Jon B Christianson
Biographic Data
| ID | 346534 |
|---|---|
| NAME | Jon B Christianson |
| GIVEN NAMES | Jon B |
| FAMILY NAME | Christianson |
| SIGNATURE | CHRISTIANSON J B |
| AFFILIATIONS | University of Minnesota |
| VERIFIED | No |
| TOTAL WORKS | 21 |
| TOTAL CITATIONS | 24 |
| AUTHOR COUNT | 21 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1980 |
| LATEST PUBLICATION YEAR | 2007 |
| H-INDEX | 3 |
Consumer-Directed Health Plans
This study examined three-year spending and utilization trends associated with enrollment in a consumer-directed health plan (CDHP) offered by a large employer alongside a preferred provider organization (PPO) and a point-of-service (POS) plan. The CDHP cohort spent considerably more money on hospital care than the POS cohort. Results found evidence of pent-up demand in the CDHP, but not enough to explain the spending trend. Lower prescription dr…
Potential Effects of Managed Care Organizations in Rural Communities
This article has provided a conceptual framework regarding the implications of a growing MCO presence in rural areas. This framework addresses factors likely to influence the degree of MCO presence in any given rural community, as well as the possible effects of that presence on rural consumers, employers, providers, and the uninsured. These factors vary across communities and will result in variation in the nature and importance of MCOs among ru…
Medical Associates HMO
Medical Associates HMO is based on a multi specialty group practice located in a small metropolitan area. That group practice regards the HMO as an important strategy for maintaining and increasing patient referrals. A substantial portion of the HMOs service area is rural; therefore, the HMOs relationships with rural providers are important because they affect its ability to attract enrollees from rural areas and, potentially, non‐HMO referrals a…
The Growing Presence of Managed Care in Rural Areas
The Demand for Health Insurance by Employees in a Voluntary Small Group Insurance Program
OBJECTIVES: This study examined the decisions of small group employees to enroll in prepaid plans offered through Healthcare Group of Arizona (HCGA), a state-sponsored and state-administered voluntary insurance program. METHODS: The study population included 653 potential employee enrollees who were offered the option of two health plans between January 1993 and June 1993, with 447 enrolling in one of the two plans. Data sources included two tele…
Rural Radiology
The purpose of this study is to identify the local availability and trends in local availability of imaging technology and interpretation services in rural hospitals in the northwestern United States during the period between 1991 to 1994. Another objective is to describe hospital and community factors associated with the diffusion of image production and interpretation services. The information for this study was gathered through telephone surve…
HMO Financial Arrangements With Rural Physicians
The growth of managed care in general suggests that a substantially larger number of rural primary care physicians will be asked to enter into risk‐bearing contracts with Health Maintenance Organizations (HMOs) in the near future. This article describes the different types of payment and risk‐sharing arrangements that exist between HMOs and primary care physicians and presents survey data relating to their prevalence in rural areas. Also, it desc…
The Composition of Rural Hospital Medical Staffs
The local supply of physicians has a strong influence on the availability and the quality of services provided by rural hospitals. Nevertheless, there are no published studies that describe the composition of rural hospital medical staffs and, in particular, the availability of specialists on these staffs. This study uses 1991 and 1994 survey data from rural hospitals located in eight states to describe the specialty composition and factors that …
Importing Employer‐based Managed Care Initiatives to Rural Areas
In urban areas, employers are frequently in the forefront of efforts to implement managed care initiatives at the community level, either individually or through coalitions. While employer‐driven managed care initiatives also exist in rural areas, they are less common and much less is known about them. This article describes and analyzes the early experience of a large rural employer—the state of South Dakota—in its attempt to develop and impleme…
Measuring and Evaluating the Performance of Vertically Integrated Rural Health Networks
The grouting interest in health care networks is extraordinary given the lack of a common understanding of what networks are and what they can accomplish. The purpose of this article is to develop a conceptual approach to the study of vertically integrated rural health networks. This article provides a network typology, a framework for assessing network performance, and examples of measurable performance indicators. It concludes with a descriptio…
The Effect of Physician and Corporate Interests on the Formation of Health Maintenance Organizations
Change in professional social organization is in part a consequence of client interests, professional interests, and professional heterogeneity. Professional reorganization, which often manifests itself in organization formation, should be most likely to occur when interests of corporate clients are strong and professional diversity leads some professional groups to expand their jurisdiction by organizing. We examine these arguments with a study …
Organization Size and Failure Among Health Maintenance Organizations
We extend the organizational ecology literature by examining the relationship between organization size and failure. Contrary to the typical monotonically declining relationship between organization size and failure rates found in ecology research, we show that this relationship varies by type of organization. Using data from censuses of Health Maintenance Organizations in the United States, we find that the relationship assumes an inverted U-sha…
