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Biomedical subjects

R C Coile

Publications and source records attributed to R C Coile.

At least 181 records · Page 10Linked to original sources
PubMed1995

Assessing healthcare market trends and capital needs: 1996-2000.

An analysis of recent data suggests several significant trends for the next five years, including a continuation of market-based reform, increases in managed care penetration, growth of Medicare and Medicaid health maintenance organizations, and erosion of hospital profits. A common response to these trends is to create integrated delivery systems, which can require significant capital investment. The wisest capital investment strategy may be to avoid asset-based integration in favor of "virtual integration," which emphasizes coordination through patient-management agreements, provider incentives, and information systems, rather than investment in large number of facilities.

Capital Expenditures↗
PubMed1995

The future of American health care in the "post-reform" era.

"As the debate over health care reform rages in Washington, the market is reforming itself. For any given market, it's a question of 'How soon will it hit?', not 'Will it hit?'" Health care reform and market restructuring are ushering in a new era of integrated health care. Although the future is not fully clear, there are at least three competing models for the creation of regional and statewide health systems that will integrate the financing and delivery of services to large enrolled populations of consumers: Payer-driven networks. Provider-sponsored systems. Partnership models. Whatever the future scenario, physician executives will play a larger, more dominant role. Research on integrated health systems has identified three critical success factors for future success: physician-hospital integration, clinical integration and information integration. For managed care to be successful, there must be clinical leadership. The essence of managing care is clinical efficiency, based on "critical-path" treatment protocols and real-time patient care management, supported by integrated information systems.

Capitation Fee↗
PubMed1995

Designing the future: physician poll rates the trends.

A recent interactive electronic poll of 160 physicians attending an educational conference at ACPE's Future Forum reveals some opinions physicians have about the transition of medicine into the 21st century. Emerging issues include capitation, quality, law, and how to manage integrated delivery systems. Overall, respondents are concerned about remaining solvent is a capitated managed care environment.

Attitude of Health Personnel↗
PubMed1995

Integration, capitation, and managed care: transformation of nursing for 21st century health care.

Market-driven reforms and the growth of managed care will transform the nursing profession in the next 5 to 10 years. Managed care will pressure RN-level nursing to justify its costs and advanced training. New roles for nursing will include (a) advanced practice nurses substituting for physicians, (b) nurse case managers coordinating care and aggressively managing patients along care paths, and (c) nurse team leaders organizing patient care and delegating less complex nurse tasks to less trained workers.

Capitation Fee↗
PubMed1994

Managed cooperation, not competition: a proposal for implementing national health reform.

National health reform should be implemented in a policy framework that encourages cooperation--not competition--to promote efficiency while extending universal coverage. "Managed cooperation" is defined here as a national health system built on collaborative efforts between purchasers, providers, consumers, and government through voluntary collective action, like the structural cooperation seen in the Japanese economy between government and the private sector. Six partnerships are encouraged: (1) government-industry, (2) purchaser-provider, (3) physician-hospital, (4) public-private data sharing, (5) consumer-provider, and (6) community health. Structural and legal barriers to cooperation, such as antitrust and malpractice reform, should be reduced or eliminated to encourage collaborative initiatives under national health reform.

Antitrust Laws↗