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 age and years in administration. Most responders with senior titles had four or more positions in a single type of organization or two positions in different types of organizations. These findings should be useful for further investigation on the physician executive role, as well as in career planning.
journal_name
Health Care Manage Revjournal_title
Health care management reviewauthors
Kindig DA,Dunham NC,Chun LMsubject
Has Abstractpub_date
1991-10-01 00:00:00pages
11-9issue
4eissn
0361-6274issn
1550-5030journal_volume
16pub_type
杂志文章abstract::The growth of for-profit managed care organizations raises serious ethical questions for managers in these settings, such as whether contemporary business ethics are most appropriate for health care organizations or how the principles of biomedical ethics can be integrated into profit-seeking firms. A model is propose...
journal_title:Health care management review
pub_type: 杂志文章,评审
doi:10.1097/00004010-199804000-00006
更新日期:1998-04-01 00:00:00
abstract::The movement away from cost-based reimbursement by Medicare and other third party payers has prompted an increasing number of hospitals to implement more advanced costing techniques in their operations. Findings from a recent survey of hospital executives regarding cost accounting methods shed light on the extent of t...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199001540-00009
更新日期:1990-10-01 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::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:Over the years, business valuation techniques have been widely used to appraise the financial worth of medical practices. However, it has been argued that medical practices are one of the most complex and difficult types of business enterprises to value. PURPOSE:The purpose of the current study is to develo...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e3181afc0d3
更新日期:2009-10-01 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: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::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: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:BACKGROUND:Delivering safe patient care remains an elusive goal. Resolving problems in complex organizations like hospitals requires managers to work together. Safety leadership training that encourages managers to exercise learning-oriented, team-based leadership behaviors could promote systemic problem solving and en...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e318208cd1d
更新日期:2011-04-01 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::This research compares the mean severity level, length of stay, and cost of Medicare health maintenance organization (HMO) and Medicare fee-for-service (FFS) inpatients. The results suggest Medicare HMOs have healthier inpatients and shorter lengths of stay, but more costly per-day utilization. These findings are cont...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200410000-00008
更新日期:2004-10-01 00:00:00
abstract::In a study at 55 hemodialysis facilities, turnover was not associated with organizational size, location, or ownership but varied according to administrative strategies. Technician turnover (32 percent) was lower in facilities with shorter hours and choice of work schedule even though workload was higher. Clerical tur...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199301840-00009
更新日期:1993-10-01 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::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:AIM:The aim of this study was to examine the relationship between organizational, supervisor, and coworker support, as perceived by registered nurses and their boundary-spanning behaviors. Furthermore, this article examines the mediating role of the affective organizational commitment of nurses in these relationships. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000210
更新日期:2020-04-01 00:00:00
abstract::This study looks into the "black box" of hospital ownership conversion in a "natural experiment." We posed two competing theories about how conversion might influence management practices. Results support complexity theory and not threat-rigidity theory. As predicted from complexity theory, MDs and RNs had greater lev...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200304000-00005
更新日期:2003-04-01 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:BACKGROUND:Improving the efficiency and effectiveness of primary care treatment of patients with chronic illness is an important goal in reforming the U.S. health care system. Reducing occupational conflicts and creating interdependent primary care teams is crucial for the effective functioning of new models being deve...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e31825f3df9
更新日期:2013-10-01 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::Using a combination of qualitative and quantitative research methodologies, this study identifies the dimensions of hospital service quality, operationalizes the dimensions, and develops an instrument to measure patient satisfaction. This instrument, the Key Quality Characteristics Assessment for Hospitals (KQCAH) sca...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200104000-00005
更新日期:2001-04-01 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: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::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::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: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: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 a...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200701000-00005
更新日期:2007-01-01 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:The term "medical neighborhood" refers to relationships that patient-centered medical homes (PCMHs) seek to establish with other providers to facilitate coordinated patient care. Yet, how PCMHs can accomplish this coordination is not well understood. PURPOSE:Drawing upon organizational theory (; ; ), we exp...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000063
更新日期:2016-04-01 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