Effects Of Budget Constraints On Quality And Quantity Of Health Care Services

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Effects of Budget Constraints on Quality and Quantity of Health Care Services

Author : United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Hospitals and Health Care
Publisher : Unknown
Page : 240 pages
File Size : 53,7 Mb
Release : 1989
Category : Veterans
ISBN : PURD:32754078083502

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Effects of Budget Constraints on Quality and Quantity of Health Care Services by United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Hospitals and Health Care Pdf

Effects of Budget Constraints on Quality and Quantity of Health Care Services

Author : United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Hospitals and Health Care
Publisher : Unknown
Page : 150 pages
File Size : 53,6 Mb
Release : 1989
Category : Veterans
ISBN : STANFORD:36105005946004

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Effects of Budget Constraints on Quality and Quantity of Health Care Services by United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Hospitals and Health Care Pdf

Health System Efficiency

Author : Jonathan Cylus,Irene Papanicolas,Peter C. Smith
Publisher : Health Policy
Page : 264 pages
File Size : 50,8 Mb
Release : 2016-12-15
Category : Medical
ISBN : 9289050411

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Health System Efficiency by Jonathan Cylus,Irene Papanicolas,Peter C. Smith Pdf

In this book the authors explore the state of the art on efficiency measurement in health systems and international experts offer insights into the pitfalls and potential associated with various measurement techniques. The authors show that: - The core idea of efficiency is easy to understand in principle - maximizing valued outputs relative to inputs, but is often difficult to make operational in real-life situations - There have been numerous advances in data collection and availability, as well as innovative methodological approaches that give valuable insights into how efficiently health care is delivered - Our simple analytical framework can facilitate the development and interpretation of efficiency indicators.

The Effect of Soft Budget Constraints on Access and Quality in Hospital Care

Author : Yu-Chu Shen,Karen Eggleston
Publisher : Unknown
Page : 52 pages
File Size : 43,5 Mb
Release : 2008
Category : Health services accessibility
ISBN : PSU:000064124353

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The Effect of Soft Budget Constraints on Access and Quality in Hospital Care by Yu-Chu Shen,Karen Eggleston Pdf

Given an increasingly complex web of financial pressures on providers, studies have examined how the hospitals' overall financial health affect different aspects of hospital operation. In our study, we analyze this issue focusing on hospital access and quality by introducing an important aspect of the financial incentives, soft budget constraints (SBC), that takes into account both hospital's current and past financial health as well as their expected financial outlook (i.e., whether there is a sponsoring organization to bail them out). We develop a conceptual framework of SBC by considering the resultant incentives on cost control and quality improvement innovations; and examine the effect of SBC on the following aspects of access and quality: safety net service survival and AMI mortality rates. We find that hospitals with softer budget constraints are less likely to shut down safety net services. In addition, hospitals with softer budget constraints appear to have better mortality outcomes, suggesting that the reduced incentive to engage in cost control innovation as the result of SBC outweighs the dampening effect of quality improvement innovation.

Disease Control Priorities in Developing Countries

Author : Dean T. Jamison,Joel G. Breman,Anthony R. Measham,George Alleyne,Mariam Claeson,David B. Evans,Prabhat Jha,Anne Mills,Philip Musgrove
Publisher : World Bank Publications
Page : 1449 pages
File Size : 40,6 Mb
Release : 2006-04-02
Category : Medical
ISBN : 9780821361801

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Disease Control Priorities in Developing Countries by Dean T. Jamison,Joel G. Breman,Anthony R. Measham,George Alleyne,Mariam Claeson,David B. Evans,Prabhat Jha,Anne Mills,Philip Musgrove Pdf

Based on careful analysis of burden of disease and the costs ofinterventions, this second edition of 'Disease Control Priorities in Developing Countries, 2nd edition' highlights achievable priorities; measures progresstoward providing efficient, equitable care; promotes cost-effectiveinterventions to targeted populations; and encourages integrated effortsto optimize health. Nearly 500 experts - scientists, epidemiologists, health economists,academicians, and public health practitioners - from around the worldcontributed to the data sources and methodologies, and identifiedchallenges and priorities, resulting in this integrated, comprehensivereference volume on the state of health in developing countries.

