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Related Concept Videos

Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
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Purpose of Health Records I01:11

Purpose of Health Records I

The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:
Integrated Healthcare System01:20

Integrated Healthcare System

An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...

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Related Experiment Video

Updated: Jul 1, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Does competition improve health care quality?

Dennis P Scanlon1, Shailender Swaminathan, Woolton Lee

  • 1504 Ford Building, The Pennsylvania State University, University Park, PA, USA.

Health Services Research
|September 17, 2008
PubMed
Summary

Increased competition among health maintenance organizations (HMOs) does not appear to improve quality measures. Price competition may be prioritized over quality, potentially hindering improvements in healthcare effectiveness.

Related Experiment Videos

Last Updated: Jul 1, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

  • Health Services Research
  • Healthcare Economics
  • Quality Improvement

Background:

  • Health Maintenance Organizations (HMOs) are a significant part of the healthcare landscape.
  • Understanding the impact of market dynamics on healthcare quality is crucial for policy and practice.

Purpose of the Study:

  • To investigate the relationship between competition levels and quality outcomes in HMOs.
  • To determine if market competition drives improvements in healthcare quality measures.

Main Methods:

  • Longitudinal analysis of Healthcare Effectiveness Data and Information Set (HEDIS) and Consumer Assessment of Health Plans Survey (CAHPS) data from 1998-2002.
  • Utilized fixed-effects models to control for unmeasured plan and market characteristics.
  • Compared results with cross-sectional models to assess robustness.

Main Results:

  • No significant improvement in HMO quality measures was observed with increased competition, whether measured by the Herfindahl index or the number of HMOs.
  • Higher HMO market penetration was generally not associated with better quality outcomes.
  • Cross-sectional analyses suggested a potential inverse relationship between competition and quality.

Conclusions:

  • Current strategies aimed at fostering HMO competition may not effectively enhance healthcare quality.
  • Price competition may supersede quality considerations, leading consumers and purchasers to favor lower premiums.
  • Market fragmentation resulting from competition could impede quality improvement initiatives.