{"title":"Gender differences in factors affecting health care administration career development.","authors":"A Walsh, S C Borkowski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>At first glance, a woman's prospects for a career in health administration seem encouraging. More than half of the recent graduates of health administration master's programs are female, and initially post-master's salaries are comparable with those of male graduates. Unfortunately, opportunities for promotion and financial benefits seem to decrease for women and expand for men as their respective careers progress. This study found that, with the same educational background, men earned an average of $51,491 annually, compared to $50,839 for women, in health care administration. We examined gender differences in organizational and individual factors that have been modeled as influences on career development. These factors include financial and nonfinancial benefits, access to training programs, success factors, demographics, and motivating factors underlying education, employment, and career choices. Some evidence of gender differences in the organizational and individual factors affecting career development is provided. Academic and professional strategies addressing these differences are suggested for consideration by both professional and university administrators.</p>","PeriodicalId":77163,"journal":{"name":"Hospital & health services administration","volume":"40 2","pages":"263-77"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21015082","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}
M D Fottler, M A Crawford, J B Quintana, J B White
{"title":"Evaluating nurse turnover: comparing attitude surveys and exit interviews.","authors":"M D Fottler, M A Crawford, J B Quintana, J B White","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>High turnover rates among hospital nurses demand rigorous and valid processes of research to determine the reasons motivating such attrition. In most hospitals, the exit interview often provides the only relevant data. The case study reported here examines the relative effectiveness of exit interviews and an employee attitude survey in generating data that are useful in managing nurse retention. The conclusion reached is that the attitude survey generates more data and higher-quality data. Further, the study shows that the use of open-ended questions can provide useful information and probably should be the starting point in developing or supplementing an attitude survey for nurses. Recommendations for improving the usefulness and validity of nurse attitude surveys and exit interviews in managing nurse retention are provided.</p>","PeriodicalId":77163,"journal":{"name":"Hospital & health services administration","volume":"40 2","pages":"278-95"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21015083","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}
{"title":"Medical staff consolidation issues and concerns.","authors":"G Maynard, M D Lagerwey, J M Wendling, D Kindig","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the past decade there have been increases in health care consolidations. While the literature on hospital mergers is abundant, there is little on mergers of medical staffs. In this study, we interviewed senior administrators in 22 midwestern medical institutions that had consolidated between 1987 and 1990. Our study is an exploration of topics of concern that administrators have encountered during processes of medical staff consolidation. Administrators stated that the medical staff was most concerned about relationships with nursing and support staff, \"turf\" issues, and a sense of loss. They recommended that increased attention be paid to specific local issues and that there be active involvement and communication between medical staff and administrators at all phases of the consolidation process.</p>","PeriodicalId":77163,"journal":{"name":"Hospital & health services administration","volume":"40 3","pages":"348-61"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21016078","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}
{"title":"Really governing: what type of work should boards be doing?","authors":"D D Pointer, C M Ewell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Effectiveness is generally defined as \"doing the right things.\" To be effective, boards of health systems and hospitals must have a clear, precise, and shared image of the type of work they should be doing to really govern their organizations. This article forwards a paradigm of board work--the five ultimate responsibilities and three core roles of governance. The paradigm is then employed to discuss the division of responsibilities and roles among boards and their standing committees, and superordinate and subordinate boards in tiered governance situations typical of many multifacility and integrated health care delivery systems.</p>","PeriodicalId":77163,"journal":{"name":"Hospital & health services administration","volume":"40 3","pages":"315-31"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21017635","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}
{"title":"Business strategy and financial structure: an empirical analysis of acute care hospitals.","authors":"G O Ginn, G J Young, R I Beekun","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study investigated the relationship between business strategy and financial structure in the U.S. hospital industry. We studied two dimensions of financial structure--liquidity and leverage. Liquidity was assessed by the acid ratio, and leverage was assessed using the equity funding ratio. Drawing from managerial, finance, and resource dependence perspectives, we developed and tested hypotheses about the relationship between Miles and Snow strategy types and financial structure. Relevant contextual financial and organizational variables were controlled for statistically through the Multivariate Analysis of Covariance technique. The relationship between business strategy and financial structure was found to be significant. Among the Miles and Snow strategy types, defenders were found to have relatively high liquidity and low leverage. Prospectors typically had low liquidity and high leverage. Implications for financial planning, competitive assessment, and reimbursement policy are discussed.</p>","PeriodicalId":77163,"journal":{"name":"Hospital & health services administration","volume":"40 2","pages":"191-209"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21013727","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}
