Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Community Financing”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 199 records · Page 11Linked to original sources
PubMed1994

Financing of independent and assisted-living retirement communities by nonprofits.

The article provides reasons for decreased activity in the development of market rate senior housing and briefly describes the criteria lenders use to assess risk. It summarizes the various financing options available for nonprofits to finance senior housing projects. Options discussed include tax-exempt bond financing: different supportive senior housing options administered by the Department of Housing and Urban Development, such as Sections 202, 232, and 221 (d)(3) and (4); the HOME Investment Partnership Program (HOME Program); and low-income housing tax credits.

Aged↗
PubMed1994

[Community reintegration of long-course psychiatric patients. Development of a residential structure].

Segregation from the community of long-term psychiatric patients leads to an increase in psychiatric disability. The rehabilitation process envisages the development of autonomy and personal realization and must be linked to a continuity of rendered care. In the resettlement of these patients there are priority needs to fulfill along with housing. Scarceness of community resources, in our country including accommodation facilities, led us to a project aimed at creating a residential unit within a pilot experiment. Essential points are focused, namely unit definition, staff formation, patient selection and training, community resources survey, financing and efficacy indicators. In conclusion, possible errors to avoid in the conception of a unit such as the one described are pointed out.

Community Mental Health Centers↗
PubMed1997

Use technology assessment forms to gain input from several perspectives.

As healthcare organizations tackle the problem of effective selection and appropriate use of new medical and diagnostic technologies, four major questions must be asked: How does this technology affect patients; is it needed to compete in the marketplace; will it be used appropriately; and is there enough information available for making a decision to buy? To ensure that all viewpoints are considered, the Healthcare Association of New York State in Albany developed forms for gathering pertinent information from the perspectives of the provider, community, facility, vendor and finance department. Here are two HANYS forms--Medical Assessment and Community Assessment--for use in gathering information needed for making a decision.

Decision Making, Organizational↗
PubMed1996

Fostering the health of communities: a unifying mission for the University of New Mexico Health Sciences Center.

Fostering the health of communities can serve as a unifying mission of the academic health center (AHC), which can set the AHC apart from other health providers in the community. To achieve this mission, the University of New Mexico's AHC is increasingly focusing education, research, and service upon the identified health and service needs of communities in its state. Since major health problems in our society have social, behavioral, and economic roots, New Mexico's AHC has tapped into the broad expertise of its different components as well as that of its state and community partners to adequately address health problems in the community. Its hospitals offer financing and management resources, its colleges offer innovative approaches to community-based education, and the state department of health offers expertise in health policy development. To adequately respond to the complexity of community health needs, the different colleges and departments at New Mexico's AHC are increasingly merging into integrated governance units. Measures of community outreach success include evidence of strengthened community development, increased health care access, and improved indices of community health. New Mexico's AHC formed an interdisciplinary rural outreach task force, which has demonstrated its ability to form partnerships with state and local agencies and to mobilize institutional resources in education, research, and service from the AHC's different departments, colleges, and hospitals to respond promptly to unique community health needs. Evidence shows that such an integrated, coordinated AHC intervention can generate strong and lasting AHC-community alliances, improve the quality and economic viability of community health systems, and enhance the financial resources of the AHC.

Academic Medical Centers↗
PubMed1999

Financing of dental health care in the Federation of Bosnia and Herzegovina.

Financing dental health care in the Federation of Bosnia and Herzegovina (FBH) over the last 10 years was analyzed with respect to time before the war, during the 1992-1995 war, and after the war. In the first period (until 1991) the system was centralized, well structured, financed through the communities of interest, and burdened with a lack of financial discipline and high inflation. By the end of 1991, all citizens in the territory of BH Federation had the right to dental health insurance and participated in the price of dental service with 10-50%. During the 1992-1995 war, insurance and financial institutions ceased their work until the establishment of civilian governing authorities. The system of dental services was legalized within the health system as its integral part, yet, because of insufficient financial support, the rights of the insured were not fulfilled. Following the Dayton Peace Agreement in 1995, two systems (Croat and Muslim) were in function in FBH, each based on different legal grounds, and dental care stagnated considerably. The 1997 FBH Law on Health Care and Health Insurance and the Law on the Privatization of companies introduced a unique health system, widening the sources of financing and categories of health insurance. The process of health care privatization has been legalized, but not yet implemented. Lack of definitions of ownership diminish foreign investments, and without foreign financial support the improvements will be slower than needs. The process of health care restructuring will thus directly depend on the solving the political crisis in the country.

Bosnia and Herzegovina↗
PubMed2002

Contextual factors affecting job satisfaction and organizational commitment in community mental health centers undergoing system changes in the financing of care.

