Abstract:
:Health care researchers and managers have viewed physicians traditionally through three major lenses, that is, as professionals, suppliers, and caregivers. This article makes a case for another lens, that of the physician as worker. The worker perspective complements these existing perspectives, serves as a generative metaphor in raising new assumptions and questions about physicians, and provides physicians with a dimensionality necessary because of increasing diversity within and external to the medical profession.
journal_name
Health Care Manage Revjournal_title
Health care management reviewauthors
Hoff TJdoi
10.1097/00004010-200110000-00006keywords:
subject
Has Abstractpub_date
2001-10-01 00:00:00pages
53-70issue
4eissn
0361-6274issn
1550-5030journal_volume
26pub_type
杂志文章,评审abstract::Specialty care institutions will face many concerns during the remainder of this decade. Increased intermediary and community education, establishing reliable benchmarks, understanding and dealing with a competitive marketplace, and establishing improved professional productivity are some of the major challenges. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-198300810-00002
更新日期:1983-01-01 00:00:00
abstract::The relation between operating margin and quality of care is investigated by using survey and financial data for 82 small and medium-sized hospitals. A positive relation between the variables is found, and implications of that relationship are discussed. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1992-10-01 00:00:00
abstract::In today's competitive health care environment, service excellence is rapidly becoming a major differentiating advantage between health care providers. Too often, senior executives talk about their commitment to a mission statement that extols the virtues of providing world class service to their patients only to unde...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200610000-00001
更新日期:2006-10-01 00:00:00
abstract::A potential conflict exists between the recent growth of unionization in the health care industry and management efforts to increase productivity. One method of managing this conflict is to link employee rewards to employee productivity through productivity bargaining. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1979-01-01 00:00:00
abstract::Reframing surprise as an opportunity rather than as a threat can be facilitated when we recognize that efforts to deny, control, and prevent uncertainty operate as barriers to reframing. Removing the barriers requires trust and risk-taking among key stakeholders, especially among patients, physicians, and health care ...
journal_title:Health care management review
pub_type: 评论,杂志文章
doi:10.1097/00004010-200307000-00010
更新日期:2003-07-01 00:00:00
abstract::Team level tacit knowledge is related to the collective knowledge of the team members. It is the shared experience that results in the ability to successfully anticipate the reactions of teammates in typical and nontypical situations. This study evaluates how tacit knowledge and related team characteristics influence ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200607000-00008
更新日期:2006-07-01 00:00:00
abstract::Although small in number, hospitals are increasingly seeking bankruptcy protection. This article explores the potential forces that might motivate hospitals to seek bankruptcy protection and the potential consequences for hospitals that obtain it. Case reviews of 11 hospital bankruptcies that occurred in 1990 and 1991...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199401930-00006
更新日期:1994-07-01 00:00:00
abstract:BACKGROUND:The extent that organizational learning and resilience for the change process, that is, adaptive reserve (AR), is a component of building practice capacity for continuous quality improvement (QI) is unknown. PURPOSE:The aim of the study was to examine the association of AR and development of QI capacity. M...
journal_title:Health care management review
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doi:10.1097/HMR.0000000000000281
更新日期:2020-04-03 00:00:00
abstract::In past years, many SHAs formed in local urban markets to better compete for managed care contracts. In response to 1990s forces, these SHAs appear to have adapted product, production, and selling orientations to their markets, aimed at large institutional purchasers of health care. However, health care markets have e...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200204000-00004
更新日期:2002-04-01 00:00:00
abstract:BACKGROUND:Health care leaders have called for the development of communication and leadership skills to improve manager-employee relationships, employee job satisfaction, quality care, and work environments. PURPOSES:The aim of the study reported here was to pilot how a 2-day coaching workshop ("Coaching for Impressi...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e318294e586
更新日期:2014-07-01 00:00:00
abstract:BACKGROUND:Numerous studies have identified disparities in nursing home quality of care. Although previous studies have found the overlap among Medicaid census, nursing home characteristics, and negative quality of care outcomes, few studies have examined how the psychosocial well-being of nursing home residents is ass...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e3181f8a864
更新日期:2011-01-01 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:BACKGROUND:As the pace of health sector transformation accelerates, the importance of leadership continues to grow across all health professions. Advances in a variety of disciplines can inform effective leadership development. However, at present, most health sector leadership competency models do not incorporate thes...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000243
更新日期:2020-10-01 00:00:00
abstract::The economics of cost containment, growing competition, and the introduction of new technology are forcing major changes on the health insurance industry. This transformation will impact the hospital industry in significant ways, hastening its evolution from a cottage industry to a modern corporate structure. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-198601140-00003
更新日期:1986-10-01 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
abstract::This study investigated the impact of three physician-hospital contractual arrangements (PHCAs)--joint ventures, management service organizations, and not-for-profit foundations--on physician involvement in hospital governance and physician-hospital relationships. Analysis of data collected from a national sample of 1...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199802330-00005
更新日期:1998-07-01 00:00:00
abstract:BACKGROUND:Public health institutions are making a great effort to develop patient-targeted online services in an attempt to enhance their effectiveness and reduce expenses. However, if patients do not use those services regularly, public health institutions will have wasted their limited resources. Hence, patients' el...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e31824b1c6b
更新日期:2013-01-01 00:00:00
abstract::Patient management teams are able to diagnose and begin to solve their own problems with the help of a self-instructional health team development (HTD) program. In this case, the focus is on those task-related issues which limit team effectiveness. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1976-07-01 00:00:00
abstract::Major financial constraints on health care payors are increasing pressure on hospitals to become more efficient. This study described the use of common data formats and specific interventions with physicians and nursing homes to reduce inpatient lengths of stay by four hospitals in Syracuse, New York. These initiative...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200504000-00002
更新日期:2005-04-01 00:00:00
abstract:BACKGROUND:The presence of hospital-based palliative care programs has risen over time in the United States. Nevertheless, organizational and environmental factors that contribute to the presence of hospital-based palliative care programs are unclear. PURPOSE:The aim of this study was to examine the role of organizati...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000031
更新日期:2015-10-01 00:00:00
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 pr...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199901000-00007
更新日期:1999-01-01 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 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:Many observers have alleged that "fads," "fashions," and "bandwagons" (imitation strategies) are prominent feature of the health care organizational strategy landscape. "Imitation behavior" may fulfill symbolic functions such as signaling innovativeness but results in the adoption of strategies that are effe...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/01.HMR.0000304498.97308.40
更新日期:2008-04-01 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:BACKGROUND:The implementation science literature has contributed important insights regarding the influence of formal policies and practices on health care innovation implementation, whereas informal implementation policies and practices have garnered little attention. The broader literature suggests that informal impl...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000193
更新日期:2018-07-01 00:00:00
abstract::Catholic community hospitals are becoming more like nongovernment, not-for-profit community hospitals of a similar bed size located in the same states. After controlling for state, urban-versus-rural location, and bed-size range, a matched set of 303 Catholic community hospitals are compared with nongovernment, not-fo...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1994-10-01 00:00:00
abstract::This article profiles the premerger marketing, management, and mission characteristics of the combined Columbia and Hospital Corporation of America (HCA) entity relative to local market hospitals. The findings show that the Columbia/HCA hospitals had fewer Medicaid patients, lower proportion of outpatient revenues, hi...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199605000-00006
更新日期:1996-04-01 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:The current literature on the enabling conditions of multidisciplinary teams focuses on the singular dimensions of the organizations (i.e., human resources, clinical pathways, objects) without shedding light on to the way in which these organizational factors interact and mutually influence one another. PUR...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000115
更新日期:2017-10-01 00:00:00