ISSN:0361-6274    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

As more hospitals and physicians seek to establish joint business-based ventures, their ethical consequences are being sidestepped. As a result, the traditional ethical expectation of a patient's wellbeing as the primary concern in providing medical care appears to be replaced by hospital and physician financial interests. So legislation is likely to be enacted to prevent any business relationships between hospitals and physicians.

ISSN:0361-6274    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Ambulatory surgery can be a win-win proposition for patients, physicians, payers, and even for hospitals. The main elements at risk are high costs and the traditional models of hospital-based surgical care. If hospitals delay their responses to the challenges of the freestanding surgicenter, the latter will become as common as the multispecialty group practice. Health care institutions need to address some questions in responding to this trend: how hospitals should act to transform their bureaucratic, inefficient systems; who should assume the leadership role; and how much autonomy and pluralism will be appropriate.

ISSN:0361-6274    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

This three-part article, a primer on hospital schools for hospital administrators, discusses laws, student constituencies, epidemiologic trends, and hospital school services; describes hospital school organizational models; and discusses policy implication

ISSN:0361-6274    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Management compensation in a sample of 213 nonprofit hospitals in Ontario, Canada, is examined. Management compensation is determined first and foremost by hospital size and teaching status. Results indicate only a weak relationship between management compensation and hospital financial performance.

ISSN:0361-6274    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Contrary to common understanding, not-for-profit organizations must earn a profit in order to maintain fiscal solvency. This article presents a methodology to determine the appropriate profitability target with illustrations presented for a health maintenance organization.

ISSN:0361-6274    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Continued debate over who should pay for the increasingly unaffordable U.S. health care system has failed to yield a consensus solution. Shifting attention to how to reduce health care costs may be more productive. Strategies for achieving this goal include drastically reducing costly quality deficiencies, eliminating higher cost care options that add no demonstrated value, recognizing that responsibility for clinical and cost consequences cannot be divided, and acknowledging that rationing available resources is superior to other allocation alternatives.

ISSN:0361-6274    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Although leasing is a major source of financing for hospital capital acquisitions, the rationale for choosing leasing over conventional financing is not clear. This article examines academic and leasing company views, and then surveys hospital executives to obtain their views.

ISSN:0361-6274    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

This issues' book reviews focus on three timely areas: managed care, ambulatory care, and substance abuse. The first two books reviewed follow a similar pattern: a group of experts in their field express their thoughts on the major trends emerging in the health care field. The first book consists of six papers from a law symposium; each reflects on the legal implications of managed care systems. The second book consists of chapters written by ambulatory care professionals who share their insights on such challenges to the field, including managed care. The third book deals with substance abuse and offers an extensive overview of abuse identification, legal issues, and treatment modalities.

ISSN:0361-6274    

出版商:OVID    

年代:1991

数据来源: OVID

ISSN:0361-6274    

出版商:OVID    

年代:1991

数据来源: OVID