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 increasingly focused on systems rather than individual practices, has yielded results that may benefit health services management. PURPOSE:: Our goal was to develop a conceptual model on the basis of prior research from health care as well as other industries that could be used to inform important contextual considerations within health care. METHODOLOGY/APPROACH:: Using theoretical frameworks from A. Donabedian (1966), P. M. Wright, T. M. Gardner, and L. M. Moynihan (2003), and B. Schneider, D. B. Smith, and H. W. Goldstein (2000) and review methods adapted from R. Pawson (2006b), we reviewed relevant research from peer-reviewed and other industry-relevant sources to inform our model. The model we developed was then reviewed with a panel of practitioners, including experts in quality and human resource management, to assess the applicability of the model to health care settings. FINDINGS:: The resulting conceptual model identified four practice bundles, comprising 14 management practices as well as nine factors influencing adoption and perceived sustainability of these practices. The mechanisms by which these practices influence care outcomes are illustrated using the example of hospital-acquired infections. In addition, limitations of the current evidence base are discussed, and an agenda for future research in health care settings is outlined. PRACTICE IMPLICATIONS:: Results may help practitioners better conceptualize management practices as part of a broader system of work practices. This may, in turn, help practitioners to prioritize management improvement efforts more systematically.
journal_name
Health Care Manage Revjournal_title
Health care management reviewauthors
Garman AN,McAlearney AS,Harrison MI,Song PH,McHugh Mdoi
10.1097/HMR.0b013e318201d1bfsubject
Has Abstractpub_date
2011-07-01 00:00:00pages
201-13issue
3eissn
0361-6274issn
1550-5030pii
00004010-201107000-00001journal_volume
36pub_type
杂志文章,评审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_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199101630-00006
更新日期:1991-07-01 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::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: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::Research on organizational control and multihospital systems has focused on operational and performance characteristics. Little attention has been directed to the role of marketing as an operational strategy. This article examines the practice of marketing across interorganizational types and develops comparative prof...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1991-01-01 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: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: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::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::This article examines the new health care futures contract to be released by the Chicago Board of Trade sometime during calendar year 1995. Health care futures--futures contracts on health care insurance--represent a new class of financial products never before available to financial practitioners. The innovation allo...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1995-04-01 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
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:In 2014, Maryland established a global budget policy for all hospitals in the state. Under this policy, hospitals are incentivized to not only provide clinical care services to individual patients but also address the health needs of their broader patient population through prevention efforts and investment ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000305
更新日期:2021-01-26 00:00:00
abstract::In the 1990s, acute care hospitals in the United States encountered an unstable operating environment created by a series of transformations in the health care delivery system and long-term-care market. Confronted with an array of economic pressures and demographic changes, hospitals were motivated to engage in long-t...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200107000-00009
更新日期:2001-07-01 00:00:00
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:BACKGROUND:Scholars have noted a disconnect between the level at which structure is typically examined (the organization) and the level at which the relevant coordination takes place (service delivery). Accordingly, our understanding of the role structure plays in care coordination is limited. PURPOSE:In this article,...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000172
更新日期:2019-01-01 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: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::This study examined whether social capital can enhance an individual's ability in reducing emotional exhaustion and job tension when medical professionals encounter a crisis such as Severe Acute Respiratory Syndrome (SARS). ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200601000-00005
更新日期:2006-01-01 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::In-depth interviews with nurses who have been bullied depict bullies masking their bullying behavior behind the cloak of legitimate organizational processes, resulting in extensive harm to targets. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200510000-00007
更新日期:2005-10-01 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::Scarce economic resources make cost-benefit assessment of employee training programs an important issue. It is helpful to review the role evaluation plays in training and apply cost-benefit assessment to management development programming. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1988-01-01 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:BACKGROUND:Previous studies identified individual or practice factors that influence practice-based physicians' electronic medical record (EMR) adoption. Less is known about the market factors that influence physicians' EMR adoption. PURPOSE:The aim of this study was to explore the relationship between environmental m...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e3182352562
更新日期:2012-01-01 00:00:00
abstract::Minnesota's 1994 health care reform legislation authorized the establishment of community integrated service networks (CISNs) and health care provider cooperatives, which were envisioned as new health care delivery models that could be successfully implemented in rural areas of the state. Four CISNs are licensed, and ...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1997-04-01 00:00:00
abstract:BACKGROUND:Expanding the opportunities for for-profit nursing home care is a central theme in the debate on the sustainable organization of the growing nursing home sector in Western countries. PURPOSES:We conducted a systematic review of the literature over the last 10 years in order to determine the broad impact of ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000121
更新日期:2017-10-01 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::Many assets and projects provide value to organizations in excess of the direct and indirect cash flows that they generate. Under pure capitation, the link between individual investment decisions and future cash flows is completely severed. Including the value of strategic options enhances the usefulness of the capita...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1996-10-01 00:00:00
abstract:BACKGROUND:The Institute of Medicine's 2001 report Crossing the Quality Chasm argued for fundamental redesign of the U.S. health care system. Six years later, many health care organizations have embraced the report's goals, but few have succeeded in making the substantial transformations needed to achieve those aims. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/01.HMR.0000296785.29718.5d
更新日期:2007-10-01 00:00:00