Society has demanded reform in medical resident work scheduling; consequently, hospitals are implementing changes having organizational, clinical, financial, social, emotional, and educational consequences for physician training and patient care. We report the use of simulation modeling as an...

This paper contributes to research on organizational learning by investigating specific learning activities undertaken by improvement project teams in hospital intensive care units and proposing an integrative model to explain implementation success. Organizational learning is important in this...

Tackling the steep increase in drug costs is an especially important issue among many health care providers and insurers. To entice the clinics to become more cost efficient, the U.S. federal government, as well as many HMOs, have developed various cost containment initiatives recently. However,...

The report presents examples to illustrate many of the key issues regarding health care contracting. This study discusses 27 examples of contracting with the private sector in Latin America and the Caribbean. The examples cover three types of services and target population: 11 are...

Conditional Cash Transfer (CCT) programs are spreading rapidly throughout the developing world. These are the subjects of this paper and include Colombia's Familias en Acción, Honduras' PRAF, Jamaica's PATH, Mexico's Progresa/Oportunidades, and Nicaragua's Red de Protección Social. While...

This study assesses the health sector in Suriname, with the goal of assisting policy makers to develop a better understanding of problems and to propose a range of solutions. This study presents the analytical framework used to assess the health sector, reviews the major findings, and presents...

This note defines what spillover effects are, why it is important to measure them, and how to design an evaluation that will enable researchers to measure the impact of the program in the presence of spillover effects on subjects both eligible and ineligible for the program. Several practical...

There is increasing awareness that race and ethnicity play an important role in the poverty and social marginalization of Latin American and Caribbean populations.

O Artigo "Políticas de saúde e blocos econômicos" trata da integração de sistemas de saúde dentro de blocos econômicos. Entretanto, a obra não é restrito aos temas de saúde. Tópicos como proteção ao imigrante intra-regional, e extra-regional também são abordados. Dentro do tópico...