The changing landscape of health care financing and delivery : How are rural communities and providers responding?
Identifieur interne : 000734 ( Francis/Corpus ); précédent : 000733; suivant : 000735The changing landscape of health care financing and delivery : How are rural communities and providers responding?
Auteurs : RBID : Francis:521-00-11920Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Rural communities have not kept pace with the recent dramatic changes in health care financing and organization. However, the Medicare provisions in the Balanced Budget Act of 1997 will require rural providers to participate in the new systems. Case studies revealed the degree of readiness for change in six rural communities and charted their progress along a continuum, as reflected in three sets of activities: the development of networking; the creation of new strategies for managing patient care; and the adoption of new methods for contracting with health insurers. Some communities had constructed highly integrated systems, whereas others were just beginning to change their billing practices; a few were signing contracts for capitated care, in contrast to those that were resisting discounts in current fee structures. These six rural areas still have considerable ground to cover before their health care organization and financing reach the levels achieved by urban communities
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Format Inist (serveur)
NO : | FRANCIS 521-00-11920 INIST |
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FT : | (Le changement de panorama en matière de financement du système de santé et de distribution des soins : De quelle manière les communautés rurales et les personnels de santé s'efforcent d'y répondre ?) |
ET : | The changing landscape of health care financing and delivery : How are rural communities and providers responding? |
AU : | MUELLER (K. J.); COBURN (A.); CORDES (S.) |
AF : | University of Nebraska/Etats-Unis; University of Southern Maine/Etats-Unis; University of Washington/Etats-Unis; University of North Dakota; University of Missouri/Etats-Unis; U.S. Department of Health and Human Services/Etats-Unis |
DT : | Publication en série; Niveau analytique |
SO : | The Milbank quarterly; ISSN 0887-378X; Etats-Unis; Da. 1999; Vol. 77; No. 4; Pp. 485-510; Bibl. 1 p.3/4 |
LA : | Anglais |
EA : | Rural communities have not kept pace with the recent dramatic changes in health care financing and organization. However, the Medicare provisions in the Balanced Budget Act of 1997 will require rural providers to participate in the new systems. Case studies revealed the degree of readiness for change in six rural communities and charted their progress along a continuum, as reflected in three sets of activities: the development of networking; the creation of new strategies for managing patient care; and the adoption of new methods for contracting with health insurers. Some communities had constructed highly integrated systems, whereas others were just beginning to change their billing practices; a few were signing contracts for capitated care, in contrast to those that were resisting discounts in current fee structures. These six rural areas still have considerable ground to cover before their health care organization and financing reach the levels achieved by urban communities |
CC : | 52163; 521 |
FD : | Etats-Unis; Système de santé; Politique de la santé; Changement organisationnel; Communauté rurale; Différence régionale; Assurance maladie; Equipement hospitalier; Structure de la population; Facteur socio-démographique; Pauvreté; Chômage; Secteur d'activité économique; Medicaid; Année 1995 |
ED : | United States Of America; Health system; Health Policy; Organizational Change; Rural Community; Regional difference; Health insurance; Hospital Facilities; Population structure; Socio-demographic factor; Poverty; Unemployment; Economic sector |
SD : | Seguro de enfermedad |
LO : | INIST-24077.354000081345620030 |
ID : | 521 |
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Francis:521-00-11920Le document en format XML
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<front><div type="abstract" xml:lang="en">Rural communities have not kept pace with the recent dramatic changes in health care financing and organization. However, the Medicare provisions in the Balanced Budget Act of 1997 will require rural providers to participate in the new systems. Case studies revealed the degree of readiness for change in six rural communities and charted their progress along a continuum, as reflected in three sets of activities: the development of networking; the creation of new strategies for managing patient care; and the adoption of new methods for contracting with health insurers. Some communities had constructed highly integrated systems, whereas others were just beginning to change their billing practices; a few were signing contracts for capitated care, in contrast to those that were resisting discounts in current fee structures. These six rural areas still have considerable ground to cover before their health care organization and financing reach the levels achieved by urban communities</div>
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<server><NO>FRANCIS 521-00-11920 INIST</NO>
<FT>(Le changement de panorama en matière de financement du système de santé et de distribution des soins : De quelle manière les communautés rurales et les personnels de santé s'efforcent d'y répondre ?)</FT>
<ET>The changing landscape of health care financing and delivery : How are rural communities and providers responding?</ET>
<AU>MUELLER (K. J.); COBURN (A.); CORDES (S.)</AU>
<AF>University of Nebraska/Etats-Unis; University of Southern Maine/Etats-Unis; University of Washington/Etats-Unis; University of North Dakota; University of Missouri/Etats-Unis; U.S. Department of Health and Human Services/Etats-Unis</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>The Milbank quarterly; ISSN 0887-378X; Etats-Unis; Da. 1999; Vol. 77; No. 4; Pp. 485-510; Bibl. 1 p.3/4</SO>
<LA>Anglais</LA>
<EA>Rural communities have not kept pace with the recent dramatic changes in health care financing and organization. However, the Medicare provisions in the Balanced Budget Act of 1997 will require rural providers to participate in the new systems. Case studies revealed the degree of readiness for change in six rural communities and charted their progress along a continuum, as reflected in three sets of activities: the development of networking; the creation of new strategies for managing patient care; and the adoption of new methods for contracting with health insurers. Some communities had constructed highly integrated systems, whereas others were just beginning to change their billing practices; a few were signing contracts for capitated care, in contrast to those that were resisting discounts in current fee structures. These six rural areas still have considerable ground to cover before their health care organization and financing reach the levels achieved by urban communities</EA>
<CC>52163; 521</CC>
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<ED>United States Of America; Health system; Health Policy; Organizational Change; Rural Community; Regional difference; Health insurance; Hospital Facilities; Population structure; Socio-demographic factor; Poverty; Unemployment; Economic sector</ED>
<SD>Seguro de enfermedad</SD>
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