Final answer:
The deliberate organization of patient care between participants is known as coordinated care or managed care, typically exemplified by health maintenance organizations (HMOs). This model emphasizes efficiency, cost reduction, and improved patient outcomes, while also navigating the complexities of adverse selection in insurance markets.
Step-by-step explanation:
The deliberate organization of patient care activities between two or more parties or participants is known as coordinated care or managed care. This approach is often seen in the structure of health maintenance organizations (HMOs) where providers are reimbursed based on the number of patients they manage, not merely the services they perform. The intention is to encourage efficient and effective care that can reduce overall costs and improve patient outcomes. Coordinated care requires a thoughtful allocation of resources, addressing issues of adverse selection in insurance markets, where there is an information asymmetry between buyers and the insurance company.
Adverse selection can lead to a scenario where high-risk individuals opt for insurance plans because they see value, while low-risk individuals avoid them due to high costs. This demonstrates the complexities involved in managing a healthcare system, especially when trying to balance the preservation of patient quality of life with maintaining privacy and managing treatment costs. Healthcare providers, insurers, and governments must collaborate to create policies and systems that mitigate these concerns while advancing the quality and accessibility of care.