Adam D. Reich
- Published in print:
- 2014
- Published Online:
- October 2017
- ISBN:
- 9780691160405
- eISBN:
- 9781400850372
- Item type:
- chapter
- Publisher:
- Princeton University Press
- DOI:
- 10.23943/princeton/9780691160405.003.0011
- Subject:
- Sociology, Health, Illness, and Medicine
This book explores the contradictions between the mission of hospital care and the market for it. It shows how market forces and market actors have become increasingly important to contemporary ...
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This book explores the contradictions between the mission of hospital care and the market for it. It shows how market forces and market actors have become increasingly important to contemporary hospital practice, and yet the commodification of hospital care in the United States remains uneven and incomplete. While they compete in a competitive marketplace, many hospitals—and the people within them—work to sustain social values that sit in uneasy tension with this market. In order to understand these contradictions, the book examines not only the broad sets of rules and regulations through which the market for hospital care is structured, but also the meanings, practices, and people that make up the hospital itself. The focus is on three hospitals located in Las Lomas, California—PubliCare Hospital, HolyCare Hospital, and GroupCare Hospital—and their ongoing struggle with the contradictory nature of the commodification of hospital care.Less
This book explores the contradictions between the mission of hospital care and the market for it. It shows how market forces and market actors have become increasingly important to contemporary hospital practice, and yet the commodification of hospital care in the United States remains uneven and incomplete. While they compete in a competitive marketplace, many hospitals—and the people within them—work to sustain social values that sit in uneasy tension with this market. In order to understand these contradictions, the book examines not only the broad sets of rules and regulations through which the market for hospital care is structured, but also the meanings, practices, and people that make up the hospital itself. The focus is on three hospitals located in Las Lomas, California—PubliCare Hospital, HolyCare Hospital, and GroupCare Hospital—and their ongoing struggle with the contradictory nature of the commodification of hospital care.
Adam D. Reich
- Published in print:
- 2014
- Published Online:
- October 2017
- ISBN:
- 9780691160405
- eISBN:
- 9781400850372
- Item type:
- chapter
- Publisher:
- Princeton University Press
- DOI:
- 10.23943/princeton/9780691160405.003.0004
- Subject:
- Sociology, Health, Illness, and Medicine
This chapter examines the role played by chaplains at HolyCare Hospital's Department of Mission Integration and Spiritual Care. The Department of Mission Integration and Spiritual Care was ...
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This chapter examines the role played by chaplains at HolyCare Hospital's Department of Mission Integration and Spiritual Care. The Department of Mission Integration and Spiritual Care was responsible for maintaining the “emotional and spiritual well-being” of patients as well as for elevating the spiritual dimensions of the hospital as a whole. In the face of market pressures, Amanda Roberts, a chaplain at HolyCare Hospital, admitted that “it can feel as though the spirit or the heart of the place is getting dried out.” The market jeopardized those parts of hospital care that, in her mind, were most central to healing. The chapter considers how HolyCare Hospital wrestled with the relationship between the market for care and the meaning of care. It shows that the Catholic values at HolyCare Hospital had economic value, and that the hospital's marketing strategy merged seamlessly with its religious identity.Less
This chapter examines the role played by chaplains at HolyCare Hospital's Department of Mission Integration and Spiritual Care. The Department of Mission Integration and Spiritual Care was responsible for maintaining the “emotional and spiritual well-being” of patients as well as for elevating the spiritual dimensions of the hospital as a whole. In the face of market pressures, Amanda Roberts, a chaplain at HolyCare Hospital, admitted that “it can feel as though the spirit or the heart of the place is getting dried out.” The market jeopardized those parts of hospital care that, in her mind, were most central to healing. The chapter considers how HolyCare Hospital wrestled with the relationship between the market for care and the meaning of care. It shows that the Catholic values at HolyCare Hospital had economic value, and that the hospital's marketing strategy merged seamlessly with its religious identity.
