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Journal of Health Politics, Policy and Law最新文献

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On "FTC Sings the Blues" and its respondents. 关于“联邦贸易委员会唱蓝调”及其受访者。
IF 4.2
Journal of Health Politics, Policy and Law Pub Date : 1982-01-01
C D Weller
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引用次数: 0
Private and public initiatives in health maintenance organizations. 健康维护组织中的私人和公共倡议。
IF 4.2
Journal of Health Politics, Policy and Law Pub Date : 1982-01-01 DOI: 10.1215/03616878-7-1-80
D H Harrison, J R Kimberly
{"title":"Private and public initiatives in health maintenance organizations.","authors":"D H Harrison,&nbsp;J R Kimberly","doi":"10.1215/03616878-7-1-80","DOIUrl":"https://doi.org/10.1215/03616878-7-1-80","url":null,"abstract":"<p><p>Public policy controversies about the cost-containing potential of HMOs and the failures of many plans should not overshadow the fact that HMOs will be forces in the health care sector in the 1980s, largely as the result of increasing private investment. There is a large, stable segment of the prepaid industry that developed as a result of private sector and community concern long before the federal HMO Act of 1973, and it is their initiatives along with increasing investment activity by insurance companies and management companies in particular, that will serve as a base for consolidation and growth of HMO plans. HMOs have not proved to be the miraculous cost-containing mechanism of the future, but their impact will be felt even more for the changes they stimulate in the customary organizational forms, in financing, and in the role of business in health care.</p>","PeriodicalId":516962,"journal":{"name":"Journal of Health Politics, Policy and Law","volume":" ","pages":"80-95"},"PeriodicalIF":4.2,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1215/03616878-7-1-80","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40720278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Antitrust law and collective physician negotiations with third parties: the relative value guide object lesson. 反垄断法与集体医师第三方谈判:相对价值导向的客观教训。
IF 4.2
Journal of Health Politics, Policy and Law Pub Date : 1982-01-01 DOI: 10.1215/03616878-7-1-128
R F Pfizenmayer
{"title":"Antitrust law and collective physician negotiations with third parties: the relative value guide object lesson.","authors":"R F Pfizenmayer","doi":"10.1215/03616878-7-1-128","DOIUrl":"https://doi.org/10.1215/03616878-7-1-128","url":null,"abstract":"<p><p>This article examines the role of collective physician participation in the third-party reimbursement system. It critiques the Havighurst-Kissam analysis of the antitrust implications of professionally-developed relative value guides and, using lessons derived from the only litigated case on relative value guides, argues that collective physician input into third-party reimbursement plans can be made in a manner which is consistent with the antitrust law as and cost-containment policy objectives. In particular, collective \"negotiations\" by organized physicians with third parties, unaccompanied by fee agreements among physicians or by actual or threatened physician boycotts, are found to be procompetitive and hence permissible under the rule of reason.</p>","PeriodicalId":516962,"journal":{"name":"Journal of Health Politics, Policy and Law","volume":" ","pages":"128-62"},"PeriodicalIF":4.2,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1215/03616878-7-1-128","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40720272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Corporate rationalization of American health care: a visitor's appraisal. 美国医疗保健的企业合理化:一个来访者的评价。
IF 4.2
Journal of Health Politics, Policy and Law Pub Date : 1982-01-01 DOI: 10.1215/03616878-7-1-227
C Pollitt
{"title":"Corporate rationalization of American health care: a visitor's appraisal.","authors":"C Pollitt","doi":"10.1215/03616878-7-1-227","DOIUrl":"https://doi.org/10.1215/03616878-7-1-227","url":null,"abstract":"<p><p>This paper uses elements of the macrotheory of advanced capitalist societies developed by Jurgen Habermas and other \"critical theorists\" to locate and explore the implications of the containing corporatization of the U.S. health care sector. It questions the often-dominant view that cost is the major problem of current U.S. arrangements, and shows how most recent government policies have reinforced the corporate rationalization of health care, or at least proved neutral towards it. Yet it can be argued that it is precisely this \"rationalization\" which renders more difficult both cost-control and the much-needed broadening of the agenda of the health care debate to important issues other than cost.</p>","PeriodicalId":516962,"journal":{"name":"Journal of Health Politics, Policy and Law","volume":" ","pages":"227-53"},"PeriodicalIF":4.2,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1215/03616878-7-1-227","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40720274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
