Skip to main content
SpringerLink
Log in

Fazit

  • Chapter
Managed Care

  • 1731 Accesses

Auszug

Managed Care führt zu einer deutlichen Steigerung der Anzahl unterschiedlicher institutioneller Arrangements. Aus der ehemaligen „cottage-industry“ im Gesundheitswesen wird zunehmend eine ausdifferenzierte Dienstleistungsbranche mit den unterschiedlichsten Anbietern. Die Entwicklung weg von der simplen Zweiteilung von Leistungserstellung und-finanzierung hin zu dieser Vielzahl unterschiedlicher Organisationsformen hat verschiedene Gründe. Im Folgenden sollen die wichtigsten Zielsetzungen aufgezeigt und anhand von konkreten Beispielen erläutert werden:

  • ■ Verringerung der Transaktionskosten,

  • ■ Nutzung von Skalenerträgen,

  • ■ Aufbau von Marktmacht als Abwehrstrategie,

  • ■ Diversifikation in einen entstehenden Beratungsmarkt,

  • ■ Schaffung von Investitionsmärkten und

  • ■ Schaffung von Wahlmöglichkeiten.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 44.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  • Amelung, V.E. (1999), Managed Care: Organisationen im Wandel — Produktidifferenzierung und Mehr-Produkt-Unternehmen, in: zfb, Sonderband 5

    Google Scholar 

  • Amelung, V.E./ Janus, K. (2005), Erfolgsfaktoren für die integrierte Versorgung unter Einbeziehung von Erfahrungen aus den USA, in: Hellmannn, W. (Hrsg.), Handbuch integrierte Versorgung, 3. Erg. Lfg. 4/05, Economica Bonn, S. 1–26

    Google Scholar 

  • Amelung, V.E./ Janus, K. (2005), Modelle der integrierten Versorgung im Spannungsfeld zwischen Management und Politik, in: Klauber, J. Robra, B-P./Schnellschmidt, H., Krankenhausreport 2005, Schattauer Stuttgart, S. 13–26

    Google Scholar 

  • Amelung, V.E./ Janus, K. (2006), Veränderte Marktstrukturen für Ärzte im ambulanten Sektor, Gesundheit und Gesellschaft Wissenschaft, 6(3), S. 26–35

    Google Scholar 

  • Amelung, V. E./ Meyer-Lutterloh, K./ Schmid, E./ Seiler, R./ Weatherly, J. (2006), Integrierte Versorgung und Medizinische Versorgungszentren. Von der Idee zur Umsetzung, Schriftenreihe des Bundesverbandes Managed Care, Medizinisch Wissenschaftliche Verlagsgesellschaft Berlin

    Google Scholar 

  • Aventis Pharmaceuticals (2002), HMO-PPO/Medicare-Medicaid Managed Care Digest Series, Vol. 5; Bridgewater/NJ

    Google Scholar 

  • Aventis Pharmaceuticals (2003), Integrated Health System Managed Care Digest Series, Vol. 6, Bridgewater/NJ

    Google Scholar 

  • Barrett, D. (1997), Health Maintenance Organizations, in: Miller, K./ Miller, E. (Hrsg.), Making Sense of Managed Care, 1, American College of Physician Executies, San Francisco, S. 47–62

    Google Scholar 

  • Bazzoli, G. J. et al. (1999), A Toxonomy of Health Networks and Systems: Bringing Order Out of Chaos, in: HSR: Health Service Research 33 (6) Feb., S. 1683–1725

    Google Scholar 

  • Bodenheimer, T. (1999), The American Health Care System — Physicians and the Changing Medical Marketplace, in: NEJM, 340 (7), 18. Feb., S. 584–588

    Article  Google Scholar 

  • Braun, G. E. (2003), Management vernetzter Versorgungsstrukturen im Gesundheitswesen IBG, Diskussionspapier Nr. 13

    Google Scholar 

  • Brown L. D. (1998), The Evolution of Managed Care in the US, in: Pharmacoeconomics, 14 Suppl. 1, S. 37–43

    Article  Google Scholar 

  • Budetti, P. P. et al. (2002), Physician And Health System Integration, in: Health Affairs 21 (1), S. 203–210

    Article  Google Scholar 

  • Burns, L. R./ Robinson, J. C. (1998). Physician Practice Management Companies: Implications for Hospital-Based Integrated Delivery Systems, in: Frontiers of Health Service Management 14:2, S. 3–35

    Google Scholar 

  • Burns, L. R./ Thorpe D. P. (1997), Physician-Hospital Organizations: Strategy, Structure and Conduct, in: Conners, R., Integrating the Practice of Medicine, Chicago, S. 351–371

