1Q[3a]. What area of the Internet holds the most promise?
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Biomedical subjects
Publications and source records attributed to R E Herzlinger.
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The U.S. health care sector is following the path of the revitalized U.S. economy with the creation of focused health care factories that provide coordinated care primarily for high-cost chronic diseases, disabilities, and surgical procedures, and with increased response to the demands of hard-working, well-educated Americans for convenience and support. Everything-for-everybody vertically integrated systems and managed care organizations will be sorely tested by these efficient, consumer-friendly innovations. This managerial revolution will create substantial opportunities for important health care administration research.
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The fundamental economic, social, and technological forces currently reshaping the health care system will have a profound impact on managed health care. The successful organization of the future will implement procedures now that respond to these forces.
Could national health insurance (NHI) cap the explosive rise in medical costs and at the same time give everyone access to health care? More and more people believe so, and for the first time in 20 years NHI proposals are being taken seriously in Washington. But the author contends NHI proponents have misread the causes for America's health-care crisis, and have been misled in their search for a solution by the example of the Canadian health system. All we really need she says, is a home-grown reform that's surprisingly simple and remarkably inexpensive.
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The implementation of a zero-base budgeting system in Federal government agencies, instituted by President Carter in 1977, yielded quite different results, not only among the agencies but within specific departments as well. The experience of the Public Health Service with this budgeting process is documented and analyzed in this article. Though the individual PHS agencies generally felt that ZBB is a poor budgetary tool, the author's principal claims are that the technique was misused and that its application may well be inappropriate for the entire budget of a large political system. The result, according to Professor Herzlinger, was that those individuals who should have been the prime beneficiaries of the ZBB process were most disappointed by it.
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