Adam D. Reich
- Published in print:
- 2014
- Published Online:
- October 2017
- ISBN:
- 9780691160405
- eISBN:
- 9781400850372
- Item type:
- chapter
- Publisher:
- Princeton University Press
- DOI:
- 10.23943/princeton/9780691160405.003.0010
- Subject:
- Sociology, Health, Illness, and Medicine
This book has examined the commodification of hospital care in the United States. It has looked at PubliCare Hospital, HolyCare Hospital, and GroupCare Hospital to highlight the contradictions ...
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This book has examined the commodification of hospital care in the United States. It has looked at PubliCare Hospital, HolyCare Hospital, and GroupCare Hospital to highlight the contradictions between the mission of hospital care and the market for it. If PubliCare is reminiscent of the hospital's past, and HolyCare is indicative of health care's present, then GroupCare seems to anticipate health care's future. This concluding chapter considers some of the changes in the U.S. health care market and cites the impact of the Patient Protection and Affordable Care Act (PPACA, 2010). For example, the law imposes important new regulations on the insurance industry and promotes and incentivizes “evidence-based” medicine. The chapter argues that while PPACA certainly changes the market for hospital care, it does not resolve the market's contradictions. It also reflects on future prospects for hospitals and hospital care.Less
This book has examined the commodification of hospital care in the United States. It has looked at PubliCare Hospital, HolyCare Hospital, and GroupCare Hospital to highlight the contradictions between the mission of hospital care and the market for it. If PubliCare is reminiscent of the hospital's past, and HolyCare is indicative of health care's present, then GroupCare seems to anticipate health care's future. This concluding chapter considers some of the changes in the U.S. health care market and cites the impact of the Patient Protection and Affordable Care Act (PPACA, 2010). For example, the law imposes important new regulations on the insurance industry and promotes and incentivizes “evidence-based” medicine. The chapter argues that while PPACA certainly changes the market for hospital care, it does not resolve the market's contradictions. It also reflects on future prospects for hospitals and hospital care.
Nick Bosanquet and Chris Salisbury
- Published in print:
- 1999
- Published Online:
- November 2011
- ISBN:
- 9780192629913
- eISBN:
- 9780191730153
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780192629913.003.0011
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Palliative Medicine Research
This chapter focuses on consumer preference for, and satisfaction with, the different types of palliative care. The term ‘consumer’ in palliative care refers to the patients, families, friends, and ...
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This chapter focuses on consumer preference for, and satisfaction with, the different types of palliative care. The term ‘consumer’ in palliative care refers to the patients, families, friends, and informal carers. The focus of the chapter is confined to the views of patients and ‘informal care-givers’, which may include families, friends, and relatives. The topics discussed are the concept and methods of measuring satisfaction, satisfaction and opinions in in-patient hospice care in the UK and US, satisfaction and opinions in the hospice home care services in the UK and US, and satisfaction and opinions in the specialist outreach services in the community. The chapter also provides a comparative study of consumer views on hospital and community care.Less
This chapter focuses on consumer preference for, and satisfaction with, the different types of palliative care. The term ‘consumer’ in palliative care refers to the patients, families, friends, and informal carers. The focus of the chapter is confined to the views of patients and ‘informal care-givers’, which may include families, friends, and relatives. The topics discussed are the concept and methods of measuring satisfaction, satisfaction and opinions in in-patient hospice care in the UK and US, satisfaction and opinions in the hospice home care services in the UK and US, and satisfaction and opinions in the specialist outreach services in the community. The chapter also provides a comparative study of consumer views on hospital and community care.
Adam D. Reich
- Published in print:
- 2014
- Published Online:
- October 2017
- ISBN:
- 9780691160405
- eISBN:
- 9781400850372
- Item type:
- chapter
- Publisher:
- Princeton University Press
- DOI:
- 10.23943/princeton/9780691160405.003.0007
- Subject:
- Sociology, Health, Illness, and Medicine
This chapter examines a paradox of GroupCare Hospital's palliative care program. On the one hand, GroupCare created a space for intimacy, honesty, and personal connection that has become exceedingly ...
