The aim was to analyze clinical performance through the application of Hospital Standardized Mortality Ratio (HSMR) and its variation according to admissions payment sources and hospitals financing arrangements. Secondary data was used and diagnoses that account for 80% of hospital deaths were analyzed, adjusted by patient risk. Performance observed was worse than expected in public and mixed-p...

The distribution of Medicaid hospital discharges and expenditures by major diagnosis group for Medicaid enrollees in California, Michigan, and New York during 1982 are examined in this article. Although hospital expenditures represent a major component of Medicaid expenditures, the extent of variation in Medicaid inpatient utilization and expenditures across diagnoses and between States has not...

BACKGROUND In 1995, teaching and public hospitals that are affiliated with the ministry of health and medical education (MOHME) in Iran were granted financial self-sufficiency to practice contract-based relations with insurance organizations. The so-called "hospital autonomy" policy involved giving authority to the insurance organizations to purchase health services. The policy aimed at improvi...

theories and the existing studies predict different the relationship between external financing and investing activities and the stock returns. but almost of them predict that there is negative relationship separately between financing and investing activities with stock returns. this study examined the assumption that there is a significantly negative relationship between external financing ac...

Egypt and Cuba are both lower-middle income countries with a history of socialist rule, which have embarked on economic liberalization since the 1990s. Cuba has achieved exemplary health status whereas health status in Egypt is lower than could be expected for its level of income. In this article, health care financing mechanisms in both countries are analysed on their effectiveness, efficiency...

The World Health Report 2000 (WHR 2000) is probably best remembered for trying to stack the health systems of different countries up against each other using a uniform set of measures (WHO 2000). Certainly, senior health officials in my own country (South Africa) repeatedly referred to our ranking of 175 out of 191 countries, in terms of overall health system performance, to highlight our pligh...