Hospital Economics: The Effect of Competition, Tariffs and Non-profit Status on Quality

Author(s):  
Luigi Siciliani
Detritus ◽  
2021 ◽  
pp. 3-14
Author(s):  
Dongxu Qu ◽  
Tetiana Shevchenko ◽  
Michael Saidani ◽  
Yuanyuan Xia ◽  
Yuriy Ladyka

Public awareness and relevant consumer behaviors are crucial in accelerating the transition to a circular economy (CE) model. This paper focused on exploring university activities for changing awareness and behaviors according to the principles of its new circular model to foster sustainable development. In this paper, a comprehensive literature review provides a holistic perspective on university CE-related activities in the implementation of the CE. The review revealed that the construction of a theoretical framework in universities with asset-based development is conducive to promoting the CE model through transformative learning. In light of recent academic insights into CE education, a theoretical framework for CE-related university activities was developed based on attributes of CE-related university assets, such as non-profit status, technology innovation, education, propagation, and efficient use of resources. We also introduce into scientific use the term CE-related university assets and provide a classification of these CE-related assets. The present findings contribute to a deeper understanding of universities’ CE-related resources and assets to improve public awareness and behaviors, as well as to train and inspire the leaders (including engineers, managers, designers, etc.) of tomorrow, required for further implementing the CE model.


Health Policy ◽  
1994 ◽  
Vol 28 (3) ◽  
pp. 197-210 ◽  
Author(s):  
Herrington J. Bryce
Keyword(s):  

Author(s):  
Nathan M. Stall ◽  
Aaron Jones ◽  
Kevin A. Brown ◽  
Paula A. Rochon ◽  
Andrew P. Costa

AbstractBackgroundNursing homes have become the epicentre of the coronavirus disease 2019 (COVID-19) pandemic in Canada. Previous research demonstrates that for-profit nursing homes deliver inferior care across a variety of outcome and process measures, raising the question of whether for-profit homes have had worse COVID-19 outcomes than non-profit homes.MethodsWe conducted a retrospective cohort study of all nursing homes in Ontario, Canada from March 29-May 20, 2020 using a COVID-19 outbreak database maintained by the Ontario Ministry of Long-Term Care. We used hierarchical logistic and count-based methods to model the associations between nursing home profit status (for-profit, non-profit or municipal) and nursing home COVID-19 outbreaks, COVID-19 outbreak sizes, and COVID-19 resident deaths.ResultsThe analysis included all 623 Ontario nursing homes, of which 360 (57.7%) were for-profit, 162 (26.0%) were non-profit, and 101 (16.2%) were municipal homes. There were 190 (30.5%) COVID-19 nursing home outbreaks involving 5218 residents (mean of 27.5 ± 41.3 residents per home), resulting in 1452 deaths (mean of 7.6 ± 12.7 residents per home) with an overall case fatality rate of 27.8%. The odds of a COVID-19 outbreak was associated with the incidence of COVID-19 in the health region surrounding a nursing home (adjusted odds ratio [aOR], 1.94; 95% confidence interval [CI] 1.23-3.09) and number of beds (aOR, 1.40; 95% CI 1.20-1.63), but not profit status. For-profit status was associated with both the size of a nursing home outbreak (adjusted risk ratio [aRR], 1.96; 95% CI 1.26-3.05) and the number of resident deaths (aRR, 1.78; 95% CI 1.03-3.07), compared to non-profit homes. These associations were mediated by a higher prevalence of older nursing home design standards in for-profit homes.Interpretation: For-profit status is associated with the size of a COVID-19 nursing home outbreak and the number of resident deaths, but not the likelihood of outbreaks. Differences between for profit and non-profit homes are largely explained by older design standards, which should be a focus of infection control efforts and future policy.


Author(s):  
Corey Brettschneider

This chapter examines the notion that, while persuasion should not be backed by coercive force, it should be backed by the state's subsidy power. It defines subsidy power as the ability of the state to spend money and, as crucially, to refuse to spend money on certain organizations. The state's subsidy power includes the ability to grant or withdraw tax-exempt, tax-deductible non-profit status. Its use is compatible with the right of free expression. Indeed, the chapter argues that the reasons justifying free expression require the state to withdraw subsidies from groups that oppose the core values of free and equal citizenship.


Author(s):  
Elizabeth T Powers ◽  
Nicholas J Powers

Abstract Detailed data on private providers of long-term community-based residential services for persons with developmental disabilities permit investigation of the causes of frontline worker turnover. The endogeneity of turnover with compensation variables is accounted for in the estimation using instrumental variables. Turnover is determined by resident characteristics, frontline-worker compensation, and establishment characteristics. The share of higher-need residents and agency size predict higher turnover, while compensation and non-profit status are associated with lower turnover. Our findings indicate that public policies to reduce turnover through compensation subsidization can be effective. Our preferred estimates suggest an approximate one-quarter increase in total compensation would cut turnover by one-third.


