解剖学和形态学
麻醉学
听力与言语-语言病理学
行为科学
心脏和心血管系统
细胞和组织工程学
临床神经病学
危重症监护医学
牙科,口腔外科和医学
皮肤病学
急诊医学
内分泌学和新陈代谢
肠胃学和肝脏学
老人病学和老年医学
卫生保健科学和服务
血液学
免疫学
传染病
综合和补充性医学
医学伦理学
医学信息学
医学实验室技术
医学,全科和内科
医学,法律
医学,研究和试验
神经系统科学
护理
营养学和饮食学
产科医学和妇科医学
肿瘤学
眼科学
整形外科学
耳鼻喉科学
病理学
儿科学
周围血管疾病
药理学和药剂学
生理学
基本医疗保健
精神病学
公共、环境和职业卫生
放射学,核医学和医学成像
康复学
生殖生物学
呼吸系统
风湿病学
运动科学
外科学
毒理学
热带医学
泌尿学和肾脏学
病毒学
老年医学
健康政策和服务
心理学,临床
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:BACKGROUND:Evidence of variation in safety climate suggests the need for improvement among at least some hospitals. However, comparisons only among hospitals may underestimate the improvement required. Comparison of hospitals with analogous industries may provide a broader perspective on the safety status of our nation...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e3181c8b20c
更新日期:2010-04-01 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: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: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: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: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:BACKGROUND:Despite the prevalence of evidence-based interventions to improve quality in health care systems, there is a paucity of documented evidence of a financial return on investment (ROI) for these interventions from the perspective of the investing entity. PURPOSES:To report on a demonstration project designed t...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/01.HCM.0000318772.59771.b2
更新日期:2008-10-01 00:00:00
abstract:BACKGROUND:Hospital purchasing alliances are voluntary consortia of hospitals that aggregate their contractual purchases of supplies from manufacturers. Purchasing groups thus represent pooling alliances rather than trading alliances (e.g., joint ventures). Pooling alliances have been discussed in the health care manag...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/01.HMR.0000324906.04025.33
更新日期:2008-07-01 00:00:00
abstract:BACKGROUND:Many observers have alleged that "fads," "fashions," and "bandwagons" (imitation strategies) are prominent feature of the health care organizational strategy landscape. "Imitation behavior" may fulfill symbolic functions such as signaling innovativeness but results in the adoption of strategies that are effe...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/01.HMR.0000304498.97308.40
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:Research in configurations and strategic groups has a rich history of revealing performance differences for hospitals and health care systems. PURPOSES:To assess the relationship between hospital-led health system configurations and the adoption of patient safety practices. In particular, the adoption of co...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/01.HMR.0000304496.89684.7f
更新日期:2008-01-01 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: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: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
更新日期:2007-04-01 00:00:00
abstract:BACKGROUND:Studies indicate that better patient compliance and higher patient satisfaction result when agreement exists between the physician and the patient regarding the medical problem and its treatment. PURPOSES:This study will extend previous work by investigating (1) under what conditions patients prefer to be a...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200701000-00005
更新日期:2007-01-01 00:00:00
abstract::In today's competitive health care environment, service excellence is rapidly becoming a major differentiating advantage between health care providers. Too often, senior executives talk about their commitment to a mission statement that extols the virtues of providing world class service to their patients only to unde...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200610000-00001
更新日期:2006-10-01 00:00:00
abstract::Team level tacit knowledge is related to the collective knowledge of the team members. It is the shared experience that results in the ability to successfully anticipate the reactions of teammates in typical and nontypical situations. This study evaluates how tacit knowledge and related team characteristics influence ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200607000-00008
更新日期:2006-07-01 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::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::In-depth interviews with nurses who have been bullied depict bullies masking their bullying behavior behind the cloak of legitimate organizational processes, resulting in extensive harm to targets. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200510000-00007
更新日期:2005-10-01 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::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::A number of typologies have been developed in the strategic management literature to categorize strategies that an organization can pursue at the business level. Extensive research has established Porter's generic strategies of (1) cost leadership, (2) differentiation, (3) differentiation focus, (4) cost focus, and (5...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200501000-00004
更新日期:2005-01-01 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::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::A social network analysis of eighty-nine midlevel health care professionals showed that middle managers' strategic knowledge is positively associated with championing alternative ideas and synthesizing new information for upper management. In addition, the relationship between knowledge and middle management strategic...
journal_title:Health care management review
pub_type: 杂志文章,多中心研究
doi:10.1097/00004010-200401000-00003
更新日期:2004-01-01 00:00:00
abstract::Reframing surprise as an opportunity rather than as a threat can be facilitated when we recognize that efforts to deny, control, and prevent uncertainty operate as barriers to reframing. Removing the barriers requires trust and risk-taking among key stakeholders, especially among patients, physicians, and health care ...
journal_title:Health care management review
pub_type: 评论,杂志文章
doi:10.1097/00004010-200307000-00010
更新日期:2003-07-01 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::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::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::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
更新日期:2001-10-01 00:00:00
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::Using a combination of qualitative and quantitative research methodologies, this study identifies the dimensions of hospital service quality, operationalizes the dimensions, and develops an instrument to measure patient satisfaction. This instrument, the Key Quality Characteristics Assessment for Hospitals (KQCAH) sca...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200104000-00005
更新日期:2001-04-01 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::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::The results of a survey of 184 directors from 15 hospitals are analyzed to determine their corporate social responsiveness orientation. They indicate that board members whose occupational background is not in health care exhibit greater concern for economic performance and the legal component of corporate responsibili...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200004000-00008
更新日期:2000-04-01 00:00:00
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
更新日期:2000-01-01 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::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
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 integrat...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199810000-00006
更新日期:1998-10-01 00:00:00