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Donabedian model. The Donabedian model is a conceptual model that provides a framework for examining health services and evaluating quality of health care. [ 1] According to the model, information about quality of care can be drawn from three categories: “structure,” “process,” and “outcomes." [ 2] Structure describes the context in ...
The eightfold path is a method of policy analysis assembled by Eugene Bardach, a professor at the Goldman School of Public Policy at the University of California, Berkeley. [ 1] It is outlined in his book A Practical Guide for Policy Analysis: The Eightfold Path to More Effective Problem Solving, which is now in its seventh edition. [ 2]
The Clinton health care plan of 1993 was an American healthcare reform package proposed by the Bill Clinton administration and closely associated with the chair of the task force devising the plan, first lady Hillary Clinton. Bill Clinton had campaigned heavily on health care in the 1992 United States presidential election. The task force was ...
Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...
A few states have taken steps toward universal health care coverage, most notably Minnesota, Massachusetts and Connecticut. Examples include the Massachusetts 2006 Health Reform Statute [157] and Connecticut's SustiNet plan to provide health care to state residents. [158]
Case management is a managed care technique within the health care coverage system of the United States. It involves an integrated system that manages the delivery of comprehensive healthcare services for enrolled patients. [1] Case managers are employed in almost every aspect of health care and these employ different approaches in the control ...
Healthcare quality and safety require that the right information be available at the right time to support patient care and health system management decisions. Gaining consensus on essential data content and documentation standards is a necessary prerequisite for high-quality data in the interconnected healthcare system of the future.
A career in healthcare administration consists of organizing, developing, and managing medical and health services. These responsibilities are carried out at hospitals, clinics, managed care companies, public health agencies, and other comparable establishments. This job involves a lot of paperwork and minimal clinical engagement.
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