Alberto Coustasse, Karan P Singh, Sue G Lurie, Yu-Sheng Lin, Claudia S Coggin, Fernando Trevino
{"title":"Gender disparities: a medical detoxification program.","authors":"Alberto Coustasse, Karan P Singh, Sue G Lurie, Yu-Sheng Lin, Claudia S Coggin, Fernando Trevino","doi":"10.1300/j375v18n01_03","DOIUrl":"https://doi.org/10.1300/j375v18n01_03","url":null,"abstract":"<p><p>Significant gaps exist in health care regarding gender in the United States. Health status, social roles, culturally patterned behavior and access to health care can be influenced by gender. Women have been the primary users of health care and minority women usually have received poorer quality care than Non-Hispanic White (NHW) females. The objectives of this study were to identify gender, racial and ethnic disparities in access to substance abuse treatment in a Texas hospital. Secondary data collected on 1,309 subjects who underwent detoxification were studied. Gender, race/ethnicity, drug of abuse, relapse and financial classification were included in the analysis. Results indicate Hispanic females and Non-Hispanic Black (NHB) females were about 5 and 3.5 more likely than NHW females to use Medicaid services respectively (p < .05). NHW and NHB males were more likely to use Medicare than females (p < .05). NHB and Hispanic females were 5.8 and 2.1 times more likely to receive care for abuse of cocaine when compared to NHW females respectively (p < .05). Hispanic females were 2.3 times more likely to relapse than Non-Hispanic females, and uninsured NHB females were 7.1 times at a higher risk to abuse multiple drugs compare to NHW females (p < .05). Socio-economic factors, lower labor force participation rates, and less financial independence can explain females utilizing more often Medicaid regardless of their race/ethnicity. These results can be also explained by aggressive case management utilization, socio cultural barriers and/or discriminatory practices, both intentional and unintentional.</p>","PeriodicalId":84996,"journal":{"name":"Journal of hospital marketing & public relations","volume":"18 1","pages":"21-37"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/j375v18n01_03","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27417451","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":"Case studies in medical futility.","authors":"Douglas A Mains, Alberto Coustasse, Sue G Lurie","doi":"10.1300/j375v18n01_05","DOIUrl":"https://doi.org/10.1300/j375v18n01_05","url":null,"abstract":"<p><p>Technology has provided means to sustain life and provide care regardless of whether the treatment is appropriate and compassionate given the condition of the patient. This study presents two case histories, compiled from historical patient charts, staff notes and observations, that illustrate the variety of ethical issues involved and the role culture plays in the decision making process related to possible futile medical treatment. Ethical and cultural issues related to the cases are discussed and processes are presented that can help hospitals to avoid, or decrease the level of, medically futile care, and improve the cultural appropriateness of medical care and relationships with patients.</p>","PeriodicalId":84996,"journal":{"name":"Journal of hospital marketing & public relations","volume":"18 1","pages":"61-70"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/j375v18n01_05","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27418126","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":"Proposed treatment program for acute renal failure (ARF) in the United Republic of Tanzania as a model for sub-Saharan Africa.","authors":"Mary Carter, John Callegari","doi":"10.1300/j375v18n01_07","DOIUrl":"https://doi.org/10.1300/j375v18n01_07","url":null,"abstract":"<p><p>To date, no sustainable treatment program exists for kidney failure in countries in sub-Saharan Africa. No data are available on the incidence, prevalence or cause of chronic kidney disease (CKD). The world's focus has been on treating 'priority diseases' as defined by the United Nations Millennium Project and the World Health Organization because of their high mortality rates. This is understandable because HIV/AIDS, tuberculosis, diarrheal diseases and malaria claim majority of the lives; however, in many cases, the mortality is due to acute renal failure (ARF) as a consequence of the progression of these diseases. Moreover, to date, no data are available on mortality rates due to ARF as a consequence of these 'priority diseases.' Sustainable Kidney Care Foundation (SKCF), working with industry, institutions, universities and funding organizations, is in the process of establishing a pilot program for the treatment of acute renal failure (ARF) using peritoneal dialysis (PD) as the modality of choice with a special focus on treating children and women of childbearing age in the United Republic of Tanzania.</p>","PeriodicalId":84996,"journal":{"name":"Journal of hospital marketing & public relations","volume":"18 1","pages":"81-8"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/j375v18n01_07","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27418128","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}
Alberto Coustasse, Douglas A Mains, Kristine Lykens, Sue G Lurie, Fernando Trevino
{"title":"Organizational culture in a terminally ill hospital.","authors":"Alberto Coustasse, Douglas A Mains, Kristine Lykens, Sue G Lurie, Fernando Trevino","doi":"10.1300/j375v18n01_04","DOIUrl":"https://doi.org/10.1300/j375v18n01_04","url":null,"abstract":"<p><p>This study analyzed an organizational culture in a community hospital in Texas to measure organizational culture change and its impact on Patient Satisfaction (PS). The study employed primary and secondary data, combining quantitative and qualitative methods for a case study. Participant observation was used and archival data were collected to provide a better understanding of the organizational culture and the context in which change was taking place. This study also applied a \"Shared Vision\" of the organization as the central process in bringing forth the knowledge shared by members of the community hospital who were both subjects and research participants. The results from the study suggest an increase in PS due to the shared vision of one subculture within the hospital. There were powerful subcultures in this organization based on occupation and specialization, and their interests and functional orientations were not conducive to a systems approach. Hospital management was conducted in \"silos\" and there was lack of feedback between organizational levels of the hospital, especially in financial management, with organizational dysfunctionality in reacting and adapting to the health care market.