Abstract:
:This article reports on observations of the implementation of a patient-centered care (PCC) work reorganization model in a community hospital setting. Analysis of videotape, direct observation, and interviews with key informants demonstrated the similarities between organizations and families in times of change. We propose a family systems framework for understanding some of the complex relationships and transitional experiences we observed.
journal_name
Health Care Manage Revjournal_title
Health care management reviewauthors
Speice J,Laneri H,Kennedy R,Engerman Jdoi
10.1097/00004010-199901000-00007keywords:
subject
Has Abstractpub_date
1999-01-01 00:00:00pages
73-80issue
1eissn
0361-6274issn
1550-5030journal_volume
24pub_type
杂志文章abstract:BACKGROUND:Health care organizations (HCOs) invest in knowledge transfer to promote improved patient outcomes; however, these investments prove costly when health care workers with enhanced knowledge and skills leave to seek better employment opportunities. PURPOSE:The aim of this study was to examine the impact of in...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000011
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:The United States has invested nearly a billion dollars in creating community health information organizations (HIOs) to foster health information exchange. Community HIOs provide exchange services to health care organizations within a distinct geographic area. While geography is a key organizing principle f...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000103
更新日期:2017-04-01 00:00:00
abstract::Can APHA's policies effectively help U.S. communities reduce excess fertility rates among their sexually active teenagers? A study of two communities reveals to what extent APHA's policies are being adopted and whether they are successful. :Two communities with differing outlooks on the management of adolescent ferti...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1980-04-01 00:00:00
abstract::Stringent rules apply to the kinds of things hospitals can say about themselves and their services, over and above the ethics that apply to all advertising. Yet it seems clear from the levels of interest in advertising among hospitals and the growth in the use of this marketing technique in recent years that persuasio...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-198400920-00009
更新日期:1984-04-01 00:00:00
abstract:BACKGROUND:Hospital incentive payments are increasingly becoming tied to quality. However, the U.S. health care system continues to face rising health care costs and scarce workforce resources, making improving quality a challenge. Patient satisfaction and process quality are two areas of quality tied to reimbursement....
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000034
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:: Although management practices are recognized as important factors in improving health care quality and efficiency, most research thus far has focused on individual practices, ignoring or underspecifying the contexts within which these practices are operating. Research from other industries, which has incre...
journal_title:Health care management review
pub_type: 杂志文章,评审
doi:10.1097/HMR.0b013e318201d1bf
更新日期:2011-07-01 00:00:00
abstract::In recent years the ability of teaching hospitals to finance the expenses associated with the provision of medical care to the indigent has come increasingly into question. Such concerns develop because of the burden cost shifting places on other patients and the potentially adverse market position resulting for the h...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1983-07-01 00:00:00
abstract:BACKGROUND:Double-digit health care inflation, coupled with widespread reports of poor care quality and deadly medical errors, has caused private sector employers to reevaluate their health benefits purchasing strategies, with a focus on supply chain management approaches. In other industries, this strategy has proven ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/01.HMR.0000281623.35987.cf
更新日期:2007-07-01 00:00:00
abstract::A new hospital director seeking to bring his institution to the brink of solvency found himself with ten pounds of data but no "information"--at least, not the kind of information he could use as a basis for management decisions. What he needed was a system that would not only present data, but the meaning of the data...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1976-10-01 00:00:00
abstract::Although health care managers pay a great deal of attention to marketing, there appears to be limited substantive action. As more organizations successfully implement the marketing concept, other organizations will follow suit and marketing will become more prevalent throughout the health care industry. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1987-01-01 00:00:00
abstract::The appropriate discount rate for evaluation of capital expenditures depends on leverage, taxation, cost-based reimbursement, and risk. A method is presented to account for these effects that is both practical and consistent with theory. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1988-04-01 00:00:00
abstract:BACKGROUND:Nursing home administrators (NHAs) are in key positions to improve nursing home quality. NHAs require state-level licensure, which involves passing a national NHA licensure examination and fulfilling state-level licensure requirements that vary widely across states. With multiple pathways to NHA licensure, l...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e318294e5ce
更新日期:2014-07-01 00:00:00
abstract:BACKGROUND:Redundancy is mostly conceived as "waste" resulting from inefficient operations that ought to be eliminated. However, there are scholars who challenge this view and argue that redundancy is an essential element in facilitating reliable and safe operations in health care delivery processes. The ambiguity on r...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000257
更新日期:2019-06-26 00:00:00
abstract::Managerial and supervisory skills are seldom included as part of health care workers' education. This article explores activities performed by supervisors and managers, past training, perceived needs for additional training, and factors influencing attendance at training programs. ...
