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Full-Text Articles in Health Policy
Do We Want To Measure The Quality Of Care For Vulnerable Older People? The Acove Approach., Neil S. Wenger
Do We Want To Measure The Quality Of Care For Vulnerable Older People? The Acove Approach., Neil S. Wenger
Center for Policy Research
There's limited information available about measuring the quality of medical care that is targeted to the needs of older patients. And there's very limited pressure on the system to provide high quality geriatric care. Why is that? Because the quality measures haven't been adequately developed and implemented, and it's more difficult to measure care for an older sample. Measuring care for ill older adults is complex, because they tend to have multiple medical conditions, and they demonstrate substantial variation in goals for care (Wenger and colleagues 2007). The Assessing Care of Vulnerable Elders (ACOVE) project began in 1998 as a …
The Changing American Hospital In The Twenty-First Century, Ralph W. Muller
The Changing American Hospital In The Twenty-First Century, Ralph W. Muller
Center for Policy Research
One is always hesitant to speak about the future. A famous philosopher from New York, Yogi Berra, said "Making predictions is difficult, especially about the future," and I have some trepidation about doing so now. There is also the difficulty of understanding what really has happened in the past. I recall the Bolshevik general in 1917 who said "The future is clear, but the past is very murky." We anticipate the future with more clarity than is justified, even as we disagree on what is happening right now or what happened before. In that vein, I will describe the role …
New Conundrums: Public Policy And The Emerging Health Care Marketplace, James R. Tallon
New Conundrums: Public Policy And The Emerging Health Care Marketplace, James R. Tallon
Center for Policy Research
There is a fundamentally new dynamic in American health care, one that has yet to be fully experienced but that threatens to leave a large portion of the American population without access to the quality health care they have received in the past. While the federal government has not completely abandoned the goal of assuring universal health care, a goal that dates back to the creation of Medicare and Medicaid in the 1960s and even earlier, the mechanisms to pursue that goal have changed. The implicit contract between government and health care providers--mostly doctors and not-for-profit hospitals--under which subsidized care …
Health Care: Public Good Or Private Enterprise?, David M. Lawrence
Health Care: Public Good Or Private Enterprise?, David M. Lawrence
Center for Policy Research
I start with the premise that the success of our efforts in health care is best measured by our ability to impact the health status of our citizens in the most affordable way possible. This brief provides an overview of the history of organized health care systems, then discusses several of the conundrums that are posted by knowledge of that history.