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1

Terris, Milton. "Medical Care." Journal of Public Health Policy 12, no. 1 (1991): 28. http://dx.doi.org/10.2307/3342774.

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2

Fox, Daniel M. "Intensive Care: Medical Ethics and the Medical Profession." Journal of Health Politics, Policy and Law 20, no. 3 (1995): 810–11. http://dx.doi.org/10.1215/03616878-20-3-810.

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3

Borghgraef, R. "Intensive care. Medical ethics and the medical profession." Health Policy 31, no. 2 (February 1995): 151–52. http://dx.doi.org/10.1016/0168-8510(95)90058-6.

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4

Anderson, Gerard F. "National Medical Care Spending." Health Affairs 4, no. 3 (January 1985): 100–107. http://dx.doi.org/10.1377/hlthaff.4.3.100.

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5

Anderson, Gerard F. "National Medical Care Spending." Health Affairs 5, no. 3 (January 1986): 123–30. http://dx.doi.org/10.1377/hlthaff.5.3.123.

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6

Levit, Katharine R., and Mark S. Freeland. "National Medical Care Spending." Health Affairs 7, no. 5 (January 1988): 124–36. http://dx.doi.org/10.1377/hlthaff.7.5.124.

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7

Marmor, Ted, and Mark Schlesinger. "Competition And Medical Care." Health Affairs 23, no. 2 (March 2004): 284–85. http://dx.doi.org/10.1377/hlthaff.23.2.284.

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8

Coyte, Peter C., and Rashi Fein. "Medical Care, Medical Costs: The Search for a Health Insurance Policy." Southern Economic Journal 54, no. 4 (April 1988): 1055. http://dx.doi.org/10.2307/1059547.

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9

Munnell, Alicia H., and Rashi Fein. "Medical Care, Medical Costs: The Search for a Health Insurance Policy." Industrial and Labor Relations Review 41, no. 4 (July 1988): 638. http://dx.doi.org/10.2307/2523608.

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10

SHARFSTEIN, STEVEN S. "Medical Care, Medical Costs: The Search for a Health Insurance Policy." American Journal of Psychiatry 145, no. 8 (August 1988): 1031. http://dx.doi.org/10.1176/ajp.145.8.1031.

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11

Feingold, Eugene, and Rashi Fein. "Medical Care, Medical Costs: The Search for a Health Insurance Policy." Journal of Public Health Policy 8, no. 4 (1987): 587. http://dx.doi.org/10.2307/3342286.

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12

Reinhardt, Uwe E. "Medical Care, Medical Costs: The Search for a Health Insurance Policy." Journal of Health Politics, Policy and Law 13, no. 1 (1988): 182–89. http://dx.doi.org/10.1215/03616878-13-1-182.

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13

Howard, John J. "Medical care, medical costs: The search for a health insurance policy." Journal of Legal Medicine 11, no. 3 (September 1990): 373–79. http://dx.doi.org/10.1080/01947649009510833.

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14

Evans, Roger W. "Medical Care, Medical Costs: The Search for a Health Insurance Policy." JAMA: The Journal of the American Medical Association 257, no. 20 (May 22, 1987): 2833. http://dx.doi.org/10.1001/jama.1987.03390200173043.

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15

Joffe, Jerome. "Medical Care, Medical Costs: the Search for a Health Insurance Policy." Journal of Economic Issues 22, no. 3 (September 1988): 902–5. http://dx.doi.org/10.1080/00213624.1988.11504827.

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16

Sederer, Lloyd I. "Medical care, medical costs: The search for a health insurance policy." General Hospital Psychiatry 9, no. 5 (September 1987): 387–88. http://dx.doi.org/10.1016/0163-8343(87)90075-2.

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17

Ron, A. "Medical care medical costs. The search for a health insurance policy." Health Policy 9, no. 1 (January 1988): 109–10. http://dx.doi.org/10.1016/0168-8510(88)90122-4.

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18

Gil, David G. "Beyond Access to Medical Care." Evaluation & the Health Professions 16, no. 3 (September 1993): 251–77. http://dx.doi.org/10.1177/016327879301600301.