Health-Care Utilization as a Proxy in Disability Determination

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Health Care Utilization and Adults with Disabilities
Publisher : National Academies Press
Page : 161 pages
File Size : 52,6 Mb
Release : 2018-04-02
Category : Medical
ISBN : 9780309469210

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Health-Care Utilization as a Proxy in Disability Determination by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Health Care Utilization and Adults with Disabilities Pdf

The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Incentives in Health Systems

Author : Guillem Lopez-Casasnovas
Publisher : Springer Science & Business Media
Page : 372 pages
File Size : 46,5 Mb
Release : 2012-12-06
Category : Medical
ISBN : 9783642765803

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Incentives in Health Systems by Guillem Lopez-Casasnovas Pdf

This volume contains selected papers from the First European Conference on Health Economics, held in Barcelona on 19-21 September 1989. The meeting was organized by the Spanish Health Economics Association (AES) and chaired by L. Bohigas. The following groups participated: the English Health Economists' Study Group, the Associa

For-Profit Enterprise in Health Care

Author : Institute of Medicine,Committee on Implications of For-Profit Enterprise in Health Care
Publisher : National Academies Press
Page : 580 pages
File Size : 41,6 Mb
Release : 1986-01-01
Category : Medical
ISBN : 9780309036436

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For-Profit Enterprise in Health Care by Institute of Medicine,Committee on Implications of For-Profit Enterprise in Health Care Pdf

"[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.

Impact of Budget Shortfalls on the Delivery of Health Care to Rural Veterans

Author : United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Hospitals and Health Care
Publisher : Unknown
Page : 104 pages
File Size : 47,8 Mb
Release : 1989
Category : Rural health services
ISBN : PURD:32754078083866

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Impact of Budget Shortfalls on the Delivery of Health Care to Rural Veterans by United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Hospitals and Health Care Pdf

Measuring the Quality of Health Care

Author : The National Roundtable on Health Care Quality,Institute of Medicine
Publisher : National Academies Press
Page : 42 pages
File Size : 44,9 Mb
Release : 1999-02-23
Category : Medical
ISBN : 9780309570688

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Measuring the Quality of Health Care by The National Roundtable on Health Care Quality,Institute of Medicine Pdf

The National Roundtable on Health Care Quality was established in 1995 by the Institute of Medicine. The Roundtable consists of experts formally appointed through procedures of the National Research Council (NRC) who represent both public and private-sector perspectives and appropriate areas of substantive expertise (not organizations). From the public sector, heads of appropriate Federal agencies serve. It offers a unique, nonadversarial environment to explore ongoing rapid changes in the medical marketplace and the implications of these changes for the quality of health and health care in this nation. The Roundtable has a liaison panel focused on quality of care in managed care organizations. The Roundtable convenes nationally prominent representatives of the private and public sector (regional, state and federal), academia, patients, and the health media to analyze unfolding issues concerning quality, to hold workshops and commission papers on significant topics, and when appropriate, to produce periodic statements for the nation on quality of care matters. By providing a structured opportunity for regular communication and interaction, the Roundtable fosters candid discussion among individuals who represent various sides of a given issue.

A Caring World The New Social Policy Agenda

Author : OECD
Publisher : OECD Publishing
Page : 160 pages
File Size : 52,7 Mb
Release : 1999-03-15
Category : Electronic
ISBN : 9789264172593

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A Caring World The New Social Policy Agenda by OECD Pdf

This book paints a complete and accessible picture of the current situation and shows how to reform policy. Social policy should aim to promote employment and healthy living, rather than just coping with joblessness and ill-health. Investing in children and families ensures that all can contribute.

Crossing the Quality Chasm

Author : Institute of Medicine,Committee on Quality of Health Care in America
Publisher : National Academies Press
Page : 360 pages
File Size : 46,7 Mb
Release : 2001-08-19
Category : Medical
ISBN : 9780309072809

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Crossing the Quality Chasm by Institute of Medicine,Committee on Quality of Health Care in America Pdf

Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

Accounting for Health and Health Care

Author : National Research Council,Division of Behavioral and Social Sciences and Education,Committee on National Statistics,Panel to Advance a Research Program on the Design of National Health Accounts
Publisher : National Academies Press
Page : 238 pages
File Size : 44,7 Mb
Release : 2011-02-05
Category : Medical
ISBN : 9780309156790

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Accounting for Health and Health Care by National Research Council,Division of Behavioral and Social Sciences and Education,Committee on National Statistics,Panel to Advance a Research Program on the Design of National Health Accounts Pdf

It has become trite to observe that increases in health care costs have become unsustainable. How best for policy to address these increases, however, depends in part on the degree to which they represent increases in the real quantity of medical services as opposed to increased unit prices of existing services. And an even more fundamental question is the degree to which the increased spending actually has purchased improved health. Accounting for Health and Health Care addresses both these issues. The government agencies responsible for measuring unit prices for medical services have taken steps in recent years that have greatly improved the accuracy of those measures. Nonetheless, this book has several recommendations aimed at further improving the price indices.