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This chapter examines a paradox of GroupCare Hospital's palliative care program. On the one hand, GroupCare created a space for intimacy, honesty, and personal connection that has become exceedingly rare in the U.S. medical system. On the other hand, GroupCare considered the palliative care program to be consistent with its goal of “appropriate utilization” and likely would not have invested such resources in the program had it not been seen as economically efficient. This chapter shows that the staff at GroupCare tended to believe that through evidence-based medicine, technical savvy, and systems integration, it could make the mission of health care and the market for health care consistent with and supportive of one another. It also considers how GroupCare seemed to have succeeded in taming the market for hospital care and aligning the health of its membership with the economic interests of the organization and the practitioners within it.Less
This chapter examines a paradox of GroupCare Hospital's palliative care program. On the one hand, GroupCare created a space for intimacy, honesty, and personal connection that has become exceedingly rare in the U.S. medical system. On the other hand, GroupCare considered the palliative care program to be consistent with its goal of “appropriate utilization” and likely would not have invested such resources in the program had it not been seen as economically efficient. This chapter shows that the staff at GroupCare tended to believe that through evidence-based medicine, technical savvy, and systems integration, it could make the mission of health care and the market for health care consistent with and supportive of one another. It also considers how GroupCare seemed to have succeeded in taming the market for hospital care and aligning the health of its membership with the economic interests of the organization and the practitioners within it.
Amy S. Kelley, Daniel J. Fischberg, and R. Sean Morrison
- Published in print:
- 2012
- Published Online:
- May 2012
- ISBN:
- 9780199599400
- eISBN:
- 9780191739170
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199599400.003.0060
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Palliative Medicine Research
This chapter discusses hospital-based palliative care programmes. There are rapid advances in medical therapies and, partly as a result, meeting the care needs of patients in palliative care is ...
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This chapter discusses hospital-based palliative care programmes. There are rapid advances in medical therapies and, partly as a result, meeting the care needs of patients in palliative care is becoming increasingly complex and technical. Palliative care (or palliative medicine) is increasingly becoming a medical specialty and hospital-based palliative care programmes have, as a result, become more important. The organization of palliative care services in hospitals, with a particular focus on the USA, and its impact on patient outcomes and health care costs, is discussed, as are the challenges hospital palliative care programmes may face in the future.Less
This chapter discusses hospital-based palliative care programmes. There are rapid advances in medical therapies and, partly as a result, meeting the care needs of patients in palliative care is becoming increasingly complex and technical. Palliative care (or palliative medicine) is increasingly becoming a medical specialty and hospital-based palliative care programmes have, as a result, become more important. The organization of palliative care services in hospitals, with a particular focus on the USA, and its impact on patient outcomes and health care costs, is discussed, as are the challenges hospital palliative care programmes may face in the future.
Adam D. Reich
- Published in print:
- 2014
- Published Online:
- October 2017
- ISBN:
- 9780691160405
- eISBN:
- 9781400850372
- Item type:
- book
- Publisher:
- Princeton University Press
- DOI:
- 10.23943/princeton/9780691160405.001.0001
- Subject:
- Sociology, Health, Illness, and Medicine
This book explores the contradictions inherent in one particular health care market—hospital care. Based on extensive interviews and observations across the three hospitals of one California city, ...
