Thesis (Ph. D.)--RAND Graduate School, 2000. / Includes bibliographical references (p. 309-317).

Thesis (M.S.)--University of Michigan, 1995.

Thesis (M.P.A.)--Kutztown University of Pennsylvania, 1999. / Source: Masters Abstracts International, Volume: 45-06, page: 2928. Typescript. Abstract precedes thesis as preliminary leaves iii-iv. Includes bibliographical references 122-127.

Thesis (Ph. D.)--Rand Graduate School, 2002. / Includes bibliographical references (p. 64-70). Also available online.

Thesis (M.S.)--University of Michigan, 1995.

Thesis (Ph. D.)--Rand Graduate School, 2002. / Includes bibliographical references (p. 64-70).

nÃo hà / Este trabalho teve por objetivo realizar um estudo analÃtico relativo à sustentabilidade financeira dos beneficiÃrios da carteira de uma operadora de planos de saÃde. A amostra investigada no estudo à de uma operadora de plano de saÃde vinculada ao Banco do Nordeste do Brasil S.A. (BNB) e à composta por 38.875 usuÃrios, ativos, entre os anos de 2011 e 2013. Especificamente, buscou-se nesse trabalho aplicar tÃcnicas de classificaÃÃo de insustentabilidade financeira de beneficiÃrios de uma operadora de planos de saÃde, identificando o modelo de melhor ajustamento e os principais determinantes de insustentabilidade. As tÃcnicas estatÃsticas de classificaÃÃo supervisionada empregadas foram a regressÃo logÃstica, as Ãrvores de classificaÃÃo e o classificador de vizinhos mais prÃximos. AlÃm disso, foi empregada a curva ROC para comparar os desempenhos das tÃcnicas utilizadas, sendo a Ãrea abaixo da curva (AUC), a principal medida observada. Os resultados obtidos mostraram que a maior parte da amostra à composta por beneficiÃrios sustentÃveis. O modelo de regressÃo logÃstica obteve precisÃo de 68,43% com AUC de 0,7501, as Ãrvores obtiveram 67,76% e AUC de 0,6855, enquanto o classificador dos vizinhos mais prÃximos teve uma precisÃo de 67,22% e AUC de 0,7258. As variÃveis apontadas como mais importantes pelos dois primeiros modelos, considerando uma anÃlise conjunta, sÃo a Idade e o Tipo de Plano, dentre aquelas que definem o perfil do usuÃrio e a Receita, Consulta e Odontologia, daquelas que definem o histÃrico de utilizaÃÃo do usuÃrio / This study aimed to carry out an analytical study on the financial sustainability of the beneficiaries of the portfolio of managed care plans. The sample investigated in the study is a health plan operator linked to the Banco do Nordeste do Brazil SA (BNB) and consists of 38,875 members, assets, between the years 2011 and 2013. Specifically, we sought to apply techniques that work financial unsustainability classification of beneficiaries of a managed care plans, identifying the model best fit and the main determinants of unsustainability. The technical classification statistics were supervised employed logistic regression, classification trees and the classifier closest neighbors. Furthermore, the ROC curve was used to compare the performance of the techniques used, and the area under the curve (AUC), the main extent observed. The results showed that most of the sample is composed of organic recipients. The logistic regression model obtained precision of 68.43% with AUC of 0.7501, the trees obtained 67.76% and AUC of 0.6855, while the classifier of the closest neighbors had an accuracy of 67.22% and AUC of 0.7258. The variables identified as most important by the first two models, considering a joint analysis, are the Middle and the Plan type, among those that define the user profile and the Revenue Consultation and Dentistry, those that define the user use history

No description available.

