Journal of health and human services administration最新文献_第10页

Linkages between organization climate and work outcomes: perceptual differences among health service professionals as a function of customer contact intensity. 组织氛围与工作成果之间的联系:卫生服务专业人员的感知差异作为客户接触强度的函数。

Journal of health and human services administration Pub Date : 2014-01-01

Dennis J Scotti, Joel Harmon

{"title":"Linkages between organization climate and work outcomes: perceptual differences among health service professionals as a function of customer contact intensity.","authors":"Dennis J Scotti, Joel Harmon","doi":"","DOIUrl":"","url":null,"abstract":"The delivery of high-quality service, rendered by health service professionals who interact with customers (patients), increases the likelihood that customers will form positive evaluations of the quality of their service encounters as well as high levels of customer satisfaction. Using linkage theory to develop our conceptual framework, we identify four clusters of variables which contribute to a chain of sequential events that connect organization climate to personal and operational work outcomes. We then examine the perceptual differences of service professionals, grouped by intensity of customer contact, with respect to these variables. National data for this project were obtained from multiple sources made available by the Veterans Healthcare Administration (VHA). Cross-group differences were tested using a series of variance analyses. The results indicate that level of customer-contact intensity plays a significant role in explaining variation in perceptions of support staff, clinical practitioners, and nurses at the multivariate and univariate levels of analysis. Contact intensity appears to be a core determinant of the nature of work performed by health service professionals as well as their psychological responses to organizational and customer-related dynamics. Health service professionals are important resources because of their specialized knowledge, labor expense, and scarcity. Based on findings from our research, managers are advised to survey employees' perceptions of their organizational environment and design practices that respond to the unique viewpoints of each of the professional groups identified in this study. Such tailoring should help executives maximize the value of investments in human resources by underwriting patient satisfaction and financial sustainability.","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":"36 4","pages":"417-59"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32297843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Organizational restructuring, government control and loss of legitimacy following an organizational crisis: the case of Israel's nonprofit human services. 组织危机后的组织重组、政府控制和合法性丧失:以以色列的非营利性人类服务为例。

Journal of health and human services administration Pub Date : 2014-01-01

Rita Mano, Dennis Rosenberg

引用次数: 0

A profile of solo/two-physician practices. 个人/两位医生执业的概况。

Journal of health and human services administration Pub Date : 2014-01-01

Doohee Lee, Kelly James Fiack, Kenneth Michael Knapp

{"title":"A profile of solo/two-physician practices.","authors":"Doohee Lee, Kelly James Fiack, Kenneth Michael Knapp","doi":"","DOIUrl":"","url":null,"abstract":"Understanding practice behaviors of solo/dual physician ownership and associated factors at the national level is important information for policymakers and clinicians in response to the Affordable Care Act (ACA) of 2010, but poorly understood in the literature. We analyzed nationally representative data (n = 4,720). The study results reveal nearly 33% of the sample reported solo/two-physician practices. Male/minority/older physicians, psychiatrists, favor small practices. Greater market competition was perceived and less charity care was given among solo/two-physician practitioners. The South region was favored by small physician practitioners. Physicians in solo or two-person practices provided fewer services to chronic patients and were dissatisfied with their overall career in medicine. Small practices were favored by international medical graduates (IMGs) and primary care physicians (PCPs). Overall our data suggest that the role of solo/dual physician practices is fading away in the delivery of medicine. Our findings shed light on varied characteristics and practice behaviors of solo/two-physician practitioners, but more research may be needed to reevaluate the potential role of small physician practitioners and find a way to foster a private physician practice model in the context of the newly passed ACA of 2010.","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":"36 3","pages":"297-322"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40285717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

THE AFFORDABLE CARE ACT AND INCENTIVIZED HEALTH WELLNESS PROGRAMS--A TALE OF FEDERALISM AND SHIFTING ADMINISTRATIVE BURDEN. 平价医疗法案(affordable care act)和激励健康计划——这是一个联邦制和行政负担转移的故事。

Journal of health and human services administration Pub Date : 2014-01-01

Sanjeev Sirpal

{"title":"THE AFFORDABLE CARE ACT AND INCENTIVIZED HEALTH WELLNESS PROGRAMS--A TALE OF FEDERALISM AND SHIFTING ADMINISTRATIVE BURDEN.","authors":"Sanjeev Sirpal","doi":"","DOIUrl":"","url":null,"abstract":"The Patient Protection and Affordable Care Act creates new incentives and builds on existing wellness program policies to promote employer wellness programs and encourage opportunities to support healthier workplaces. The proposed rules are promulgated by the Department of Health and Human Services (HHS), the Department of Labor, and the Treasury Department, and seek to encourage appropriately designed, consumer-protective wellness programs in group health coverage. This legislative landscape raises significant federalism concerns insofar as it largely shifts the responsibility for administration of health incentive programs to the states. Little attention has been paid to the shifting \"administrative burden\" that would thereby ensue. This paper will address the distribution of power in the American federal system vis-à-vis subnational counterparts in the wake of rampant, recent health care reform efforts. This paper will therefore explore the willingness of the national government to delegate policymaking responsibility to state governments in the context of an important aspect of healthcare reform. This, in turn, can be used to assess the distribution of powers between governmental levels--a subject that has received little systematic inquiry to date. Finally, this paper will explore the degree of administrative burden shifting that may likely occur as a result of these changes in health reform and what potential impacts it may have on individual health.","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":"37 3","pages":"327-49"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34748596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Organizational capacity of nonprofit social service agencies. 非营利性社会服务机构的组织能力。

