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Vertical integration in hospitals: a framework for analysis.

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Medical care review 1992年第1期49卷 93-115页

作者： Arndt, M. Bigelow, B. Graduate School of Management Clark University Worcester 01610. MA United States

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Implementing and evaluating outcome indicators of performance for mental health agencies.

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Journal for healthcare quality : official publication of the National Association for Healthcare Quality 1998年第3期20卷 6-13页

作者： Barrett, T.J. Bartsch, D.A. Zahniser, J.H. Belanger, S. Department of Human Services State of Colorado United States

Regulation-based processes for evaluating the performance of mental health agencies are gradually changing to focus on measuring the effectiveness of mental health services in obtaining the best possible outcomes. The decreased availability of resources for serving people with mental health problems has led to an emphasis on effectiveness, which is often expressed in terms of accountability. Thus, a singular reliance on compliance with practice standards has shifted to the need to be able to demonstrate that funds appropriated for mental health services are being used in ways that result in valued outcomes. In Colorado, this shift has led to the development of performance indicators that provide information reflecting stakeholder values about the performance outcomes of the mental health system. This article describes these performance indicators and presents the data that led to a decision to award monetary incentives to two community agencies. Potential benefits and pitfalls of Colorado's performance indicator process are also discussed.

关键词：科罗拉多社区精神卫生中心/组织和管理社区精神卫生中心/标准综合保健教育继续设施的规章和管理卫生服务易得程度住院动机结果评价(卫生保健) 病人满意度方案评价公共卫生管理/标准质量指标卫生保健寄托治疗社会责任人类

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CARROT AND STICK - STATE MECHANISMS TO INFLUENCE PRIVATE PROVIDER BEHAVIOR

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HEALTH POLICY AND PLANNING 1994年第1期9卷 1-13页

作者： BENNETT, S DAKPALLAH, G GARNER, P GILSON, L NITTAYARAMPHONG, S ZURITA, B ZWI, A UNIV LONDON LONDON SCH HYG & TROP MED HLTH ECON & FINANCING PROGRAMLONDON WC1E 7HTENGLAND MINIST HLTH ACCRAGHANA MINIST PUBL HLTH BANGKOKTHAILAND NATL INST PUBL HLTH STUDIES QUALITY & COSTS HLTH CARE UNITCOERNAVACAMEXICO

The behaviour of private sector health care providers will depend critically on the environment within which they operate. A bewildering array of possible regulatory and incentive setting structures exist. Most developing countries have the basic legislation for regulation, but there are frequently difficulties in enforcing such controls. While process aspects of quality of care regulation are often the responsibility of professional organizations, these organizations may have limited incentives to be active in ensuring high quality medical care. There has been less experience with the use of incentives to encourage appropriate behaviour amongst private providers: this appears a promising area for further work. Above all, adequate information is essential both for the enforcement of regulations and the application of incentive mechanisms.

关键词：用户组织卫生保健提供/经济学卫生保健提供/组织和管理发展中国家效率组织设施的规章和管理医院私立/经济学医院私立/立法和法学医院私立/标准收入机构间关系私营部门/经济学公营部门/经济学质量保证卫生保健

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Acute hospital discharge of older patients and external control

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Home Health Care Services Quarterly 1982年第1期3卷 39-57页

作者： Robinson, Betsy C. Barbaccia, Joseph C. Division of Family and Community Medicine University of California at San Francisco San Francisco CA 94143 1487 Fourth Avenue United States

This article examines acute hospital discharge planning processes and the constraints imposed by external control, including third party payors and PSRO. Analysis suggests that availability of third party payment for services dominates the discharge plan. From the professional perspective, in-home services are often planned and provided only to the extent they meet the requirements of medical necessity;from the lay perspective, the services most required are those which preserve the social context. As a consequence, care providers, patients, and significant others become “caught” in regulations often unrelated to a reasonable plan of care designed to meet patient and family needs. © 1982 by The Haworth Press, Inc. All rights reserved.

关键词：设施的规章和管理家庭医疗保健服务/经济学 Medicaid Medicare 病人出院/标准专业评审组织美国老年人人类

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Planning and controlling health capital: attaining an appropriate balance between regulation and competition.

