Related Experiment Video
Updated: Oct 9, 2025
08:27
Applying an eMASS Customization Program as a Research Tool to Evaluate Consumer Benefits
Published on: September 27, 2019
7.0K
Testing Kissick's Iron Triangle-Structural Equation Modeling Analysis of a Practical Theory
Brad Beauvais1, Clemens Scott Kruse1, Lawrence Fulton1
1School of Health Administration, Texas State University, San Marcos, TX 78666, USA.
Healthcare (Basel, Switzerland)
|December 24, 2021
Summary
The Kissick model's proposed tradeoffs between healthcare cost, quality, and access remain interconnected. Findings indicate that increasing quality or access also increases costs, highlighting the persistent challenge in balancing these factors.
Area of Science:
- Health Services Research
- Health Economics
- Healthcare Policy
Background:
- The Kissick model posits rigid interconnections between healthcare cost containment, quality, and access.
- Empirical testing of the Kissick model's tradeoffs has been limited.
- Advancements in healthcare technology and quality initiatives may alter these relationships.
Purpose of the Study:
- To empirically test the enduring validity of the Kissick model's tradeoffs in the current healthcare landscape.
- To investigate whether modern healthcare advancements have disrupted the proposed interrelationships between cost, quality, and access.
- To assess the continued relevance of the Kissick model for health policy decisions.
Main Methods:
- Structural equation modeling (SEM) was employed to analyze the relationships between cost, quality, and access.
- Hospital data from Definitive Healthcare for the year 2018 were utilized (n=2766).
- The study focused on unobserved constructs representing cost, quality, and access within hospital settings.
Main Results:
- A positive relationship was found between increasing quality and increasing costs.
- Increased access to care was associated with both increased quality and increased costs.
- The study confirmed significant net effects among the variables, supporting the interconnectedness.
Conclusions:
- The findings suggest that the tradeoffs proposed by the Kissick model remain relevant and challenging to navigate.
- Achieving simultaneous improvements in healthcare cost, quality, and access continues to be a complex policy objective.
- A balanced approach to healthcare policy reform is essential, acknowledging the persistent interdependencies.
More Related Videos
Related Concept Videos
02:06Social Exchange Theory
36.2K
We have discussed why we form relationships, what attracts us to others, and different types of love. But what determines whether we are satisfied with and stay in a relationship? One theory that provides an explanation is social exchange theory. According to social exchange theory, we act as naïve economists in keeping a tally of the ratio of costs and benefits of forming and maintaining a relationship with others (Rusbult & Van Lange, 2003).
36.2K
01:29Theory of Attribution II: Kelley's Covariation Theory
54
Attribution theory plays a crucial role in social psychology, helping to explain how individuals interpret the causes of behavior. One prominent model within this field is Harold Kelley's covariation theory, which provides a systematic approach to determining whether internal traits or external circumstances drive a person's actions. The model posits that individuals rely on three key types of information—consensus, consistency, and distinctiveness—to make these judgments.Consensus:...
54
02:12Relationship Formation
41.8K
What do you think is the single most influential factor in determining with whom you become friends and whom you form romantic relationships? You might be surprised to learn that the answer is simple: the people with whom you have the most contact. This most important factor is proximity. You are more likely to be friends with people you have regular contact with. For example, there are decades of research that shows that you are more likely to become friends with people who live in your dorm,...
41.8K
01:23Factors Influencing Attraction III: Similarity
22
The similarity hypothesis suggests that individuals are more likely to form relationships with others who share similar attitudes, beliefs, values, and interests. This concept has been widely studied in social psychology, demonstrating that perceived similarity fosters interpersonal attraction. In an experiment supporting this hypothesis, participants were presented with fabricated information indicating that strangers held attitudes similar to their own. The results showed that participants...
22
01:15Theory of Attribution I: Correspondent Inference Theory
33
Correspondent inference theory, proposed by Jones and Davis in 1965, seeks to explain how individuals infer stable personality traits from observed behaviors. It suggests that people attribute actions to underlying dispositions rather than external circumstances, particularly when the behavior appears intentional and socially significant.Voluntary Behavior and Dispositional AttributionAccording to this theory, individuals are more likely to attribute behavior to personal traits when it appears...
33
01:26Equity Theory
20
Equity theory explains how our sense of fairness influences the dynamics of close relationships. Rooted in social psychology, the theory posits that individuals evaluate fairness by comparing the ratio of their contributions to the rewards they receive. Relationship satisfaction is highest when these ratios are perceived as balanced between partners, promoting mutual reciprocity and a sense of justice.Equity vs. Equality in RelationshipsEquity is distinct from equality. Fairness does not...
20