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来源类型 | Working Paper |
规范类型 | 报告 |
DOI | 10.3386/w14212 |
来源ID | Working 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 |
URL | https://www.nber.org/papers/w14212 |
来源智库 | National Bureau of Economic Research (United States) |
引用统计 | |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/571886 |
推荐引用方式 GB/T 7714 | Randall D. Cebul,James B. Rebitzer,Lowell J. Taylor,et al. Organizational Fragmentation and Care Quality in the U.S. Health Care System. 2008. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
w14212.pdf(106KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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