Unintended consequences of prospective payment: erosion of hospital financial position and cost shifting.

abstract：:This article reports the findings of an analysis of the implementation of continuous quality improvement (CQI) or total quality management (TQM) programs in 10 hospitals. This analysis is the result of a 2-year study designed to identify and assess the ingredients that lead to the successful implementation of CQI prog...

journal_title：Health care management review

authors： Carman JM,Shortell SM,Foster RW,Hughes EF,Boerstler H,O'Brien JL,O'Conner EJ

更新日期：1996-01-01 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

authors： Cronin CE,Singh S,Franz B

更新日期：2021-01-26 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：: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：: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

authors： Boscarino JA

更新日期：1989-04-01 00:00:00

abstract：:Evaluating health care advertising is a four-part process that enables health care managers to target particular markets and to determine the effects of advertising particular services and products. ...

journal_title：Health care management review

authors： MacStravic RS

更新日期：1988-07-01 00:00:00

abstract：:American hospitals hoping to capitalize on the lucrative market for international patients may be in for some surprises. Not only is this market limited, but also the drawbacks may outweigh the potential benefits for hospitals seeking to enter this business. ...

journal_title：Health care management review

authors： Berliner HS,O'Toole JB

更新日期：1988-01-01 00:00:00

abstract：BACKGROUND:A health care organization often engages in the simultaneous implementation of multiple organization change initiatives. However, the degree to which these initiatives are implemented and can be enhanced based on their interdependencies is an open question. How organizations and the change initiatives they p...

journal_title：Health care management review

authors： Spaulding A,Gamm L,Kim J,Menser T

更新日期：2014-01-01 00:00:00

abstract：:This article discusses epidemiological methodology: comparing rates, confounding, the use of confidence intervals, Bayes' theorem, and occurrence screening. An appreciation of the limits of epidemiological methods will provide the manager with realistic expectations of the quality assurance process. ...

journal_title：Health care management review

authors： Everett WD

更新日期：1993-01-01 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：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

authors： Menachemi N,Mazurenko O,Kazley AS,Diana ML,Ford EW

更新日期：2012-01-01 00:00:00

abstract：:Hospitals are using several methods to establish a budget for advertising. The Strategic Planning Institute of Cambridge, Massachusetts, has developed a study of advertising practices on nearly 200 corporations and over 1,000 individual businesses. Decision rules, developed in the study, are used to show how hospitals...

journal_title：Health care management review

authors： McCarthy EJ

更新日期：1987-01-01 00:00:00

abstract：BACKGROUND:Research in configurations and strategic groups has a rich history of revealing performance differences for hospitals and health care systems. PURPOSES:To assess the relationship between hospital-led health system configurations and the adoption of patient safety practices. In particular, the adoption of co...

journal_title：Health care management review

authors： Ford EW,Short JC

更新日期：2008-01-01 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

authors： Burns LR,Lee JA

更新日期：2008-07-01 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

authors： Bigelow B,Arndt M

更新日期：2000-01-01 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:Vendors of hip and knee implants court orthopedic surgeons to adopt their products. Hospitals, which have to pay for these products, now court the same surgeons to help reduce the number of vendors and contain implant costs. PURPOSES:This study measures the surgeon's perceived alignment of interests with bo...

journal_title：Health care management review

authors： Burns LR,Housman MG,Booth RE Jr,Koenig A

更新日期：2009-01-01 00:00:00

abstract：:The appropriate discount rate for evaluation of capital expenditures depends on leverage, taxation, cost-based reimbursement, and risk. A method is presented to account for these effects that is both practical and consistent with theory. ...

journal_title：Health care management review

authors： Wheeler JR,Smith DG

更新日期：1988-04-01 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

authors： Bame SI

更新日期：1993-10-01 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：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

authors： Bos A,Boselie P,Trappenburg M

更新日期：2017-10-01 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

authors： Hutchinson M,Vickers MH,Jackson D,Wilkes L

更新日期：2005-10-01 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

authors： Blomberg R,Levy E,Anderson A

更新日期：1988-01-01 00:00:00

abstract：:Time is running out for public health organizations, says Charles Harper. Their traditional role in the health system is eroding rapidly. To reestablish the place they deserve in the health system will require an aggressive and united effort on the part of all public health professionals. As a counterpoint to Harper's...

journal_title：Health care management review

authors： Harper CL,Smith DS

更新日期：1979-10-01 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

authors： Lawthers-Higgins A,Taft C,Hodgman J

更新日期：1984-07-01 00:00:00

abstract：:Law and the professional standards of doctors, nurses and aides control the performance of their jobs and their response to directives of the institution's chief administrative officer. They might be surprised if he asked them to sit down together and discuss how a particular problem should be handled--but it's a big ...

journal_title：Health care management review

authors： Levinson H

更新日期：1976-01-01 00:00:00

abstract：BACKGROUND:Because health care organizations (HCOs) are complex adaptive systems (CASs), phenomena of interest often are dynamic and unfold in unpredictable ways, and unfolding events are often unique. Researchers of HCOs may recognize that the subject of their research is dynamic; however, their research designs may n...

journal_title：Health care management review

authors： McDaniel RR Jr,Lanham HJ,Anderson RA

更新日期：2009-04-01 00:00:00

abstract：:Managers may desire an approach to combining multiple productivity measurements into one score. This article demonstrates two approaches to aggregating multiple measurements, data envelope analysis (DEA) and the Multicriteria Performance/Productivity Measurement Technique (MCP/PMT). These methods are applied to actual...

journal_title：Health care management review

authors： Young ST

更新日期：1992-04-01 00:00:00

abstract：:Patient management teams are able to diagnose and begin to solve their own problems with the help of a self-instructional health team development (HTD) program. In this case, the focus is on those task-related issues which limit team effectiveness. ...

journal_title：Health care management review

authors： Plovnick M,Fry R,Rubin I,Stearns N

更新日期：1976-07-01 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

authors： Friedman LH,Savage GT

更新日期：1998-04-01 00:00:00