ISSN:0361-6274    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Total quality management has become popular among hospitals because of its promise to reconcile trade-offs between cost and quality. However, assumptions inherent in TQM may not translate to the hospital environment: hierarchical management control over the technical core and the dominance of rational decision making. This article considers these two assumptions and suggests that the application of TQM to hospitals take them into account because they may compromise its success.

ISSN:0361-6274    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Total quality management promises to reconcile cost/quality conflicts, increase customer satisfaction, and improve hospitals' competitiveness as well as operational and financial performance. This article reviews the hospital literature on TQM and concludes that there is little evidence to substantiate these claims. The article concludes with implications for research and management.

ISSN:0361-6274    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0361-6274    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0361-6274    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0361-6274    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0361-6274    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

This article discusses how geographically linked health networks with their integrated health maintenance organizations (HMOs) that are now gaining such awesome market penetration and fiscal power, and the projected cutbacks in Medicare and Medicaid reimbursement could conceivably set the stage for similar underlying conditions that led in the late 1980s to the savings and loan (S&L) debacle.

ISSN:0361-6274    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

The formation of health insurance purchasing alliances in Minnesota has caused a restructuring of the provider system. One of the results has been the formation of competing delivery systems that organize hospitals, physicians, and insurance plans into vertically and horizontally integrated organizations termed integrated service networks (ISNs). This article describes the formation of these ISNs and identifies some of the salient features that distinguish them from other provider systems.

ISSN:0361-6274    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

The principles of agency theory and how the theory can be used as a framework for the design of physician selection procedures and of physician compensation contracts and control systems for the regulation of physician practices are discussed. The theory is used to show why third party payers who wish to control expenditure for high quality health care may be better off if they enter into salary contracts rather than fee-for-service or capitation contracts with individual physicians.

ISSN:0361-6274    

出版商:OVID    

年代:1995

数据来源: OVID