Alternative Models for the Delivery of Rural Health Services
A number of alternatives to the solo, fee‐for‐service physician model have been pursued in an attempt to alleviate some of the specific problems associated with the delivery of primary care in rural areas. This article reviews and critiques the literature published in the 1980s for four alternative models: organized group practices, community health centers, community‐oriented primary care and managed care systems. The review examines the strengt…
Capitated payments for mental health care
The Evaluation of Economic Development Projects Where Military Conflict Is Present
Ronald J. Vogel, Jon B. Christianson, The Evaluation of Economic Development Projects Where Military Conflict Is Present: Investing in Health Care in El Salvador, Journal of Policy Analysis and Management, Vol. 5, No. 2 (Winter, 1986), pp. 292-310
The evaluation of economic development conflict is present
Increasingly, U.S. policymakers have proposed development projects in areas of the world undergoing rapid, disruptive, and often violent challenges to existing political regimes. The U.S. government typically requires that these projects undergo an economic evaluation before they can be implemented. While benefit‐cost theory and practice have made substantial gains over the last 20 years, they are more easily and aptly applied to stable economic …
Health care expenditure containment in the United States
A comparison of existing and alternative competitive bidding systems for indigent medical care
Health Care Policy
The authors use a political economy perspective to explain why the effects of public medical care policy in America are often at odds with widely accepted notions of the public interest. Medical inflation, national heath insurance, reduction of hospital capacity, and regulation of long term care, are among the key issues discussed. 'An interesting insight into health care policy in the USA is provided by this book which systematically analyses me…
Health Care Policy
Incentives for Quality in a Restructured Medical Care System
Organization Size and Failure Among Health Maintenance Organizations
We extend the organizational ecology literature by examining the relationship between organization size and failure. Contrary to the typical monotonically declining relationship between organization size and failure rates found in ecology research, we show that this relationship varies by type of organization. Using data from censuses of Health Maintenance Organizations in the United States, we find that the relationship assumes an inverted U-sha…
The Effect of Physician and Corporate Interests on the Formation of Health Maintenance Organizations
Change in professional social organization is in part a consequence of client interests, professional interests, and professional heterogeneity. Professional reorganization, which often manifests itself in organization formation, should be most likely to occur when interests of corporate clients are strong and professional diversity leads some professional groups to expand their jurisdiction by organizing. We examine these arguments with a study …
Capitated payments for mental health care
Health Care Policy
The authors use a political economy perspective to explain why the effects of public medical care policy in America are often at odds with widely accepted notions of the public interest. Medical inflation, national heath insurance, reduction of hospital capacity, and regulation of long term care, are among the key issues discussed. 'An interesting insight into health care policy in the USA is provided by this book which systematically analyses me…
A comparison of existing and alternative competitive bidding systems for indigent medical care
Incentives for Quality in a Restructured Medical Care System
Incentives for Quality in a Restructured Medical Care System
Health Care Policy
The authors use a political economy perspective to explain why the effects of public medical care policy in America are often at odds with widely accepted notions of the public interest. Medical inflation, national heath insurance, reduction of hospital capacity, and regulation of long term care, are among the key issues discussed. 'An interesting insight into health care policy in the USA is provided by this book which systematically analyses me…
Health Care Policy
A comparison of existing and alternative competitive bidding systems for indigent medical care
Health care expenditure containment in the United States
The Evaluation of Economic Development Projects Where Military Conflict Is Present
Ronald J. Vogel, Jon B. Christianson, The Evaluation of Economic Development Projects Where Military Conflict Is Present: Investing in Health Care in El Salvador, Journal of Policy Analysis and Management, Vol. 5, No. 2 (Winter, 1986), pp. 292-310
The evaluation of economic development conflict is present
Increasingly, U.S. policymakers have proposed development projects in areas of the world undergoing rapid, disruptive, and often violent challenges to existing political regimes. The U.S. government typically requires that these projects undergo an economic evaluation before they can be implemented. While benefit‐cost theory and practice have made substantial gains over the last 20 years, they are more easily and aptly applied to stable economic …
Capitated payments for mental health care
Alternative Models for the Delivery of Rural Health Services
A number of alternatives to the solo, fee‐for‐service physician model have been pursued in an attempt to alleviate some of the specific problems associated with the delivery of primary care in rural areas. This article reviews and critiques the literature published in the 1980s for four alternative models: organized group practices, community health centers, community‐oriented primary care and managed care systems. The review examines the strengt…
