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_name
Health Care Manage Revjournal_title
Health care management reviewauthors
Fallon RPdoi
10.1097/00004010-199101630-00006subject
Has Abstractpub_date
1991-07-01 00:00:00pages
47-61issue
3eissn
0361-6274issn
1550-5030journal_volume
16pub_type
杂志文章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: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::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::This study examines one specific type of collaboration activity in a community health collaborative. The focus of the research is the operations level where services are coordinated, patients are referred, and access may be improved for vulnerable populations. Using a case study approach, we examine the creation of a ...
journal_title:Health care management review
pub_type: 杂志文章,评审
doi:10.1097/00004010-200407000-00005
更新日期:2004-07-01 00:00:00
abstract::For decades, the hospital environment has been described as turbulent and hostile. At the same time, the transfer of business practices into hospitals has been advocated, accompanied by the largely untested assumption that these practices are crucial to performance and even survival. As this pattern became entrenched,...
journal_title:Health care management review
pub_type: 杂志文章,评审
doi:10.1097/00004010-200001000-00008
更新日期:2000-01-01 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::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: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: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::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::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::Although HMOs very often obtain discounts for hospital services, there is little evidence that they create price competition among hospitals. Location and the availability of services and specialists, rather than price, appear to be the most important factors in the selection of hospitals by HMOs. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1983-04-01 00:00:00
abstract:BACKGROUND:Health information technology (HIT) purports to increase quality and efficiency in health care organizations. However, health care organizations are situated in constantly changing environments. They need dynamic capabilities to implement HIT effectively. PURPOSES:This article builds on the dynamic capabili...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e31823c9b55
更新日期:2012-01-01 00:00:00
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::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 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::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: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::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::An important factor in pricing decisions is the concept of cost analysis. The objective of this article is to describe the relevant costs for pricing medical services in the managed care environment. It discusses how a proper understanding of costs enables one to make correct pricing decisions. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199701000-00011
更新日期:1997-01-01 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: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:BACKGROUND:Hospital purchasing alliances are voluntary consortia of hospitals that aggregate their contractual purchases of supplies from manufacturers. Purchasing groups thus represent pooling alliances rather than trading alliances (e.g., joint ventures). Pooling alliances have been discussed in the health care manag...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/01.HMR.0000324906.04025.33
更新日期:2008-07-01 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::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::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...
journal_title:Health care management review
pub_type: 杂志文章,评审
doi:10.1097/00004010-200110000-00006
更新日期:2001-10-01 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:BACKGROUND:Evidence of variation in safety climate suggests the need for improvement among at least some hospitals. However, comparisons only among hospitals may underestimate the improvement required. Comparison of hospitals with analogous industries may provide a broader perspective on the safety status of our nation...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e3181c8b20c
更新日期:2010-04-01 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: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