This study examines the relationship between contextual factors and job satisfaction and organizational commitment among a sample of 148 administrators and staff in 17 community mental health centers undergoing the transition from fee-for-service (FFS) reimbursement to capitation of Medicaid-funded mental health services in Colorado. Hierarchical linear modeling was used to assess both organizational level factors as well as factors at the individual level of analysis in relation to job satisfaction and organizational commitment. Results indicated significant associations between type of financing for Medicaid-funded services and organizational commitment. Direct, nonprofit capitation was positively linked to organizational commitment, relative to traditional FFS reimbursement. Aggregate perceptions about the organization, including its culture and climate, and the formalization of policies and procedures were strongly linked to job attitudes, over and above individual perceptions about the organization. Individual perceptions of the organization were also related to job attitudes as was respondent level within the hierarchy of the organization. These findings are discussed in terms of their implications for research and intervention in mental health service settings.

Attitude of Health Personnel↗
PubMed1989

Cost of allogeneic bone marrow transplantation in four diseases.

The cost of bone-marrow transplantation is compared in 4 diseases: acute myelogenous leukaemia, severe combined immunodeficiency, severe aplastic anaemia and chronic granulocytic leukaemia. Hospital cost components directly related to the clinical protocols applied are valorized. Results confirm the well-known fact that bone-marrow transplantation is a costly technique. The unit cost of a transplantation can vary from 1 to 2 between departments for the sole reason that patients treated are not suffering from the same illness. For one disease, the unit cost may vary from 1 to 2.7 when post-graft complications arise. Furthermore, in the health-care sector, as well as in every other economic sector, costs do not remain stable: they vary in time most especially when treatment protocols evolve. This type of cost information is the basis for management control systems without which physicians, hospital managers and health-care authorities cannot communicate effectively. In countries where health care is largely financed by the community, what is at stake is the future of advanced technologies in medicine.

Acquired Immunodeficiency Syndrome↗
PubMed2006

Domains of discussion in psychotherapy: what do patients really want?

Little quantitative data exist on what the content of non-manualized psychotherapy in contemporary clinical settings actually is, and what patients and clinicians think it ought to be. This descriptive pilot study identified potential content areas to address in psychotherapy, quantified the relative importance of these domains of discussion to patients vs. clinicians, and attempted to measure the frequency with which these domains are actually addressed in current clinical practice at two academic, urban hospitals. The conteni areas assessed included health habits, avocations, work, family, friendships, community involvement, spirituality/religion, finance, sexuality, political activities, educational and cultural pursuits, and ethnicity/race. Overall, clinicians and patients agreed about the relative personal importance and importance to treatment of these content areas, and they rated work, family, friends, and sexuality as the most important domains of discussion for psychotherapy. Also, this sample of patients did not feel that clinicians undervalue the importance of religion and spirituality.

Adult↗
PubMed1996

Monitoring mental health service contracts: six states' experiences.

OBJECTIVE: States finance some community-based mental health services through purchase-of-service contracts. The study examined ways in which six states monitor these contracts. METHODS: Data were gathered during site visits to Massachusetts, Michigan, New York, Oregon, Tennessee, and Texas, where more than 100 state policy makers, providers, consumers, and advocates were interviewed about mental health purchase-of-service contracting. Relevant documents about contracting practices for mental health services in each state were also examined. RESULTS: Findings suggest that states monitor their mental health contracts in two ways. First, long-term contracts are monitored using traditional methods, focusing on the structure and process of delivering services. Newer contracts for specific services are more likely to be monitored using performance measures currently being developed. States have had difficulty creating and implementing performance-based contracting for publicly funded mental health services. CONCLUSIONS: It is likely that contracting will continue to be the method states use for future policy initiatives. It may be more appropriate for policy makers to set their sights on developing a simplified set of outcome measures that will give them some information about provider performance, even if the information is imperfect.

Community Mental Health Services↗
PubMedDate not supplied

How Hermann Hospital is saving resources through enterprise-wide reengineering.

Hermann Hospital, a 650-bed tertiary care facility and teaching hospital (Houston, TX), recognized the need for institution wide reengineering if they were to remain viable in a changing healthcare environment. Having already implemented total quality management (TQM) programs in various departments, Hermann wanted to provide a comprehensive line of healthcare services that worked cohesively with other areas, such as business development, community relations, and finance, and to do it competitively. Management knew that anticipated changes would require a holistic understanding of their system, so that reengineering efforts in one area didn't ¿break things¿ in another.

Cost Savings↗
PubMed1999

[Smoking: health care and politics in flux].

The cigarette is the only legally sold product with carcinogenic, cardiovascular damaging and addictive effects. With a yearly profit of several billions, the tobacco industry supports politicians to solve their tasks, whereas these polticians, do not promote projects against smoking and the protection of nonsmokers, despite of some less compulsory statements. Up to now, the tobacco industry denies the health hazard effects occurring to cigarette smokers after two or three decades. On the other hand, the public health insurance do not provide any financial support for smoking prophylaxis and smoking cessation. Instead of this, they have to cover costs for subsequent health injuries, early disability included, which are more than 100-1000 times higher. The solidary community has to finance the pensions for relatives of those numerous smokers, who died early, and whose lives were shortended by provable 5 to 6 years. Politicians refuse to represent the will of a population majority for measures to prevent nonsmokers.

