Medicine and Health Sciences Commons^™

Three Essays On Informal Payments In The Health Care Sector In Russia, Alexandra Polovinka

Dissertations

Health care is one of the most corrupt sectors in Russia. In 2015 twenty percent of patients paid a bribe for the health care services once or twice, and thirteen percent more than twice (Russian Public Opinion Research Center, 2015). Using data on adults from over 5,000 households in Russia, this three-essay study analyzes out-of-pocket formal (official) and informal (unofficial, bribes) payments for the health care.

In the first essay, I study whether there is a difference in the amount of unofficial pay-ments across five types of health care services (ambulance, inpatient, outpatient, dental, and medical checkups) and two types …

Hospital Practices Related To Breastfeeding In Mississippi: A Socio-Ecological Approach, Amir Alakaam

Dissertations

Mississippi continues to have one of the lowest rates and the weakest support in respect to breastfeeding in the nation (Centers for Disease Control and Prevention, 2014a). Hospital practices supporting breastfeeding such as the Ten Steps to Successful Breastfeeding (TSSB) can dramatically increase breastfeeding rates and duration (Rosenberg, Stull, Adler, Kasehagen, & Crivelli-Kovach, 2008). The aim of this study was to explore breastfeeding practices in Mississippi hospitals based on two levels of the Socio-Ecological Model: the organizational level (phase I) examined the hospital practices based on the level of implementation of the TSSB; the individual level (phase II) examined knowledge …

Emotional Intelligence And Community Healthcare Productivity, Christopher Jacob Fox

Dissertations

Economic crisis is threatening state budgets. The strain on state budgets effects pensions and the healthcare benefits to communities. Rising healthcare costs and lagging insurance reimbursement rates are forcing healthcare organizations to sustain programs with fewer financial resources. Research studies indicate that payment increases from Medicare and Medicaid will not keep pace with the historical trend in hospital cost inflation (Kaufman, 2011). Of the healthcare facilities affected by federal budget constraints are community mental healthcare centers. The strain on state budgets has taken its toll on community mental healthcare facilities in particular struggling under the healthcare reform initiatives (Simpson, 1995). …

Exploring The Relationship Between Adventist Hospital Board Chair Leadership Behaviors And Effectiveness, Anthony M. Stahl

Dissertations

Problem and Purpose. There is a lack of empirical research regarding the leadership behaviors that predict an effective community hospital board chair. Researchers indicate that an effective organization normally has a well-led board. However, the chair role has been largely neglected in the research of board functions and operations. With many hospitals facing reorganization or closing, it is important to understand and identify effective chair behaviors. Thus, the purpose of this study was to determine the relationship between hospital chair leadership behaviors and effectiveness, and the relationship of effective chairs to effective hospitals.

Method. This study used an ex post …

The Impact Of A Direct Care Training Program On The Self-Efficacy Of Newly Hired Direct Care Employees At State Mental Health Facilities, Marcus Wayne Lewis

Dissertations

Self-efficacy has been shown to be an important element in the success of individuals in a variety of different settings. This research examined the impact of a two week new employee orientation training program on the general and social self-efficacy of newly hired direct care employees at state mental health facilities. The research showed that the training program did not have a statistically significant impact on the social self-efficacy of the new employees after the training or after one month on the job. The research also showed that the two week new employee orientation program did not have a statistically …

The Health Of Patient Privacy: The Patient's Perspective On The Hipaa Protected Health Information, Deborah Lange-Kuitse

Dissertations

Problem

As healthcare entities continue to focus on HIPAA compliance, they must enforce policies that require patients to sign and express understanding of the organization’s privacy policies. It appears the patient’s perspective on healthcare privacy has not been considered within the HIPAA privacy ruling. Patients are healthcare consumers, yet little research has been done on assessing the individual consumer’s perspective on what Protected Health Information (PHI) is actually important to protect and from whom it is important to protect it.

Method

A quantitative survey was developed and distributed to the participants of the Carnegie group, an independent insurance firm in …

Identification Of Seventh-Day Adventist Health Core Convictions : Alignment With Current Healthcare Practice, Randall L. Haffner

Dissertations

Purpose. The prevailing literature suggests that organizations can sustain their vitality and longevity by preserving their core ideology. The purpose of this study is to define and articulate the core convictions of Seventh-day Adventist healthcare and then investigate how the leaders' and employees' cognitive understandings, behaviors, and affective attachments align at Florida Hospital in Orlando, Florida.

Method. This two-phased sequential exploratory study utilizes qualitative research to define the core convictions of Seventh-day Adventist healthcare through historical literature review, analysis of official Church publications, four commissioned scholarly papers, and one-on-one interviews with seasoned healthcare administrators. These findings are then used to …

Intuitive Decision Making And Leadership Style Among Healthcare Executives In The United States, Cherie Whiting

Dissertations

The purpose of this two-phased, sequential, exploratory, mixed-methods study was to survey a sample of Fellows in the American College of Healthcare Executives in the United States and then interview selected individuals who scored in the highly intuitive category on the intuition survey to explore how they made intuitive decisions. In the first phase, quantitative research questions addressed the relationship between leadership style and the potential to make intuitive decisions, as well as the relationship and interaction between the potential to make intuitive decisions and age, gender, and size of company. In the second phase, qualitative interviews were used to …

Perceived Leadership Style, Style Flexibility, And Style Effectiveness Of Government Hospital Administrators In Thailand, Pongsin Chuwattanakul

Dissertations

Problem. Many health care organizations have a great need for leaders who can handle the complex mix of health care facilities, legal and patient demands. Currently, hospital administrators of government-operated hospitals in Thailand are selected from physicians. These physicians are not directly trained to be professional hospital administrators. It was the purpose of this study to study and reveal their leadership styles.

Method. A descriptive design was used to study the leadership styles, style flexibility, and style effectiveness of hospital administrators in self-reports and as perceived by supervisors. The LBA II-Self (Leader Behavior Analysis II: Self Perceptions of Leadership Style) …

An Exploratory Study Of Nursing Personnnel Needs In Seventh-Day Adventist Hospitals In The Continental United States With A View To Educational Assessment And Planning, Robert Thompson Andrews

Dissertations

Problem. The purpose of this study was to collect, organize, and analyze data from Seventh-day Adventist hospitals, nurses, SDA church leadership, and general statistics to provide nursing-personnel resource information for Adventist hospital and nursing education planning.

Some of the objectives of this study were to obtain a descriptive profile of nurses working in Adventist hospitals, to discover personnel selection patterns, turnover rates by position, annual job openings, numbers and percentages of Adventist-educated nurses, and the supply and demand for nurses in different nursing and administrative positions.

Method. Population of this descriptive study included all nurses working in forty-seven hospitals in …

The Ethanol-Induced Loss Of Control Concept In Alcoholism, Thomas Kay Williams

Dissertations

No abstract provided.