共查询到20条相似文献,搜索用时 0 毫秒
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In 2005 health care organizations spent 2.3% of total operating expenses on information technology and are slowly developing the infrastructure necessary to expand e-Health capabilities. E-Health is being recognized as a method to improve the overall health status of the population. It is important to build partnerships among health care providers, local community organizations, and national health care associations to ensure the continued development of e-Health initiatives. This study has managerial implications associated with the strategic application of e-Health systems and policy implications on future resource allocation. 相似文献
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Padilla O 《Employee benefits journal》1995,20(1):17-19
Employee communication and medical management are two vital components of an effective health care delivery system. They must work together to support appropriate, cost-effective care and the efficient consumption of resources. 相似文献
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The Institute of Medicine's comprehensive program for quality improvement is based on many years of data observation, collection, and analysis. This work was performed by practitioner-researchers and efficiency consultants from many disciplines. The resulting recommendations are striking in their straightforward practicality and in their insistence that process factors determine output. According to Leape and colleagues (1991) "most adverse events are preventable...particularly those due to error or negligence." Leape et al. (1991) note that in industry, "an error rate that exceeds defined norms is deemed unacceptable" and urge that similar norms apply in medicine. As knowledge and technology improve, the results of quality undertakings are certain to foster health care's development into an endeavor in which errors are becoming increasingly rare events. 相似文献
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In this paper we investigate the economic rationality of the bed downsizing process, characterising the hospital industry worldwide in the last decades, as a measure to control public health care expenditure. Considering a sample of Italian hospitals, we provide fresh evidence on the factor substitutability in the production of hospital services. Differently from other studies, based on North-American data and limited to pre-determined cost function models, we estimate a general specification (the Generalised Composite), and test it against traditional nested models (e.g. the Translog). For all the specifications we derive Allen, Morishima and Shadow elasticities of substitution between input pairs, obtaining a fairly consistent picture across all models and elasticity concepts. In particular, our results highlight a very limited degree of substitutability between factors in the production of hospital services, especially between beds and medical staff. These findings suggest that a restructuring policy of the hospital industry, which is confined to reducing the number of beds without involving workforce management, could not be a viable strategy for controlling public health care expenditure. 相似文献
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Supply-side and demand-side cost sharing in health care. 总被引:12,自引:0,他引:12
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The cost and financing of health care 总被引:1,自引:0,他引:1
Cutler DM 《The American economic review》1995,85(2):32-37
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Ulrike Radosch 《Empirica》1996,23(2):191-206
It is the aim of this paper to investigate three important variables of the health care system in Austria, that is the number of physicians working in the ambulatory sector, the number of medical services provided by the physicians and the related costs, by applying time series analysis to the quantities under consideration. The work analyzes stationarity, autocorrelation functions, presents unit root tests and calculates the Beveridge Nelson decomposition for an ARIMA(1,1,0)-model. The obtained findings are used to forecast future trends based on past values.The author is indebted to Ulrike Leopold, Klaus Neusser, Thomas Url and Peter Zweifel for many useful conversations and suggestions as well as to Keith Chester for English proofreading. The first version of the analysis presented was done as part of a project that was carried out at the Austrian Federal Institute of Public Health on behalf of the Austrian Government. 相似文献
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Competition in hospital care is often implemented through mixed markets where public and private hospitals compete for patients. The optimality of this market form has long been debated in the literature. In this paper, we investigate the role of soft budget constraint in affecting patient selection within a mixed market. Patient selection is the undesired effect of hospital competition when three conditions are met: asymmetry in hospitals’ objectives, presence of hospital’s private information and inability to enforce hard budget constraint. The paper shows that soft budget is a pre-condition for the existence of patient selection. Our paper adds an important dimension to the existing literature which considers asymmetry of information as the only cause for this market failure. The understanding of the mechanisms leading to patient selection makes it possible for the regulator to design measures to reduce such undesirable effect. 相似文献
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An important omission from earlier cross-national comparisons of health care expenditure has been the failure to distinguish between price and quantity. Using recent data on purchasing power parities, the purpose of this article is to report some preliminary results regarding health care expenditure and quantity across 22 OECD countries. The article concludes that, contrary to what has been suggested in some recent articles, the relative price of health care is not correlated to the aggregate per capita income. The fraction of the national income that is devoted to health care provision increases with the per capita income regardless of whether health care is measured in terms of expenditure or quantity. The relative price of health care has a rationing effect on the quantity of health care that is offered, with a price alasticity close to minus one. The latter finding means that the health care expenditure is not greater in countries with higherprices. Furthermore, the differences in health care expenditure or quantity between countries persist after correction for the relative price and the income level. Part of these differences can be explained by differences in the definition of health care in the various countries. 相似文献
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Lynne D 《Employee benefits journal》1993,18(4):11-14
Actions by private sector employers as well as moves by federal and state agencies have begun the process of integrating cost and quality in health care decision making. 相似文献
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