Health Care Manager最新文献_第5页

Choice of a Short-term Prediction Model for Patient Discharge Before Noon: A Walk-Through of ARIMA Model. 病人中午前出院短期预测模型的选择:ARIMA模型的演练。

Health Care Manager Pub Date : 2019-04-01 DOI: 10.1097/HCM.0000000000000262

Rolando A Berrios-Montero

引用次数: 2

From the Editor. 来自编辑。

Health Care Manager Pub Date : 2019-04-01 DOI: 10.1097/HCM.0000000000000254

{"title":"From the Editor.","authors":"","doi":"10.1097/HCM.0000000000000254","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000254","url":null,"abstract":"Most people concur with most ethicists that lying is intrinsically wrong. Thus, to be ethically acceptable a lie must be justified by appeal to a higher good. Milgram defends, and his supporters condone, the use of deceptive experimentation on the grounds that the knowledge gained is a higher good that could not be gained by any alternative methodology. In several essays I criticized Milgram’s obedience studies as violating the human rights of participants in psychological research to be treated honestly and kindly. This essay reaffirms my ethical objections to Milgram’s paradigm and to deceptive experimentation in general. It relates Milgram’s study of obedience to my own research of effects on children of parents’ assertion of beneficial and detrimental kinds of power. It criticizes current professional codes of ethics and institutional review boards that offer investigators loopholes to obtaining informed consent by requiring only that (they claim) alternative procedures are “not feasible” and their study is “significant,” hurdles too easily circumvented by investigators who choose to employ research paradigms that, like Milgram’s, lie to subjects when obtaining “informed” consent. When in the scientific endeavor methodological rigor conflicts with the protection of the fundamental human rights of the subjects, the compromise should be made by the researcher in the rigor of the methods he or she chooses to use rather than by the use of lies and deception to control confounds.","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000254","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37171871","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 Role of Patient-Centered Medical Home Recognition in Addressing Public Health Priorities. 以患者为中心的医疗家庭识别在解决公共卫生优先事项中的作用。

Health Care Manager Pub Date : 2019-04-01 DOI: 10.1097/HCM.0000000000000261

Sara Dadashzadeh

{"title":"The Role of Patient-Centered Medical Home Recognition in Addressing Public Health Priorities.","authors":"Sara Dadashzadeh","doi":"10.1097/HCM.0000000000000261","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000261","url":null,"abstract":"American Public Health Association's (APHA's) vision for creating the healthiest nation in one generation has been driven by clear priorities to rebuild the public health infrastructure, to ensure access to care, and to reduce health disparities. The journey toward APHA's vision has required and benefited from a variety of interventions including congressional acts, government regulations, public health policy changes, innovative ideas and technology, novel health care reimbursement strategies, and voluntary certifications. American Public Health Association's endorsement of the Patient-Centered Medical Home (PCMH) model of health care delivery as instrumental to its vision has been an impetus for several PCMH recognition standards. This review gathers evidence from academic and professional literature on how achieving accreditation as a PCMH advances APHA's public health priorities. The documentations of 3 national PCMH accreditation programs (Accreditation Association for Ambulatory Health Care, National Committee for Quality Assurance, and The Joint Commission) are reviewed, and their standard categories and performance measurement criteria checklists are mapped to both APHA priorities and the Joint Principles of PCMH. Further context for the importance of achieving each measurement criteria while identifying additional opportunities to address APHA priorities in each accreditation standard category is discussed.","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000261","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37260877","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: 3

Shared Vision in Nursing: An Evolutionary Concept Analysis Revealing Dualities Within the Profession. 护理的共同愿景:揭示专业内二元性的进化概念分析。

Health Care Manager Pub Date : 2019-04-01 DOI: 10.1097/HCM.0000000000000259

Julie Frechette

引用次数: 1

Case in Health Care Management. 医疗保健管理案例

Health Care Manager Pub Date : 2019-04-01 DOI: 10.1097/HCM.0000000000000255

引用次数: 0

Rethinking the Obvious: Time for New Ideas on Medical Malpractice Tort Reform. 反思显而易见:医疗事故侵权制度改革的新思路。

Health Care Manager Pub Date : 2019-04-01 DOI: 10.1097/HCM.0000000000000260

Jarrett Gerlach, Bukola Abodunde, Marc Sollosy, Alberto Coustasse

{"title":"Rethinking the Obvious: Time for New Ideas on Medical Malpractice Tort Reform.","authors":"Jarrett Gerlach, Bukola Abodunde, Marc Sollosy, Alberto Coustasse","doi":"10.1097/HCM.0000000000000260","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000260","url":null,"abstract":"States have engaged in medical malpractice litigation reforms over the past 30 years to reduce malpractice insurance premiums, increase the supply of physicians, reduce the cost of health care, and increase efficiency. These reforms have included caps on noneconomic damages and legal procedural changes. Despite these reforms, health care costs in the United States remain among the highest in the world, provider shortages remain, and defensive medicine practices persist. The purpose of this study was to determine how successful traditional medical malpractice reforms have been at controlling medical costs, decreasing defensive medicine practices, lowering malpractice premiums, and reducing the frequency of medical malpractice litigation. Research has shown that direct reforms and aggressive damage caps have had the most significant impact on lowering malpractice premiums and increasing physician supply. Out of the metrics that were improved by malpractice reforms, similar improvements were shown because of quality reform measures. While traditional tort reforms have shown some targeted improvement, large-scale, system-wide change has not been realized, and thus it is time to consider alternative reforms.","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000260","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37260879","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: 3

