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The health financing transition: A conceptual framework and empirical evidence

Fan, Victoria Y.; Savedoff, William D. - In: Social Science & Medicine 105 (2014) C, pp. 112-121

Almost every country exhibits two important health financing trends: health spending per person rises and the share of out-of-pocket spending on health services declines. We describe these trends as a “health financing transition” to provide a conceptual framework for understanding health...

Persistent link: https://www.econbiz.de/10011042435

Exploring personal interests of physicians in hospitals and specialty clinics

Koelewijn, Wout T.; Ehrenhard, Michel L.; Groen, Aard J.; … - In: Social Science & Medicine 100 (2014) C, pp. 93-98

Physicians' interests substantially influence intra-organizational dynamics in hospitals, though little is known about … attached to interests differs between specialties and types of hospitals. The influence of hospital type on the value attached …

Persistent link: https://www.econbiz.de/10010737774

Dream vs. reality: Seven case-studies on the desirability and feasibility of cross-border hospital collaboration in Europe

Glinos, Irene A.; Baeten, Rita - In: Social Science & Medicine 117 (2014) C, pp. 18-24

Despite being a niche phenomenon, cross-border health care collaboration receives a lot of attention in the EU and figures visibly on the policy agenda, in particular since the policy process which eventually led to the adoption of Directive 2011/24/EU. One of the underlying assumptions is that...

Persistent link: https://www.econbiz.de/10011042160

The promises and perils of hospital autonomy

London, Jonathan D. - In: Social Science & Medicine 96 (2013) C, pp. 232-240

examines how hospitals have used their increased discretion and to what effect. Analysis suggests autonomization is associated …'s stated goal of quality healthcare for all. Impacts of autonomization in district hospitals are less striking. Despite certain …

Persistent link: https://www.econbiz.de/10011042355

Reprint of: Dream vs. reality: Seven case-studies on the desirability and feasibility of cross-border hospital collaboration in Europe

Glinos, Irene A.; Baeten, Rita - In: Social Science & Medicine 124 (2015) C, pp. 331-337

Persistent link: https://www.econbiz.de/10011189642

Life of a partnership: The process of collaboration between the National Tuberculosis Program and the hospitals in Yogyakarta, Indonesia

Probandari, Ari; Utarini, Adi; Lindholm, Lars; Hurtig, … - In: Social Science & Medicine 73 (2011) 9, pp. 1386-1394

PPP that aims to engage all providers, including hospitals, to implement standardized diagnosis and treatment. This paper … explores mainly the local actors’ views and experiences of the process of PPP in delivering TB care in hospitals in Yogyakarta … relationships. The existence of an intermediary actor was important for approaching the National Tuberculosis Program and hospitals …

Persistent link: https://www.econbiz.de/10010582331

Disciplined doctors: The electronic medical record and physicians' changing relationship to medical knowledge

Reich, Adam - In: Social Science & Medicine 74 (2012) 7, pp. 1021-1028

This study explores the effects of the electronic medical record (EMR) on the power of the medical profession. It is based on twenty-five in-depth interviews with administrators and physicians across three departments of a large, US integrated health system, as well as ethnographic observation,...

Persistent link: https://www.econbiz.de/10010582457

“Everything that I thought that they would be, they weren’t:” Family systems as support and impediment to recovery

EnglandKennedy, Elizabeth Sara; Horton, Sarah - In: Social Science & Medicine 73 (2011) 8, pp. 1222-1229

Family help provision for adults diagnosed with co-occurring severe mental illness and substance dependence is understudied. This article draws on verbally-administered structured and semi-structured interviews with one group of 122 behavioral health care clients and one group of 54...

Persistent link: https://www.econbiz.de/10011042473

The effects of institutional change on geographic variation and health services use in the USA

Nigam, Amit - In: Social Science & Medicine 74 (2012) 3, pp. 323-331

This paper examines the impact of institutional change on patient care. Using panel data on obstetric deliveries from the state of California in the United States between 1983 and 2001, it develops and tests hypotheses predicting impacts of three features of institutional change—managed care...

Persistent link: https://www.econbiz.de/10011042538

Weighing the evidence: Risks and benefits of participatory documentary in corporatized clinics

Hansen, Helena - In: Social Science & Medicine 99 (2013) C, pp. 194-200

This paper describes the effects of one U.S.-based public psychiatry clinic's shift to a centralized, corporate style of management, in response to pressures to cut expenditures by focusing on “evidence based” treatments. Participant observation research conducted between 2008 and 2012 for a...

Persistent link: https://www.econbiz.de/10011042569