检索结果-内蒙古大学图书馆

AN EVALUATION OF MEDICAID SELECTIVE CONTRACTING IN CALIFORNIA

JOURNAL OF HEALTH ECONOMICS 1990年第4期8卷 437-455页

作者： ROBINSON, JC PHIBBS, CS UNIV CALIF BERKELEY BERKELEYCA 94720 USA

This study used 1982–1986 data on 262 private community hospitals to evaluate the effects of selective contracting for inpatient services by California's Medicaid program. Selective contracting by Medicaid significantly reduced the rate of inflation in average costs per admission and per patient day, while slightly increasing average lengths of patient stays. Private sector contracting also reduced cost inflation rates significantly and caused small, non-significant, reductions in lengths of stays. Hospital savings in 1986 due to Medicaid selective contracting were $836 million, 7.6% of what hospital expenditures would have been in the absence of contracting.

关键词：加利福尼亚合同业务/经济学成本及成本分析/统计学和数值数据数据收集财务管理/经济学卫生经费支出/发展趋势医院社区/经济学医院社区/利用膨胀通货住院时间/统计学和数值数据 Medicaid/组织和管理模型统计学方案评价回归分析

来源：评论

学校读者我要写书评

暂无评论

An evaluation of the costs and effectiveness of different methods used to publicize a telephone healthline.

引用

Health libraries review 1996年第2期13卷 114-117页

作者： Harding, J. (formerly Co-ordinator Healthline) Enquiry Services Co-ordinator RNIB 224 Great Portland Street London W1N 6AA UK

来源：评论

学校读者我要写书评

暂无评论

The funding of postgraduate medical education in NHS libraries--is a formula workable? A case study from the North East Thames and North West Thames Regions.

引用

Health libraries review 1992年第2期9卷 77-81页

作者： Godbolt, S. Hewlett, J. North West Thames Regional Library and Information Service London

来源：评论

学校读者我要写书评

暂无评论

THE IMPACT OF LOW-BIRTH-WEIGHT ON SPECIAL-EDUCATION COSTS

引用

JOURNAL OF HEALTH ECONOMICS 1991年第3期10卷 291-311页

作者： CHAIKIND, S CORMAN, H NAT BUR ECON RES NEW YORKNY RIDER COLL LAWRENCEVILLENJ 08648

We investigate the relationship between low birthweight, enrollment in special education and special education costs in the U.S. We use a sample of approximately 8,000 children aged 6 to 15 who are in school, calculating the probability of attending special education, holding constant individual, family and regional variables. Children who weighed less than 2,500 grams at birth are almost fifty percent more likely to be enrolled in any type of special education than children who were of normal weight at birth. This results in an incremental cost of special education of $370.8 million (1989-1990) per year due to low birthweight.

关键词：儿童行为障碍/经济学成本及成本分析/统计学和数值数据残疾人教育特殊/经济学教育特殊/立法和法学婴儿出生时低体重学习障碍/经济学模型统计学产前保健/经济学社会经济因素美国青少年儿童人类婴儿新生

来源：评论

学校读者我要写书评

暂无评论

Expenditures for Unintentional Injuries among the Elderly

引用

Journal of Aging and Health 1990年第2期2卷 157-178页

作者： Bernstein, Amy B. Schur, Claudia L. National Cancer Institute United States National Center for Health Services Research United States

This article presents national estimates of the probability of having an unintentional injury, the types of medical care associated with unintentional injuries, and the costs of unintentional injuries that occurred in calender year 1977 for persons aged 65 and older. Data come from the 1977 National Medical Care Expenditure Survey (NMCES) and the 1977 National Nursing Home Survey (NNHS). Among persons aged 65 and older, we found differences in the probability of having an unintentional injury by age, sex, and living arrangement, which suggests that unintentional injuries are not “accidental,” or random, events. Our estimates indicate that total medical care expenditures for unintentional injuries for the elderly population in 1977 may have been over $2 billion. Using simple adjustments, we also estimated that the amount expended on injury-related medical care in 1984 might have been as high as $5 billion. Given the large amount of monetary, and presumably nonmonetary, costs associated with unintentional injuries, programs designed to reduce such injuries may well pay off in a cost-benefit or cost-effectiveness framework. © 1990, Sage Publications. All rights reserved.

关键词：事故/经济学成本及成本分析/统计学和数值数据卫生经费支出/统计学和数值数据老年人保健服务/经济学多元分析概率回归分析美国/流行病学创伤和损伤/经济学创伤和损伤/流行病学老年人女(雌)性人类男(雄)性

