The strategic agenda for community health care organizations.

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, wage structures, prevention, and medical attitudes. Structures must assure local stakeholders their voice in health issues.

journal_name

Health Care Manage Rev

authors

Griffith JR

subject

Has Abstract

pub_date

1997-07-01 00:00:00

pages

82-91

issue

3

eissn

0361-6274

issn

1550-5030

journal_volume

22

pub_type

杂志文章
  • The physician as worker: what it means and why now?

    abstract::Health care researchers and managers have viewed physicians traditionally through three major lenses, that is, as professionals, suppliers, and caregivers. This article makes a case for another lens, that of the physician as worker. The worker perspective complements these existing perspectives, serves as a generative...

    journal_title:Health care management review

    pub_type: 杂志文章,评审

    doi:10.1097/00004010-200110000-00006

    authors: Hoff TJ

    更新日期:2001-10-01 00:00:00

  • Delivery system characteristics and their association with quality and costs of care: implications for accountable care organizations.

    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

    authors: Chukmaitov A,Harless DW,Bazzoli GJ,Carretta HJ,Siangphoe U

    更新日期:2015-04-01 00:00:00

  • Assessing Catholic community hospitals versus nonprofit community hospitals, 1989-1992.

    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:

    authors: Prince TR

    更新日期:1994-10-01 00:00:00

  • The uniqueness of a professionally dominated organization.

    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:

    authors: Fogel DS

    更新日期:1989-07-01 00:00:00

  • Multiproject interdependencies in health systems management: a longitudinal qualitative study.

    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

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

    更新日期:2014-01-01 00:00:00

  • Do corporate chains affect quality of care in nursing homes? The role of corporate standardization.

    abstract:BACKGROUND:Chain-owned nursing homes have become the predominant type of provider in the United States, but little is known about their management structures. Prior research has found that chain ownership has significant effects on health outcomes, but why that is the case is not well understood. PURPOSE:This study ex...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/01.HMR.0000267794.55427.52

    authors: Kamimura A,Banaszak-Holl J,Berta W,Baum JA,Weigelt C,Mitchell W

    更新日期:2007-04-01 00:00:00

  • Employment selection in health care: the case for structured interviewing.

    abstract::The literature related to selection interviewing dates, at least, to 1915. The focus of that literature and the conclusions represented by the various authors assumed that the employment selection interview had limited validity or predictive value until the late 1980s. Papers appearing since contradict those conclusio...

    journal_title:Health care management review

    pub_type: 杂志文章,评审

    doi:10.1097/00004010-199801000-00006

    authors: Foster C,Godkin L

    更新日期:1998-01-01 00:00:00

  • Financial performance, employee well-being, and client well-being in for-profit and not-for-profit nursing homes: A systematic review.

    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

    pub_type: 杂志文章

    doi:10.1097/HMR.0000000000000121

    authors: Bos A,Boselie P,Trappenburg M

    更新日期:2017-10-01 00:00:00

  • Persuasive communication strategies for hospitals.

    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

    authors: MacStravic RS

    更新日期:1984-04-01 00:00:00

  • Managing hospital length of stay reduction: a multihospital approach.

    abstract::Major financial constraints on health care payors are increasing pressure on hospitals to become more efficient. This study described the use of common data formats and specific interventions with physicians and nursing homes to reduce inpatient lengths of stay by four hospitals in Syracuse, New York. These initiative...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/00004010-200504000-00002

    authors: Lagoe RJ,Westert GP,Kendrick K,Morreale G,Mnich S

    更新日期:2005-04-01 00:00:00

  • Public hospitals in financial distress: Is privatization a strategic choice?

    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

    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

  • Implant vendors and hospitals: competing influences over product choice by orthopedic surgeons.

    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

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

    更新日期:2009-01-01 00:00:00

  • Integrating: A managerial practice that enables implementation in fragmented health care environments.

    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

    authors: Kerrissey M,Satterstrom P,Leydon N,Schiff G,Singer S

    更新日期:2017-07-01 00:00:00

  • Prospective payment for capital: an examination of current issues.