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This book explores the contradictions inherent in one particular health care market—hospital care. Based on extensive interviews and observations across the three hospitals of one California city, the book examines the tensions embedded in the market for hospital care, how different hospitals manage these tensions, the historical trajectories driving disparities in contemporary hospital practice, and the perils and possibilities of various models of care. The book's three featured hospitals could not be more different in background or contemporary practice. PubliCare Hospital was founded in the late nineteenth century as an almshouse in order to address the needs of the destitute. HolyCare Hospital was founded by an order of nuns in the mid-twentieth century, offering spiritual comfort to the paying patient. And GroupCare Hospital was founded in the late twentieth century to rationalize and economize care for middle-class patients and their employers. The book explains how these legacies play out today in terms of the hospitals' different responses to similar market pressures, and the varieties of care that result. The book is an in-depth investigation into how hospital organizations and the people who work in them make sense of and respond to the modern health care market.Less
This book explores the contradictions inherent in one particular health care market—hospital care. Based on extensive interviews and observations across the three hospitals of one California city, the book examines the tensions embedded in the market for hospital care, how different hospitals manage these tensions, the historical trajectories driving disparities in contemporary hospital practice, and the perils and possibilities of various models of care. The book's three featured hospitals could not be more different in background or contemporary practice. PubliCare Hospital was founded in the late nineteenth century as an almshouse in order to address the needs of the destitute. HolyCare Hospital was founded by an order of nuns in the mid-twentieth century, offering spiritual comfort to the paying patient. And GroupCare Hospital was founded in the late twentieth century to rationalize and economize care for middle-class patients and their employers. The book explains how these legacies play out today in terms of the hospitals' different responses to similar market pressures, and the varieties of care that result. The book is an in-depth investigation into how hospital organizations and the people who work in them make sense of and respond to the modern health care market.
Adam D. Reich
- Published in print:
- 2014
- Published Online:
- October 2017
- ISBN:
- 9780691160405
- eISBN:
- 9781400850372
- Item type:
- chapter
- Publisher:
- Princeton University Press
- DOI:
- 10.23943/princeton/9780691160405.003.0005
- Subject:
- Sociology, Health, Illness, and Medicine
This chapter examines the link between Emergency Medical Incorporated's financial success and the quality of hospital care it ultimately was able to provide. Emergency Medical Incorporated, one of ...
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This chapter examines the link between Emergency Medical Incorporated's financial success and the quality of hospital care it ultimately was able to provide. Emergency Medical Incorporated, one of the nation's largest contract management groups, held the contract for the emergency department at HolyCare Hospital. The company managed the scheduling, billing, and workflow of the emergency medicine physicians, who were technically “independent contractors” with the company. It also provided them with medical malpractice insurance and helped them minimize legal risk. The chapter considers the billing practices of HolyCare doctors and the effects of physicians' individualism on the quality of care at HolyCare. It shows that entrepreneurship was structured within larger organizations (from the physicians' group to the hospital itself) that also profited from doctors' profiteering.Less
This chapter examines the link between Emergency Medical Incorporated's financial success and the quality of hospital care it ultimately was able to provide. Emergency Medical Incorporated, one of the nation's largest contract management groups, held the contract for the emergency department at HolyCare Hospital. The company managed the scheduling, billing, and workflow of the emergency medicine physicians, who were technically “independent contractors” with the company. It also provided them with medical malpractice insurance and helped them minimize legal risk. The chapter considers the billing practices of HolyCare doctors and the effects of physicians' individualism on the quality of care at HolyCare. It shows that entrepreneurship was structured within larger organizations (from the physicians' group to the hospital itself) that also profited from doctors' profiteering.
Patricia J. Volland and David M. Keepnews
- Published in print:
- 2006
- Published Online:
- April 2010
- ISBN:
- 9780195173727
- eISBN:
- 9780199893218
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195173727.003.0034
- Subject:
- Social Work, Health and Mental Health
This chapter aims to inform readers about the health care delivery landscape, with a specific focus on inpatient hospital settings. It briefly describes older adults' use of acute care settings and ...
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This chapter aims to inform readers about the health care delivery landscape, with a specific focus on inpatient hospital settings. It briefly describes older adults' use of acute care settings and the types of hospitals providing acute care, examines the payment mechanisms that older adults use to pay for this care, and outlines what special concerns older adults and their families have about acute hospital care. The chapter also includes an overview of the organization and delivery of social worker services in these hospitals.Less
This chapter aims to inform readers about the health care delivery landscape, with a specific focus on inpatient hospital settings. It briefly describes older adults' use of acute care settings and the types of hospitals providing acute care, examines the payment mechanisms that older adults use to pay for this care, and outlines what special concerns older adults and their families have about acute hospital care. The chapter also includes an overview of the organization and delivery of social worker services in these hospitals.