The Opioid Epidemic in West Virginia. 西弗吉尼亚州的阿片类药物流行。

Health Care Manager Pub Date : 2019-04-01 DOI: 10.1097/HCM.0000000000000256

Rachel Merino, Nicholas Bowden, Sruthi Katamneni, Alberto Coustasse

引用次数: 18

Management Approach for Population Health Outcomes and Economic Improvement: Appointing Health Services Early Careerists to Rural Communities for Leadership Development. 人口健康结果和经济改善的管理方法:任命卫生服务早期野心家到农村社区进行领导力发展。

Health Care Manager Pub Date : 2019-04-01 DOI: 10.1097/HCM.0000000000000263

Jewel Goodman Shepherd

{"title":"Management Approach for Population Health Outcomes and Economic Improvement: Appointing Health Services Early Careerists to Rural Communities for Leadership Development.","authors":"Jewel Goodman Shepherd","doi":"10.1097/HCM.0000000000000263","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000263","url":null,"abstract":"Securing health services administrators to manage health care organizations in rural areas and small town communities presents unique challenges; however, potential benefits abound for residents in terms of improving population health outcomes from a community-based approach and stimulating the local economy. The influx of community-based approaches to revitalize small towns and rural communities is evident in the literature. Small towns and rural areas lack advanced health care practices, which results in poor health outcomes; economic development as a result of a poorly prepared workforce; and community connection to the vast array of knowledge, activities, and other supports as a result of poor physical and virtual connectivity. An approach that prompts new health management graduates to practice where they have an opportunity to cultivate the residents, the community at large, and themselves is an optimal management method in improving rural areas. This framework places emphasis on students completing a health services administration curriculum training program and beginning their careers in underserved areas to positively impact rural communities by playing a role in revitalizing the local economy and improving population health.","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000263","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37088659","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

An Analysis of Key Challenges Encountered by Various Stakeholders in the Evolving Private Hospital Ecosystem in India. 印度发展中的私立医院生态系统中各利益相关者所面临的主要挑战分析

Health Care Manager Pub Date : 2019-04-01 DOI: 10.1097/HCM.0000000000000264

Pankaj Gupta, Madhura Naik, Manu Hc, Anurita Majumdar

{"title":"An Analysis of Key Challenges Encountered by Various Stakeholders in the Evolving Private Hospital Ecosystem in India.","authors":"Pankaj Gupta, Madhura Naik, Manu Hc, Anurita Majumdar","doi":"10.1097/HCM.0000000000000264","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000264","url":null,"abstract":"Private hospitals and medical institutions play an important role in bridging the health care delivery gap in India. In addition to prescribing physicians, various stakeholders such as nurses, pharmacists, and hospital administrators working in these institutions contribute to the efficient delivery of health care services. The current survey was conducted with the aim of evaluating work-related challenges faced by these individual hospital stakeholders and gauging potential engagement opportunities with industry to improve the quality health care services delivered. This survey included 60 private hospitals with more than 250 beds, located in 12 Indian cities. A 2-stage approach involving in-depth qualitative discussions followed by structured quantitative interviews of all the internal stakeholders was adopted. The study delineated the roles assayed by individual hospital stakeholders as well as the major challenges encountered by them. The responses of major classes of hospital workforce on possible solutions to bridge these need gaps were also recorded. The survey identified significant gaps existing in hospitals in areas of cross-functional collaboration, scientific and technical knowledge upgrade, training of staff, and communication and coordination with internal and external stakeholders. Value-based hospital-industry partnerships can go a long way in addressing the scientific and training needs of private hospitals.","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000264","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37109743","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

To Rate or Not to Rate? Autonomic Response and Psychological Well-being of Employees During Performance Review. 评价还是不评价?绩效考核中员工的自主反应与心理健康。

Health Care Manager Pub Date : 2019-04-01 DOI: 10.1097/HCM.0000000000000257

Michela Balconi, Irene Venturella, Giulia Fronda, Daniela de Filippis, Emanuela Salati, Maria Elide Vanutelli

{"title":"To Rate or Not to Rate? Autonomic Response and Psychological Well-being of Employees During Performance Review.","authors":"Michela Balconi, Irene Venturella, Giulia Fronda, Daniela de Filippis, Emanuela Salati, Maria Elide Vanutelli","doi":"10.1097/HCM.0000000000000257","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000257","url":null,"abstract":"Organizational research started including neurosciences exploring pivotal phenomena and promoting organizational well-being. Leadership was investigated by assessing psychophysiological responses during performance review characterized by narrative or quantitative assessments and their effects on employees' well-being. As is known, rating could be perceived as threatening for employees' ranking and status perception, leading to avoidant behaviors.Design and methodology: Here, manager-employee dyads were assigned to 2 conditions: in the nonrate scenario, managers were asked to describe the employee's performance; in the rate one, they had to provide a quantitative rating. Skin conductance level and response and heart rate indices were continuously recorded.Findings: Dyads in nonrate condition showed higher arousal-related responses (skin conductance level and skin conductance response), perhaps highlighting an increased engagement triggered by a rewarding exchange. Conversely, in rate condition, employees showed higher heart rate, usually related to negative and stressful conditions, and avoidant behaviors.Originality/value: Results are discussed for their possible applications to employees' well-being.","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000257","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37260881","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: 6