Medical care review最新文献_第7页

On nursing home quality: a review and analysis. 关于养老院质量的回顾与分析。

Medical care review Pub Date : 1991-01-01 DOI: 10.1177/002570879104800202

M A Davis

引用次数: 213

The initial impact of the Medicare prospective payment system on U.S. health care: a review of the literature. 医疗保险预期支付系统对美国医疗保健的初步影响:文献综述。

Medical care review Pub Date : 1991-01-01 DOI: 10.1177/002570879104800104

J Feinglass, J J Holloway

引用次数: 47

The HMO industry: evolution in population demographics and market structures. 卫生组织产业:人口统计和市场结构的演变。

Medical care review Pub Date : 1991-01-01 DOI: 10.1177/002570879104800102

J B Christianson, S M Sanchez, D R Wholey, M Shadle

{"title":"The HMO industry: evolution in population demographics and market structures.","authors":"J B Christianson, S M Sanchez, D R Wholey, M Shadle","doi":"10.1177/002570879104800102","DOIUrl":"https://doi.org/10.1177/002570879104800102","url":null,"abstract":"With the exception of Kaiser, HMOs in the 1970s were predominantly locally sponsored organizations serving limited geographic markets. National HMO firms proliferated in the 1980s so that today they compete among themselves and with local HMOs in most metropolitan areas of the United States. Along with the growth of national firms, the mid-1980s saw an increase in HMO mergers, acquisitions, consolidations and bankruptcies (Freudenheim 1988). What was once termed the “HMO movement” is now universally, and sometimes cynically, referred to as the “HMO industry” (Gruber, Shadle, and Polich 1988). The dynamics of change within the HMO industry have been chronicled in yearly published reports (or “snapshots”) and sporadic coverage of newsworthy events, such as the dissolution of Maxicare Health Plans (Pincus 1988). However, analyses of HMO industry changes have focused primarily on overall growth in enrollment and in number of HMOs (see, for instance, Gruber, Shadle, and Polich 1988). In this article, we extend these analyses, employing a population ecology framework and a longitudinal data set covering the years 1978–1989. We begin by discussing the changing environment for HMOs over the past decade and critiquing the existing literature on the determinants of HMO growth, entry, and exit. Then we present data related to the evolutions of HMO organizational demographics and market structures during this period. First, we describe the overall development of the industry, with an emphasis on HMO entries, exits, mergers, and acquisitions. We follow this with an analysis of changes over time in the distribution of HMOs, both by type of HMO (e.g., individual practice association) and by national versus local HMO sponsorship. Data are also presented concerning changes in local HMO market structures over time. A concluding discussion focuses on factors that may influence future patterns of changes in the HMO industry.","PeriodicalId":79684,"journal":{"name":"Medical care review","volume":"48 1","pages":"3-46"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/002570879104800102","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20981474","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: 47

Health care strategy research, 1985-1990: a critical review. 卫生保健战略研究，1985-1990年:批判性审查。

Medical care review Pub Date : 1991-01-01 DOI: 10.1177/002570879104800103

S Topping, S R Hernandez

引用次数: 57

Spatial competition and cooperation in local hospital markets. 地方医院市场的空间竞争与合作。

Medical care review Pub Date : 1991-01-01 DOI: 10.1177/002570879104800204

R D Luke

引用次数: 24

Planning and controlling health capital: attaining an appropriate balance between regulation and competition. 规划和控制卫生资本:实现监管与竞争之间的适当平衡。

Medical care review Pub Date : 1991-01-01 DOI: 10.1177/002570879104800303

D W Young

引用次数: 4

Antecedents of optimal decision making for client care in health services delivery organizations. 卫生服务提供机构客户护理最佳决策的前因。

Medical care review Pub Date : 1991-01-01 DOI: 10.1177/002570879104800305

W C McCaughrin

引用次数: 3

The use of physician extenders in nursing homes: a review. 在养老院使用医师扩展器:综述。

Medical care review Pub Date : 1991-01-01 DOI: 10.1177/002570879104800403

W E Aaronson

引用次数: 6

Can patients evaluate the quality of hospital care? 病人能评价医院护理的质量吗?

Medical care review Pub Date : 1990-01-01 DOI: 10.1177/107755879004700302

H R Rubin

{"title":"Can patients evaluate the quality of hospital care?","authors":"H R Rubin","doi":"10.1177/107755879004700302","DOIUrl":"https://doi.org/10.1177/107755879004700302","url":null,"abstract":"<p><p>We have found that patients have distinct opinions about many components of hospital care, but that little recent work has identified those components important to today's patients in the United States. Investigators have constructed reproducible scales to obtain evaluations. Patient evaluations of the interpersonal features of hospital care are influenced by interventions that physicians or nurses identify as \"higher\" quality of care. We do not know if patient reports and ratings of specific aspects of care accurately reflect the effects of hospital care on health outcomes--the quality standard that public agencies and payers may consider the most important. However, patient evaluations of nursing care and medical care are independently related to patients' overall satisfaction, overall assessments of quality, and intentions to recommend and return to the same hospital. More studies are needed to clarify whether other components of hospital care also contribute to these ratings and intentions and, if so, how much. Nonresponse bias affects patient surveys, making patient ratings of care in each sample more favorable than the population mean; we do not know how this affects conclusions of surveys that compare hospitals or treatments. Few studies have compared how different methods affect the reproducibility and accuracy of patient reports and ratings. Practical issues may be the most important obstacles for users of patient ratings, particularly regarding whether potential users will be able to interpret results and accept them. Finally, no comprehensive instrument or survey method in the published literature has been tested enough to be recommended as a reproducible, accurate, and interpretable quality measure: a few do, however, appear worthy of further testing.</p>","PeriodicalId":79684,"journal":{"name":"Medical care review","volume":"47 3","pages":"267-326"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/107755879004700302","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20979096","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: 191

Small area variations: a critical review of propositions, methods, and evidence. 小范围的变化:对命题、方法和证据的批判性回顾。

Medical care review Pub Date : 1990-01-01 DOI: 10.1177/107755879004700403

S Folland, M Stano

引用次数: 99