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Biomedical subjects

W McClure

Publications and source records attributed to W McClure.

At least 37 records · Page 2Linked to original sources
PubMed1981

Structure and incentive problems in economic regulation of medical care.

Health-care markets, characterized by unusual structures and incentives, are less effectively influenced by direct economic regulation than are other markets. Command-and-control economic regulation may contain costs but to the detriment of access, efficiency, innovation, and responsiveness to consumers. Market reform strategies offer a sound and feasible policy alternative.

Community Participation↗
PubMed1979

Competition in the delivery of medical care.

One approach to reform of the medical-care-delivery system emphasizes the development of constructive competition among providers of health care. In this article we describe competition among providers in Minneapolis-St. Paul, one of the few areas that can provide information concerning the practicality of this type of reform. We have found that competition has helped to reduce hospitalization, contain costs and improve access to medical services. At the same time it has focused attention on consumer satisfaction with medical services, increased the range of consumer choice and given consumers better information about providers. Certain public and private measures could facilitate the development of similar competition in other communities.

Ambulatory Care↗
PubMed1976

The medical care system under national health insurance: four models.

This paper presents a critical evaluation of four national health insurance models in light of their ability to counteract incentives in the present system that are dysfunctional in terms of costs and quality of care. The feasible models are labelled as: major risk insurance, alternative delivery systems under universal coverage; the public utility allocation model (alias the British system); and the public utility hospital model. It is concluded that substantial changes in the existing structure of the medical care system will be very difficult to achieve politically. Further, those models most politically feasible, the present medical care system with universal third party financing, and public utility process controls with universal third party financing, are the ones most likely to aggravate present cost-quality difficulties. Therefore, the recommended procedure for implementing national health insurance is unabashedly incremental: i.e.; to experiment with cost-sharing, alternative delivery systems, other provider incentive mechanisms and public utility regulation-budget allocation approaches, before wholesale adoption of national health insurance is entertained.

Delivery of Health Care↗