This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (6)  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Topic Collections  • Medical Practice  • Medical Practice, Other  • Alert me on articles by topic  Social Bookmarking   What's this?

William L. Roper, MD, MPH; Glen P. Mays, MPH

JAMA. 1998;280:1739-1740.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

MEDICAL PRACTICE and public health in the United States have remained functionally separate during most of the 20th century despite many similarities in mission and method.¹ The growth of managed health care has fueled a flurry of analysis and speculation about how managed care will affect the distinctions and the interactions between these 2 fields of practice. Some policy analysts and health plan executives argue that, because managed care plans assume clinical and financial responsibility for the health of defined populations, they have both opportunities and incentives for integrating aspects of medical care and public health practice.^2-5 Collaborative relationships between managed care plans and public health agencies emerge as a mechanism for sharing the human, financial, and intellectual resources required to implement public health activities.⁶ Other observers warn that managed care plans may weaken the public health infrastructure, in part by . . . [Full Text of this Article]

Types of Interaction

Health Care Delivery

Information Exchange

Community Interventions

Trends Shaping the Interface

Organization and Operation of Managed Care Plans

Organization and Operation of Public Health Agencies

Changes in Access to and Use of Health Information

Changes in Systems of Care for Vulnerable Populations

Conclusions

From the Office of the Dean (Dr Roper) and the Department of Health Policy and Administration (Mr Mays), School of Public Health, the University of North Carolina at Chapel Hill. Dr Roper is a member of the JAMA Editorial Board.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Availability and Perceived Effectiveness of Public Health Activities in the Nation's Most Populous Communities
Mays et al.
AJPH 2004;94:1019-1026.
ABSTRACT | FULL TEXT