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Registros recuperados: 10
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An Alternative Model for Analyzing the Physician-Hospital Relationship in Rural Areas AgEcon
Fannin, James Matthew; Barnes, James N..
We introduce a modeling framework called Transaction Cost Economics to help decision makers in rural health care markets choose among alternative organizational relationships in order to more cost-effectively deliver healthcare services. In particular, the hospital-physician relationship is analyzed and the transactional attributes, institutional environment, and market characteristics are identified as key variables influencing the organizational relationship between hospital and physician. As asset specfic investments are made by either the hospital or physician, vertically integrated relationships are more likely to occur. The degree of remoteness of rural areas is also considered to affect the impact of these asset-specific investments.
Tipo: Conference Paper or Presentation Palavras-chave: Community/Rural/Urban Development; Health Economics and Policy.
Ano: 2006 URL: http://purl.umn.edu/35255
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Factors Affecting Outsourcing for Information Technology Services in Rural Hospitals: Theory and Evidence AgEcon
Whitacre, Brian E.; Fannin, James Matthew; Barnes, James N..
As health information technology becomes more prevalent for most healthcare facilities, hospitals across the nation are choosing between performing this service in-house and outsourcing to a technology firm in the health industry. This paper examines factors affecting the information technology (IT) outsource decision for various hospitals. Using 2004 data from the American Hospital Association, logistic regression models find that governmental ownership and a proxy variable for hospitals that treat more severe injuries positively impact the probability of outsourcing for IT services.
Tipo: Conference Paper or Presentation Palavras-chave: Health Information Technology; Outsourcing; Hospital; Health Economics and Policy; Labor and Human Capital; Research and Development/Tech Change/Emerging Technologies; I12; C140.
Ano: 2008 URL: http://purl.umn.edu/6393
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THEME OVERVIEW: BRINGING BROADBAND TO RURAL AMERICA AgEcon
Barnes, James N..
Tipo: Journal Article Palavras-chave: Broadband; Internet; Regional Economic Development; Rural Regions; Community/Rural/Urban Development; R12; O33; O57; R11.
Ano: 2010 URL: http://purl.umn.edu/100801
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On the Uniqueness of Hybrids, Market Exchanges, and Vertical Integration: Evidence from Physician-Hospital Marketing Relationships AgEcon
Barnes, James N.; Fannin, James Matthew; James, Harvey S., Jr.; Klein, Peter G..
Tipo: Conference Paper or Presentation Palavras-chave: Physician arrangements; Vertical integration; Hybrid contracts; Cannonical discriminant analysis; Health Economics and Policy; Institutional and Behavioral Economics; I11.
Ano: 2010 URL: http://purl.umn.edu/56539
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Analyzing Differences in Rural Hospital Efficiency: A Data Envelopment Analysis Approach AgEcon
Nedelea, I. Cristian; Fannin, James Matthew; Barnes, James N..
This study analyzes difference in efficiency among the U.S. rural hospitals using a two-stage, semi-parametric approach. Data Envelopment Analysis is used in the first stage to calculate cost, technical and allocative efficiencies of Critical Access Hospitals (CAH) and non-CAH rural hospitals. Following Simar and Wilson (2007), bootstrapped truncated regressions are used in the second stage to infer on relationship between the cost, technical and allocative inefficiencies of hospitals and some environmental variables. The estimated results show that CAHs are less cost, technical and allocative efficient than non-CAH rural hospitals. The results also show that Medicare cost-based reimbursement for CAHs has a negative effect on the efficiency of these...
Tipo: Conference Paper or Presentation Palavras-chave: Efficiency; Two-stage; Semi-parametric; Bootstrap; Data envelopment analysis; Health Economics and Policy; I12; I18.
Ano: 2010 URL: http://purl.umn.edu/61391
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The Coase Theorem, or the Coasian Lens? An Application to GMO Regulation AgEcon
Barnes, James N.; James, Harvey S., Jr.; Kalaitzandonakes, Nicholas G..
We develop a property rights-transaction costs framework called the Coasian Lens (CL). We argue the CL captures Coase's seminal ideas (1937; 1960) more closely than the Coase Theorem. We use the CL to examine how regulation of genetically modified organisms (GMOs) may affect contract structures in the global agri-food chain.
Tipo: Conference Paper or Presentation Palavras-chave: Research and Development/Tech Change/Emerging Technologies.
Ano: 2004 URL: http://purl.umn.edu/34640
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STRENGTHENING RURAL AMERICA’S POSITION IN THE GLOBAL BROADBAND ADOPTION RACE AgEcon
Barnes, James N..
Tipo: Journal Article Palavras-chave: Broadband; Rural America; Economic Development; Internet; Rural Regions; Agribusiness; R12; O33; O57; R11.
Ano: 2010 URL: http://purl.umn.edu/100896
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Cost Efficiency of Critical Access Hospitals AgEcon
Nedelea, I. Cristian; Fannin, James Matthew; Barnes, James N..
This study used a stochastic frontier cost model to analyze whether the policy changes that created Critical Access Hospitals (CAHs) caused an increase in the cost inefficiency of these hospitals or their cost inefficiency was brought about by other factors that were similar to all rural hospitals. The estimated mean cost inefficiency of CAH was 25 percent while that of non-CAH rural hospitals was 17.6 percent. However, the estimated results did not provide sufficient evidence to conclude that Medicare cost-based reimbursement was the main cause of higher cost inefficiency of CAHs. There might be other causes that can explain the higher cost inefficiency of CAHs such as the larger number of Medicaid and uninsured patients and the higher levels of...
Tipo: Conference Paper or Presentation Palavras-chave: Critical access hospital; Rural hospital; Cost efficiency; Stochastic frontier model; Community/Rural/Urban Development; Health Economics and Policy; I18.
Ano: 2010 URL: http://purl.umn.edu/56228
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Reform of Physician Ownership Restrictions and the Cost of Health Care in Rural and Urban Markets AgEcon
Barnes, James N.; Fannin, James Matthew.
Tipo: Journal Article Palavras-chave: Health Economics and Policy; Labor and Human Capital.
Ano: 2009 URL: http://purl.umn.edu/93842
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The Organizational Evolution of Markets for Wood Products in the Southern United States AgEcon
Dunn, Michael A.; Barnes, James N..
This paper represents the first case study attempt to develop a transaction cost conceptual model to describe industry evolution of the paper and lumber industries in the Southern United States around the late 1800s and early 1900s. We use transaction cost theory to explain the co-evolution of markets for wood products noting that variation in the level and type of investments made in physical and human capital assets needed to manage paper and lumber miller operations had a significant influence on the use of wood dealer systems compared to more vertically organized business arrangements. We identify some testable hypotheses and areas of future research.
Tipo: Conference Paper or Presentation Palavras-chave: Industry Evolution; Contracting; Property Rights; Vertical Integration; Forest Products; Industrial Organization; Research Methods/ Statistical Methods; L14; L24; L73; J24.
Ano: 2008 URL: http://purl.umn.edu/6746
Registros recuperados: 10
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