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A New Institutional Economics Perspective on the Relationship Among Societal Values, Governance Structure and Access to Rural Health Care Services AgEcon
James, Harvey S., Jr..
According to New Institutional Economics, transactional activities, governance structures, institutions and beliefs and values are related hierarchally. Williamson (2000) formalizes this framework to show that each governing level must be aligned with the adjacent level for transaction costs to be minimized. This framework is applied to the question of balancing costs and access in health care. Transaction costs in providing health care services can be minimized if all hierarchal functions are aligned. Examining the highest level associated with beliefs and values reveals that the beliefs of people might not be fully consistent with the institutions and governance structures expected or advocated in the area of health care, particularly in the context of...
Tipo: Working or Discussion Paper Palavras-chave: Rural health care; Cost; Access; Efficiency; New institutional economics; Rights; Health Economics and Policy; Institutional and Behavioral Economics.
Ano: 2007 URL: http://purl.umn.edu/7362
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EVALUATING TELEMEDICINE IN RURAL SETTINGS: ISSUES AND APPLICATIONS AgEcon
Capalbo, Susan Marie; Heggem, Christine N..
Changes in health care policies, demographics, and technology have presented new opportunities for the delivery of medical care services and information to rural communities. Telemedicine—the use of electronic information and communications technologies to provide and support health care when distances separates the participants—is one technology that has impacted the efficiency of delivery of rural health care services. This paper presents an overview of the telemedicine technologies, government involvement in support of telemedicine, evaluation efforts to date for these technologies, and issues that need to be addressed in designing an economic-based framework to evaluate the net benefits of telemedicine technologies to rural communities and consumers....
Tipo: Working or Discussion Paper Palavras-chave: Rural health care; Telemedicine; Averted costs; Economic benefits; Telecommunications technology; R0; Community/Rural/Urban Development; Health Economics and Policy; I1.
Ano: 1998 URL: http://purl.umn.edu/29240
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EVALUATING TELEMEDICINE TECHNOLOGIES IN RURAL SETTINGS AgEcon
Capalbo, Susan Marie; Heggem, Christine N..
Changes in health care policies, demographics, and technology have presented new opportunities for the delivery of medical care services and information to rural communities. Telemedicine—the use of electronic information and communications technologies to provide and support health care when distance separates the participants—has significantly impacted the delivery of rural health care services. This paper presents an overview of the telemedicine technologies, government involvement in support of telemedicine, and issues that need to be addressed in designing an economic framework to evaluate the net benefits of telemedicine to rural communities and consumers. Federal and state governments have invested millions of support dollars in the form of...
Tipo: Working or Discussion Paper Palavras-chave: Rural health care; Telemedicine; Averted costs; Economic benefits; Telecommunications technology; R0; Community/Rural/Urban Development; Health Economics and Policy; Research and Development/Tech Change/Emerging Technologies; I1.
Ano: 1999 URL: http://purl.umn.edu/29167
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RURAL-URBAN DIFFERENCES IN NURSING HOME ACCESS, QUALITY AND COST AgEcon
Yu, Wei; Bradford, Garnett L..
Rural-urban differences in the supply of nursing home services as hypothesized to be jointly affected by competitive and regulatory forces, government policies, and the cost structure. Study findings indicate that rural services are slightly less accessible and lower in quality. A translog cost share function reveals no difference in the operating cost structure of rural and urban homes. Cost shares for nursing care are directly related to the degree of skilled nursing provided by homes. Significant scale economies were not detected for any of the major operating costs.
Tipo: Journal Article Palavras-chave: Rural health care; Nursing homes; Cost structure; Health Economics and Policy.
Ano: 1995 URL: http://purl.umn.edu/15260
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SICHTWEISEN ÄLTERER MENSCHEN AUF MEDIZINISCHE VERSORGUNG AUF DEM LAND – EINE EMPIRISCHE STUDIE AUS DEUTSCHLAND AgEcon
Noack, Eva Maria; Bergmann, Holger.
With demographic change, many rural regions in Germany face the challenge to ensure an appropriate provision of basic services, also for the increasing share of immobile population groups. Among others, the growing number of old and very old people will increase the demand for medical care. Although, on the whole health care in Germany is very good, in some rural areas its provision tends to be difficult. This paper presents findings of an empirical study on older people’s mobility options, obstacles that constrain the access to health care and related needs. In-depth interviews were conducted with elderly men and women living in Holzminden, a district in Lower Saxony already massively affected by demographic ageing and shrinking. The analysis reveals high...
Tipo: Conference Paper or Presentation Palavras-chave: Rural health care; Demographic change; Accessibility; Medical care; Ländliche Gesundheitsversorgung; Demographischer Wandel; Erreichbarkeit; Medizinische Versorgung; Environmental Economics and Policy; Farm Management; Industrial Organization; Institutional and Behavioral Economics; Land Economics/Use.
Ano: 2011 URL: http://purl.umn.edu/114515
Registros recuperados: 5
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