Abstract:
:This article describes the extent to which hospitals use different integrative processes to assimilate physicians and assesses the extent to which their use is associated with managed care penetration and hospital characteristics. Results from a national survey of 1,495 community hospitals indicate that these integrative processes are quite prevalent. The use of integrative processes tends to be more prevalent in hospitals that are large, urban, involved in teaching, and members of hospitals systems. Use of particular integrative processes also appears to be associated with different thresholds of managed care penetration.
journal_name
Health Care Manage Revjournal_title
Health care management reviewauthors
Burns LR,Morrisey MA,Alexander JA,Johnson Vdoi
10.1097/00004010-199810000-00006subject
Has Abstractpub_date
1998-10-01 00:00:00pages
70-80issue
4eissn
0361-6274issn
1550-5030journal_volume
23pub_type
杂志文章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::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::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
pub_type: 杂志文章
doi:
更新日期:1988-01-01 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::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 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::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::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
pub_type: 杂志文章
doi:10.1097/00004010-197600110-00007
更新日期:1976-01-01 00:00:00
abstract::This article profiles the premerger marketing, management, and mission characteristics of the combined Columbia and Hospital Corporation of America (HCA) entity relative to local market hospitals. The findings show that the Columbia/HCA hospitals had fewer Medicaid patients, lower proportion of outpatient revenues, hi...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199605000-00006
更新日期:1996-04-01 00:00:00
abstract::Scholars have vigorously debated the role of stakeholders since Freeman's 1984 landmark work. This article argues that an accurate assessment of relative power levels can enable stakeholders to accept their proper roles and responsibilities in planning and implementing strategy and enabling Top Management Teams to mor...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200007000-00010
更新日期:2000-07-01 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:The term "medical neighborhood" refers to relationships that patient-centered medical homes (PCMHs) seek to establish with other providers to facilitate coordinated patient care. Yet, how PCMHs can accomplish this coordination is not well understood. PURPOSE:Drawing upon organizational theory (; ; ), we exp...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000063
更新日期:2016-04-01 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: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: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
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND:Numbering close to 300,000 nurse managers represent the largest segment of the health care management workforce. Their effectiveness is, in part, influenced by their job satisfaction. PURPOSE:We examined factors associated with job satisfaction of novice frontline nurse managers. METHODOLOGY/APPROACH:We us...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000102
更新日期:2017-04-01 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: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::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:BACKGROUND:Numerous studies have identified disparities in nursing home quality of care. Although previous studies have found the overlap among Medicaid census, nursing home characteristics, and negative quality of care outcomes, few studies have examined how the psychosocial well-being of nursing home residents is ass...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e3181f8a864
更新日期:2011-01-01 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
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::Until recently, health professionals lacked incentives to integrate internal management processes, depending instead on external quality assurance and regulatory standards. Competitive markets and increased regulatory pressures now encourage managers to reorient systems from a cost-driven reimbursement approach to the...
journal_title:Health care management review
pub_type: 指南,杂志文章
doi:10.1097/00004010-199101620-00005
更新日期:1991-04-01 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::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::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
更新日期:2005-04-01 00:00:00
abstract:BACKGROUND:Small independent practices are increasingly giving way to more complex affiliations between provider organizations and hospital systems. There are several ways in which vertically integrated health systems could improve quality and lower the costs of care. But there are also concerns that integrated systems...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000197
更新日期:2019-04-01 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: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::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