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Personal Dental Services - a practitioner's point of view

BRITISH DENTAL JOURNAL 2000年第3期188卷 125-128页

作者： Barker, N Dixon, H Bromley Rd Dent Surg Colchester CO4 3JE Essex England

NHS dentistry has seen many changes recently. the latest has been the introduction of Personal Dental Services. This article describes the experiences of two general dental practitioners in their practice who entered as a first wave pilot, the article explains the steps involved in generating a proposal and preparing a practice to run as a pilot. The authors have highlighted areas of particular concern for others to consider before embarking on a similar journey.

关键词：成本及成本分析国家卫生规划/经济学国家卫生规划/组织和管理个人保健服务/经济学个人保健服务/组织和管理试点项目偿还途径/经济学偿还途径/组织和管理公费牙科医疗/经济学公费牙科医疗/组织和管理人类

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OPTIMAL PAYMENT SYSTEMS FOR HEALTH-SERVICES

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JOURNAL OF HEALTH ECONOMICS 1990年第4期9卷 375-396页

作者： ELLIS, RP MCGUIRE, TG BOSTON UNIV DEPT ECONBOSTONMA 02215 USA

Demand-side cost sharing and the supply-side reimbursement system provide two separate instruments that can be used to influence the quantity of health services consumed. For risk-averse consumers, optimal payment systems — pairs of insurance and reimbursement plans — are characterized by conflict rather than consensus between patient and provider about the quantity of treatment. A model of conflict resolution based on bargaining theory is used to represent the outcome when the payment system creates divergences between desired demand and desired supply. Using that model, we describe the optimal combination of insurance and reimbursement systems that maximize consumer welfare.

关键词：冲突(心理学) 绝对免赔额与共同保险卫生服务需求/统计学和数值数据保险健康/组织和管理模型统计学劝导交谈权力(心理学) 转诊和会诊/经济学偿还途径/组织和管理危险美国人类

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Case management: Opportunities for service providers

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Home Health Care Services Quarterly 1993年第1期14卷 5-40页

作者： Williams, Judith K. Planning at the Miami Jewish Home and Hospital for the Aged United States

The notion of using case managers to coordinate care and services to the elderly has become increasingly popular. Case management appears to be seen by some as the route to reform and rationalization of the financing and provision of services. Little systematic research can be cited in making claims for its organization, efficacy or efficiency, yet opinions in this regard abound. Research and demonstration projects provide some insights but few conclusions to support the rhetoric of case management. Case management principles are enunciated and program options flow from them. A case is made for flexibility of organization and sensibility of provision. © 1993 Taylor & Francis Group, LLC.

关键词：利害冲突卫生政策/立法和法学卫生服务研究家庭医疗保健服务/组织和管理长期医疗/组织和管理管理医疗规划/组织和管理纽约病人医疗护理计划/组织和管理病人医疗护理计划/标准规划制订/方法规划制订/标准偿还途径/组织和管理州卫生计划/立法和法学美国老年人人类

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The Medicare Critical Access Hospital program: The first year

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JOURNAL OF RURAL HEALTH 1999年第1期15卷 61-66页

作者： Reif, SS Ricketts, TC Univ N Carolina Sheps Ctr Hlth Serv Res Chapel Hill NC 27599 USA

The Medicare Critical Access Hospital (CAH) program, part of the Balanced Budget Act of 1997, is a nationwide limited service hospital program. Structured interviews were conducted in August and September 1998 with key people in state offices of rural health, state hospital associations, departments gf health or departments of facility licensing in all 50 states to assess their progress in the development of the CAH program. The majority of states expressed interest in the CAH program. Twenty-one states were moving formally toward involvement in the program. States that had developed or were in the process of developing a state plan estimated that between 183 to 227 hospitals would convert to CAHs in the next one to two years. States that were the most successful with plan de development appeared to be states that participated in the Essential Access Community Hospital/Rural Primary Care Hospital program, states where there was dialogue about the possibility of a limited service hospital program and states with widespread support in the state. A pressing need for most states is for reliable fiscal consulting or analysis that could be applied to individual hospitals that are considering conversion to CAHs. The CAH program shows promise for successful implementation based on its early results.

关键词：预算/立法和法学卫生服务易得程度/组织和管理卫生服务研究医院公立/经济学医院公立/组织和管理医院乡村/组织和管理医院慈善/经济学医院慈善/组织和管理缺医地区 Medicare/组织和管理需求估价/组织和管理试点项目初级卫生保健/组织和管理规划制订方案评价预期支付系统/组织和管理问卷调查偿还途径/组织和管理美国人类

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Medicare reimbursement for nurse practitioners.

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Journal of the American Academy of Nurse Practitioners 1999年第7期11卷 289-292页

作者： Towers, J. Dr. Towers is the Director of Governmental Affairs Practice and Research for the American Academy of Nurse Practitioners. [*] concerning this article should be addressed to Jan Towers Capital Station LBJ Building P.O. Box 12846 Austin TX 78711.

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Synthesis: Experience with diagnosis related groups

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International Journal of Technology Assessment in Health Care 1986年第1期2卷 77-81页

作者： Young, Donald A. Prospective Payment Assessment Commission Washington D.C. 20024 300 7th Street S.W. Room 301-B United States

The Medicare prospective payment system (PPS) for inpatient hopital service was enacted in 1983. It uses a classification based on diagnosis-related groups (DRGs) to determine payment for services provided.

关键词：诊断相关患者组预期支付系统/组织和管理偿还途径/组织和管理技术评估生物医学/经济学美国

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Technology assessment for public payment policy: the Prospective Payment Assessment Commission (PROPAC).

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International journal of technology assessment in health care 1985年第3期1卷 756-759页

作者： Burns, A.K.

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