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At least 649 records · Page 36Linked to original sources
PubMed1993

Improving quality, controlling costs: the role of managed care. Pennsylvania Medical Society Council on Medical Economics.

Recognizing the importance of managed care concepts in the nationwide debate on health system reform, the State Society's Council on Medical Economics has compiled a discussion draft of the Society's positions on "The Role of Managed Care in Improving Quality and Controlling Health Expenditures," excerpted here. In addition to members' comments, the Society is soliciting comments from health caregivers, legislators, regulators, labor, business, insurers, and most importantly patients. Members may obtain a free copy of the complete draft by calling the Society's Department of Media Relations at (800) 228-7823. Direct any written comments to the Society's Division of Communications and Public Affairs.

Health Expenditures↗
PubMedDate not supplied

[The established rheumatologist in the tension field between health care deficits and cost control in public health].

The outpatient treatment of rheumatoid patients in Germany depends on certain conditions. Rheumatologists in Germany need to cooperate much more with hospitals specialized in this field than other subspecialties of Internal Medicine. Because of historical reasons many other physicians such as orthopedics, internists, general practitioners participate in this field in contrast to our neighbours in the western hemisphere, where rheumatology is solely covered by rheumatologists. It is therefore conceivable to calculate a rheumatologists/population relation of appr. 1:200,000 and not less than this figure. Starting a business as rheumatologist needs certain conditions, which are specified. One major challenge will be the new law directing out-patient treatment in Germany (Gesundheitskontrollgesetz). It forces the doctor to relate his work to a more financial background with various restrictions and regulations. In this context our goal(s) must be the institution of a specified position in the "Gebührenordnung", to pay for our intense and time consuming efforts to treat our patients.

Combined Modality Therapy↗
PubMed1998

The history and future of nursing labor research in a cost-control environment.

For the first time in nursing's history, the downsizing of hospitals, the increased use of managed care, reduced use of registered nurses and other factors may result in significant unemployment in nursing, with resulting downward adjustments in the wage. Understanding the labor supply response of nurses to changes in the wage is critical to predicting accurately how nurses will respond to changes in the market demand as it influences wages, and determining rational policy responses to the labor market. In this article, three generations of nursing labor research are summarized and critiqued. Methodological issues are discussed and specific directions for future studies are suggested.

Employment↗
PubMed1982

Budgeting and controllable cost variances. The case of multiple diagnoses, multiple services, and multiple resources.

This paper examines an unfavorable cost variance in an institution which employs multiple resources to provide stay specific and ancillary services to patients presenting multiple diagnoses. It partitions the difference between actual and expected costs into components that are the responsibility of an identifiable individual or group of individuals. The analysis demonstrates that the components comprising an unfavorable cost variance are attributable to factor prices, the use of real resources, the mix of patients, and the composition of care provided by the institution. In addition, the interactive effects of these factors are also identified.

Budgets↗
PubMedDate not supplied

Controlling costs and improving diabetes care.

A simplification of the threat that diabetes poses to industrialized society is that the costs of inadequate treatment in terms of dollars, suffering, and functional impairment, despite increasing knowledge, are ever increasing. This increased threat is a result of the combined effects of the rising incidence of diabetes, the increasing costs of adequate care, and the perverse effects of a medical care system that fails to encourage lifelong patient commitment and behavior change.

Case Management↗