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The Quarterly review of economics and business最新文献

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Health policy revolution: the search for minimum supply price. 卫生政策革命:寻求最低供应价格。
The Quarterly review of economics and business Pub Date : 1990-01-01
L F Rossiter
{"title":"Health policy revolution: the search for minimum supply price.","authors":"L F Rossiter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article provides comments on Feldstein's article on \"Health Policy Issues: An Economic Perspective.\" The predictive ability of Feldstein's analysis is extended. The importance of exogeneous shocks is discussed, specifically the role of technology in shaping health policy and the development of the health care industry.</p>","PeriodicalId":79752,"journal":{"name":"The Quarterly review of economics and business","volume":"30 4","pages":"136-9"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20981869","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
Technology as culprit and benefactor. 技术既是罪魁祸首，也是恩人。
The Quarterly review of economics and business Pub Date : 1990-01-01
G R Wilensky
{"title":"Technology as culprit and benefactor.","authors":"G R Wilensky","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Technologies can be viewed as a mixed blessing: rising health care costs versus improved diagnosis, treatment, and health status. This article briefly discusses the influence of key factors on the demand for technology and its utilization. These factors include rising health expenditures, changes in populations, and the development of cost containment strategies. Resulting shifts in incentives and utilization are examined. Because of the difficult and complex issues associated with the increasing use of medical technologies, hard choices will need to be made about quality of life, technology assessment, and the allocation of health resources to the terminally ill.</p>","PeriodicalId":79752,"journal":{"name":"The Quarterly review of economics and business","volume":"30 4","pages":"45-53"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20986312","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
The effect of prospective payment under DRGs on the market value of hospitals. DRGs下预付费对医院市场价值的影响。
The Quarterly review of economics and business Pub Date : 1990-01-01
S Folland, R Kleiman
{"title":"The effect of prospective payment under DRGs on the market value of hospitals.","authors":"S Folland,&nbsp;R Kleiman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article investigates the effect of a change in Medicare payment regulations on for-profit hospital market values. A theoretical argument on the effects of this regulatory event is presented in which hospital managers are concerned about firm wealth but also value prestige, provider perceptions of quality, and perhaps other prerequisites. In this case, DRGs will induce hospitals to seek higher wealth because they increase the opportunity cost of nonpecuniary benefits. The issue is pursued empirically by estimating the market response to DRG legislation using seemingly unrelated regressions.</p>","PeriodicalId":79752,"journal":{"name":"The Quarterly review of economics and business","volume":"30 2","pages":"50-68"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20985257","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
Financing health care: out of whose pocket? 卫生保健融资:从谁的口袋里掏钱?
The Quarterly review of economics and business Pub Date : 1990-01-01
D R Waldo
{"title":"Financing health care: out of whose pocket?","authors":"D R Waldo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Health expenditures have grown steadily in the United States, but though United States spending is the highest in the world, it may not be as far out of line as is often assumed. However, although the economy is capable of absorbing an increasing amount of health care without reducing other consumption, financing mechanisms are breaking down. That part of Medicare financed through payroll taxes will be insolvent by the year 2003; the rest of Medicare and all of Medicaid adds to a growing budget deficit. And, the free market fails to provide rational long-term financing of long-term care.</p>","PeriodicalId":79752,"journal":{"name":"The Quarterly review of economics and business","volume":"30 4","pages":"101-13"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20986309","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
US health care policy in 1990: looking back, looking ahead. 1990年的美国医疗保健政策:回顾，展望。
The Quarterly review of economics and business Pub Date : 1990-01-01
E Ginzberg
{"title":"US health care policy in 1990: looking back, looking ahead.","authors":"E Ginzberg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Health policy in the United States is best understood as a policy of incrementalism with major interventions occurring only in response to crisis, as in the case of the Medicare legislation that profoundly altered our historic financing of health care. The characteristically minor, unplanned, adjustments that are made often have major unanticipated consequences, and these serve to explain the radical transformation of the nation's health system in the half-century since World War II. The main elements in this change--the evolution of employment-tied private insurance for the majority of the population, the predominance of specialism and superspecialism in medical practice, the expansion of the voluntary hospital system with capital liberally raised through tax-exempt bond issues, advancing technology and medical capability are reviewed. The major persistent policy issues--uncontrolled expenditures and the increasing numbers of uninsured--will ultimately precipitate change, perhaps by the end of the decade, very likely a minimum benefit, universal federal-state insurance system, supplemented by the private market--hardly radical systemic reform.</p>","PeriodicalId":79752,"journal":{"name":"The Quarterly review of economics and business","volume":"30 4","pages":"15-22"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20986311","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
