This study addresses the question how income affects health care utilization by the population aged 50 and over in the United States and a number of European countries with varying health care systems. The probabilities that individuals receive several medical services (visits to general practitioner, specialist, dentist, inpatient, or outpatient services) are analyzed separately using probit models. In addition to controls for income and demographic characteristics, controls for health status (both subjective and objective measures of health) are used. We analyze how the relationship between income and health care utilization varies across countries and relate these cross country differences to characteristics of the health care system, i. e., per capita total and public expenditure on health care, gate-keeping for specialist care, and copayments.
This article raises the problem of equity in the health system in Switzerland. Three dimensions of the concept of equity are taken into consideration: the inequality in the financing of the health system, the inequality in the distribution of the state of good health, and, finally, the iniquity in the access to health care. Some methodological developments are presented as well as the results. In conclusion we observe that the state of good health does not depend strongly on income but that it exists some iniquity in the access to health services from specialists and that the income inequality is increasing due to the financing of the health system.
The paper exploits panel data finite mixture (latent class) models to measure consumer equity in healthcare access and utilization. The finite mixture approach accounts for unobservable consumer heterogeneity, while generalized linear models address a retransformation problem of logged dependent variable. Using the data of the Japan Household Panel Survey (2009–2014), we discover that consumers separate into latent classes in the binary choice models for healthcare use and generalized linear models for outpatient/inpatient healthcare expenditure. The results reveal that healthcare access in Japan is pro-poor for the most sick consumers, while utilization of outpatient care is equitable with respect to disposable income.
All allied health and social care professionals are required to engage in Continuing Professional Development (CPD) in order to systematically maintain, improve and broaden their knowledge and skills and so develop the personal qualities and attributes required in their working lives. Extensively updated and revised, this second edition now reflects the latest regulatory requirements of health and social care professionals in the UK, and addresses the needs of health professionals working worldwide, including social workers who are now regulated in the UK by the Health and Care Professions Council (HCPC). In addition, new chapters address the specific needs of support workers and students of the relevant professions. The book discusses the theoretical basis for maintaining competence and offers practical guidance on how to develop a strategy for professional and career development. Ways of developing and maintaining a portfolio and of creating a profile to meet regulatory body requirements are addressed, and there is an emphasis on the development of learning skills, skills of reflection and critical evaluation as central to the CPD process. Attention is given to the specific needs of those professionals working directly with service users in practice, those holding managerial positions, employed in education and undertaking research. The second edition of this practical guide provides invaluable advice for successful continuing professional development for health and social care professionals at all stages of their career. • Provides practical guidance on strategies for lifelong learning and continuing professional development • Addresses the very latest CPD and regulatory requirements for health and social care professionals • Includes specific CPD strategies for students and support workers as well as professionals employed in practice, management, education and research
A user-oriented approach to management accounting concepts and techniques This thoroughly revised new edition of Management Accounting in Health Care Organizations provides introductory-level instruction and a user-oriented approach to management accounting concepts and techniques that help prepare students for managerial work in health care. The new edition includes information regarding the role of management accounting in health care organizations, the impact of the Affordable Care Act on managerial responsibilities, recent changes in operational budgeting practices—including a focus on «budget drivers,» the importance of managing the revenue cycle, and other factors that have fundamentally altered the use of management accounting in health care organizations over the past several years. Throughout this edition, the author introduces concepts and techniques that will help students identify, analyze, and apply key management accounting principles. The use of practice case studies at the end of each chapter allows students to master the techniques rather than simply memorize them. Assesses the impact of health care's impending fiscal crisis on the management accounting needs of health care organizations Describes the essentials of full-cost accounting, differential-cost accounting, and activity-based accounting, while illustrating their use in health care organizations Explains responsibility accounting and provides guidance on designing a responsibility accounting structure
