Health Services Research articles from December 1997

Health Services Research archives from December 1997

The new environment for health services research: private and public sector opportunities.
December 1, 1997... First of all, I want to thank Alice Hersh and the AHSR staff for making this past year very fulfilling for me personally, and for helping to advance the agenda for health services research, even in the face of an increasingly complex and changing...

Managed care: achieving the benefits, negating the harm.(Editorial)
December 1, 1997... Managed care has enormous potential for both benefit and harm. It can improve the quality and outcomes of care while constraining the rate of increase in costs. It can also lead to the withholding of needed services and the erosion of confidence...

The determinants of dumping: a national study of economically motivated transfers involving mental health care.
December 1, 1997... The failure of federal healthcare reform in 1994 fostered private sector initiatives to contain costs but failed to ensure access to an increasingly competitive healthcare system (Miller 1996; Enthoven and Singer 1996; Grogan 1995). The resulting...

Commentary: economic transfers, the changing face of a familiar problem.
December 1, 1997... For many years some hospitals have tried to limit their liability for unreimbursed care by refusing to admit potentially unprofitable patients or by transferring them to other settings. The term "patient dumping" is an unpleasant name for a...

The cost and outcomes of community-based care for the seriously mentally ill.
December 1, 1997... The elimination of state hospitals as the primary sites for treatment of severe mental illness has been a cornerstone of mental health policy in America for more than three decades. This agenda, which came to be known as "deinstitutionalization,"...

Cost-effectiveness of inpatient substance abuse treatment.
December 1, 1997... During the 1980s, short-term hospital stays became an increasingly important treatment for substance abuse disorders (Gfroerer, Adams, and Moien 1988). Many states enacted laws requiring employers to include substance abuse treatment in their...

Rehabilitation costs: implications for prospective payment.
December 1, 1997... Medicare patients can receive postacute institutional care in either a rehabilitation facility (RF) or a skilled nursing facility (SNF), and hip fracture and stroke are predominant conditions for which Medicare patients over age 65 receive such...

Introduction: research on health care organizations and markets - the best and worst of times.
December 1, 1997... The breathtaking pace of change in the way health care is financed and delivered has brought challenges and new activities to all participants in the health care system. Employers are assuming roles as value purchasers; consumers, physicians and...

Managed care research: moving beyond incremental thinking.
December 1, 1997... Health services researchers struggling to make sense of the managed care revolution are like monks in the mid-1400s trying to interpret the Renaissance. They have merely glimpsed it and the nature, scope, and extent of change it represents can...

Studying access to care in managed care environments.
December 1, 1997... Large-scale enrollment of the U.S. population in managed care systems, combined with mounting public and media anti-managed care sentiment, has put concerns about access to care and quality of care at the forefront of public debate. Concerns...

Managed care and chronic illness: health services research needs.
December 1, 1997... The chronically ill may have the most to gain or lose by the changes now occurring in the organization of medical care. My purpose is to define and discuss the major health services research questions associated with care of chronic illness....

Five priority areas for research on long-term care.
December 1, 1997... As the twenty-first century draws near, long-term care is an issue of major importance in American society. The impending aging of the Baby Boom augurs an enormous increase in the demand for long-term care services, even as other special...