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At least 523 records · Page 29Linked to original sources
PubMed1983

The politics of management in health care: a British perspective.

This paper discusses the contribution of organizational political perspectives to a better appreciation of policy implementation problems in health care. The context is the efforts of successive British governments to accord a higher priority to community health and long-stay services. The limited success of these policies owes much to continuing medical control of the philosophy of the organization and agenda, in spite of government responsibility for funding and providing health services. More effective policy implementation depends on a recognition of the "naturalness" of organizational politics, rather than treating them as constraints in an otherwise rational, managerial system.

Community Health Services↗
PubMed2004

The fat of the land: do agricultural subsidies foster poor health?

Since the 1920s, American farmers have received various forms of federal support in an effort to keep farmers farming and provide Americans with an affordable, stable food supply. Wheat, soybeans, and especially corn are currently the most highly subsidized crops; products made from these crops, including high-fructose corn syrup and hydrogenated fats, have flooded the market as cheap means for making foods tastier, though not healthier. Now critics are asking whether subsidies for these crops are actually driving the U.S. epidemic of obesity.

Agriculture↗
PubMed2002

It's high time for hospitals to adopt private sector marketing strategies.

To ensure ongoing and increased public support, healthcare institutions need to adopt strategies that will help them get their message to key target audiences. How well they play the marketing game can have a major impact on everything from funding levels to recruitment to public as well as government perception and support.

Canada↗
PubMed1998

Reducing the number of days for which insurers deny payment to the hospital: one primary objective for a newly configured department of case management.

This article describes the formation of a Department of Case Management that has as a primary goal a reduction in the number of patient days for which its hospital is denied payment by managed care companies. The department, comprised of social workers and nurses, reached its goal through work with the hospital finance department, patients and families, payers, community resources, ancillary services and admitting physicians. A comparison of annualized denial comparisons based on quarters from 1996 and 1997 showed that the number of days had been quartered.

Humans↗
PubMed2004

Can Community Health Center funding enhance health services for Native American tribes and organizations?

This paper reports on the applicability of the Public Health Service Act (42 USC, 254b) Section 330 Community Health Center program to Arizona Native American tribes and organizations. Data review and analysis consisted of a review of two federal government documents concerning the funding of Community Health Center applications and a review of questionnaire responses received from the Arizona Native American health care community. Findings indicate a general lack of knowledge among the Arizona Native American health care community about the program as well as a need for capacity building among Arizona Native American tribes and organizations. As currently designed, the program has built-in barriers that prevent Native American tribes and organizations from applying for funding. Changes must be made to the existing program and local-level seminars must be offered to make this program and funding more readily available to Arizona Native American tribes and organizations.

Administrative Personnel↗
PubMed2004

Social contract theory and just decision making: lessons from genetic testing for the BRCA mutations.

Decisions about funding health services are crucial to controlling costs in health care insurance plans, yet they encounter serious challenges from intellectual property protection--e.g., patents--of health care services. Using Myriad Genetics' commercial genetic susceptibility test for hereditary breast cancer (BRCA testing) in the context of the Canadian health insurance system as a case study, this paper applies concepts from social contract theory to help develop more just and rational approaches to health care decision making. Specifically, Daniel's and Sabin's "accountability for reasonableness" is compared to broader notions of public consultation, demonstrating that expert assessments in specific decisions must be transparent and accountable and supplemented by public consultation.

Breast Neoplasms↗
PubMed1993

A bridge to compromise: competition under a budget.

A new approach to universal health insurance combining managed competition and global budgets promises to break the impasse blocking comprehensive health reform. The central innovation is the development of regional health insurance purchasing cooperatives (HIPCs) as managers and reorganizers of the market and platforms for global budgets. Financing would be based on community-rated premiums, with obligations to employers capped as a percentage of payroll and to individuals as a percentage of family income. Budgets would cap the mandated core of spending and set a target for out-of-pocket expenditures.

Community Participation↗
PubMedDate not supplied

Field building: lessons from the Robert Wood Johnson Foundation's anthology series.

As editors of the Robert Wood Johnson Foundation's (RWJF's) anthology series, we have examined the entire range of the foundation's grant making since 1972. We found that the RWJF has enjoyed considerable success in building fields--from nurse practitioners to tobacco control to end-of-life care. The RWJF has done this by shaping fields as they were emerging, by adopting a wide-ranging "bear hug" approach, and by staying the course. The lessons from the RWJF's field-building efforts are relevant for both large and small foundations: Small funders can develop strategic plans aimed at building fields in their home state or locality.

Community Health Planning↗