Organization Size and Failure Among Health Maintenance Organizations
We extend the organizational ecology literature by examining the relationship between organization size and failure. Contrary to the typical monotonically declining relationship between organization size and failure rates found in ecology research, we show that this relationship varies by type of organization. Using data from censuses of Health Maintenance Organizations in the United States, we find that the relationship assumes an inverted U-sha…
The Effect of Physician and Corporate Interests on the Formation of Health Maintenance Organizations
Change in professional social organization is in part a consequence of client interests, professional interests, and professional heterogeneity. Professional reorganization, which often manifests itself in organization formation, should be most likely to occur when interests of corporate clients are strong and professional diversity leads some professional groups to expand their jurisdiction by organizing. We examine these arguments with a study …
Measuring and Evaluating the Performance of Vertically Integrated Rural Health Networks
The grouting interest in health care networks is extraordinary given the lack of a common understanding of what networks are and what they can accomplish. The purpose of this article is to develop a conceptual approach to the study of vertically integrated rural health networks. This article provides a network typology, a framework for assessing network performance, and examples of measurable performance indicators. It concludes with a descriptio…
Rural Radiology
The purpose of this study is to identify the local availability and trends in local availability of imaging technology and interpretation services in rural hospitals in the northwestern United States during the period between 1991 to 1994. Another objective is to describe hospital and community factors associated with the diffusion of image production and interpretation services. The information for this study was gathered through telephone surve…
HMO Financial Arrangements With Rural Physicians
The growth of managed care in general suggests that a substantially larger number of rural primary care physicians will be asked to enter into risk‐bearing contracts with Health Maintenance Organizations (HMOs) in the near future. This article describes the different types of payment and risk‐sharing arrangements that exist between HMOs and primary care physicians and presents survey data relating to their prevalence in rural areas. Also, it desc…
The Composition of Rural Hospital Medical Staffs
The local supply of physicians has a strong influence on the availability and the quality of services provided by rural hospitals. Nevertheless, there are no published studies that describe the composition of rural hospital medical staffs and, in particular, the availability of specialists on these staffs. This study uses 1991 and 1994 survey data from rural hospitals located in eight states to describe the specialty composition and factors that …
Importing Employer‐based Managed Care Initiatives to Rural Areas
In urban areas, employers are frequently in the forefront of efforts to implement managed care initiatives at the community level, either individually or through coalitions. While employer‐driven managed care initiatives also exist in rural areas, they are less common and much less is known about them. This article describes and analyzes the early experience of a large rural employer—the state of South Dakota—in its attempt to develop and impleme…
Potential Effects of Managed Care Organizations in Rural Communities
This article has provided a conceptual framework regarding the implications of a growing MCO presence in rural areas. This framework addresses factors likely to influence the degree of MCO presence in any given rural community, as well as the possible effects of that presence on rural consumers, employers, providers, and the uninsured. These factors vary across communities and will result in variation in the nature and importance of MCOs among ru…
Medical Associates HMO
Medical Associates HMO is based on a multi specialty group practice located in a small metropolitan area. That group practice regards the HMO as an important strategy for maintaining and increasing patient referrals. A substantial portion of the HMOs service area is rural; therefore, the HMOs relationships with rural providers are important because they affect its ability to attract enrollees from rural areas and, potentially, non‐HMO referrals a…
The Growing Presence of Managed Care in Rural Areas
The Demand for Health Insurance by Employees in a Voluntary Small Group Insurance Program
OBJECTIVES: This study examined the decisions of small group employees to enroll in prepaid plans offered through Healthcare Group of Arizona (HCGA), a state-sponsored and state-administered voluntary insurance program. METHODS: The study population included 653 potential employee enrollees who were offered the option of two health plans between January 1993 and June 1993, with 447 enrolling in one of the two plans. Data sources included two tele…
Consumer-Directed Health Plans
This study examined three-year spending and utilization trends associated with enrollment in a consumer-directed health plan (CDHP) offered by a large employer alongside a preferred provider organization (PPO) and a point-of-service (POS) plan. The CDHP cohort spent considerably more money on hospital care than the POS cohort. Results found evidence of pent-up demand in the CDHP, but not enough to explain the spending trend. Lower prescription dr…
Health care (18 works) · Business (16 works) · Economic growth (16 works) · Economics (16 works) · Medicine (11 works) · Political science (11 works) · Healthcare Policy and Management (10 works) · Nursing (6 works) · Global Health Workforce Issues (5 works) · Primary Care and Health Outcomes (5 works)