The collection of services and providers that making up the safety net system plays a crucial role in providing health care to the nearly 50 million uninsured adults and children nationwide (Kaiser Commission on Medicaid and the Uninsured 2011a). Passage of the Patient Protection and Affordable Care Act (ACA) presents both opportunities and significant challenges for this system. The health ref...

Plans to overhaul our nation’s health care system are gaining momentum. Both houses of Congress are drafting health reform bills, and the president has identified health care reform as a top domestic policy priority for his first year in office. The broad goals of these health care reform proposals include moving the nation toward universal coverage, improving quality of care, and slowing the r...

background: it is necessary to consider into hospital emergency services' quantity and quality in different aspects such as time-to-provider, left-without-treatment and length-of-stay. the aimof this research was to identify the effect of these factors on patient satisfaction in training hospitals. methods: in this descriptive-analytical and cross-sectional study, the sample size was calculated...

In a community-based health insurance (CBHI) introduced in 2004 in Nouna health district, Burkina Faso, poor perceived quality of care by CBHI enrollees has been a key factor in observed high drop-out rates. The poor quality perceptions have been previously attributed to health worker dissatisfaction with the provider payment method used by the scheme and the resulting financial risk of health ...

OBJECTIVES The prominence given to universal implementation of electronic health record (EHR) systems in U.S. health care reform, underscores the importance of devising reliable measures of factors that predict medical care providers' use of EHRs. This paper presents an easily administered provider survey instrument that includes measures corresponding to core dimensions of DeLone and McClean's...

BACKGROUND In the Netherlands in 2006, a health insurance system reform took place in which regulated competition between insurers and providers is key. In this context, the government placed greater emphasis on patients being able to choose health insurers and providers as a precondition for competition. Patient choice became an instrument instead of solely a goal in itself. In the current stu...

This Article examines the competing visions of medical care represented by the professional paradigm and the market-based economic paradigm and considers the implications of those visions for the development of public policy. The first Part identifies the premises underlying the professional model and the influences that have bolstered each model. Notably, application of antitrust law to the he...

We examine the impact of the 2006 Massachusetts healthcare reform on substance use disorder (SUD) treatment facilities' provision of care. We test the impact of the reform on treatment quantity and access. We couple data on the near universe of specialty SUD treatment providers in the USA with a synthetic control method approach. We find little evidence that the reform lead to changes in treatm...