    Google Scholar 

  • Burns, L. R. et al. (2001), Just How Integrated Are Integrated Delivery Systems? Results From a National Survey, in: Health Care Manage Rev 26 (1), S. 20–39

    Google Scholar 

  • Cafferky, M. E. (1997), Managed Care & You, The Consumer Guide to Managing your Health Care, McGraw-Hill Comp, Los Angeles

    Google Scholar 

  • California Healthcare Foundation (2006), Health care costs 101, annual report, Oakland/CA

    Google Scholar 

  • Coddington, D. C. (2001), Integrated Healthcare Is Alive and Well, Frontiers of Health Service Management, 17 (4), Summer, S. 31–40

    Google Scholar 

  • Conrad, D. A. et al. (1999), Physician Practice Management Organizations: Their Prospects and Performance, in: Medical Care Research and Review, 56 (3) Sept., S. 307–339

    Article  Google Scholar 

  • Cooper, P./ Simon, K./ Vistnes, J. (2006), A Closer Look at the Managed Care Backlash, Med Care, 44(5), S. I-4–I-11

    Google Scholar 

  • DeMarco, W. J./ Marx, J. M. (1997), The Management Service Organization Industry, in: Conners, R. B., Integrating the Practice of Medicine, American Hospital Publishing, Chicago, S. 391–412

    Google Scholar 

  • DeMuro, P. R. (1997), Evolution of Management Service Organizations, in: Conners, R. B., Integrating the Practice of Medicine, Jossey-Bass, Chicago, S. 375–389

    Google Scholar 

  • Draper, D. et al. (2002), The Changing Face of Managed Care, in: Health Affairs, Jan.–Feb., S. 11–23

    Google Scholar 

  • Eliopoulos, P. (Hrsg.) (1998), Managed Care: Facts, Trends and Data: 1998–99, Atlantic Information Services Inc., Washington

    Google Scholar 

  • Eliopoulos P. (Hrsg.) (1999), Managed Care: Facts, Trends and Data: 1999–2000, Atlantic Information Services Inc., Washington

    Google Scholar 

  • Erdmann, Y (1995), Managed Care. Veränderungen im Gesundheitswesen der USA in den letzten 30 Jahren, Nomos, Baden-Baden

    Google Scholar 

  • Friedman, L./ Goes, J. (2001), Why Integrated Health Networks Have Failed, in: Frontiers of Health Service Management, 17 (4), Summer, S. 3–28

    Google Scholar 

  • Gaynor, M./ Haas-Wilson, D. (1998), Vertical Relations in Health Care Markets, in: Morrisey, M., Managed Care & Changing Health Care Markets, AEI Press, Washington, S. 140–163

    Google Scholar 

  • Gold, M./ Hurley, R. (1997), The Role of Managed Care „Products“ in the Managed Care „Plans“, in: Inquiry, Spring, 34, S. 29–37.

    Google Scholar 

  • Golembesky, H. E. (1997), A Structured Perspective of Market Evolution, San Francisco, in: Coile, R. C., (1997), The Five Stages of Managed Care, Health Administration Press, Chicago

    Google Scholar 

  • Havighurst, C. (2001), Consumers Versus Managed Care: The New Class Actions, in: Health Affairs, July–Aug., S. 8–27.

    Article  Google Scholar 

  • Herzlinger, R. (1998), Market Driven Health Care, Addison-Wesley

    Google Scholar 

  • Hoechst Marion Roussel (1998), HMO-PPO/Medicare/Medicaid Digest, Managed Care Digest Series, Kansas City

    Google Scholar 

  • Hoechst Marion Roussel (1999), Medical Group Practice Digest, Managed Care Digest Series, Kansas City

    Google Scholar 

  • Hoffman, J. R. (1997), Management Service Organizations, in: Miller K./Miller E., Making Sense of Managed Care, American College of Physician Executives, San Francisco, S. 91–99

    Google Scholar 

  • Janus, K./ Amelung, V. E. (2004), Integrierte Versorgungssysteme in Kalifornien — Erfolgs-und Mißerfolgsfaktoren der ersten 10 Jahre und Impulse fär Deutschland. Das Gesundheitswesen; 66 (10), S. 649–655

    Article  Google Scholar 

  • Janus, K./ Amelung, V. E. (2005), Integrierte Versorgung, in: Stierle, G. (Hrsg.), Das neue Praxis-Handbuch für Ärzte, Band 2, Gruppe 3/G 240, Deutscher Ärzte-Verlag Köln, S. 1–28

    Google Scholar 

  • Janus, K./ Amelung, V. E. (2005), Integrated Health Care Delivery Based on Transaction Cost Economics — Experiences from California and Cross-National Implications, in: Savage, G./Chilingerian, J./Powell, M., Advances in Health Care Management Volume 5 — International Health Care Management, Elsevier Publications Bridgewater, S. 121–160

