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 programs in acute care hospitals.
journal_name
Health Care Manage Revjournal_title
Health care management reviewauthors
Carman JM,Shortell SM,Foster RW,Hughes EF,Boerstler H,O'Brien JL,O'Conner EJsubject
Has Abstractpub_date
1996-01-01 00:00:00pages
48-60issue
1eissn
0361-6274issn
1550-5030journal_volume
21pub_type
杂志文章,多中心研究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
pub_type: 杂志文章,评审
doi:
更新日期:1994-01-01 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:AIM:The aim of this study was to examine the relationship between organizational, supervisor, and coworker support, as perceived by registered nurses and their boundary-spanning behaviors. Furthermore, this article examines the mediating role of the affective organizational commitment of nurses in these relationships. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000210
更新日期:2020-04-01 00:00:00
abstract::This research compares the mean severity level, length of stay, and cost of Medicare health maintenance organization (HMO) and Medicare fee-for-service (FFS) inpatients. The results suggest Medicare HMOs have healthier inpatients and shorter lengths of stay, but more costly per-day utilization. These findings are cont...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200410000-00008
更新日期:2004-10-01 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::Examination of price trends from 1935-1966 shows that medical care prices in the United States have not always been disproportionately high. With the enactment of Medicare and Medicaid, however, many health care costs became overpriced. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1979-04-01 00:00:00
abstract::Although health care managers pay a great deal of attention to marketing, there appears to be limited substantive action. As more organizations successfully implement the marketing concept, other organizations will follow suit and marketing will become more prevalent throughout the health care industry. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1987-01-01 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::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::Although small in number, hospitals are increasingly seeking bankruptcy protection. This article explores the potential forces that might motivate hospitals to seek bankruptcy protection and the potential consequences for hospitals that obtain it. Case reviews of 11 hospital bankruptcies that occurred in 1990 and 1991...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199401930-00006
更新日期:1994-07-01 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::This study examines one specific type of collaboration activity in a community health collaborative. The focus of the research is the operations level where services are coordinated, patients are referred, and access may be improved for vulnerable populations. Using a case study approach, we examine the creation of a ...
journal_title:Health care management review
pub_type: 杂志文章,评审
doi:10.1097/00004010-200407000-00005
更新日期:2004-07-01 00:00:00
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 incre...
journal_title:Health care management review
pub_type: 杂志文章,评审
doi:10.1097/HMR.0b013e318201d1bf
更新日期:2011-07-01 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: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::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::In past years, many SHAs formed in local urban markets to better compete for managed care contracts. In response to 1990s forces, these SHAs appear to have adapted product, production, and selling orientations to their markets, aimed at large institutional purchasers of health care. However, health care markets have e...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200204000-00004
更新日期:2002-04-01 00:00:00
abstract:BACKGROUND:The increased use of health care teams merits further investigation in terms of their impact on patient satisfaction. Patient satisfaction and patient experience generally have come front-and-center given trends within the health care industry around "patient-centered care" and "consumer engagement." PURPOS...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000234
更新日期:2021-01-01 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
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000103
更新日期:2017-04-01 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::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::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
pub_type: 杂志文章
doi:10.1097/00004010-199001540-00009
更新日期:1990-10-01 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 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::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: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
pub_type: 杂志文章
doi:10.1097/HMR.0b013e3181afc0d3
更新日期:2009-10-01 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::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::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
pub_type: 杂志文章
doi:10.1097/00004010-200507000-00008
更新日期:2005-07-01 00:00:00
abstract::A potential conflict exists between the recent growth of unionization in the health care industry and management efforts to increase productivity. One method of managing this conflict is to link employee rewards to employee productivity through productivity bargaining. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1979-01-01 00:00:00