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Curing Fragmentation With Integrated Delivery Systems: What They Do, What Has Blocked Them, Why We Need Them, and How to Get There From Here *

Alain Enthoven

in The Fragmentation of U.S. Health Care: Causes and Solutions

Published in print:
2010
Published Online:
May 2010
ISBN:
9780195390131
eISBN:
9780199775934
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780195390131.003.004
Subject:
Law, Medical Law

This chapter begins with a discussion of the fragmentation of health care delivery and its occurrence at two levels: with the individual patient, and at the community level. It then discusses ... More


Organization

Marc J. Roberts, William Hsiao, Peter Berman, and Michael R. Reich

in Getting Health Reform Right: A Guide to Improving Performance and Equity

Published in print:
2008
Published Online:
September 2009
ISBN:
9780195371505
eISBN:
9780199863839
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780195371505.003.0010
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

This chapter considers how government can influence the organization of the health-care delivery system. It begins by defining the meaning of “an organization”—as a provider of health-care ... More


A New Framework for Studying Stakeholder Alignment

David A. Shore and Eric D. Kupferberg

in High Stakes: The Critical Role of Stakeholders in Health Care

Published in print:
2011
Published Online:
September 2011
ISBN:
9780195326253
eISBN:
9780199897285
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780195326253.003.0033
Subject:
Public Health and Epidemiology, Public Health

Chapter 5 focused on the language of conflict in health care, and how a tone of war pervades health care delivery, including reimbursement negotiations. The language is part and parcel of a set of ... More


Health Status and the Public Health System in India

V. Sujatha

in Sociology of Health and Medicine: New Perspectives

Published in print:
2014
Published Online:
September 2014
ISBN:
9780198099130
eISBN:
9780199082995
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780198099130.003.0005
Subject:
Sociology, Health, Illness, and Medicine

This chapter we present sociologically significant aspects of the public health system under eight sections, broadly covering the themes: Health status of the population, Health care delivery and ... More


Our lives in Whose Hands?

Norman Daniels and James E. Sabin

in Setting Limits Fairly: Can we learn to share medical resources?

Published in print:
2002
Published Online:
September 2009
ISBN:
9780195149364
eISBN:
9780199865123
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780195149364.003.0001
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

This chapter begins with a brief discussion of the emergence of societal limits to health care. It then sets out the main approach of the book, which is to recast the problem of limit setting as a ... More


Organizational Systems Supporting Good Care and Ethical Practice

Nancy Berlinger, Bruce Jennings, and Susan M. Wolf

in The Hastings Center Guidelines for Decisions on Life-Sustaining Treatment and Care Near the End of Life: Revised and Expanded Second Edition

Published in print:
2013
Published Online:
September 2013
ISBN:
9780199974566
eISBN:
9780199333332
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199974566.003.0004
Subject:
Palliative Care, Patient Care and End-of-Life Decision Making

The quality of end-of-life care, and care for patients facing decisions about life-sustaining treatment relies on organizational systems as well as the knowledge, skills, and integrity of individual ... More


Opportunities, Barriers, and Underserved Communities

David Clark

in Transforming the Culture of Dying: The Work of the Project on Death in America

Published in print:
2013
Published Online:
September 2013
ISBN:
9780199311613
eISBN:
9780199344925
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199311613.003.0005
Subject:
Palliative Care, Palliative Medicine and Older People, Patient Care and End-of-Life Decision Making

This chapter discusses the PDIA board's policy work and its growing commitment to the needs of disadvantaged and dispossessed individuals, groups, and communities. The PDIA board's early policy ... More


Current legislation on cross-border health care in the European Union

Hilko J. Meyer

in The Globalization of Health Care: Legal and Ethical Issues

Published in print:
2013
Published Online:
May 2013
ISBN:
9780199917907
eISBN:
9780199332878
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199917907.003.0005
Subject:
Law, Medical Law

This chapter elaborates the fragmentation of health care delivery systems in the European Union (EU). It reviews the content of the complex legal rules requiring EU Member States to reimburse ... More


Ethics and the social responsibility of institutions regarding resource allocation in health and social care: a US perspective

Mary Dombeck and Tobie Hittle Olsan

in Ethics: Contemporary challenges in health and social care

Published in print:
2007
Published Online:
March 2012
ISBN:
9781861347558
eISBN:
9781447302216
Item type:
chapter
Publisher:
Policy Press
DOI:
10.1332/policypress/9781861347558.003.0012
Subject:
Social Work, Health and Mental Health

This chapter discusses institutional responsibility regarding resource allocation. It examines the complexities of the US health care system by describing four contexts of health care delivery, their ... More


The convergence of nano-, bio-, and information technologies in healthcare

Nicola Pangher

in The Economics of New Health Technologies: Incentives, organization, and financing

Published in print:
2009
Published Online:
February 2010
ISBN:
9780199550685
eISBN:
9780191720543
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199550685.003.0011
Subject:
Public Health and Epidemiology, Public Health

This chapter describes the nature of revolutionary new health technologies, and their potential application and innovation in health care delivery. It focuses on the challenges that these ... More


The Challenge to Change: Reforming Health Care on the Front Line in the United States and the United Kingdom

Rebecca Kolins Givan

Published in print:
2016
Published Online:
January 2017
ISBN:
9780801450051
eISBN:
9781501706028
Item type:
book
Publisher:
Cornell University Press
DOI:
10.7591/cornell/9780801450051.001.0001
Subject:
Sociology, Health, Illness, and Medicine

There is constant pressure on hospitals to improve health care delivery and increase cost effectiveness. New initiatives are the order of the day in the dramatically different health care systems of ... More


Social Infrastructure: Health and Education

H. Ramachandran

in Economic Geography: Volume 2: Urbanization, Industry, and Development

Published in print:
2016
Published Online:
September 2016
ISBN:
9780199458424
eISBN:
9780199086764
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199458424.003.0005
Subject:
Economics and Finance, South and East Asia

This chapter reviews research articles published on health and education sectors that have geographical dimension. The period covered is between 2002 and 2009 and includes journals in geography and ... More


Quasi-markets in healthcare

Julian Le Grand

in Making social policy work

Published in print:
2007
Published Online:
March 2012
ISBN:
9781861349583
eISBN:
9781447302742
Item type:
chapter
Publisher:
Policy Press
DOI:
10.1332/policypress/9781861349583.003.0007
Subject:
Social Work, Social Policy

This chapter examines quasi-markets in publicly funded systems of healthcare, particularly as they have developed in the UK in the last two decades. It begins with a brief review of the theory behind ... More


The Economic Value of Medical Research

Kevin M. Murphy and Robert H. Topel (eds)

in Measuring the Gains from Medical Research: An Economic Approach

Published in print:
2003
Published Online:
February 2013
ISBN:
9780226551784
eISBN:
9780226551791
Item type:
chapter
Publisher:
University of Chicago Press
DOI:
10.7208/chicago/9780226551791.003.0003
Subject:
Economics and Finance, Econometrics

This chapter evaluates the economic benefits of investing in medical research. It proposes a framework for valuing improvements in health and progress against disease, against which the costs of ... More


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