Abstract：
BACKGROUND:Studies indicate that better patient compliance and higher patient satisfaction result when agreement exists between the physician and the patient regarding the medical problem and its treatment. PURPOSES:This study will extend previous work by investigating (1) under what conditions patients prefer to be actively involved in their treatment decisions, (2) the underlying theoretical reasons that may account for patient decision-making preferences, and (3) what medical decision-making model can guide physicians and medical policy makers when adapting their medical decision-making styles. METHODOLOGY/APPROACH:A total of 2,765 individuals were surveyed by the National Opinion Research Center as part of the 2002 General Social Survey (GSS). This survey included a one-time topical module on "Doctors and Patients," which incorporated questions on patient preferences concerning the physician-patient relationship. Demographic information (e.g., age, education, and sex) was analyzed against patient preferences for medical decision making. FINDINGS:Results support patient preferences for participatory medical decision making, and this is especially true for younger, more educated, and female patients. PRACTICE IMPLICATIONS:Common prudence would suggest that the best way to determine a patient's preference for participating in medical decision making is to simply ask them. However, the very asking of this straightforward question is based on the assumption that patients do wish to be actively involved. Results of this study support such an assumption. In the absence of all other knowledge, the results of this national survey support the health care practitioner's belief that U.S. patients, in general, have a preference for being actively involved in medical decision making and that this preference is truer for younger, female, and more educated patients.
journal_name
Health Care Manage Revjournal_title
Health care management reviewauthors
Ryan J,Sysko Jdoi
10.1097/00004010-200701000-00005subject
Has Abstractpub_date
2007-01-01 00:00:00pages
30-6issue
1eissn
0361-6274issn
1550-5030pii
00004010-200701000-00005journal_volume
32pub_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：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：: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：:In advising health care providers about care of the terminally ill in hospitals, risk managers generally take a legally conservative, narrow, risk avoidance approach. This orientation is generally unnecessary legally, since the legal risks in this context are exaggerated, and often lead to suboptimum medical treatment...
journal_title：Health care management review
pub_type： 杂志文章
doi：10.1097/00004010-198701220-00006
更新日期：1987-04-01 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：BACKGROUND:For almost a decade, public and private organizations have pressured hospitals to improve their patient safety records. Since 2008, the Centers for Medicare & Medicaid Services has no longer been reimbursing hospitals for secondary diagnoses not reported during the point of admission. This ruling has motivat...
journal_title：Health care management review
pub_type： 杂志文章
doi：10.1097/HMR.0b013e318225998b
更新日期：2011-10-01 00:00:00
abstract：BACKGROUND:As safety net providers, public hospitals operate in more challenging environments than private hospitals. Such environments put public hospitals at greater risk of financial distress, which may result in privatization and deterioration of the safety net. PURPOSE:The purpose of this study was to investigate...
journal_title：Health care management review
pub_type： 杂志文章
doi：10.1097/HMR.0000000000000032
更新日期：2015-10-01 00:00:00
abstract：:This article proposes new bases for the payment of hospital capital costs. Separate distinctions between proprietary and voluntary hospitals are made based on their definition of capital and the requirements for capital maintenance. Replacement cost depreciation is suggested as the payment basis for voluntary hospital...
journal_title：Health care management review
pub_type： 杂志文章
doi：10.1097/00004010-198400920-00006
更新日期：1984-04-01 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：:A survey was conducted to determine community health concerns, interests, and perceived health needs. The survey data were used in the selection of health promotion interventions. An index of Concern/Information Need/Participation Willingness (CIP) was developed as a model for planning, implementing, marketing, and ev...
journal_title：Health care management review
pub_type： 杂志文章
doi：
更新日期：1986-01-01 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：:Can organizational development work in the academic setting? Because current cost constraints and federal regulations are forcing departments and services to integrate, organizational development may be the best option for management. The study reported here shows that it can work successfully in the family medicine d...
journal_title：Health care management review
pub_type： 杂志文章
doi：10.1097/00004010-198501010-00005
更新日期：1985-01-01 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: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：: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：:Managers may desire an approach to combining multiple productivity measurements into one score. This article demonstrates two approaches to aggregating multiple measurements, data envelope analysis (DEA) and the Multicriteria Performance/Productivity Measurement Technique (MCP/PMT). These methods are applied to actual...
journal_title：Health care management review
pub_type： 杂志文章
doi：10.1097/00004010-199201720-00006
更新日期：1992-04-01 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：:Agency theory explains the results of conflicts of incentive between principals and their agents. Health care organizations offer many examples of agency problems, among which are conflicts between patients and physicians and between administrators and investors. ...
journal_title：Health care management review
pub_type： 杂志文章,评审
doi：
更新日期：1989-01-01 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：: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：BACKGROUND:Because of modern challenges in quality, safety, patient centeredness, and cost, health care is evolving to adopt leadership practices of highly effective organizations. Traditional physician training includes little focus on developing leadership skills, which necessitates further training to achieve the po...
journal_title：Health care management review
pub_type： 杂志文章
doi：10.1097/HMR.0000000000000146
更新日期：2018-10-01 00:00:00
abstract：:The results of a survey of 184 directors from 15 hospitals are analyzed to determine their corporate social responsiveness orientation. They indicate that board members whose occupational background is not in health care exhibit greater concern for economic performance and the legal component of corporate responsibili...
journal_title：Health care management review
pub_type： 杂志文章
doi：10.1097/00004010-200004000-00008
更新日期：2000-04-01 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：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: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：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：:A systematic, continuous approach to the problem of rising medical care costs and the need for improved resource management clearly require some level of input from physicians. ...
journal_title：Health care management review
pub_type： 杂志文章
doi：
更新日期：1980-01-01 00:00:00
abstract：:Scholars have vigorously debated the role of stakeholders since Freeman's 1984 landmark work. This article argues that an accurate assessment of relative power levels can enable stakeholders to accept their proper roles and responsibilities in planning and implementing strategy and enabling Top Management Teams to mor...
journal_title：Health care management review
pub_type： 杂志文章
doi：10.1097/00004010-200007000-00010
更新日期：2000-07-01 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：:Professional bureaucracies are unique organizations whose special characteristics have implications for strategy formulation and implementation and for developing physicians as managers. This article offers 12 key points to help executives manage such organizations. ...
journal_title：Health care management review
pub_type： 杂志文章,评审
doi：
更新日期：1989-07-01 00:00:00
