G2TT
来源类型Working Paper
规范类型报告
DOI10.3386/w14212
来源IDWorking Paper 14212
Organizational Fragmentation and Care Quality in the U.S. Health Care System
Randall D. Cebul; James B. Rebitzer; Lowell J. Taylor; Mark Votruba
发表日期2008-08-14
出版年2008
语种英语
摘要Many goods and services can be readily provided through a series of unconnected transactions, but in health care close coordination over time and within care episodes improves both health outcomes and efficiency. Close coordination is problematic in the US health care system because the financing and delivery of care is distributed across a variety of distinct and often competing entities, each with its own objectives, obligations and capabilities. These fragmented organizational structures lead to disrupted relationships, poor information flows, and misaligned incentives that combine to degrade care quality and increase costs. We illustrate our argument with examples taken from the insurance and the hospital industries, and discuss possible responses to the problems resulting from organizational fragmentation.
主题Microeconomics ; Households and Firms ; Health, Education, and Welfare ; Health
URLhttps://www.nber.org/papers/w14212
来源智库National Bureau of Economic Research (United States)
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条目标识符http://119.78.100.153/handle/2XGU8XDN/571886
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Randall D. Cebul,James B. Rebitzer,Lowell J. Taylor,et al. Organizational Fragmentation and Care Quality in the U.S. Health Care System. 2008.
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