Academic health center hospitals: alternative responses to financial stress.

abstract：:This article identifies the strategic types in the hospital industry based on the hospital's use of Porter's generic strategies in their pure and hybrid forms. The article also examines differences in performance of hospitals across strategic types. Results indicate that hospitals that follow a focussed cost leadershi...

journal_title：Health care management review

authors： Kumar K,Subramanian R,Yauger C

更新日期：1997-10-01 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

authors： MacStravic RS

更新日期：1984-04-01 00:00:00

abstract：:This article proposes a vision, strategies, and structure for the organizations that will replace community hospitals. The vision must embrace health rather than health care, and cost reduction as an explicit, measured goal. Strategies must include immediate cost savings, but also longer-term revision of organizations...

journal_title：Health care management review

authors： Griffith JR

更新日期：1997-07-01 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

authors： Alidina S,Rosenthal M,Schneider E,Singer S

更新日期：2016-04-01 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

authors： Casey MM

更新日期：1997-04-01 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

authors： Wholey DR,White KM,Adair R,Christianson JB,Lee S,Elumba D

更新日期：2013-10-01 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

authors： Floyd SW,Kramer JA,Born PH

更新日期：2005-07-01 00:00:00

abstract：:Antitrust and competitive issues are intertwined with efforts to control health care costs. Whether hospital competition holds down costs is an issue of much controversy and is the topic of this article. The findings are consistent with the hypothesis that hospitals compete primarily on a nonprice basis. This suggests...

journal_title：Health care management review

authors： Nguyen NX,Derrick FW

更新日期：1994-01-01 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

authors： Hopkins J,Fassiotto M,Ku MC,Mammo D,Valantine H

更新日期：2018-10-01 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

authors： Gamble JE,Icenogle ML,Bryan NB,Rickert DA

更新日期：2000-10-01 00:00:00

abstract：:An exploratory study of hospital planners was completed to determine if there was agreement between theory and practice concerning mission statement components and development. Results showed that mission statements have received little attention as part of the overall strategic planning process. ...

journal_title：Health care management review

authors： Gibson CK,Newton DJ,Cochran DS

更新日期：1990-07-01 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

authors： Lukas CV,Holmes SK,Cohen AB,Restuccia J,Cramer IE,Shwartz M,Charns MP

更新日期：2007-10-01 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

authors： Vest JR

更新日期：2017-04-01 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

authors： Singer SJ,Hayes J,Cooper JB,Vogt JW,Sales M,Aristidou A,Gray GC,Kiang MV,Meyer GS

更新日期：2011-04-01 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

authors： Machta RM,Maurer KA,Jones DJ,Furukawa MF,Rich EC

更新日期：2019-04-01 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

authors： Prince TR

更新日期：1994-10-01 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

authors： Finkler MD,Wirtschafter DD

更新日期：1993-07-01 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

authors： Ramamonjiarivelo Z,Weech-Maldonado R,Hearld L,Menachemi N,Epané JP,O'Connor S

更新日期：2015-10-01 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

authors： McLean RA

更新日期：1989-01-01 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

authors： Higgins CW,Meyers ED

更新日期：1986-10-01 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

authors： Hoffman JJ,Ewing BT,Hoffman JG

更新日期：2009-10-01 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

authors： Ray R

更新日期：1995-04-01 00:00:00

abstract：:The impact of public policy can be effectively and favorably managed at the local hospital level. But to do so requires using some old resources in some new ways and navigating in some areas that many administrators find uncomfortable, and in which there has traditionally been only marginal interest. ...

journal_title：Health care management review

authors： Riggs FL

更新日期：1980-10-01 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

authors： Rosenberger HR,Kaiser KM

更新日期：1985-01-01 00:00:00

abstract：:All types of acute care hospitals across the U.S. are becoming increasingly involved in offering CAM services. Hospitals appear to be responding to consumer demand, CAM specific market forces, and their organizational missions but not to regulatory mandates. ...

journal_title：Health care management review

authors： Clement JP,Chen HF,Burke D,Clement DG,Zazzali JL

更新日期：2006-04-01 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

authors： Milch RA

更新日期：1981-10-01 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

authors： Kapp MB

更新日期：1987-04-01 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

authors： Orloff TM,Littell CL,Clune C,Klingman D,Preston B

更新日期：1990-10-01 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

authors： Allen JE,Bender D

更新日期：1980-04-01 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

authors： DiMartino LD,Birken SA,Hanson LC,Trogdon JG,Clary AS,Weinberger M,Reeder-Hayes K,Weiner BJ

更新日期：2018-07-01 00:00:00