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The case mix concept has been introduced in the USA more than twenty years ago in order to measure hospital productivity and to promote quality of care. The DRGs were selected by HCFA in 1983 as the case mix classification system for the MEDICARE prospective payment system (PPS). Many other countries have adopted the case mix concept after long periods of testing and accepting, but with large variations in data collection, information standards, grouping tools, financing methods and quality of care developments all over the world. Each country has developed a local clinical and political culture about case mix tools. The present book is intended to update the case mix situation, country by country.
Maps on lining papers.
Summary: The volumes in the European Observatory on Health Systems and Policies series focus on key issues for health policy-making in Europe. This book is a joint venture between the WHO/EO and the EuroDRG which addresses the challenges of using Diagnosis Related Group systems in Europe.
History of the First Presbyterian Church in Salisbury, North Carolina. Includes church history and biographical references of church members.
This publication presents tools and techniques for measuring service delivery in health and education and people's experiences from the field in deploying these methods. It begins by providing an introduction to the different methodological tools available for evaluating the performance of the health and education sectors. Country specific experiences are then explored to highlight lessons on the challenges, advantages and disadvantages of using different techniques to measure quality in a variety of different contexts and of using the resulting data to affect change. This book is a valuable resource for those who seek to enhance capacity for the effective measurement of service delivery in order to improve accountability and governance and enhance the quality of service delivery in developing countries.
"This book can be read by anyone with an interest in migration and health, whether as an advocate for migrants´ health, as a student in a health profession, researcher or policy maker. It provides an ample orientation to the field in the European context. Among other important raised issues, it underlines an all too often neglected fact; health is a human right. By involving broad issues and problem areas from a variety of perspectives, the volume illustrates that migration and health is a field that can not be allocated to a single discipline." Carin Björngren Cuadra, Senior Lecturer, Malmö University, Sweden Migrants make up a growing share of European populations. However, all too ofte...
This is the first systematic study of patterns of social mobility in Ireland. It covers a recent period--the 1960s--when Ireland was undergoing rapid economic growth and modernization. The author thus was able to test the widely accepted hypothesis that growth weakens class barriers. To his surprise he found that it did not. Social mobility increased somewhat, but among mobile men the better jobs still went to those from advantaged social class origins. Despite economic development and demographic change, the underlying link between social origins and career destinations remained unchanged. In chapters on education, life cycle, religion, and farming, Michael Hout shows how inequality persists in contemporary Ireland. In the last chapter he reviews evidence from other countries and concludes that governments must take action against class barriers in education and employment practices if inequality is to be reduced. Economic growth creates jobs, he argues, but economic growth alone cannot allocate those jobs fairly.