210class22

210class22 - Stephen Hansell, Ph.D. Department of Sociology...

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Stephen Hansell, Ph.D. Department of Sociology Institute for Health Research http://sakai.rutgers.edu [email protected] 609-203-2830
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Class 22 The Rise of Managed Care
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I. Rationing A. Economic rationing B. Implicit rationing C. Explicit rationing
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II. Economic and implicit rationing not enough A. Economic rationing did not work B. Implicit rationing did save some money C. Implicit rationing not enough to control skyrocketing costs in US medical care system
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III. Free market model A. Assumes consumers can decide what services to buy B. Assumes laws of supply and demand will 1. Distribute goods and services to sickest 2. Control costs C. Assumes link between costs and quality of service
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IV. Free market model works well when buying a car A. Customer easily collects information on car B. Test the car C. Decide what car to buy D. Negotiate the best deal with salesman
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V. Free Market fails in health care A. Problems of information about quality of care 1. Patient can't get good information
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2. Patient can't understand good information 3. Patient may not want real information 4. Role of doctor stable and self-sustaining
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B. Problems of product uncertainty
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This note was uploaded on 11/16/2011 for the course 920 210 taught by Professor Hansell during the Spring '08 term at Rutgers.

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210class22 - Stephen Hansell, Ph.D. Department of Sociology...

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