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"Eli Ginzberg and Panos Minogiannis, in Ginzberg's final book, examine the supply of health personnel in the United States. They consider the ways it has been influenced by federal and state legislation, health care financing, the transformation of the hospital, managed care, and health trends in the last part of the twentieth century. Through this historical approach, the book identifies key moments in U.S. health policy history that have led to problems in the geographical distribution of medical personnel, gender and race representation in the health personnel pool, and subsequent attempts to resolve these problems."--BOOK JACKET

Health indicators in the Philippines currently lag well behind what will be expected given the country's level of economic development. Immunization rates are at their lowest point in 10 years, maternal mortality remains very high, one in three Filipino children suffer from malnutrition, and the noncommunicable disease (NCD) burden is growing. The resulting epidemiologic profile is complex, and an adequate response requires a robust primary health care system. With the introduction and subsequent expansion of the social health insurer, administered by the Philippine health insurance corporation (PhilHealth), the central government has sought to ensure access to a number of high-priority health services, including at the primary level. However, much of the responsibility for implementing the publicly funded health system is at the local level, where capacity and resources differ. This paper seeks to understand the extent to which basic service delivery units (specifically rural health units (RHUs)) have the capacity to deliver the primary health care services mandated by the government.

This paper is two-fold. The first part deals with whether insurance have or do not have inflationary effect on government and private hospital fees. The extent of its effect on hospital utilization rates and the determinants of demand and supply for hospital services are investigated. The second part is descriptive rather than analytical which presents the profile of hospital by ownership and by type of hospital care. The determinants of hospital investment behavior are also considered.

Intro -- HEALTH CARE QUALITY: SELECT RESEARCHAND ANALYSES -- HEALTH CARE QUALITY: SELECT RESEARCHAND ANALYSES -- CONTENTS -- PREFACE -- Chapter 1 HEALTH CARE QUALITY: ENHANCING PROVIDER ACCOUNTABILITY THROUGH PAYMENT INCENTIVES AND PUBLIC REPORTING -- SUMMARY -- INTRODUCTION -- THE ROLE OF QUALITY MEASUREMENT -- PAYMENT INCENTIVES FOR QUALITY -- The Role of Medicare -- Overview of Payment Incentives -- PUBLIC REPORTING OF PERFORMANCE INFORMATION -- The Theory Underlying Public Reporting -- Issues with Consumer Use of Performance Information -- The Effectiveness of Public Reporting -- End Notes -- Chapter 2 PHYSICIAN SUPPLY AND THE PATIENT PROTECTION AND AFFORDABLE CARE ACT -- SUMMARY -- INTRODUCTION -- SIZE OF THE PHYSICIAN POPULATION -- Measuring the Physician Population -- Determining the Appropriate Size of the Physician Population -- PPACA and the Size of the Physician Population -- PPACA Provisions Targeting the Number of Physicians Trained -- PPACA Provisions Targeting Physician Productivity -- COMPOSITION OF THE PHYSICIAN POPULATION -- Primary Care Supply and Factors Influencing Primary Care Supply -- PPACA and the Composition of the Physician Population -- PPACA Provisions Targeting Primary Care Supply -- Primary Care Content in Physician Training -- Primary Care Physician Payment -- Care Coordination by Primary Care Physicians -- PPACA Provisions Targeting Shortages in Specialties -- GEOGRAPHIC DISTRIBUTION OF THE PHYSICIAN POPULATION -- Health Professional Shortage Areas and Medically Underserved Areas/Populations -- Why Geographic Shortages May Exist -- PPACA and the Geographic Distribution of the Physician Population -- PPACA Provisions Targeting the NHSC -- PPACA Provisions Targeting the Diversity of the Physician Workforce -- PPACA Provisions Targeting Rural Practice -- PPACA Provisions Amending HPSA and MUP Designation Criteria

The argument that health market behaviour is idiosyncratic is reviewed and evidence concerning 'Supplier Induced Demand' is presented. The theoretical basis and implications of this pivotal hypothesis are discussed.

This paper investigates the effect of physicians on infant mortality, stillbirths and the incidence of common childhood diseases. We construct a new panel data set covering German municipalities from 1928 to 1936 based on historical sources. The endogeneity of health care supply is addressed by using the expulsion of Jewish physicians from health insurance schemes by the Nazi government in 1933 as a source of exogenous variation in regional physician density. The results indicate substantial mortality effects due to changes in physician density. One additional physician per 1,000 of population reduces infant mortality by 23% and stillbirths by 16%. We find similar negative effects for gastrointestinal diseases and the incidence of measles, influenza and bronchitis. To investigate diminishing returns to health care provision, we develop a semiparametric control function approach. Our results indicate that the marginal returns to physicians are highly nonlinear and decreasing.

"This resource provides students with a thorough foundation in operations management, supply chain management, and the strategic implementation of programs, techniques, and tools for reducing costs and improving quality in health care organizations. It incorporates the features and functions of Microsoft Excel where appropriate in its coverage of supply chain strategy, process design and analysis of health care operations, managing health care operations quality, and planning and controlling health care operations. The book illustrates leading edge concepts and techniques such as six-sigma and lean logistics, and shows how operations and process improvement relate to contemporary health care trends such as evidence-based medicine and pay-for-performance"--

During the last decade, the health care sector has changed rapidly. Due to increased competition, the growing influence of patient-associations and a necessity to deliver health services in a more efficient and effective way, many health care organisations have started projects in the area of patient logistics, clinical pathways, data interchange and vertical integration (Aptel and Pourjalali, 2001). Moreover, the redesign of hospital services and the implementation of integrated care programmes are frequently addressed as being critical strategies to decrease resource utilization and improve

The purpose of this article is to shed light on hospital supply expenses, which form the second largest expense category after payroll and hold more promise for improving cost-efficiency compared to payroll. However, limited research has rigorously scrutinized this cost category, and it is rarely given specific consideration across cost-focused studies in health services publications. After reviewing previously cited estimates, we examine and independently validate supply expense data (collected by the American Hospital Association) for over 3,500 U.S. hospitals. We find supply expenses to make up 15% of total hospital expenses, on average, but as high as 30% or 40% in hospitals with a high case-mix index, such as surgery-intensive hospitals. Future research can use supply expense data to better understand hospital strategies that aim to manage costs, such as systemization, physician–hospital arrangements, and value-based purchasing.