Managing health care in private organizations: transaction costs, cooperation and modes of organization in the value chain
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Frankfurt am Main [u.a.]
Lang
2003
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| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | Zugl.: Hamburg, Univ. der Bundeswehr, Diss., 2003 |
| Beschreibung: | 380 S. graph. Darst. : 21 cm |
| ISBN: | 3631515677 0820465054 |
Internformat
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Datensatz im Suchindex
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| adam_text | KATHARINA JANUS MANAGING HEALTH CARE IN PRIVATE ORGANIZATIONS ,
TRANSACTION COSTS, COOPERATION AND MODES OF ORGANIZATION IN THE VALUE
CHAIN A 237877 PETER LANG FRANKFURT AM MAIN * BERLIN * BERN * BRUXELLES
* NEW YORK * OXFORD * WIEN CONTENTS PREFACES 5 ACKNOWLEDGEMENTS 9
ABBREVIATIONS 19 FIGURES 23 TABLES : 25 A THEORY 27 1 INTRODUCTION AND
DEFINITIONS 27 1.1 INTRODUCTION 27 1.1.1 STATEMENT OF THE PROBLEM 27
1.1.2 CAUSE OF THE EXAMINATION 31 1.2 DEFINITIONS 32 1.2.1 THE
UNDERSTANDING OF HEALTH AND THE CONCEPT OF MANAGED CARE ..32 1.2.1.1
THE EMERGENCE AND PREVALENCE OF MANAGED CARE 32 1.2.1.1.1 MANAGED CARE
AND ITS ELEMENTS 32 1.2.1.1.2 HISTORICAL DEVELOPMENT 37 1.2.1.2 DEFINING
HEALTH 39 1.2.2 THE MARKET PLAYERS IN THE HEALTH CARE DISTRIBUTION
CHANNEL 41 1.2.3 THE STRUCTURE AND THE VALUE CHAIN OF THE HEALTH CARE
DISTRIBUTION CHANNEL 45 2 THE TRANSACTION COSTS THEORY AS AN ECONOMIC
BASIS 51 2.1 FROM NEW INSTITUTIONAL ECONOMICS TO THE TRANSACTION COSTS
THEORY - A COLLABORATIVE APPROACH 51 2.1.1 NEW INSTITUTIONAL ECONOMICS
51 2.1.1.1 THE ISSUE OF NEW INSTITUTIONAL ECONOMICS 51 2.1.1.2 WHAT IS
MEANT BY INSTITUTIONS 52 2.1.1.3 THE INSTITUTIONAL ENVIRONMENT AND THE
INSTITUTIONAL ARRANGEMENT. 54 2.1.2 THE TRANSACTION COSTS THEORY 54
2.1.2.1 PREREQUISITES AND DEFINITIONS 54 2.1.2.1.1 ASSUMPTIONS 54
2.1.2.1.2 GOVERNANCE (STRUCTURES) 58 2.1.2.1.3 THE FRAMEWORK OF THE
TRANSACTION COSTS THEORY AND ITS DEFINITION 59 2.1.2.2 THE MODES OF
GOVERNANCE AND THEIR RESPECTIVE CHARACTERISTICS... 62 13 2.1.2.2.1
MARKETS AND HIERARCHIES ..62 2.1.2.2.2 HYBRIDS - A SPECIFIC MECHANISM OF
COORDINATION 73 2.2 THE INSTITUTIONAL ENVIRONMENT WITH RESPECT TO THE
TRANSACTION COSTS THEORY 83 2.2.1 PROPERTY RIGHTS 84 2.2.2 CONTRACT LAW
85 2.2.2.1 DEFINITION AND CLASSIFICATION OF CONTRACT LAWS ACCORDING TO
THEIR ECONOMIC BACKGROUND 86 2.2.2.2 CLASSIFICATION OF ECONOMIC CONTRACT
LAWS ACCORDING TO THE LEGAL BACKGROUND OF REAL WORLD BUSINESS
RELATIONSHIPS 88 2.2.2.3 CONTRACT PERFORMANCE 90 2.2.2.3.1
AGENCY-CONTRACT THEORY 91 2.2.2.3.2 INCOMPLETE-CONTRACT THEORY 91
2.2.2.3.3 IMPLICIT-CONTRACT THEORY 92 2.2.2.4 SAFEGUARDS TO ENSURE
CONTRACT PERFORMANCE 92 2.2.3 REPUTATION EFFECTS 93 2.2.4 UNCERTAINTY 94
3 ASSESSING THE HEALTH CARE MARKET WITH RESPECT TO THE TRANSACTION COSTS
