Kevin Brazil
- Published in print:
- 2008
- Published Online:
- November 2011
- ISBN:
- 9780199216901
- eISBN:
- 9780191730252
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199216901.003.0007
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Palliative Medicine Research
This chapter examines the considerations that must be made when assessing family carer perceptions on the quality of healthcare delivery at the end of life. It discusses the conceptual framework for ...
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This chapter examines the considerations that must be made when assessing family carer perceptions on the quality of healthcare delivery at the end of life. It discusses the conceptual framework for evaluating the quality of palliative care developed by Avis Donabedian and analyses the ethical considerations in assessing family carer satisfaction. The findings reveal that family carer satisfaction with care is a key outcome variable for evaluating the quality of palliative care. However, given the limitations of existing measures of quality of care, novel approaches to assessing quality and evaluating family carer perceptions of care should be developed.Less
This chapter examines the considerations that must be made when assessing family carer perceptions on the quality of healthcare delivery at the end of life. It discusses the conceptual framework for evaluating the quality of palliative care developed by Avis Donabedian and analyses the ethical considerations in assessing family carer satisfaction. The findings reveal that family carer satisfaction with care is a key outcome variable for evaluating the quality of palliative care. However, given the limitations of existing measures of quality of care, novel approaches to assessing quality and evaluating family carer perceptions of care should be developed.
Barak Richman, Daniel Grossman, and Frank Sloan
- Published in print:
- 2010
- Published Online:
- May 2010
- ISBN:
- 9780195390131
- eISBN:
- 9780199775934
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195390131.003.012
- Subject:
- Law, Medical Law
This chapter discusses consumption disparities in outpatient mental health services among a diverse insured working population. It first observes that despite paying equal insurance premiums and ...
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This chapter discusses consumption disparities in outpatient mental health services among a diverse insured working population. It first observes that despite paying equal insurance premiums and enjoying equal insurance coverage, lower-income and non-white workers consume fewer insurance benefits than their white and higher-income coworkers. It finds no evidence, however, that this disparity leads to adverse health outcomes. It additionally finds that non-whites and low-income individuals are more likely than their white and high-income counterparts to obtain mental health care from general practitioners rather than mental healthcare providers, and nearly twice as likely not to follow up with a mental health provider after hospitalization with a mental health diagnosis. These findings suggest that low-income and non-white individuals might be paying for health services that primarily benefit their white and more affluent coworkers. Many of these regressive consequences can be attributed to mental health insurance carve-outs, which are a product of the fragmented delivery of health care.Less
This chapter discusses consumption disparities in outpatient mental health services among a diverse insured working population. It first observes that despite paying equal insurance premiums and enjoying equal insurance coverage, lower-income and non-white workers consume fewer insurance benefits than their white and higher-income coworkers. It finds no evidence, however, that this disparity leads to adverse health outcomes. It additionally finds that non-whites and low-income individuals are more likely than their white and high-income counterparts to obtain mental health care from general practitioners rather than mental healthcare providers, and nearly twice as likely not to follow up with a mental health provider after hospitalization with a mental health diagnosis. These findings suggest that low-income and non-white individuals might be paying for health services that primarily benefit their white and more affluent coworkers. Many of these regressive consequences can be attributed to mental health insurance carve-outs, which are a product of the fragmented delivery of health care.
William B. Bonvillian and Charles Weiss
- Published in print:
- 2015
- Published Online:
- August 2015
- ISBN:
- 9780199374519
- eISBN:
- 9780199374540
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199374519.003.0007
- Subject:
- Economics and Finance, Microeconomics
American higher education and healthcare delivery display classic features of legacy sectors. Higher education faces pressures to expand and lower its cost structure. Massive online open courses ...
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American higher education and healthcare delivery display classic features of legacy sectors. Higher education faces pressures to expand and lower its cost structure. Massive online open courses (MOOCs) have the potential to disrupt the paradigm of higher education, reinvigorating and putting it within reach of vastly more students at much lower cost. But a viable business model for MOOCs has yet to be developed, and there are limits to online teaching of discourse, advocacy, writing and lab research. The limitations of the pure MOOC model—high upfront costs, learning science limits, and the need to sustain university research—argue for a blended model that integrates both online MOOCs and face-to-face classrooms, applying neglected lessons from the science of learning. Healthcare delivery cost $3 trillion in 2014 but fails to deliver quality healthcare to 15% of the population. It suffers from a legacy price structure that favors procedures rather than prevention, and a payment system based on fee-for-service, not fee-for-quality.Less
American higher education and healthcare delivery display classic features of legacy sectors. Higher education faces pressures to expand and lower its cost structure. Massive online open courses (MOOCs) have the potential to disrupt the paradigm of higher education, reinvigorating and putting it within reach of vastly more students at much lower cost. But a viable business model for MOOCs has yet to be developed, and there are limits to online teaching of discourse, advocacy, writing and lab research. The limitations of the pure MOOC model—high upfront costs, learning science limits, and the need to sustain university research—argue for a blended model that integrates both online MOOCs and face-to-face classrooms, applying neglected lessons from the science of learning. Healthcare delivery cost $3 trillion in 2014 but fails to deliver quality healthcare to 15% of the population. It suffers from a legacy price structure that favors procedures rather than prevention, and a payment system based on fee-for-service, not fee-for-quality.
