Association of Ownership and System Affiliation with the Financial Performance of Rehabilitation Hospitals

1997 ◽  
Vol 10 (1-2) ◽  
pp. 13-23 ◽  
Author(s):  
M. J. McCue ◽  
J. M. Thompson
Keyword(s):  
Financial Performance ◽  
Regression Models ◽  
Ancillary Services ◽  
Cross Sectional ◽  
Non Profit ◽  
For Profit ◽  
Cross Sectional Design ◽  
The Cost ◽  
Rehabilitation Hospitals ◽  
Inpatient Basis

This study used a cross-sectional design in which regression models were used to test the association of ownership and system affiliation of private rehabilitation hospitals with profit, revenue and expense measures. The study also examined the association of ownership and system affiliation with other choice variables. The study found that new for-profit rehabilitation hospitals had higher revenues and expenses than older non-profit rehabilitation hospitals. In addition, new for-profit hospitals charged more for their ancillary services and treated more of their patients on an inpatient basis. Study findings show higher revenues and expenses per adjusted discharge for new for-profit facilities. Given the cost-based system of reimbursement for Medicare, there appears to be a strong incentive for new for-profits to maximize costs.

E-cigarette use among US adolescents: Perceptions of relative addiction and harm

2016 ◽  
Vol 76 (3) ◽  
pp. 293-301 ◽  
Author(s):  
Page Daniel Dobbs ◽  
Bart Hammig ◽  
Leah Jean Henry
Keyword(s):  
High School Students ◽  
Grade Level ◽  
Regression Models ◽  
Cigarette Use ◽  
Multivariate Logistic Regression ◽  
School Students ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Cross Sectional Design ◽  
People’S Perceptions

Objective: Between 2013 and 2014, past 30-day use of e-cigarettes increased from 4.5% to 13.4% among US high school students aged 9–19 years. We sought to examine the influence of perceived addiction and harm of e-cigarettes on e-cigarette use among adolescents. Design: Self-reported use and perception of harm of e-cigarettes were assessed using a cross-sectional design. Setting: Data were collected from the 2014 National Youth Tobacco Survey. Method: Multivariate logistic regression models were employed regressing lifetime e-cigarette use and past 30-day use on established covariate factors. Results: Perceiving e-cigarettes as less harmful than conventional cigarettes increased students’ odds of lifetime use (odds ratio [ OR] = 2.40, 95% confidence interval [ CI] = 1.98–2.90) and past 30-day use ( OR = 2.18, 95% CI = 1.63–2.92) of e-cigarettes. Perceiving e-cigarettes as less addictive than conventional cigarettes also increased students’ odds of lifetime use ( OR = 2.11, 95% CI = 1.82–2.45) and past 30-day use ( OR = 1.93, 95% CI = 1.57–2.38) of e-cigarettes; however, perceiving e-cigarettes as more addictive than conventional cigarettes also increased students’ odds of lifetime use ( OR = 1.85, 95% CI = 1.37–2.49) and past 30-day use ( OR = 2.68, 95% CI = 1.84–3.90) of e-cigarettes. Other influencing factors of e-cigarette use among youth included race, grade level, living with a smoker and lifetime use of regular cigarettes. Conclusion: The perception that e-cigarettes are less addictive and harmful than their conventional counterparts may be an important risk factor for the use of e-cigarettes. Factors influencing young people’s perceptions need to be examined further.

Age and job-specific skill obsolescence: the moderating effects of human resource practices

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Lin-Yang Yue ◽  
Wei-de Huang
Keyword(s):  
Regression Models ◽  
Knowledge Workers ◽  
Moderating Effects ◽  
Cross Sectional ◽  
Content Type ◽  
Hr Practices ◽  
Workforce Aging ◽  
Specific Skill ◽  
Cross Sectional Design ◽  
The Relationship

PurposeThis paper aims to examine the J-shaped relationship between age and job-specific skill obsolescence (JSSO), and the differential moderating effects of development and maintenance HR practices on this relationship.Design/methodology/approachRegression models of survey data obtained from a sample of 722 Chinese knowledge workers were used to test the hypotheses.FindingsThe results show that among women age and JSSO are J-shaped related and the relationship weakens under high development HR practices; while among men the J-shaped age-JSSO relation is significant only under low maintenance HR practices.Research limitations/implicationsThis research is subject to the cross-sectional design, and the sample is restricted to knowledge workers.Originality/valueThis study advances previous studies that hold a linear (positive or negative) age-JSSO relationship by theorizing and testing a J-shaped one. The differentiated moderating effects of two bundles of HR practices proved improves our knowledge about how to use HR practices appropriately to sustain employee work competency in the context of workforce aging.

