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合衆国保健医療の企業化と医療管理 : マサチューセッツ州におけるマネジドケアと病院連合体を事例に
http://hdl.handle.net/10098/1000
http://hdl.handle.net/10098/100007bb7730-ff34-452d-a036-487c9003a347
名前 / ファイル | ライセンス | アクション |
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KJ00000655971.pdf (5.1 MB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2007-06-30 | |||||
タイトル | ||||||
タイトル | 合衆国保健医療の企業化と医療管理 : マサチューセッツ州におけるマネジドケアと病院連合体を事例に | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | The Corporatization of the U.S. Healthcare System and the Development of Medical Management : A Case Study of Managed Care and Hospital Alliances in Massachusetts, USA | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | managed care | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | hospital alliances | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | medical management | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | clinical practical guideline | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | e-health | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | corporatization | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | healthcare industry | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Massachusetts | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
著者 |
高山, 一夫
× 高山, 一夫× TAKAYAMA, Kazuo |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | The author had an opportunity to investigate healthcare-related organizations in Massachusetts, USA, from April 29 to May 5, 2001. This report evaluates the current situation of the U.S. healthcare system from the aspect of the Corporatization Theory, characterizing the dynamic alteration in the U.S. healthcare as a shift to a corporate mode of financing and delivery and the diminution of professional power. The findings are as follows: (1) Faced with industry-wide depression, several big healthcare organizations began to merge, acquire, or cooperate with others, so that the concentration of healthcare industries has proceeded rapidly. (2) Widespread backlash against the insurer-controlling managed care organizations invoked Massachusetts State's managed care legislation resulting in the protection of physicians' discretion to their patients. (3) Instead of the insurers, the newly formed hospital alliances have engaged in standardizing medical practices, and by using the information technology, they have achieved higher cost efficiency. These findings suggest the need for further research concernig the role of hospital-controlling managed care organizations and the possible standardization in medical practices. However, these cost-efficiency-centered changes can erode fairness in the healthcare system, and this is the critical point that the Corporatization Theory is concerned with. | |||||
書誌情報 |
福井医科大学研究雑誌 巻 2, 号 1-2, p. 81-99, 発行日 2001-12-21 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 13453890 | |||||
書誌レコードID | ||||||
識別子タイプ | NCID | |||||
関連識別子 | TD00002894 |