ISSN:0361-6274    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

The literature on codependency has had a profound effect upon drug abuse counselors and the clients they serve. Originally derived from the alcoholism treatment field, the codependency concept is increasingly noted in the health care administration literature. Interventions such as employee assessment and counseling programs have been suggested by Sorrentino and others as ways to prevent the negative outcomes of codependent behavior among employees in health care organizations. A reassessment of the literature over the last decade, however, does not support the codependency concept or the treatment formats. Recommendations for health services administrators are subsequently offered.

ISSN:0361-6274    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

The article explores the relationship between the cost and the quality of hospital care by elaborating a conceptual model of hospital performance. The model relates the financial health status of an organization (financial integrity) to the quality of care provided by that organization (clinical integrity) within an environment that is characterized by various forms of risk. The model suggests that both concepts determine the corporate destiny (success, bankruptcy, or merger) of the organization. If this model proves valid empirically, the results could be used as an early warning system to identify hospitals that might experience financial or clinical distress.

ISSN:0361-6274    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

The health care industry in the United States has undergone many changes in recent years. One problem facing employers in this industry is the threat of unionization. The article examines union election activity since 1980 in hospitals, nursing homes, and other types of health care employers. Variance in the union victory rate was found over time and across the different sectors of the industry, types of employees involved, union involved, and sizes of the bargaining unit. The effects of geographic location and type of ownership are investigated. Decertification elections are also examined.

ISSN:0361-6274    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Hospitals have responded to industry consolidation by increasing productivity with nonmanagement, group-incentive compensation, known as gain sharing. A nationwide study conducted to obtain quantitative performance data for gainsharing programs revealed that they are most successful during the initial stages of the program. Many variables affect the size of employee bonuses and the duration of employee support. Employers must identify how to appropriately install their gain-sharing program so that employee motivation, participation, and trust in management are maximized.

ISSN:0361-6274    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Antitrust and competitive issues are intertwined with efforts to control health care costs. Whether hospital competition holds down costs is an issue of much controversy and is the topic of this article. The findings are consistent with the hypothesis that hospitals compete primarily on a nonprice basis. This suggests that a more flexible application of antitrust policy to hospital mergers will reduce cost increases and will improve efficiency. A step in this direction may be necessary if the managed care plans discussed by the Clinton administration create highly concentrated provider networks.

ISSN:0361-6274    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Through case studies of 10 matched pairs of winner and loser hospitals under the Medicare prospective payment system (PPS), specific characteristics and management actions were identified that are related to strong financial performance. Because other payers are increasingly adopting PPS-like cost control incentives and because managed care is fundamental to the national health care reform debate, the successful strategies identified in this article may be of increasing importance to hospital managers.

ISSN:0361-6274    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

During the mid-1980s, hospital prospective payment regulation was associated with major changes in medical practice, resulting in initially significant reductions in the rate of growth of inpatient costs. More recently, the rate of growth of hospital costs has returned to historic levels, yet most hospitals have been reluctant to intensify their economic monitoring of physicians. Using data from a large teaching hospital in the Midwest, this article presents a model of marginal profitability by payor and by relative physician costliness. The results illustrate the mixed incentives for hospitals to reduce costly medical practice variations.

ISSN:0361-6274    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

In this study, the operating performances of not-for-profit community hospitals are compared among groups partitioned by bond ratings, level of debt insurance coverage, and number of bond rating services. The analysis indicates that the performances of hospitals with full debt insurance coverage resulting in AAA ratings are significantly lower than those of hospitals with partial debt insurance and with AA ratings or better. Indeed, the hospitals with full debt insurance resemble those with partial insurance that are rated BBB to A. These findings have implications for managerial action choices. Hospitals seeking external funding to improve their operating performance may consider the costs and benefits of full insurance coverage.

ISSN:0361-6274    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:0361-6274    

出版商:OVID    

年代:1994

数据来源: OVID