This Article  • References  • 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 (45)  • Contact me when this article is cited  Related Content  • Related letter  • Similar articles in JAMA  Social Bookmarking   What's this?

Robert H. Brook, MD, ScD

JAMA. 1997;278(19):1612-1614.

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

The purpose of this article is to describe what is happening in the provision of health care throughout the Western world and to make a case, although briefly, for using both economic and clinical incentives to change the health system so that more health is produced from it. In this formulation, the quality of care provided, as opposed to the way services are organized or reimbursed, becomes of central concern.

Despite evidence from health services research studies that the level of the quality of health care is a major crisis throughout the Western world, this fact is rarely acknowledged by most elements of society. An exception to this statement is the American concern, based mostly on individual case reports, that managed care will adversely affect quality of care. Yet even this concern is focused on the potential evils of managed care and not on major problems in producing quality care . . . [Full Text PDF of this Article]

Author Affiliations
From the RAND Health Program, Santa Monica, Calif, and UCLA Center for Health Sciences, Los Angeles, Calif.

Footnotes
Reprints: Robert H. Brook, MD, ScD, RAND, 1700 Main St, PO Box 2138, Santa Monica, CA 90407-2138.

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

RELATED LETTER

Reengineering Quality in Managed Care
Douglas D. Dedo and Robert H. Brook
JAMA. 1998;279(12):913.
EXTRACT | FULL TEXT