Optimizing cardiothoracic surgery information for a managed care environment

Ann Thorac Surg. 1995 Nov;60(5):1522-5. doi: 10.1016/0003-4975(95)94076-D.


The rapid change occurring in American healthcare is a direct response to rising costs. Managed care is the fastest growing model that attempts to control escalating costs through limitations in patient choice, the active use of guidelines, and placing providers at risk. Managed care is an information intensive system, and those providers who use information effectively will be at an advantage in the competitive healthcare marketplace. There are five classes of information that providers must collect to be competitive in a managed care environment: patient satisfaction, medical outcomes, continuous quality improvement, quality of the decision, and financial data. Each of these should be actively used in marketing, assuring the quality of patient care, and maintaining financial stability. Although changes in our healthcare system are occurring rapidly, we need to respond to the marketplace to maintain our viability, but as physicians, we have the singular obligation to maintain the supremacy of the individual patient and the physician-patient relationship.

Publication types

  • Review

MeSH terms

  • Capitation Fee
  • Databases, Factual*
  • Economic Competition
  • Health Care Costs
  • Humans
  • Managed Care Programs / organization & administration*
  • Marketing of Health Services
  • Outcome Assessment, Health Care
  • Quality Assurance, Health Care / organization & administration*
  • Thoracic Surgery / organization & administration*
  • United States