Thesis (MBA)--Stellenbosch University, 2000. / ENGLISH ABSTRACT: This report provides a broad overview of the health industry, and the dental industry in particular, identifying trends and searching for possible solutions to problems posed by these trends. It attempts to offer perspectives of importance to all the stakeholders in health care - the patients, the providers of care and third party payers. The current focus of healthcare industry is not actually the health of the patient. Practitioners (the providers) focus too much on treatment, while insurance companies and governments (the payers) emphasise cost containment. As national health care costs spiral, it is ironic that the main reasons for the dramatic health improvements over the last few decades are improvements in socio-economic factors and changes in lifestyle, rather than better treatment. The willingness of insurers to cover new or improved services has acted as a continuing stimulus to cost-increasing advances in medical technology and in tum to spending growth. Managed care has evolved to attempt to improve resource allocation in health care. Thirdparty private-sector regulators have wrested power from government regulators. Their gain in power relative to private practitioners has shifted the power balance from the supply side to the demand side of health care. By leveraging their power in the use of information technology, the practitioner has been forced into a defensive, reactive stance. Managed care is being implemented by profit-driven third parties that benefit from the cost savings. As health providers are the ones who have to implement the cost-savings; it is proposed that they are the ones who should manage healthcare. The ideal would be a coordinated approach with funders and service providers working toward a common goal. Financial accountability is forcing dental practitioners to evaluate their mode of practice in a critical manner. Promoting health, by educating and evoking behaviour change will create a better world for current and future generations. There is a shift in focus from the health of the individual at all costs, to the health of the population. There should be a special emphasis on the dental health of children for whom prevention offers the most gain in outcome. Evidence-based care evolved from the search for the best care, in terms of quality and price, outcome and process, and attempts to reduce variability and subjectivity in clinical decisions, by using systematic reviews of quality evidence to increase objectivity. Emphasis on improved outcomes provides earlier, more valuable, long-term improvements for a patient, than the later, short-term benefit of a cure. Because most canes and gum disease is preventable, dental health professionals should accentuate health promotion and education of patients. The benefits would be to the advantage of all stakeholders in health. A focus on prevention for children could be the ideal form of dental private practice to instil oral wellness in children. / AFRIKAANSE OPSOMMING: Hierdie verslag is 'n breë oorsig van die gesondsheidsindustrie, en van die tandheelkunde industrie in besonder om tendense te identifiseer en na moontlike oplossing te soek vir probleme wat hieruit mag spruit. Dit poog om perspektiewe aan te bied wat van belang is vir die betrokke rolspelers - die pasiënte, die diensverskaffers en die befondsers. Die huidige fokus van gesondheidsorg is nie eintlik die gesondheid van die pasiënt nie. Die die voorsieners van sorg fokus meestal op behandeling, terwyl versekeringsmaatskappye en die regering (die betalers) fokus op die besnoeing van koste. Terwyl nasionale gesondheidskostes styg, is dit ironies dat die belangrikste redes vir die dramaties verbetering in gesondheid oor die laaste paar dekades eerder verbeteringe in sosioekonomiese faktore en veranderinge in leefwyse is as beter behandeling. Die bereidwilligheid van versekeraars om nuwe en verbeterde dienste te dek, is die oorsaak van die aanhoudende stimulus vir mediese tegnologiese vooruitgang en koste stygings. Bestuurde sorg het ontwikkel om te probeer om bron toewysing in gesondheidsorg te verbeter. Derde party privaatsektor-reguleerders het die mag van regering-reguleerders ontruk. Hul invloed, relatief tot die van privaat praktisyns, het die mags-ewewig verskuif van die voorsienings- na die aanvraagkant van gesondheidsorg. Deur die gebruik van hulle voordeel op die gebied van inligtingstegnologie, het hulle die praktisyn in 'n defensiewe houding gedwing. Bestuurde Gesondheidsorg word beheer deur winsgedrewe derde partye wie baat vind by kostebesparings. Aangesien gesondheidsverskaffers die kostebesparings moet implementeer, word daar aanbeveel dat hulle gesondheidsorg moet bestuur. 'n Gesonde samewerkings ooreenkoms tussen befondsers en diensverskaffers is wenslik. Finansiële verantwoordelikheid dwing tandartse om hulle praktyke krities te evalueer. Daar is 'n fokus verskuiwing vanaf die gesondheid van die individu, ten alle koste, na die gesondheid van die bevolking. Besondere klem behoort geplaas te word op die mondgesondheid van kinders, vir wie voorkoming die meeste baat inhou. Bewys-gebaseerde Gesondheidsorg het ontwikkel uit die soektog na die beste sorg in terme van kwaliteit en koste, uitkoms en proses, en pogings om wisselvalligheid en subjektiwiteit in kliniese besluite te verminder. Klem op beter resultate gee vroeër, meer waardevolle langtermyn verbeteringe vir die pasiënt, as die later kort-termyn voordele van genesing. Omdat tandbederf en tandvleissiektes voorkombaar is, behoort tandheelkundiges die bevordering van mondgesondheid te beklemtoon. Voorkoming by kinders word gesuggereer as die ideale vorm van privaat praktyk om mondgesondheid te bevorder.

Includes bibliographical references. Electronic publication: Full text available in PDF format; abstract in HTML format. Private practice as a career option for nurses has been slowly increasing since the 1980's. However, the reasons for this development have not been fully investigated so that it can be understood and placed within the changing contexts of health care and health services. The expansion and extension of nurses' roles is a contemporary topic in health care reform and therefore one that deserves investigation. The aims of this study were to develop a theory on private practice nursing and to describe the characteristics and work of the self-employed nurse in Australia. Electronic reproduction.[Australia] :Australian Digital Theses Program,2001.xvii, 350 leaves : ill. (some col.) ; 30 cm.