In this paper, we address two issues: i) how hospital employment changes with local unemployment, according to the type of hospital ownership, and ii) whether this relationship changed after the implementation of a pro-competitive reform that made hospitals more similar. A 2006-2010 French panel of 1695 hospitals over five waves allows us to consider within-hospital employment changes. We first...

OBJECTIVES To examine the impact of Massachusetts healthcare reform on changes in rates of admission to hospital for ambulatory care sensitive conditions (ACSCs), which are potentially preventable with good access to outpatient medical care, and racial and ethnic disparities in such rates, using complete inpatient discharge data (hospital episode statistics) from Massachusetts and three control...

OBJECTIVES An increase in hospital admission rates in older people may reflect improved access to healthcare, but also declining health trends in the older population. Owing to a lack of individual-level data, the latter possibility has received little attention. The current study examines associations between health status and hospitalisation rates of older adults in the Netherlands. DESIGN ...

This article examines the valuable role of group purchasing organizations (GPOs) in hospital purchasing in the United States. For over 100 years old GPOs have helped hospitals and other health care providers realize savings and create contracting efficiencies by aggregating purchasing volume to negotiate discounts with manufacturers, distributors and other vendors. The US has recently enacted a...

AIM To analyze hospital financing and delivery of inpatient services, financial requirements of the hospitals, and their ability to meet these requirements were determined. METHODS Data on financial performance of 41 hospitals were collected using a standardized questionnaire. Patient survey, group discussions with hospital administrators, and interviews with policy-makers were also used. R...

introduction: health care industry consists of an unexpected and confusing environment in which quality events play the important role. in such conditions, the necessary changes should be made. excellence models are general oriented frameworks that are able to achieve the above intention. materials & methods: this study is a descriptive cross-sectional study. data gathered by a standard checkli...

He is a frequent speaker at national, state, and local programs on healthcare reform and has given invited testimony to Congress on payment reform. Miller has worked with a number of states and regions to help design and implement payment and delivery system reforms. His work with the Pittsburgh Regional Health Initiative (PRHI) demonstrating the significant financial penalties that hospitals c...

Under increasing pressure to contain costs, hospitals are challenged to provide high-quality care to an increasingly complex group of children with life-threatening illness (LTI) that often worsen over time. Pediatric palliative care is an essential component of optimal hospital care delivery for these children and their families. This article describes (1) the current landscape of pediatric ho...

d isparities in care continue to be a major problem in the healthcare system. This issue will no doubt continue to grow in importance, considering the fact that racial and ethnic minorities currently represent one third of the U.S. population and are projected to become a majority of the population in 2042. This is why five major healthcare organizations—the american hospital association (aha),...

For over thirty years researchers have documented significant variation in medical care spending both between geographic regions and across hospitals within regions that does not seem to be related to outcomes. Much of the spending variation in the commercial insurance market is due to differences in prices across providers. Given the current policy focus on reducing medical care costs, these f...