scholarly journals Availability and prices of medicines for non-communicable diseases at health facilities and retail drug outlets in Kenya: a cross-sectional survey in eight counties

BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e035132 ◽  
Author(s):  
Paul G Ashigbie ◽  
Peter C Rockers ◽  
Richard O Laing ◽  
Howard J Cabral ◽  
Monica A Onyango ◽  
...  
Keyword(s):  
Treatment Guidelines ◽  
Communicable Diseases ◽  
Health Facilities ◽  
Essential Medicines ◽  
Price Ratio ◽  
Cross Sectional ◽  
Non Communicable Diseases ◽  
Non Profit ◽  
For Profit ◽  
The Mean

ObjectivesThe objective of this study was to determine the availability and prices of medicines for non-communicable diseases (NCDs) in health facilities and private for-profit drug outlets in Kenya.DesignCross-sectional study.MethodsAll public and non-profit health facilities in eight counties (Embu, Kakamega, Kwale, Makueni, Narok, Nyeri, Samburu and West Pokot) that purchased medicines from the Mission for Essential Drugs and Supplies, a major wholesaler, were surveyed in September 2016. For each health facility, one nearby private for-profit drug outlet was also surveyed. Data on availability and price were analysed for 24 NCD and 8 acute medicine formulations. Availability was analysed separately for medicines in the national Essential Medicines List (EML) and those in the Standard Treatment Guidelines (STGs). Median price ratios were estimated using the International Medical Products Price Guide as a reference.Results59 public and 78 non-profit facilities and 135 drug outlets were surveyed. Availability of NCD medicines was highest in private for-profit drug outlets (61.7% and 29.3% for medicines on the EML and STGs, respectively). Availability of STG medicines increased with increasing level of care of facilities: 16.1% at dispensaries to 31.7% at secondary referral facilities. The mean proportion of availability for NCD medicines listed in the STGs (0.25) was significantly lower than for acute medicines (0.61), p<0.0001. The proportion of public facilities giving medicines for free (0.47) was significantly higher than the proportion of private non-profit facilities giving medicines for free (0.09) (p<0.0001). The mean price ratio of NCD medicines was significantly higher than for acute medicines in non-profit facilities (4.1 vs 2.0, respectively; p=0.0076), and in private for-profit drug outlets (3.5 vs 1.7; p=0.0013).ConclusionPatients with NCDs in Kenya appear to have limited access to medicines. Increasing access should be a focus of efforts to achieve universal health coverage.

The financial viability of the fitness industry in Belgium

2015 ◽  
Vol 5 (4) ◽  
pp. 365-385 ◽  
Author(s):  
Diane Breesch ◽  
Steven Vos ◽  
Jeroen Scheerder
Keyword(s):  
Financial Performance ◽  
Strong Impact ◽  
Strategic Decisions ◽  
Cross Sectional ◽  
Content Type ◽  
Non Profit ◽  
Long Run ◽  
Starting Point ◽  
Fitness Industry ◽  
Sport Industry

Purpose – The purpose of this paper is to analyze whether the fitness industry in Belgium is financially viable in its position as a growing commercial player within the framework of the European sport model where non-profit and public sport providers still have a strong impact. Design/methodology/approach – The authors evaluate the financial performance of the Belgian fitness industry using a time-trend analysis applying a cross-sectional research design for the years 2002 through 2007. Findings – The analysis shows that the Belgian fitness industry is not able to generate positive income figures despite large increases in sales revenues. In particular fitness chains generally accumulate losses. However, the Belgian fitness industry pursues an active investment policy resulting in high noncash expenses in depreciations negatively influencing accounting profit numbers. The operating cash flow generated by the Belgian fitness industry is, nevertheless, largely positive. Although no immediate liquidity problem exists, the fitness industry needs to improve its profitability in the long run in order to stay in business. Research limitations/implications – This study can be a starting point for further and more in depth financial performance evaluations of commercial actors in the field of sport. Differences and similarities between European countries should be investigated in order to generalize the findings. Practical implications – The conclusions could support regulators in policy decisions and business managers in strategic decisions relying on financial information in order to pilot their organization. Originality/value – Analyzing the financial performance of a sport industry at a national scale is challenging. However, this kind of analysis is not frequently performed for commercial sport providers such as the fitness industry. This is precisely where this paper wants to contribute.

scholarly journals Compress the curve: a cross-sectional study of variations in COVID-19 infections across California nursing homes

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e042804
Author(s):  
Ram Gopal ◽  
Xu Han ◽  
Niam Yaraghi
Keyword(s):  
Nursing Homes ◽  
Cross Sectional Study ◽  
The State ◽  
Cross Sectional ◽  
Term Care ◽  
Policy Makers ◽  
Non Profit ◽  
For Profit ◽  
The Us

