Centre for Policy on Ageing
 

 
Closure, fair procedures, and setting limits within managed care organizations
Author(s)Norman Daniels, James Sabin
Journal titleJournal of the American Geriatrics Society, vol 46, no 3, March 1998
Pagespp 351-354
KeywordsHealth services ; Commercial care ; Health insurance ; Medical care ; Grant allocation ; Discharge [hospitals] ; United States of America.
AnnotationManaged care organizations (MCOs) and other insurers in the US sometimes deny access to new technologies or treatments which patients and clinicians think medically appropriate or believe are a medical last chance. The concept of closure is the idea that resource allocation decisions for a particular population are made within a budget - the US equivalent of UK healthcare rationing. The authors discuss the problem of legitimacy regarding closure and managed care, deriving from the fact that decisions to limit use of (arguably) beneficial services are moral and not just technical decisions. In the end, MCOs will define ways of providing care to a particular population under resource constraints. (RH).
Accession NumberCPA-980821010 A
ClassmarkL: PI: WPG: LK: QCG: LD:QKJ: 7T

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