It is no surprise that managed care is met with criticism from physicians as well as insured/patients. The traditional system is convincing particularly through its generosity with the available funds and the freedom to choose as well as the decision-making autonomy which it grants. The physicians’ and patients’ fears regarding a deterioration of quality, however, do not coincide with the empirical studies. Overall, managed care does not represent a lower quality of care. But the expectations of a better quality of care through instruments such as disease management, quality management or the orientation on guidelines have not yet been fully confirmed. However, more recent evaluations of disease management programs have shown promising results (van Lente 2011).
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