Michael W. Dols and Diana E. Immisch
- Published in print:
- 1992
- Published Online:
- October 2011
- ISBN:
- 9780198202219
- eISBN:
- 9780191675218
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198202219.003.0007
- Subject:
- History, World Medieval History, History of Science, Technology, and Medicine
This chapter deals with the rare historical descriptions of the care of the insane. The treatment of medical madness has been discussed under three sub-topics: hospital care, family care, and ...
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This chapter deals with the rare historical descriptions of the care of the insane. The treatment of medical madness has been discussed under three sub-topics: hospital care, family care, and psychotherapy. This chapter traces the historical evolution of Islamic hospitals and the wards for the insane in them. Among the hospitals that appeared throughout the Islamic world, perhaps the most famous one was the one created in Cairo by the Egyptian sultan al-Man∼ur Qala'un.Less
This chapter deals with the rare historical descriptions of the care of the insane. The treatment of medical madness has been discussed under three sub-topics: hospital care, family care, and psychotherapy. This chapter traces the historical evolution of Islamic hospitals and the wards for the insane in them. Among the hospitals that appeared throughout the Islamic world, perhaps the most famous one was the one created in Cairo by the Egyptian sultan al-Man∼ur Qala'un.
Kieke G. H. Okma and Michael B. Decter
- Published in print:
- 2009
- Published Online:
- October 2013
- ISBN:
- 9780300149838
- eISBN:
- 9780300155952
- Item type:
- chapter
- Publisher:
- Yale University Press
- DOI:
- 10.12987/yale/9780300149838.003.0008
- Subject:
- Political Science, Comparative Politics
Hospitals across countries face common pressures of changing ideology, shifting consumer demand, and financial and budgetary pressure. This chapter addresses the question of whether such common ...
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Hospitals across countries face common pressures of changing ideology, shifting consumer demand, and financial and budgetary pressure. This chapter addresses the question of whether such common pressure also leads to similar policy directions and organizational change. It examines the experience of five industrialized countries: the United States, Canada, Germany, the Netherlands, and the United Kingdom.Less
Hospitals across countries face common pressures of changing ideology, shifting consumer demand, and financial and budgetary pressure. This chapter addresses the question of whether such common pressure also leads to similar policy directions and organizational change. It examines the experience of five industrialized countries: the United States, Canada, Germany, the Netherlands, and the United Kingdom.
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.
Elizabeth L. Sampson
- Published in print:
- 2009
- Published Online:
- November 2011
- ISBN:
- 9780199554133
- eISBN:
- 9780191730269
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199554133.003.0013
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Pain Management and Palliative Pharmacology
This chapter begins by addressing the following questions: How common is dementia in the acute hospital? Why are people with dementia admitted to the acute hospital? It then discusses the clinical ...
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This chapter begins by addressing the following questions: How common is dementia in the acute hospital? Why are people with dementia admitted to the acute hospital? It then discusses the clinical characteristics of people with dementia admitted to the acute hospital, their experience, and the impact of dementia on outcomes in the acute hospital. This is followed by a discussion on improving acute hospital care for people with dementia.Less
This chapter begins by addressing the following questions: How common is dementia in the acute hospital? Why are people with dementia admitted to the acute hospital? It then discusses the clinical characteristics of people with dementia admitted to the acute hospital, their experience, and the impact of dementia on outcomes in the acute hospital. This is followed by a discussion on improving acute hospital care for people with dementia.
Peter Pitcher and Carol Davis
- Published in print:
- 2001
- Published Online:
- November 2011
- ISBN:
- 9780192629609
- eISBN:
- 9780191730054
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780192629609.003.0014
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making
This chapter addresses the needs of patients dying from progressive non-malignant diseases and those of patients living with non-malignant diseases in the acute hospital setting, and discusses the ...
