Cover: Modeling and Evaluation of the Health Care Delivery System

Modeling and Evaluation of the Health Care Delivery System

Published 1973

by Marsha A. Dade


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A master's thesis in management, presenting a methodology for evaluating existing and possible future modes of delivery of health care in the United States. A systems approach is taken, in contrast to the usual fragmented studies. Health is defined as "a state of complete physical, mental, and social well-being." The study describes the present health care delivery system, defining the key elements and their interactions and identifying inherent problems; defines a methodology for evaluating alternatives by conceptualizing the objectives and formulating effectiveness criteria; and applies this methodology to evaluate the traditional fee-for-service system and a prepaid Health Maintenance Organization mode. Methods of reducing measurement errors are given. In constructing indices, each alternative is described by a vector of independent measures, and certain techniques of Raiffa are described for reducing this vector and assessing a value index for each alternative. Practical problems of data collection are discussed, with suggestions for future research.

This report is part of the RAND paper series. The paper was a product of RAND from 1948 to 2003 that captured speeches, memorials, and derivative research, usually prepared on authors' own time and meant to be the scholarly or scientific contribution of individual authors to their professional fields. Papers were less formal than reports and did not require rigorous peer review.

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