Managed Care Systems and Emerging Infections: Challenges and Opportunities for Strengthening Surveillance, Research, and Prevention, Workshop Summary

Managed Care Systems and Emerging Infections: Challenges and Opportunities for Strengthening Surveillance, Research, and Prevention, Workshop Summary

by Jonathan R. Davis, Based on a Workshop of the Forum on Emerging Infections, Institute of Medicine
     
 

ISBN-10: 0309068282

ISBN-13: 9780309068284

Pub. Date: 01/27/2000

Publisher: National Academies Press

Managed Care Systems and Emerging Infections: Challenges and Opportunities for Strengthening Surveillance, Research, and Prevention Jonathan R. Davis, Editor; Based on a Workshop of the Forum on Emerging Infections, Institute of Medicine This workshop summary report from the IOM Forum on Emerging Infections, Managed Care Systems and Emerging Infections:…  See more details below

Overview

Managed Care Systems and Emerging Infections: Challenges and Opportunities for Strengthening Surveillance, Research, and Prevention Jonathan R. Davis, Editor; Based on a Workshop of the Forum on Emerging Infections, Institute of Medicine This workshop summary report from the IOM Forum on Emerging Infections, Managed Care Systems and Emerging Infections: Challenges and Opportunities for Strenghening Surveillance, Research and Prevention This book examines how the managed care revolution has created both problems and opportunities in the fight against infectious diseases. It highlights ways in which managed care systems can aid research, develop clinical guidelines, manage the use of antibiotics, support public education efforts, and monitor the spread of emerging infections and microbial resistance.

Product Details

ISBN-13:
9780309068284
Publisher:
National Academies Press
Publication date:
01/27/2000
Edition description:
New Edition
Pages:
128
Product dimensions:
6.00(w) x 9.00(h) x (d)

Table of Contents

Summary1
1Introduction6
2Conducting Basic and Clinical Research in the Managed Care Setting13
Perspective of Association of American Medical Colleges on Basic and Clinical Research13
Opportunities for Population-Based Clinical Research Using Data from Managed Care Organizations16
Conducting Clinical Research Within Managed Care Organizations18
NIH Activities Related to Clinical Research and Managed Care20
Summary of Challenges and Opportunities21
3Clinical Practice Guidelines25
Clinical Practice Guidelines for Emerging Infections and Managed Care25
Realities of Implementing Guidelines27
Making Guidelines Instrumental: Theory versus Practice28
Summary of Challenges and Opportunities30
4Surveillance and Monitoring33
An Employer's Perspective34
Managed Care and Infectious Disease Surveillance: Opportunities for Collaboration35
Collaborative Surveillance Efforts and Monitoring of Data37
Latter Day Saints Hospital's System40
Laboratory-Based Reporting and Managing Encounter-Level Data41
Laboratory-Based Reporting Issues44
Legal Concerns45
Summary of Challenges and Opportunities46
5Education and Outreach52
Coordinating Health Plan Research and Educational Efforts52
Impacts of Managed Care System's Educational Efforts on Control of Antibiotic Use53
Education and Outreach Perspectives of the National Institute of Allergy and Infectious Diseases56
Managed Care Systems and Emerging Infections: Education and Outreach57
Summary of Challenges and Opportunities58
6Drug Formularies62
Regulatory Issues62
Relationship Between Managed Care Formularies and Treatment Outcomes63
Bacterial Resistance, the Antibiotic Formulary, and Other Management Strategies65
Economics of Restrictions on Pharmaceuticals70
Summary of Challenges and Opportunities72
7Concluding Remarks76
References79
App. AVeterans Health Administration and Infectious Disease83
App. BGlossary and Acronyms89
App. CWorkshop Agenda97
App. DForum Member and Staff Biographies103

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