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Book part
Publication date: 16 October 2014

Cynthia J. Sieck, Thomas Wickizer and Laurel Geist

Individuals suffering from serious mental illness (SMI) face many challenges of navigating a complex and often fragmented health care system and may die significantly…

Abstract

Purpose

Individuals suffering from serious mental illness (SMI) face many challenges of navigating a complex and often fragmented health care system and may die significantly earlier from co-morbid physical health conditions. Integrating mental and physical health care for individuals with SMI is an emerging trend addressing the often-neglected physical health care needs of this population to better coordinate care and improve health outcomes.

Design/methodology/approach

Population Health Management (PHM) provides a useful framework for designing integrated care programs for individuals with SMI.

Findings

This paper examines the structure and evolution of the integrated care program in Missouri in the context of PHM, highlighting particular elements of PHM that facilitate and support development of an integrated mental and physical health care program.

Originality/value

As health care reform provides external motivation to provide integrated care, this study can be useful as other states attempt to address this important issue.

Details

Population Health Management in Health Care Organizations
Type: Book
ISBN: 978-1-78441-197-8

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Article
Publication date: 1 October 2004

Kristina L. Guo

This paper describes major trends in the health care market. They include increased health care costs, the growth of managed care, emphasis on quality of care, consumer…

Abstract

This paper describes major trends in the health care market. They include increased health care costs, the growth of managed care, emphasis on quality of care, consumer choice and the growth of the elderly and uninsured populations. The relationship between cost, quality, managed care and choice are explored in the Medicare and Medicaid programs. A clearer understanding of these trends enables managers in health care organizations to make strategic decisions resulting in organizations' survival and growth.

Details

Journal of Health Organization and Management, vol. 18 no. 5
Type: Research Article
ISSN: 1477-7266

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Article
Publication date: 1 January 1997

David C. Wyld

This article examines the scope of change which is likely to be brought about in the American health care industry due to the emergence of capitated reimbursement systems…

Abstract

This article examines the scope of change which is likely to be brought about in the American health care industry due to the emergence of capitated reimbursement systems. As we will see, the goals, the terminology, and the operations of hospitals in the United States will be greatly affected as the shift to capitation occurs. This article explores the underlying cause of the movement of hospitals toward capitation and examines the impact of capitation on hospital management practices.

Details

Management Research News, vol. 20 no. 1
Type: Research Article
ISSN: 0140-9174

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Article
Publication date: 26 October 2018

Samuel Elstner and Michael-Mark Theil

The purpose of this paper is to present information on the health care system in Germany with the focus on mental health care in people with intellectual disabilities (ID).

Abstract

Purpose

The purpose of this paper is to present information on the health care system in Germany with the focus on mental health care in people with intellectual disabilities (ID).

Design/methodology/approach

The paper is descriptive providing an overview of the general structure of the German health care system with historical and economic background. The paper also provides further information on the general social and health care in Germany for people with ID and medical education in the field of ID is used.

Findings

There is a highly developed health care infrastructure in Germany but health care for people with ID is not co-ordinated or universal. Mental health care for people with ID is predominantly in in-patient services. Only in recent years, out-patient services for people with ID have been developed. There is a little emphasis in medical education on the health care needs of people with ID.

Originality/value

The value of this paper is its description of health care in Germany and services for people with ID.

Details

Advances in Mental Health and Intellectual Disabilities, vol. 12 no. 3/4
Type: Research Article
ISSN: 2044-1282

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Article
Publication date: 1 June 1998

Ian Carruthers

THIS ARTICLE APPRAISES the Government's White Paper, The New NHS: Modern, Dependable, from the perspective of a health authority chief executive, outlining the context for…

Abstract

THIS ARTICLE APPRAISES the Government's White Paper, The New NHS: Modern, Dependable, from the perspective of a health authority chief executive, outlining the context for developing health care, the joint challenges of the White Paper and the Green Paper, Our Healthier Nation, the role and potential of primary care groups (in detail), the developing role of the health authority, and the agenda for shaping and improving the delivery of health and health services. It ends with an appraisal of particular implications for community care.

Details

Journal of Integrated Care, vol. 6 no. 3
Type: Research Article
ISSN: 1476-9018

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Article
Publication date: 1 June 2000

Patrick Asubonteng Rivers and Saundra H. Glover

As the healthcare industry undergoes major change, a method of “accounting for quality” has become a key factor in health services delivery and fiscal accountability…

Abstract

As the healthcare industry undergoes major change, a method of “accounting for quality” has become a key factor in health services delivery and fiscal accountability. This article examines several aspects of health care that inhibit the development of common methods of defining and accounting for quality. Key issues and characteristics of the healthcare market are addressed and the article provides a synthesis of these obstacles to the process of deriving common measures and standards of quality that may be utilized by the healthcare industry for financial decisions.

Details

International Journal of Health Care Quality Assurance, vol. 13 no. 3
Type: Research Article
ISSN: 0952-6862

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Book part
Publication date: 20 March 2007

Alfonso R. Oddo

Health care spending in the U.S. continues to outpace inflation and wage growth, which is likely to keep the burden of rising health care costs in the spotlight. As health

Abstract

Health care spending in the U.S. continues to outpace inflation and wage growth, which is likely to keep the burden of rising health care costs in the spotlight. As health care costs increase, health insurers face the challenges of providing quality health care at a reasonable cost. Some health care providers and insurers use economic measures such as return on investment to assess the effectiveness of health care. How does one measure the value of health? What are some of the advantages and disadvantages of using economic measures to evaluate health care?

