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  Česky / Czech version Zdravotnictví,zdravotní pojištění, 2, 1999, No. 3
 
S t ř e š o v i c e H e a l t h P l a n ( p i l o t p r o j e c t o f m a n a g e d c a r e ) 
Janda J. 

 


Summary:

       The Střešovice health plan is a pilot project of managed care administered for the health insurance company and the Central Military Hospital Prague by the DG plus team. The objective is to create a practical model where the panel of providers bears the financial responsibility for a virtual health fund of insured subjects registered with general practitioners of the Plan and where individual providers coordinate their activities in order to achieve greater effectiveness, to reduce unnecessary costs, improve services for clients and achieve a higher quality of provided care. The means used is a change in the behaviour of providers, achievement of better organization of care, better communication between providers in the panel, identification of common interest based on financial motivation supported by the necessary information in an environment open to autonomous decision taking.

        Key words: administrator – quality – motivation – costs – health insurance – panel of providers – risk contract – managed care – DG plus team – Central Military Hospital – health plan
       

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