William B. Rouse
- Published in print:
- 2021
- Published Online:
- February 2021
- ISBN:
- 9780198870999
- eISBN:
- 9780191914119
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/oso/9780198870999.003.0002
- Subject:
- Business and Management, Corporate Governance and Accountability, Innovation
This chapter broadens the perspective on causes of failures, enabling the deeper analyses of subsequent chapters addressing proximate, distal, and ultimate causes. The rich history of multi-level ...
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This chapter broadens the perspective on causes of failures, enabling the deeper analyses of subsequent chapters addressing proximate, distal, and ultimate causes. The rich history of multi-level analysis and modeling is briefly reviewed, citing key contributions by a wide range of research disciplines. Numerous applications of the multi-level framework in a variety of domains, including healthcare delivery, academia, traffic congestion, and air transport are discussed, including the insights gained from use of the framework. An overall methodology for applying this framework is presented and elaborated. The application of this methodology to the line of reasoning throughout this book is summarized.Less
This chapter broadens the perspective on causes of failures, enabling the deeper analyses of subsequent chapters addressing proximate, distal, and ultimate causes. The rich history of multi-level analysis and modeling is briefly reviewed, citing key contributions by a wide range of research disciplines. Numerous applications of the multi-level framework in a variety of domains, including healthcare delivery, academia, traffic congestion, and air transport are discussed, including the insights gained from use of the framework. An overall methodology for applying this framework is presented and elaborated. The application of this methodology to the line of reasoning throughout this book is summarized.
Theodore R. Marmor, Richard Freeman, and Kieke G. H. Okma
- Published in print:
- 2009
- Published Online:
- October 2013
- ISBN:
- 9780300149838
- eISBN:
- 9780300155952
- Item type:
- book
- Publisher:
- Yale University Press
- DOI:
- 10.12987/yale/9780300149838.001.0001
- Subject:
- Political Science, Comparative Politics
This book offers a timely account of health reform struggles in developed democracies. The editors, leading experts in the field, have brought together a group of distinguished scholars to explore ...
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This book offers a timely account of health reform struggles in developed democracies. The editors, leading experts in the field, have brought together a group of distinguished scholars to explore the ambitions and realities of health care regulation, financing, and delivery across countries. These wide-ranging essays cover policy debates and reforms in Canada, Germany, Holland, the United Kingdom, and the United States, as well as separate treatments of some of the most prominent issues confronting policy makers. These include primary care, hospital care, long-term care, pharmaceutical policy, and private health insurance. The authors are attentive throughout to the ways in which cross-national, comparative research may inform national policy debates not only under the Obama administration, but also across the world.Less
This book offers a timely account of health reform struggles in developed democracies. The editors, leading experts in the field, have brought together a group of distinguished scholars to explore the ambitions and realities of health care regulation, financing, and delivery across countries. These wide-ranging essays cover policy debates and reforms in Canada, Germany, Holland, the United Kingdom, and the United States, as well as separate treatments of some of the most prominent issues confronting policy makers. These include primary care, hospital care, long-term care, pharmaceutical policy, and private health insurance. The authors are attentive throughout to the ways in which cross-national, comparative research may inform national policy debates not only under the Obama administration, but also across the world.
Samia A. Hurst
- Published in print:
- 2014
- Published Online:
- November 2014
- ISBN:
- 9780199989447
- eISBN:
- 9780190207489
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199989447.003.0003
- Subject:
- Philosophy, Moral Philosophy
This chapter provides an overview of the Swiss health care system and of discussions regarding priority setting in Switzerland, in order to provide some background for the interpretation of responses ...
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This chapter provides an overview of the Swiss health care system and of discussions regarding priority setting in Switzerland, in order to provide some background for the interpretation of responses of Swiss physicians to the Values at the Bedside survey. Responding Swiss doctors reported a high degree of freedom, a high availability of resources, but also high pressure to ration, and also reported the highest rate of physician bedside rationing among the four study countries. This finding contradicts the hypothesis that physician bedside rationing is the result of centralized rules. The Swiss context highlights the fact that a market-based and well-financed health care system will generate physician rationing despite expectations to the contrary. It will, however, be of a different kind: more individualized but also more implicit.Less
This chapter provides an overview of the Swiss health care system and of discussions regarding priority setting in Switzerland, in order to provide some background for the interpretation of responses of Swiss physicians to the Values at the Bedside survey. Responding Swiss doctors reported a high degree of freedom, a high availability of resources, but also high pressure to ration, and also reported the highest rate of physician bedside rationing among the four study countries. This finding contradicts the hypothesis that physician bedside rationing is the result of centralized rules. The Swiss context highlights the fact that a market-based and well-financed health care system will generate physician rationing despite expectations to the contrary. It will, however, be of a different kind: more individualized but also more implicit.
