Author: Kim Wong
Publisher: GRIN Verlag
ISBN: 3656823839
Category : Medical
Languages : en
Pages : 46
Book Description
Master's Thesis from the year 2012 in the subject Health - Public Health, grade: 2,5, University of Cologne, language: English, abstract: Imbalance between demand for and supply of physicians is an issue regularly addressed by the media, researchers and policy makers. It has been widely spread in many countries for years. Healthcare organizations in both of developed and developing countries have all experienced from that. Physician to patient ratio is one of the important normative population based indicators to measure this imbalance. It equals to the entire number of physicians in a healthcare organization dividing its patient volume within a certain period (e.g., a year). The quotient is often standardized in form of X (number of physicians) per 1,000 patients, or in form of ''1:X'' in order to express the amount of patients (X) that under one physician's management clearly. In comparison with other measurements, this kind of indicators are less complicated and easier to comprehend. An imbalance between physician demand and supply in a healthcare organization could be explicitly identified and quantified by comparing its actual physician to patient ratio with a ''gold standard''. Unfortunately, a wide-range suitable gold standard of physician to patient ratio does not exist. Therefore, healthcare organizations must make great efforts to find their own gold standards. The physician to patient ratio could be easily confounded with the patient to physician ratio which represents the number of physicians, who oversee one patient within his or her entire hospital stay. In an ideal model for patient care is ''1:1'' the target patient to physician ratio to aim at. But in reality, this ratio is not easy to realize. In this paper, merely the physician to patient ratio is under discussion. Imbalance between demand for and supply of physicians could bring inappropriate physician to patient ratio to healthcare organizations. It is one of the major threats to healthcare organizations, as it might have consequences such as lower quality of healthcare services, closure of hospital's ward, increasing wait time, reducing number of staff beds, under-utilization of physicians or higher medical costs. Managing the physician to patient ratio is not only a key to predict these risks but also the hope for turning the imbalance situations into balance ones. [...]
Managing and consequences of physician to patient ratio in health care organizations
Author: Kim Wong
Publisher: GRIN Verlag
ISBN: 3656823839
Category : Medical
Languages : en
Pages : 46
Book Description
Master's Thesis from the year 2012 in the subject Health - Public Health, grade: 2,5, University of Cologne, language: English, abstract: Imbalance between demand for and supply of physicians is an issue regularly addressed by the media, researchers and policy makers. It has been widely spread in many countries for years. Healthcare organizations in both of developed and developing countries have all experienced from that. Physician to patient ratio is one of the important normative population based indicators to measure this imbalance. It equals to the entire number of physicians in a healthcare organization dividing its patient volume within a certain period (e.g., a year). The quotient is often standardized in form of X (number of physicians) per 1,000 patients, or in form of ''1:X'' in order to express the amount of patients (X) that under one physician's management clearly. In comparison with other measurements, this kind of indicators are less complicated and easier to comprehend. An imbalance between physician demand and supply in a healthcare organization could be explicitly identified and quantified by comparing its actual physician to patient ratio with a ''gold standard''. Unfortunately, a wide-range suitable gold standard of physician to patient ratio does not exist. Therefore, healthcare organizations must make great efforts to find their own gold standards. The physician to patient ratio could be easily confounded with the patient to physician ratio which represents the number of physicians, who oversee one patient within his or her entire hospital stay. In an ideal model for patient care is ''1:1'' the target patient to physician ratio to aim at. But in reality, this ratio is not easy to realize. In this paper, merely the physician to patient ratio is under discussion. Imbalance between demand for and supply of physicians could bring inappropriate physician to patient ratio to healthcare organizations. It is one of the major threats to healthcare organizations, as it might have consequences such as lower quality of healthcare services, closure of hospital's ward, increasing wait time, reducing number of staff beds, under-utilization of physicians or higher medical costs. Managing the physician to patient ratio is not only a key to predict these risks but also the hope for turning the imbalance situations into balance ones. [...]
