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Case studies in health administration最新文献

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Case twelve. Positioning a small rural hospital to respond to the requirements of a recently enacted state-wide medically indigent assistance act. 十二。定位一个小型农村医院，以响应最近颁布的全州医疗贫困援助法案的要求。
Case studies in health administration Pub Date : 1990-01-01
M E Garrigan
{"title":"Case twelve. Positioning a small rural hospital to respond to the requirements of a recently enacted state-wide medically indigent assistance act.","authors":"M E Garrigan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The case hospital was required to strategically respond to significant environmental challenges brought into play by the legislative enactment of a new Medically Indigent Assistance Act (MIAA). Publicity surrounding the debate leading up to the passage of the new law by the state legislature placed the hospital under unprecedented scrutiny by local taxpayers, healthcare recipients, elected officials, advocates for the poor and other local providers of healthcare services. This case reports the implementation of a highly desired strategy on the part of the hospital and the necessary roles of multiple stakeholders in the realization of hospital strategy. The case also illustrates the spill-over effects of stakeholder relationships developed in pursuit of particular strategy on the organization's ability to pursue future strategy.</p>","PeriodicalId":79572,"journal":{"name":"Case studies in health administration","volume":"8 ","pages":"117-21"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20988909","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
Case nine. Two hospitals struggling to survive in a small rural community. 九。在一个小农村社区，两家医院挣扎着生存。
Case studies in health administration Pub Date : 1990-01-01
H A Gaidos
{"title":"Case nine. Two hospitals struggling to survive in a small rural community.","authors":"H A Gaidos","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>St. Luke's Hospital was the only hospital in town until 26 years before the time of the case. In the late 1950s St. Luke's Hospital was overcrowded and in dire need of renovation and expansion. Plans were devised and the hospital applied for Hill-Burton money to expand. At the same time, a group of local citizens decided to also apply for Hill-Burton money to build another hospital, County Memorial, in the community. The Hill-Burton money was divided and both received money. Both facilities opened within months of each other. For about 10 to 12 years, both hospitals prospered. At the time of the case, competition has heated up between the two facilities. Attempts at collaboration fail; the story is one of wasted resources and community pain because of the lack of ability of two competitors to put aside differences for mutual benefit. The case ends with there being only one hospital in town. Read alone, the case is instructive in terms of the difficulties created when organizations value survival in a known form above all else. Read and considered in concert with Case Eight, it encourages contemplation of the pros and cons of head-on competition versus collaboration.</p>","PeriodicalId":79572,"journal":{"name":"Case studies in health administration","volume":"8 ","pages":"99-102"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20988849","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
Case one. Evolution of a strategic plan: an organizational perspective. 案例1。战略计划的演变:组织视角。
Case studies in health administration Pub Date : 1990-01-01
G C Van Pelt
{"title":"Case one. Evolution of a strategic plan: an organizational perspective.","authors":"G C Van Pelt","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The practice of strategic planning, both in business and healthcare, greatly expanded during the 1970's. Many process models were proposed and applied to determine environmental threats and opportunities, to identify achievable goals and to predetermine achievable courses of action. Developing and maintaining a strategic planning process is described as a requirement for healthcare organizations. This case report is a study of the successful evolution of a planning process which the author presents as a model for other institutions. The case describes the development of a formal process for strategy formulation, based on economic definitions of strategy, under what Ansoff would consider ideal conditions. It is unique in that it ties the process to product line management implementation.</p>","PeriodicalId":79572,"journal":{"name":"Case studies in health administration","volume":"8 ","pages":"41-6"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20988841","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
Case six. Introducing product line management in a multi-institutional healthcare organization. 例6。在多机构医疗保健组织中引入产品线管理。
Case studies in health administration Pub Date : 1990-01-01
E D Vaughn
{"title":"Case six. Introducing product line management in a multi-institutional healthcare organization.","authors":"E D Vaughn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This case reports a major shift in growth orientation pursued by a multi-institutional system--systemwide product line management. Competitive response to one environmental disruption led to the initiation of a year-long study to re-evaluate the corporation's mission, goals, strategies, growth and action orientations and organizational structure in light of the dramatic changes occurring in healthcare delivery. Of particular interest in this case is the connectedness between growth and action orientations, organizational culture, management style and organizational structure.</p>","PeriodicalId":79572,"journal":{"name":"Case studies in health administration","volume":"8 ","pages":"81-8"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20988846","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
Case three. Developing a strategic plan through the use of task forces. 例3。通过使用工作组制定战略计划。
Case studies in health administration Pub Date : 1990-01-01
F J DeMarco
