检索结果-内蒙古大学图书馆

North Staffordshire Community Beds Study: longitudinal evaluation of psychiatric in-patient units attached to community mental health centres 2: Impact upon costs and resource use

引用

BRITISH JOURNAL OF PSYCHIATRY 1999年第1期175卷 79-86页

作者： Haycox, A Unsworth, L Allen, K Hodgson, R Lewis, M Boardman, AP Guys Hosp Acad Dept Psychait Sch Med & Dent London SE1 9RT England King Coll Hosp Acad Dept Psychiat Sch Med & Dent London England St Thomas Hosp Acad Dept Psychiat Sch Med & Dent London England Univ Liverpool Prescribing Res Grp Dept Pharmacol & Therapeut Liverpool L69 3BX Merseyside England Keele Univ Postgrad Med Sch Acad Dept Psychiat Keele Staffs England

Background Innovative approaches to the provision of psychiatric care must justify their ability to improve the quality of life within the resource constraints imposed on psychiatry. Aims To examine the average costs per patient of the experimental and control group services. Method An individual patient costing methodology that identified, measured and valued all public and private resources. Results The experimental group was more likely to remain in contact with services over a 12-month period, had fewer acute readmissions and spent less time in acute in-patient units. There were significantly different levels and patterns of resource consumption between the groups and between the two separate catchment areas. Conclusion The cost analysis should be assessed in the context of the previous outcome analysis. It is likely but not;inevitable, that such units will increase the overall costs of care provision;this largely depends on the effectiveness with which such units are integrated into existing care provision. Declaration of interest Support received from the North Staffordshire Health Authority and the Combined Health Care North Staffordshire NHS Trust.

关键词：社区精神卫生服务/经济学患病代价英格兰卫生保健费用医院费用医院专科病房/经济学住院/经济学医院精神病/经济学纵向研究精神障碍/经济学精神障碍/治疗病人满意度私营部门公营部门生活质量人类

来源：评论

学校读者我要写书评

暂无评论

CONSUMER INFORMATION AND PROVIDERS REPUTATIONS - AN EMPIRICAL-TEST IN THE MARKET FOR PSYCHOTHERAPY

引用

JOURNAL OF HEALTH ECONOMICS 1990年第3期9卷 321-333页

作者： HAASWILSON, D BRANDEIS UNIV HELLER SCHWALTHAMMA 02254

This paper estimates the price effects of provider-specific reputations measured as the percent of each provider's clients who are referred by 'informed community sources', such as other health professionals, school counselors, businesses, clergy, and attorneys. Using data on the prices of outpatient psychotherapy visits to private-practice social workers in Massachusetts, the results suggest that social workers with established reputations for high-quality care charge higher prices. In addition, the results suggest that intra- and inter-professional competition can constrain the pricing decisions of psychotherapists, and that increasing consumer information increases the effectiveness of this competition.

关键词：临床工作能力经济竞争费用医疗信息服务马萨诸塞模型统计学精神病学/经济学转诊和会诊/统计学和数值数据社会工作精神病/经济学

来源：评论

学校读者我要写书评

暂无评论

METHODOLOGICAL ISSUES IN EFFICIENCY-FOCUSED PROGRAM-EVALUATION - THE CASE OF MENTAL-HEALTH

引用

ADMINISTRATION IN SOCIAL WORK 1991年第1-2期15卷 65-81页

作者： FRANKEL, S UNIV MANITOBA FAC SOCIAL WORKCHILD & FAMILY SERV RES GRPROOM 418BTIER BLDGWINNIPEG R3T 2N2MANITOBACANADA

No abstract available for this article.

关键词：加拿大费用效益分析/方法直接服务费用效率精神卫生服务/经济学模型统计学方案评价/方法社会工作精神病/经济学人类

来源：评论

学校读者我要写书评

暂无评论

A RISK-BASED PROSPECTIVE PAYMENT SYSTEM THAT INTEGRATES PATIENT, HOSPITAL AND NATIONAL COSTS

引用

JOURNAL OF HEALTH ECONOMICS 1992年第1期11卷 1-41页

作者： SIEGEL, C JONES, K LASKA, E MEISNER, M LIN, S NATHAN S KLINE INST PSYCHIAT RES NEW YORKNY 10962 NEW YORK MED CTR NEW YORKNY 10016

We suggest that a desirable form for prospective payment for inpatient care is hospital average cost plus a linear combination of individual patient and national average cost. When the coefficients are chosen to minimize mean squared error loss between payment and costs, the payment has efficiency and access incentives. The coefficient multiplying patient costs is a hospital specific measure of financial risk of the patient. Access is promoted since providers receive higher reimbursements for risky, high cost patients. Historical cost data can be used to obtain estimates of payment parameters. The method is applied to Medicare data on psychiatric inpatients.