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This chapter addresses the needs of patients dying from progressive non-malignant diseases and those of patients living with non-malignant diseases in the acute hospital setting, and discusses the challenges that these patients present. Three perspectives run as vertical threads through the chapter, that of the patient and the family, that of non-specialist staff, and that of specialist palliative care staff. The study is limited by the lack of formal trials of palliative care for patients with non-malignant disease in the acute hospital setting. Thus, the authors also reflect on their experiences as members of an interdisciplinary hospital palliative care team. Where necessary, they have made considered extrapolations from the literature on palliative care for cancer patients in the acute hospital and other settings.Less
This chapter addresses the needs of patients dying from progressive non-malignant diseases and those of patients living with non-malignant diseases in the acute hospital setting, and discusses the challenges that these patients present. Three perspectives run as vertical threads through the chapter, that of the patient and the family, that of non-specialist staff, and that of specialist palliative care staff. The study is limited by the lack of formal trials of palliative care for patients with non-malignant disease in the acute hospital setting. Thus, the authors also reflect on their experiences as members of an interdisciplinary hospital palliative care team. Where necessary, they have made considered extrapolations from the literature on palliative care for cancer patients in the acute hospital and other settings.
Derek Doyle, David Jeffrey, and Kenneth Calman
- Published in print:
- 2000
- Published Online:
- November 2011
- ISBN:
- 9780192632272
- eISBN:
- 9780191730245
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780192632272.003.0009
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Pain Management and Palliative Pharmacology
This chapter discusses the positive and negative aspects of home care, hospice care, and hospital care. It also discusses the pros and cons of dying in one's home, in a hospital, or in a hospice. The ...
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This chapter discusses the positive and negative aspects of home care, hospice care, and hospital care. It also discusses the pros and cons of dying in one's home, in a hospital, or in a hospice. The research presented in the chapter discovered that while patients often opt for palliative care at home, few actually wanted to die in their own beds. It also showed that much as the relatives want to care for the patients at home, many of them do not want death in the home. Finally, the research also showed that the death of the patient largely did not depend on the number of professionals providing palliative care within the home setting; rather, it was dependent on the quality of care offered at home, both to patients and the carers.Less
This chapter discusses the positive and negative aspects of home care, hospice care, and hospital care. It also discusses the pros and cons of dying in one's home, in a hospital, or in a hospice. The research presented in the chapter discovered that while patients often opt for palliative care at home, few actually wanted to die in their own beds. It also showed that much as the relatives want to care for the patients at home, many of them do not want death in the home. Finally, the research also showed that the death of the patient largely did not depend on the number of professionals providing palliative care within the home setting; rather, it was dependent on the quality of care offered at home, both to patients and the carers.
Arthur Sensenig and Ernest Wilcox
- Published in print:
- 2001
- Published Online:
- February 2013
- ISBN:
- 9780226132266
- eISBN:
- 9780226132303
- Item type:
- chapter
- Publisher:
- University of Chicago Press
- DOI:
- 10.7208/chicago/9780226132303.003.0008
- Subject:
- Economics and Finance, Econometrics
The Health Care Financing Administration (HCFA), an agency of the Department of Health and Human Services, in its National Health Accounts (NHA), and the Bureau of Economic Analysis (BEA), an agency ...
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The Health Care Financing Administration (HCFA), an agency of the Department of Health and Human Services, in its National Health Accounts (NHA), and the Bureau of Economic Analysis (BEA), an agency of the Department of Commerce, in its National Income and Product Accounts (NIPA), each publish national data on expenditures for health care. The NHA show the interaction between health care services and funding sources and how these relationships change over time, while the NIPA provide an up-to-date, overall view of domestic and national production, its distribution, and its use as shown by the interrelated receipts and expenditures of producers, consumers, investors, government, and the foreign suppliers and customers of the United States. In an effort to improve the consistency of these two sets of estimates, HCFA and BEA are engaged in a joint program to reconcile the health care estimates in the NHA and in the NIPA. This chapter focuses on the reconciliation of hospital care and physician services.Less
The Health Care Financing Administration (HCFA), an agency of the Department of Health and Human Services, in its National Health Accounts (NHA), and the Bureau of Economic Analysis (BEA), an agency of the Department of Commerce, in its National Income and Product Accounts (NIPA), each publish national data on expenditures for health care. The NHA show the interaction between health care services and funding sources and how these relationships change over time, while the NIPA provide an up-to-date, overall view of domestic and national production, its distribution, and its use as shown by the interrelated receipts and expenditures of producers, consumers, investors, government, and the foreign suppliers and customers of the United States. In an effort to improve the consistency of these two sets of estimates, HCFA and BEA are engaged in a joint program to reconcile the health care estimates in the NHA and in the NIPA. This chapter focuses on the reconciliation of hospital care and physician services.
