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Previous Volume 329:879-882 September 16, 1993 Number 12 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Managed competition has stormed into Washington. It has been widely endorsed by the lay press and powerful groups, and it forms the core of President Clinton's health reform proposal^1,2,3,4,5,6. Managed competition was designed to address the problems of cost and access, with a strong emphasis on creating efficient systems of health care delivery. Consequently, recent critiques of managed competition have focused on whether it will control costs and whether it can be implemented in nonmetropolitan regions of the United States^7,8,9,10. There has been little discussion of how managed competition might affect the patient-physician relationship. However, the effect of . . . [Full Text of this Article]

What Is Managed Competition?

Continuity of Care

The Creation of Unrealistic Expectations

Ways to Enhance the Patient-Physician Relationship in Managed Competition

Conclusions

References

Related Letters:

Managed Competition and the Patient-Physician Relationship
Green A. J., Sutton S. K., Sconyers J. M., Reiter B., Adams R. L., Emanuel E. J., Brett A. S.
Extract | Full Text  
N Engl J Med 1994; 330:639-641, Mar 3, 1994. Correspondence

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