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Journal of health and human services administration最新文献

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Fits and Misfits: The Impact of Individual Differences on Psychological Empowerment in Healthcare 适合与不适合：个体差异对医疗保健心理赋权的影响
Journal of health and human services administration Pub Date : 2020-05-15 DOI: 10.37808/jhhsa.43.1.4
{"title":"Fits and Misfits: The Impact of Individual Differences on Psychological Empowerment in Healthcare","authors":"","doi":"10.37808/jhhsa.43.1.4","DOIUrl":"https://doi.org/10.37808/jhhsa.43.1.4","url":null,"abstract":"This paper acknowledges the labor productivity problem in healthcare, and investigates individual differences as determinants of psychological empowerment, which may be a partial solution to the problem. Using data from 363 clinical nurses, two individual differences - aversive personalities and job/organization fit - representing a bipolar division of employees, were examined for their linkage with psychological empowerment. As hypothesized, the aversive personality psychopathy was negatively linked to empowerment. Employees with longer time in healthcare, higher in religiosity, whose job-related needs are satisfied by the hospital, and who believe that their abilities are a good fit with their job demands are more likely to be psychologically empowered. Easy, reliable tests to screen for high psychopathy in hiring and placing individuals in jobs in which empowerment is desired, and managerial interventions to increase need satisfaction and demand-ability fit, may increase empowerment and thus productivity with no increase in wage costs.","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43738292","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: 1
Administrative Burdens in Health Policy 卫生政策中的行政负担
Journal of health and human services administration Pub Date : 2020-05-15 DOI: 10.37808/jhhsa.43.1.2
P. Herd, D. Moynihan
{"title":"Administrative Burdens in Health Policy","authors":"P. Herd, D. Moynihan","doi":"10.37808/jhhsa.43.1.2","DOIUrl":"https://doi.org/10.37808/jhhsa.43.1.2","url":null,"abstract":"The US healthcare system is enormously complex, begetting a seemingly endless array of bureaucratic obstacles that make it both costly and difficult to navigate for users. We apply the administrative burden framework to three particular aspects of health policy: the Affordable Care Act (ACA), Medicaid, and Medicare. The applications are more illustrative than definitive, intended to demonstrate that administrative burdens play a key and underappreciated role in how policies are implemented, sometimes deliberately so. The following claims arise from our framework. First, burdens are consequential – they make a difference in our lives, most obviously in terms of access to healthcare. Second, administrative burdens are distributive: some groups, like the poor, are more burdened than others. Third, burdens are a function of political and administrative choices, constructed via processes of both policy design and implementation.","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46647692","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: 18
Rethinking Distribution and Design: A New Look for the Journal of Health and Human Services Administration 重新思考分布和设计:健康与人类服务管理杂志的新面貌
Journal of health and human services administration Pub Date : 2020-05-15 DOI: 10.37808/jhhsa.43.1.1
{"title":"Rethinking Distribution and Design: A New Look for the Journal of Health and Human Services Administration","authors":"","doi":"10.37808/jhhsa.43.1.1","DOIUrl":"https://doi.org/10.37808/jhhsa.43.1.1","url":null,"abstract":"","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46648360","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
Equity-Efficiency Tradeoff: The Hospital Readmissions Reduction Program And Disparities In Outcomes Among Vulnerable Medicare Heart Failure Patients In Pennsylvania 公平-效率权衡:减少医院再入院计划和宾夕法尼亚州弱势医疗保险心力衰竭患者结果的差异
Journal of health and human services administration Pub Date : 2020-05-15 DOI: 10.37808/jhhsa.43.1.3
{"title":"Equity-Efficiency Tradeoff: The Hospital Readmissions Reduction Program And Disparities In Outcomes Among Vulnerable Medicare Heart Failure Patients In Pennsylvania","authors":"","doi":"10.37808/jhhsa.43.1.3","DOIUrl":"https://doi.org/10.37808/jhhsa.43.1.3","url":null,"abstract":"The Hospital Readmissions Reduction Program (HRRP), a penalty-based pay for performance policy mandated by the 2010 Affordable Care Act, aims to improve health care quality for seniors and cut costs by avoiding readmissions but may disproportionally affect disadvantaged populations. Our study using patient-level survival analysis of data on outcomes for Medicare beneficiaries age 65 years and older who were discharged with heart failure from Pennsylvania inpatient prospective payment systems hospitals from 2010 to 2015, confirm that risk -adjusted readmissions have decreased but the likelihood of mortality has increased for some patients. Non- White heart patients and those living in lower income areas had higher risk of readmission within 30-day and one-year of discharge. Patients living in lower income areas also had a higher risk of mortality than those in more affluent communities. Findings suggest unintended consequences and the need for policy makers and administrators to address the social determinants of health.","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41955557","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: 2
The Institutional Contribution of Community Based NonProfit Organizations to Civic Health. 基于社区的非营利组织对公民健康的制度贡献。
Journal of health and human services administration Pub Date : 2017-01-01
Kandyce Fernandez, Jennifer Alexander
{"title":"The Institutional Contribution of Community Based NonProfit Organizations to Civic Health.","authors":"Kandyce Fernandez, Jennifer Alexander","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":"39 4","pages":"436-69"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35787776","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 Civic Health Generated by Neighborhood Associations in Seoul, South Korea: A Consideration of Internal and External Advocacy Roles. 韩国首尔社区协会产生的市民健康:对内部和外部倡导作用的考虑。
