A two-dimensional equity proposal for self-sufficiency in municipal safety-net hospitals.
Soc Work Public Health
; 26(2): 212-29, 2011.
Article
em En
| MEDLINE
| ID: mdl-21400370
ABSTRACT
This article advances a two-dimensional equity approach for self-sufficiency in municipal safety-net hospitals that will strengthen provider self-sufficiency and protect the safety-net mission of providing a dignified floor of health services to the most disadvantaged members of the society. The model responds to the failure of current delivery strategies to effectively cope with the changing market configurations in safety-net systems that have eliminated the possibility of cross-subsidization which has long been the mainstay of safety-net systems. The identified pathway to self sufficiency is made up of (1) a differential service delivery framework which includes a two-tier patient system, uniform standards of care and service levels, and the creation of a community health campus; (2) independent sector ownership; and (3) intergovernmental policy actions restricting ownership of safety-net hospitals to nonprofit entities. Although this model is explained by demonstrating potential application in safety-net hospitals, it is believed that the model is applicable in ambulatory care settings. Future work can focus on the construction of an ambulatory variation of the model and the empirical testing of the hospital and ambulatory models.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Propriedade
/
Seguridade Social
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Cuidados de Saúde não Remunerados
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Serviços de Saúde Comunitária
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Hospitais Municipais
Idioma:
En
Ano de publicação:
2011
Tipo de documento:
Article