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Managed Healthcare: A Temporary Trend or a New Standard for Providing Health Services?
Abstract
This chapter describes how managed healthcare is a systemic and institutional approach for cost management. It might be the remedy for increasing demand for limited human and material resources. In most of the developed countries the number of elderly patients with multimorbidity is increasing every year. This situation creates the necessity for implementing new policies based on cost-effective methods of diagnosis and treatment. Keeping quality high is crucial for patient safety, although cost reduction must occur to ensure the proper care for all. However, several ethical concerns are raised with these changes. The main is that although the physicians are focused on cost-effective procedures, they will take the patient's opinions into consideration. The outcome of an undermined relationship between doctors and their patients may be contrary to the reduction of the compliance and adherence may in fact increase the cost of services for specific patients. The proper communication patterns and post-discharge care is mandatory for limiting unwanted additional costs and benefits policy makers keeping patient satisfaction high.
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