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OBJECTIVES Hospitalization of nursing home residents is a growing, poorly defined problem. The purposes of this study were to define rates, patterns, costs, and outcomes of hospitalizations from nursing homes and to consider implications for reducing this problem as part of health care reform. METHODS Communitywide nursing home utilization review and(More)
The aim of this paper is to review how decisions are made about the delivery of health care. Limited resources and increasing health care costs have resulted internationally in a growing necessity to understand the economic consequences of health care delivery. Rheumatology remains underfunded because the societal impact of chronic conditions is not well(More)
670 INTRODUCTION Numerous reasons exist for the need to achieve consensus on economic evaluation methods. First, the recent explosion in the number of published economic analyses makes it important to identify key methodologic standards so that studies can be appropriately compared and critically appraised. Second, one of the primary objectives of economic(More)
We describe an economic framework, including demand- and supply-side factors, for approaching the analysis and planning of health system reform in South Africa, in order to avoid piecemeal debates. We argue that there is an urgent need to re-engineer the way health facilities are internally organized to achieve better productivity and responsiveness. We(More)
Introduction Various clinical tools exist that categorize health-care data into homogenous cohorts. The tools contribute to the understanding of health-care experiences. The tools described below are used in understanding the Discovery Health population. At a patient level, the John Hopkins Adjusted Clinical Groups (ACG) case-mix system identifies common(More)
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