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Evaluating the Healthy Start program - Design development to evaluative assessment

EVALUATION & THE HEALTH PROFESSIONS 1996年第3期19卷 342-362页

作者： Raykovich, KST McCormick, MC Howell, EM Devaney, BL HARVARD UNIV SCH PUBL HLTHCAMBRIDGEMA 02138 MATH POLICY RES INC PRINCETONNJ

The national evaluation of the federally funded Healthy Start program involved translating a design for a process and outcomes evaluation and standard maternal mid infant date set, both developed prior to the national evaluation contract award, into an evaluation design and client data collection protocol that could be used to evaluate 15 diverse grantees. This article discusses the experience of creating a process and outcomes evaluation design that was bath substantively and methodologically appropriate given such issues as the diversity of grantees and their community-based intervention strategies;the process of accessing secondary data sources, including vital records;the quality of client level data submissions;mid the need to incorporate both qualitative and quantitative approaches into the evaluation design. The relevance of this experience for the conduct of other field studies of public health interventions is discussed.

关键词：儿童保健服务/组织和管理数据收集/方法国家卫生规划/组织和管理结果与过程评价(卫生保健) 规划制订方案评价美国女(雌)性人类婴儿新生妊娠

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Innovation in health care for the elderly in the netherlands

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Home Health Care Services Quarterly 1995年第2期15.0卷 59-80页

作者： Veer, Anke De Peters, Paul Bakker, Dinny De The Netherlands Institute for Primary Health Care (NIVEL) BN 3500 P.O. Box 1568 Netherlands The Research Centre Primary/Secondary Health Care Free University Hospital MB 1007 P.O. Box 7057 Netherlands BN 3500 P.O. Box 1568 Netherlands

No abstract available for this article.

关键词：国家卫生规划/组织和管理荷兰医护疗养所/组织和管理医护疗养所/统计学和数值数据组织改革试点项目

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Risk adjustment and the fear of markets: The case of Belgium

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Health Care Management Science 2000年第2期3卷 121-130页

作者： Schokkaert, Erik Van De Voorde, Carine Center for Economic Studies KU Leuven Leuven Belgium

In Belgium the management and administration of the compulsory and universal health insurance is left to a limited number of non-governmental non-profit sickness funds. Since 1995 these sickness funds are partially financed in a prospective way. The risk adjustment scheme is based on a regression model to explain medical expenditures for different social groups. Medical supply is taken out of the formula to construct risk-adjusted capitation payments. The risk-adjustment formula still leaves scope for risk selection. At the same time, the sickness funds were not given the instruments to exert a real influence on expenditures and the health insurance market has not been opened for new entrants. As a consequence, Belgium runs the danger of ending up in a situation with little incentives for efficiency and considerable profits from cream skimming. © Baltzer Science Publishers BV.

关键词：比利时按人收费/组织和管理效率组织筹资政府/组织和管理预测卫生经费支出/统计学和数值数据保险选择偏倚管理医疗规划/组织和管理卫生服务使用研究/组织和管理国家卫生规划/组织和管理回归分析风险调节/组织和管理成年人老年人老年人 80以上女(雌)性人类男(雄)性中年人

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Overcoming barriers to evaluating federal health education and training programs

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EVALUATION & THE HEALTH PROFESSIONS 1996年第3期19卷 292-310页

作者： Baumgartner, L Stenersen, S Campbell, K US GEN ACCOUNTING OFF WASHINGTONDC 20548 USA

The effectiveness of federal programs is often difficult to measure because many are authorized to support a broad range of objectives without common outcome goals, measures, and reporting requirements, When direct program evaluation is not possible, it may be possible instead to evaluate how well the strategies that federal programs support have worked to achieve certain objectives. This alternative to direct program evaluation was demonstrated in a General Accounting Office review of federal health professions education and training programs within Titles 7 and 8 of the Public Health Service Act.

关键词：筹资政府卫生职业/教育国家卫生规划/组织和管理方案评价公共卫生/立法和法学培训资助/立法和法学美国人类

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Evaluation of US public health service programs - Organization and management

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EVALUATION & THE HEALTH PROFESSIONS 1996年第3期19卷 311-324页

作者： Johnson, PL US DEPT HHS WASHINGTONDC 20201 USA

This article provides an overview of evaluation in the Public Health Service (PHS) of the U.S. Department of Health and Human Services. The kinds of evaluation activities are outlined with illustrations of recently completed studies. The overview includes information on resources, policies, and management of evaluations conducted by the various PHS agencies and programs. In particular, the department's new efforts to better disseminate evaluation results through the Internet are described. The article concludes with a discussion of future prospects of how PHS evaluations will play a role in implementation of the Government Performance and Results Act (GPRA).

关键词：计算机通信网络国家卫生规划/组织和管理结果评价(卫生保健) 规划技术方案评价/经济学方案评价/方法美国美国公共卫生署/组织和管理人类

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GAO's role in the evaluation of federal health programs

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EVALUATION & THE HEALTH PROFESSIONS 1996年第3期19卷 280-291页

作者： Nadel, MV US GEN ACCOUNTING OFF WASHINGTONDC 20548 USA

The General Accounting Office (GAO) is a legislative branch agency whose mission is to support the oversight role of Congress. Health policy issues have constituted a substantial part of GAO's recent workload. Whereas GAO's work on health has ranged broadly it has often focused on. fraud and abuse in federal programs, particularly Medicare and Medicaid;The lack of meaningful indicators and other information, particularly on outcomes in health programs;access to care, increasingly connected to managed care;quality of care;and issues related to cost control.