ObjectiveNursing homes’ residents and staff constitute the largest proportion of the fatalities associated with COVID-19 epidemic. Although there is a significant variation in COVID-19 outbreaks among the US nursing homes, we still do not know why such outbreaks are larger and more likely in some nursing homes than others. This research aims to understand why some nursing homes are more susceptible to larger COVID-19 outbreaks.DesignObservational study of all nursing homes in the state of California until 1 May 2020.SettingThe state of California.Participants713 long-term care facilities in the state of California that participate in public reporting of COVID-19 infections as of 1 May 2020 and their infections data could be matched with data on ratings and governance features of nursing homes provided by Centers for Medicare & Medicaid Services (CMS).Main outcome measureThe number of reported COVID-19 infections among staff and residents.ResultsStudy sample included 713 nursing homes. The size of outbreaks among residents in for-profit nursing homes is 12.7 times larger than their non-profit counterparts (log count=2.54; 95% CI, 1.97 to 3.11; p<0.001). Higher ratings in CMS-reported health inspections are associated with lower number of infections among both staff (log count=−0.19; 95% CI, −0.37 to −0.01; p=0.05) and residents (log count=−0.20; 95% CI, −0.27 to −0.14; p<0.001). Nursing homes with higher discrepancy between their CMS-reported and self-reported ratings have higher number of infections among their staff (log count=0.41; 95% CI, 0.31 to 0.51; p<0.001) and residents (log count=0.13; 95% CI, 0.08 to 0.18; p<0.001).ConclusionsThe size of COVID-19 outbreaks in nursing homes is associated with their ratings and governance features. To prepare for the possible next waves of COVID-19 epidemic, policy makers should use these insights to identify the nursing homes who are more likely to experience large outbreaks.

scholarly journals Comparison of Real Costs against the Price of INA-CBG's Ischemic Stroke in Bethesda Hospital

2017 ◽  
Vol 7 (2) ◽  
pp. 105 ◽  
Author(s):  
Muslimah Muslimah ◽  
Tri Murti Andayani ◽  
Rizaldy Pinzon ◽  
Dwi Endarti
Keyword(s):  
Ischemic Stroke ◽  
Secondary Data ◽  
Cross Sectional ◽  
Outpatient Visits ◽  
Rs Analysis ◽  
The Subject ◽  
Cross Sectional Design ◽  
The Cost ◽  
Real Costs ◽  
Observation Period

Stroke is the leading cause of death and disability that includes disability mild, moderate and severe need of maintenance costs high. The purpose of this research is to know the characteristics of the patient, the comparison of real costs and fares INA CBG's ischemic stroke inpatient and outpatient in Bethesda HOSPITAL Yogyakarta. This research was conducted with observational analytic approach with cross sectional design based on the perspective of the hospital. The subject of research that meets the criteria of inclusion as much as 96 patients. Criteria for Inclusion include patient JKN, ischemic stroke of the first offensive, onset of less than 24 hours and non of the references. Observation period 1 October 2015 sd 31 March 2016 inpatients were observed 6 months in retrospective. Secondary data research data are sourced on the medical record, IFRS, and Technology Unit of RS. Analysis of statistical data by the method of Mann Whitney and Kruskal Wallis. Based on the characteristics of long hospitalizations, inpatient class there is significant influence (p < 0.05) against ischemic stroke patients real costs of hospitalization. The total real costs RS ischemic stroke of Rp 993,181,170 to 96 111 patients with inpatient visits so that the cost of Rp 8,947,578 per episode of hospitalization. Furthermore the Total cost of stroke ischemic amounting to Rp 139,165,150 with 211 outpatient visits so that the cost of Rp 659,550 per an outpatient episode. Real costs RS ischemic stroke than outpatient rates INA CBG's-2014 have significant differences. Similarly the real costs of hospitalization compared to price of INA-CBG's 2014 have significant differences in class i. In conclusion Fund fares INA-CBG's either outpatient or inpatient insufficient finance the care of patients ischemic stroke in Bethesda hospital Yogyakarta.

scholarly journals Italian public’s views on sharing genetic information and medical information: findings from the ‘Your DNA, Your Say’ study

2021 ◽  
Vol 6 ◽  
pp. 180
Author(s):  
Virginia Romano ◽  
Richard Milne ◽  
Deborah Mascalzoni
Keyword(s):  
Medical Information ◽  
Public Attitudes ◽  
Genomic Medicine ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Non Profit ◽  
For Profit ◽  
Italian Regions ◽  
The Government ◽  
Italian Context

