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Results for “Managed Competition”

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At least 829 records · Page 46Linked to original sources
PubMed1996

The Clinton health care proposal: reform squandered again!

Unlike the other articles in this series on efforts to reform the American health care system, this article is necessarily somewhat personal. I lived through it--not as a participant in the process but as a very interested bystander. To President Clinton's credit, his proposal was the first comprehensive proposal from a President since at least President Nixon and strictly speaking since President Truman. Yet, in the final analysis, the results were extremely depressing, not merely because of the obvious failure of the effort, but, even more important, because of the impact it has had on Americans' belief in the possibility for significant government role/responsibility in health care or, for that matter, in any significant domestic initiative. This article will trace portions of the failed Clinton health care initiative proposal--not the myriad other proposals that percolated through Congress. Realistically, only a proposal that had the support of the President had any chance of legislative success. This article will trace the development of the proposal and, while focusing on the universal coverage aspect, point to critical decisions that led to its legislative demise.

Health Care Reform↗
PubMed1995

The role of the educator in state, provincial, and federal health policy.

Many faculty members of programs in health administration participate in the policy-setting process. It is critical at the present time of health care reform that faculty members play an active role in influencing health policy. Educators may become involved in this activity in a number of ways. First, there may be opportunities as researchers to conduct short-term or long-term projects which promote a policy agenda. Faculty members can bring a range of analytical skills and knowledge and may bring in multi-disciplinary perspectives on substantive policy issues. Second, educators need to re-examine curriculum content of university programs in health administration to assure appropriate policy content and to seek out opportunities for graduates in policy analysis positions. Third, through community services, educators may take on advocacy roles for the promotion of particular perspectives or the support of special interest groups. It is clear that there are going to be growing opportunities for faculty members to work with practitioners to substantially influence health policy.

Faculty↗
PubMed1996

Considerations in establishing visiting consultant clinics in rural hospital communities.

Establishing specialty clinics staffed by visiting medical consultants is one way that rural hospitals can increase local access to specialty care. This example of private sector-driven regionalization of health care services typically involves an agreement among urban specialists, rural hospitals, and local primary care physicians. The urban-based physicians provide limited on-site specialty services in the rural community for patients who are referred by local physicians or self-refer to the specialty clinics. The trend toward formalization of regional relationships across large geographic areas prompts both opportunity and need for careful consideration of visiting specialty clinic arrangements in rural hospital communities. This article delineates advantages and disadvantages associated with the development of Visiting Consulting Clinics (VCC) along with some ¿ground rules¿ to consider when establishing this type of service.

Appointments and Schedules↗