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At least 253 records · Page 14Linked to original sources
PubMed1998

A reassessment of the cost-effectiveness of water and sanitation interventions in programmes for controlling childhood diarrhoea.

Cost-effectiveness analysis indicates that some water supply and sanitation (WSS) interventions are highly cost-effective for the control of diarrhoea among under-5-year-olds, on a par with oral rehydration therapy. These are relatively inexpensive "software-related" interventions such as hygiene education, social marketing of good hygiene practices, regulation of drinking-water, and monitoring of water quality. Such interventions are needed to ensure that the potentially positive health impacts of WSS infrastructure are fully realized in practice. The perception that WSS programmes are not a cost-effective use of health sector resources has arisen from three factors: an assumption that all WSS interventions involve construction of physical infrastructure, a misperception of the health sector's role in WSS programmes, and a misunderstanding of the scope of cost-effectiveness analysis. WSS infrastructure ("hardware") is generally built and operated by public works agencies and financed by construction grants, operational subsidies, user fees and property taxes. Health sector agencies should provide "software" such as project design, hygiene education, and water quality regulation. Cost-effectiveness analysis should measure the incremental health impacts attributable to health sector investments, using the actual call on health sector resources as the measure of cost. The cost-effectiveness of a set of hardware and software combinations is estimated, using US$ per case averted, US$ per death averted, and US$ per disability-adjusted life year (DALY) saved.

Child, Preschool↗
PubMed2003

The peak of construction. After years of stagnant hospital growth, Colorado sees boom in healthcare construction as enterprising companies pan for gold.

As Denver experienced a population boom during the '90s, hospital construction was at a standstill. Now providers are racing to catch up with demand, reflecting a national trend. Four Denver-area facilities, including Sky Ridge Medical Center, left, are open or under construction. "Right now, there's nothing like this going on anywhere," says Dennis Brimhall, of the University of Colorado Hospital.

City Planning↗
PubMed2001

Cost segregation of assets offers tax benefits.

A cost-segregation study is an asset-reclassification strategy that accelerates tax-depreciation deductions. By using this strategy, healthcare facility owners can lower their current income-tax liability and increase current cash flow. Simply put, certain real estate is reclassified from long-lived real property to shorter-lived personal property for depreciation purposes. Depreciation deductions for the personal property then can be greatly accelerated, thereby producing greater present-value tax savings. An analysis of costs can be conducted from either detailed construction records, when such records are available, or by using qualified appraisers, architects, or engineers to perform the allocation analysis.

Cost Allocation↗
PubMed1985

HUD board and care home regulations--HUD. Proposed rule.

This rule would permit HUD to provide mortgage insurance for the construction or rehabilitation of board and care homes, as authorized under section 437 of the Housing and Urban-Rural Recovery Act of 1983, Pub. L. 98-181.

Financial Management↗
PubMed2002

Building boom.

After a period in which financial issues forced many hospitals to postpone needed construction projects, a building boom is under way at last. Aging facilities, many dating to the heyday of Hill-Burton funding after World War II, are ill-equipped for the enormous changes in health care delivery, from new technology to the emphasis on outpatient treatment. Innovative financing strategies are helping to feed the trend.

Financing, Construction↗
PubMed1999

Erector set.

It was an untold story in Washington this year: while hospital associations were clamoring for Medicare givebacks from Congress, a miniboom in construction was under way, as some profitable hospitals built new facilities or additions to meet growing patient demand in their markets.

Capital Expenditures↗
PubMed1977

National health expenditures, fiscal year 1976.

The Nation's spending for health in fiscal year 1976 reached $139.3 billion, or $638 per person, according to preliminary figures. This total was 14 percent higher than the $122.2 billion spent for health in 1975. In the 2 years since price controls on the health industry were lifted, expenditures have risen $33.0 billion (31 percent). During this period, the economy has grown at a relatively slow pace with the gross national product increasing 18 percent. Thus, the percentage of the GNP attributed to health care reached 8.6 percent in 1976. Public and private spending rose 16 percent and 13 percent, respectively, in 1976, with the rise in public expenditures appreciably below the 22-percent increase of 1975. Third-party financing affected slightly more than two-thirds of all personal health care--the private insurance share at 26 percent and that of government 40 percent.

Education, Medical↗
PubMed1984

Mortgage insurance requirements for private and public hospitals--Office of the Assistant Secretary for Housing--Federal Housing Commissioner. HUD. Proposed rule.

The Department proposes to amend its regulations governing the insurance of mortgages for hospitals in two significant ways. First, this rule would provide for the eligibility of public hospitals to obtain federal mortgage insurance for rehabilitation or new construction. This revision comports with recently enacted legislation. Second, the rule would contain new provisions designed to protect the Department's General Insurance Fund with respect to the insuring of projects that would otherwise pose and added insurance risk. The Supplementary Information section of this preamble invites comment on alternative proposals that would achieve this latter goal, while permitting hospitals to obtain needed financing. The Department's final rule will reflect its consideration of public comments received, as well as the feasibility of implementing any of these alternative programs.