Nancy Berlinger, Bruce Jennings, and Susan M. Wolf
- Published in print:
- 2013
- Published Online:
- September 2013
- ISBN:
- 9780199974566
- eISBN:
- 9780199333332
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199974566.003.0009
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making
During the course of illness, many patients move between care settings. They may be hospitalized to receive some forms of medical treatment or to treat pain, symptoms, treatment side effects, or ...
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During the course of illness, many patients move between care settings. They may be hospitalized to receive some forms of medical treatment or to treat pain, symptoms, treatment side effects, or acute episodes of illness. They may also receive care in nonhospital settings, such as a nursing home, the home of the patient or a loved one, or a residential hospice. This section discusses guidelines for care transitions. It covers general guidelines for hand-offs between professionals and transfers across care settings; guidelines on care transitions for nursing home residents; guidelines on portable medical orders; guidelines on discharge planning and collaboration with nursing homes, home care, hospice, and outpatient care; and guidelines on care transitions for patients who will die in the hospital.Less
During the course of illness, many patients move between care settings. They may be hospitalized to receive some forms of medical treatment or to treat pain, symptoms, treatment side effects, or acute episodes of illness. They may also receive care in nonhospital settings, such as a nursing home, the home of the patient or a loved one, or a residential hospice. This section discusses guidelines for care transitions. It covers general guidelines for hand-offs between professionals and transfers across care settings; guidelines on care transitions for nursing home residents; guidelines on portable medical orders; guidelines on discharge planning and collaboration with nursing homes, home care, hospice, and outpatient care; and guidelines on care transitions for patients who will die in the hospital.
Martin Gorsky, John Mohan, and Tim Willis
- Published in print:
- 2006
- Published Online:
- July 2012
- ISBN:
- 9780719065781
- eISBN:
- 9781781701423
- Item type:
- book
- Publisher:
- Manchester University Press
- DOI:
- 10.7228/manchester/9780719065781.001.0001
- Subject:
- Political Science, UK Politics
This book presents a comprehensive account of a major innovation in hospital funding before the NHS. The voluntary hospitals, which provided the bulk of Britain’s acute hospital services, diversified ...
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This book presents a comprehensive account of a major innovation in hospital funding before the NHS. The voluntary hospitals, which provided the bulk of Britain’s acute hospital services, diversified their financial base by establishing hospital contributory schemes. Through these, working people subscribed small, regular amounts to their local hospitals, in return for which they were eligible for free hospital care. The book evaluates the extent to which the schemes were successful in achieving comprehensive coverage of the population, funding hospital services, and broadening opportunities for participation in the governance of health care and for the expression of consumer views. It then explores why the option of funding the post-war NHS through mass contribution was rejected, and traces the transformation of the surviving schemes into health cash plans. This is a substantial investigation into the attractions and limitations of mutualism in health care. It is relevant to debates about organisational innovations in the delivery of welfare services.Less
This book presents a comprehensive account of a major innovation in hospital funding before the NHS. The voluntary hospitals, which provided the bulk of Britain’s acute hospital services, diversified their financial base by establishing hospital contributory schemes. Through these, working people subscribed small, regular amounts to their local hospitals, in return for which they were eligible for free hospital care. The book evaluates the extent to which the schemes were successful in achieving comprehensive coverage of the population, funding hospital services, and broadening opportunities for participation in the governance of health care and for the expression of consumer views. It then explores why the option of funding the post-war NHS through mass contribution was rejected, and traces the transformation of the surviving schemes into health cash plans. This is a substantial investigation into the attractions and limitations of mutualism in health care. It is relevant to debates about organisational innovations in the delivery of welfare services.
