Health Services Research articles from June 1998

Health Services Research archives from June 1998

Medicaid-dependent hospitals and their patients: how have they fared?
June 1, 1998... During the past 15 years, Medicaid and Medicare have made substantial cutbacks in reimbursement relative to the costs of providing care. For example, we estimate that for the median private hospital in California between 1983 and 1992, the ratio...

Factors important in the purchase of partnership long-term care insurance.
June 1, 1998... Since the early 1980s, insurance products have been sold to help protect consumers from the risk of paying for nursing home services. It is estimated that fewer than 1 million of these policies were in force in 1986. By 1995, more than 3.5...

The effects of New York state's ban on multiple listing for cadaveric kidney transplantation.
June 1, 1998... As the success rate for kidney transplants has increased, transplantation has become the treatment of choice for many end-stage renal disease (ESRD) patients. The supply of donor organs has not increased at the same rate as the number of patients...

Purchasing population health: aligning financial incentives to improve health outcomes.
June 1, 1998... It has recently been stated by Assistant Secretary for Health Philip Lee that, in healthcare, we "get paid for what we do, not what we accomplish" (Lee 1995). Similarly, Fryback (1993) has noted that American healthcare is a $900 million industry...

Use of community versus individual socioeconomic data in predicting variation in hospital use.
June 1, 1998... The use of small area, or community, rates is increasing as healthcare providers attempt to meet price competition. Hospital admissions and procedures per capita are studied for potential savings under managed care. Low-use communities are...

Resource dependence and institutional elements in nursing home TQM adoption. (total quality management)
June 1, 1998... Total Quality Management (TOM) refers to "a structured system for creating organization-wide participation in planning and implementing a continuous improvement process that meets and exceeds customer needs" (Wilson 1992: 227). As defined by...

Psychological distress and use of ambulatory medical services in the Quebec Medicare system.
June 1, 1998... Several studies have shown that general practitioners do not detect most of their patients' emotional disorders (Goldberg and Huxley 1980), leading distressed people to consult repeatedly and with multiple professionals. One potential problem is...

Aging and primary care: an overview of organizational and behavioral issues in the delivery of healthcare service to older Americans.
June 1, 1998... THE CHANGING HEALTHCARE SYSTEM Given the dynamism of late twentieth-century American society and the many societal factors that influence healthcare, it is not surprising that substantial change has been occurring in the healthcare...

Managed care and the delivery of primary care to the elderly and the chronically ill.
June 1, 1998... There has been growing public and private sector interest in the role that managed care may play in the delivery of healthcare services to the elderly. In the wake of the failed Clinton healthcare plan, the federal government now views managed...

Organizational structure and the delivery of primary care to older Americans.
June 1, 1998... Organizational performance is influenced by structural factors both internal and external to an organization. Industrial organization theory as well as other economics-based perspectives focus on external factors, such as the influence of the...

Interorganizational factors affecting the delivery of primary care to older Americans.
June 1, 1998... Mrs. Dorothy Peterson is a 72-year-old woman living in a retirement community. On February 1st, she was found unconscious in her apartment, and was taken to the emergency room of the local hospital. While she was a patient at that hospital a few...

The emerging role of the client in the delivery of primary care to older Americans.
June 1, 1998... There is little question that older Americans are increasingly confronted by a bewildering range of choices in the emerging healthcare delivery system. For example, should they leave the fee-for-service system for a managed care program? If they...

Key challenges in studying organizational issues in the delivery of healthcare to older Americans.
June 1, 1998... The articles presented in this special issue focus on an extensive range of concepts, theoretical models, and policy issues connected to delivering primary care services to an aging population. Sofaer sets our stage with a review of key trends...