    Google Scholar 

  • Janus, K./ Amelung, V. E. (2005), Concetti di assistenza sanitaria integrate il quadro politico e i requisiti di gestione nel mercato sanitario tedesco, in: Atella, V./Donia Sofio, A./Meneguzzo, M./Mennini, F./Spandonaro, F., Rapporto CEIS Sanitàa, Italpromo Esis Publishing Roma, S. 97–104

    Google Scholar 

  • Janus, K./ Amelung, V. E. (2007), Grenzen und Möglichkeiten eines „mehr oder weiger“ wettbewerblichen Systems — das amerikanische Gesundheitswesen auf dem Prüfstand, in: Hellmann, W. (Hrsg.), Handbuch integrierte Versorgung, 9. Aktualisierung 02/2007, Economica Bonn, S. 1–29

    Google Scholar 

  • Janus, K. (2003), Managing Health Care in Private Organizations. Transaction Costs, Cooperation and Modes of Organization in the Value Chain, Frankfurt am Main

    Google Scholar 

  • Kaiser Family Foundation and The health Research and Educational Trust (2006), Employer Health Survey, annual survey — Market shares of health plans, Menlo Park/CA

    Google Scholar 

  • Keller, C./ Morar, R./ Baumgärtner-Vorderholzer, R./ Adam, R./ Fillenber, B. (2006), Zufriedene Gründer und zufriedene Patienten — Erste bundesweite Studie zur Ergebnisqualität von Medizinischen Versorgungszentren, f&w 6/2006, S. 653–655

    Google Scholar 

  • Knight, W. (1998), Managed Care. What It Is and How It Works, Aspen, Gaithersburg

    Google Scholar 

  • Kongstvedt, P. R./ Plocher D. W./ Stanford, J. C. (2001), Integrated Health Care Delivery Systems, in: Kongstvedt, P. R. (Hrsg.), The Managed Care Handbook, Aspen, Gaitherburg, S. 42–72

    Google Scholar 

  • Kühn H. (1997), Managed Care — Medizin zwischen kommerzieller Bürokratie und Integrierter Versorgung, WZB-Paper, Berlin

    Google Scholar 

  • Landon, B. E. et al. (1997), A Conceptual Model of the Effects of Health Care Organizations on the Quality of Medical Care, in: JAMA, 279 (17), S. 1377–1382

    Article  Google Scholar 

  • Lega, F. (2007), Organisational design for health integrated delivery systems, in: Theory and practice Health Policy, 81 (2–3), S. 258–279

    Google Scholar 

  • McCall-Perez, F. (1997), Physician Equity Groups and Other Emerging Entities, McGraw-Hill Healthcare, New York

    Google Scholar 

  • Mühlbacher, A. (2002), Integrierte Versorgung. Management und Organisation, Hans Huber, Bern

    Google Scholar 

  • Nauert, R. C./ Weissman, D. C. (1999), MSO Development: Progress Versus Pitfalls, in: J HealthCare Financ 25 (3), S. 37–43

    Google Scholar 

  • Olden, P. C. et al. (2002), A Post-1990s Assessment of Strategic Hospital Alliances and Their Marketplace Orientations: Time to Refocus, in: Health Care Manage Rev 27 (2), S. 33–49

    Google Scholar 

  • Organisation for Economic Collaboration and Development (2006), OECD health data 2006, CD-ROM, Paris

    Google Scholar 

  • Peterson, M. (1999), Introduction: Polics, Misperceptions, or Apropos?, in: Journal of Health Politics, Policy and Law, Special Issue: Managed Care backlash, 24(24), Oct., S. 873–895

    Google Scholar 

  • Reinhardt, U. (1999), The Predictable Managed Care Kvetch on the Rocky road from Adolescence to Adulthood, Journal of Health Politics, Policy and Law, Special Issue: Managed Care backlash, Vol. 24, Number 24, Oct., S. 898–910

    Google Scholar 

  • Robinson, J. C. (1996), The Dynamics and Limits of Corporate Growth in Health Care, in: Health Affairs, Summer, S. 155–169

    Article  Google Scholar 

  • Robinson, J. C. (1998), Financial Capital and Intellectual Capital in Physician Practice Management, in: Health Affairs, July/August, S. 53–74

    Article  Google Scholar 

  • Robinson, J. C. (1999a), The Future of Managed Care Organizations, in: Health Affairs, March/April, S. 7–24

    Article  Google Scholar 

  • Robinson, J. C. (1999b), The Corporate Practice of Medicine, University of California Press, Berkeley

    Google Scholar 

  • Robinson, J. C./ Steiner, A. (1998), Managed Health Care US Evidence and Lessons for the National Health Service, Open University Press, Buckingham