Civil society plays a significant role in attempts to build a functioning democracy, support the rule of law, and promote and protect rights, as well as remaining one of the main driving forces of reform. Civil society continues to cooperate with state agencies in the field of developing political programmes, and to a certain extent assumes some responsibility for the implementation reforms. Despite this, the involvement of civil society in certain areas still remains declarative. An innovative trend in the civil society development in Ukraine has been creation of CSOs and NGOs coalitions, aiming to consolidate and accelerate the implementation of reforms through methods of advocacy and cooperation with state authorities. In 2017–2018 there was tension between civil society and the government despite the implementation of the National Strategy for Facilitating the Civil Society Development, adopted in 2016, however. In 2019 there is a tendency for improvement in state-civil society relations since the Constitutional Court has declared unconstitutional the clauses of the law on preventing corruption, which obliged representatives of public anti-corruption organizations to submit their asset declarations. Moreover, it has become possible to register CSOs in Ukraine online free of charge at the Governmental portal, which is an important step forward to improving public service delivery and creating a better legal environment for civil society. Online services for civil society organizations would be developed and introduced, including online registration of charitable organizations, public associations, applications for non-profit status, etc. The article analyzes the state of development, problems and challenges of the civil society within the framework of the implementation of reforms and European integration of Ukraine , as well as the influence of civil society on reforms in Ukraine, in order to implement reforms, achieve socio-economic progress, and ensure the national security of Ukraine. Also, the article analyzes the how the reforms are assessed by population, and overviews the tendency of increasing trust in the CSO activities by the citizens of Ukraine.


Author(s):  
Lidiia Bezkorovaina

As a result of the ongoing health care reform in Ukraine, health care facilities are being transformed from budget institutions into municipal non-profit enterprises. The result is an all-encompassing change in the accounting system. At the same time, an important issue for them is compliance with the requirements for the non-profit status of the enterprise. This necessitates organization of careful detailed accounting. Medical devices and medicines are a necessary part of the medical services provided by healthcare facilities. From the point of view of accounting, most of these assets are stocks, which have their own specifics and features of accounting. The paper considers organization of accounting of medicines in health care facilities and communal non-profit enterprises. Different ways of receiving medicines in health care facilities provide a different procedure for accounting for their availability and use. This requires the appropriate organization of analytical accounting of medicines in the accounts. Important in the accounting of medical devices and medicines is a well-defined system of document flow between inventory and accounting, as well as the division of responsibilities between the materially responsible persons and the accounting officer responsible for accounting of medicines or inventories in general. The variety of sources of medicines and the directions of their use in health care facilities and communal non-profit enterprises requires the development of a generalized scheme of reflection in the accounting of their movement. All information reflected in the accounts must be summarized for the reporting of the enterprise. Accounting registers and auxiliary tables are used for this purpose. Because medicines account for the largest share of all health care stocks, special attention needs to be paid to generating information about their availability and movement. To obtain such information, it is advisable to use generalized data that will take into account the different sources of drugs to the company and the different areas of their use.


2006 ◽  
pp. 26-28
Author(s):  
Joanna Hernik
Keyword(s):  

Autorka zauważa, że zarówno w stosowanej terminologii, jak i w systematyce organizacji działających w sferze non-profit są luki. W artykule podejmuje próbę dokonania pewnej typologii. Omawia takie zagadnienia jak: organizacje pozarządowe a organizacje non-profit, status organizacji pożytku publicznego, formy działalności organizacji pozarządowych, organizacje pozarządowe a organizacje kościelne, organizacje sfery kultury fizycznej.


1999 ◽  
Vol 5 (3) ◽  
pp. 235-245 ◽  
Author(s):  
Randy Anderson ◽  
Danielle Lewis ◽  
James Webb

2017 ◽  
Vol 163 (1) ◽  
pp. 97-106
Author(s):  
Helle S Jensen ◽  
Katalin Lustyik

Our study focuses on Sesame Street and sets out to examine how Sesame Workshop, as a ‘non-profit’ organization targeting children, has been able to continuously transform and make itself relevant in a predominantly commercial children’s television landscape dominated by transnational ownership structures. The analysis includes an investigation of Sesame Workshop’s mission statements, organizational structure, annual fiscal reports, promotional material and other written sources from the 1970s to the 2010s. We focus on the Workshop’s own arguments and reasons for why their ‘non-profit’ status was, and still is, better at taking care of children’s interests than the for-profit companies. These understandings are held up against the, at times, very commercial logic guiding the workshop’s business model, and analysed within the economic and political context of children’s television in the United States and the Workshop’s key international target markets. Our theoretical framework draws upon insights from work on political economy and children’s media and comparative media systems.


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