关键词：费用控制诈骗政府机构/组织和管理卫生服务易得程度国家卫生规划/组织和管理方案评价卫生保健质量美国人类

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Producing credible evaluations of federal health programs

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EVALUATION & THE HEALTH PROFESSIONS 1996年第3期19卷 264-279页

作者： Chelimsky, E

Based on extensive experience as a reviewer of evaluations of federal health programs, the author distinguishes and discusses two sources of evidence for the credibility of cui evaluation, Substantive credibility is indicated by the quality of the literature review;the evaluative understanding manifest in the description of the program or treatment;the relation between the study questions and the study design;the expertise and candor display in the methods discussion;and the degree to which stated findings and recommendations are supported by methods and data. Presentational credibility is undermined by language that reveals subjectivity or advocacy, but it is supported by the competent organization and readability of the report.

关键词：政府国家卫生规划/组织和管理方案评价/方法研究设计美国人类

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Healthcare system performance indicators: a new beginning for a reformed Canadian healthcare system.

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Journal for healthcare quality : official publication of the National Association for Healthcare Quality 1999年第1期21卷 37-41页

作者： DeRosario, J.M. CGI Information Systems and Management Consultants Inc Edmonton Canada

Canada's healthcare system is the envy of many other countries and their citizens around the world. And like other members of the Organization for Economic Cooperation and Development, Canada is under pressure to reduce healthcare expenditures. One strategy being explored by Canadian provincial governments is to regionalize or decentralize the delivery of healthcare services. To ensure achievement of its goals for each region, the Ministry of Health requires each regional health authority to submit a business plan and annual report, including performance information and underlying performance indicators. Performance indicators are used to measure process and outcome as well;they are useful for generating questions about the behavior or the performance of a provider or organization. A system for defining systemic performance measures for a publicly funded healthcare system does not exist. However, the performance indicators described in this article provide a sampling of provider-based healthcare performance.

关键词：年报规范加拿大费用控制卫生保健改革/组织和管理信息服务管理审计医学审核国家卫生规划/组织和管理组织目标结果与过程评价(卫生保健) 方案评价质量指标卫生保健地区卫生计划/组织和管理地区卫生计划/标准

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Evaluation of Public Health Service programs under the Government Performance and Results Act

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EVALUATION & THE HEALTH PROFESSIONS 1996年第3期19卷 394-404页

作者： Straw, RB US PHS SUBST ABUSE & MENTAL HLTH SERV ADMWASHINGTONDC USA

The Public Health Service (PHS) is made up of a number of agencies whose collective mission has traditionally been to protect and improve the mental and physical health of the American people and to close the gaps in the health status of disadvantaged populations. However, the Clinton Administration's National. Performance Review and its associated ''reinventing government'' initiatives are beginning to show promise of substantially reshaping the structure and functions of the federal government. Regardless of the final shape that the reinvented government takes, the Government Performance and Results Act (GPRA) will provide the framework within which that government plans, implements, and evaluates its programs. Whereas some have argued that GPRA will strengthen the role of evaluation within federal agencies, GPRA has been seen primarily as a management and budget issue, and limited attention has been paid to important issues of measurement, attribution of outcomes, and reporting time lines. Nevertheless, GPRA provides the opportunity to make the government more effective and efficient and restore the faith of the American people in government.

关键词：国家卫生规划/组织和管理结果评价(卫生保健) 方案评价美国人类

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EQUITY IN THE FINANCE OF HEALTH-CARE - SOME INTERNATIONAL COMPARISONS

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JOURNAL OF HEALTH ECONOMICS 1992年第4期11卷 361-387页

作者： WAGSTAFF, A VANDOORSLAER, E ERASMUS UNIV 3000 DR ROTTERDAMNETHERLANDS

This paper presents the results of a ten-country comparative study of health care financing systems and their progressivity characteristics. It distinguishes between the tax-financed systems of Denmark, Portugal and the U.K., the social insurance systems of France, the Netherlands and Spain, and the predominantly private systems of Switzerland and the U.S. It concludes that tax-financed systems tend to be proportional or mildly progressive, that social insurance systems are regressive and that private systems are even more regressive. Out-of-pocket payments are in most countries an especially regressive means of raising health care revenues.

关键词：文化交叉比较卫生保健提供/经济学卫生保健提供/统计学和数值数据欧洲筹资政府/经济学筹资政府/方法筹资政府/统计学和数值数据卫生经费支出/统计学和数值数据卫生服务研究保险健康/经济学国际性模型经济计量学国家卫生规划/经济学国家卫生规划/组织和管理国家卫生规划/统计学和数值数据回归分析公费医疗/经济学公费医疗/组织和管理公费医疗/统计学和数值数据税款/经济学美国

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