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19

Cohen, H. J. "Differing Standards Of Medical Care." Health Affairs 5, no. 4 (November 1, 1986): 157–58. http://dx.doi.org/10.1377/hlthaff.5.4.157-a.

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20

Caper, Philip. "Defining Quality in Medical Care." Health Affairs 7, no. 1 (January 1988): 49–61. http://dx.doi.org/10.1377/hlthaff.7.1.49.

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21

Robinson, James C., and Jill M. Yegian. "Medical Management After Managed Care." Health Affairs 23, Suppl1 (January 2004): W4–269—W4–280. http://dx.doi.org/10.1377/hlthaff.w4.269.

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22

Fox, Daniel M. "Medical Care Output and Productivity." Journal of Health Politics, Policy and Law 27, no. 5 (October 2002): 860–62. http://dx.doi.org/10.1215/03616878-27-5-860.

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23

Rodwin, Victor G. "Medical Care and the State." Journal of Health Politics, Policy and Law 17, no. 2 (1992): 375–84. http://dx.doi.org/10.1215/03616878-17-2-375.

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24

Gray, J. A. M. "Quality Assurance in Medical Care." Quality and Safety in Health Care 3, no. 4 (December 1, 1994): 230–31. http://dx.doi.org/10.1136/qshc.3.4.230-a.

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25

Moriates, Christopher, Neel Shah, and Vineet M. Arora. "Medical Training And Expensive Care." Health Affairs 32, no. 1 (January 2013): 196. http://dx.doi.org/10.1377/hlthaff.2012.1328.

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26

Huppes, Wim, and Dirk W. Van Bekkum. "Medical care and postmodern management." International Journal of Health Planning and Management 4, no. 3 (July 1989): 197–204. http://dx.doi.org/10.1002/hpm.4740040306.

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27

Hammitt, James K. "Air Pollution And Medical Care." Health Affairs 22, no. 1 (January 2003): 277–78. http://dx.doi.org/10.1377/hlthaff.22.1.277-a.

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28

Reggiori, Alberto. "The heart of medical care." Journal of Medicine and the Person 11, no. 3 (September 14, 2013): 128–31. http://dx.doi.org/10.1007/s12682-013-0156-z.

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29

Tran, David Minh, and Malcolm P. Forbes. "Addressing cost of unwarranted medical care in the medical curriculum." Australian Health Review 41, no. 2 (2017): 151. http://dx.doi.org/10.1071/ah15172.

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Within the past decade, there has been a significant increase in Australia’s health expenditure, with a concurrent rise in overdiagnosis. Australia has introduced the Choosing Wisely campaign in a bid to identify and reduce commonly used investigations, treatments and procedures that add little benefit to patient care. By catalysing a discussion regarding evidence-based use of medications and medical testing, the Choosing Wisely campaign can minimise risk of harm to patients, as well as reduce expenditure. Internationally, several institutions are considering introducing training regarding cost-effective medical investigations into medical school curricula. The American College of Radiology has found positive results when conducting small-group teaching sessions with medical students regarding appropriate imaging modalities. These results are reflected in a US study that used an educational intervention to improve students’ understanding of investigation costs. In addition, the Academy of Clinical Laboratory Physicians and Scientists has developed a proposed curriculum to further medical students’ training in appropriate ordering of laboratory investigations. Australian medical educators must consider whether introducing evidence-based testing into Australian medical curricula should be part of a wider strategy to prevent unnecessary testing and health expenditure now and into the future.
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30

Rosenau, Pauline Vaillancourt. "Fads in Medical Care Management and Policy." Journal of Health Politics, Policy and Law 31, no. 3 (June 2006): 707–10. http://dx.doi.org/10.1215/03616878-2005-016.

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31

Martin, G. "Health care policy education in medical school." JAMA: The Journal of the American Medical Association 275, no. 17 (May 1, 1996): 1375. http://dx.doi.org/10.1001/jama.275.17.1375.

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32

Kavanagh, Kevin T., and Nellie P. Tate. "Indigent Medical Care:." Journal of Health & Social Policy 2, no. 1 (December 13, 1990): 1–7. http://dx.doi.org/10.1300/j045v02n01_01.

