These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


PUBMED FOR HANDHELDS

Search MEDLINE/PubMed


  • Title: Solution to patient access to specialist care lies in a balanced approach.
    Author: Hongsermeier T.
    Journal: Manag Care Q; 1997; 5(2):20-4. PubMed ID: 10166984.
    Abstract:
    Managed care economic and administrative measures designed to coerce "gatekeepers" to limit patients' access to specialist care need to be balanced by sound clinical protocols. Balance is maintained when appropriateness of care, not costs, guides care and referral decisions. This article explores how appropriateness can be achieved through the use of clinical decision support criteria or guidelines. Not only do the guidelines enable providers to deflect demand appropriately and prevent unnecessary interventions, they help mitigate the financial risk that providers assume under managed care.
    [Abstract] [Full Text] [Related] [New Search]