The Effect Of Soft Budget Constraints On Access And Quality In Hospital Care

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

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

Author : Yu-Chu Shen,Karen Eggleston
Publisher : Unknown
Page : 52 pages
File Size : 43,6 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.

Case-based Payment Systems for Hospital Funding in Asia An Investigation of Current Status and Future Directions

OECD,World Health Organization
Case based Payment Systems for Hospital Funding in Asia An Investigation of Current Status and Future Directions Book PDF

Author : OECD,World Health Organization
Publisher : OECD Publishing
Page : 132 pages
File Size : 47,7 Mb
Release : 2015-11-02
Category : Electronic
ISBN : 9789290617327

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Case-based Payment Systems for Hospital Funding in Asia An Investigation of Current Status and Future Directions by OECD,World Health Organization Pdf

The report focuses on a review of the implementation experience of case-based and DRG mechanisms in the Asia and Pacific region, drawing particularly on research in Australia, Japan, New Zealand, the Republic of Korea, Singapore and Thailand.

Towards Sustainable and Inclusive Higher Education Challenges and Strategies (Penerbit USM)

Melissa Ng Lee Yen Abdullah, Ahmad Nurulazam Md. Zain
Towards Sustainable and Inclusive Higher Education Challenges and Strategies Penerbit USM Book PDF

Author : Melissa Ng Lee Yen Abdullah, Ahmad Nurulazam Md. Zain
Publisher : Penerbit USM
Page : 128 pages
File Size : 54,6 Mb
Release : 2016-05-30
Category : Education
ISBN : 9789674610531

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Towards Sustainable and Inclusive Higher Education Challenges and Strategies (Penerbit USM) by Melissa Ng Lee Yen Abdullah, Ahmad Nurulazam Md. Zain Pdf

In building sufficient, efficient human resources, massification of higher education is a common phenomenon. It is to this end that sustainability and inclusiveness have become such critical issues in higher education and its literature. This book looks into the major question of financial sustainability for the higher education institution, revealing the university’s struggles in the face of limited public funds. Coping strategies and feasible alternatives are extensively examined. The authors also tackle the area of higher education systems and collaboration in ensuring sustainability. Here, matters such as the public-private equilibrium, sustainable alumni networks, and research and publication competitiveness are deliberated. One distinguishing feature of this publication, however, is its discourse on higher education access, giving unique insight into the plight of certain underrepresented groups in higher education. The writers champion inclusiveness by analysing and recommending the best practices in bolstering these marginalised factions towards academic success. Readers will certainly gain a more profound understanding of sustainable and inclusive higher education. Keywords: Universiti Sains Malaysia, Penerbit Universiti Sains Malayia, Penerbit USM

Medical Technology in Canada

Nadeem Esmail
Medical Technology in Canada Book PDF

Author : Nadeem Esmail
Publisher : The Fraser Institute
Page : 101 pages
File Size : 45,5 Mb
Release : 2008
Category : Medical technology
ISBN : 8210379456XXX

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Medical Technology in Canada by Nadeem Esmail Pdf

This study reviews various national and international studies to evaluate the availability of medical technologies in Canada relative to other countries, analyzes data produced by the Canadian Institute for Health Information (CIHI) to measure both the age and sophistication of medical technologies in Canada, and discusses a survey undertaken for this research paper that measures the stock of cutting-edge medical technologies in Canada's five largest cities.

Handbook on the Political Economy of Health Systems

Joan Costa-Font,Alberto Batinti,Gilberto Turati
Handbook on the Political Economy of Health Systems Book PDF

Author : Joan Costa-Font,Alberto Batinti,Gilberto Turati
Publisher : Edward Elgar Publishing
Page : 475 pages
File Size : 46,8 Mb
Release : 2023-06-01
Category : Political Science
ISBN : 9781800885066

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Handbook on the Political Economy of Health Systems by Joan Costa-Font,Alberto Batinti,Gilberto Turati Pdf

This ground breaking Handbook brings together a number of chapters into one comprehensive book on the timely subject matter of the political economy of health and health care. The book contains up-to-date discussion on the state of the art of the key questions of the subject matter, and it provides a unique understanding of health policy making by drawing on an interdisciplinary approach to political economy.