</p>","PeriodicalId":84996,"journal":{"name":"Journal of hospital marketing & public relations","volume":"18 1","pages":"39-60"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/j375v18n01_04","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27417452","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 activity and hospital profits.","authors":"Charles E Hegji","doi":"10.1300/J375v17n02_02","DOIUrl":"https://doi.org/10.1300/J375v17n02_02","url":null,"abstract":"<p><p>The paper uses data from a cross section of southeastern hospitals to examine which activities are profitable for hospitals. The analysis suggests that hospitals may operate at less than profit-maximizing levels of output. In addition, contrary to popular belief emergency rooms are shown to be profit generating centers for hospitals.</p>","PeriodicalId":84996,"journal":{"name":"Journal of hospital marketing & public relations","volume":"17 2","pages":"3-11"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J375v17n02_02","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27112025","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":"Managing retention.","authors":"Tony Carter","doi":"10.1300/j375v18n01_08","DOIUrl":"https://doi.org/10.1300/j375v18n01_08","url":null,"abstract":"<p><p>To build this process it is necessary to consult customers for preferences, build familiarity and knowledge to build a relationship and conduct business in a customized fashion. The process takes every opportunity to build customer satisfaction with each customer contact. It is an important process to have, since customers today are more demanding, sophisticated, educated and comfortable speaking to the company as an equal (Belk, 2003). Customers have more customized expectations so they want to be reached as individuals (Raymond and Tanner, 1994). Also, a disproportionate search for new business is costly. The cost to cultivate new customers is more than maintaining existing customers (Cathcart, 1990). Other reasons that customer retention is necessary is because many unhappy customers will never buy again from a company that dissatisfied them and they will communicate their displeasure to other people. These dissatisfied customers may not even convey their displeasure but without saying anything just stop doing business with that company, which may keep them unaware for some time that there is any problem (Cathcart, 1990).</p>","PeriodicalId":84996,"journal":{"name":"Journal of hospital marketing & public relations","volume":"18 1","pages":"89-112"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/j375v18n01_08","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27418129","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":"Why do patients select a hospital? A conjoint analysis in two German hospitals.","authors":"Jens Leister, Jürgen Stausberg","doi":"10.1300/J375v17n02_03","DOIUrl":"https://doi.org/10.1300/J375v17n02_03","url":null,"abstract":"<p><p>Patients decide on where to consume hospital services in Germany. Thus, the understanding of the exact hospital selection criteria and their weights is important. This research reviews the antecedents of hospital selection utilizing the conjoint methodology with regard to six questions. (1) Which are the relevant choice criteria, and (2) what are their weights? (3) Which criteria receive an increased importance in the absence of experience? (4) Do differences between compulsory and privately insured patients, (5) between hospitals with regard to their size, and (6) between female and male patients exist? The relevance and importance of nine pre-selected criteria are determined through two conjoint analyses. Experience is found to be most important followed by referral by general practitioner, certified quality management system, positive press coverage, recommendation by relatives and acquaintances and distance to the hospital. Reception area design and the personnel's friendliness, the website quality and the published quality report are less relevant. Without experience, reception area design, personnel's friendliness and distance to the hospital receive an increased importance. In addition, for some criteria notable discrepancies between female and male patients and between patients with different insurance policies are found.</p>","PeriodicalId":84996,"journal":{"name":"Journal of hospital marketing & public relations","volume":"17 2","pages":"13-31"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J375v17n02_03","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27112026","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":"A discussion of refractive medical behavior from an experiential marketing viewpoint.","authors":"Yung-Ching Ho, Ye-Chuen Li, Tzu-Hsin Su","doi":"10.1300/J375v16n01_05","DOIUrl":"https://doi.org/10.1300/J375v16n01_05","url":null,"abstract":"<p><p>Since the launch of National Health Insurance System, the financial source of funding for hospital financing has been reduced. Meanwhile, more and more customers attach importance to the experience of the medical process. Our study adopts \"strategic modules of experiential marketing\" by Schmitt to be the theoretical basis and proceed with in-depth interviews to discuss the influence of \"medical behavior\" on customers' experiences. We interviewed 32 patients who had a refractive surgery experience. The results show there are 10 propositions, which could be developed from 5 experiential modules - SENSE, FEEL, THINK, ACT, and RELATE - of customers' medical experiences. This study clarifies the experiences of customers during the process of a refractive surgery experience in order to provide medical institutions with the direction of experiential marketing to consider how to use experiential providers to reinforce customers' experiences.</p>","PeriodicalId":84996,"journal":{"name":"Journal of hospital marketing & public relations","volume":"16 1-2","pages":"45-68"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J375v16n01_05","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26465740","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}
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