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Predicting the degree of rurality of physician assistant practice location. 医师助理执业地点乡村化程度预测。
Hospital & health services administration Pub Date : 1996-01-01
S Pan, J M Geller, K J Muus, L G Hart
{"title":"Predicting the degree of rurality of physician assistant practice location.","authors":"S Pan,&nbsp;J M Geller,&nbsp;K J Muus,&nbsp;L G Hart","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study used a block multiple regression analysis to examine the impacts of different factors on the degree of rurality of physician assistants' (PAs') practice location and compared the power of each block of factors in predicting rurality. Differences in the models for PAs in primary care specialties and for PAs as a whole were also explored. The findings suggest that policies should provide support to PA students in primary care specialties and to rural-oriented PA education/training programs. Efforts to facilitate PA recruitment and retention should include, among other things, increasing practice responsibility/autonomy, broadening acceptance of PA prescriptive authority, and providing equitable reimbursement for nonphysician care of Medicare and Medicaid beneficiaries.</p>","PeriodicalId":77163,"journal":{"name":"Hospital & health services administration","volume":"41 1","pages":"105-19"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21026234","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
Management development for mid-level managers: results of a demonstration project. 中级管理人员的管理发展:一个示范项目的结果。
Hospital & health services administration Pub Date : 1996-01-01
A R Kovner, A Channing, M Furlong, C Kania, J Pollitz
{"title":"Management development for mid-level managers: results of a demonstration project.","authors":"A R Kovner,&nbsp;A Channing,&nbsp;M Furlong,&nbsp;C Kania,&nbsp;J Pollitz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article examines a demonstration program to develop skills and experience for middle managers at a mid-sized urban hospital. Many of the middle managers selected for the program lacked formal management training or management experience prior to their present position. Elements of the program are summarized and first year accomplishments examined. Issues associated with continuation and replication of the program are discussed so that other hospitals may benefit from the lessons learned during development and implementation.</p>","PeriodicalId":77163,"journal":{"name":"Hospital & health services administration","volume":"41 4","pages":"485-502"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21034917","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
Discriminant analysis: a technique for adding value to patient satisfaction surveys. 判别分析:一种增加患者满意度调查价值的技术。
Hospital & health services administration Pub Date : 1996-01-01
K H Dansky, D Brannon
{"title":"Discriminant analysis: a technique for adding value to patient satisfaction surveys.","authors":"K H Dansky,&nbsp;D Brannon","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Quality improvement in healthcare organizations requires effective measurement of patient satisfaction. This paper describes a methodology that identifies dimensions of care most closely associated with overall perceptions of quality. A patient satisfaction survey was mailed to 2,055 discharged patients of 13 home health agencies. Patients were asked to evaluate service dimensions of home health relating to scheduling, nursing care, home health aide services, and discharge arrangements. Overall satisfaction with quality of services was used as the dependent variable in two discriminant analysis equations. Eleven dimensions discriminated between \"excellent\" and \"good\" quality, and seven dimensions discriminated between \"satisfactory\" and \"unsatisfactory\" quality. Using discriminant analysis, items most closely associated with quality indeces can be identified and used in CQI initiatives.</p>","PeriodicalId":77163,"journal":{"name":"Hospital & health services administration","volume":"41 4","pages":"503-13"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21034918","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
Human resource departments and hospital labor strategies. 人力资源部门和医院劳动策略。
Hospital & health services administration Pub Date : 1996-01-01
P L Pommerenke, S K Stout
{"title":"Human resource departments and hospital labor strategies.","authors":"P L Pommerenke,&nbsp;S K Stout","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Recently hospitals have increased their use of external labor sources, contracting many traditional functions such as pharmacy and emergency to outside labor providers. Use of external labor sources often means that traditional human resource functions such as screening, hiring, and training are performed by the external labor provider, potentially reducing the value of the HR function. Using financial and staffing data gathered by the California Statewide Health Planning and Development Office during the period 1976 to 1989, this study explores the relationship between the size of HR functions and the utilization of contingent labor.</p>","PeriodicalId":77163,"journal":{"name":"Hospital & health services administration","volume":"41 1","pages":"77-90"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21026044","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
Linkage strategies of rural hospitals--independent hospital, local health system, and/or externally linked facility. 农村医院的联动策略——独立医院、地方卫生系统和/或外部连接设施。
Hospital & health services administration Pub Date : 1996-01-01
L D Gamm, C D Kassab, S D Brannon, M L Fennell
{"title":"Linkage strategies of rural hospitals--independent hospital, local health system, and/or externally linked facility.","authors":"L D Gamm,&nbsp;C D Kassab,&nbsp;S D Brannon,&nbsp;M L Fennell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Strategies associated with ownership or management of a range of health service facilities, service sharing, and other coordination activities are important to the viability of many rural hospitals. This article articulates a set of linkage strategies employed by rural hospitals. Such strategies and their environmental and organizational correlates are assessed in a sample of 46 rural Pennsylvania hospitals.</p>","PeriodicalId":77163,"journal":{"name":"Hospital & health services administration","volume":"41 2","pages":"236-54"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21029755","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