{"title":"Case three. Developing a strategic plan through the use of task forces.","authors":"F J DeMarco","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although Carolina Community found itself continuing to grow and expand at a time when most facilities in the area were suffering from census declines, it was obvious that continuation of such growth would require more sophisticated strategic planning. At the time of the study, Carolina Community was growing in all areas. Inpatient census as well as outpatient utilization were taxing the resources of the organization. The strategic location of the facility and the support of a committed medical staff provided the institution with a competitive advantage over the other area facilities in the past. In the span of three months, two major competing institutions made strategically significant organizational changes. Both institutions hired new administrators known for their aggressiveness and organizational abilities. It became obvious very quickly that the playing field would soon be changing. No longer would Carolina Community's administration be able to move aggressively to protect and expand its markets without fear of competition. Carolina Community is a hospital with a long-standing tradition of formal strategic planning forced by a rapid \"heating up\" of the environment to respond much more quickly than it has had to in the past and much more quickly than it is currently able. The case report describes a change in strategy formulation process which was designed to speed up response time and to modify the organization along Ansoff's eight characteristics to a more environmentally appropriate configuration.</p>","PeriodicalId":79572,"journal":{"name":"Case studies in health administration","volume":"8 ","pages":"55-60"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20988843","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 evolution of strategy. 战略的演变。
Case studies in health administration Pub Date : 1990-01-01
{"title":"The evolution of strategy.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79572,"journal":{"name":"Case studies in health administration","volume":"8 ","pages":"i-viii, 1-129"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20988906","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
Case two. Development of a strategic plan and the planning process at a medical center. 例2。医疗中心战略计划的制定和规划过程。
Case studies in health administration Pub Date : 1990-01-01
A C Holm
{"title":"Case two. Development of a strategic plan and the planning process at a medical center.","authors":"A C Holm","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 1983, the medical center had no strategic planning process and no individual or department with an identified responsibility for planning to meet the needs of the organization and its service community. There were limited resources to apply to this endeavor and a prevailing attitude among current leadership that any planning done should be focused solely on facilities development. While the process pursued in this case is similar to that in Case One, unlike Case One, conditions within the organization are less than ideal for the implementation of any process, formal or informal, for the formulation of strategy. Read alone, the case is instructive. Considered in combination with Case One, it provides grist for a good discussion of the differences between organizations which have the capacity to be strategically managed and those which have learning to do.</p>","PeriodicalId":79572,"journal":{"name":"Case studies in health administration","volume":"8 ","pages":"47-54"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20988842","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
Case seven. Managing mature operations in a competitive environment. 例7。在竞争环境中管理成熟的业务。
Case studies in health administration Pub Date : 1990-01-01
J D Taylor
{"title":"Case seven. Managing mature operations in a competitive environment.","authors":"J D Taylor","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this case, a medical center learns how to evaluate each of its services along a Product Life Cycle curve. Each stage of the cycle has characteristics that suggest appropriate strategic growth and action orientations. When services were plotted along the Product Life Cycle curve, many of the services were found to be mature or making the transition from growth to maturity. At the time of the case, Memorial Medical Center's competitors were entering many of its traditional markets creating a strong competition for market share. Greater competitive emphasis on performance and price reduced profits in the medical center's mature services. The case reports the medical center's approach to modifying its action orientation in light of a better understanding of organizational competence.</p>","PeriodicalId":79572,"journal":{"name":"Case studies in health administration","volume":"8 ","pages":"89-92"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20988847","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
Alternative delivery systems. Approaches for the health care executive. 替代交付系统。医疗保健主管的方法。
Case studies in health administration Pub Date : 1988-01-01
S Levy, J Hill
{"title":"Alternative delivery systems. Approaches for the health care executive.","authors":"S Levy,&nbsp;J Hill","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79572,"journal":{"name":"Case studies in health administration","volume":"7 ","pages":"1-95"},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21166785","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
Case study: medical school affiliated teaching hospital: an agreement for a non-union contract with house officers. 案例研究:医学院附属教学医院:与住院部官员签订的非工会合同协议。
Case studies in health administration Pub Date : 1987-01-01
F L Hair
{"title":"Case study: medical school affiliated teaching hospital: an agreement for a non-union contract with house officers.","authors":"F L Hair","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79572,"journal":{"name":"Case studies in health administration","volume":"6 ","pages":"84-101; discussion 101"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21185925","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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