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But your analysis misses a central flaw in our system: institutionalized cost shifting.
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When patients are institutionalized, costs shift from indirect to direct (Huang et al 1988; Ernst and Hay 1994; Wimo et al 1997; Leon and Neumann 1998).
If a woman is institutionalized due to a fracture, long term care costs (i.e. yearly NH costs weighted by level of care as well as capital costs) are tracked as fracture-attributable only as long as no institutionalization occurs for any other reason [ 20].
But if Mr. Gates's sweeping plan is fully enacted, none of the armed services or Pentagon civilian agencies and directorates would be immune from the pain of annual cost-cutting, which would become institutionalized across the Defense Department.
Specifically, the positive impact of quality management certifications on cost-efficiency (i.e., cost reductions) could deteriorate as the standards are institutionalized.
Logistical and cost issues associated with central DXA testing in institutionalized older seniors may be one of the main reasons.
Some of these challenges and overall cost would be alleviated if consensus conferences were institutionalized and convened on a regular basis by an experienced team.
From 1934 onwards, with anti-semitism institutionalized and irrationalism increasingly dominating public discourse, this engagement began to cost the Circle still more dearly.
Thematic analyses revealed that managers operate within the constraints of an industry that simultaneously: (a) employs low-wage employees with multiple work-family challenges, and (b) has firmly institutionalized goals of prioritizing quality of care and minimizing labor costs.
Her boss, Lusine Nalbandyan, quoted sobering stats on the far greater cost of institutionalizing the elderly.
Hypothesis 2: The positive impact of quality management certifications on cost-efficiency ratio has deteriorated as the standards have been institutionalized in China in recent years.
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CEO of Professional Science Editing for Scientists @ prosciediting.com