ISSN:0361-6274    

出版商:OVID    

年代:1998

数据来源: OVID

ISSN:0361-6274    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Applying Porter's model of competitive forces to health care, stakeholder concepts are integrated to analyze the future of medical groups. Using both quantitative survey and qualitative observational data, competitors, physician suppliers, integrated systems new entrants, patient and managed care buyers, and hospitals substitutes are examined.

ISSN:0361-6274    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

The management of community health needs has become a focal point in the drive to contain health care costs, enhance service quality, and improve access to care. This article presents a concept of community orientation that health services organizations can use to provide community-focused care. It also discusses the organizational antecedents and consequences of community orientation in health services organizations and develops research propositions.

ISSN:0361-6274    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

This article identifies key challenges that arise in governing public-private partnerships designed to improve community health status. Using telephone interview and focus group data, we describe how the 25 public-private community health partnerships participating in the Community Care NetworkSM(CCN) Demonstration Program grapple with three interrelated clusters of governance issues: turf, community accountability, and growth and development.

ISSN:0361-6274    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

The growth of for-profit managed care organizations raises serious ethical questions for managers in these settings, such as whether contemporary business ethics are most appropriate for health care organizations or how the principles of biomedical ethics can be integrated into profit-seeking firms. A model is proposed that seeks to consolidate both business ethics and biomedical ethics into a form that is useful to health service managers.

ISSN:0361-6274    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Increasingly, providers of health services and medical groups are required to negotiate with managed care organizations and evaluate the adequacy of capitation rates. An intelligent assessment of the rate of payment requires an accurate projection of the costs per member per month that have been adjusted for the risk present in the insured population. This article develops a practical model for incorporating risk in forecasts of the full cost per member per month.

ISSN:0361-6274    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

This article analyzes the organizational structures of 155 medical group practices providing services in the highly competitive managed care environment in the upper midwest. The structure of the group practices and the methods of physicians' payment are analyzed in terms of the proportion of revenue obtained from financial risk-sharing managed care payment systems and the length of time involved with those systems.

ISSN:0361-6274    

出版商:OVID    

年代:1998

数据来源: OVID