Rural Health Clinic efficiency and effectiveness: insight from a nationwide survey.
J Med Syst
; 35(4): 671-81, 2011 Aug.
Article
en En
| MEDLINE
| ID: mdl-20703522
ABSTRACT
This study reports the results of a nationwide survey of Rural Health Clinics (RHCs). The purpose was to identify factors that contribute to efficiency and effectiveness in RHCs. Factors related to cost efficiency were analyzed using multiple regression; factors related to the likelihood of providing preventive diabetic care, an effectiveness indicator, were analyzed using logistic regression. The study found (1) technical efficiency to be positively related to cost efficiency; (2) non-profit control to be inversely related to cost efficiency in independent RHCs; and (3) provider-based RHCs and technology use to be related to the likelihood of providing preventive diabetic care. Implications for RHCs are (1) improvement in technical efficiency could enhance cost efficiency; (2) visits to PAs and NPs, an indicator of process efficiency, may not guarantee the provision of preventive diabetic care; and (3) strategies for improving RHC efficiency and effectiveness may be different for provider-based and independent clinics.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Calidad de la Atención de Salud
/
Eficiencia Organizacional
/
Servicios de Salud Rural
/
Instituciones de Atención Ambulatoria
Tipo de estudio:
Prognostic_studies
Límite:
Humans
País como asunto:
America do norte
Idioma:
En
Año:
2011
Tipo del documento:
Article