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The changing landscape of health care financing and delivery : How are rural communities and providers responding?

Identifieur interne : 000734 ( Francis/Curation ); précédent : 000733; suivant : 000735

The changing landscape of health care financing and delivery : How are rural communities and providers responding?

Auteurs : RBID : Francis:521-00-11920

Descripteurs français

English descriptors

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
pA  
A01 01  1    @0 0887-378X
A03   1    @0 Milbank q.
A05       @2 77
A06       @2 4
A08 01  1  ENG  @1 The changing landscape of health care financing and delivery : How are rural communities and providers responding?
A11 01  1    @1 MUELLER (K. J.)
A11 02  1    @1 COBURN (A.)
A11 03  1    @1 CORDES (S.)
A14 01      @1 University of Nebraska @3 USA
A14 02      @1 University of Southern Maine @3 USA
A14 03      @1 University of Washington @3 USA
A14 04      @1 University of North Dakota; University of Missouri @3 USA
A14 05      @1 U.S. Department of Health and Human Services @3 USA
A20       @1 485-510
A21       @1 1999
A23 01      @0 ENG
A43 01      @1 INIST @2 24077 @5 354000081345620030
A44       @0 0000 @1 © 2000 INIST-CNRS. All rights reserved.
A45       @0 1 p.3/4
A47 01  1    @0 521-00-11920
A60       @1 P
A61       @0 A
A64 01  1    @0 The Milbank quarterly
A66 01      @0 USA
A68 01  1  FRE  @1 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 ?
C01 01    ENG  @0 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
C02 01  S    @0 52163 @1 XV
C02 02  S    @0 521
C03 01  S  FRE  @0 Etats-Unis @2 NG @5 01
C03 01  S  ENG  @0 United States Of America @2 NG @5 01
C03 02  S  FRE  @0 Système de santé @5 02
C03 02  S  ENG  @0 Health system @5 02
C03 03  S  FRE  @0 Politique de la santé @5 03
C03 03  S  ENG  @0 Health Policy @5 03
C03 04  S  FRE  @0 Changement organisationnel @5 04
C03 04  S  ENG  @0 Organizational Change @5 04
C03 05  S  FRE  @0 Communauté rurale @5 05
C03 05  S  ENG  @0 Rural Community @5 05
C03 06  S  FRE  @0 Différence régionale @5 06
C03 06  S  ENG  @0 Regional difference @5 06
C03 07  S  FRE  @0 Assurance maladie @5 07
C03 07  S  ENG  @0 Health insurance @5 07
C03 07  S  SPA  @0 Seguro de enfermedad @5 07
C03 08  S  FRE  @0 Equipement hospitalier @5 08
C03 08  S  ENG  @0 Hospital Facilities @5 08
C03 09  S  FRE  @0 Structure de la population @5 09
C03 09  S  ENG  @0 Population structure @5 09
C03 10  S  FRE  @0 Facteur socio-démographique @5 10
C03 10  S  ENG  @0 Socio-demographic factor @5 10
C03 11  S  FRE  @0 Pauvreté @5 11
C03 11  S  ENG  @0 Poverty @5 11
C03 12  S  FRE  @0 Chômage @5 12
C03 12  S  ENG  @0 Unemployment @5 12
C03 13  S  FRE  @0 Secteur d'activité économique @5 13
C03 13  S  ENG  @0 Economic sector @5 13
C03 14  S  FRE  @0 Medicaid @2 NI @4 INC @5 31
C03 15  S  FRE  @0 Année 1995 @2 ND @4 INC @5 32
N21       @1 178

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Le document en format XML

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