Financial Management↗
PubMed1988

Project grants for renovation or construction of non-acute care intermediate and long term care facilities for patients with acquired immune deficiency syndrome (AIDS)--HRSA. Notice of availability of funds.

The Bureau of Maternal and Child Health and Resources Development (BMCHRD), Health Resources and Services Administration (HRSA) announces that Fiscal Year 1988 funds are available for project grants for the renovation or construction of non-acute care intermediate and long term care facilities for patients with AIDS. Funds were appropriated for this purpose by Pub. L. 100-202, under the authority of section 1610(b) of the Public Health Service (PHS) Act.

Acquired Immunodeficiency Syndrome↗
PubMed2004

A good, old-fashioned building boom.

After a decade of little activity, the pace of hospital construction began to surge in 2000 and it shows no signs of slowing down soon. Aging facilities, staffing issues and consumer demands are fueling the boom. And hospital leaders are betting their new facilities will be flexible enough to accommodate ever-changing technology.

Data Collection↗
PubMed1992

Mass. authority's bond sales set record.

Fueled by low interest rates and competitive construction costs, the Massachusetts Health and Educational Facilities Authority recorded its heftiest fiscal year ever in new tax-exempt bond issues for hospitals and universities. The authority issued $1.25 billion in debt during its fiscal year ended June 30. Healthcare-related bonds accounted for two-thirds of the total.

Capital Financing↗
PubMed1996

Building blocks. Roundtable discussion.

Former Hospitals & Health Networks executive editor Mark Hagland and Health Facilities Management editor Kurt Luchs and associate editor Catherine Quayle recently hosted a roundtable discussion on design and construction issues in health care. They wanted to know what health care senior executives and experts in the design and construction field thought about today's most pressing issues and biggest trends. Hagland and Luchs assembled a group or experts and executives in Chicago and set the tape rolling. Here are excerpts from the discussion.

Decision Making, Organizational↗
PubMed1990

Providers forecast 5-year construction spending.

Results from a national survey of hospitals and long-term care facilities project construction plans for the first half of the 1990s. The survey was conducted by the author for the Merit Shop Foundation of the Associated Builders and Contractors. Using a constant measure of average anticipated spending per bed, the findings are compared by facility sizes, building ages, bed utilization, facility ownership, and occupancy rates.

Bed Occupancy↗
PubMed1992

The aftermath of the Carilion merger.

What's up since the controversial Carilion merger in Roanoke, Va., was consummated in July 1990? Prices, costs and construction for starters. A competitor is up, too, up in arms that is. During its long battle with the Justice Dept. over antitrust questions, Carilion argued that the proposed merger could provide significant economic efficiencies. But the system's main competitor contends that just hasn't been the case.

Antitrust Laws↗
PubMed1992

Boston building boom--is it an arms race?

A massive healthcare construction boom is under way in downtown Boston, prompting some observers to declare it a "medical arms race." Others, however, say the new projects are critical to some hospitals' ability to remain competitive. Whatever the case may be, there's big money involved--some $1.3 billion in projects that already have been started or soon will be.

Boston↗
PubMed2002

Building new university hospital--what citizens know and policy makers should be aware of.

Survey of citizens' attitudes in the process of strategic decision making is one of the most important methods for determining health care priorities. We describe the results of a survey carried out in December 2001, with an aim to collect and analyze the attitudes of the citizens and health care professionals toward the possibilities and strategies of construction of the University Hospital in Blato, Zagreb. The first referendum on the construction of the new hospital was conducted among Zagreb citizens in 1982, when they agreed that the new University Hospital was much needed. Zagreb citizens confirmed once again their attitudes toward and opinions on the need to continue the construction of new hospital in the city outskirts. By 1992, when the construction of the hospital was halted due to insufficient financial means, Zagreb citizens had already invested over 150 epsilon million in the project. It is interesting that today, 89.4% of the citizens and 74.5% of physicians agree that the new hospital building should be completed. Also, 66.7% of the citizens and 88% of physicians think that this hospital should be a University hospital that could offer the most complex treatments and medical education. To finish the construction of the new hospital further 200 epsilon million needs to be invested. Survey showed that 71% of citizens and 82.2% of physicians think that funds should be raised from some form of credit or budget rather than by special local tax, additional tax or voluntary tax. This project will significantly determine the future of hospital and health care system in Croatia due to its capacities in terms of space, technology, and staff. Before the decision to continue with the new hospital construction be made, the expected future needs, demands, and supply of the health care services in hospital sector in Zagreb and Croatia should be provided using SWOT analysis for each of existing the facilities.

Attitude of Health Personnel↗