• Volker Eric Amelung
Part of the Springer Texts in Business and Economics book series (STBE)


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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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Volker Eric Amelung
    • 1
    • 2
  1. 1.Institute for Epidemiology, Social Medicine and Health Systems ResearchHannover Medical SchoolHannoverGermany
  2. 2.Institute of Health Sciences Research INAV GmbHBerlinGermany

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