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Titolo:
Monitoring health reform: a report card approach
Autore:
Brownell, MD; Roos, NP; Roos, LL;
Indirizzi:
Univ Manitoba, St Boniface Gen Hosp, Manitoba Ctr Hlth Policy & Evaluat, Dept Community Hlth Sci,Fac Med,Res Ctr, Winnipeg, MB R2H 2A6, Canada Univ Manitoba Winnipeg MB Canada R2H 2A6 tr, Winnipeg, MB R2H 2A6, Canada
Titolo Testata:
SOCIAL SCIENCE & MEDICINE
fascicolo: 5, volume: 52, anno: 2001,
pagine: 657 - 670
SICI:
0277-9536(200103)52:5<657:MHRARC>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
ARTERY BYPASS-SURGERY; NEEDS-BASED APPROACH; SOCIOECONOMIC-STATUS; RESOURCE-ALLOCATION; ADMINISTRATIVE DATA; CLAIMS DATA; CANADA; MORTALITY; MANITOBA; ONTARIO;
Keywords:
report cards; equity; efficiency; health reform; vertical equity; socioeconomic status; Canada;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
66
Recensione:
Indirizzi per estratti:
Indirizzo: Brownell, MD Univ Manitoba, St Boniface Gen Hosp, Manitoba Ctr Hlth Policy& Evaluat, Dept Community Hlth Sci,Fac Med,Res Ctr, 2nd Floor,351 Tache Ave, Winnipeg, MB R2H 2A6, Canada Univ Manitoba 2nd Floor,351 Tache Ave Winnipeg MB Canada R2H 2A6
Citazione:
M.D. Brownell et al., "Monitoring health reform: a report card approach", SOCIAL SC M, 52(5), 2001, pp. 657-670

Abstract

During the past several years. budget cuts haves forced hospitals in several countries to change the way they deliver cart. Gilson (Gilson. L. (1998), Discussion: In defence and pursuit of equity. Social Science & Medicine, 47(12). 1891-1896) has argued that, while health reforms are designed to improve efficiency, they have considerable potential to harm equity in the delivery of health care services. It is essential to monitor the impact of health reforms, not only to ensure the balance between equity and efficiency.bat also to determine the effect of reforms on such things as access to care and the quality of care delivered. This paper proposes a framework for monitoring these and other indicators that may be affected by health care reform. Application of this framework is illustrated with data from Winnipeg,Manitoba, Canada. Despite the closure of almost 24% of the hospital beds in Winnipeg between 1992 and 1996, access to care and quality of care remained generally unchanged. Improvements in efficiency occurred without harmingthe equitable delivery of health care services. Given our increasing understanding of the weak links between health care and health, improving efficiency within the health care system may actually be a prerequisite for addressing equity issues in health, (C) 2001 Elsevier Science Ltd. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 15/08/20 alle ore 19:28:11