THEORY AND MODES OF GOVERNANCE 95 3.1 THE VALUE CHAIN IN HEALTH CARE
DISTRIBUTION 96 3.2 THE NATURE OF HEALTH CARE TRANSACTIONS IN THE HEALTH
CARE MARKET 97 3.2.1 CHARACTERISTICS AND ASSET SPECIFICITY OF HEALTH
CARE TRANSACTIONS ...98 3.2.1.1 CHARACTERISTICS OF HEALTH CARE
TRANSACTIONS 98 3.2.1.1.1 DEFINING THE ELEMENTS OF HEALTH CARE
TRANSACTIONS 98 3.2.1.1.2 THE SUPPLY-DRIVEN MARKET OF HEALTH CARE
TRANSACTIONS 100 3.2.1.1.3 THE EFFECT OF AGENCY ON HEALTH CARE
TRANSACTIONS 100 3.2.1.1.4 THE EFFECT OF EXTERNALITIES WITH RESPECT TO
HEALTH CARE TRANSACTIONS 101 3.2.1.2 ASSET SPECIFICITY OF HEALTH CARE
TRANSACTIONS 102 3.2.2 UNCERTAINTY 105 3.2.2.1 RISK VERSUS INFORMATION
DEFICIENCY 105 3.2.2.2 UNCERTAINTY WITH RESPECT TO HEALTH CARE
TRANSACTIONS 105 3.2.2.3 UNCERTAINTY AND ITS EFFECTS 106 3.2.2.4
PROBLEMS ARISING FROM INFORMATION DEFICIENCIES 109 3.2.2.4.1 PROBLEMS OF
AGENCY RELATIONSHIPS 109 3.2.2.4.2 PROBLEMS DUE TO DISTORTED INCENTIVES
112 3.2.2.5 SOLUTIONS TO OVERCOME THE INFORMATION PROBLEM 113 3.2.2.6
THE PROFESSIONAL CODE OF PHYSICIANS IN GERMANY AND ITS EFFECTS ON
INFORMATION ASYMMETRY AS AN EXAMPLE 115 3.2.3 FREQUENCY 118 3.3 THE
INSTITUTIONAL ENVIRONMENT OF HEALTH CARE TRANSACTIONS 119 14 3.4
INSTITUTIONAL ARRANGEMENTS IN THE HEALTH CARE MARKET (MODES OF
GOVERNANCE) 120 3.4.1 THE PLAYERS IN THE HEALTH CARE MARKET 120 3.4.1.1
HOSPITALS 121 3.4.1.2 CORPORATE PRACTICE OF MEDICINE, PHYSICIAN
ORGANIZATIONS AND SUPPORT ENTITIES 123 3.4.1.2.1 IPAS, NETWORK MEDICAL
GROUPS, MSOS AND PPMOS 123 3.4.1.2.2 THE MEDICAL FOUNDATION 124 3.4.1.3
PHARMACEUTICAL COMPANIES 125 3.4.2 FAILURE OF MARKET ORGANIZATION TO
COORDINATE HEALTH CARE TRANSACTIONS IN A TRANSACTION COST ECONOMIZING
WAY 126 3.4.3 REASONS AND OBJECTIVES REGARDING THE CREATION OF CARE
DELIVERY SYSTEMS 131 3.4.3.1 INTERNAL REASONS 131 3.4.3.1.1 ECONOMIES
OF INTELLECT 131 3.4.3.1.2 CORE SKILLS 132 3.4.3.2 MANAGED CARE AS THE
EXTERNAL REASON 132 3.4.3.2.1 CONTINUUM OF CARE 133 3.4.3.2.2 CAPITATION
134 3.4.4 HIERARCHICAL FORMS OF ORGANIZATION 136 3.4.4.1 HORIZONTAL
INTEGRATION 136 3.4.4.2 VERTICAL INTEGRATION AND CARE DELIVERY SYSTEMS
138 3.4.5 FAILURE OF HIERARCHICAL MODES OF ORGANIZATION TO COORDINATE
HEALTH CARE TRANSACTIONS IN A TRANSACTION COST ECONOMIZING WAY 142 3.4.6
CURRENT AND FUTURE TRENDS REGARDING INTEGRATION - WHY TO MOVE TO LOOSER
ARRANGEMENTS 145 3.4.6.1 LACK OF SYSTEMNESS 145 3.4.6.2 THE MATURING OF
MANAGED CARE 146 3.4.6.2.1 CAPITATION IS FADING 146 3.4.6.2.2 THE
EMPOWERED CONSUMER IS EMERGING 149 3.4.6.3 IMPLICATIONS FOR NEW MODES OF
ORGANIZATION 150 3.4.7 HYBRID ORGANIZATION IN THE HEALTH CARE MARKET 152
3.4.7.1 VIRTUAL INTEGRATION AS A BETTER MEANS THAN VERTICAL INTEGRATION
TO ACHIEVE ACTUAL INTEGRATION 152 3.4.7;2 ACHIEVING ACTUAL INTEGRATION
153 3.4.7.3 BENEFITS OF HYBRID MODES OF ORGANIZATION 155 3.4.7.4
MANAGEMENT OF HYBRIDS 156 3.4.7.5 INTERNAL COORDINATION MECHANISMS TO