Journal of health and human services administration Pub Date : 2014-01-01

Sharon Paynter, Marueen Berner

引用次数: 0

Who pays? How reimbursement impacts the emergency department. 谁支付?报销对急诊科的影响。

Journal of health and human services administration Pub Date : 2014-01-01

Lavonne Downey, Leslie S Zun, Trena Burke, Tangula Jefferson

{"title":"Who pays? How reimbursement impacts the emergency department.","authors":"Lavonne Downey, Leslie S Zun, Trena Burke, Tangula Jefferson","doi":"","DOIUrl":"","url":null,"abstract":"Background: Nationwide from 1996 to 2004, the overall proportion of Emergency Department (ED) reimbursement ratios for outpatient ED visits decreased from 57% to 42%. The continued falling of ED reimbursement ratios, which is the share of ED charges that are ultimately paid, is an indicator of the financial pressures facing the ED. Once the healthcare reforms are put in place what will the impact be on reimbursement rates of overburdened and underfunded emergency departments.Purpose: The purpose of this study is to examine if there is a declining disparity in payment rates for ED care based on payment sources in a safety net ED provider. Findings of this study could indicate how the healthcare reforms might impact these types of ED reimbursement ratios in the upcoming years.Methods: This was a retrospective study that examined randomly selected charts of all ED visits charts from May 2002 to May 2008 at a level one adult and pediatric emergency trauma center with 45,000 annual visits. This study was IRB approved.Results: A regression model was used to predict if there was a relationship between amount received and types of insurance payers within the ED. A significant relationship was found between types of insurance (payers) as the independent variable, and the dependent variables of charges (p = .00), payments (p = .00), amount of adjustments (p= .00), and balance remaining after 90 days (p = .00).Conclusions: Who pays for the ED services does impact the ED's bottom line. The privately funded patients will provide an ED with a higher reimbursement ratio per year as compared to those patients who are publicly or self pay. This explains why EDs that provide care for 40% or more publicly or self pay patients have seen a decline in reimbursement ratios. Healthcare reform has the potential to change and possibly improve safety net ED rate of reimbursement depending on how private, public and self pay patients pay for ED services.","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":"36 4","pages":"400-16"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32296293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

AN UNCERTAIN FEDERALISM: THE STATES AND THE AFFORDABLE CARE ACT. 一个不确定的联邦制:各州和平价医疗法案。

Journal of health and human services administration Pub Date : 2014-01-01

L Christopher Plein

引用次数: 0

Home-based caregivers in Africa: alliance building, advocacy and policy environments. 非洲家庭护理人员:联盟建设、宣传和政策环境。

Journal of health and human services administration Pub Date : 2014-01-01

Pamela E Ransom, Becca Asaki

引用次数: 0

The use of the HIV test: a conflict choice approach. 艾滋病毒检测的使用:一种冲突选择方法。

Journal of health and human services administration Pub Date : 2014-01-01

Robert W Broyles, Ari Mwachofi, Amir A Khaliq

{"title":"The use of the HIV test: a conflict choice approach.","authors":"Robert W Broyles, Ari Mwachofi, Amir A Khaliq","doi":"","DOIUrl":"","url":null,"abstract":"The study introduces the \"Conflict-Choice model\" (C-C) as an analytic framework for studying consumer demand for health and healthcare. The proposed approach integrates the Theory of Consumer Behavior (TCB), the Investment Theory of Demand (ITD), and the Health Belief Model (HBM) into a single model that might be applied to a wide spectrum of health behavior and use of health services. Separating the episode of care into the two phases (patient initiated and physician dominated), the C-C model is limited to the individual's decision to seek service. This phase is dominated by two conflicting and undesirable outcomes that the patient seeks to avoid. The first is discomfort or disutility that accompanies the use of care. The second is the discomfort of illness and a reduced ability to perform social and economic roles, an outcome that may result in a potential decline in income. In this conflict-choice situation, the interrelation between two undesirable conditions and related avoidance gradients result in a behavioral equilibrium. The study applied this framework to the use or non-use of HIV tests. The analysis used the responses of 196,081 individuals in the Behavioral Risk Factor Surveillance System (BRFSS) of 2003. The analyses supported the expectations based on the newly developed conflict-choice theoretical framework and support the adoption of policies that reduce the tendency to avoid care while increasing the avoidance of undesirable health outcomes.","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":"36 3","pages":"274-96"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40285716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A longitudinal model of the dynamics between HMOs' consumer-friendliness and preventive health care utilization. hmo消费者友好度与预防保健利用的纵向动态模型。

Journal of health and human services administration Pub Date : 2014-01-01

Qian Xiao, Grant T Savage, Weiling Zhuang

引用次数: 0