    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:

    authors: Anderson GF,Erickson JE

    更新日期:1988-04-01 00:00:00

  • Hospital cultural competency as a systematic organizational intervention: Key findings from the national center for healthcare leadership diversity demonstration project.

    abstract:BACKGROUND:Cultural competency or the ongoing capacity of health care systems to provide for high-quality care to diverse patient populations (National Quality Forum, 2008) has been proposed as an organizational strategy to address disparities in quality of care, patient experience, and workforce representation. But fa...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0000000000000128

    authors: Weech-Maldonado R,Dreachslin JL,Epané JP,Gail J,Gupta S,Wainio JA

    更新日期:2018-01-01 00:00:00

  • Hospital bankruptcies: an exploration of potential causes and consequences.

    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

    authors: Bazzoli GJ,Cleverley WO

    更新日期:1994-07-01 00:00:00

  • Family suite: an innovative method to provide inexpensive postpartum care.

    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

    authors: Parsons MT,Mahoney C,Weathers LS

    更新日期:1999-10-01 00:00:00

  • The effects of open access on member satisfaction and intentions to remain in an HMO.

    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

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

    更新日期:2000-10-01 00:00:00

  • How to create more humane and productive health care environments.

    abstract::Value-based leadership--linking "managership" and leadership approaches--is needed to meet today's ever-proliferating challenges to the fundamental philosophy and mission of health care organizations. To work, however, it requires important changes from everyone in the organization. ...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/00004010-198400940-00007

    authors: Brozovich JP,Shortell SM

    更新日期:1984-10-01 00:00:00

  • The more things change, the more they stay the same.

    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

    pub_type: 杂志文章,评审

    doi:10.1097/00004010-200001000-00008

    authors: Bigelow B,Arndt M

    更新日期:2000-01-01 00:00:00

  • [Guidelines to productivity bargaining in the health care industry].

    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:

    authors: Fottler MD,Maloney WF

    更新日期:1979-01-01 00:00:00

  • High-performance work systems in health care management, part 1: development of an evidence-informed model.

    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

    authors: Garman AN,McAlearney AS,Harrison MI,Song PH,McHugh M

    更新日期:2011-07-01 00:00:00

  • A theoretical framework for shedding additional light on the determinants of medical practice value.

    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

    authors: Hoffman JJ,Ewing BT,Hoffman JG

    更新日期:2009-10-01 00:00:00

  • In times of transition: an organizational change from a family systems perspective.

    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

    authors: Speice J,Laneri H,Kennedy R,Engerman J

    更新日期:1999-01-01 00:00:00

  • Beyond service quality: the mediating role of patient safety perceptions in the patient experience-satisfaction relationship.

    abstract:BACKGROUND:Although the extant literature on patient safety is rich, few studies have specifically examined safety from the patient perspective. In addition, little is known about how patients decide whether they are safe or satisfied with their care. From a foundation of attribution theory, we suggest that patients ma...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0b013e318219cda1

    authors: Rathert C,May DR,Williams ES

    更新日期:2011-10-01 00:00:00

  • Point/counterpoint: declining public health organizations--will management make a difference?

    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

    pub_type: 杂志文章

    doi:

    authors: Harper CL,Smith DS

    更新日期:1979-10-01 00:00:00

  • Workshop: improving worker coordination in health care delivery.

    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

    pub_type: 杂志文章

    doi:

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

    更新日期:1976-07-01 00:00:00

  • On becoming a coach: a pilot intervention study with managers in long-term care.

    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

    authors: Cummings G,Mallidou AA,Masaoud E,Kumbamu A,Schalm C,Spence Laschinger HK,Estabrooks CA

    更新日期:2014-07-01 00:00:00

  • Evaluation of an international benchmarking initiative in nine eye hospitals.

    abstract:BACKGROUND:Benchmarking has become very popular among managers to improve quality in the private and public sector, but little is known about its applicability in international hospital settings. PURPOSE:The purpose of this study was to evaluate the applicability of an international benchmarking initiative in eye hosp...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0b013e3181c22bdc

    authors: de Korne DF,Sol KJ,van Wijngaarden JD,van Vliet EJ,Custers T,Cubbon M,Spileers W,Ygge J,Ang CL,Klazinga NS

    更新日期:2010-01-01 00:00:00

  • The economic transformation of American health insurance: implications for the hospital industry.

    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

    pub_type: 杂志文章

    doi:10.1097/00004010-198601140-00003

    authors: Higgins CW,Meyers ED

    更新日期:1986-10-01 00:00:00