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Journal Article
Journal of Health Politics, Policy and Law (1 August 1982) 6 (4): 653–675.
Published: 01 August 1982
... reduce the number of hospital beds. The Michigan bed-reduction legislation was the creature of a coalition of powerful, organized “professional consumers” of health services who placed hospital cost containment on the political agenda and framed a solution. The provisions of the legislation were reshaped...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1980) 4 (4): 725–729.
Published: 01 August 1980
... should not be interpreted as representing the position of The Urban Institute or its sponsors. Washington Report The Shortage of Nursing Home Beds Judith Feder and WiUiam Scanlon* After years of decrying excess, policymakers have turned their...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1981) 6 (1): 49–61.
Published: 01 February 1981
...Evelyn Shapiro; Noralou P. Roos This article examines the use of acute beds by the elderly in Manitoba over the five-year period, 1972-1976. The analysis reveals that transfers of long-stay (greater than 90 day) elderly to long-term care facilities took longer in 1976 than in 1972 despite major...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1984) 9 (3): 453–473.
Published: 01 June 1984
...Eugenia S. Carpenter; Pamela Paul-Shaheen This paper traces the implementation of Michigan's program for hospital bed reduction through four phases in the critical first 30 months following enactment: standard-setting, plan development, plan approval, and legislative oversight. Procedural...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1993) 18 (4): 937–965.
Published: 01 August 1993
... markets. Especially important is whether a hospital has its own long-term care unit, swing beds, or both, and whether nursing home beds are available in the local area. Patients discharged from hospitals are more likely to use home health care in areas with a low supply of nursing home beds and low...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1980) 4 (4): 619–641.
Published: 01 August 1980
.... As a background, the paper defines and contrasts three concepts; need, demand, and utilization. It then indicates how Medicaid policies regarding reimbursement of homes and eligibility for support can result in a chronic shortage of beds and describes the estimated effects on utilization of eight...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1998) 23 (2): 363–390.
Published: 01 April 1998
... modest portion (28 percent) of the variance in total long-term care expenditures appears to be related to differences in population characteristics, and even less (7 percent) appears to be related to differences in HCBS expenditures. When supply factors (e.g., nursing home beds) are added, the explained...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1990) 15 (3): 591–605.
Published: 01 June 1990
... as the physician-patient relationship; easily measurable characteristics such as ownership or bed size explain little about hospital behavior or motivation. Copyright © 1990 by Duke University Press 1990 References Alexander , J. A. , M. A. Morrisey, and S. M. Shortell. 1986...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1986) 10 (4): 613–623.
Published: 01 August 1986
..., the authors did find that increases in costs and utilization were essentially driven by supply factors such as the number of hospital beds or medical specialists in a given community. Copyright © 1986 by Duke University Press 1986 Competition Versus Regulation: Some Empirical...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1977) 2 (2): 190–211.
Published: 01 April 1977
... efforts: inadequate financing, inadequate knowledge, bureaucratic apathy, legal constraints, political constraints, a fragmentation of agency responsibility, and a shortage of conforming beds. Public utility status, market regulation, and non-profit control are reviewed and rejected as alternatives to the...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1992) 17 (4): 929–958.
Published: 01 August 1992
...Jens Alber This article maps variations in a standardized way in residential care for elderly people in three Western nations. Measured by the number of available places per person aged sixty-five and over and by the number of staff members per bed in nursing homes, the United Kingdom has the most...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1998) 23 (3): 455–481.
Published: 01 June 1998
...) reduction in bed supply but higher costs per day and per admission, along with higher hospital profits. CON regulations generally have no detectable effect on diffusion of various hospital-based technologies. It is doubtful that CON regulations have had much effect on quality of care, positive or negative...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1989) 14 (2): 287–307.
Published: 01 April 1989
... the hospitals were in rural areas and 57 percent were small (less than 150 beds). Most of the patients (87.2 percent) incurred uncompensated amounts under $2,500, and 40 percent of the cases were below $500. About 72 percent of the patients with uncompensated care were from the same county as the...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1979) 4 (2): 250–272.
Published: 01 April 1979
... based on the assumptions that the planners seek satisfactory, rather than optimal solutions and that the data available to them are extremely limited. The cases analyzed suggest that, while most projects exceed the bed need standards, institutions were almost always able to demonstrate a need through...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1979) 4 (3): 464–490.
Published: 01 June 1979
... on private practice and pay beds. This paper examines the course of the conflict and analyzes the factors underlying the eruption of this issue. It draws attention to the role of the trade-unions in activating the Labour Party's latent ideological commitment on private practice. Although the issue...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2003) 28 (2-3): 195–216.
Published: 01 June 2003
...Carolyn Hughes Tuohy Current ideas about the role of the state include an enthusiasm for mechanisms of “indirect” or “third-party” governance. The health care arena, in which models of indirect governance have a long history, is an important test bed for these ideas. Classically, the arena was...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1987) 12 (1): 113–136.
Published: 01 February 1987
... determi- nations of the typical CON process. In this decade, the capital required to build new health care facilities, maintain existing facilities, and supply new health care needs has escalated tremendously. Whereas $50 billion was spent on financing new beds and resources and mon...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1983) 8 (3): 480–494.
Published: 01 June 1983
... law,” a statistical demonstration of a positive association between the availability and the use of hospital beds.2 Roemer argued that available, unused beds put pressure on physicians to fill them; it follows that a hospital or area with “too many” beds will tend to induce “too much” use...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1977) 2 (3): 298–299.
Published: 01 June 1977
... individuals is further obscured by pressures from funding sources, public and private, to emphasize such research techniques as the use of aggregate data and macro-level analysis. For example, one hears repeatedly that many of our cities have too many hospital beds; but the studies do not...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1979) 4 (3): 414–434.
Published: 01 June 1979
... in the performance of their duties. An internal audit conducted by DHEW seemed to support these contentions; it revealed a minimum of 227 substandard nursing homes containing 6,453 beds receiving Medicaid funds during 1969 in California Further evidence was supplied in a report issued by...