Systems, Institutions, and Values in East and West

Miklós Rosta,Dóra Piroska
Systems Institutions and Values in East and West Book PDF

Author : Miklós Rosta,Dóra Piroska
Publisher : Central European University Press
Page : 232 pages
File Size : 43,9 Mb
Release : 2020-09-01
Category : Political Science
ISBN : 9789633863725

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Systems, Institutions, and Values in East and West by Miklós Rosta,Dóra Piroska Pdf

Leading social scientists, empirical analysts, and policy practitioners demonstrate the various ways in which the insights of János Kornai, a renowned early analyst and critic of the command economies of Eastern European communist states, are stirring academic and policy discussions about current challenges. While dissecting the economic theories and practices in the Soviet Bloc, Kornai devised and applied concepts such as soft-budget constraints, rush versus harmonic growth, surplus versus shortage economy, non-Walrasian equilibrium, bureaucratic coordination, and the invisible power of the communist party. These concepts are commonly applied to a variety of issues in the contexts of fundamental transformation. The cases discussed in this volume include the transitional paths of post-communist economies, the pitfalls of East European market-building, economic repercussions of the dissolution of Yugoslavia, and the process of integration in the Eurozone. In conclusion János Kornai’s thoughts on a variety of research topics as well as the value of democracy are included as he delivered at the conference celebrating his 90th birthday in 2018.

Fiscal Sustainability of Health Systems Bridging Health and Finance Perspectives

OECD
Fiscal Sustainability of Health Systems Bridging Health and Finance Perspectives Book PDF

Author : OECD
Publisher : OECD Publishing
Page : 264 pages
File Size : 48,7 Mb
Release : 2015-09-24
Category : Electronic
ISBN : 9789264233386

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Fiscal Sustainability of Health Systems Bridging Health and Finance Perspectives by OECD Pdf

The health systems we enjoy today, and expected medical advances in the future, will be difficult to finance from public resources without major reforms. Public health spending in OECD countries has grown rapidly over most of the last half century. These spending increases have contributed to ...

OECD Health Policy Studies Waiting Time Policies in the Health Sector What Works?

OECD
OECD Health Policy Studies Waiting Time Policies in the Health Sector What Works Book PDF

Author : OECD
Publisher : OECD Publishing
Page : 328 pages
File Size : 42,5 Mb
Release : 2013-02-04
Category : Electronic
ISBN : 9789264179080

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OECD Health Policy Studies Waiting Time Policies in the Health Sector What Works? by OECD Pdf

This book provides a framework to understand why there are waiting lists for elective surgery in some OECD countries and not in others. It also describes how waiting times are measured in OECD countries and reviews different policy approaches to tackling excessive waiting times.

OECD Economic Surveys: Hungary 2019

OECD
OECD Economic Surveys Hungary 2019 Book PDF

Author : OECD
Publisher : OECD Publishing
Page : 1884 pages
File Size : 52,8 Mb
Release : 2019-01-31
Category : Electronic
ISBN : 9789264311251

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OECD Economic Surveys: Hungary 2019 by OECD Pdf

The prospering economy has boosted employment and reduced unemployment to historical low levels. The risk of overheating is increasing with double digit growth in wages and higher consumer price inflation, although it remains within the central bank’s tolerance band.

Health Care Provision and Patient Mobility

Rosella Levaggi,Marcello Montefiori
Health Care Provision and Patient Mobility Book PDF

Author : Rosella Levaggi,Marcello Montefiori
Publisher : Springer Science & Business Media
Page : 253 pages
File Size : 45,9 Mb
Release : 2013-12-11
Category : Business & Economics
ISBN : 9788847054806

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Health Care Provision and Patient Mobility by Rosella Levaggi,Marcello Montefiori Pdf

Patient mobility across Europe is markedly increasing and new generations will actively ask to be treated by the health-care system that best meets their needs. At a political level, the EU issued the EU Directive no. 24/2011/CE of 9th March 2011 concerning the application of patients’ rights in cross-border health care and has contributed to improving the level of freedom of choice for the European citizen, but it does not seem to have increased actual patient mobility across Europe. Freedom to choose is necessary to grant the people of Europe the same access to public-sector health-care services. The latter is a key instrument for an efficiently functioning “single market” ensuring real mobility within the EU. The aim of this book is to study the current European health care market and discuss the hypothesis of a European right of citizenship with reference to health-care services. It examines patients' mobility from several perspectives: determinants of patient mobility, governance of cross-border mobility at EU level as concerns patients and health-care professionals, policy implications, and case studies. It is intended for health researchers, decision-makers and professionals concerned with health-care provision and patient mobility. The goal is to provide, through scientific and methodological rigor, new informative tools useful for the implementation of new policies in the health-care sector in order to implement effective health-care integration in the European Union.

