Databases for Research on Nonprofit Health Care Organizations

2002 ◽  
Vol 45 (10) ◽  
pp. 1550-1591 ◽  
Author(s):  
BRADFORD H. GRAY ◽  
JAN P. CLEMENT
Keyword(s):  
Health Care ◽  
Public Policy ◽  
Health Care Organizations ◽  
Care Delivery ◽  
Third Party ◽  
Data Sources ◽  
Policy Issues ◽  
For Profit ◽  
Commercial Markets ◽  
Tax Exempt

As tax-exempt entities that compete in commercial markets with for-profit organizations, nonprofit health care organizations present stimulating intellectual challenges to the theorist and the empiricist alike. Because of third-party payment and policy intensiveness of health care, much information is available to researchers. Most research has focused on comparisons with for-profits and on public policy issues. This article describes the major streams of research on health care delivery organizations and the main sources and types of data that are available to researchers. We suggest criteria for evaluating data sources and identify some limitations and barriers that now exist. We conclude by identifying and assessing the data problems that could confront researchers interested in ownership issues in health care and by offering suggestions on how the more serious ones might be addressed to facilitate improved research.

The Real Meaning of “Managed Care”: Adaptive Accumulation and U.S. Health Care

2019 ◽  
Vol 49 (4) ◽  
pp. 733-753
Author(s):  
Rodney Loeppky
Keyword(s):  
Health Care ◽  
Public Policy ◽  
Care Delivery ◽  
The United States ◽  
Health Care Market ◽  
Part D ◽  
For Profit ◽  
Health Delivery ◽  
Critical Components ◽  
Market Benefits

The boundaries of what constitutes “sufficient” health have always been open and, as such, health care has proven to be an opportune area for profit growth. In the United States, the allure of health as a market commodity has proven very strong, but even here it cannot be a mere spontaneous product of the market. It requires government to foster and develop public policy that effectively promotes and maintains health care delivery across the population. Historically, U.S. public policy has veered away from anything akin to universal care, and it has typically been understood as an outlier among advanced industrial states. But, simultaneously, it is also the largest health care market in the world, soon to engulf a full fifth of its GDP. In this paper, I argue that the complicated dynamic between a growing market in health delivery and a patchwork of political reforms has encouraged “adaptive accumulation,” a process whereby capital secures optimized accumulation outcomes from enhanced government intervention, deriving extra-market benefits along the way. To make this argument, I explore critical components of the health system, including Medicare Advantage, Medicare Part D, as well as the Affordable Care Act and its aftermath.

scholarly journals Bedside Nurse Acceptance of Intensive Care Unit Telemedicine Presence

2018 ◽  
Vol 38 (6) ◽  
pp. e1-e4 ◽  
Author(s):  
Christina Canfield ◽  
Sandra Galvin
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Nurse Practitioners ◽  
Health Care Professionals ◽  
Health Care Organizations ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Perception Of Support ◽  
Evidence Based Care

Since 2010, health care organizations have rapidly adopted telemedicine as part of their health care delivery system to inpatients and outpatients. The application of telemedicine in the intensive care unit is often referred to as tele-ICU. In telemedicine, nurses, nurse practitioners, physicians, and other health care professionals provide patient monitoring and intervention from a remote location. Tele-ICU presence has demonstrated positive outcomes such as increased adherence to evidence-based care and improved perception of support at the bedside. Despite the successes, acceptance of tele-ICU varies. Known barriers to acceptance include perceptions of intrusiveness and invasion of privacy.

A Perspective on the Corporate Transformation of Health Care

1995 ◽  
Vol 25 (1) ◽  
pp. 11-42 ◽  
Author(s):  
J. Warren Salmon
Keyword(s):  
Health Care ◽  
Service Providers ◽  
Care Delivery ◽  
Mode Of Delivery ◽  
Health Sector ◽  
The United States ◽  
Dominant Mode ◽  
For Profit ◽  
Health Service Providers ◽  
History Of

The ever-increasing ownership of health service providers, suppliers, and insurers by investor-owned enterprises presents an unforeseen complexity and diversity to health care delivery. This article reviews the history of the for-profit invasion of the health sector, linking corporate purchaser directions to the now dominant mode of delivery in managed care. These dynamics require unceasing reassessment while the United States embarks upon implementation of national health care reform.

The Partners HealthCare Settlement and the Future of Health Care Organizations

2014 ◽  
Vol 11 (1) ◽  
Keyword(s):  
Health Care ◽  
Market Power ◽  
Health Care Providers ◽  
Federal Trade Commission ◽  
Health Care Organizations ◽  
Care Delivery ◽  
Health Sector ◽  
Care Providers ◽  
Unique Challenge ◽  
Delivery Models

AbstractA recent settlement between Massachusetts and Partners HealthCare, along with successful antitrust actions by the Federal Trade Commission, may signal the beginning of the end of two decades of consolidation of health care providers. This consolidation has been associated with higher prices resulting from market power, justifying the antitrust actions. However, the appropriate remedy for the health sector is a unique challenge. The proposed settlement appears to lock into place the legacy of the hospital-based delivery model, rather than orchestrating a pathway to a new care delivery models. Clearly, we need a regulatory framework that will introduce innovative alternatives into the market, not enshrine the current costly paradigm.

