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 this trend.
journal_name
Health Care Manage Revjournal_title
Health care management reviewauthors
Orloff TM,Littell CL,Clune C,Klingman D,Preston Bdoi
10.1097/00004010-199001540-00009subject
Has Abstractpub_date
1990-10-01 00:00:00pages
73-8issue
4eissn
0361-6274issn
1550-5030journal_volume
15pub_type
杂志文章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::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
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::This article profiles the premerger marketing, management, and mission characteristics of the combined Columbia and Hospital Corporation of America (HCA) entity relative to local market hospitals. The findings show that the Columbia/HCA hospitals had fewer Medicaid patients, lower proportion of outpatient revenues, hi...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199605000-00006
更新日期:1996-04-01 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 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::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::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
abstract:BACKGROUND:Public health institutions are making a great effort to develop patient-targeted online services in an attempt to enhance their effectiveness and reduce expenses. However, if patients do not use those services regularly, public health institutions will have wasted their limited resources. Hence, patients' el...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e31824b1c6b
更新日期:2013-01-01 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::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::The postpartum hospital stay has been decreasing in the United States in recent decades. Early discharge to achieve cost savings has been criticized by many inside and outside the health care community as sometimes being detrimental to the mother and infant. This article describes the efforts of the administration, nu...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199910000-00008
更新日期:1999-10-01 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::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::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: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::The reform of the Medicare hospital reimbursement system proposed by HCFA may create incentives for hospitals to transfer costs to other payers, thus reducing the financial incentives to increase efficiency. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-198400930-00010
更新日期:1984-07-01 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: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::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::Can APHA's policies effectively help U.S. communities reduce excess fertility rates among their sexually active teenagers? A study of two communities reveals to what extent APHA's policies are being adopted and whether they are successful. :Two communities with differing outlooks on the management of adolescent ferti...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1980-04-01 00:00:00
abstract::Fitness and wellness programs can be a strategic extension of a hospital's services, assist in attracting totally new patients to a facility, and help improve a hospital's image. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-198901420-00004
更新日期:1989-04-01 00:00:00
abstract:BACKGROUND:The United States has invested nearly a billion dollars in creating community health information organizations (HIOs) to foster health information exchange. Community HIOs provide exchange services to health care organizations within a distinct geographic area. While geography is a key organizing principle f...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000103
更新日期:2017-04-01 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::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::A social network analysis of eighty-nine midlevel health care professionals showed that middle managers' strategic knowledge is positively associated with championing alternative ideas and synthesizing new information for upper management. In addition, the relationship between knowledge and middle management strategic...
journal_title:Health care management review
pub_type: 杂志文章,多中心研究
doi:10.1097/00004010-200401000-00003
更新日期:2004-01-01 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::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 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::The literature related to selection interviewing dates, at least, to 1915. The focus of that literature and the conclusions represented by the various authors assumed that the employment selection interview had limited validity or predictive value until the late 1980s. Papers appearing since contradict those conclusio...
journal_title:Health care management review
pub_type: 杂志文章,评审
doi:10.1097/00004010-199801000-00006
更新日期:1998-01-01 00:00:00