FACILITATE THE MANAGEMENT OF HYBRIDS 159 3.4.7.5.1 THE OVERRIDING
OBJECTIVE - ACHIEVING COOPERATION 159 3.4.7.5.2 THE
CONFIDENCE-POWER-BALANCE 160 3.4.7.5.3 LEADERSHIP 161 15 3.4.7.5.4
CULTURE 162 3.4.7.5.5 INFORMATION TECHNOLOGY (IT) AND CONTINUOUS QUALITY
IMPROVEMENT (CQI) 162 3.4.7.5.6 INCENTIVES 167 4 CONCEPTS FOR
ECONOMIZING ON TRANSACTION COSTS IN HYBRID FORMS OF ORGANIZATION .171
4.1 THE BASICS - THINKING IN TERMS OF VALUE CREATION TO ECONOMIZE ON
TRANSACTION COSTS 171 4.2 KEY-ACCOUNT-MANAGEMENT (KAM) 173 4.3
SUPPLY-CHAIN-MANAGEMENT (SCM) 175 4.3.1 THE TRADITIONAL VIEW OF
SUPPLY-CHAIN-MANAGEMENT 176 4.3.2 THE NEW UNDERSTANDING OF
SUPPLY-CHAIN-MANAGEMENT IN HEALTH CARE DELIVERY 178 4.4 VALUE-BASED
PARTNERING IN HEALTH CARE 182 4.5 EFFICIENT-CONSUMER-RESPONSE 189 B
EMPIRICAL EXAMINATION 195 1 COOPERATION AND MODES OF ORGANIZATION IN THE
BAY AREAHEALTH CARE MARKET - AN EMPIRICAL CASE STUDY 196 1.1
INTRODUCTORY REMARKS 196 1.1.1 RELEVANCE OF THE TOPIC AND THE MARKET 196
1.1.2 THE METHODOLOGICAL PROCEEDING AND THE ECONOMIC THEORY 199 1.1.3
PROCEEDING 200 1.2 THE BAY AREA HEALTH CARE MARKET AND ITS MAJOR PLAYERS
201 1.3 THE HISTORICAL DEVELOPMENT OF THE ORGANIZATIONS 213 1.3.1 THE
MAJOR INFLUENCES/DRIVERS FOR CHANGING THE MODE OF ORGANIZATION 213 1.3.2
THE OBJECTIVES OF THE NEW MODE OF ORGANIZATION AND THE ORGANIZATIONAL
MODE CHOSEN 217 1.3.3 THE STRATEGY PURSUED WHEN ESTABLISHING THE
ORGANIZATION 222 1.3.4 PROBLEMS OF IMPLEMENTATION 235 1.4 THE CURRENT
STATUS OF THE ORGANIZATION 243 1.4.1 GENERAL ISSUES 244 1.4.2 RATING
ISSUES 250 1.4.3 SPECIFIC QUESTIONS 253 1.4.3.1 THE ADDED VALUE OF THE
CURRENT MODE OF ORGANIZATION 254 1.4.3.2 THE MANAGEMENT OF THE
ORGANIZATION 256 1.4.3.3 INCENTIVE AND CONTROL MECHANISMS 260 1.4.3.4
DISPUTES AND CONFLICTS 272 1.4.3.5 THE ADAPTIVE CAPABILITIES AND THE
FLEXIBILITY OF THE ORGANIZATION 274 16 1.4.3.6 THE DEGREE OF CONFIDENCE
WITHIN THE ORGANIZATION 278 1.4.3.7 ORGANIZATIONAL CULTURE 279 1.4.3.8
COMMUNICATION AND INFORMATION TECHNOLOGIES 286 1.5 THE FURTHER
DEVELOPMENT OF THE ORGANIZATION 293 1.5.1 THE LESSONS LEARNED 294
1.5.2 THE FUTURE PROCEEDING : 297 1.5.3 KEY-ACCOUNT-MANAGEMENT 298 1.5.4
SUPPLY-CHAIN-MANAGEMENT 299 1.5.5 EFFLCIENT-CONSUMER-RESPONSE 300 2
PHARMACEUTICAL COMPANIES * TAKING A MORE COMPREHENSIVE APPROACH TO
HEALTH CARE DELIVERY 304 2.1 THE ROLE OF THE PHARMACEUTICAL INDUSTRY 304
2.2 SUPPLY ISSUES 307 2.3 DEMAND ISSUES 309 2.4 LEGAL ISSUES 311 2.5
INFORMATION TECHNOLOGY AND DATA MANAGEMENT , 312 2.6 CONCEPTS TO MANAGE
SUPPLY AND DEMAND IN THE PHARMACEUTICAL INDUSTRY THROUGH RELATIONSHIP
BUILDING 312 2.6.1 KEY-ACCOUNT-MANAGEMENT 312 2.6.2
SUPPLY-CHAIN-MANAGEMENT 313 2.6.3 EFFICIENT-CONSUMER-RESPONSE 313 C
RESULTS AND IMPLICATIONS 315 1 RESULTS AND OUTLOOK 315 1.1 SUMMARY OF
RESULTS 315 1.1.1 THE DYNAMIC TENSION OF CENTRALIZED AND DECENTRALIZED
COORDINATION 316 1.1.2 RELATIONSHIP MANAGEMENT 317 1.1.3 PEOPLE
