Managed care and the public health challenge of TB

Paul K. Halverson, Glen P. Mays, C. Arden Miller, Arnold D. Kaluzny, Thomas B. Richards

Research output: Contribution to journalReview article

15 Scopus citations


MANAGED CARE IS FAST becoming the dominant form of medical care delivery and financing in the United States, yet its effects on public health practice remain largely unknown. Tuberculosis (TB) is a classic example of a disease with both public health and medical care implications, and as such it provides an opportunity for examining the impact on public health of the shift towards managed care in the medical marketplace. The authors approach the role of managed care in TB control by first considering the need for interorganizational coordination at the community level. The authors identify four basic models of how managed care organizations may fit into TB control efforts in local communities, using observations from 12 local public health jurisdictions to illustrate these models. These TB control models provide insight into the general mechanisms through which managed care organizations may affect other areas of public health practice.

Original languageEnglish (US)
Pages (from-to)22-28
Number of pages7
JournalPublic Health Reports
Issue number1
StatePublished - Jan 1 1997
Externally publishedYes

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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    Halverson, P. K., Mays, G. P., Miller, C. A., Kaluzny, A. D., & Richards, T. B. (1997). Managed care and the public health challenge of TB. Public Health Reports, 112(1), 22-28.