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References8
Newest
Published on Mar 1, 1998in Health Affairs5.71
James R. Fries89
Estimated H-index: 89
,
C E Koop1
Estimated H-index: 1
+ 2 AuthorsDaniel G. Wright12
Estimated H-index: 12
PROLOGUE: Most of the recent reforms in health care delivery have been aimed at providing services more efficiently, and very few have considered the economic advantages of actually improving health. The authors of this paper argue that we have been too much consumed with the supply side of the health care equation and too little concerned with the demand side. The best way to reduce costs and improve health at the same time, they suggest, is not just to control the services provided but also to...
Published on Jun 1, 1997in Milbank Quarterly7.42
William E. Welton2
Estimated H-index: 2
(Allegheny College),
Theodore A. Kantner1
Estimated H-index: 1
(Allegheny College),
Sheila Moriber Katz1
Estimated H-index: 1
(Allegheny College)
As the nation's health system moves away from earlier models to one grounded in population health and market-based systems of care, new challenges arise for public health professionals, primary care practitioners, health plan and institutional managers, and community leaders. Among the challenges are the need to develop creative concepts of organization and accountability and to assure that dynamic, system-oriented structures support the new kind of leadership that is required. Developing tomorr...
Published on Mar 1, 1996in Nursing Economics1.02
Issel Lm1
Estimated H-index: 1
,
Ruth A. Anderson27
Estimated H-index: 27
Published on Mar 1, 1996in Medical Care3.79
Mark E. Cowen2
Estimated H-index: 2
,
Mary Bannister1
Estimated H-index: 1
+ 1 AuthorsRobert Tilden1
Estimated H-index: 1
Published on Jan 21, 1993in Frontiers of health services management
Robert H. Miller22
Estimated H-index: 22
,
Harold S. Luft45
Estimated H-index: 45
SUMMARY Enrollment in network-based managed care plans has grown rapidly, raising important questions about the actual impact of different types of managed care plans on health care use, expenditure, and quality of care. In this article, we analyze the literature on the performance of managed care plans relative to fee-for-service plans. We find strong evidence that staff-and group-model HMOs have lowered utilization and expenditure relative to fee-for-service while maintaining quality of care. ...
Published on Jan 1, 1992in Nursing Economics1.02
Lanis L. Hicks24
Estimated H-index: 24
,
Stallmeyer Jm2
Estimated H-index: 2
,
Coleman2
Estimated H-index: 2
Published on Sep 1, 1990in American Journal of Health-system Pharmacy2.01
Frederic R. Curtiss7
Estimated H-index: 7
The current status of managed health care is described and its impact on hospital and pharmacy operations is summarized. In the 1980s, managed care evolved into a three-segment industry, comprising health maintenance organizations (HMOs), preferred-provider organizations, and fee-for-service plans. Five new trends are emerging as managed care, now an established part of the country's health-care delivery system, enters its second generation: dual- and triple-option plans with financial risk shar...
Cited By11
Newest
Published on Nov 1, 2008in Qualitative Health Research3.03
Jennifer Wenzel18
Estimated H-index: 18
,
Richard H. Steeves21
Estimated H-index: 21
(UVA: University of Virginia)
The interest of managed care organizations (MCOs) in decreasing care and outcome variance and lowering costs has created many concerns including those pertaining to the complex and costly nature of cancer care. In this study, we used a hermeneutic phenomenological approach involving semistructured interviews of 14 women with breast cancer to examine MCO enrollees' experiences related to their cancer treatment. Results comprise two themes: managed care tasks and managing or mediating between the ...
Published on Nov 1, 2005in Nursing Outlook2.54
Mark A. Covaleski23
Estimated H-index: 23
(UW: University of Wisconsin-Madison)
This paper adapts the perspective of organizational contingency theory to consider the changing nature of how the economic impact of nursing care upon health care organizations is measured. It is argued that useful measures of the economic impact of nursing care are a function of environmental, organizational, and technological circumstances. The increasing and diverse demands of health care consumers (environmental), the dramatic restructuring and re-engineering of the health care delivery syst...