Response to McClure. On the potential failure of good ideas: an interview with the originator of Murphy's Law. 回应麦克卢尔。关于好想法的潜在失败:采访墨菲定律的创始人。
IF 4.2
Journal of Health Politics, Policy and Law Pub Date : 1982-01-01 DOI: 10.1215/03616878-7-1-45
H S Luft
{"title":"Response to McClure. On the potential failure of good ideas: an interview with the originator of Murphy's Law.","authors":"H S Luft","doi":"10.1215/03616878-7-1-45","DOIUrl":"https://doi.org/10.1215/03616878-7-1-45","url":null,"abstract":"","PeriodicalId":516962,"journal":{"name":"Journal of Health Politics, Policy and Law","volume":" ","pages":"45-53"},"PeriodicalIF":4.2,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40720276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
The real lessons of national health planning. 国家卫生规划的真正教训。
IF 4.2
Journal of Health Politics, Policy and Law Pub Date : 1982-01-01 DOI: 10.1215/03616878-7-1-125
J L Falkson, H A Leavitt
{"title":"The real lessons of national health planning.","authors":"J L Falkson,&nbsp;H A Leavitt","doi":"10.1215/03616878-7-1-125","DOIUrl":"https://doi.org/10.1215/03616878-7-1-125","url":null,"abstract":"","PeriodicalId":516962,"journal":{"name":"Journal of Health Politics, Policy and Law","volume":" ","pages":"125-7"},"PeriodicalIF":4.2,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40720843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Housestaff activism: the emergence of patient-care demands. 家政人员行动主义:病人护理需求的出现。
IF 4.2
Journal of Health Politics, Policy and Law Pub Date : 1982-01-01 DOI: 10.1215/03616878-7-2-421
L M Hoffman
{"title":"Housestaff activism: the emergence of patient-care demands.","authors":"L M Hoffman","doi":"10.1215/03616878-7-2-421","DOIUrl":"https://doi.org/10.1215/03616878-7-2-421","url":null,"abstract":"<p><p>There have been two trends within the physician housestaff movement: increased acceptance of collective bargaining and unions, and a shift from narrower economic to broader political demands, including some involving patient care. Case studies of politically active housestaff associations in New York, Chicago, and Los Angeles are used to examine the emergence of \"patient-care\" demands and their compatibility with collective bargaining frameworks. As house-staff have become principal providers of care to indigent populations in public hospitals, and economic cutbacks have endangered service as well as the positions of physicians, patient-care demands arise and become infused with demands for participation and control in decision-making. Common factors in the politicization of housestaff have been the contribution of activists of the sixties as leaders, and the impact of fiscal crisis and economic retrenchment in the seventies. However, the emergence and resolution of these issues has differed depending upon legal, political, historical, and organizational variations. In general, patient-care issues are supported by housestaff when they dovetail with housestaff interests. However, physician interests can diverge from those of patients, as in the case of manpower redistribution. On the whole, wages and benefits have done better than educational or patient-care demands. Educational demands have met with counterattack, and patient care, limited by the traditional scope of collective bargaining, has had to evolve indirectly, and has been hurt by long-term economic trends. Finally, national housestaff organization is limited by the wide-ranging politics and ideas of diverse regional organizations which represent different types of training institutions and career orientations.</p>","PeriodicalId":516962,"journal":{"name":"Journal of Health Politics, Policy and Law","volume":" ","pages":"421-39"},"PeriodicalIF":4.2,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1215/03616878-7-2-421","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40720281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Where you stand depends on where you sit: musings on the regulation/competition dialogue. 你的立场取决于你坐的位置:对监管/竞争对话的思考。
