Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Service Statistics”

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 1,315 records · Page 73Linked to original sources

A survey of systems for after-hours care.

As part of medical care contracts and in response to patient needs for access, HMOs offer a full system of medical care, with 24-hour-per-day, 365-day-per-year coverage for emergencies. As economic units, HMOs strive to efficiently use staff, facilities and financial resources to provide these services. With high quality a goal for all medical services, the HMO needs to shape its emergency care coverage system to satisfy patient needs. Competitive forces and facility availability will play an important role in shaping the design of emergency and after-hours care in each medical community. This article will focus on patient needs, provider considerations, and HMO plan concerns for emergency and after-hours care.

Consumer Behavior↗

1-2-3 forecasting.

Explore the source record for details and available documents.

Data Interpretation, Statistical↗

Health expenditures in major industrialized countries, 1960-87.

In this article, levels and changes in health care expenditures for Canada, France, the Federal Republic of Germany, Italy, Japan, the United Kingdom, and the United States are analyzed. First, the levels and changes in the share of gross domestic product (GDP) devoted to health are reviewed in terms of the health-to-GDP ratio, nominal health expenditure and GDP growth, and changes in population and prices. Second, absolute levels of health spending denominated in U.S. dollars are compared over time. Finally, some concluding observations are made.

Canada↗

An analysis of capitation rates for prescription medication benefits from an insurance perspective.

The use of capitation payment systems to control costs for prescription medication benefits appears to be increasing. In such a system, risk is transferred to a pharmacist or group of pharmacists. The author examines the nature of that risk, factors that must be considered in setting capitation rates and ways to control risk in a capitation system. An insurance pricing model is used to calculate risk-adjusted capitation rates using observed and hypothetical data, and implications for pharmacists and insurers are discussed.

Capitation Fee↗

Estimating the real number of chronically uninsured.

Opponents of universal coverage argue that 37 million uninsured Americans exaggerates the "health care crisis" because most are uninsured for just a short time. But new estimates show that 54 percent of America's uninsured live for more than two years without insurance and three out of four live without coverage for more than a year.

Data Collection↗

Hospital clinical career advancement programs: comparing perceptions of nurse participants and nonparticipants.

The study reported in this article describes nurse participants and nonparticipants in hospital clinical career advancement programs (clinical ladders) and compares perceptions in relation to program intrinsic outcomes, needs, and criteria for level advancement. A stratified random sample consisted of 120 participants and 480 nonparticipants drawn from 1,769 clinical nurses employed full time at five regional general hospitals. The findings suggest that nurses' demographic characteristics do not influence program participation status and that clinical advancement programs have limited impact upon job enrichment designed to recruit and retain clinical nurses providing direct patient care. Program participants (106; 88.3 percent) differed significantly at the .05 level from nonparticipants (385; 80.2 percent) on each factor area measuring perceptions of clinical advancement programs.

Adult↗

Equity, public policy and outpatient specialty mental health services.

This study provides evidence on the role of the public sector in the allocation of ambulatory specialty mental health services across income groups in the adult population. Results suggest that in the early to mid-1980s, the tax and transfer system effectively lowered the price of services to the poor and the rich, thus causing the highest use by persons at the extreme ends of the income distribution. High utilization at the low end of the income scale can be largely attributed to publicly provided insurance. A comparison of demand prior to the Medicaid cuts brought on by the Omnibus Budget and Reconciliation Act (OBRA) of 1981 with post-OBRA estimates reveals the extreme sensitivity of demand to changes in coverage. Among upper income groups the results imply that the implicit price of specialty mental health care falls as income rises. This finding is consistent with the hypothesis that the government's exclusion of health benefits and expenditures from taxation effectively lowers the price of medical services to individuals in high marginal income tax brackets. It also suggests that recent proposals to limit the tax exclusion of employer-paid premiums may lead to a more equitable distribution of resources in the specialty mental health sector.

Adult↗

Nursing subunit technology: a replication.

Overton, Schneck, and Hazlett's (1977) measurement of nursing subunit technology was replicated using 157 subunits of 9 types located in 24 hospitals in Alberta. A 21-item questionnaire was given to nurses, and the answers were subjected to factor analyses. Results indicated three dimensions of technology: instability, uncertainty, and variability. Because of the similarity of these variables to those in the Overton, Schneck, and Hazlett study, the results suggested a high degree of construct validity for the measure. The technological dimensions also differentiated among the types of subunits in the same pattern as in the original study. A relatively quick method of obtaining measures of instability, uncertainty, and variability by using composite scores was tested and found reliable.

Alberta↗