Publisher: GRIN Verlag
ISBN: 3656823839
Category : Medical
Languages : en
Pages : 46
Book Description
Master's Thesis from the year 2012 in the subject Health - Public Health, grade: 2,5, University of Cologne, language: English, abstract: Imbalance between demand for and supply of physicians is an issue regularly addressed by the media, researchers and policy makers. It has been widely spread in many countries for years. Healthcare organizations in both of developed and developing countries have all experienced from that. Physician to patient ratio is one of the important normative population based indicators to measure this imbalance. It equals to the entire number of physicians in a healthcare organization dividing its patient volume within a certain period (e.g., a year). The quotient is often standardized in form of X (number of physicians) per 1,000 patients, or in form of ''1:X'' in order to express the amount of patients (X) that under one physician's management clearly. In comparison with other measurements, this kind of indicators are less complicated and easier to comprehend. An imbalance between physician demand and supply in a healthcare organization could be explicitly identified and quantified by comparing its actual physician to patient ratio with a ''gold standard''. Unfortunately, a wide-range suitable gold standard of physician to patient ratio does not exist. Therefore, healthcare organizations must make great efforts to find their own gold standards. The physician to patient ratio could be easily confounded with the patient to physician ratio which represents the number of physicians, who oversee one patient within his or her entire hospital stay. In an ideal model for patient care is ''1:1'' the target patient to physician ratio to aim at. But in reality, this ratio is not easy to realize. In this paper, merely the physician to patient ratio is under discussion. Imbalance between demand for and supply of physicians could bring inappropriate physician to patient ratio to healthcare organizations. It is one of the major threats to healthcare organizations, as it might have consequences such as lower quality of healthcare services, closure of hospital's ward, increasing wait time, reducing number of staff beds, under-utilization of physicians or higher medical costs. Managing the physician to patient ratio is not only a key to predict these risks but also the hope for turning the imbalance situations into balance ones. [...]
Taking Action Against Clinician Burnout
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309495474
Category : Medical
Languages : en
Pages : 335
Book Description
Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.
Publisher: National Academies Press
ISBN: 0309495474
Category : Medical
Languages : en
Pages : 335
Book Description
Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.
Patient Safety and Quality
Author: Ronda Hughes
Publisher: Department of Health and Human Services
ISBN:
Category : Medical
Languages : en
Pages : 592
Book Description
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Publisher: Department of Health and Human Services
ISBN:
Category : Medical
Languages : en
Pages : 592
Book Description
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
For-Profit Enterprise in Health Care
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309036437
Category : Medical
Languages : en
Pages : 580
Book Description
"[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.
Publisher: National Academies Press
ISBN: 0309036437
Category : Medical
Languages : en
Pages : 580
Book Description
"[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.
The Future of the Public's Health in the 21st Century
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309133181
Category : Medical
Languages : en
Pages : 536
Book Description
The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.
Publisher: National Academies Press
ISBN: 0309133181
Category : Medical
Languages : en
Pages : 536
Book Description
The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.
Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy
Author: Mark W. Friedberg
Publisher: Rand Corporation
ISBN: 0833082205
Category : Medical
Languages : en
Pages : 149
Book Description
This report presents the results of a series of surveys and semistructured interviews intended to identify and characterize determinants of physician professional satisfaction.
Publisher: Rand Corporation
ISBN: 0833082205
Category : Medical
Languages : en
Pages : 149
Book Description
This report presents the results of a series of surveys and semistructured interviews intended to identify and characterize determinants of physician professional satisfaction.