Journal of health and human services administration Pub Date : 2017-01-01
Jung Wook Kim, Hee Soun Jang, Lisa A Dicke
{"title":"The Civic Health Generated by Neighborhood Associations in Seoul, South Korea: A Consideration of Internal and External Advocacy Roles.","authors":"Jung Wook Kim, Hee Soun Jang, Lisa A Dicke","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":"39 4","pages":"543-576"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35787782","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
Developing Healthy Communities: Civic Health Symposium. 发展健康社区:公民健康研讨会。
Journal of health and human services administration Pub Date : 2017-01-01
Mary Ann Feldheim
{"title":"Developing Healthy Communities: Civic Health Symposium.","authors":"Mary Ann Feldheim","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":"39 4","pages":"427-35"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35787775","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
Questioning Stakeholder Legitimacy: A Philanthropic Accountability Model. 质疑利益相关者合法性:慈善问责模型。
Journal of health and human services administration Pub Date : 2017-01-01
Patsy Kraeger, Robbie Robichau
{"title":"Questioning Stakeholder Legitimacy: A Philanthropic Accountability Model.","authors":"Patsy Kraeger,&nbsp;Robbie Robichau","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Philanthropic organizations contribute to important work that solves complex problems to strengthen communities. Many of these organizations are moving toward engaging in public policy work, in addition to funding programs. This paper raises questions of legitimacy for foundations, as well as issues of transparency and accountability in a pluralistic democracy. Measures of civic health also inform how philanthropic organizations can be accountable to stakeholders. We propose a holistic model for philanthropic accountability that combines elements of transparency and performance accountability, as well as practices associated with the American pluralistic model for democratic accountability. We argue that philanthropic institutions should seek stakeholder and public input when shaping any public policy agenda. This paper suggests a new paradigm, called philanthropic accountability that can be used for legitimacy and democratic governance of private foundations engaged in policy work. The Philanthropic Accountability Model can be empirically tested and used as a governance tool.</p>","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":"39 4","pages":"470-519"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35787778","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
Global Perspectives on Civic Health: Applying Lessons from Post-Communist Societies to Enable Greater Civic Outcomes in the United States. 公民健康的全球视角:应用后共产主义社会的经验教训在美国实现更大的公民成果。
Journal of health and human services administration Pub Date : 2017-01-01
Thomas A Bryer, Pamela Medina
{"title":"Global Perspectives on Civic Health: Applying Lessons from Post-Communist Societies to Enable Greater Civic Outcomes in the United States.","authors":"Thomas A Bryer,&nbsp;Pamela Medina","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Civic engagement and volunteerism in post-communist societies is poor; there are limited traditions of civic activity, and those traditions that have existed have meanings associated with a historical period when free engagement was risky and volunteerism was coerced. Today, in nations like Lithuania, there are efforts underway to reclaim the labels \"volunteerism\" and \"participation\" and to craft more civically healthy communities. This paper will address two questions: (1) How has Lithuania's civic health evolved since independence from the Soviet Union? (2) What lessons are in the emergence of a civic and volunteer culture provide for scholars, government and nonprofit officials, and civic leaders interested in moving communities within the United States out of their civic ruts? Underlying the second question is an assumption, which will be argued within the paper, that officials in the United States have more to learn from emergent civic cultures than those emergent cultures do from us, though there are certainly lessons from the United States that may be applicable.</p>","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":"39 4","pages":"520-42"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35787780","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
Effect of Physician IT Use on Practice Performance. 医师使用资讯科技对执业表现的影响。
Journal of health and human services administration Pub Date : 2016-01-01
Doohee Lee, Andrew Sikula, Tongsoo Lee, Alissa A Dodds, Young Na
{"title":"Effect of Physician IT Use on Practice Performance.","authors":"Doohee Lee,&nbsp;Andrew Sikula,&nbsp;Tongsoo Lee,&nbsp;Alissa A Dodds,&nbsp;Young Na","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The role of information technology (IT) remains important within the medical community. However, little is known about the extent to which practicing physicians improve practice performance by having and utilizing IT at the national level. The present study, analyzing a national physician survey (n = 4,720), seeks to explore associations of IT availability and utilization with practice performance at the national level. The multivariate regression analysis results suggest that patient information IT functionality upholds physician advantages in annual income but prescription drug IT functionality was reversely linked to annual income. We also found a negative association of patient information IT functionality with patient visit volume. Our study results revealed mixed findings. Not all IT functionalities would offer benefits to practicing physicians. Our data suggest that patient information IT functionality can moderate cost concerns related to IT investment among providers.</p>","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":"39 3","pages":"357-82"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35782824","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
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