{"title":"Hospital staffing adjustments under global budgeting.","authors":"L A Lehner, J F Burgess, T Stefos","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The U.S. Department of Veterans Affairs operates a hospital system that distributes a national global budget to 159 hospital units. Over recent years, cost containment and downward budgetary pressures have affected hospital performance and the quality of care delivered in unknown ways. This article examines hospital staffing levels as potential performance measures. We first develop a regression model to estimate the number and types of clinical staff required to meet current inpatient workloads at VA medical centers. We are able to improve on previous analyses by employing better data on physicians and by evaluating the behavior of hospitals in consecutive years. Our findings provide managers of hospital systems with promising new approaches for comparing hospital production processes and more information on the effects of global budgeting on individual hospital staffing within systems.</p>","PeriodicalId":77163,"journal":{"name":"Hospital & health services administration","volume":"40 4","pages":"509-23"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21023807","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}
{"title":"Comparisons of medical technology in Canadian, German, and U.S. Hospitals.","authors":"T P Weil","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>One strategy proposed to constrain our health costs is to regulate the acquisition of and to centralize the availability of tertiary care services. American hospitals provide significantly more sophisticated equipment per million persons than is available either in Canada or Germany in six of seven expensive medical technologies studied (radiation therapy being the exception). The regionalization of tertiary care resources should be stimulated by the fiscal incentives inherent in managed care and capitated payment, additional shortfalls in Medicare and Medicaid reimbursement, and hospitals, physicians, and insurance companies' organizing health networks. These trends could eventually force an increasing number of community hospitals to eliminate their expensive sophisticated services.</p>","PeriodicalId":77163,"journal":{"name":"Hospital & health services administration","volume":"40 4","pages":"524-33"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21023808","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}
{"title":"The patient as the pivot point for quality in health care delivery.","authors":"C A Lengnick-Hall","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Health care enterprises make comprehensive and durable changes in people. This human-centered purpose defines the fundamental nature of quality in health care settings. Traditional perspectives of quality and familiar views of customer satisfaction are inadequate to manage the complex relationships between the health care delivery firm and its patients. Patients play four roles in health care systems that must be reflected when defining and measuring quality in these settings: patient as supplier, patient as product, patient as participant, and patient as recipient. This article presents a conceptual model of quality that incorporates these diverse patient roles. The strategic and managerial implications of the model are also discussed.</p>","PeriodicalId":77163,"journal":{"name":"Hospital & health services administration","volume":"40 1","pages":"25-39"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21013038","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}
{"title":"Quality improvement: beyond the institution.","authors":"A D Kaluzny, C P McLaughlin, D Kibbe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article considers the potential of community-based quality improvement initiatives. Challenges facing managers as they function beyond the institution are presented along with action steps to assure the potential success of quality improvement within the larger community.</p>","PeriodicalId":77163,"journal":{"name":"Hospital & health services administration","volume":"40 1","pages":"172-88"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21013037","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}
C S Weisman, A F Minnick, J A Dienemann, S D Cassard
{"title":"Management education for nurses: hospital executives' opinions and hiring practices.","authors":"C S Weisman, A F Minnick, J A Dienemann, S D Cassard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Because registered nurses are assuming expanded roles in hospital management, the appropriate educational preparation for these roles has become a widely debated issue. A national survey of hospital CEOs and CNOs was conducted to assess their personal preferences for management education for nurses and to gather information about their hospitals' policies and practices in hiring nurses for management positions at various levels within the hospital (from unit-level management to executive level). Both CEOs and CNOs preferred the joint MSN/MBA degree option as the best model for graduate management education for nurses, and they perceived greater demand in the future for hospital nurses with graduate management degrees. However, hospital policies and practices with regard to degree requirements and preferences for nurses hired in management positions at all levels varied widely.</p>","PeriodicalId":77163,"journal":{"name":"Hospital & health services administration","volume":"40 2","pages":"296-308"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21015084","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}