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The Andersen healthcare utilization model is a conceptual model aimed at demonstrating the factors that lead to the use of health services. According to the model, the usage of health services (including inpatient care, physician visits, dental care etc.) is determined by three dynamics: predisposing factors, enabling factors, and need.
The Donabedian model is a conceptual model that provides a framework for examining health services and evaluating quality of health care. [1] According to the model, information about quality of care can be drawn from three categories: "structure", "process", and "outcomes". [2]
Revenue cycle management (RCM) is the process used by healthcare systems in the United States and all over the world to track the revenue from patients, from their initial appointment or encounter with the healthcare system to their final payment of balance. It is a normal part of health administration. The revenue cycle can be defined as, "all ...
DPSIR (drivers, pressures, state, impact, and response model of intervention) is a causal framework used to describe the interactions between society and the environment. [1] It seeks to analyze and assess environmental problems by bringing together various scientific disciplines, environmental managers, and stakeholders, and solve them by ...
In healthcare, the third-party agent is the patient's health insurer, who is financially responsible for the healthcare goods and services consumed by the insured patient. [ citation needed ] Health economists evaluate multiple types of financial information: costs, charges and expenditures.
Medical billing, a payment process in the United States healthcare system, is the process of reviewing a patient's medical records and using information about their diagnoses and procedures to determine which services are billable and to whom they are billed. [1] This bill is called a claim. [2]
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Shows a network of cause and effect; in response to drivers, to work towards desired outcomes, enablers and capabilities support various beneficial changes. A benefit dependency network (BDN) is a diagram of cause and effect relationships. It is drawn according to a specific structure that visualizes multiple cause-effect relationships ...