Background: The collection and sharing of genomic and health data underpins global efforts to develop genomic medicine services. ‘Your DNA, Your Say’ is a cross-sectional survey with the goal of gathering lay public attitudes toward the access and sharing of deoxyribonucleic acid (DNA) information and medical information. It suggests significant international variation in the willingness to share information, and in trust in the actors associated with the collection and use of this information. This paper explores these questions in the Italian context. Methods: The Italian Your DNA, Your Say campaign led to the collection of 1229 valid questionnaires. The sample was analysed using standard descriptive statistics. We described the sample in terms of gender, age ranges and self-reported religiosity, and split the sample amongst the five typically studied Italian macro-areas to explore regional variation. We analysed the relationship between these factors and trust and willingness to share medical and DNA information.  Results: The majority of the sample, across all socio-demographics, were willing to share DNA and health information with all entities considered except for-profit researchers. Respondents tended not to trust institutions beyond their own doctor. There was no difference between Italian regions. Conclusions: Despite the generally positive attitude towards sharing, we suggest that the lack of trust in non-profit researchers and the government needs to be better understood to inform public communication projects around genomics in the future and to enhance awareness of DNA and medical information in Italy.

Public, Private and Voluntary Residential Mental Health Care: Is There a Cost Difference?

1998 ◽  
Vol 3 (3) ◽  
pp. 141-148 ◽  
Author(s):  
Martin Knapp ◽  
Daniel Chisholm ◽  
Jack Astin ◽  
Paul Lelliott ◽  
Bernard Audini
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Local Government ◽  
Mental Health Care ◽  
Residential Care ◽  
Consistent Difference ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Non Profit ◽  
For Profit

Objectives: To determine how public (NHS or local government), private (for-profit) and voluntary (non-profit) providers of residential mental health care compare. Do they support different clienteles? And do their services cost different amounts? Methods: Based on a cross-sectional survey of residential care facilities and their residents in eight English and Welsh localities, the characteristics and costs of care in the different sectors (NHS, local government, private, voluntary) were compared. Variations in cost were examined in relation to residents' characteristics using multiple regression analyses, which also allowed standardisation of results before making inter-sectoral comparisons. Results: Private and voluntary providers of residential care support different clienteles from the public sector. The patterns of inter-sectoral cost differences vary between London and non-London localities. In London, voluntary sector facilities may be more cost-efficient than the other sectors, but local government/private sector comparisons show no consistent difference. Outside London, the results suggest clear cost advantages for the private and voluntary sectors over the local government sector. Conclusions: Private and voluntary providers may have some economic advantages over their public counterparts. However, outcomes for residents were not studied, leaving unanswered the question of comparative cost-effectiveness.

scholarly journals Participation in data generation and information sharing: are patients and carers willing to engage?

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C De Freitas ◽  
S Silva ◽  
E Leão Teles ◽  
T Maia ◽  
M Amorim
Keyword(s):  
Information Sharing ◽  
Social Trust ◽  
Social Indicators ◽  
Health Data ◽  
Data Generation ◽  
Willingness To Participate ◽  
Cross Sectional ◽  
Non Profit ◽  
For Profit ◽  
Share Information

Abstract Background Health systems are moving towards a personalisation of care. Personalised care relies on data-intensive research, which depends on active participation by citizens in data generation and information sharing. Collecting and sharing one's data for research can deliver several benefits. However, it also comes at a cost in time and effort that may burden different population subsets to varying degrees. This study aimed to assess patients' and carers' willingness to generate and share health data, and its associated factors, to inform the design of inclusive engagement strategies. Methods A cross-sectional study was performed with 157 patients and 487 carers (participation rate=89.3%) followed at 2 rare diseases reference centres in Portugal (06/2019-01/2020). Participants were asked about willingness to collect their health data. Those who responded yes/maybe also reported, from 0 (not willing) to 4 (always willing), on willingness to share it for the following purposes: diagnosis/treatment, non-profit research and for-profit research related to their disease and to other diseases. Data were analysed using descriptive and inferential statistics. Results From 567 respondents, 42.7% are willing to collect their health data, 34.7% are unsure and 22.6% do not want to participate in data generation. More educated participants, with white-collar occupations, satisfied/very satisfied with their health and those with higher social trust levels are significantly more willing to engage in data collection (p &lt; 0.05). Participants are less prone to share information for for-profit research on their disease (Median[P25-P75]: 3.0[2.0-4.0]) or others (Median[P25-P75]: 2.0[1.0-3.0]), in particular carers (p &lt; 0.05). Conclusions Participants are more willing to share information for diagnosis/treatment and non-profit research. Efforts to engage people in data generation and sharing should be directed towards disadvantaged groups to reduce biases related to skewed populations. Key messages Willingness to participate in data generation and sharing is influenced by social indicators. Engagement by less advantaged groups should be promoted to avoid biases related to skewed populations.

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