Journal of health care law & policy最新文献_第4页

Journal of health care law & policy Pub Date : 2005-12-22 DOI: 10.2139/ssrn.883563

引用次数: 94

Seven Challenges for the Implementation of Balanced Scorecard in Hospitals 医院实施平衡计分卡的七大挑战

Journal of health care law & policy Pub Date : 2005-10-01 DOI: 10.2139/ssrn.899343

Bruno Folly Guimarães e Silva, V. Prochnik

{"title":"Seven Challenges for the Implementation of Balanced Scorecard in Hospitals","authors":"Bruno Folly Guimarães e Silva, V. Prochnik","doi":"10.2139/ssrn.899343","DOIUrl":"https://doi.org/10.2139/ssrn.899343","url":null,"abstract":"The article presents a literature review on performance measurement in health care institutions. This survey identifies seven main challenges to the implementation of the Balanced Scorecard (BSC). The external environment poses three different challenges: more rigorous regulation processes, increasingly diverse customer needs and stiffer competition. In the internal environment, the main challenges to health care management are: conflicts between management and physicians' interests, conflicts among value proposals for different kinds of customers, lack of performance measurement methods and inefficient information systems. The empirical part of the article discusses the use of performance measurement techniques by a sample of 15 Brazilian hospitals. The article shows that all the seven challenges found in the international literature are also present in the Brazilian healthcare institutions. Among other conclusions, its shows that healthcare institutions in Brazil make use of several performance measures in day-to-day management. However, the information produced by these measures is not linked to the hospitals' strategic planning. In general, the indicators are traditional and well-known and can be applied to any sector of activity. Only some financial and internal process indicators were specific to hospitals' needs and could also be found in the international literature. The indicators were distributed unequally across the four BSC perspectives. Much more accurate indicators were available for the financial and internal process approaches than for the other two approaches (clients and learning and growth). Performance measurement systems can thus be said to be much needed in Brazilian hospitals, and the focal task in implementing them is to link them with the strategic plan design. This article was presented at the 3rd CONFERENCE ON PERFORMANCE MEASUREMENT AND MANAGEMENT CONTROL, Nice, September 22-23, 2005.","PeriodicalId":73765,"journal":{"name":"Journal of health care law & policy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2005-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83130979","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: 8

Forget Quality: Do Non-Profits Even Signal Their Status 忘记质量:非营利组织甚至表明他们的地位吗

Journal of health care law & policy Pub Date : 2005-09-23 DOI: 10.2139/ssrn.811664

A. Malani, G. David

{"title":"Forget Quality: Do Non-Profits Even Signal Their Status","authors":"A. Malani, G. David","doi":"10.2139/ssrn.811664","DOIUrl":"https://doi.org/10.2139/ssrn.811664","url":null,"abstract":"Why do firms take non-profit status? One of the most popular theories in the law and economics literature is that non-profit status is a signal of quality (Hansmann 1980; Glaeser & Shleifer 2001). This paper offers a simple, empirical test of this theory. If non-profit status signals quality, surely non-profit firms would want to ensure that consumers were aware of their non-profit status. A simple way firms could broadcast such a signal would be to add it to their names, but this sort of signaling is unheard of. Alternatively, firms might indicate their non-profit status on, e.g., their website or in yellow pages listings. Taking this cue, we conduct a survey of over 2800 firms in the hospital, nursing home and childcare industries. Our aim is to determine whether non-profit firms communicate their status to consumers on their websites or yellow pages listings. We conclude that non-profit status may signal quality, but the value of the signal is very poor. We infer this from the fact that firms that have other signals of quality, such as a religious or academic affiliation, are less likely to signal that they are non-profit. Firms only signal non-profit status, however, when it is cheap to do so. The most costly signals we examine are those in yellow pages listings, followed by home pages and then about-us pages on websites. Yet less than 7.5 percent of non-profit firms signal their status in yellow pages listings; only 25 percent do so on their home pages and 30 percent on their about-us pages. Indeed, over 35 percent never signal their non-profit status. Even among firms that have no other indicators of quality, roughly 70 percent of hospitals and 30 percent of nursing homes never signal their status on their websites.","PeriodicalId":73765,"journal":{"name":"Journal of health care law & policy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2005-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87103747","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

Technology Diffusion and Market Structure: Evidence from Infertility Treatment Markets 技术扩散与市场结构:来自不孕症治疗市场的证据

Journal of health care law & policy Pub Date : 2005-09-01 DOI: 10.2139/ssrn.813826

B. Hamilton, Brian McManus

引用次数: 28

Doctor Who? Who Gets Admission Offers in UK Medical Schools 医生吗?谁能被英国医学院录取

Journal of health care law & policy Pub Date : 2005-09-01 DOI: 10.2139/ssrn.826327

Wiji Arulampalam, R. Naylor, Jeremy P. Smith

引用次数: 17

Feds Order Physicians and Health Care Providers to Provide Free Language Translation Services to Limited English Proficient Patients: Colwell V. United States Department of Health and Human Services 联邦政府命令医生和卫生保健提供者为有限的英语熟练患者提供免费的语言翻译服务:Colwell诉美国卫生和人类服务部

Journal of health care law & policy Pub Date : 2005-08-11 DOI: 10.2139/SSRN.782364

Sharon L. Browne

{"title":"Feds Order Physicians and Health Care Providers to Provide Free Language Translation Services to Limited English Proficient Patients: Colwell V. United States Department of Health and Human Services","authors":"Sharon L. Browne","doi":"10.2139/SSRN.782364","DOIUrl":"https://doi.org/10.2139/SSRN.782364","url":null,"abstract":"For 2400 years society has been confident that physicians will use their professional judgment in treating their patients. Recently the federal government has intruded into the patient-physician relationship by adopting a requirement that physicians provide free oral and written translation services to limited English proficient patients, without reimbursement, or face possible prosecution for national origin discrimination under Title VI of the Civil Rights Act of 1964. Title VI prohibits discrimination on the grounds of race, color, or national origin. Neither language nor limited English proficiency status are protected classifications. This unprecedented expansion of Title VI is being challenged in Colwell v. United States Department of Health and Human Services. This paper argues that the federal government's intrusion into the patient-physician relationship is invalid. First, although the policy is a legislative rule creating new obligations for physicians, the government gave no prior notice of the policy change in violation of the notice and comment rulemaking requirements of the Administrative Procedures Act. Second, the rule is ulta vires because nothing in Title VI supports equating language with national origin. Third, the rule is overbroad and unconstitutionally vague in violation of the First Amendment.","PeriodicalId":73765,"journal":{"name":"Journal of health care law & policy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2005-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90542111","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

Does Health Insurance Impede Trade in Health Care Services? 健康保险会阻碍医疗服务贸易吗?

Journal of health care law & policy Pub Date : 2005-07-01 DOI: 10.1596/1813-9450-3667

A. Mattoo, Randeep Rathindran

引用次数: 50

Value Creation Potential of Intellectual Capital in Biotechnology - Empirical Evidence from Finland 生物技术中智力资本的价值创造潜力——来自芬兰的经验证据

Journal of health care law & policy Pub Date : 2005-03-01 DOI: 10.1111/J.1467-9310.2005.00381.X

R. Hermans, I. Kauranen

引用次数: 114

Aids Policy and Pharmaceutical Patents: Brazil's Strategy to Safeguard Public Health 艾滋病政策和药品专利:巴西保障公众健康的战略

Journal of health care law & policy Pub Date : 2005-02-01 DOI: 10.1111/J.1467-9701.2005.00668.X

J. C. Cohen, Kristina M.L. Acri née Lybecker