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Hospitals represented a growing $371.7 billion industry in the United States in 1997 and were responsible at that time for about 34% of the nation's health care expenditures. In 1999, the total portion of U.S. national health expenditures devoted to hospital care was estimated to have reached $401.3 billion.
There are several types of hospitals: acute care (i.e., defined to be those hospitals with average lengths of stay less than 30 days); psychiatric hospitals; chronic rehabilitation; nursing homes; and Federal (e.g., Veterans Administration Hospitals). The major issues linked to the entire hospital industry may be summarized as access or availability, costs, and (broadly defined) quality of care. The effective management of each involves operations research and management science. The key issues and trends that are associated with these concepts are as follows.
In 1965, two government-sponsored health insurance plans were created in the United States, Medicare and Medicaid....
- Brailer, D.J. and Pierskalla, W.P. (1992). “The Impact of Hospital Congestion on Mortality,” Proceedings of TIMS International Conference, Helsinki, Finland, July. Google Scholar
- Burns, L.R., Bazzoli, G.J., Dynan, L., and Wholey, D.R. (1997). “Managed Care, Market Stages, and Integrated Delivery Systems: Is There A Relationship?” Health Affairs, 16(6), 204–218.Google Scholar
- Carlisle, D.M. et al. (1992). “HMO vs Fee-for-service care for older persons with acute myocardial infarction.” American Jl. Public Health, 82, 1626–1630.Google Scholar
- Connor, R.A., Feldman, R.D., Dowd, B.E., and Radcliff, T.A. (1997). “Which Types of Hospital Mergers Save Consumers Money?” Health Affairs, 16(6), 62–74.Google Scholar
- Lewin Group (1999). “The Balanced Budget Act and hospitals: The dollars and cents of Medicare payment cuts.” Report released through the American Hospital Association, Washington, DC. Google Scholar
- Luft, H.S. (1981). “Trends in medical care costs: Do HMOs lower the rate of growth?” Medical Care, 18, 1–16.Google Scholar
- Mann, J.M., Melnick, G., Bamezai, A., and Zwanziger, J. (1997). “A Profile of Uncompensated Hospital Care, 1983–1995.” Health Affairs, 16(4), 223–232.Google Scholar
- Manning, W.G. et al. (1987). “Health insurance and the demand for medical care: Evidence from a randomized experiment.” American Economic Review, 77, 251–277.Google Scholar
- Menke, T.J. (1997). “The Effect of Chain Membership on Hospital Costs.” Health Services Research, 32(2), 177–196.Google Scholar
- Miller, R.H. and Luft, H.S. (1994). “Managed care plan performance since 1980.” Jl. American Medical Association, 271, 1512–1519.Google Scholar
- Miller, R.H. and Luft, H.S. (1997). “Quality of Care: Does HMOs Do Better Quality?” Health Affairs, 16(5), 7–25.Google Scholar
- Neuman, P. and Langwell, K.M. (1999). “Medicare's choice explosion? Implication for beneficiaries.” Health Affairs, 18(1), 150–160.Google Scholar
- Pierskalla, W.P. and Wilson, D. (1989). “Review of Operations Research Improvement in Patient Care Delivery Systems,” University of Pennsylvania study for R.W. Johnson Foundation. Google Scholar
- Retchin, S.M. and Brown, B. (1991). “Management of Colorectal Cancer in Medicare Health Maintenance Organizations.” Jl. General Internal Medicine, 5, 110–114.Google Scholar
- Romano, P.S. et al. (1999). “Grading the graders. How Hospitals in California and New York perceive and interpret their report cards.” Medical Care, 37, 295–305.Google Scholar
- Schwartz, M. et al. (1996). “A primer: Health care databases, diagnostic coding, severity adjustment systems and improved parameter estimation.” Annals Operations Research, 67, 23–44.Google Scholar
- Ware, J.E. et al. (1986). “Comparison of health outcomes at a Health Maintenance Organization with those of fee-for-service care.” Lancet, Issue 8488, 1017–1022. Google Scholar