The Elgar Companion to Health Economics

Andrew M. Jones
The Elgar Companion to Health Economics Book PDF

Author : Andrew M. Jones
Publisher : Edward Elgar Publishing
Page : 585 pages
File Size : 54,6 Mb
Release : 2006-03-01
Category : Medical
ISBN : 9781845428914

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The Elgar Companion to Health Economics by Andrew M. Jones Pdf

This Companion is a timely addition. . . It contains 50 chapters, from 90 contributors around the world, on the topical and policy-relevant aspects of health economics. . . there is a balanced coverage of theoretical and empirical materials, and conceptual and practical issues. . . I have found the Companion very useful. Sukhan Jackson, Economic Analysis and Policy This encyclopedic work provides interested readers with an authoritative and comprehensive overview of many, if not all, of the current research issues in health economics. Highly recommended. Upper-level undergraduates and above. R.M. Mullner, Choice The aim of The Elgar Companion to Health Economics is to take an audience of advanced undergraduates, postgraduates and researchers to the frontier of research in health economics, by providing them with short and easily readable introductions to key topics. The volume brings together 50 chapters written by more than 90 leading international contributors. The contributions to the Companion are concise and focus on specific concepts, methods and key evidence. The Companion is a comprehensive and authoritative original reference volume covering theoretical and empirical issues in health economics with a balanced range of material on equity and efficiency in health care systems, health technology assessment and issues of concern for low and middle income countries. It is organised into two broad sections. The first deals with the economics of population health and of health care systems, analysed with both equity and efficiency goals in mind. The second covers the conceptual and practical issues that arise in the evaluation of health care technologies: most often applied to pharmaceuticals but also relevant for other interventions. Many of the contributions address topical and policy-relevant issues including: the economic causes of the growth of obesity in the West, the link between illicit drug use and crime, the consequences of leaving people uninsured against the costs of health care, the impact of globalisation on the international trade in health care services, the role of informal payments in many health care systems, what equal treatment for equal needs means in practice, whether direct-to-consumer advertising of pharmaceuticals is desirable, and how economic evidence is influencing the way that new technologies are made available to patients. Other chapters stress the research done by health economists to develop theoretical models and empirical methods that illuminate the workings of health care systems.

Market-Based Governance

John D. Donahue,Joseph S. Nye
Market Based Governance Book PDF

Author : John D. Donahue,Joseph S. Nye
Publisher : Rowman & Littlefield
Page : 386 pages
File Size : 52,6 Mb
Release : 2004-05-26
Category : Business & Economics
ISBN : 081579892X

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Market-Based Governance by John D. Donahue,Joseph S. Nye Pdf

A Brookings Institution Press and Visions of Governance for the 21st Century publication The latest in a series exploring twenty-first-century governance, this new volume examines the use of market means to pursue public goals. Market-based governance includes both the delegation of traditionally governmental functions to private players, and the importation into government of market-style management approaches and mechanisms of accountability. The contributors (all from Harvard University) assess market-based governance from four perspectives: The demand side deals with new, revised, or newly important forms of interaction between government and the market where the public sector is the customer. Chapters in this section include Steve Kelman on federal procurement reform, Karen Eggleston and Richard Zeckhauser on contracting for health care, and Peter Frumkin. The supply side section deals with unsettled questions about government's role as a provider (rather than a purchaser) within the market system. Contributors include Georges de Menil, Frederick Schauer and Virginia Wise. A third section explores experiments with market-based arrangements for orchestrating accountability outside government by altering the incentives that operate inside market institutions. Chapters include Robert Stavins on market-based environmental policy, Archon Fung on social markets, and Cary Coglianese and David Lazer. The final section examines both the upside and the downside of the market-based approach to improving governance. Contributors include Elaine Kamarck, John D. Donahue, Mark Moore, and Robert Behn. An introduction by John D. Donahue frames market-based governance as an effort to engineer into public work some of the intensive accountability that characterizes markets without surrendering the extensive accountability of conventional government. A preface by Joseph S. Nye Jr. sets the book in the context of a larger inquiry into the future of governance.

