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The Unintended and Unexpected Impact of Downsizing
- Source :
- Scopus-Elsevier
- Publication Year :
- 1999
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 1999.
-
Abstract
- OBJECTIVES In this project we assessed the impact of 1992 budget cuts ($50 million, or approximately 7% of urban hospitals' budgets) on the relative costliness of Manitoba's hospitals. The cuts targeted the teaching hospitals, those institutions we had found to be particularly costly in a previous Manitoba Centre for Health Policy and Evaluation study. RESULTS Unexpectedly, we found that because budget cuts were smaller proportionately than the number of beds closed, the care at the teaching hospitals (as well as at several other hospitals) became relatively more, not less, costly. Also quite contrary to public perceptions, once other expenditures such as new hospital programs and expansions were accounted for, the actual change in urban hospital expenditures over the years compared was less than 1%. CONCLUSIONS The study highlighted the importance of monitoring program outcomes.
- Subjects :
- Adult
Budgets
Cost Control
Hospitals, Rural
education
Hospitals, Community
Sensitivity and Specificity
Health Facility Closure
Hospitals, Urban
Environmental health
Humans
Economics, Hospital
Hospital Costs
Hospitals, Teaching
Diagnosis-Related Groups
health care economics and organizations
Health policy
Public Health, Environmental and Occupational Health
Manitoba
Monitoring program
humanities
Hospital Bed Capacity
Hospital Restructuring
Health Services Research
Business
Health Expenditures
Urban hospital
Subjects
Details
- ISSN :
- 00257079
- Volume :
- 37
- Database :
- OpenAIRE
- Journal :
- Medical Care
- Accession number :
- edsair.doi.dedup.....80b4a88fd9bcab51c6d1c5a7c6b6236b