The American Academy of Pediatrics Involvement in Health Care Financing

PEDIATRICS ◽  
1974 ◽  
Vol 54 (1) ◽  
pp. 98-105
Author(s):  
Richard Don Blim
Keyword(s):  
Health Care ◽  
American Academy ◽  
Care Delivery ◽  
Health Care Financing ◽  
Third Party ◽  
Comprehensive Health Care ◽  
Financial Barriers ◽  
Care Plans ◽  
American Academy Of Pediatrics ◽  
Comprehensive Health

In what is considered one of the most important books of the past decade—Future Shock—Alvin Toffler1 describes the sickness that befalls an individual, an organization, or a nation when it is overwhelmed by rapid changes. He asserts that two actions must be initiated if "future shock" is to be minimized. They are (1) make the best assumptions possible about the future, and (2) undertake to control change. The health care field in the '70s faces many complex and difficult problems. Removing the financial barriers to comprehensive health care for all is but one of these formidable problems. Unquestionably, other problems involving the quality, quantity, efficiency and distribution of health care delivery require continued attention and should be resolved concurrently with the development of methods to finance comprehensive health care for all. THE DEVELOPMENT OF THE AMERICAN ACADEMY OF PEDIATRICS (AAP) COMMITTEE ON THIRD PARTY PAYMENT PLANS In October 1956 the AAP appointed a Committee on Medical Care Plans. This committee was active until 1962 and was then dormant until 1964. At that time, the Council on Pediatric Practice was established in response to urgings of a number of Fellows that more consideration be given to the problems of the practice of pediatrics and its socioeconomic aspects. The Executive Board charged the council to concern itself with the delivery by pediatricians of the best possible care for the greatest number of children. At its first meeting in 1964, the council determined that the two items needing most urgent attention were the development of standards for child health care and the problems relating to various third party payment health plans, both private and governmental.

scholarly journals Big Data Just Got Bigger: Implications of Real-World Evidence and Patient-Entered Data on Health Care and Health Care Policy

2019 ◽  
Vol 14 (1) ◽  
pp. 40-42
Author(s):  
Dana M. George ◽  
Aaron E. George ◽  
Kelly L. George
Keyword(s):  
Health Care ◽  
Big Data ◽  
Financial Incentives ◽  
Health Care Policy ◽  
Care Delivery ◽  
Data Sources ◽  
Real World Evidence ◽  
Patient Health ◽  
Device Applications ◽  
New Policies

Advancing care delivery in lifestyle medicine and primary care has increasingly benefited from unique data sources and points. To remain competitive and relevant in modern practice, physicians and health systems must tackle and engage the implementation of big data and advanced applications for increasingly complex care. In many cases, information is being aggregated, though barriers exist in terms of accessing, interpreting, and making it actionable. New mobile device applications have eased some barriers, yet present challenges of their own. These new applications, designed to gather patient-entered data outside of traditional clinical settings, will require new policies, systems, and workflows. From a business perspective, collecting such data has potential value to patient care and patient engagement as well as financial incentives. If handled correctly, these additional data sources, including those not previously accessible, have the potential to vastly improve patient health.

Marketing Cancer Care to Rural Residents

1995 ◽  
Vol 14 (1) ◽  
pp. 76-82 ◽  
Author(s):  
Frank J. Franzak ◽  
Thomas J. Smith ◽  
Christopher E. Desch
Keyword(s):  
Health Care ◽  
Public Policy ◽  
General Population ◽  
Rural Health ◽  
Health Care Delivery ◽  
Rural Health Care ◽  
Cancer Care ◽  
Care Delivery ◽  
Complex Situation ◽  
Improving Health Care

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.

Retail Thinking Comes to Health Care

2017 ◽  
Author(s):  
Timothy J. Hoff
Keyword(s):  
Health Care ◽  
Market Segmentation ◽  
Price Competition ◽  
Data Analytics ◽  
Health Care Organizations ◽  
Care Delivery ◽  
Poor Patient ◽  
Economic Satisfaction ◽  
External Forces ◽  
Patient Relationships

Retail thinking and tactics are beginning to find their way into health care delivery, further impacting the ability to have strong, dyadic doctor-patient relationships. External forces described in Chapter 2 and poor patient experiences provide fertile soil for their growth. The retail rhetoric consists of heavy emphasis on “value,” “transparency,” “branding,” and “consumer activation.” The implementation of retail tactics into health care shifts the emphasis from relational to transactional forms of exchange, the latter emphasizing short-duration exchanges between buyer and seller, standardized obligations, and economic satisfaction. Retail approaches give large health care organizations greater power given their scale and resources to engage in key retail tactics such as data analytics, market segmentation, marketing, and price competition. There are tangible reasons for bringing some aspects of retail thinking into health care. Their application, however, brings risks for patients and their care, and threatens to undermine doctor-patient relationships further.

Emerging Policy Issues for Psychology: A Key to the Future of the Profession

2010 ◽  
pp. 33-51 ◽  
Author(s):  
Patrick H. DeLeon ◽  
Mary Beth Kenkel ◽  
Jill M. Oliveira Gray ◽  
Morgan T. Sammons
Keyword(s):  
Public Policy ◽  
Interpersonal Relationships ◽  
Policy Process ◽  
Community Health Centers ◽  
Care Delivery ◽  
Psychological Services ◽  
Five Dimensions ◽  
Policy Issues ◽  
The Public ◽  
Health Legislation

Involvement in the public policy process is essential to the continued growth of the profession of psychology. The authors posit that five dimensions of involvement in the policy process are fundamental to ensuring the success of advocacy efforts: patience, persistence, the establishment of effective partnerships, emphasizing interpersonal relationships in the policy process, and the adoption of a long-term perspective. These key mediators are described in the context of current major public policy issues affecting psychology: mental health legislation in general, prescriptive authority, provision of psychological services in community health centers, expansion of the available treatments for autistic spectrum disorders, and recasting psychology as a primary health-care delivery profession. The authors suggest that policy makers will value the contributions of psychology only insofar as they are convinced of the profession’s ability to improve the public weal.

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