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Books, Journals, New Media
July 22/29, 1998

Managed CareManaged Care, Outcomes, and Quality: A Practical Guide

Author Affiliations

Harriet S.MeyerMD, Contributing EditorJonathan D.EldredgeMLS, PhD, Journal Review EditorRobertHoganMD, adviser for software


Not Available


Copyright 1998 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1998American Medical Association


edited by Steven F. Isenberg with forewords by Uwe Reinhardt and Nancy Snyderman, 323 pp, $59, ISBN 0-86577-687-3, New York, NY, Thieme, 1997.

JAMA. 1998;280(4):389-390. doi:10.1001/jama.280.4.389-JBK0722-5-1

With the rise of managed care and its associated efforts to control costs, new concerns have arisen about safeguarding the quality of care. Physicians, as much as anyone, are in need of reliable guidance as to how to render care of high quality, as their organizations emphasize the bottom line. For such physicians, there now is a helpful handbook: Managed Care, Outcomes, and Quality: A Practical Guide.

The book is more substantial than its page count would suggest, as its 323 pages are large and double columned. Of the 26 contributors 15 are physicians, a number of whom hold additional degrees in law, business, or public health. The book is not a primer and assumes some basic knowledge of the issues addressed. It emphasizes nuts-and-bolts advice, for the most part eschewing policy argument or speculation about what it all means. The chapters tend to be dryly written and largely are relatively brief summaries of areas about which much more could be said. In many cases, a real understanding would require longer explanations and more examples (although chapter references offer essentially reliable information about where to turn). Once this is understood, the book will be found to contain much useful information.

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