    Google Scholar 

  • Rosenbrock, R./ Gerlinger, Th. (2004), Gesundheitspolitik. Eine systematische Einführung, Bern

    Google Scholar 

  • Sanofi Aventis (2006), Managed Care Digest Series — HMO-PPO Digest for 2006, Bridgewater/NJ

    Google Scholar 

  • Scanlon, D. P./ Swaminathan, S./ Chernew, M./ Lee, W. (2006), Market and Plan Charakteristics Related to HMO Qualilty and Improvement, Medical Care Research and Review 63(6), S. 56–89

    Article  Google Scholar 

  • Schlesinger, M. et al. (1998), A Broader Vision For Managed Care, Part II: A Typology of Community Benefits, in: Health Affairs, Sept./Oct., S. 26–49

    Article  Google Scholar 

  • Schlesinger, M./ Gray B. (1998), A Broader Vision For Managed Care, Part I: Measuring The Benefit to Communities, in: Health Affairs, May/June, S. 152–168

    Article  Google Scholar 

  • Schlette, S./ Knieps, F./ Amelung, V. E. (Hrsg.) (2005), Versorgungsmanagement für chronisch Kranke, Kompart

    Google Scholar 

  • Scott, W. R. et al. (2000), Institutional Change and Healthcare Organizations, University of Chicago Press

    Google Scholar 

  • Shapiro, H. M. (1997), Managed Care Beware, Dove Books, West Hollywood

    Google Scholar 

  • Shi, L./ Singh, D. A. (1998), Delivering Health Care in America, A System Approach, Aspen, Gaithersburg

    Google Scholar 

  • Shortell, S. M. et al. (1996), Remarking Health Care in America, San Francisco

    Google Scholar 

  • Shortell, S. M. (1997), Managed Care: achieving the benefits, negating the harm, in: Health Serv Res, Dec 32 (5), S. 557–560

    Google Scholar 

  • Shortell, S. M. et al. (Hrsg.) (2000), Remaking health care in America. The Evolution of organized delivery systems, 2nd. Ed., Jossey-Bass, San Francisco

    Google Scholar 

  • Stiles, R. A. et al. (2001), The Logic of Transaction Cost Economic in Health Care Organization Theory, in: Health Care Manage Rev, 26 (2), S. 85–92

    Google Scholar 

  • Sullivan, K. (2000), On the ‘Efficiency’ of Managed Care Plans, in: Health Affairs, July/August, S. 139–148

    Article  Google Scholar 

  • Wagner, E. R. (2001), Types of Managed Care Organizations, in: Kongstvedt, P. R. (Hrsg.), Essentials of Managed Health Care, Aspen, Gaithersburg, S. 28–41

    Google Scholar 

  • Weatherly, J. N./ Seiler, R./ Meyer-Lutterloh, K./ Schmid, E./ Lägel, R./ Amelung, V. E. (2007), Leuchtturmprojekte Integrierter Versorgung und Medizinischer Versorgungszentren — Innovative Modelle der Praxis, Medizinisch Wissenschaftliche Verlagsgesellschaft

    Google Scholar 

  • Weiner, J./ De Lissovey, G. (1993) Razing a tower of Bable: A taxonomy for Managed Care and Health Insurance Plans, in: JHPPL 1993:18, S. 75–103

    Google Scholar 

  • Weis, E./ Miller, K. (1997), Overview of Physician Hospital Organizations and Physician Organizations, in: Miller, K./Miller, E., Making Sense of Managed Care, American College of Physician Executives, San Francisco, S. 75–89

    Google Scholar 

  • Williamson, O. E. (1985), The Economic Institutions of Capitalism — Firms, Markets, Relational Contracting, New York

    Google Scholar 

  • Zelman, W. A. (1996), Changing Health Care Marketplace, Jossey-Bass, San Francisco

    Google Scholar 

  • Zelman, W. A. (1997), Consumer protection in managed care: finding the balance, in: Health Affairs (Millwood), Jan.–Feb. 16 (1), S. 158–166

    Google Scholar 

  • Zuckerman, H. S. et al. (1998), Physicians and Organizations: Strange Bedfellows or a Marriage Made in Heaven?, in: Frontiers of Health Service Management 14 (3), Spring, S. 3–34

    Google Scholar 

Download references

Rights and permissions

Reprints and permissions

Copyright information

© 2007 Betriebswirtschaftlicher Verlag Dr. Th. Galber | GWV Fachverlage GmbH

About this chapter

Cite this chapter

(2007). Fazit. In: Managed Care. Gabler. https://doi.org/10.1007/978-3-8349-9371-7_8

Download citation

Publish with us

Policies and ethics

Search

Navigation