关键词：成本及成本分析/统计学和数值数据经济学医院/统计学和数值数据效率卫生服务易得程度/经济学卫生服务研究/方法医院精神病/经济学投资/经济学 MedicareA部/经济学精神障碍/经济学模型经济计量学预期支付系统/经济学精神病科医院/经济学危险美国人类

来源：评论

学校读者我要写书评

暂无评论

Thirty-eight ways psychiatric hospitals can cope with DRG's

引用

Journal of Mental Health Administration 1986年第2期13卷 9-14页

作者： Zucker, Irwin Hall-Brooke Hospital Westport CT United States

来源：评论

学校读者我要写书评

暂无评论

Third generation information systems: Integrating costs and outcomes. Tools for professional development and program evaluation

引用

ADMINISTRATION IN SOCIAL WORK 1996年第1期20卷 1-+页

作者： McCready, DJ Pierce, S Rahn, SL Were, K COMMUNITY ALCOHOL & DRUG SERV GUELPH ON CANADA

The authors present specific procedures for obtaining cost per closed case and a case outcome rating for each closed case, computer generated, yielding a cost-outcome report for single cases and aggregated cases. The procedures are illustrated with field data from an alcohol and drug addiction service. Cost per closed case is seen as the new unit cost datum. Combined with case outcome information, the cost-outcome report is seen as a promising new measure of efficiency. The potential of the cost-outcome report as a new basis for professional self-development, increased treatment effectiveness, and program evaluation is discussed.

关键词：预算加拿大费用分配/方法数据说明统计效率组织/经济学管理信息系统结果评价(卫生保健) 方案评价社会工作精神病/经济学物质滥用治疗中心/经济学物质滥用治疗中心/组织和管理时间和运动研究美国人类

来源：评论

学校读者我要写书评

暂无评论

Third-party vendorship: an imperative for the 1980s.

引用

Social casework 1982年第7期63卷 402-407页

作者： Meddin, B.J. School of Social Work University of Illinois Urbana Illinois.

The question of third-party vendor status for clinical social workers raises important issues about equal client access to mental health services and about the continued viability of the clinical social work professio... 详细信息

关键词：保险精神病许可证转诊和会诊社会工作精神病/经济学美国

来源：评论

学校读者我要写书评

暂无评论

Deinstitutionalization-we are aiming at the wrong target

引用

Journal of Mental Health Administration 1982年第1期9卷 11-13页

作者： Magoolaghan, John F.

来源：评论

学校读者我要写书评

暂无评论

AN ECONOMETRIC-MODEL OF AN EPISODE OF MENTAL-HEALTH-CARE FOR PATIENTS WITH MILD CONDITIONS - IMPLICATIONS FOR CAREGIVER SUBSTITUTION

引用

SOCIO-ECONOMIC PLANNING SCIENCES 1990年第3期24卷 173-185页

作者： CROSS, JG KNESPER, DJ DEROOIJ, JP UNIV MICHIGAN DEPT PSYCHIATMENTAL HLTH RES INSTANN ARBORMI 48109

This article presents a model of the number of hours of mental health care, the concurrent improvement in the patient's condition, the probability the patient will receive medications, and the reasons for treatment termination. The variables related to these aspects of mental health care are analyzed separately for patients of psychiatrists, psychologists, and social workers. Estimates of the average length of treatment, the average price and income elasticities, and the average cost of treatment are obtained from the model. The major conclusions from this study are that psychiatrists do not have a benefit-cost advantage in the treatment of relatively mild conditions, and that consumer responsiveness to variations in price appear to be largely confined to the decision to seek treatment. These and other findings provide a basis for making tentative recommendations about personnel substitution and reimbursement policies in mental health.

关键词：费用效益分析/统计学和数值数据保险精神病精神卫生服务/经济学模型统计学结果与过程评价(卫生保健)/经济学精神病学/经济学心理疗法/经济学社会工作精神病/经济学美国

来源：评论

学校读者我要写书评

暂无评论

ASSESSING THE EFFECT OF VENDORSHIP ON FEE SETTING FOR SOCIAL-WORKERS - AN EMPIRICAL-TEST

引用

SOCIAL WORK RESEARCH & ABSTRACTS 1991年第1期27卷 28-33页

作者： LIEBERMAN, AA TURNER, WM HARVARD UNIV SCH MED BROCKTON VET ADM MED CTR BOSTON MA 02115 USA

Examines the monopolistic competition model for its adequacy as a predictive tool for determining factors that influence fee setting among private practice social workers. Indication of responsiveness of price of psychotherapy in the social worker's primary practice setting to demand; Discussion of reimbursement policy implications.

关键词：商业/立法和法学经济竞争/立法和法学费用和收费/统计学和数值数据保险精神病最小二乘法分析缅因马萨诸塞模型统计学私人开业/经济学支付标准制定和审核回归分析社会工作精神病/经济学

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：