{"id":"https://openalex.org/W1889772969","doi":null,"title":"Free-standing health care facilities: financial arrangements, quality assurance and a pilot study.","display_name":"Free-standing health care facilities: financial arrangements, quality assurance and a pilot study.","publication_year":1998,"publication_date":"1998-02-10","ids":{"openalex":"https://openalex.org/W1889772969","mag":"1889772969","pmid":"https://pubmed.ncbi.nlm.nih.gov/9484263","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/1228840"},"language":"en","primary_location":{"id":"pmh:oai:europepmc.org:209416","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC1228840","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},"volume":null,"type":"article","indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"http://europepmc.org/pmc/articles/PMC1228840","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5016730562","display_name":"John N. Lavis","orcid":"https://orcid.org/0000-0001-7917-3657","observed_orcids":["https://orcid.org/0000-0001-7917-3657"]},"institutions":[{"id":"https://openalex.org/I98251732","display_name":"McMaster University","ror":"https://ror.org/02fa3aq29","country_code":"CA","type":"education","lineage":["https://openalex.org/I98251732"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"J N Lavis","raw_affiliation_strings":["Centre for Health Economics and Policy Analysis, McMaster University, Hamilton, Ont"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Health Economics and Policy Analysis, McMaster University, Hamilton, Ont","institution_ids":["https://openalex.org/I98251732"]}]},{"author_position":"middle","author":{"id":null,"display_name":"J Lomas","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"J Lomas","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"G M Anderson","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"G M Anderson","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109339939","display_name":"ALLAN P. DONNER","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"A Donner","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112134513","display_name":"Neil A. Iscoe","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"N A Iscoe","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"G Gold","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"G Gold","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5002191787","display_name":"Joy Craighead","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"J Craighead","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.015,"has_fulltext":false,"cited_by_count":3,"citation_normalized_percentile":{"value":0.80741338,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"158","issue":"3","first_page":"359","last_page":"63"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.9312000274658203,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.9312000274658203,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.018300000578165054,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13896","display_name":"Health Services Management and Policy","score":0.018300000578165054,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/financial-arrangements","display_name":"financial arrangements","score":0.7580000162124634},{"id":"https://openalex.org/keywords/facility-fees","display_name":"facility fees","score":0.9399999976158142},{"id":"https://openalex.org/keywords/professional-fees","display_name":"professional fees","score":0.8169999718666077},{"id":"https://openalex.org/keywords/quality-assurance","display_name":"quality assurance","score":0.8769999742507935},{"id":"https://openalex.org/keywords/quality-improvement","display_name":"quality improvement","score":0.9739999771118164},{"id":"https://openalex.org/keywords/cosmetic-surgery","display_name":"cosmetic surgery","score":0.7080000042915344},{"id":"https://openalex.org/keywords/cataract-surgery","display_name":"cataract surgery","score":0.996999979019165},{"id":"https://openalex.org/keywords/ontario","display_name":"Ontario","score":0.7459999918937683}],"concepts":[{"id":"https://openalex.org/C106436119","wikidata":"https://www.wikidata.org/wiki/Q836575","display_name":"Quality assurance","level":3,"score":0.6970012187957764},{"id":"https://openalex.org/C195487862","wikidata":"https://www.wikidata.org/wiki/Q850210","display_name":"Revenue","level":2,"score":0.6737015247344971},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.639137327671051},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.5738570690155029},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.5329908728599548},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.5291479229927063},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.5242400765419006},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.47932422161102295},{"id":"https://openalex.org/C2778755073","wikidata":"https://www.wikidata.org/wiki/Q10858537","display_name":"Scale (ratio)","level":2,"score":0.4629431962966919},{"id":"https://openalex.org/C2776753347","wikidata":"https://www.wikidata.org/wiki/Q5441151","display_name":"Fee-for-service","level":3,"score":0.45291846990585327},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.439010888338089},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.36045125126838684},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.2372727394104004},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.08393692970275879},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C62520636","wikidata":"https://www.wikidata.org/wiki/Q944","display_name":"Quantum mechanics","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000554","descriptor_name":"Ambulatory Care Facilities","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D000554","descriptor_name":"Ambulatory Care Facilities","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007349","descriptor_name":"Insurance, Health, Reimbursement","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D009864","descriptor_name":"Ontario","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010865","descriptor_name":"Pilot Projects","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011785","descriptor_name":"Quality Assurance, Health Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true}],"locations_count":4,"locations":[{"id":"pmh:oai:europepmc.org:209416","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC1228840","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:1228840","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1228840","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"CMAJ","raw_type":"Text"},{"id":"pmid:9484263","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9484263","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne","raw_type":"Journal Article"},{"id":"mag:1889772969","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9484263","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":{"id":"pmh:oai:europepmc.org:209416","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC1228840","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.8048999905586243,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":12,"referenced_works":["https://openalex.org/W1507492770","https://openalex.org/W1525413390","https://openalex.org/W1940818566","https://openalex.org/W1945795339","https://openalex.org/W1975077493","https://openalex.org/W1980278232","https://openalex.org/W1997253441","https://openalex.org/W2009400334","https://openalex.org/W2157954662","https://openalex.org/W2312807852","https://openalex.org/W2312965018","https://openalex.org/W2323759524"],"related_works":["https://openalex.org/W2096015732","https://openalex.org/W2417451787","https://openalex.org/W2440103328","https://openalex.org/W2431017982","https://openalex.org/W98579153","https://openalex.org/W2465620734","https://openalex.org/W3010911632","https://openalex.org/W1891765040","https://openalex.org/W2097685238","https://openalex.org/W2429606326"],"abstract_inverted_index":{"Free-standing":[0],"health":[1],"care":[2],"facilities":[3,22,99,112,128],"now":[4],"deliver":[5],"many":[6],"diagnostic":[7],"and":[8,75,129],"therapeutic":[9,111],"services":[10,28],"formerly":[11],"provided":[12,80,104],"only":[13],"in":[14,113,126],"hospitals.":[15],"The":[16],"financial":[17],"arrangements":[18],"available":[19],"to":[20,25,47,65],"these":[21,98,127],"differ":[23],"according":[24],"whether":[26],"the":[27,41,48,59,67,77,81,101],"are":[29],"uninsured":[30,35],"or":[31,100],"insured.":[32],"For":[33,51],"an":[34,52],"service,":[36,54],"such":[37,55],"as":[38,56],"cosmetic":[39],"surgery,":[40,58],"patient":[42],"pays":[43],"a":[44,72,84,118],"fee":[45,74],"directly":[46],"service":[49,82],"provider.":[50],"insured":[53],"cataract":[57],"provincial":[60],"government":[61],"uses":[62],"tax":[63],"revenues":[64],"fund":[66],"facility":[68,73],"by":[69],"paying":[70],"it":[71],"remunerates":[76],"physician":[78],"who":[79],"with":[83],"professional":[85],"fee.":[86],"No":[87],"comprehensive,":[88],"proactive":[89],"quality":[90,120],"assurance":[91],"efforts":[92],"have":[93],"been":[94],"implemented":[95],"for":[96],"either":[97],"clinical":[102],"practice":[103],"within":[105],"them.":[106],"A":[107],"pilot":[108],"study":[109],"involving":[110],"Ontario":[114],"has":[115],"suggested":[116],"that":[117],"large-scale":[119],"improvement":[121],"effort":[122],"could":[123],"be":[124],"undertaken":[125],"rigorously":[130],"evaluated.":[131]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