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33

Schneiderman, Lawrence J. "Rationing Just Medical Care." American Journal of Bioethics 11, no. 7 (July 2011): 7–14. http://dx.doi.org/10.1080/15265161.2011.577511.

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34

Smith, William G., and Don Buesching. "Primary Medical Care and Health Outcome." Evaluation & the Health Professions 8, no. 3 (September 1985): 339–48. http://dx.doi.org/10.1177/016327878500800305.

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35

Crozier, David A. "Health Status And Medical Care Utilization." Health Affairs 4, no. 1 (January 1985): 114–28. http://dx.doi.org/10.1377/hlthaff.4.1.114.

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36

Andersen, Ronald, Meei-shia Chen, Lu Ann Aday, and Llewellyn Cornelius. "Health Status and Medical Care Utilization." Health Affairs 6, no. 1 (January 1987): 136–56. http://dx.doi.org/10.1377/hlthaff.6.1.136.

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37

Hendershot, Gerry E. "Health Status and Medical Care Utilization." Health Affairs 7, no. 1 (January 1988): 114–21. http://dx.doi.org/10.1377/hlthaff.7.1.114.

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38

Lubitz, James. "Health, Technology, And Medical Care Spending." Health Affairs 24, Suppl2 (January 2005): W5—R81—W5—R85. http://dx.doi.org/10.1377/hlthaff.w5.r81.

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39

Lerner, Jeffrey C. "Buying Medical Technology for Ambulatory Care." Journal of Ambulatory Care Management 21, no. 2 (April 1998): 78–91. http://dx.doi.org/10.1097/00004479-199804000-00014.

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40

Keller, Robert B., Eileen Griffin, Ellen Jane Schneiter, David E. Wennberg, and Ronald Russell. "Searching for Quality in Medical Care." Journal of Ambulatory Care Management 25, no. 1 (January 2002): 63–79. http://dx.doi.org/10.1097/00004479-200201000-00010.

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41

Sheikh, Kazim. "Defining and Achieving of Medical Care." American Journal of Medical Quality 13, no. 2 (June 1998): 59–62. http://dx.doi.org/10.1177/106286069801300202.

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42

Ginsburg, Paul B. "Shopping For Price In Medical Care." Health Affairs 26, Suppl2 (January 2007): w208—w216. http://dx.doi.org/10.1377/hlthaff.26.2.w208.

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43

Horn, Ansell. "Medical Care for the Homeless Elderly." Care Management Journals 9, no. 1 (March 2008): 25–30. http://dx.doi.org/10.1891/1521-0987.9.1.25.

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This is a case study of two elderly, frail women in New York City who were recently rendered homeless. One woman had a massive tumor on her occipital scalp; the other was in renal failure. The obstacles and complexities of providing care to those with double jeopardy—being elderly and homeless—are described. There are enormous difficulties for placement into safe, supportive housing once people become homeless. The process is expensive and labor intensive. This can be complicated by the existence of mental illness. A New York agency that works with mentally ill homeless people is described. There are systemic obstacles as well: One woman loses her Medicaid when she moves from one state to another to be closer to her family. Another, 82 years old, is told to get a job so that she could qualify for Medicare. There are numerous contradictions and unnecessary costs in a fragmented health care system to which the obvious solution is a national single-payer system of care.
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44

Spurgeon, Peter, Paul Long, John Clark, and Frank Daly. "Do we need medical leadership or medical engagement?" Leadership in Health Services 28, no. 3 (July 6, 2015): 173–84. http://dx.doi.org/10.1108/lhs-03-2014-0029.

