An American specialist on Russia's health care system examines dramatic regional variation in that country's efforts at health care system reform. This paper assesses these differences, seeks to determine why they exist, and most importantly, measures the impact of this differentiated reform on...

Objectives: To determine if differences exist in hospital and intensive care unit (ICU)/operating room admission rates based on health insurance status. Methods: This was a retrospective, cross-sectional study of data from hospital clinical and financial records for all 2001 emergency department...

Objective: To study cross-national inequalities in mortality of adults and of children aged 5 years using a novel approach, with clustering techniques to stratify countries into mortality groups (better-off, worse-off, mid-level) and to examine risk factors associated with inequality. Design,...

Background: A world divided by health inequalities poses ethical challenges for global health. International and national responses to health disparities must be rooted in ethical values about health and its distribution; this is because ethical claims have the power to motivate, delineate...

The aftermath of Hurricane Katrina brought to the nation's attention the dangers of disease from unmanaged hazardous waste. Floating debris included drums of medical waste and even human body parts - horrific images that provided a poignant reminder of the need for regulating potentially harmful...

Disaster planning for health care providers following the September 11, 2001, terrorist attacks and, more recently, Hurricane Katrina, focuses on preparing hospitals and other emergency services to respond to victims' medical needs. But little attention has been paid to the challenges that...

This study examines the effect of health maintenance organizations (HMOs) on the use of health care services among the privately insured non-elderly population. Using data from the 2000 Medical Expenditures Panel Survey, we find that HMO members are not particularly healthier than non-HMO...

This paper compares the cost and quality incentive effects of cost reimbursement and prospective payment systems in the health industry when providers are altruistic. Providers' behavioral rule is governed by a desire to maximize a weighted sum of profit and consumers' health benefit. When...

This article argues that the corporate practice of medicine doctrine is a physician-centric, guild type doctrine that is misplaced in the present incarnation of the American healthcare system and that does nothing to improve quality, efficiency, or accountability. The paper focuses on three key...

During these times, the resilience of humankind is put to the test by the ravages of COVID-19. Besides the virus, endemic corruption becomes pandemic since some individuals seek unethical gains and peril others' lives, engaging in corrupt, fraudulent behaviors. The East European countries have...