The Optimality of Hospital Financing System: The Role of Physician-Manager Interactions

2006 ◽  
Author(s):  
David Crainich ◽  
Hervé Leleu ◽  
Ana Carmen Mauleon
Keyword(s):  
Hospital Financing ◽  
Financing System

scholarly journals Small Business And Entrepreneurship Financing System In Uzbekistan: Historical Analysis And Approaches

2021 ◽  
Vol 03 (04) ◽  
pp. 393-401
Author(s):  
Fayzulla Tolipov ◽  
Keyword(s):  
Small Business ◽  
Banking System ◽  
Historical Analysis ◽  
Business Environment ◽  
Point Of View ◽  
Development Programs ◽  
Financing System ◽  
Existing Problems ◽  
History Of

The article describes the specifics of the system of financing of small business and entrepreneurship in the recent history of Uzbekistan, the funds allocated for small business and entrepreneurship, the activities of commercial banks and the financial and banking system, some problems in the field. It also noted that since the early days of independence, a unique business environment has been created in the country to support the interests of entrepreneurs in the framework of development programs in this area, data on the role of financial mechanisms in the further development of small business and entrepreneurship in the country have been studied from a historical point of view. The article highlights the positive situation in the country's macro and microeconomic indicators, ie the active participation of banks in attracting local entrepreneurs and foreign investment, the existing problems in this area and the measures taken to address them. It analyzes the important factors and strategies of banks' participation in the development of business and entrepreneurship.

scholarly journals The Role of Intergovernmental Finance in Achieving Diversity and Cohesion: The Case of Spain

10.1068/c0053 ◽  
2001 ◽  
Vol 19 (2) ◽  
pp. 189-206 ◽  
Author(s):  
Antoni Castells
Keyword(s):  
Central Government ◽  
Present System ◽  
Financing System ◽  
Autonomous Communities ◽  
Financial Measures ◽  
Political Consequences ◽  
Complementary Role ◽  
The One ◽  
Democratic Constitution

The democratic Constitution of 1978 established a decentralised state in Spain. Since that year, the Autonomous Communities (the intermediate level of government) have strongly increased their role and currently represent around 25% – 30% of total public expenditure. Therefore, financing autonomous government has become a crucial issue with important financial and political consequences. The present system is based mostly on grants from central government, while tax revenues and fiscal accountability are weak. The financing system can play an important, albeit complementary, role in ensuring cohesion within a decentralised state. On the one hand, it can achieve a certain level of equalisation in providing public services all over the territory. On the other hand, it can allow all regions to obtain an appropriate level of self-government. However, it is important to stress that territorial cohesion requires as a precondition, a political consensus and the acceptance of a common project among the different regions. Financial problems can certainly become political problems, but political problems can rarely be solved through financial measures alone. Therefore, we should not demand of intergovernmental finances what they cannot do.

scholarly journals FINANCIAL PROVISION OFHOUSEHOLD FOOD SECURITY

2017 ◽  
pp. 35-45
Author(s):  
Oksana KVASNYTSIA
Keyword(s):  
Food Security ◽  
Industrial Complex ◽  
Financing System ◽  
Agricultural Producers ◽  
Current State ◽  
Social And Economic Development ◽  
Global Problems ◽  
Definition Of ◽  
High Level

Introduction. The issue of providing humanity with food rightly holds one of the leading places in the hierarchy of global problems. Food safety of a country is an indispensable condition and guarantees its sovereignty and independence, ensuring its sustainable social and economic development, population’s high level and quality oflife and reproduction ofhuman capital. The purpose of the article is to assess the state of food security of Ukraine, the definition of the role of households in ensuring food security and the justification of directions for improving financial leverage in the context of the implementation of Ukraine’s agricultural and food potential. Main results of the study. For Ukraine, the problem of ensuring food security is of particular importance, which is conditioned by the current state of development of the domestic agricultural and industrial complex, the increase of production in which is carried out mainly by an extensive way. The most important conditions for achieving food security are: the potential physical availability of food for every person; economic opportunity of purchasing food by all social groups of the population, including disadvantaged ones, which is achieved by raising the standard of living or implementing the necessary measures of social security; consumption of high quality products in quantities sufficient forrational nutrition. In order to increase the food security financial support, it is necessary to improve the financial component of the comprehensive food security mechanism, which aims at ensuring the application of economic instruments and creating conditions for attracting monetary resources for the functioning ofthe food security system through the creation of amulti-channel financing system. Conclusions. Therefore, the main directions of improving the financial system for the purpose of ensuring food security ofthe country are: availability of financial and credit support to agricultural producers; introduction of innovations in agricultural production; regulation of conditions for foreign and domestic food trade through a system of tariff and non-tariff instruments; systemic measures to strengthen and extend the life expectancyofthe population, wages and salaryincrease.

