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1.
This paper presents the results of a qualitative study with 29 parents of children who have been in residential mental health
care. It examines three main patterns identified by parents: (a) the importance of respite, (b) feeling welcomed and understood, and (c) improved personal and
family functioning. It argues that benefits for parents and siblings of placed children deserve equal valuation with the needs of children in
residential care and that the processes of achieving such gains are independent considerations from creating systems of care
for troubled children or engaging family members in treatment plans for these children.
相似文献
Gary CameronEmail: |
2.
Carl Hampus Lyttkens 《The European journal of health economics》2009,10(3):239-242
Vita brevis, ars longa (or...life is too short for abstracts).
相似文献
Carl Hampus LyttkensEmail: |
3.
We estimate a Logit model for the choice determinants of the mobility in the Dutch market for health insurance in 2006. The
results highlight that socio-economic, geographical, and health-related factors matter in the decision to switch health care
insurer. Moreover, previous contact with the insurer and the former type of health policy are also of influence.
相似文献
Ilaria MoscaEmail: |
4.
Kaposy C 《Medicine, health care, and philosophy》2009,12(3):301-311
This article defends the public funding of abortion in the Canadian health care system in light of objections by opponents
of abortion that the procedure should be denied public funding. Abortion opponents point out that women terminate their pregnancies
most often for social reasons, that the Canadian health care system only requires funding for medically necessary procedures,
and that abortion for social reasons is not medically necessary care. I offer two lines of response. First, I briefly present
an argument that characterizes abortion sought for social reasons as medically necessary care, directly contesting the anti-abortion
position. Second, and more substantially, I present a justice argument that shows that even if abortion is not regarded as
medically necessary care, the reasons that typically motivate women to seek abortion are sufficiently weighty from the moral
perspective that it would be unjust to deny them public funding. I finish by drawing the more general conclusion that health
care funding decisions should be guided by a broader concept of necessary care, rather than by a narrow concept of specifically medical necessity. A broad concept of necessary care has been debated in health care policy in the Netherlands, and I suggest that
such a concept would be a more just and defensible guide for funding decisions than the concept of medical necessity.
相似文献
Chris KaposyEmail: |
5.
6.
PD Dr. J. Loss 《Pr?vention und Gesundheitsf?rderung》2008,3(2):53-55
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8.
Dr. U. Schütte 《Pr?vention und Gesundheitsf?rderung》2007,2(4):197-198
9.
Yasuo Sanjo 《The European journal of health economics》2009,10(2):207-215
We investigate a health care market with uncertainty in a mixed duopoly, where a partially privatized public hospital competes
against a private hospital in terms of quality choice. We use a simple Hotelling-type spatial competition model by incorporating
mean–variance analysis and the framework of partial privatization. We show how the variance in the quality perceived by patients
affects the true quality of medical care provided by hospitals. In addition, we show that a case exists in which the quality
of the partially privatized hospital becomes higher than that of the private hospital when the patient’s preference for quality
is relatively high.
相似文献
Yasuo SanjoEmail: |
10.
This article focuses on the redistributive effects of different measures to finance public health insurance. We analyse the
implications of different financing options for public health insurance on the redistribution of income from good to bad health
risks and from high-income to low-income individuals. The financing options considered are either income-related (namely income
taxes, payroll taxes, and indirect taxes), health-related (co-insurance, deductibles, and no-claim), or neither (flat fee).
We show that governments who treat access to health care as a basic right for everyone should consider redistributive effects
when reforming health care financing.
相似文献
Daniel PossenriedeEmail: |
11.
This article presents the results of a study on parental involvement in family foster care. The aims of the study were: (a) to describe the participation of the parents, and (b) to identify variables associated with their participation. Fifty-eight (58) parents having a child in family foster care were interviewed with a face-to-face questionnaire. The results indicate that parents participate little in care-related tasks or school activities, but are more involved in decision-making and discussions concerning the child. We observed greater participation where the parent had a spouse or partner and where the social workers and foster parents seemed to have a positive attitude towards parental participation and towards the parents themselves.
相似文献
Marie-Andrée PoirierEmail: |
12.
We explored a range of familial supports in the development of “strong” young children. We videotaped one full day in the life of each of five 30-month-old girls in Thailand, Canada, Peru, Italy, and the United Kingdom. A social-interactional conceptual framework guided our interpretive methodology. The diverse cultural tools brought to bear by both the child and her caregivers that appeared to enhance robust responses to the vicissitudes of everyday life are illustrated and analyzed as developing foundations of thriving. Toddlers and their caregivers enlisted soothing resources that exemplify microsystemic support that promoted the autonomy and social maturity valued by the families. Such factors appear to be associated with developing psychosocial well-being and resilience.
相似文献
Catherine Ann CameronEmail: |
13.
The changes in the way people die and the new challenges in dealing with dying and death have not been realized to their full
extent or discussed in respect to their implications and consequences for end-of-life care in Germany. The purpose of this
problem analysis paper is to provide an overview of the most important societal changes and to address the consequences for
end-of-life care in the German Health Care System from a public health nursing point of view. It will be demonstrated that
an exclusive focus on fostering the development of palliative care as a form of specialized health care and thereby allowing
only a few people access to qualified care at the end of life is not a sufficient approach. It will be rather necessary to
make broad changes in all areas of health care in order to achieve a level of end-of-life care that is of high quality and
appropriate to match people’s needs. The most important challenges to be managed in the German health care system will be
presented and discussed.
相似文献
Doris SchaefferEmail: |
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15.
