LEADER 06138nam 2200781Ia 450 001 9910970540903321 005 20251017110100.0 010 $a9786610221660 010 $a9781280221668 010 $a1280221666 010 $a9780309557634 010 $a0309557631 010 $a9780585144115 010 $a0585144117 035 $a(CKB)110986584750740 035 $a(EBL)3377089 035 $a(SSID)ssj0000157312 035 $a(PQKBManifestationID)11147389 035 $a(PQKBTitleCode)TC0000157312 035 $a(PQKBWorkID)10139276 035 $a(PQKB)11212686 035 $a(MiAaPQ)EBC3377089 035 $a(Au-PeEL)EBL3377089 035 $a(CaPaEBR)ebr10068321 035 $a(CaONFJC)MIL22166 035 $a(OCoLC)814282726 035 $a(Perlego)4736130 035 $a(DNLM)611423 035 $a(BIP)12806574 035 $a(EXLCZ)99110986584750740 100 $a19860121d1986 uy 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 00$aFor-profit enterprise in health care /$fCommittee on Implications of For-Profit Enterprise in Health Care, Institute of Medicine ; Bradford H. Gray, editor 205 $a1st ed. 210 $aWashington, D.C. $cNational Academy Press$d1986 215 $a1 online resource (580 pages) 311 0 $a9780309078634 311 0 $a0309078636 311 0 $a9780309036436 311 0 $a0309036437 320 $aIncludes bibliographies and index. 327 $aFor-Profit Enterprise in Health Care; Copyright; Contents; ACKNOWLEDGMENTS; INTRODUCTION TO THE VOLUME; ORIGINS OF THIS INQUIRY; FOCUS OF THIS STUDY; THE COMPLICATIONS OF CHANGE; SOURCES OF INFORMATION; THE PRODUCTS OF THIS INQUIRY; CONCLUSION; PART I COMMITTEE REPORT ; 1 Profits and Health Care: An Introduction to the Issues ; QUESTIONS EXAMINED IN THIS REPORT; THE DIVERSE OWNERSHIP OF AMERICAN HEALTH CARE ORGANIZATIONS; THE FOR-PROFIT/NOT-FOR-PROFIT DISTINCTION; Investor Ownership; Not-For-Profit Organizations; Problems with the For-Profit/Not-For-Profit Distinction; THE VALUE QUESTION 327 $aHealth Care as Economic Good Health Care as Social Good; Economic Good Versus Social Good; Relationship of Physicians to Health Care Organizations; NOTES; References; APPENDIX TO CHAPTER 1; Economic Rationale for the Three Sectors; Models of the Behavior of For-Profit and Not-For-Profit Organizations; Why For-Profit Hospitals May be Inefficient; Notes; 2 Changes in the Ownership, Control, and Configuration of Health Care Services ; HOSPITALS; Investor-Owned Hospital Systems; Not-For-Profit Hospital Systems; COMPARISONS OF INVESTOR-OWNED AND NOT-FOR-PROFIT SYSTEMS; Psychiatric Hospitals 327 $aNURSING HOMES HEALTH MAINTENANCE ORGANIZATIONS; HOME CARE; NEW TYPES OF PROVIDERS; Freestanding Primary Care Centers; Other Services; VERTICAL INTEGRATION AND DIVERSIFICATION; FOR-PROFIT/NOT-FOR-PROFIT HYBRIDS; CONCLUSIONS; NOTES; References; 3 Financial Capital and Health Care Growth Trends ; WHAT IS CAPITAL?; SOURCES OF CAPITAL FUNDS FOR HEALTH CARE PROVIDERS; Trends in Sources of Financial Capital; Relationship of Ownership to Sources of Capital; THE COSTS OF CAPITAL; Philanthropy and Governmental Grants; Debt Financing; Equity Financing; THE LEVEL PLAYING FIELD ARGUMENT 327 $aPOLICY ISSUES REGARDING CAPITAL CONCLUSION; NOTES; References; APPENDIX TO CHAPTER 3; Note; 4 Investor Ownership and the Costs of Medical Care ; DEFINITION AND MEASUREMENT OF COSTS-AND WHO IS CONCERNED; STUDIES OF HOSPITAL EXPENSE AND PRICING; Expenses; Prices; MARKUP; PROFITABILITY; COSTS AND ACQUISITION OF HOSPITALS; NURSING HOME COSTS; OTHER FOR-PROFIT PROVIDERS; MONITORING COST TRENDS; CONCLUSIONS; NOTES; References; 5 Access to Care and Investor-Owned Providers ; THE PROBLEM OF CARE FOR THOSE UNABLE TO PAY; The Financing of Uncompensated Care; THE PROVIDERS OF UNCOMPENSATED CARE; OCR DATA 327 $aAHA Data State Data; REDUCING UNCOMPENSATED CARE; The Impact of For-Profit Acquisition; Cross-Subsidies and Uncompensated Care; Other For-Profit Providers; Types of Services in Various Hospitals; Which Hospital Services Lose Money?; For-Profit/Not-For-Profit Differences in Services; Cross-Subsidies and Uncompensated Care; ACCESS TO NURSING HOMES; ISSUES AND RECOMMENDATIONS; The Measurement of Care to Patients Unable to Pay; The Need for Better Information; The Obligations of Health Care Institutions; The Issue of Tax Status; The Government's Obligation for Uninsured Patients; CONCLUSION; NOTES 327 $aReferences 330 $a" This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times . This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topics--from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature."-- Journal of Health Politics, Policy and Law . 606 $aMedical economics 606 $aHealth facilities, Proprietary 606 $aMedical corporations 615 0$aMedical economics. 615 0$aHealth facilities, Proprietary. 615 0$aMedical corporations. 676 $a362.1/1/0681 701 $aGray$b Bradford H.$f1942-$01808707 712 02$aInstitute of Medicine (U.S.).$bCommittee on Implications of For-Profit Enterprise in Health Care. 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910970540903321 996 $aFor-profit enterprise in health care$94359096 997 $aUNINA