Between Soft and Hard Law

Frans Pennings
Between Soft and Hard Law Book PDF

Author : Frans Pennings
Publisher : Kluwer Law International B.V.
Page : 346 pages
File Size : 40,9 Mb
Release : 2006-01-01
Category : Law
ISBN : 9789041124913

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Between Soft and Hard Law by Frans Pennings Pdf

Whether or not we ever attain universal social justice, there can be little doubt that the international community has set meaningful standards, and that significant progress has been made over the last century. The leading standard-setter throughout this period has been the International Labour Organisation (ILO), with its nearly 200 conventions on labour law and social security law. Yet it is often asked: how effective are these standards? Do any lLO Member States actually offer (to quote the Philadelphia Declaration of the ILO Conference of 1944) social security measures to provide a basic income to all in need of such protection and comprehensive medical care? Perhaps not, but some come close, thanks to the application of ILO standards. This much-needed volume is the first detailed analysis of the legal meaning of ILO conventions within the ratifying Member States. In unprecedented depth a panel of distinguished authorities explores the role of ILO conventions in preparing and amending national legislation, in parliamentary debate, and in national case law. For comparative purposes, five countries the United Kingdom, France, Germany, Spain, and the Netherlands-are studied in depth. Among the points of discussion that arise are the following: the social dumping¿ that results from distortion of competition;the lLO's supervision procedures;protection of international migrant workers;temporary exceptions for developing countries; andthe possibility of rnodernising texts of older conventions. A useful annex reprints the texts of the ILO Constitution and the so-called up-to-date conventions pertaining to social security which are currently being promoted for ratification by the ILO. At a time when the very meaning of such terms as work and social security is being challenged by prevailing economic and political forces, this full-scale reappraisal of a body of international law that, although soft, has had a pronounced positive effect on the progress of social justice is to be welcomed. It is well worth the close attention of government policymakers and regulators, company lawyers, and interested academics everywhere.

Advances in DEA Theory and Applications

Kaoru Tone
Advances in DEA Theory and Applications Book PDF

Author : Kaoru Tone
Publisher : John Wiley & Sons
Page : 576 pages
File Size : 55,7 Mb
Release : 2017-04-12
Category : Mathematics
ISBN : 9781118946695

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Advances in DEA Theory and Applications by Kaoru Tone Pdf

A key resource and framework for assessing the performance of competing entities, including forecasting models Advances in DEA Theory and Applications provides a much-needed framework for assessing the performance of competing entities with special emphasis on forecasting models. It helps readers to determine the most appropriate methodology in order to make the most accurate decisions for implementation. Written by a noted expert in the field, this text provides a review of the latest advances in DEA theory and applications to the field of forecasting. Designed for use by anyone involved in research in the field of forecasting or in another application area where forecasting drives decision making, this text can be applied to a wide range of contexts, including education, health care, banking, armed forces, auditing, market research, retail outlets, organizational effectiveness, transportation, public housing, and manufacturing. This vital resource: Explores the latest developments in DEA frameworks for the performance evaluation of entities such as public or private organizational branches or departments, economic sectors, technologies, and stocks Presents a novel area of application for DEA; namely, the performance evaluation of forecasting models Promotes the use of DEA to assess the performance of forecasting models in a wide area of applications Provides rich, detailed examples and case studies Advances in DEA Theory and Applications includes information on a balanced benchmarking tool that is designed to help organizations examine their assumptions about their productivity and performance.

Health Insurance Reform in Four Latin American Countries

William Jack
Health Insurance Reform in Four Latin American Countries Book PDF

Author : William Jack
Publisher : World Bank Publications
Page : 56 pages
File Size : 46,9 Mb
Release : 2000
Category : Argentina - Salud
ISBN : 8210379456XXX

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Health Insurance Reform in Four Latin American Countries by William Jack Pdf

Argentina, Brazil, Chile, and Colombia have reformed the ways health insurance and health care are organized and delivered, have extended formal coverage to previously marginalized groups, and have tried to finance this extension fairly. Each has reformed health insurance differently.