Changes in health care financing: effects on the delivery of health care services in the 1990s

Article Abstract:

Changes in the way health care is paid for have changed access to health care. Provider-directed care, expensive medical technology, and strong competition for services have rapidly driven medical costs up. Payers are attempting to lower costs by requiring providers to regulate clinical and financial outcomes. Cardiovascular care is especially affected by these factors, since it consumes billions of dollars annually. Cardiac providers must intensify their efforts in prevention and appropriate hospital use.

Economic aspects, Finance, Medical care, Managed care plans (Medical care), Hospitals, Health care reform, Cardiovascular disease nursing, Hospital services, Cardiovascular services

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Promoting and measuring productivity in the HMO

Article Abstract:

Health managers are increasingly becoming concerned with productivity measurements as a requirement for the successful promotion of health care delivery in terms of quality and cost-effectiveness. Since both beneficial outcomes and costs are determinants of productivity, several pitfalls in attempts to measure such factor are presented. In addition, the ways by which managers can overcome such difficulties and make health maintenance organizations successful are discussed.

HEALTH SERVICES, Management, Measurement, Health maintenance organizations, Labor productivity

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