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 that a more flexible application of antitrust policy to hospital mergers will reduce cost increases and will improve efficiency. A step in this direction may be necessary if the managed care plans discussed by the Clinton administration create highly concentrated provider networks.
journal_name
Health Care Manage Revjournal_title
Health care management reviewauthors
Nguyen NX,Derrick FWsubject
Has Abstractpub_date
1994-01-01 00:00:00pages
34-43issue
1eissn
0361-6274issn
1550-5030journal_volume
19pub_type
杂志文章,评审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:The current literature on the enabling conditions of multidisciplinary teams focuses on the singular dimensions of the organizations (i.e., human resources, clinical pathways, objects) without shedding light on to the way in which these organizational factors interact and mutually influence one another. PUR...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000115
更新日期:2017-10-01 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::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: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::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::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::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: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::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
pub_type: 杂志文章
doi:
更新日期:1987-01-01 00:00:00
abstract::This article describes the author's path from a Doctor of Science from Johns Hopkins to a career mostly involved with practice. This practice has focused on innovation and new business development requiring significant research and analytical application, as well as leadership of key people. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200210000-00010
更新日期:2002-10-01 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
pub_type: 杂志文章
doi:10.1097/00004010-198501010-00002
更新日期:1985-01-01 00:00:00
abstract:BACKGROUND:Double-digit health care inflation, coupled with widespread reports of poor care quality and deadly medical errors, has caused private sector employers to reevaluate their health benefits purchasing strategies, with a focus on supply chain management approaches. In other industries, this strategy has proven ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/01.HMR.0000281623.35987.cf
更新日期:2007-07-01 00:00:00
abstract:BACKGROUND:Transformational leadership (TL) has long been popular among management scholars and health services researchers, but no research studies have empirically tested the association of TL with workplace injuries and absenteeism among nursing assistants (NAs). PURPOSE:This cross-sectional study seeks to explore ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e3182100bf7
更新日期:2011-10-01 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::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
pub_type: 杂志文章
doi:
更新日期:1997-07-01 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
pub_type: 杂志文章
doi:10.1097/HMR.0b013e318208cd1d
更新日期:2011-04-01 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
pub_type: 杂志文章
doi:10.1097/00004010-198701220-00006
更新日期:1987-04-01 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
pub_type: 杂志文章
doi:
更新日期:1994-10-01 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::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: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::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
pub_type: 杂志文章,多中心研究
doi:
更新日期:1996-01-01 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
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: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
pub_type: 杂志文章
doi:10.1097/HMR.0b013e31819c8b38
更新日期:2009-04-01 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
pub_type: 杂志文章
doi:10.1097/HMR.0b013e31828265f2
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:How some organizations improve while others remain stagnant is a key question in health care research. Studies identifying how organizations can implement improvement despite barriers are needed, particularly in primary care. PURPOSES:This inductive qualitative study examines primary care clinics implementi...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000114
更新日期:2017-07-01 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::This article reports on observations of the implementation of a patient-centered care (PCC) work reorganization model in a community hospital setting. Analysis of videotape, direct observation, and interviews with key informants demonstrated the similarities between organizations and families in times of change. We pr...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199901000-00007
更新日期:1999-01-01 00:00:00