Multitasking, Competition and Provider Payment

Many important dimensions of quality health care are difficult to observe, monitor, and motivate. This paper examines how competition among providers interacts with payment system incentives when the allocation of provider effort among multiple such dimensions or ‘tasks’ is noncontractible. The framework highlights that an optimal provider payment system, including optimal risk adjustment, should take account of provider multitasking.payment incentives, competition, multitasking, capitation, managed care, rationing, risk adjustment

Static and Dynamic Efficiency of Irreversible Health Care Investments under Alternative Payment Rules

The paper studies the incentive for providers to invest in new health care technologies under alternative payment systems, when the patients' benefits are uncertain. If the reimbursement by the purchaser includes both a variable (per patient) and a lump-sum component, efficiency can be ensured both in the timing of adoption (dynamic) and the intensity of use of the technology (static). If the second instrument is unavailable, a trade-off may emerge between static and dynamic efficiency. In this context, we also discuss how the regulator could use the control of the level of uncertainty faced by the provider as an instrument to mitigate the trade-off between static and dynamic efficiency. Finally, the model is calibrated to study a specific technology.Health Care, Investments

Practical Implications for Health Care Providers in a Physician-Assisted Suicide Environment

In this Article, I present key practical implications that the attorney and health care providers need to consider. I also present implications for public policy. I do not take a stand in the Article for or against physician-assisted suicide, either morally, ethically, or legally. Other articles in this Review and numerous other professional publications do. Instead, this Article begins the discussion of procedures for health care providers in an environment of legal physician-assisted suicide. An attorney who advises legal review of proposed procedures for handling physician-assisted suicide requests will serve the health care provider well. The procedures must meet the requirements of a number of statutes and regulations including those related to the Natural Death Act, health care information disclosure, and informed consent. The law that legalizes physician-assisted suicide will also impose requirements. The public is split widely on the issue and extreme views are often adamantly held. In advising the client, an attorney should assume that a death by physician-assisted suicide may cause controversy, legal action by relatives of the deceased or others who consider themselves to be parties of interest, and even public comment or demonstration

Practical Implications for Health Care Providers in a Physician-Assisted Suicide Environment

In this Article, I present key practical implications that the attorney and health care providers need to consider. I also present implications for public policy. I do not take a stand in the Article for or against physician-assisted suicide, either morally, ethically, or legally. Other articles in this Review and numerous other professional publications do. Instead, this Article begins the discussion of procedures for health care providers in an environment of legal physician-assisted suicide. An attorney who advises legal review of proposed procedures for handling physician-assisted suicide requests will serve the health care provider well. The procedures must meet the requirements of a number of statutes and regulations including those related to the Natural Death Act, health care information disclosure, and informed consent. The law that legalizes physician-assisted suicide will also impose requirements. The public is split widely on the issue and extreme views are often adamantly held. In advising the client, an attorney should assume that a death by physician-assisted suicide may cause controversy, legal action by relatives of the deceased or others who consider themselves to be parties of interest, and even public comment or demonstration

A conceptual model of online hotel booking: the role of online review and online trust towards online booking intention / Fadhlina Mahat... [ et al.]

A growing reliance on the Internet as an information source when making choices about hotel booking raises the need for more research into this issue. Within online hotel booking context, this study aims to investigate the influence of online review and online trust towards online booking intention. Furthermore, the mediating role of online trust will also have been examined. Based on review of past literature, six dimensions of online review construct are proposed namely, usefulness, reviewer expertise, timeliness, volume, valence and comprehension as predictors. The proposed model is supported by Stimulus-Organism-Response (S-O-R) model developed by Mehrabian and Rusell (1974). In the present study, online review is conceptualized as a second order construct. It is predicted that online review has positive effect on both online trust and online booking intention. Besides, online trust is predicted to has a positive effect on online booking intention. Finally, it is expected that the online trust mediates the relationship between online review and online booking intention. This study contributes to the existing body of knowledge by examining the role of online trust as mediator