In The Patient Revolution, author Krisa Tailor—a noted expert in health care innovation and management—explores, through the lens of design thinking, how information technology will take health care into the experience economy. In the experience economy, patients will shift to being empowered consumers who are active participants in their own care. Tailor explores this shift by creating a vision for a newly designed health care system that's focused on both sickness and wellness, and is driven by data and analytics. The new system seamlessly integrates health into our daily lives, and delivers care so uniquely personalized that no two people are provided identical treatments. Connected through data, everyone across the health care ecosystem, including clinicians, insurers, and researchers, will be able to meet individuals wherever they are in their health journey to reach the ultimate goal of keeping people healthy. The patient revolution has just begun and an exciting journey awaits us. Praise for the patient revolution «A full 50% of the US population has at least one chronic disease that requires ongoing monitoring and treatment. Our current health care system is woefully inadequate in providing these individuals with the treatment and support they need. This disparity can only be addressed through empowering patients to better care for themselves and giving providers better tools to care for their patients. Both of those solutions will require the development and application of novel technologies. In Krisa Tailor's book The Patient Revolution, a blueprint is articulated for how this could be achieved, culminating in a vision for a learning health system within 10 years.» —Ricky Bloomfield, MD, Director, Mobile Technology Strategy; Assistant Professor, Duke Medicine «In The Patient Revolution, Krisa Tailor astutely points out that 80% of health is impacted by factors outside of the health care system. Amazon unfortunately knows more about our patients than we do. The prescriptive analytics she describes will allow health care providers to use big data to optimize interventions at the level of the individual patient. The use of analytics will allow providers to improve quality, shape care coordination, and contain costs. Advanced analytics will lead to personalized care and ultimately empowered patients!» —Linda Butler, MD, Vice President of Medical Affairs/Chief Medical Officer/Chief Medical Information Officer, Rex Healthcare «The Patient Revolution provides a practical roadmap on how the industry can capture value by making health and care more personalized, anticipatory, and intuitive to patient needs.» —Ash Damle, CEO, Lumiata «Excellent read. For me, health care represents a unique economy—one focused on technology, but requiring a deep understanding of humanity. Ms. Tailor begins the exploration of how we provide care via the concepts of design thinking, asking how we might redesign care with an eye toward changing the experience. She does an excellent job deconstructing this from the patient experience. I look forward to a hopeful follow-up directed at changing the provider culture.» —Alan Pitt, MD, Chief Medical Officer, Avizia «Whether you're a health care provider looking to gain an understanding of the health care landscape, a health data scientist, or a seasoned business pro, you'll come away with a deeper, nuanced understanding of today's evolving health care system with this book. Krisa Tailor ties together—in a comprehensive, unique way—the worlds of health care administration, clinical practice, design thinking, and business strategy and innovation.» —Steven Chan, MD, MBA, University of California, Davis
PATIENTS FIRST CLOSING THE HEALTH CARE GAP IN CANADA «This book is a must read for those who are interested in our health care system and who want to make it better. Dr. Montague provides an interesting overview of his journey through hospital wards, clinical trials, patient registries, patient health management and chronic disease management programs. Drawing on his diverse and unique background, he gives an important history of the past, analysis of the present and a glimpse of our future.» –David Johnstone, MD President, Canadian Cardiovascular Society «Based on significant practice and research experience in the public, private and academic worlds, over many regions of Canada, Dr. Montague reveals to the reader, consumer, decision maker and patient an evolving and, until now, largely overlooked dimension in optimizing care and outcome. This optimization is important not only within the context of an individual's care, but within the scope of an entire practice, community or even nation.» –Ross Tsuyuki, PharmD Director, The Epidemiology Coordinating and Research Centre, University of Alberta «Listen to Dr. Montague. He well understands both the problem and the solution, which is to pull out all the stops and to put patients first. He advocates patient health management to close the many care gaps. This will result in improved health for millions of Canadians and then, if we do it right, by emphasizing research and evidence-based health care and not merely budgets, our health care system will become more cost effective and our population healthier and more productive.» –Mark Poznansky, PhD President, Robarts Research Institute
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An insider's guide to investing in Europe With the U.S. market in shambles, investors are looking for other places to put their money. Europe has become the destination of choice, and will continue to be for the foreseeable future. Using the different perspectives of an author who lives in Europe and an author who lives in the United States, Invest in Europe Now! is one the most informative guides to making money outside North America. It outlines the best ways to take advantage of the rapidly shifting global financial environment and shows you what indicators to follow, what instruments and markets are best poised for growth, and how to avoid various pitfalls along the way. Outlines the safest ways to invest in Europe and secure the returns you desire Written by a unique author team, which represent both the U.S. and European perspective Discusses how some European markets and stocks are relatively more attractive than their American counterparts Throughout this book, David Kotok and Vincenzo Sciaretta reveal the realities of investing in Europe and how you can benefit from doing so.