Differences in characteristics of hospitals with sustained high and sustained low profitability. 持续高盈利和持续低盈利医院特征的差异。
Hospital & health services administration Pub Date : 1996-01-01
B Langland-Orban, L C Gapenski, W B Vogel
{"title":"Differences in characteristics of hospitals with sustained high and sustained low profitability.","authors":"B Langland-Orban,&nbsp;L C Gapenski,&nbsp;W B Vogel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The organizational and operational characteristics of 140 private Florida hospitals with sustained high profitability and sustained low profitability were compared using pretax operating margin (PTOM) and pretax return on assets (PROA) measures. Approximately 15 to 20 percent of hospitals were defined as PTOM or PROA high-profit or low-profit for the years 1990, 1991, and 1992. The PTOM or PROA high-profit groups had a lower adjusted average length of stay and debt utilization, and a higher labor yield, occupancy rate, and percent with high hospital accreditation ratings (p < .05). In addition, the PROA high-profit group had a higher case-mix index and Medicare mix (p < .05). Characteristics that were different for high-profit and low-profit groups were within the scope of management.</p>","PeriodicalId":77163,"journal":{"name":"Hospital & health services administration","volume":"41 3","pages":"385-99"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21031947","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 impact of healthcare reform on HMO administrators. 医疗改革对HMO管理者的影响。
Hospital & health services administration Pub Date : 1996-01-01
C R Bolduc
{"title":"The impact of healthcare reform on HMO administrators.","authors":"C R Bolduc","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Over the years, congressional legislation toward healthcare reform has evolved, moving toward channeling indigent populations into managed care plans. Health Maintenance Organizations (HMOs) will have to respond to increased competition caused by this shift enrollment as each entity attempts to funnel these patients into its own provider network. It is likely that some HMOs may bid too low when contracting for patients, putting these organizations at risk for financial insolvency. This paper discusses the impact of Medicaid waivers on HMO administrators. HMO executives need to develop a strategy for monitoring the financial integrity and contractual performance of new and existing HMOs in light of changes taking place with respect to healthcare reform. The transition to managed care and the shift in enrollment pose many challenges for directors of HMOs as will be discussed by analyzing lessons learned from Medicaid managed care plans in Arizona and Oregon.</p>","PeriodicalId":77163,"journal":{"name":"Hospital & health services administration","volume":"41 3","pages":"409-19"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21031949","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
Keys to patient satisfaction in the emergency department: results of a multiple facility study. 急诊病人满意度的关键:一项多机构研究的结果。
Hospital & health services administration Pub Date : 1996-01-01
M F Hall, I Press
{"title":"Keys to patient satisfaction in the emergency department: results of a multiple facility study.","authors":"M F Hall,&nbsp;I Press","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patient satisfaction is a significant issue for emergency departments. The special nature of the emergency encounter calls for a sound understanding of the factors that influence patient satisfaction. This study uses a national sample of emergency departments to identify specific elements that increase the likelihood of patients recommending the facility. We find that demographic variables such as age and sex do not significantly influence the decision to recommend. Nursing/staff items, physician issues, and waiting time are the key factors that drive satisfaction with emergency departments.</p>","PeriodicalId":77163,"journal":{"name":"Hospital & health services administration","volume":"41 4","pages":"515-32"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21034919","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
Business as usual? Changes in health care's workforce and organization of work. 一切如常?医疗保健人员和工作组织的变化。
Hospital & health services administration Pub Date : 1996-01-01
T D'Aunno
{"title":"Business as usual? Changes in health care's workforce and organization of work.","authors":"T D'Aunno","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Major changes are occurring in the health care workforce and organization of work. Such changes include, for example, a shift in workforce composition from specialists to generalists in medical care, as well as a shift from autonomous work performance to work performed in teams. This article provides a survey of such major changes. It identifies patterns of change and examines their causes. Further, we raise questions about the implications of these changes for practice and research in the health care field.</p>","PeriodicalId":77163,"journal":{"name":"Hospital & health services administration","volume":"41 1","pages":"3-18"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21026041","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
Hospital community benefits other than charity care: implications for tax exemption and public policy. 慈善护理以外的医院社区福利:对免税和公共政策的影响。
Hospital & health services administration Pub Date : 1996-01-01
T C Buchmueller, P J Feldstein
{"title":"Hospital community benefits other than charity care: implications for tax exemption and public policy.","authors":"T C Buchmueller,&nbsp;P J Feldstein","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Recent policy initiatives attempt to link the tax treatment of nonprofit hospitals more closely with the provision of social benefits. A key issue in defining these benefits is the treatment of \"community benefit\" programs and services. While their costs are often unreimbursed, these programs differ from traditional charity care in terms of the populations whom they benefit and the motivation for their provision. Community benefit programs are typically targeted to the general population, rather than the poor or other underserved groups, and often serve a marketing function.</p>","PeriodicalId":77163,"journal":{"name":"Hospital & health services administration","volume":"41 4","pages":"461-71"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21033805","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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