This study focuses on the question of to what extent patient hospital careers take place in a coordinated way. So, nearly 60,000 hospitalizations with a diagnosis within the same diagnosis spectrum were analysed. The hospitalizations took place in a large regional area within Saxony, Germany. The patient catchment areas were hierarchically ordered (rural/urban) so that a representative sample of all hospitals was obtained. We conclude that in general there is a high degree of intrasectoral coordination in the acute inpatient sector. This applies especially for regions that are near a hospital of a higher care level. Observable problems in the process reflect a weak structure of outpatient care, problems related to rural areas, strategic incentives to pass on cost-intensive cases, or existing informal networks.
相似文献
Gunnar DittrichEmail: Phone: +49-351-46335903Fax: 49-351-46337790 |
16.
A pilot project in Israel, regarding parent’s involvement in their children’s education in residential care was evaluated.
The dual goals were changing staff’s attitudes toward parents, and empowering parents. During the school year, parents were
invited to participate in bi-weekly dynamic group workshops in the residence (parents only and parents–children), and to 3–4
“Family Days,” in addition to sharing special parent–child summer camps. Results indicate considerable success: children,
parents, and staff felt that the project had improved their ability to deal successfully with their everyday challenges, with
parents viewing themselves as having been most rewarded.
相似文献
Emmanuel GrupperEmail: |
17.
Kyung Hye Kim Kathleen Carey James F. Burgess Jr. 《Health care management science》2009,12(3):243-251
Crowded emergency departments (EDs) have become a serious problem in the current U.S. healthcare system. Patient wait times
and periods of ED diversion have increased, raising concerns about the timeliness, efficiency, and quality of ED treatment.
This study addresses the question of whether there are economies of scale (EOS) in ED care, and the extent to which such economies
vary across different types of EDs. A hospital cost function approach is taken to evaluate average and marginal costs of EDs
designated as trauma centers. Data comes from acute care hospitals in Texas for the period 1998–2004. Cost functions corresponding
to four different levels of ED trauma care are estimated using a translog panel data model with hospital fixed effects. The
marginal costs (in 2004 dollars) of each trauma center level are: $53 (Level I), $177 (Level II), $119 (Level III), and $258
(Level IV). Average cost per ED visit for trauma centers exceeds marginal cost at all Levels, indicating the presence of EOS.
The results support a possible expansion of ED size policy in order to improve the cost efficiency of ED services.
相似文献
James F. Burgess Jr.Email: |
18.
Health care in most countries is a rather “local good” for which the fiscal decentralization theory applies and heterogeneity
is the result. In order to address the issue of multijurisdictional health care in estimating income elasticity, we constructed
a unique sample using data for 110 regions in eight Organisation for Economic Co-operation and Development (OECD) countries
in 1997. We estimated this sample data with a multilevel hierarchical model. In doing this, we tried to identify two sources
of random variation: within- and between-country variation. The basic purpose was to find out whether the different relationships
between health care spending and the explanatory variables are country specific. We concluded that to take into account the
degree of fiscal decentralization within countries in estimating income elasticity of health expenditure proves to be important.
Two plausible reasons lie behind this: (a) where there is decentralization to the regions, policies aimed at emulating diversity
tend to increase national health care expenditure and (b) without fiscal decentralization, central monitoring of finance tends
to reduce regional diversity and therefore decrease national health expenditure. The results of our estimation do seem to
validate both these points.
相似文献
Marc Saez (Corresponding author)Email: |
19.
Mayer ML 《Maternal and child health journal》2008,12(5):624-632
Purpose: To identify correlates of geographic access to pediatric medical subspecialists in the United States and identify characteristics
of populations at risk for poor geographic access. Methods: Geographic access was operationalized as distance to care. Using data from the American Board of Pediatrics and the Claritas’
Pop-Facts Database, the straight-line distance between each zip code in the United States and the nearest subspecialist was
calculated for each pediatric subspecialty using zip code centroids. Using 16 specialty-specific, random-effects multiple
regression models, zip code characteristics associated with being farther from a subspecialty provider were identified. Results: Under-18 population, metropolitan status, and presence of a nearby teaching facility were associated with shorter distances
to care across pediatric subspecialties. The proportion of the population below the federal poverty level was positively associated
with greater distances to care. Zip codes in the Mountain and West North Central regions, likewise, were significantly farther
from pediatric subspecialists, even when statistically controlling for other factors. Conclusions: Pediatric populations at risk for poor geographic access to pediatric subspecialty care include those who reside in zip
codes with high concentrations of poverty, in rural and small metropolitan areas, and in the Mountain and West North Central
regions. The extent to which these distances create barriers to receipt of care is not established.
相似文献
Michelle L. MayerEmail: |
20.
Solving the health care consumers’ (producers’) utility maximization (cost minimization) problem could entail the substitution
of alternative care providers (factor inputs) when the relative out-of-pocket costs (factor prices) change, ceteris paribus.
The conceptual advancement in this contribution is illustrated with an earlier paper (P. Deb and A. Holmes, Health Economics 7(4):347–362, 1998) on the economic relationship of physicians (M.D.s) and ‘other providers’ (Ph.D.s, other) in the US outpatient
demand for mental health care services. Many aspects of our conceptual progress are insightful. Foremost, our conclusion on
whether M.D. and non-M.D. providers of outpatient mental health care are economic complements or substitutes depends on the
alternative measure of the substitution elasticity used. Second, when correctly measured the expenditure-minimizing substitutions
among mental health providers can be useful policy decision guides for consumers covered under traditional indemnity insurance
with deductibles or managed care plans with user co-payments. Finally, our conceptual clarification should motivate future
investigators of health services demand (or use) and cost models to consider a wider conceptual foundation for assessing the
structure and implications of provider relationships.
相似文献
Albert A. OkunadeEmail: |