ISSN:0361-6274    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

The history of total hip replacement in the U.S. demonstrates that health care providers can reduce costs while improving quality. Nationwide, the cost of total hip replacements has declined dramatically while quality has improved. This article describes 14 clinical and management innovations ranging from patient education to competitive bidding.

ISSN:0361-6274    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Integrated delivery systems that promote learning and flexibility will be better prepared to face the challenges imposed by a complex and competitive environment. The integration of learning into these systems requires a shared vision, facilitative leadership, and highly functioning communication channels within an organic structure. Strategies that promote positive attitudes toward change are necessary for learning as is the provision of resources, training, incentives, and rewards that support learning, and feedback on how new administrative and clinical practices advance the mission and goals of the system.

ISSN:0361-6274    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

A review of the current literature on retiree health benefits finds that supplemental coverage for the majority of Medicare beneficiaries is in the form of employer-provided coverage. Findings in current literature also suggest that Medicare risk contracts can contain costs but efforts must be made to provide quality information to Medicare beneficiaries in order to increase enrollment in HMOs. Finally, a linear relationship is implied between income and the probability of supplementary insurance ownership.

ISSN:0361-6274    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Whether the health field in the United States should have more competition or more government regulation is now at the center of the public policy debate. After examining the market-driven and regulatory models to constrain cost and improve access to care, this article argues against supporting either extreme and instead favors a blended approach where the emphasis is on practicality rather than ideological exactness. Such a mixed strategy is predicted to eventually gain acceptance, legitimacy, and momentum, since such a hybrid design is more consistent with America's cultural and political values.

ISSN:0361-6274    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

The literature related to selection interviewing dates, at least, to 1915. The focus of that literature and the conclusions represented by the various authors assumed that the employment selection interview had limited validity or predictive value until the late 1980s. Papers appearing since contradict those conclusions. This article proposes that the selection interview can be a valid portion of the hiring process to the degree that each is highly structured.

ISSN:0361-6274    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

This article creates a medical technology index to serve as a benchmark in strategic assessment of community hospitals. An expert panel assigned weights to the six components in the index. Empirical validation is achieved by regressing bond ratings on the index and using the index with eight other factors in explaining net incomes of community hospitals.

ISSN:0361-6274    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Academic health centers (AHCs) and managed care organizations (MCOs) appear to be on a collision course. Is it possible to develop a partnership to enable both parties to achieve their respective goals and objectives? The Kimmel Cancer Center of Thomas Jefferson University and AEtna US Healthcare™, one of the nation's largest MCOs, have developed an alliance designed to generate cancer prevention and control research. This arrangement engages the participants in a collaborative effort that is aimed at creating new knowledge that can be used to enhance the provision of health care to a defined population.

ISSN:0361-6274    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

The greater Dayton area has begun building the nation's first advanced technology community network for sharing patient medical information among independent hospitals. Its success in doing so has resulted from the surmounting of numerous business and technical barriers. Others planning to develop such networks can learn from the Dayton experience.

ISSN:0361-6274    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Conversions of nonprofit hospitals to for-profit status have been controversial because of concerns that community interests are not represented in the deals. As a result, several states have either passed or are considering conversion legislation. However, dramatic variability among states in approaching conversions remains, including the extent of attorney general intervention. Federal or state legislation could standardize rules for nonprofit conversions, but such comprehensive legislation is unlikely. Instead, this article argues that CEOs and trustees of nonprofit organizations undergoing conversions must honor their fiduciary duties to ensure that a conversion represents community interests.

ISSN:0361-6274    

出版商:OVID    

年代:1998

数据来源: OVID