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Journal of MANAGED CARE VIEW FROM AMERICA John M. Ludden Associate Clinical Professor, Harvard Medical School In this regular column of the Journal, we intend briefly for shorter in-patient stays, clinicians and managers to describe some directions, trends, and innovations in began to re-engineer hospital care in accord with managed care as they evolve in the USA. available evidence of clinical effectiveness. Managed care has become America's response to Decreases in the length of stay (LOS) in hospitals rising costs of medical care. Managed care - the have been continuous. Average LOS in Health provision of comprehensive care for acute and chronic Maintenance Organizations (HMOs) fell from 4.5 to 4.2 days between 1988 and 1993 (medical, surgical and obstetrical) when attention was given to the . . . Managed care has become processes of care for frequently occurring conditions (e.g. obstetrical delivery) and formal approaches were America's response to rising costs of developed to reduce variation and improve medical care. performance and outcomes, often using quality improvement techniques. illness to a defined population of individuals within a Average LOS for uncomplicated vaginal delivery, given budget - has grown very rapidly from involving for example, has fallen below 2 days
Journal of Managed Care – SAGE
Published: Jun 1, 1997
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