Nonparametric Frontier Model as a Tool for Exploratory Analysis of Hospital Stays

2001 ◽  
Vol 40 (03) ◽  
pp. 241-247
Author(s):  
C. Beguin
Keyword(s):  
Length Of Stay ◽  
Diagnosis Related Groups ◽  
Exploratory Analysis ◽  
Hospital Financing ◽  
Financing System ◽  
Free Disposal Hull ◽  
Free Disposal ◽  
Large Databases ◽  
Hospital Stays ◽  
Belgian Hospital

Abstract:Diagnosis-related groups (DRG) were introduced in 1995 to the Belgian hospital financing system. Trimming rules are generally used when mean length of stay (LOS) is estimated by DRG. This paper proposes the use of frontier models instead of trimming rules. These models allow to take into account the characteristics of the patients, to rank hospital stays, and to indicate stays presenting discrepancy between the patient’s characteristics and the resources consumed. The analysis is done with the nonparametric Free Disposal Hull (FDH) model and the method developed by Wilson to detect extreme observations, when defining the frontier is adapted to analyze large databases.

scholarly journals Impact of new health care policies on the quality of acute myocardial infarction treatment in Swiss hospitals: A before and after observational study

2016 ◽  
Vol 5 (3) ◽  
pp. 10
Author(s):  
Corine Mouton Dorey ◽  
Milo Alan Puhan ◽  
Nikola Biller-Andorno
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Observational Study ◽  
Performance Indicators ◽  
National Level ◽  
Hospital Treatment ◽  
Evidence Based ◽  
Hospital Financing ◽  
Financing System

Objective: Following a revision of the Swiss Federal Health Insurance Act, the regional hospital planning structure was modified and the hospital financing organized at a national level with the use of diagnosis related groups (SwissDRGs). The aim of this observational study was to determine in an independent way the initial impact of these changes on the quality of hospital treatment, with patients hospitalized for Acute Myocardial Infarction (AMI) being the chosen study group.Methods: We used prospective data from a Swiss clinical registry for AMI. The quality was measured based on the adherence to 10 evidence-based performance indicators for AMI treatment, and on the evaluation of in-hospital outcomes (mortality, complications, length of hospital stay [LOS]) globally and for seven pre-defined vulnerable subgroups. The study compared patient-based data before (2011) and after (2012) the implementation of the reform.Results: The study included 33 matched hospitals, and compared the AMI treatment of 2,491 patients in 2011 (before) and 2,544 in 2012 (after the hospital reform). No significant changes in the evidence-based performance indicators were observed, but an on average one day reduction in the LOS and worse outcomes in one of the pre-defined group of patients were found. The issue of how the clinical team achieved these results was not directly explored due to the underlying registry’s unalterable structure.Conclusions: One year after the implementation of a new hospital financing system in Switzerland, the quality of treatment delivered to patients hospitalized for AMI was maintained overall. The worse in-hospital mortality in one pre-defined vulnerable subgroup could reflect the emergence of difficulties for clinical teams to cope with patients demanding extra care and time. Further investigation is warranted.

scholarly journals The hospital financing system in Germany

1997 ◽  
Vol 20 (3) ◽  
pp. 20
Author(s):  
Beate Oswald
Keyword(s):  
Health Expenditure ◽  
Legal Reform ◽  
Transitional Period ◽  
Hospital Financing ◽  
Rapid Rate ◽  
Financing System ◽  
German Health ◽  
Main Emphasis ◽  
New System ◽  
Benefit System

In common with other western countries, German health expenditure had been increasing at a rapid rate in recent years, especially in the hospital sector. This paper describes the reaction of the German legislator and summarises what has happenedover the last few years following the introduction of the extensive Legal Reform Act.The paper puts the main emphasis on a new differentiated benefit system for hospitals, which is a requirement from 1996 onwards, after a transitional period. It shows the single components and the modalities of the new system and the possibilities of combining the new types of payment.

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