Policy Studies Review articles from December 2000

Policy Studies Review archives from December 2000

THE HEALTH CARE FINANCIAL CRISIS: REORGANIZATION AND EVIDENCE-BASED MEDICINE AS A RESPONSE TO AN "UNHOLY TRINITY".
December 22, 2000... The key issues of the health care system are often conceptualized as involving three basic dimensions: 1) the quality of health care provided, 2) access to the health care system, and 3) the cost of health care. Good systems should provide high...

IDENTIFYING HEALTH CARE COST CRISES IN OECD NATIONS.
December 22, 2000... Over the last two decades, health costs have been rising rapidly throughout the developed world, most particularly in the United States. Consequently, there has been a growing sense of "crisis" in the American health care system over the past...

SCIENTIFIC-BUREAUCRATIC MEDICINE AND UK HEALTH POLICY(1).
December 22, 2000... This paper examines the recent attempt of LYK health policy to achieve savings through an approach to the management of health care demand which we term the "scientific-bureaucratic" model of medical care evaluation. This model can be...

THE WORST OF BOTH WORLDS: NURSING HOME REGULATION IN THE UNITED STATES.
December 22, 2000... Every time an expose of poor nursing home care is presented in the media, there is a call among our political leaders to crack down on the nursing home industry. The latest such episode happened during the summer of 1998. A GAO report exposed...

MANAGED COMPETITION IN FLORIDA HEALTH CARE: ITS STRENGTHS AND WEAKNESSES.
December 22, 2000... Florida in 1992 and 1993 enacted health care reform to address the problems of limited access to health insurance and rising health care costs. The background of the health care crisis and the reform will be discussed, focusing on managed...

MENTAL HEALTH CARE FOR OLDER PERSONS: NETWORKING AS A RESPONSE TO ORGANIZATIONAL CHALLENGES(1).
December 22, 2000... The organizations providing mental health care to older Americans are relatively small and specialized in function. Moreover, they face an unstable funding situation at precisely the moment that an aging population threatens to increase the...

NEW DIRECTIONS IN MEDICAL OUTCOMES RESEARCH: THE VIEW FROM HARVARD.
December 22, 2000... Outcomes research became important to the health policy field during the 1990s, when the Agency for Health Care Policy and Research created Patient Outcomes Research Teams (PORTs). The purpose of PORTs was to fund studies of outcomes and...

SPECIALIZATION OF NURSING HOME CARE AND OUTCOMES(1).
December 22, 2000... The recent emphasis on specialty care in long-term care facilities raises an important and intriguing research question. Do residents of specialized facilities, which have larger concentrations of residents with similar medical conditions,...

THE PERFORMANCE OF NATIONAL HEALTH CARE SYSTEMS: A "GOOD NEWS, BAD NEWS" FINDING FOR REFORM POSSIBILITIES.(Statistical Data Included)
December 22, 2000... National health policies appear to be at a crossroads in many developed nations due to escalating financial burdens. Overextended welfare states in Europe and (at least until the last year or so) the federal deficit in America are forcing...