The purpose of this paper is to explore how rationing decisions are made by government and hospital policy makers and practitioners, at the micro, meso and macro levels of analysis, through examining the rationing of cardiac care in a Canadian hospital, and discussing how the interaction between policy makers and practitioners at each of these levels affects the process and outcomes. Data were ...

For a better business and IT alignment in hospitals an ontology-based description model for policy conflicts is introduced. Such a model is a necessary prerequisite for the subsequently domain-specific policy conflict handling as a hospital information management related activity.

International Food Policy Research Institute, Development Strategy and Governance Division, Washington, DC, USA, Duke University, Sanford School of Public Policy, Durham, NC, USA, University of California, Department of Epidemiology & Biostatistics, San Francisco, CA, USA, The First Hospital of Tsinghua University, Beijing, China and Department of Environmental Health Sciences, University of Ca...

In this policy brief, we estimate and document the regional magnitudes of charges associated with hospitalizations due to ambulatory care sensitive conditions (ACSCs) in rural hospitals. This research will inform policy makers about the regional magnitudes of rural preventable hospitalizations and the associated potential savings in hospital resource utilization when rural patients receive time...

Health policy reforms in New Zealand during the 1990s impacted on hospital operations, on the nursing workforce, and on patients. This study analyses changes in rates of 20 adverse patient outcomes that are potentially sensitive to nursing (OPSNs) before (1989-1993), during (1993-2000), and after (2000-2006) the policy reforms, using all New Zealand public hospital inpatient discharge data for ...

Mission Statement The mission of the ACS Health Policy Research Institute is to improve our understanding of surgical patient care from a policy perspective in order to educate the public, federal and state governments, health care consumers, and the policy community to enable advocacy for superior, efficient, and compassionate surgical patient care. The goal of the Institute is to create a dat...

Chemical thromboprophylaxis has been shown to reduce the incidence of venous thromboembolism (VTE) for patients with fractures of the hip, but it is not known with certainty whether it use also reduces mortality. Using postal and telephone questionnaires we collected data from English National Health Service (NHS) hospitals about their thromboprophylaxis policy for hip fractures patients from A...

aPublic Health Institute, Oakland, CA bEmory University, Atlanta, GA cGeorgia State University, Department of Public Management and Policy, Atlanta, GA dGeorgia State University, Georgia Health Policy Center, Atlanta, GA eUniversity of California San Francisco Benioff Children’s Hospital Oakland, Oakland, CA fCalifornia Department of Public Health, Genetic Disease Screening Program, Richmond, C...

BACKGROUND The suspicion of child abuse and neglect may arise from manifestations such as physical or psychosomatic symptoms, eating disorders, suicidal behavior, impaired parental functioning, etc. Thus the arrival of an abused or neglected child at the hospital provides an opportunity for detecting the problem and beginning a process of change. Optimal utilization of this potential depends on...

OBJECTIVE To determine the extent to which evidence-based practices for the prevention of central venous catheter (CVC)-associated bloodstream infections are incorporated into the policies and practices of academic intensive care units (ICUs) in the United States and to determine variations in the policies on CVC insertion, use, and care. DESIGN A 9-page written survey of practices and polici...