Published on Jul 1, 2005in The health care manager
Lynn Unruh18
Estimated H-index: 18
,
Nancy Rudner Lugo1
Estimated H-index: 1
+ 1 AuthorsJacqueline Fowler Byers6
Estimated H-index: 6
Objective:Patient safety practices have primarily focused on providers, such as hospitals and ambulatory or long-term care. Based on the premise that most medical errors and patient safety problems arise from system issues, and that managed care constitutes the largest, most integrated system in hea
Published on Feb 1, 2005in Journal of Nursing Administration1.21
Sandra Lookinland4
Estimated H-index: 4
,
Mary E. Tiedeman9
Estimated H-index: 9
,
Amy E. T. Crosson1
Estimated H-index: 1
Healthcare delivery systems in the United States are changing rapidly in response to socioeconomic forces. In the new competitive healthcare market, work has been redesigned, with hospitals changing their skill mix to include unlicensed assisitive personnel. Having previously described the more traditional models of care delivery, (JONA, June 2004), the authors will now discuss a variety of nontraditional practice models that have been developed to address the changing needs of healthcare. These...
Angela Y. Lambing1
Estimated H-index: 1
(HFHS: Henry Ford Health System),
Denise L. C. Adams1
Estimated H-index: 1
+ 1 AuthorsGeorge Divine38
Estimated H-index: 38
(HFHS: Henry Ford Health System)
Objective Less is known about nurse practitioners' (NPs') effectiveness in acute care than about their effectiveness in outpatient settings. This study investigated care activities and clinical outcomes for hospitalized geriatric patients treated by NPs compared with those treated by intern and resident physicians. Data Sources A descriptive comparative research design involved random selection of 100 inpatient geriatric patients and a convenience sample of 17 professional providers who staffed ...
Published on Jul 1, 2002in Nursing Outlook2.54
Katherine I. Miller7
Estimated H-index: 7
(A&M: Texas A&M University),
Julie Apker1
Estimated H-index: 1
(A&M: Texas A&M University)
Abstract This article explores how the role of the hospital nurse has been transformed by managed care, with a concentration on changes relevant to communicative relationships and processes. Two brief case analyses are considered to examine how hospital nurses have felt the impact of being on the "front lines" of managed care. Findings illustrate the utility of a communication perspective in understanding changes in nursing at individual, organizational, and system levels. Nurs Outlook 2002;50:1...
Published on Feb 1, 2002in Journal of Nursing Administration1.21
Julie Apker1
Estimated H-index: 1
,
Dorothy H. Fox2
Estimated H-index: 2
Nurse administrators are searching for an expanded repertoire of strategies to attract and retain qualified nursing staff in today's managed care environment. This study examined hospital registered nurses' interpretations of managed care and the effects of those views on nurses' identification with their employing organization and the nursing profession. Findings show that nurses held greater identification with their occupation than their organization. Significant factors influencing nurses'at...
Published on Feb 1, 2001in American Journal of Nursing1.35
Ruth Hansten6
Estimated H-index: 6
,
Marilynn Washburn5
Estimated H-index: 5
Published on Jun 1, 2000in Home Health Care Management & Practice
Carolyn E. Adams3
Estimated H-index: 3
,
Jayne F. Moore3
Estimated H-index: 3
,
Yvonne Michel24
Estimated H-index: 24
The study's purpose was to compare characteristics, service utilization, and outcomes of home health patients enrolled in fee-for-service (FFS) versus health maintenance organization (HMO) health plans. Results documented that HMO patients were healthier and used fewer resources than FFS patients. Outcomes for HMO patients were superior to those of FFS patients. Phi correlation coefficients showed that purchaser type was not a substantial predictor of patient outcomes. Home health staff need to ...