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 potency of institutional forces in affecting physician attitudes: health care organizations must more effectively integrate their values and beliefs with the physician community. The institutional distance theory evaluated in this article provides new information for policymakers and managers as gaining physician acceptance of certain practices is necessary to ongoing efforts to reform the health care system.
journal_name
Health Care Manage Revjournal_title
Health care management reviewauthors
Floyd SW,Kramer JA,Born PHdoi
10.1097/00004010-200507000-00008keywords:
subject
Has Abstractpub_date
2005-07-01 00:00:00pages
237-50issue
3eissn
0361-6274issn
1550-5030pii
00004010-200507000-00008journal_volume
30pub_type
杂志文章abstract::After this year, Medicare will no longer reimburse capital-related expenses. Instead, a new approach may be implemented. Should the new capital payment scheme be prospective? Should Medicare continue to recognize return on equity? What will be the relationship between Medicare payment and health care planning? These a...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-198601120-00004
更新日期:1986-04-01 00:00:00
abstract:BACKGROUND:Cultural competency or the ongoing capacity of health care systems to provide for high-quality care to diverse patient populations (National Quality Forum, 2008) has been proposed as an organizational strategy to address disparities in quality of care, patient experience, and workforce representation. But fa...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000128
更新日期:2018-01-01 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::Until recently, health professionals lacked incentives to integrate internal management processes, depending instead on external quality assurance and regulatory standards. Competitive markets and increased regulatory pressures now encourage managers to reorient systems from a cost-driven reimbursement approach to the...
journal_title:Health care management review
pub_type: 指南,杂志文章
doi:10.1097/00004010-199101620-00005
更新日期:1991-04-01 00:00:00
abstract:BACKGROUND:Previous empirical and managerial studies have ignored the effectiveness of integrated health networks. It has been argued that the varying definitions and strategic imperatives of integrated organizations may have complicated the assessment of the outcomes/performance of varying models, particularly when th...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e3181d5b0f5
更新日期:2010-07-01 00:00:00
abstract::Congress has suggested that a prospective payment system for capital should permit the continuation of cost-based reimbursement for certain projects. A study was conducted to examine the components of the capital planning process used by eight hospitals and the effect of this process on completion of capital projects....
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:Patient-centered innovation is spreading at the federal and state levels. A conceptual framework can help frame real-world examples and extract systematic learning from an array of innovative applications currently underway. The statutory, economic, and political environment in Washington State offers a spec...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e31825e718a
更新日期:2013-04-01 00:00:00
abstract:AIM:This aim of this study was to investigate the interactive effects of psychological empowerment and job satisfaction on the relationship between high-performance work systems (HPWS) and nurses' perceptions of the quality of patient care they provide. BACKGROUND:Studies of high-performing organizations in a variety ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e3181e4ec55
更新日期:2010-10-01 00:00:00
abstract::This article discusses epidemiological methodology: comparing rates, confounding, the use of confidence intervals, Bayes' theorem, and occurrence screening. An appreciation of the limits of epidemiological methods will provide the manager with realistic expectations of the quality assurance process. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1993-01-01 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::This article describes the extent to which hospitals use different integrative processes to assimilate physicians and assesses the extent to which their use is associated with managed care penetration and hospital characteristics. Results from a national survey of 1,495 community hospitals indicate that these integrat...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199810000-00006
更新日期:1998-10-01 00:00:00
abstract::Using a planning methodology and a structured design technique for analyzing data and data flow, information requirements can be derived to produce a strategic plan for a management information system. Such a long-range plan classifies information groups and assigns them priorities according to the goals of the organi...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-198501010-00002
更新日期:1985-01-01 00:00:00
abstract::Hospitals are using several methods to establish a budget for advertising. The Strategic Planning Institute of Cambridge, Massachusetts, has developed a study of advertising practices on nearly 200 corporations and over 1,000 individual businesses. Decision rules, developed in the study, are used to show how hospitals...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1987-01-01 00:00:00
abstract:BACKGROUND:Small independent practices are increasingly giving way to more complex affiliations between provider organizations and hospital systems. There are several ways in which vertically integrated health systems could improve quality and lower the costs of care. But there are also concerns that integrated systems...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000197
更新日期:2019-04-01 00:00:00
abstract::Evidence suggests that prolonging the period of new technology diffusion has the potential of considerable cost savings, although some very real, noneconomic patient costs may be incurred. Yet hospital administrators will continue to face increasing pressure to buy newer and more expensive technologies, even before th...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-198400930-00014
更新日期:1984-07-01 00:00:00
abstract:BACKGROUND:Although the extant literature on patient safety is rich, few studies have specifically examined safety from the patient perspective. In addition, little is known about how patients decide whether they are safe or satisfied with their care. From a foundation of attribution theory, we suggest that patients ma...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e318219cda1
更新日期:2011-10-01 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: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::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:BACKGROUND:The increased use of health care teams merits further investigation in terms of their impact on patient satisfaction. Patient satisfaction and patient experience generally have come front-and-center given trends within the health care industry around "patient-centered care" and "consumer engagement." PURPOS...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000234
更新日期:2021-01-01 00:00:00
abstract::This study is the first empirical test of the strategic importance of member autonomy and open access in a managed care environment. The model utilized in this study assesses the relative importance of autonomy in selecting specialists (open access), service convenience, value/pricing, and HMO resources on member sati...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200010000-00004
更新日期:2000-10-01 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:BACKGROUND:Numbering close to 300,000 nurse managers represent the largest segment of the health care management workforce. Their effectiveness is, in part, influenced by their job satisfaction. PURPOSE:We examined factors associated with job satisfaction of novice frontline nurse managers. METHODOLOGY/APPROACH:We us...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000102
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND:Chain-owned nursing homes have become the predominant type of provider in the United States, but little is known about their management structures. Prior research has found that chain ownership has significant effects on health outcomes, but why that is the case is not well understood. PURPOSE:This study ex...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/01.HMR.0000267794.55427.52
更新日期:2007-04-01 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
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::Forecasts based on historical trend analyses can do much to minimize the uncertainty inherent in quantifying the number and type of hospital admissions likely to occur in regional and local markets. A study was undertaken to ascertain whether relationships for admissions and discharges for musculoskeletal disorders ap...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1981-10-01 00:00:00
abstract::Data Envelopment Analysis (DEA) identifies price and technical inefficiencies among decision-making units. With controls for differences in case-mix and standardized outcomes, DEA's "best practice" frontier can be interpreted as a "cost-effectiveness" frontier. This study illustrates the key concepts, identifies the d...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199301830-00010
更新日期:1993-07-01 00:00:00
abstract:BACKGROUND:The role played by remuneration strategies in motivating health care professionals is one of the most studied factors. Some studies of nursing home (NH) services, while considering wages and labor market characteristics, do not explicitly account for the influence of the contract itself. PURPOSE:This study ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000177
更新日期:2019-07-01 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