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 ...
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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 the United States and Great Britain. Often these efforts are not successful. This book analyzes the successes and failures of efforts to improve hospitals and explains what factors make it likely that the implementation of reforms will be rewarded by positive transformation in a particular institution's day-to-day operation. The book's in-depth qualitative case studies of both top-down initiatives and changes first suggested by staff on the front lines of care point clearly to the importance of all hospital workers in effecting change and even influencing national policy. The book illuminates the critical role of workers, managers, and unions in enabling or constraining changes in policies and procedures and ensuring their implementation. It spotlights an Anglo-American model of hospital care and work organization, even while these countries retain their differences in access and payment. Entrenched professional roles, hierarchical workplace organization, and the sometimes-detached view of policymakers all shape the prospects for change in hospitals. The book provides important examples of how the dedication and imagination of the people who work in hospitals can make all the difference when it comes to providing quality health care even in a challenging economic environment.Less
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 the United States and Great Britain. Often these efforts are not successful. This book analyzes the successes and failures of efforts to improve hospitals and explains what factors make it likely that the implementation of reforms will be rewarded by positive transformation in a particular institution's day-to-day operation. The book's in-depth qualitative case studies of both top-down initiatives and changes first suggested by staff on the front lines of care point clearly to the importance of all hospital workers in effecting change and even influencing national policy. The book illuminates the critical role of workers, managers, and unions in enabling or constraining changes in policies and procedures and ensuring their implementation. It spotlights an Anglo-American model of hospital care and work organization, even while these countries retain their differences in access and payment. Entrenched professional roles, hierarchical workplace organization, and the sometimes-detached view of policymakers all shape the prospects for change in hospitals. The book provides important examples of how the dedication and imagination of the people who work in hospitals can make all the difference when it comes to providing quality health care even in a challenging economic environment.
Julie K. Brown
- Published in print:
- 2009
- Published Online:
- August 2013
- ISBN:
- 9780262026574
- eISBN:
- 9780262258630
- Item type:
- chapter
- Publisher:
- The MIT Press
- DOI:
- 10.7551/mitpress/9780262026574.003.0006
- Subject:
- History, History of Science, Technology, and Medicine
The 1904 Louisiana Purchase Exposition, held in St. Louis, Missouri, featured rich and extensive exhibits of social economy and health. Aside from exhibits found in the Education and Social Economy ...
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The 1904 Louisiana Purchase Exposition, held in St. Louis, Missouri, featured rich and extensive exhibits of social economy and health. Aside from exhibits found in the Education and Social Economy building, there were important related exhibits in the New York City building, the Model Town Hall, the Liberal Arts building, and various foreign buildings. This chapter examines a select group of exhibits related to health and medicine, focusing on the official exhibition theme of “life and motion.” A notable exhibit format was the “Proposed Plan of the Municipal Art and Science Exhibit” by Albert Kelsey, a Philadelphia architect and municipal reformer. There were also exhibits on urban tenements and employer-provided workers’ housing, on hygiene and public health, and on hospital care, mental health, tuberculosis, and pathology/anatomy.Less
The 1904 Louisiana Purchase Exposition, held in St. Louis, Missouri, featured rich and extensive exhibits of social economy and health. Aside from exhibits found in the Education and Social Economy building, there were important related exhibits in the New York City building, the Model Town Hall, the Liberal Arts building, and various foreign buildings. This chapter examines a select group of exhibits related to health and medicine, focusing on the official exhibition theme of “life and motion.” A notable exhibit format was the “Proposed Plan of the Municipal Art and Science Exhibit” by Albert Kelsey, a Philadelphia architect and municipal reformer. There were also exhibits on urban tenements and employer-provided workers’ housing, on hygiene and public health, and on hospital care, mental health, tuberculosis, and pathology/anatomy.
