Digital Commons Network^™

A Study Of The Effects Of Certificate Of Need Law On Inpatient Occupancy Rates, Jomon Aliyas Paul, Huan Ni, Aniruddha Bagchi

Aniruddha Bagchi

Aca Implementation In The South: The Political Economy Of Full Participation In Kentucky, Glen P. Mays

Glen Mays

This analysis, conducted as part of the ACA Implementation Research Network, examines economic and political forces shaping Kentucky's early experience with implementation of the Patient Protection and Affordable Care Act.

Anatomia Da Privatização Neoliberal Do Sistema Único De Saúde: O Papel Das Organizações Sociais De Saúde, Fabiano Tonaco Borges, Suzely Abas Saliba Moimaz, Carlos Eduardo Siqueira, Cléa Abas Saliba Garbin

C. Eduardo Siqueira

O objetivo da elaboração desta obra foi dissecar as partes

que compõem o processo de privatização do Sistema Único de Saúde (SUS). Para isto, utilizou-se, metaforicamente, o termo anatomia para descrever as estruturas do corpo chamado privatização do SUS. Importante ressaltar que o termo público se

sobressai em todo o texto numa referência ao povo, termo mais apropriado do que estatal na contraposição à coisa particular, de domínio privado.

Partiu-se do princípio que a dependência externa dos países em desenvolvimento propicia condições para a exportação do modelo privado de saúde a partir dos países desenvolvidos, em particular, os Estados Unidos. …

Vocational Health Schools (Etsus) In Brazil: Regulation Of The Integration Of Teaching-Service-Administrative Sustainability Of Etsus, Fabiano Tonaco Borges, Cléa Ada Saliba Garbin, Carlos Eduardo Siqueira, Artênio Jósé Crispin Garbin, Najara Barbosa Da Rocha, Luíz Fernando Lolli, Suzely Adas Saliba Moimaz

C. Eduardo Siqueira

The scope of this study was to discuss the administrative sustainability of Brazil’s Vo- cational Health Schools (ETSUS) based on the principle of teaching and service integration, which brings a new dimension to healthcare work as yet unregulated by Brazilian public adminis- tration. It was a qualitative study using case study methodology. The research involved a semi-struc- tured questionnaire given to ETSUS managers addressing institutional, administrative, and work management aspects. The sample was composed of 6 ETSUS that belong to the Network of Vocational Health Schools (RET-SUS). The ETSUS showed centralized planning and management, and decentralized implementation of their core …

Neighborhood Design And Walking Trips In Ten U.S. Metropolitan Areas, Rob Boer, Yuhui Zheng, Adrian Overton, Gregory K. Ridgeway, Debra A. Cohen

Yuhui Zheng

Despite substantial evidence for neighborhood characteristics correlating with walking, so far there has been limited attention to possible practical implications for neighborhood design. This study investigates to what extent design guidelines are likely to stimulate walking.

Systematic Review: Impact Of Health Information Technology On Quality, Efficiency, And Costs Of Medical Care, Shinyi Wu, Basit Chaudhry, Jerome Wang, Margaret Maglione, Walter Mojica, Elizabeth Roth, Sally C. Morton, Paul G. Shekelle

Shinyi Wu

Background: Experts consider health information technology key to improving efficiency and quality of health care.

Purpose: To systematically review evidence on the effect of health information technology on quality, efficiency, and costs of health care.

Data Sources: The authors systematically searched the Englishlanguage literature indexed in MEDLINE (1995 to January 2004), the Cochrane Central Register of Controlled Trials, the Cochrane Database of Abstracts of Reviews of Effects, and the Periodical Abstracts Database. We also added studies identified by experts up to April 2005. Study Selection: Descriptive and comparative studies and systematic reviews of health information technology.

Data Extraction: Two reviewers …

Myopia Of Health-Care Reform Using Business Models, Macinnes Kenneth, Vivian C. Mcalister

Vivian C. McAlister

Background: Health-care institutions have looked to business for models to respond to the requirement for reform. This has changed the perspective of institutions that were founded on charitable principles, and managed with liberal employment policies and deficit budgeting. Using lesions from supply-side management, hospitals are fragmenting into independent programs with demands to balance budgets regardless of the source of cost.

Methods: Costs from the institution’s perspective are compared with those of the payer (province) using an example of a proposal to reduce costs in the surgical program by buying disposable drapes.

Results: The actual cost of disposable drapes bought from …