Health care reform, managed competition, and the urban medically underserved: some preliminary questions about structure, equity, and quality care. Academic Article

abstract

• The purpose of this article is to provide some preliminary observations and discussion on several questions relating to managed competition in health and the urban medically underserved. The shift to managed competition in health care financing and delivery from an unmanaged fee-for-service system raises several critical transitional questions for those groups in the urban arena that have been traditionally medically underserved. After an overview discussion of cost dynamics in the American health care system and selected characteristics of the health care system and the urban medically underserved, the article explores several critical transitional questions relating to structure, equity and quality care considerations in managed competition and the urban medically underserved.

authors

• Rice, Mitchell

published proceedings

• J Health Soc Policy

author list (cited authors)

• Rice, M. F.

citation count

• 7

complete list of authors

• Rice, MF

publication date

• April 1997

publisher

• Taylor & Francis  Publisher

published in

• Social Work in Public Health  Journal

keywords

• Demography
• Health Care Costs
• Health Care Rationing
• Health Care Reform
• Health Policy
• Health Services Accessibility
• Humans
• Managed Competition
• Medically Underserved Area
• Quality Assurance, Health Care
• Social Justice
• United States
• Urban Health Services

PubMed Central ID

• 10167381

Digital Object Identifier (DOI)

• 10.1300/J045v08n04_03

start page

• 31

end page

• 52

volume

• 8

issue

• 4

URL

• http%3A%2F%2Fdx.doi.org%2F10.1300%2Fj045v08n04_03

user-defined tag

• 3 Good Health and Well-Being