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At least 163 records · Page 9Linked to original sources
PubMed1988

A comparative analysis of the influence of financing on Boston's neighborhood health center dental programs in 1979 and 1985.

This study determined whether or not income and other structural components of 15 Boston neighborhood health centers in 1979 and 1985 had a systematic influence on their dental productivity as measured by dental visits. Health center revenue sources, health center costs, dental program costs, dental and medical manpower, and type of facility license were analyzed in relation to dental visits using secondary data from multiple sources. Dental costs and dental manpower were substantial predictors of dental visits for both periods of time. Stepwise regression analyses suggest that in 1979, the type of license and the type of grants received also were associated with the number of dental visits. In 1985, however, none of the revenue variables showed an association with dental visits when controlling for dental manpower and dental costs.

Boston↗
PubMed1996

Anything but academic.

Even as academic medical centers accommodate themselves to the highly competitive--not to mention combative--world of managed health care, they're struggling to redefine their role before it gets redefined for them. "Academic institutions were never designed for managed care," one expert says. The question is, can they redesign themselves while there's still time?

Academic Medical Centers↗
PubMed1996

Caveats for physicians in the financing of practice networks.

There are advantages for physicians to affiliate in networks with other practitioners in order to contract with third party payers and to achieve economies of scale. However, doctors must assure themselves of the viability of the organization they may be joining in terms of long-term financial stability and managerial expertise.

Capital Financing↗
PubMed1996

Why do states privatize mental health services? Six state experiences. The MEDSTAT Group.

State governments fund more than one-half of public mental health service system costs through mental health departments, other state agencies, and the Medicaid program. They use some of these resources to finance community-based mental health services through purchase-of-service contracts. I explored the reasons why states privatize mental health services and focused on political, economic, and organizational theories as possible frameworks for contracting. I gathered data during site visits to Massachusetts, Michigan, New York, Oregon, Tennessee, and Texas, where I interviewed more than one hundred individual stakeholders about mental health purchase-of-service contracting. I also examined relevant documents about contracting practices for mental health services in each state. My results suggest that state policy makers can use mental health contracting to effect multiple goals. Contracting helps states achieve political, economic, and organizational objectives, such as avoiding the influence of interest groups and leveraging state resources, while avoiding conflict. With contracting, state policy makers can also continue the ongoing mental health policy paradigm shift begun during deinstitutionalization, in which persons with serious and persistent mental illnesses receive services from community-based providers rather than in state hospitals. Finally, my results suggest that contracting will continue to be an important state policy tool in further development of state-supported mental health systems.

Community Mental Health Services↗
PubMed1997

Community mobilization and empowerment for health.

The present article traces the history of "dana sehat", a scheme of social funding devised in Indonesia three decades ago which has proved to be of particular significance as a means of inducing communities to accept responsibility for decision-making on the development of health care.

Child, Preschool↗
PubMed1991

A multisectoral approach to primary health care in Fujian, China.

The government of Yongan in Fujian province has developed a multisectoral primary health care program in the rural community of Dahu with the aim of reaching "Health for All" by 1993. In keeping with the spirit of the Alma Ata declaration and the tradition of local self-reliance in China, the program has involved the entire community and is financed almost exclusively at the local level. Community leaders were trained in the importance of primary health care so that they could serve as role models. The project includes school health education, domestic hygiene education, reconstruction of homes to separate the kitchen, toilet and animals pens, road construction to eliminate dust, environmental sanitation, occupational health, and the upgrading of health care facilities. A number of local ordinances regarding construction, zoning and smoking have also been instituted. The results of the project's first year of implementation in two villages indicate that construction of the new road is near completion, and access to clean water is almost universal. Gains are also reported in the percentage of the population receiving physical examinations, the number of health stations that now meet state standards, and the number of homes that are constructed according to the new guidelines.

China↗
PubMed2004

The role of community-based health insurance within the health care financing system: a framework for analysis.