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Purpose – The purpose of this paper is to address issues of medical leadership within health systems and to clarify the associated conceptual issues, for example, leadership versus management and medical versus clinical leadership. However, its principle contribution is to raise the issue of the purpose or outcome of medical leadership, and, in this respect, it argues that it is to promote medical engagement. Design/methodology/approach – The approach is to provide evidence, both from the literature and empirically, to suggest that enhanced medical engagement leads to improved organisational performance and, in doing so, to review the associated concepts. Findings – Building on current evidence from the UK and Australia, the authors strengthen previous findings that effective medical leadership underpins the effective organisational performance. Research limitations/implications – There is a current imbalance between the size of the databases on medical engagement between the UK (very large) and Australia (small but developing). Practical implications – The authors aim to equip medical leaders with the appropriate skill set to promote and enhance greater medical engagement. The focus of leaders in organisations should be in creating a culture that fosters and supports medical engagement. Social implications – This paper provides empowerment of medical professionals to have greater influence in the running of the organisation in which they deliver care. Originality/value – The paper contains, for the first time, linked performance data from the Care Quality Commission in the UK and from Australia with the new set of medical engagement findings.
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45

Greer, Ann Lennarson. "Rationing Medical Technology." International Journal of Technology Assessment in Health Care 3, no. 2 (April 1987): 199–221. http://dx.doi.org/10.1017/s0266462300000519.

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AbstractThis paper analyzes medical technology decision making in the United States and England in terms of the appropriateness of different decision-making models to the organization and delivery of medical care, and to the rationing of technology among and within hospitals. It examines the effect on the American hospital of prospective payment programs from the perspective of organizational structure and decision making. The strategies of central control and specification which characterize these programs are contrasted with decision-making procedures in the English National Health Service, which have emphasized decentralization, delegation, and consensus. The analysis suggests that decentralized models of decision making are more supportive of essential elements of medical care including doctor-patient trust and professional responsibility and are more able to achieve rationing decisions which are compatible with professional and consumer preferences.
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46

Gupta, Rajesh. "Why Should Medical Students Care about Health Policy?" PLoS Medicine 3, no. 10 (October 24, 2006): e199. http://dx.doi.org/10.1371/journal.pmed.0030199.

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47

Weaver, Matthew D., Charity G. Moore, P. Daniel Patterson, and Donald M. Yealy. "Medical Necessity in Emergency Medical Services Transports." American Journal of Medical Quality 27, no. 3 (December 27, 2011): 250–55. http://dx.doi.org/10.1177/1062860611424331.

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The purpose of this study was to generate national estimates of the prevalence of medically unnecessary emergency medical services (EMS) transports to emergency departments (EDs) over time and to identify characteristics that may be associated with medically unnecessary transports. A previously published algorithm was applied to operationalize medical necessity based on ED diagnosis to 10 years of data from the National Hospital Ambulatory Medical Care Survey. The trend over time was reported using descriptive statistics weighted to produce national estimates. Nationally, the proportion of EMS transports that were medically unnecessary increased from 13% to 17% over the 10-year study period. Individual demographic characteristics, including insurance status, were not predictive of inappropriate utilization. EMS transports for medically unnecessary complaints increased from 1997 to 2007. Our findings from a nationally representative sample highlight the opportunity for alternative patient delivery strategies for select patients seeking EMS services.
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48

Manga, Pran. "Cost-Containing Medical Technology." Healthcare Management Forum 2, no. 1 (April 1989): 26–31. http://dx.doi.org/10.1016/s0840-4704(10)61359-2.

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The types of technologies most likely to contain healthcare costs are ones which (a) bring about a reduction in the volume of contact between the non-institutionalized populations and the medical profession, (b) permit the delivery of services and care in non-institutional settings, (c) enhance self-care or caregiving by the informal sector, and (d) shift the provision of services from the highly trained and costly fee-for-service professions and hospitals to those in the primary care subsector. To translate new technologies into cost savings or reduction in the rate of growth of healthcare expenditure, provincial governments must make some essential organizational changes and resource allocation decisions. As well, some form of technology assessment, if not essential, would be a very useful adjunct.
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49

Doi, Hiroyuki. "Promotion of clinical trial as medical policy and the improvement of medical care." Okayama Igakkai Zasshi (Journal of Okayama Medical Association) 119, no. 3 (2008): 241–46. http://dx.doi.org/10.4044/joma.119.241.

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50

Lewis, Jane. "Medical Care, Medical Costs: The Search for a Health Insurance Policy. Rashi Fein." Isis 78, no. 3 (September 1987): 444–45. http://dx.doi.org/10.1086/354492.

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