来源：评论

学校读者我要写书评

暂无评论

GENDER AND HOSPITAL RESOURCE USE - UNEXPECTED DIFFERENCES

引用

EVALUATION & THE HEALTH PROFESSIONS 1993年第2期16卷 177-189页

作者： BERNARD, AM HAYWARD, RA ROSEVEAR, JS MCMAHON, LF UNIV MICHIGAN MED CTRANN ARBORMI 48109

Several recent studies have explored gender differences in medical care that are not attributable to clinical characteristics. At an 880-bed teaching hospital between July 1987 and June 1990, we studied the importance of gender on two measures of hospital care. length of stay and ancillary service use. The later was measured on a relative value unit (RVU) scale, based on an estimation of direct cost dollars. Neither mean age nor in-hospital mortality differed between the 9,102 women and 10,285 men. After case-mix adjustment, women stayed in the hospital 0.22 days longer than men (p = 0.01) but consumed 67 fewer RVUs (p = 0.01). This RVU difference dissolved when intensive care unit (ICU) stays were eliminated, men were 1.13 times more likely (95% confidence interval 1.07 to 1.19) to be placed in the ICU. Being married shortened length of stay and women were less likely to be married (51% vs. 68%;p < 0.001), but even within marital status subgroups women remained in the hospital longer than men. Whether this longer length of stay and less technologically intensive care for women reflects a difference in illness severity or physician gender bias requires further study.

关键词：老年人辅助服务医院/统计学和数值数据辅助服务医院/利用卡方分布成本及成本分析/方法成本及成本分析/统计学和数值数据数据收集女(雌)性卫生服务研究医院病床数 500张以上医院大学/统计学和数值数据医院大学/利用人类重症监护病房/统计学和数值数据重症监护病房/利用内科学/统计学和数值数据住院时间/统计学和数值数据男(雄)性中年人美国中西部医师诊疗模式/统计学和数值数据性别因素

来源：评论

学校读者我要写书评

暂无评论

Costing library services--towards a model for the NHS. Proceedings of a seminar and workshop held at the University of Newcastle upon Tyne 13 December 1990.

引用

Health libraries review 1991年第3期8卷 120-141页

作者： James, S.M. Rhodes, A. Gove, S. Leggate, P. King, T. van Loo, J. University of Newcastle upon Tyne. United Kingdom

来源：评论

学校读者我要写书评

暂无评论

Competition and Rural Primary Care Programs

引用

The Journal of Rural Health 1990年第2期6卷 119-139页

作者： Ricketts, Thomas C. North Carolina Rural Health Research Center University of North Carolina Chapel Hill 27599.

Rural primary care programs were established in areas where there was thought to be no competition for patients. However, evidence from site visits and surveys of a national sample of subsidized programs revealed a pattern of competitive responses by the clinics. In this study of 193 rural primary care programs, mail and telephone surveys produced uniform data on the organization, operation, finances, and utilization of a representative sample of clinics. The programs were found to compete in terms of: (1) price, (2) service mix, (3) staff availability, (4) structural accessibility, (5) outreach, and (6) targeting a segment of the market. The competitive strategies employed by the clinics had consequences that affected their productivity and financial stability. The strategies were related to the perceived missions of the programs, and depended heavily upon the degree of isolation of the program and the targeting of the services. The competitive strategy chosen by a particular program could not be predicted based on service area population and apparent competitors in the service area. The goals and objectives of the programs had more to do with their competitive responses than with market characteristics. Moreover, the chosen strategies may not meet the demands of those markets. Copyright © 1990, Wiley Blackwell. All rights reserved

关键词：卫生服务范围费用效益分析成本及成本分析/统计学和数值数据数据收集经济竞争经济学评价研究收入/统计学和数值数据卫生服务使用研究初级卫生保健/经济学专业场所农村卫生/发展趋势抽样研究美国

来源：评论

学校读者我要写书评

暂无评论

EQUITY IN THE FINANCE AND DELIVERY OF HEALTH-CARE

引用

JOURNAL OF HEALTH ECONOMICS 1992年第4期11卷 467-471页

作者： AARON, HJ BROOKINGS INST 1775 MASSACHUSETTS AVEWASHINGTONDC 20036 USA

来源：评论

学校读者我要写书评

暂无评论

THE COSTS OF MEDICARE PATIENTS IN NURSING-HOMES IN THE UNITED-STATES - A MULTIPLE OUTPUT ANALYSIS

引用

JOURNAL OF HEALTH ECONOMICS 1989年第3期8卷 253-270页

作者： DOR, A URBAN INST WASHINGTONDC 20037 USA

The reluctance of nursing homes to admit Medicare beneficiaries is well recognised. A possible explanation is that under the current Medicare reimbursement policy, nursing homes do not have adequate incentives to increase admissions. This paper examines that hypothesis. Using a national sample of nursing homes, Medicare-specific marginal costs were estimated from a flexible form of the cost function. In most cases, Medicare-specific marginal costs were well above Medicare reimbursement rates. From an investigation of economies of scale and economies of scope, it appears that reimbursements may be sufficient only in nursing homes that specialize in Medicare beneficiaries. Unless Medicare reimbursements are brought in line with costs, access of Medicare beneficiaries to the nursing homes will remain limited.

关键词：成本及成本分析/统计学和数值数据卫生服务易得程度/经济学 Medicaid/经济学 Medicare/经济学模型统计学回归分析偿还途径技术性护理设施/经济学统计学(主题) 美国

来源：评论

学校读者我要写书评

暂无评论

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

请选择保存的检索档案：

请选择收藏分类：

通借通还

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：