IF 4.2
Journal of Health Politics, Policy and Law Pub Date : 1982-01-01 DOI: 10.1215/03616878-7-1-54
D R Cohodes
{"title":"Where you stand depends on where you sit: musings on the regulation/competition dialogue.","authors":"D R Cohodes","doi":"10.1215/03616878-7-1-54","DOIUrl":"https://doi.org/10.1215/03616878-7-1-54","url":null,"abstract":"<p><p>In the past two years, the regulation/competition dialogue has polarized into an \"either or\" debate. The problems facing our health care system are too complex to allow the acceptance of this paradigm. Reasonable people will differ on what they believe are the key factors which contribute to the inflation of health care costs. Four separate scenarios for diagnosing and solving the health care inflation problem are presented. Alternative intervention strategies are discussed and the potential of current competition proposals is examined.</p>","PeriodicalId":516962,"journal":{"name":"Journal of Health Politics, Policy and Law","volume":" ","pages":"54-79"},"PeriodicalIF":4.2,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1215/03616878-7-1-54","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40720277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
A retrospective on the "New Perspective". 回顾“新视角”。
IF 4.2
Journal of Health Politics, Policy and Law Pub Date : 1982-01-01 DOI: 10.1215/03616878-7-2-325
R Evans
{"title":"A retrospective on the \"New Perspective\".","authors":"R Evans","doi":"10.1215/03616878-7-2-325","DOIUrl":"https://doi.org/10.1215/03616878-7-2-325","url":null,"abstract":"<p><p>The working document entitled A New Perspective on the Health of Canadians, often referred to as the \"Lalonde Report,\" was released in 1974. Its suggestion that present patterns of morbidity and mortality were not particularly amenable to health care interventions, and seemed rather to be the result of lifestyle, environment, or underlying biological patterns, has attracted a great deal of attention, both in Canada and elsewhere. This article examines the responses of various interested groups to the Lalonde Report, with particular attention to the assumptions and biases that each group brought to bear on the report, and to the conflicting perspectives on the report which resulted.</p>","PeriodicalId":516962,"journal":{"name":"Journal of Health Politics, Policy and Law","volume":" ","pages":"325-44"},"PeriodicalIF":4.2,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1215/03616878-7-2-325","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40720279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 23
Competition in the health sector: a historical perspective. 卫生部门的竞争:历史的观点。
IF 4.2
Journal of Health Politics, Policy and Law Pub Date : 1982-01-01 DOI: 10.1215/03616878-7-2-460
R C Lippincott, J W Begun
{"title":"Competition in the health sector: a historical perspective.","authors":"R C Lippincott,&nbsp;J W Begun","doi":"10.1215/03616878-7-2-460","DOIUrl":"https://doi.org/10.1215/03616878-7-2-460","url":null,"abstract":"<p><p>Viewed from a historical (and a theoretical) perspective, current \"pro-competition\" policy proposals are unbalanced in their emphasis on promoting \"free market\" behavior by consumers rather than by suppliers in the health services market. A comprehensive competition policy would require removal of supply-side restraints on health providers. Based on evidence about the evolution of restraints on physicians, dentists, and optometrists in one state, this article speculates on the political feasibility of removing supply-side restraints and thereby implementing a true \"competition policy\". Historically, the political environment and the alignment of interest groups have favored the promulgation of stringent restraints on health services providers. While the political environment is more receptive to challenges to those restraints today, there is little evidence that such challenges will succeed at either the state or federal level.</p>","PeriodicalId":516962,"journal":{"name":"Journal of Health Politics, Policy and Law","volume":" ","pages":"460-87"},"PeriodicalIF":4.2,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1215/03616878-7-2-460","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40724449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
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