Humans↗
PubMed1999

New England's Blue Cross Blue Shield shake-out: a case study in consumer activism.

For two generations, Blue Cross Blue Shield (BCBS) insurance plans could be counted on to play a key role in the financing of every community's health care system. "The Blues" dominated the health insurance market, yet they were also a reliable "insurer of last resort." In recent years, BCBS plans have begun to re-structure to stay competitive. Four of New England's BCBS plans have proposed or completed mergers with Anthem Insurance, a mutual insurance company based in Indiana. This issue of States of Health looks at how advocates in New England are working together to protect health care consumers amid this transformation.

Blue Cross Blue Shield Insurance Plans↗
PubMed2003

Choosing to convert to critical access hospital status.

The authors profile facilities converting to critical access hospitals (CAHs) from 1998-2000, comparing characteristics of their communities, operations, and finances to those of other small rural providers. Counties where CAHs are located are more sparsely populated, but do not have substantially different sociodemographic profiles than other rural counties. Converting hospitals' acute daily census averaged well below the statutory limit of 15, but over one-half reduced unused bed capacity to meet CAH size limitations. The average case-mix adjusted Medicare cost per case was 16-percent higher for CAH converters than for other small hospitals and their financial ratios were substantially worse, although many other operating characteristics were similar.

Critical Care↗
PubMed1982

Delivery of genetic services: transition from research to routine.

1. It is nearly always necessary to obtain information on, and often to examine, members of the proband's family. Not only these relatives but also physicians, nurses, and other medical personnel are usually unprepared for this. Obstacles that must be overcome are emotional, geographic, organizational, and financial. 2. When family members are examined and heterozygotes detected there may be ethical problems both in withholding such information and in giving it. Cases in point are reviewed and the author's own view is presented, stating a strong case for giving all persons involved all available information regarding themselves. 3. Genetic diseases call for more research and experimentation than most other diseases met with in clinical practice. It is the responsibility of the physician-geneticist to penetrate each problem as deeply as possible with as little discomfort and risk to the patient and his family as possible. Such legitimate investigations must be financed by the community. 4. Genetics cases require, on the average, 2-10 times more time and effort than most comparable non-genetics cases. The need for adequate appropriation of personnel is stressed.

Chromosome Aberrations↗
PubMedDate not supplied

[Relationships between the National Health Service and universities as regulated by the legislative decree of 30 December 1992, No. 502 and its successive modifications and integrations].

The mutual relationship between the Schools of Medicine and the Italian National Health Service are discussed according to the commitment following the implementation of the new Health Service reorganization. The organization of teaching hospitals and the curricula for health professionals are considered in order to highlight their possible impact on the new organization. New opportunities seem to arise for the medical schools to improve the level of quality of their performance according to the aims and objectives of the National health plan for the years 1994-1996. Three topics are discussed in depth (i) the improvement of skills for health managers, (ii) the role of health service research in planning and evaluating the way health care is delivered with particular attention payed to the impact of DRGs as system of payment recently introduced for financing hospitals and community services. Finally it seems reasonable to expect a rise of quality in teaching programs and the development of newly designed ones for continuous training according to the needs of the health care system.

Hospitals, Teaching↗
PubMed1996

To stay or not to stay: factors influencing family practice residents' choice of initial practice location.

BACKGROUND AND OBJECTIVES: This study examined what factors influence US third-year family practice residents' choice of location of their first practice. METHODS: A survey was developed by the members of Northeastern Ohio Network to assess the influence of factors related to family, education, geography, finances, the medical community, and others on the selection of practice location. Surveys were sent to all program directors listed in the American Academy of Family Physicians 1994 Directory of Family Practice Residency Programs to be distributed to all third-year family practice residents. The program directors indicated the type of residency program, the number of surveys distributed, and the number returned, then forwarded completed surveys to the investigators. RESULTS: Two hundred fifty-nine of the 380 programs (68%) with PGY-3 residents responded. Of the programs that responded, 1,012 residents (64%) of a possible 1,578 completed surveys. Estimated from the directory, 812 residents from non-responding programs did not complete the survey for an overall response rate among residents of 42% (1,012/[1,578+812]). Family-related items seem to have the most influence on choice of practice location and are more important to married people. More than 50% of residents want to practice in the same size community in which they grew up. Money-related factors were not rated as highly as expected. CONCLUSIONS: Several factors appear to be important to family practice residents when selecting their first practice location. Hospitals interested in retaining their graduates can maximize their success by concentrating on these areas.

Adult↗