International Health Care Management, Volume 5 (Advances in Health Care Management)

Cover......Page 1
International Health Care Management......Page 4
Contents......Page 6
List of Contributors......Page 10
Review Board Members......Page 14
Reviewers......Page 16
What can we Learn from an International Perspective on Health Care Management?......Page 18
A Framework for Understanding International Health Care Management......Page 19
Patients and Providers......Page 21
Policy and Management......Page 23
Performance Management......Page 24
Conclusion......Page 26
The Emerging Field of International Health Care Management: An Introduction......Page 30
Introduction......Page 31
The Case for International Health Care Management......Page 33
The Challenge of Global Blindness......Page 35
Global Health Care: New Challenges and Opportunities......Page 36
Two Global Health Care Delivery Strategies......Page 37
Understanding the Demand for International Health Services......Page 38
Three Successful Approaches to Global Organization......Page 39
Capio......Page 41
Kangaroo Mother Care......Page 42
Limits to Learning and Transfer......Page 43
Creating Global Advantage......Page 44
Sharing Best Practices......Page 45
Communities of Practice Make a Difference......Page 47
From Communities of Practice to Focused Health Care Strategies......Page 49
Learning but not Transferring Best Practices......Page 50
Learning Lessons from Worst Cases......Page 51
Closing Remarks......Page 52
References......Page 53
Stories from Santiago: HIV/AIDS and Needed Health Systems Change......Page 58
HIV/AIDS in Latin America......Page 60
Argentina......Page 61
Chile and Santiago......Page 63
Chilean Public Health Care System through FONASA......Page 65
Chilean Culture and Health Care Provision......Page 66
Activism and Change......Page 67
Activism in Chile......Page 68
Methods......Page 69
Samples......Page 71
Data Collection......Page 72
Data Analysis......Page 73
Stories about Personal Injustice with the Health System......Page 75
Stories about Practitioner Incompetence and Attitudes......Page 77
Inadequate Funding......Page 78
Inadequate Confidentiality and Problematic Ethics......Page 79
Stories about Advocacy and Activism......Page 80
Legal Actions......Page 81
Vision-Driven Actions......Page 82
Targets and Strategies to Construct Environmental Dynamism......Page 83
From Stories to Theoretical Model of Constructed Environmental Dynamism......Page 86
Constructed Environmental Dynamism......Page 87
Notes About the Model......Page 89
Practice Implications for Stakeholders......Page 90
Administrative and Managerial Implications......Page 92
Future Research......Page 93
Conclusion......Page 94
References......Page 95
A Comparative Analysis of Hospital Management Systems in South Africa......Page 100
Introduction......Page 101
Background and Methods......Page 102
The Role of Hospital Ownership......Page 106
General Management Structures......Page 108
Complexity of Hospital Management Structures......Page 109
Management Structure and Functions at the Corporate Level and Hospital Interface......Page 111
Monitoring of Hospital Performance......Page 114
Individual Incentives for Efficiency......Page 115
Performance......Page 117
Discussion......Page 119
Policy Implications......Page 122
References......Page 125
American Hospital Firms and the Burgeoning Chinese Private Health Market......Page 128
Introduction......Page 129
The Growth of International Health Services......Page 130
The Chinese Hospital System......Page 131
Chinese International Partnership Hospital......Page 134
International Hospitals in China......Page 137
Summary......Page 139
Toward a Theory of International Health Strategic Management......Page 140
References......Page 141
Integrated Health Care Delivery Based on Transaction Cost Economics: Experiences from California and Cross-National Implications......Page 144
Reasons for Providing Health Care in Integrated Delivery Systems (IDSs)......Page 146
The Meaning of Integrated Health Care Delivery and its Purpose......Page 150
Failure of Integrated Health Care Delivery Systems......Page 152
The ‘‘New’’ Understanding of Integrated Health Care Delivery......Page 153
Virtual Integration Instead of Vertical Integration to Achieve Actual Integration......Page 154
Current ‘‘Success Factors’’ in the Bay Area Health Care Market......Page 156
The Dynamic Tension of Centralized and Decentralized Coordination......Page 158
Relationship Management......Page 160
People Management......Page 161
Information Technology......Page 163
Future Issues in Integrated Health Care Delivery......Page 164
Implications for the German Health Care Market......Page 165
Basic Ideas of the German Health Care System......Page 166
Reforms and Recent Developments in the German Health Care Market......Page 167
The Health Care Modernization Act......Page 169
Managing People......Page 173
Information Technology......Page 174
Conclusion......Page 175
References......Page 176
Assessment of Asset Specificity with Respect to Health Care Transactions......Page 179
Additional Comments (Grouped)......Page 181
Wicked Health Care Issues: An Analysis of Finnish and Swedish Health Care Reforms......Page 186
Finnish Health Care......Page 189
Swedish Health Care......Page 190
Health Care Reforms in Finland and Sweden......Page 191
Efficiency Reforms......Page 192
Decentralization Reforms......Page 193
Patients’ Freedom of Choice......Page 195
Improving Access to Care......Page 196
Circularity......Page 197
Stakeholder Involvement......Page 199
Problem-Solving Processes......Page 200
Implications......Page 202
Distinguish Wicked Problems from Tame Problems......Page 203