Hospital demand for physicians. 医院对医生的需求。
The Quarterly review of economics and business Pub Date : 1990-01-01
M A Morrisey, G A Jensen
{"title":"Hospital demand for physicians.","authors":"M A Morrisey,&nbsp;G A Jensen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article develops a derived demand for physicians that is general enough to encompass physician control, simple profit maximization and hospital utility maximization models of the hospital. The analysis focuses on three special aspects of physician affiliations: the price of adding a physician to the staff is unobserved; the physician holds appointments at multiple hospitals, and physicians are not homogeneous. Using 1983 American Hospital Association data, a system of specialty-specific demand equations is estimated. The results are consistent with the model and suggest that physicians should be concerned about reduced access to hospitals, particularly as the stock of hospitals declines.</p>","PeriodicalId":79752,"journal":{"name":"The Quarterly review of economics and business","volume":"30 1","pages":"16-39"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20976669","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
Financing the correct rate of growth of medical technology. 为医疗技术的正确增长速度提供资金。
The Quarterly review of economics and business Pub Date : 1990-01-01
S R Eastaugh
{"title":"Financing the correct rate of growth of medical technology.","authors":"S R Eastaugh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article suggests ways to preserve innovation while partially restraining the impressive growth rate in new medical technology. Health care will soon consume 12 percent of GNP. There is a wide range of opinions as to whether medical technology is a major or minor source of rising health care expenditures. Given our current fiscal problems, health care providers will be in direct competition with education and other domestic programs for a limited supply of R&D funds. More funding will have to come from the private sector. The challenge for prudent buyers of health care services is to control costs without eroding the biomedical capacity of the nation.</p>","PeriodicalId":79752,"journal":{"name":"The Quarterly review of economics and business","volume":"30 4","pages":"54-60"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20981875","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
Quality choice in Medicaid markets. The case of nursing homes. 医疗补助市场的质量选择。以养老院为例。
The Quarterly review of economics and business Pub Date : 1989-01-01
N L McKay
{"title":"Quality choice in Medicaid markets. The case of nursing homes.","authors":"N L McKay","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article examines whether private patients, who typically pay a price higher than the Medicaid reimbursement rate, receive the same or higher quality services than Medicaid patients in the same health care facility. Because the mix of patients will affect the firm's cost only when Medicaid and private patients receive different levels of quality, the cost function can be used to test for the presence of quality differences. Estimates of a cost function for Texas nursing home in 1983 indicate that the mix of patients does not affect the firm's cost. Thus, private and Medicaid patients in the same nursing home receive the same level of quality.</p>","PeriodicalId":79752,"journal":{"name":"The Quarterly review of economics and business","volume":"29 2","pages":"27-40"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21174174","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
Cost convergence between for-profit and not-for-profit nursing homes: does competition matter? 营利性和非营利性养老院之间的成本趋同:竞争重要吗?
The Quarterly review of economics and business Pub Date : 1988-01-01
H P Tuckman, C F Chang
{"title":"Cost convergence between for-profit and not-for-profit nursing homes: does competition matter?","authors":"H P Tuckman,&nbsp;C F Chang","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79752,"journal":{"name":"The Quarterly review of economics and business","volume":"28 4","pages":"50-65"},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21160125","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
Price discrimination in medicine: the care of Medicare. 医药价格歧视:医疗保险。
The Quarterly review of economics and business Pub Date : 1988-01-01
L Paringer, V Fon
{"title":"Price discrimination in medicine: the care of Medicare.","authors":"L Paringer,&nbsp;V Fon","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79752,"journal":{"name":"The Quarterly review of economics and business","volume":"28 1","pages":"49-68"},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21172603","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
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