The changing role of academic health care centers in generalist education and practice support

1994 ◽  
Vol 9 (S1) ◽  
pp. S72-S80 ◽  
Author(s):  
Lucy M. Osborn ◽  
Konrad Kotrady
2011 ◽  
Vol 9 (1) ◽  
pp. 17 ◽  
Author(s):  
Anne Walsh ◽  
Joseph R. Troxell ◽  
Grainne Stafford

Continual regulatory changes and new managed care options are influencing profitability and growth in the health care sector. This paper investigates the variety of interorganizational arrangements which are used by academic health care centers to cope with environmental uncertainty, and find that these arrangements, when initiated, tend to remain stable rather than progress in formalization over time.


2014 ◽  
Vol 52 (2) ◽  
pp. 480-518 ◽  
Author(s):  
Mark Stabile ◽  
Sarah Thomson

This paper explores the changing role of government involvement in health care financing policy outside the United States. It provides a review of the economics literature in this area to elucidate the implications of recent policy changes on efficiency, costs, and quality. Our review reveals that there has been some convergence in policies adopted across countries to improve financing incentives and encourage efficient use of health services. In the case of risk pooling, all countries with competing pools experience similar difficulties with selection and are adopting more sophisticated forms of risk adjustment. In the case of hospital competition, the key drivers of success appear to be what is competed on and measurable, rather than whether the system is public or private. In the case of both the success of performance-related pay for providers and issues resulting from wait times, evidence differs within and across jurisdictions. However, the evidence does suggest that some governments have effectively reduced wait times when they have chosen explicitly to focus on achieving this goal. Many countries are exploring new ways of generating revenues for health care to enable them to cope with significant cost growth, but there is little evidence to suggest that collection mechanisms alone are effective in managing the cost or quality of care. (JEL H51, I11, I18)


2014 ◽  
Vol 17 (2) ◽  
pp. 121-126 ◽  
Author(s):  
Steven Thompson ◽  
Stephen Varvel ◽  
Szilard Voros ◽  
Dawn Thiselton ◽  
Shahrzad Grami ◽  
...  

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