Be Acquainted with the Problem at Hand......Page 205
Select the Applicable Problem-Solving Process......Page 206
Concluding Remarks......Page 207
References......Page 208
The Management of Care for International Refugees: A Comparative Analysis of Policies and Outcomes......Page 210
Refugee Care from a Health Care Systems Approach......Page 212
The Role of External Organizations......Page 215
Focal Nations’ Refugee Policies and Critical Issues......Page 217
The United States......Page 218
Germany......Page 221
United Kingdom......Page 223
Iran......Page 224
Serbia and Montenegro......Page 225
Guinea......Page 226
Gaza Strip and West Bank......Page 228
Resources and Resource Development......Page 229
Activities and Outcomes......Page 233
References......Page 234
Taiwan’s National Health Insurance: A Decade of Change in Health Care Policy and Management Responses......Page 238
Introduction......Page 239
Historical Context......Page 240
Current Status......Page 241
Methods......Page 243
Sample Selection and Data Sources......Page 244
Identifying Relevant Outputs and Inputs......Page 245
Responsibility Centers (RC)......Page 246
Physician Fee (PF) Programs......Page 247
Results......Page 248
Tests of Tobit Regression......Page 249
Discussion......Page 250
Study 2: Outpatient Prescription Drug Co-Payment Policy and the Elderly......Page 251
Taiwan’s Prescription Drug Co-Payment Program......Page 252
Variance Analysis Method......Page 253
Regression Analysis......Page 254
Descriptive Statistics......Page 255
Results of Variance Analysis......Page 257
Results of Regression Analysis......Page 258
Discussion......Page 260
Financing the NHI Deficit......Page 262
Global Budget System......Page 263
Control of Drug Costs......Page 265
Enhancing Quality Control......Page 266
Horizon......Page 267
Conclusion......Page 269
References......Page 270
Measuring and Managing Quality in Hospitals: Lessons from a French Experiment......Page 274
Increasing Expectations......Page 276
Concerns about Equity......Page 277
How are Performance and Quality Defined?......Page 279
How Should Statistical Controversies be Resolved?......Page 280
What Level of Performance is Sufficient?......Page 281
The French Health Care System......Page 282
The Hospital System......Page 283
How Hospitals are Paid......Page 284
The Need for Improved Efficiency and Quality......Page 285
Stakeholders......Page 286
Dissemination Strategies......Page 287
Step 1: Establish a List of National Priorities for QI......Page 288
Step 3: Evaluate the Preliminary List......Page 289
Lessons From the French Experience......Page 290
From Measurement to Quality Management?......Page 293
Can We (or Should We) Pay for Quality?......Page 294
Concluding Remarks: Motivating Improvement in Quality......Page 295
Notes......Page 296
References......Page 297
Comparisons of Quality Initiatives in Selected Countries......Page 299
A Diagnostic Tool for HRM Benchmarking within a Health Care System......Page 300
The Work Organisation......Page 302
Leadership......Page 303
Availability for Work......Page 304
The Present Study......Page 305
Sampling and Data Collection......Page 306
Measures......Page 307
Analysis......Page 308
Work Organisational Teamwork......Page 309
Internal Customer Focus......Page 310
Management Performance......Page 312
Employees’ Workplace Satisfaction......Page 314
Workplace Satisfaction......Page 315
Employee Attitudes Toward Work......Page 316
Discussion......Page 318
Conclusions, Limitations and Future Research......Page 320
References......Page 321
Implementing a Regional Health Information Network: Impact on Health Care Performance and the Management of Change......Page 324
Region of Crete and Hygeianet......Page 330
Pre-Hospital Emergency Services......Page 332
Home Tele-Management of Patients......Page 334
eHealth Services......Page 336
Integrated Electronic Health Record......Page 338
Impact on Health Care Performance......Page 340
Access to Care Benefits......Page 341
Barriers to Implementation......Page 342
Change Management in Hygeianet Implementation......Page 344
Incentives......Page 346
Education......Page 347
Leadership......Page 348
Communications......Page 349
Conclusion......Page 350
References......Page 352
Greek Health Care System......Page 356
The Relevance of Health Care Access Systems: An Exploratory Study of Seven Industrialized Countries......Page 358
The Relevance of Health Care Access Systems: An Exploratory Study of Seven Industrialized Countries......Page 359
Definitions, Components, and Categorizations......Page 361
Theoretical Stance......Page 362
Financing Systems......Page 364
Access Systems......Page 367
A Six Component Analysis of Access Systems......Page 368
Health Care Costs and Access Systems......Page 369
Health Care Access and Financing Systems......Page 372
Health Care Access Systems and Process-Level Efficiency......Page 373
Implications for Policy and Research......Page 374
References......Page 376
Hospitals......Page 382
How is Quality Measured and Improved?......Page 383
General Taxation......Page 384
Government......Page 385
How is Quality Measured and Improved?......Page 386
Other Sources......Page 387
How are Costs Controlled?......Page 388
Services......Page 389
General Taxation......Page 390
How are Costs Controlled?......Page 391
Who is Covered?......Page 392
Physicians......Page 393
How is Quality Measured and Improved?......Page 394
Private Insurance......Page 395
Government......Page 396
Services......Page 397
Private Insurance......Page 398
Managed Care Organizations......Page 399
Government......Page 400
Country Index......Page 420
Subject Index......Page 412
Author Index......Page 402