Health care management review
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Health Care Manage Rev · Jul 2006
The retail revolution in health care: Who will win and who will lose?
Retailers are expected to profoundly affect health care delivery by providing an alternative site for basic medical care. Retail health services are described together with their potential impacts on patient's health care providers and payors. This article concludes with implications for health care executives.
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Health Care Manage Rev · Apr 2006
An exploration of job design in long-term care facilities and its effect on nursing employee satisfaction.
This study used quantitative and qualitative methods to examine the design of nursing jobs in long-term care facilities and the effect of job design on employee satisfaction.
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Health Care Manage Rev · Jul 2005
Transfer pricing in hospitals and efficiency of physicians: the case of anesthesia services.
The objective is to investigate theoretically and empirically how the efficiency of the physicians involved in anesthesia and surgery can be optimized by the introduction of transfer pricing for anesthesia services. The anesthesiology data of approximately 57,000 operations carried out at the University Hospital Hamburg-Eppendorf (UKE) in Germany in the period from 2000 to 2002 are analyzed using parametric and non-parametric methods. The principal finding of the empirical analysis is that the efficiency of the physicians involved in anesthesia and surgery at the UKE improved after the introduction of transfer pricing.
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Health Care Manage Rev · Oct 2004
Comparative StudyA simplified analysis to determine the impact of surgical procedure time on pediatric anesthesia productivity.
With fee-for-service (FFS) reimbursement, anesthesiologists benefit financially from cases that take longer than expected. Capitation, or fixed anesthesia reimbursement (FAR), might result in financial losses for such inefficient cases. In this investigation, we used the Centers for Medicare and Medicaid Services' average anesthesia times as benchmarks for efficiency and examined case time characteristics for three surgical services: otorhinolaryngology, general surgery, and orthopedics. Our model demonstrated that some inefficient cases would be better billed FAR rather than FFS.
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Health Care Manage Rev · Jan 2000
ReviewThe paradox of physicians and administrators in health care organizations.
Rapidly changing times in health care challenge both physicians and health care administrators to manage the paradox of providing orderly, high quality, and efficient care while bringing forth innovations to address present unmet problems and surprises that emerge. Health care has grown throughout the past several centuries through differentiation and integration, becoming a highly complex biological system with the hospital as the central attractive force--or "strange attractor"--during this century. The theoretical model of complex adaptive systems promises more effective strategic direction in addressing these chaotic times where the new strange attractor moves beyond the hospital.