There is increasing advocacy for community-based health insurance (CBHI) schemes as part of a broader solution to health care financing problems in low-income countries, but to date there is very limited understanding of how CBHI schemes interact with other elements of a health care financing system. This paper aims to set out a preliminary conceptual framework for understanding such interactions, and highlights the kind of research questions raised by such a framework. A basic conceptual map of a CBHI scheme is developed, and extensions added to this map that incorporate (1). effects upon non-members of schemes, (2). government subsidies to providers, (3). government subsidies to schemes, and (4). issues raised by the existence of multiple risk-pooling schemes in a particular context. The utility of a broader approach to analyzing/assessing CBHI schemes is illustrated through examination of two policy issues, namely (1). coordination of CBHI risk pools and government risk pools, and (2). equity implications of CBHI schemes and the role of government subsidies in such schemes. It is concluded that there is a strong need for empirical work to explore how CBHI schemes and the broader health care financing system interact, and that even if individual schemes achieve their own objectives (in terms of equity, efficiency etc.), this does not necessarily imply that such objectives will be achieved at the system level.

Community Participation↗
PubMed1996

Insurance reform in a voluntary system: implications for the sick, the well, and universal health care. American College of Physicians.

In the absence of universal coverage, carefully designed insurance reforms can make health insurance in the individual and small-group markets more affordable for those who need it most--the sick--and more secure for all subscribers. In this position paper, the American College of Physicians calls for specific strong reforms at both the state and federal levels. Substantial reform of the insurance marketplace is a necessary step toward achieving universal coverage. It should reflect the view that providing quality health care is in the best interests of the community and that health care financing should be a community responsibility.

Actuarial Analysis↗
PubMed2005

Innovations in health care financing: new evidence on the prospect of community health insurance schemes in the rural areas of Ethiopia.

It has become clear that due to market failure, state failure, and other reasons, the conventional sources of finance alone could not solve the health problem of the rural population, particularly that of the socially excluded and disadvantaged groups. Community Based Health Insurance Schemes (CBHIS) are one of the most recently mentioned options to narrow the existing inequalities in access to basic health services. This study assesses the prospect of CBHIS in the rural areas of Ethiopia using a double bounded dichotomous contingent valuation method. The results show that even in one of the poorest countries of the world, there is a promising prospect to introduce CBHIS.

Attitude to Health↗
PubMedDate not supplied

Payment for cancer prevention. Community and government perspectives.

PURPOSE: The development of a stronger interest in cancer prevention and early detection programs has led to the opportunity for mechanisms to provide adequate financial support at the individual, practitioner, and community levels. This discussion draws on the experiences of public health systems and emerging models for personal care to describe a framework for consideration of prevention and early detection funding, and to discuss the prospects of funding. OVERVIEW: Some prevention and early detection services are financed appropriately through individual payment mechanisms and can be covered in indemnity and capitated insurance plans. Population-based approaches to prevention do not fit this model, however, and need to be financed at the community level, through taxes or other shared financing schemes. CLINICAL IMPLICATIONS: Lack of public understanding of the differences between individual- and population-based prevention makes resource development difficult. Practitioners interested in such approaches need to join with others in the community to gain support. Long-term support of community efforts currently remains unclear. Although the actions identified are essential, they are not sufficient to support a comprehensive cancer prevention and detection program fully. The concerned clinician should become a part of the community-wide effort. This may be done individually, through participation on a local board of health or a hospital-based health promotion coalition. This also may be achieved through associations such as the local medical society or the local American Cancer Society.

Community Networks↗
PubMed1992

For-profit hospital finds it can't beat City Hall--that is, the financing deal offered by the city.

American International Hospital in Zion, Ill., doesn't lack support from city hall. In an unusual transaction for an investor-owned hospital, the city recently sold $20 million in taxable debt for the purpose of lending the proceeds to the hospital to help finance a replacement facility. The deal saved the hospital, the area's largest employer, as much as 2.5 percentage points on the interest rate.

Capital Financing↗