The Nation's Physician Workforce
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309175895
Category : Medical
Languages : en
Pages : 121
Book Description
Enormous changes are occurring in the organization and financing of the U.S. health care systemâ€"rapid changes that are being driven by market forces rather than by government initiatives. Although it is difficult to predict what they system will look like once it begins to stabilize, the changes will affect all components of the health care workforce, and the numbers and types of health care professionals that will be needed in the futureâ€"as well as the roles they will fillâ€"will surely be much different than they were in the past. Despite numerous studies in the past 15 years showing that we might have more doctors than we need, the number of physicians in residency training continues to grow. At the same time, there is evidence that the demand for physician services will decrease as a result of growth of managed care. All of this is evidence that the demand for physician services will decrease as a result of growth of managed care. All of this is taking place at a time when, coincident with the result of failure of comprehensive health care reform, there is no coordinated and widely accepted physician workforce policy in the United States. The present study examines the following three questions: (1) Is there a physician policy in the United States? (2) If there a surplus, what is its likely impact on the cost, quality, and access to health care and on the efficient use of human resources? (3) What realistic steps can be taken to deal with a physician surplus? December
Publisher: National Academies Press
ISBN: 0309175895
Category : Medical
Languages : en
Pages : 121
Book Description
Enormous changes are occurring in the organization and financing of the U.S. health care systemâ€"rapid changes that are being driven by market forces rather than by government initiatives. Although it is difficult to predict what they system will look like once it begins to stabilize, the changes will affect all components of the health care workforce, and the numbers and types of health care professionals that will be needed in the futureâ€"as well as the roles they will fillâ€"will surely be much different than they were in the past. Despite numerous studies in the past 15 years showing that we might have more doctors than we need, the number of physicians in residency training continues to grow. At the same time, there is evidence that the demand for physician services will decrease as a result of growth of managed care. All of this is evidence that the demand for physician services will decrease as a result of growth of managed care. All of this is taking place at a time when, coincident with the result of failure of comprehensive health care reform, there is no coordinated and widely accepted physician workforce policy in the United States. The present study examines the following three questions: (1) Is there a physician policy in the United States? (2) If there a surplus, what is its likely impact on the cost, quality, and access to health care and on the efficient use of human resources? (3) What realistic steps can be taken to deal with a physician surplus? December
Health-Care Utilization as a Proxy in Disability Determination
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 030946921X
Category : Medical
Languages : en
Pages : 161
Book Description
The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.
Publisher: National Academies Press
ISBN: 030946921X
Category : Medical
Languages : en
Pages : 161
Book Description
The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.
Handbook of Health Economics
Author: Mark V. Pauly
Publisher: Elsevier
ISBN: 0444535926
Category : Business & Economics
Languages : en
Pages : 1149
Book Description
"As a relatively new subdiscipline of economics, health economics has made many contributions to areas of the main discipline, such as insurance economics. This volume provides a survey of the burgeoning literature on the subject of health economics." {source : site de l'éditeur].
Publisher: Elsevier
ISBN: 0444535926
Category : Business & Economics
Languages : en
Pages : 1149
Book Description
"As a relatively new subdiscipline of economics, health economics has made many contributions to areas of the main discipline, such as insurance economics. This volume provides a survey of the burgeoning literature on the subject of health economics." {source : site de l'éditeur].
Rewarding Provider Performance
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309102162
Category : Medical
Languages : en
Pages : 273
Book Description
The third installment in the Pathways to Quality Health Care series, Rewarding Provider Performance: Aligning Incentives in Medicare, continues to address the timely topic of the quality of health care in America. Each volume in the series effectively evaluates specific policy approaches within the context of improving the current operational framework of the health care system. The theme of this particular book is the staged introduction of pay for performance into Medicare. Pay for performance is a strategy that financially rewards health care providers for delivering high-quality care. Building on the findings and recommendations described in the two companion editions, Performance Measurement and Medicare's Quality Improvement Organization Program, this book offers options for implementing payment incentives to provide better value for America's health care investments. This book features conclusions and recommendations that will be useful to all stakeholders concerned with improving the quality and performance of the nation's health care system in both the public and private sectors.
Publisher: National Academies Press
ISBN: 0309102162
Category : Medical
Languages : en
Pages : 273
Book Description
The third installment in the Pathways to Quality Health Care series, Rewarding Provider Performance: Aligning Incentives in Medicare, continues to address the timely topic of the quality of health care in America. Each volume in the series effectively evaluates specific policy approaches within the context of improving the current operational framework of the health care system. The theme of this particular book is the staged introduction of pay for performance into Medicare. Pay for performance is a strategy that financially rewards health care providers for delivering high-quality care. Building on the findings and recommendations described in the two companion editions, Performance Measurement and Medicare's Quality Improvement Organization Program, this book offers options for implementing payment incentives to provide better value for America's health care investments. This book features conclusions and recommendations that will be useful to all stakeholders concerned with improving the quality and performance of the nation's health care system in both the public and private sectors.