Managed Care and Nursing

Paper Summary:

The paper explores how managed care has affected patients, the healthcare system and the role of the nurse in the contemporary environment of cost containments and justifying expenses to the insurance company. The paper then looks at how managed care has affected the knowledge and skills needed by the nurse and the nursing education they have to receive.

Outline:
How Managed Care has Affected Patients, the Healthcare System, and the Role of the Nurse
How Managed Care has Affected the Knowledge and Skills Needed by the Nurse
The Effect of Managed Care on Nursing Education

From the Paper:

"The current system of managed care was initially put into place mainly as a cost-cutting measure, to ease the financial stresses placed upon the healthcare system. However, many have argued that the impact of managed care upon patient health has been, according to most healthcare providers, largely detrimental. Before the advent of managed care, a healthcare provider's "obligations were owed almost exclusively to the patient" (Shapiro 2000). But in the era of managed care, physicians have had to become "more concerned with their obligations to the managed care organization--so much so that their clinical behavior has been altered" (Shapiro 2000). The American health care system is the most expensive healthcare system in the yet America has a higher rate of infant mortality and lower life expectancy than other industrialized nations (Copeland, 2003, p.1)"

Sample of Sources Used:

• Buerhaus. P. I. & D. O. Staiger. (13 Nov 1996). "Managed care and the nurseworkforce." JAMA. 276.18. Retrieved 10 Jun 2008 at http://jama.ama-assn.org/cgi/content/abstract/276/18/1487
• Copeland, Liesel H., Ellen Brzytwa, Carol Blixen, Mariana G. Hewson. (Jan-Feb 2003)."Managed care education for nurses: practices and proposals." Nursing Economics. Retrieved 10 Jun 2008 at http://findarticles.com/p/articles/mi_m0FSW/is_1_21/ai_n18615229
• McPeck, Phil. (30 Apr 2002). "A balancing act." Nurse Week. Retrieved 10 Jun 2008 at http://www.nurseweek.com/news/features/02-04/utilization_web.asp
• Shapiro, Robyn. (29 Jan 2000). "Bioethics study shows managed care's effect on doctorpatient relationships." Medical College of Wisconsin's Center for the Study of Bioethics. Retrieved 10 Jun 2008 at http://healthlink.mcw.edu/article/949091399.html

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