M Merz
M Merz
R H Miller,H S Luft
R H Miller
Enrollment in network-based managed care plans has grown rapidly, raising important questions about the actual impact of different types of managed care plans on health care use, expenditure, and quality of care. In this article, we analyze...
D R Nerenz
D R Nerenz
In summary, the Luke article is a solid starting point for understanding the relationships between existing hospital systems, developing regional systems, and ultimate benefits to patients, their employers, and their communities. We clearly...
Regional systems face organizational development challenges to integration [0.03%]
区域制度面临组织发展挑战以实现整合
D C Wegmiller
D C Wegmiller
Luke concludes his article by recommending regional system formation be permitted, even encouraged. I certainly agree with that encouragement and also agree that demonstration and evaluation projects should be initiated to determine what wo...
M O Bice
M O Bice
In summation, Luke's article presents a series of concepts and tools that provide insight into local system building. Most of the material holds up well to the "reality test." Additional studies should be undertaken that include ambulatory,...
R D Luke
R D Luke
Over the past several decades, the hospital industry has been undergoing a major organizational change that has until now been little examined. Local hospital systems (LHSs) are combinations of two or more hospitals that are in the same com...
U E Reinhardt
U E Reinhardt
The American public increasingly finds itself disenchanted with the system for health care financing in this country. Three forms of reform proposal are examined: those that place the locus of primary responsibility for health insurance cov...
C J Schramm,M Miller
C J Schramm
From reality to vision [0.03%]
从现实到展望
I Kraus
I Kraus
W L Dowling
W L Dowling