Abstract:
:Many assets and projects provide value to organizations in excess of the direct and indirect cash flows that they generate. Under pure capitation, the link between individual investment decisions and future cash flows is completely severed. Including the value of strategic options enhances the usefulness of the capital budgeting process for health care organizations and provides a means of adapting that process to managed care settings.
journal_name
Health Care Manage Revjournal_title
Health care management reviewauthors
Magiera FT,McLean RAsubject
Has Abstractpub_date
1996-10-01 00:00:00pages
7-17issue
4eissn
0361-6274issn
1550-5030journal_volume
21pub_type
杂志文章abstract::In the 1990s, acute care hospitals in the United States encountered an unstable operating environment created by a series of transformations in the health care delivery system and long-term-care market. Confronted with an array of economic pressures and demographic changes, hospitals were motivated to engage in long-t...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200107000-00009
更新日期:2001-07-01 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 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::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: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
pub_type: 杂志文章
doi:10.1097/HMR.0b013e31825f3df9
更新日期:2013-10-01 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:The role played by remuneration strategies in motivating health care professionals is one of the most studied factors. Some studies of nursing home (NH) services, while considering wages and labor market characteristics, do not explicitly account for the influence of the contract itself. PURPOSE:This study ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000177
更新日期:2019-07-01 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::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
pub_type: 杂志文章
doi:10.1097/00004010-200604000-00004
更新日期:2006-04-01 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::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::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::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
pub_type: 杂志文章
doi:10.1097/00004010-199001530-00005
更新日期:1990-07-01 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
pub_type: 杂志文章
doi:10.1097/00004010-200010000-00004
更新日期:2000-10-01 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
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000146
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:The rapid increase in the number of hospitals becoming members of multihospital systems in recent decades has led to the formation of local and regional clusters that have the potential to function as regional systems, a model long advocated as a policy strategy for improving health system performance. PURP...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e3181a16ba7
更新日期:2009-07-01 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: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::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: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::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
pub_type: 杂志文章
doi:10.1097/00004010-198400930-00014
更新日期:1984-07-01 00:00:00
abstract:BACKGROUND:Health care leaders have called for the development of communication and leadership skills to improve manager-employee relationships, employee job satisfaction, quality care, and work environments. PURPOSES:The aim of the study reported here was to pilot how a 2-day coaching workshop ("Coaching for Impressi...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e318294e586
更新日期:2014-07-01 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::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: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::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
pub_type: 杂志文章
doi:10.1097/00004010-198400920-00009
更新日期:1984-04-01 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:BACKGROUND:Implementation of accountable care organizations (ACOs) is currently underway, but there is limited empirical evidence on the merits of the ACO model. PURPOSE:The aim was to study the associations between delivery system characteristics and ACO competencies, including centralization strategies to manage org...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000014
更新日期:2015-04-01 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: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
pub_type: 杂志文章
doi:10.1097/01.HMR.0000342984.22426.ac
更新日期:2009-01-01 00:00:00