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

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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.
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Product Details

  • ISBN-13: 9780309068284
  • Publisher: National Academies Press
  • Publication date: 1/27/2000
  • Edition description: New Edition
  • Pages: 128
  • Product dimensions: 6.02 (w) x 9.04 (h) x 0.37 (d)

Table of Contents

Summary 1
1 Introduction 6
2 Conducting Basic and Clinical Research in the Managed Care Setting 13
Perspective of Association of American Medical Colleges on Basic and Clinical Research 13
Opportunities for Population-Based Clinical Research Using Data from Managed Care Organizations 16
Conducting Clinical Research Within Managed Care Organizations 18
NIH Activities Related to Clinical Research and Managed Care 20
Summary of Challenges and Opportunities 21
3 Clinical Practice Guidelines 25
Clinical Practice Guidelines for Emerging Infections and Managed Care 25
Realities of Implementing Guidelines 27
Making Guidelines Instrumental: Theory versus Practice 28
Summary of Challenges and Opportunities 30
4 Surveillance and Monitoring 33
An Employer's Perspective 34
Managed Care and Infectious Disease Surveillance: Opportunities for Collaboration 35
Collaborative Surveillance Efforts and Monitoring of Data 37
Latter Day Saints Hospital's System 40
Laboratory-Based Reporting and Managing Encounter-Level Data 41
Laboratory-Based Reporting Issues 44
Legal Concerns 45
Summary of Challenges and Opportunities 46
5 Education and Outreach 52
Coordinating Health Plan Research and Educational Efforts 52
Impacts of Managed Care System's Educational Efforts on Control of Antibiotic Use 53
Education and Outreach Perspectives of the National Institute of Allergy and Infectious Diseases 56
Managed Care Systems and Emerging Infections: Education and Outreach 57
Summary of Challenges and Opportunities 58
6 Drug Formularies 62
Regulatory Issues 62
Relationship Between Managed Care Formularies and Treatment Outcomes 63
Bacterial Resistance, the Antibiotic Formulary, and Other Management Strategies 65
Economics of Restrictions on Pharmaceuticals 70
Summary of Challenges and Opportunities 72
7 Concluding Remarks 76
References 79
App. A Veterans Health Administration and Infectious Disease 83
App. B Glossary and Acronyms 89
App. C Workshop Agenda 97
App. D Forum Member and Staff Biographies 103
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