MANAGEMENT 318 1.1.4 INFORMATION TECHNOLOGY 319 1.2 OUTLOOK 320 2
IMPLICATIONS FOR THE GERMAN HEALTH CARE MARKET 323 2.1 BASIC IDEAS OF
THE GERMAN HEALTH CARE SYSTEM 323 2.2 REFORMS AND RECENT DEVELOPMENTS IN
THE GERMAN HEALTH CARE MARKET. 324 2.3 MANAGED CARE AND THE NECESSITY
FOR PRIVATIZATION 325 2.4 ORGANIZING HEALTH CARE DELIVERY IN PRIVATE
ORGANIZATIONS - THE APPLICATION OF U.S. SUCCESS FACTORS AND MANAGEMENT
CONCEPTS 327 3 CONCLUSION 331 17
|
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| classification_rvk | QX 780 |
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| dewey-ones | 362 - Social problems and services to groups |
| dewey-raw | 362.1/068 |
| dewey-search | 362.1/068 |
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| dewey-tens | 360 - Social problems and services; associations |
| discipline | Soziologie Wirtschaftswissenschaften |
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| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-010566342 |
| oclc_num | 53926973 |
| open_access_boolean | |
| owner | DE-703 DE-19 DE-BY-UBM DE-706 DE-83 |
| owner_facet | DE-703 DE-19 DE-BY-UBM DE-706 DE-83 |
| physical | 380 S. graph. Darst. : 21 cm |
| publishDate | 2003 |
| publishDateSearch | 2003 |
| publishDateSort | 2003 |
| publisher | Lang |
| record_format | marc |
| spelling | Janus, Katharina 1975- Verfasser (DE-588)128461683 aut Managing health care in private organizations transaction costs, cooperation and modes of organization in the value chain Katharina Janus Frankfurt am Main [u.a.] Lang 2003 380 S. graph. Darst. : 21 cm txt rdacontent n rdamedia nc rdacarrier Zugl.: Hamburg, Univ. der Bundeswehr, Diss., 2003 Delivery of Health Care, Integrated economics California Integrated delivery of health care California San Francisco Bay Area Case studies Managed Care Programs economics California Managed care plans (Medical care) California San Francisco Bay area Case studies Medical economics California San Francisco Bay area Case studies Transaction costs Health Maintenance Organization (DE-588)4202208-3 gnd rswk-swf Transaktionskosten (DE-588)4060619-3 gnd rswk-swf Managed Care (DE-588)4461436-6 gnd rswk-swf San Francisco Bay Region (DE-588)4243504-3 gnd rswk-swf (DE-588)4522595-3 Fallstudiensammlung gnd-content (DE-588)4113937-9 Hochschulschrift gnd-content San Francisco Bay Region (DE-588)4243504-3 g Managed Care (DE-588)4461436-6 s Transaktionskosten (DE-588)4060619-3 s Health Maintenance Organization (DE-588)4202208-3 s DE-604 GBV Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=010566342&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Janus, Katharina 1975- Managing health care in private organizations transaction costs, cooperation and modes of organization in the value chain Delivery of Health Care, Integrated economics California Integrated delivery of health care California San Francisco Bay Area Case studies Managed Care Programs economics California Managed care plans (Medical care) California San Francisco Bay area Case studies Medical economics California San Francisco Bay area Case studies Transaction costs Health Maintenance Organization (DE-588)4202208-3 gnd Transaktionskosten (DE-588)4060619-3 gnd Managed Care (DE-588)4461436-6 gnd |