Advanced Practice in Nursing and the Allied Health Professions enables nurses and members of allied health professions to effectively diagnose and treat patients, in a wide variety of settings. It is especially relevant in regions where access to other health providers is limited. This new, completely revised, third edition shows how advanced practice continues to develop in response to the impact of health service reforms, the introduction of health policies aimed at developing a patient-led service based in primary care and changes in working conditions. Advanced Practice in Nursing and the Allied Health Professions presents an examination of the potential for advanced practitioners, at all levels, to have a significant effect on the health of the population and provide holistic care for the sick. Practice is identified as the central and most important feature of the advanced role in nursing and allied health professions. Advanced Practice in Nursing and the Allied Health Professions also considers: The development of advanced practice in nursing and the allied health professions and the implications for future health and social care services; Challenging professional boundaries that hinder the provision of care and pioneering innovation within a diverse society; The relationship between health policy and service reforms, current and future advanced roles; International developments in advanced practice; Leadership, management in relation to advanced roles; The responsibilities of advanced practitioners in meeting healthcare needs in a diverse society; Educating advanced practitioners and tracking their career development; The future possibilities for advanced practice and an agenda for research.
"This crystal-clear book offers to any who will listen invaluable, detailed guidance on how and why to move toward a true culture of excellence in hospital care. It isn't easy, but, as their results show, it's a journey well worth taking."—Donald M. Berwick, MD, president and CEO, Institute for Healthcare Improvement The Baptist Health Care Journey to Excellence presents tested principles and best practices to help improve your corporate culture and customer satisfaction, which will lead to loyalty, stability, sustained productivity, and profitability in your own organization. Order your copy today!
The future of healthcare technologies, and what they mean for investors and entrepreneurs The healthcare technology revolution is just around the corner. And when it arrives, it will change and enrich our lives in ways we can only begin to imagine. Doctors will perform blood pressure readings via video chat and nutritionists will analyze diet based on photos taken with cellphone cameras. Transforming Health Care combines healthcare, technology, and finance in an innovative new way that explains the future of healthcare and its effects on patient care, exploring the emergence of electronic tools that will transform the medical industry. Explaining how technology, not politics, will lead the future of the healthcare revolution, author and healthcare technology expert Phil Fasano presents real-life examples that show how the next generation of medical breakthroughs will come from the instant exchange of information across the world Explores how new technologies will radically change the future of healthcare by making it easier to share information rapidly Explains what the future of the high tech medical industry means for investors and entrepreneurs Written by a respected healthcare and health technology expert Offering an unprecedented look at how technology is transforming the healthcare industry, and what it will mean for future investors and entrepreneurs, Transforming Health Care is a remarkable insight into the next generation of health technologies.
Reforming Long-term Care in Europe offers the most up-to-date analysis of the features and developments of long-term care in Europe. Each chapter focuses on a key question in the policy debate in each country and offers a description and analysis of each system. Offers the very latest analysis of long-term care reform agendas in Europe Compares countries comparatively less studied with the experiences of reform in Germany, the UK, Netherlands and Sweden Each chapter focuses on a key question in the policy debate in each country and portrays a description and analysis of each system Contributions from a wide range of European scholars for an exceptionally broad perspective