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Medical care review 1991年第3期48卷 261-293页

作者： Young, D.W. Boston University School of Management 02215. MA Jordan

Focuses on controlling and planning health care capital in the United States. Decline in patient care at hospitals; Escalation of health care cost; Indepth look at the importance to balance regulation and competition.

关键词：基本建设经费/标准需要证明/经济学商业/经济学费用控制/方法决策组织经济竞争设施的规章和管理卫生政策/经济学医务人员医院/经济学地区卫生计划/经济学美国

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Health human resource development in rural China

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HEALTH POLICY AND PLANNING 1997年第4期12卷 320-328页

作者： Gong, YL Wilkes, A Bloom, G Univ Sussex Inst Dev Studies Brighton BN1 9RE E Sussex England Shanghai Med Univ Sch Publ Hlth Dept Hlth Stat & Social Med Shanghai Peoples R China

China has made significant progress in increasing the quantity of health workers in rural areas. Attention is shifting to improving the quality of health workers. This article documents several features of health workers in rural China. Many have not received formal training to a level implied by their rank and title, and there is no clear relationship between the skills of health workers and the functions they perform. Many better-qualified personnel have left lower level health facilities for more attractive employment in higher level and urban facilities. A system of professional licensing is currently being considered that will link educational requirements to employment and promotion. This article outlines some of the issues that should be taken into consideration in formulating this system. In particular, licensing may have unequal impacts on rich and poorer areas. This article argues that other regulatory measures will be necessary if licensing is to be an effective mechanism for controlling the quality of health workers, and contribute to the provision of affordable health services in both rich and poor areas.

关键词：中国发展中国家教育医学设施的规章和管理卫生设施卫生人力/发展趋势许可证组织方针人员管理卫生保健质量乡村卫生服务/人力乡村卫生服务/组织和管理乡村卫生服务/标准工作负荷量

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AUTONOMY FOR NURSING-HOME RESIDENTS - THE ROLE OF REGULATIONS

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BEHAVIORAL SCIENCES & THE LAW 1995年第3期13卷 415-423页

作者： COHENMANSFIELD, J WERNER, P WEINFIELD, M BRAUN, J KRAFT, G GERBER, B WILLENS, S HEBREW HOME GREATER WASHINGTON RES INSTROCKVILLEMD 20850

The importance of autonomy and choice to nursing home residents' well-being has been well established. This paper examines the complex role of regulation as it affects the autonomy of nursing home residents. Nonstandardized interviews with residents, family members, nursing staff members, and administrators were conducted at three nursing homes in suburban Maryland. These anecdotal interviews identified the most problematic areas where regulations enforce barriers to autonomy and control. These areas include: scheduling of activities of daily living, food portions, physical environment, and documentation. Suggestions for possible improvements are discussed.

关键词：适应心理学设施的规章和管理食品自由马里兰病人辩护老年人人类

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Mycobacterium Tuberculosis Risk for Elephant Handlers and Veterinarians

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Applied Occupational and Environmental Hygiene 2001年第3期16卷 350-353页

作者： Davis, Mark United States

Discusses the inspection activity conducted by the United States Occupational Health and Safety Administration (OSHA) concerning the mycobacterium tuberculosis risk for elephant handlers and veterinarians in Florida. Preparations made by the OSHA; Hazards associated with an increased risk of exposure to tuberculosis; Steps to eliminate employee exposure to M. tuberculosis hazards.

关键词： Animal Husbandry Elephants Facility Regulation and Control Occupational Diseases 畜牧业象设施的规章和管理职业病结核兽医 Facility Regulation and Control Mycobacterium tuberculosis Occupational Diseases livestock industry Veterinarians Occupational Injuries Elephants

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Hospital advocacy programs - An essential exercise in good citizenship

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Journal of Mental Health Administration 1981年第1期8卷 20-23页

作者： McCrossin, Edward F.

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BARRIER-FREE DESIGN BEGINS TO REACT TO LEGISLATION, RESEARCH

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ARCHITECTURAL RECORD 1979年第3期165卷 69-&页

作者： STEINFELD, E

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