Use of outcomes research in controlling health care costs and improving health care delivery

1995 ◽  
Author(s):  
Candace L. Littell
Author(s):  
John J. Lucas

<p class="Style" style="text-align: justify; margin: 0in 36.1pt 0pt 0.5in;"><span style="font-size: 10pt; mso-bidi-font-style: italic;"><span style="font-family: Times New Roman;">This paper examines the health care delivery crisis that has emerged in corporate America. Health care costs now account for 17% of the total GDP with the United States spending two trillion in health care costs (Herzlinger, 2007). The paper also discusses the major strategies that business leaders have implemented to reduce health care delivery costs while maintaining quality care for their employees. The effectiveness of these strategies to contain health care costs will also be addressed. </span></span></p>


1995 ◽  
Vol 14 (1) ◽  
pp. 76-82 ◽  
Author(s):  
Frank J. Franzak ◽  
Thomas J. Smith ◽  
Christopher E. Desch

The authors address two issues related to cancer care: (1) the rural population is more vulnerable to cancer than the general population and (2) proper care is often not available locally, and public policy efforts have hurt, more than helped, this situation. The authors examine the environment of rural health care to establish a better understanding of this complex situation and present a model for improving health care delivery based on an existing outreach alliance program and guided by interorganizational service delivery concepts. They also provide areas for further research that can guide public policy toward improving rural cancer delivery.


2018 ◽  
Vol 77 (2) ◽  
pp. 131-142 ◽  
Author(s):  
Marina Soley-Bori ◽  
Theodore Stefos ◽  
James F. Burgess ◽  
Justin K. Benzer

Quality of care worries and rising costs have resulted in a widespread interest in enhancing the efficiency of health care delivery. One area of increasing interest is in promoting teamwork as a way of coordinating efforts to reduce costs and improve quality, and identifying the characteristics of the work environment that support teamwork. Relational climate is a measure of the work environment that captures shared employee perceptions of teamwork, conflict resolution, and diversity acceptance. Previous research has found a positive association between relational climate and quality of care, yet its relationship with costs remains unexplored. We examined the influence of primary care relational climate on health care costs incurred by diabetic patients at the U.S. Department of Veterans Affairs between 2008 and 2012. We found that better relational climate is significantly related to lower costs. Clinics with the strongest relational climate saved $334 in outpatient costs per patient compared with facilities with the weakest score in 2010. The total outpatient cost saving if all clinics achieved the top 5% relational climate score was $20 million. Relational climate may contribute to lower costs by enhancing diabetic treatment work processes, especially in outpatient settings.


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