effectively manage population health. Additionally, organizations must ensure that patients are actively involved in their care decisions and that they have access to the resources and support they need to stay healthy.
Overall, the shift towards managed care represents a significant institutional change for healthcare organizations. By embracing this change and adapting their practices to meet the demands of a changing healthcare landscape, organizations can position themselves for success in the future.
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