Increased Competition and the Transformation of Connecticut’s Hospitals into Integrated Delivery Systems
ثبت نشده
چکیده
The 1990s witnessed transformations in both the structure of Connecticut’s acute care hospitals and the services that they offered.Hospitals experienced “vertical integration,”an expansion in their range of services beyond acute care,and “horizontal integration,”mergers and affiliations between themselves and other health care institutions.They pursued integration strategies in order to increase their range of markets and to expand their geographic service areas.Hospital administrators also hoped that mergers and affiliations would increase efficiency and promote administrative and labor cost savings.
منابع مشابه
A multi-objective mathematical model for production-distribution scheduling problem
With increasing competition in the business world and the emergence and development of new technologies, many companies have turned to integrated production and distribution for timely production and delivery at the lowest cost of production and distribution and with the least delay in delivery. By increasing human population and the increase in greenhouse gas emissions and industrial waste, in...
متن کاملIntegrated Procurement, Production and Delivery Scheduling in a Generalized three Stage Supply Chain
In this research, we investigate a three-stage supply chain with one supplier, several manufacturers and multiple retailers where the supplier provides a common raw material to each manufacturer, who in turn uses a single stage production facility to convert it into final products that are delivered at fixed lot sizes to retailers. An integrated economic procurement, production, and delivery mo...
متن کاملConsidering chain to chain competition in forward and reverse logistics of a dynamic and integrated supply chain network design problem
In this paper, a bi-objective model is presented for dynamic and integrated network design of a new entrant competitive closed-loop supply chain. To consider dynamism and integration in the network design problem, multiple long-term periods are regarded during planning horizon, so that each long-term period includes several short-term periods. Furthermore, a chain to chain competition between t...
متن کاملNonlinear Analysis of Integrated Kinetics and Heat Transfer Models of Slow Pyrolysis of Biomass Particles using Differential Transformation Method
The inherent nonlinearities in the kinetics and heat transfer models of biomass pyrolysis have led to the applications of various numerical methods in solving the nonlinear problems. However, in order to have physical insights into the phenomena and to show the direct relationships between the parameters of the models, analytical solutions are required. In this work, approximate analytical solu...
متن کاملGovernance Must Dive Into Organizations to Make a Real Difference; Comment on “Governance, Government, and the Search for New Provider Models”
In their 2016 article, Saltman and Duran provide a thoughtful examination of the governance challenges involved in different care delivery models adopted in primary care and hospitals in two European countries. This commentary examines the limited potential of structural changes to achieve real reform and considers that, unless governance arrangements actually succeed in penetrating organizatio...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره شماره
صفحات -
تاریخ انتشار 2001