journal_title:Health care management review
pub_type: 杂志文章,评审
doi:
更新日期:1989-04-01 00:00:00
abstract::Value-based leadership--linking "managership" and leadership approaches--is needed to meet today's ever-proliferating challenges to the fundamental philosophy and mission of health care organizations. To work, however, it requires important changes from everyone in the organization. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-198400940-00007
更新日期:1984-10-01 00:00:00
abstract::This article reports the findings of an analysis of the implementation of continuous quality improvement (CQI) or total quality management (TQM) programs in 10 hospitals. This analysis is the result of a 2-year study designed to identify and assess the ingredients that lead to the successful implementation of CQI prog...
journal_title:Health care management review
pub_type: 杂志文章,多中心研究
doi:
更新日期:1996-01-01 00:00:00
abstract::Contrary to common understanding, not-for-profit organizations must earn a profit in order to maintain fiscal solvency. This article presents a methodology to determine the appropriate profitability target with illustrations presented for a health maintenance organization. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199101630-00006
更新日期:1991-07-01 00:00:00
abstract::The formation of health insurance purchasing alliances in Minnesota has caused a restructuring of the provider system. One of the results has been the formation of competing delivery systems that organize hospitals, physicians, and insurance plans into vertically and horizontally integrated organizations termed integr...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1995-10-01 00:00:00
abstract:INTRODUCTION:In spite of significant investment in quality programs and activities, there is a persistent struggle to achieve quality outcomes and performance improvements within the constraints and support of sociopolitical parsimonies. Equally, such constraints have intensified the need to better understand the best ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000023
更新日期:2015-07-01 00:00:00
abstract::We evaluated physicians' acceptance of managed care using data from Connecticut physicians. We grouped physicians' attitudinal responses on three dimensions and applied an institutional distance framework to evaluate factors that influence physicians' acceptance of managed care practices. Our results demonstrate the p...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200507000-00008
更新日期:2005-07-01 00:00:00
abstract::Academic health center hospitals face challenges to their survival in an increasingly competitive, challenging, and entrepreneurial environment. University hospitals face a number of major stresses and are responding in various ways to ensure their financial viability. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-198701230-00013
更新日期:1987-07-01 00:00:00
abstract::This article identifies the strategic types in the hospital industry based on the hospital's use of Porter's generic strategies in their pure and hybrid forms. The article also examines differences in performance of hospitals across strategic types. Results indicate that hospitals that follow a focussed cost leadershi...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199710000-00008
更新日期:1997-10-01 00:00:00
abstract:BACKGROUND:The rapid increase in the number of hospitals becoming members of multihospital systems in recent decades has led to the formation of local and regional clusters that have the potential to function as regional systems, a model long advocated as a policy strategy for improving health system performance. PURP...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e3181a16ba7
更新日期:2009-07-01 00:00:00
abstract::A number of typologies have been developed in the strategic management literature to categorize strategies that an organization can pursue at the business level. Extensive research has established Porter's generic strategies of (1) cost leadership, (2) differentiation, (3) differentiation focus, (4) cost focus, and (5...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200501000-00004
更新日期:2005-01-01 00:00:00
abstract::In-depth interviews with nurses who have been bullied depict bullies masking their bullying behavior behind the cloak of legitimate organizational processes, resulting in extensive harm to targets. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200510000-00007
更新日期:2005-10-01 00:00:00
abstract::Survey data from a sample of physicians whose primary professional activity is administration were used to examine their previous administrative positions and career paths. Forty percent reported administrative positions in more than one type of health care organization, and time spent in administration increased with...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1991-10-01 00:00:00
abstract::This article reports how continuous quality improvement (CQI) techniques were applied to physician care of patients with hypertension. A physician task force at an ambulatory care center used CQI methods to address the needs of two important "customer" groups: (1) third party payors and (2) patients with hypertension....
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1992-07-01 00:00:00
abstract:BACKGROUND:Research in configurations and strategic groups has a rich history of revealing performance differences for hospitals and health care systems. PURPOSES:To assess the relationship between hospital-led health system configurations and the adoption of patient safety practices. In particular, the adoption of co...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/01.HMR.0000304496.89684.7f
更新日期:2008-01-01 00:00:00
abstract::Scarce economic resources make cost-benefit assessment of employee training programs an important issue. It is helpful to review the role evaluation plays in training and apply cost-benefit assessment to management development programming. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1988-01-01 00:00:00
abstract::Law and the professional standards of doctors, nurses and aides control the performance of their jobs and their response to directives of the institution's chief administrative officer. They might be surprised if he asked them to sit down together and discuss how a particular problem should be handled--but it's a big ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-197600110-00007
更新日期:1976-01-01 00:00:00