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Biomedical subjects

P J Feldstein

Publications and source records attributed to P J Feldstein.

At least 37 records · Page 2Linked to original sources
PubMed1986

An economic analysis of comparable worth.

Comparable worth has been called the civil rights issue of the 1980s. Nursing is in the forefront of this movement. Although several governmental agencies are implementing salary programs based on comparable worth, establishing such a program in the hospital setting could yield problems for nurse executives. Implementation could be costly and demand a significant investment of resources. This paper discusses how wages are determined in a competitive market and what happens to that process when restrictions and barriers make the market noncompetitive. Of most importance, alternative strategies for increasing nursing salaries are presented.

Choice Behavior↗
PubMed1986

Comparable worth: how good an idea?

Comparable worth has become more than an idea in several states. Attempts are being made to establish pay scales for women according to the comparable worth of their jobs. Controversy surrounds this issue, and there are various reasons not to implement comparable worth.

Female↗
PubMed1985

The changing structure of the health care delivery system in the United States.

The historical equilibrium of the health care industry has been disturbed by recent and radical changes in both the financing of medical services and the structure of the industry. The applicability of antitrust laws to the health field, the use of advertising, and the dismantling of quasilegal barriers, such as certificate-of-need (CON) laws, have made economics of scale and efficiency increasingly important determinants of the size and type of organization delivering health services. Such changes, coupled with those pertaining to the financial incentives facing both patients and providers and emerging excess capacity, have wrought a rapid transformation of the structure of the industry. If hospitals and physicians are to survive, they must be able to anticipate new and increasingly competitive developments. Because competition eliminates cross-subsidies, access to care, especially by the poor, is certain to become more precarious.

Cost Control↗
PubMed1984

Congressional voting behavior on hospital legislation: an exploratory study.

This paper analyzes Congressional voting behavior on the Gephardt Amendment to President Carter's hospital cost containment legislation. The impact of opposing interest groups is examined: on one side were hospital and medical interest groups; on the other was the Carter Administration and its political party, as well as states with large Medicaid expenditures. The effect of political contributions from MEDPACs is evaluated, and the relative importance of various factors affecting the vote's outcome is analyzed.

Cost Control↗
PubMed1981

Economic success for hospitals depends on their adaptability.

How successful hospitals will be in the future in remaining the major providers of health care depends on whether they are able to redefine their role in a changing environment and on whether they are able to change their relationships with other providers.

Economics, Hospital↗
PubMed1980

A national econometric forecasting model of the dental sector.

The Econometric Model of the the Dental Sector forecasts a broad range of dental sector variables, including dental care prices; the amount of care produced and consumed; employment of hygienists, dental assistants, and clericals; hours worked by dentists; dental incomes; and number of dentists. These forecasts are based upon values specified by the user for the various factors which help determine the supply an demand for dental care, such as the size of the population, per capita income, the proportion of the population covered by private dental insurance, the cost of hiring clericals and dental assistants, and relevant government policies. In a test of its reliability, the model forecast dental sector behavior quite accurately for the period 1971 through 1977.

Dental Health Services↗
PubMed1979

Forecasting health manpower requirements: the case of thoracic surgeons.

This paper presents projections of the future demand for thoracic surgery. Estimates of the future supplies of thoracic surgeons are constructed based on three alternative annual Board-certification rates. The consequences of varying supplies of thoracic surgeons, for a given level of expected demand, are presented in terms of expected work-load levels. Since it is costly to society if there are too few thoracic surgeons and since it is an obvious waste of resources if there are too many, no single estimate for an optimal annual increase in the number of thoracic surgeons is suggested. Important inadequacies of data for both forecasting demand and determining work loads are noted.

Certification↗
PubMed1978

The foreign medical graduate and public policy: a discussion of the issues and options.

This paper analyzes four basic reasons for curtailing the number of foreign medical graduates (FMGs) entering the United States: the loss to less-developed countries, the possible lower quality of medical care delivered by FMGs, the inability of all U.S. citizens who desire to receive a medical education to do so, and the fear of a possible surplus of physicians in the U.S. For each of these concerns, alternatives are presented and analyzed according to how well they would achieve their objectives. Based on the options proposed for reducing the number of FMGs, the conclusion is reached that the primary concern at present is an oversupply of U.S. physicians.

Developing Countries↗