This paper looks health care costs and who pays for them. What portion of health care costs is borne by employers? What portion by employees? Who does or should pay for health care of people who are uninsured? What is the role of insurance? If people do not have health care insurance, does it matter whether the reason they are uninsured is because they cannot afford it or because they choose not to be insured?

Selvam (2002) belives that the number one ethical dilemma in the U.S. is how to address the almost 40 million Americans who lack health care coverage. With rising hospital costs, even the hardest-working and most prudent persons are at risk. Many workers do not have health insurance and even if they are covered, they may not get what they need. What are some of the ethical issues facing patients, health care providers and insurers? What role should government have in assuring that all people receive quality health care?

Details

Insurance Ethics for a More Ethical World
Type: Book
ISBN: 978-1-84950-431-7

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Article
Publication date: 1 December 1998

Albert Lee

Neither private nor state run health care systems are perfect. Although there is increasing evidence that Health Maintenance Organizations (HMOs) provide comparable care

Abstract

Neither private nor state run health care systems are perfect. Although there is increasing evidence that Health Maintenance Organizations (HMOs) provide comparable care at lower cost, HMOs tend to select healthy patients. The dual health care system in Hong Kong spends about 3.9 per cent of GDP, with health indices among the best in the world. Hong Kong still faces the problem of escalating health care expenditure. One should take advantage of the dual health care system to evolve a new paradigm for a primary‐led seamless health care service. The Diabetes Centre of a university teaching hospital together with the University of Community and Family Medicine has started a structured shared care programme in diabetes mellitus, involving general practitioners in both the private and public sectors integrating the primary and secondary care, and the private and public sectors. This programme starts to develop an infrastructure for providing quality care at an affordable cost for a large pool of patients with chronic disease. Unlike other “managed care schemes”, this one is not run by profit‐oriented companies, but by health professionals with an interest in providing best possible care at an affordable cost. The “disease management” approach needs a care delivery system without traditional boundaries; and a continuous improvement process which develops and refines the knowledge base, guidelines and delivery system.

Details

Journal of Management in Medicine, vol. 12 no. 6
Type: Research Article
ISSN: 0268-9235

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Article
Publication date: 16 February 2015

Alison Taylor

In this paper, the Scottish Government's approach to improving outcomes for patients and service users by integrating health and social care planning and provision is…

Abstract

Purpose

In this paper, the Scottish Government's approach to improving outcomes for patients and service users by integrating health and social care planning and provision is described. The Scottish Parliament passed primary legislation in February 2014, which places requirements on Health Boards and Local Authorities to work together more closely than ever before. The paper aims to discuss these issues.

Design/methodology/approach

This paper sets out the Scottish Government's legislative approach to integrating health and social care, based on previous experience of encouraging better partnership between health and social care working without legislative compulsion.

Findings

The Scottish Government has concluded that legislation is required to create the integrated environment necessary for health and social care provision to meet the changing needs of Scotland's ageing population.

Research limitations/implications

The paper is confined to experience in Scotland.

Practical implications

Legislation is now complete, and implementation of the new arrangements is starting. Evaluation of their impact will be ongoing.

Social implications

The new integrated arrangements in Scotland are intended to achieve a significant shift in the balance of care in favour of community-based support rather than institutional care in hospitals and care homes. Its social implications will be to support greater wellbeing, particularly for people with multimorbidities within communities.

Originality/value

Scotland is taking a unique approach to integrating health and social care, focusing on legislative duties on Health Boards and Local Authorities to work together, rather than focusing on structural change alone. The scale of planned integration is also significant, with planning for, at least, all of adult social care and primary health care, and a proportion of acute hospital care, included in the new integrated arrangements.

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Article
Publication date: 1 September 2006

Evelien van der Schee, Peter P. Groenewegen and Roland D. Friele

If public trust in health care is to be used as a performance indicator for health care systems, its measurement has to be sensitive to changes in the health care system…

Abstract

Purpose

If public trust in health care is to be used as a performance indicator for health care systems, its measurement has to be sensitive to changes in the health care system. For this purpose, this study has monitored public trust in health care in The Netherlands over an eight‐year period, from 1997 to 2004. The study expected to find a decrease in public trust, with a low point in 2002.

Design/methodology/approach

Since 1997, public trust in health care was measured through postal questionnaires to the “health care consumer panel”. This panel consists of approximately 1,500 households and forms a representative sample of the Dutch population.

Findings

Trust in health care and trust in hospitals did not show any significant trend. Trust in medical specialists displayed an upward trend. Trust in future health care, trust in five out of six dimensions of health care and trust in general practitioners actually did show a decrease. However, only for trust in macro level policies and trust in professional expertise this trend continued. For the remaining trust objects, after 1999 or 2000, an upward trend set in.

Research implications/limitations

No support was found for our overall assumption. Explanations for the fact that trust did increase after 1999 or 2000 are difficult to find. On the basis of these findings the study questions whether the measure of public trust is sensitive enough to provide information on the performance of the health care system.

Originality/value

The aim of this research is to study public trust in health care on its abilities to be used as a performance indicator for health care systems.

Details

Journal of Health Organization and Management, vol. 20 no. 5
Type: Research Article
ISSN: 1477-7266

Keywords

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