For-profit enterprise in health care / / Committee on Implications of For-Profit Enterprise in Health Care, Institute of Medicine ; Bradford H. Gray, editor

• Pubblicazione: Washington, D.C., : National Academy Press, 1986
• Edizione: 1st ed.
• Descrizione fisica: 1 online resource (580 pages)
• Disciplina: 362.1/1/0681
• Soggetto topico: Medical economics; Health facilities, Proprietary; Medical corporations
• Altri autori: GrayBradford H. <1942->
• Nota di bibliografia: Includes bibliographies and index.
• Nota di contenuto: For-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 ; Health 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 ; NURSING 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 ; POLICY 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 ; AHA 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 ; References
• Sommario/riassunto: " 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 .
• Titolo autorizzato: For-profit enterprise in health care
• ISBN: 9786610221660; 9781280221668; 1280221666; 9780309557634; 0309557631; 9780585144115; 0585144117
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Lingua di pubblicazione: Inglese
• Record Nr.: 9910970540903321
• Lo trovi qui: Univ. Federico II