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• W2126356681 abstract "Managed care organizations (MCOs) now provide health care to more than one third of the US population ( (1) Kretesz L. Outlook managed care. Mod Health Care. 1994; 25: 31-33 Google Scholar ). As traditional hospital and physician practice models evolve into integrated delivery systems (IDSs) (see the Figure), health care delivery systems will continue the transformation from an unstructured system to a market system characterized by intense entrepreneurial competition ( (2) Pearson DA. Assessment of the external environment. Presented at Assessment of the External Environment, 74th Meeting of the New England Healthcare Assembly; April 11, 1995; Boston, Mass. Google Scholar ). Numerous factors are driving this evolution of medical care delivery. Lack of access by underinsured and uninsured populations is placing pressure on the health care system to reform. New models of organizing health care delivery, including the increased number of IDSs, increased numbers of physicians in group practices, decreased use of acute-care facilities, and increased use of ambulatory care services, nursing home beds, and home health services, are leading to major changes. Communication technology has produced information systems that can link patient data from multiple providers and sites onto one medical record, leading the way to accountable reporting. Improved medical technology and bioengineering have led to greater application of less invasive clinical procedures, reducing the need for beds in acute-care facilities. Consumers are increasingly concerned about high costs and quality of services. Thus, emphasis on quality issues, specifically outcomes research, outcomes assessment, practice guidelines, and continuous quality improvement, is increasing." @default.
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• W2126356681 date "1996-04-01" @default.
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• W2126356681 title "Position of the American Dietetic Association" @default.
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• W2126356681 doi "https://doi.org/10.1016/s0002-8223(96)00107-1" @default.
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