| subject_GND | (DE-588)4202208-3 (DE-588)4060619-3 (DE-588)4461436-6 (DE-588)4243504-3 (DE-588)4522595-3 (DE-588)4113937-9 |
| title | Managing health care in private organizations transaction costs, cooperation and modes of organization in the value chain |
| title_auth | Managing health care in private organizations transaction costs, cooperation and modes of organization in the value chain |
| title_exact_search | Managing health care in private organizations transaction costs, cooperation and modes of organization in the value chain |
| title_full | Managing health care in private organizations transaction costs, cooperation and modes of organization in the value chain Katharina Janus |
| title_fullStr | Managing health care in private organizations transaction costs, cooperation and modes of organization in the value chain Katharina Janus |
| title_full_unstemmed | Managing health care in private organizations transaction costs, cooperation and modes of organization in the value chain Katharina Janus |
| title_short | Managing health care in private organizations |
| title_sort | managing health care in private organizations transaction costs cooperation and modes of organization in the value chain |
| title_sub | transaction costs, cooperation and modes of organization in the value chain |
| topic | Delivery of Health Care, Integrated economics California Integrated delivery of health care California San Francisco Bay Area Case studies Managed Care Programs economics California Managed care plans (Medical care) California San Francisco Bay area Case studies Medical economics California San Francisco Bay area Case studies Transaction costs Health Maintenance Organization (DE-588)4202208-3 gnd Transaktionskosten (DE-588)4060619-3 gnd Managed Care (DE-588)4461436-6 gnd |
| topic_facet | Delivery of Health Care, Integrated economics California Integrated delivery of health care California San Francisco Bay Area Case studies Managed Care Programs economics California Managed care plans (Medical care) California San Francisco Bay area Case studies Medical economics California San Francisco Bay area Case studies Transaction costs Health Maintenance Organization Transaktionskosten Managed Care San Francisco Bay Region Fallstudiensammlung Hochschulschrift |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=010566342&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT januskatharina managinghealthcareinprivateorganizationstransactioncostscooperationandmodesoforganizationinthevaluechain |