Managed health care: US evidence and lessons for the National Health Service

[...]the results of the systematic review are organised according to six main dimensions of performance, namely utilisation, expenditures, prevention and health promotion, quality of care, consumers satisfaction and equity of treatment. Chapter 4 focuses on the financial incentives and techniques used by managed care organisations to create an efficient system of health services. [...]the chapter considers the current and potential use of US-style managed care techniques by the total purchasing projects; in particular it examines the role of financial incentives, utilisation review and management, medical practice profiling and disease management.