Health and Medical Administration Commons^™

Building Web Sites That Attract Visitors, C. David Shepherd, Daniel Fell

Faculty Articles

The article discusses the use of web sites for health care service marketing. The potential benefits of Internet services for users and care providers are mentioned, but challenges in implementation are also listed. A three generation model of web site design is offered, distinguishing various levels of interactivity, customization, and perceived value. Suggestions are offered applying this model to health care service web sites and their marketing potential.

Comparing Quality Of Reproductive Health Services Before And After Clinic-Strengthening Activities: A Case Study In Rural Burkina Faso, Direction De La Santé Et De La Famille (Dsf), University Of Ouagadougou Demographic Research Unit (Uerd), Mwangaza, Population Council

Reproductive Health

Much literature has been written about improving the quality of reproductive health (RH) care at service delivery points (SDPs) because women deserve quality services, and as a means of increasing use of family planning (FP) and other RH services. There are six fundamental dimensions of quality of care: choice of methods, information given to clients, technical competence, interpersonal relations, mechanisms to encourage continuity, and an appropriate constellation of services. Improving these elements is thought to increase client satisfaction, resulting in an increase in contraceptive use and eventually fertility decline. Existing research has not convincingly demonstrated this link between quality of …

Monitoring Of Macro-Level Family Planning Quality Of Care Indicators, Meiwita B. Iskandar

Reproductive Health

The success of population development in Indonesia can be seen partly from success in reducing population growth. Population growth has declined from 2.32 percent (1971–80) to 1.98 percent (1980–90), and then to 1.66 percent (1990–95). The continued slowing of population growth is expected to bring expanded opportunities for economic development and improved quality of life. The success of family planning (FP) programs cannot be judged solely on reduction of population growth but should also be judged in terms of quality of care (QOC) and success in helping women achieve their reproductive goals. The Indonesian National Family Planning Coordinating Board (BKKBN) …

Improving Quality Of Care In Fp/Rh Of Selected Communities Of Pangasinan Province: An Intervention Study, Zelda C. Zablan, Josefina V. Cabigon, Luzviminda Muego, Marilou P. Costello, Chona R. Echavez

Reproductive Health

This intervention study was designed to improve the quality of family planning (FP) services within the Integrated Family Planning and Maternal Health Program of the Pangasinan Population and Family Planning Program in the Philippines. It addresses high unmet need and studies the feasibility of enhancing quality of services by training service providers in fixed clinics and orienting outreach workers on the method of identifying women who have unmet need for FP. Four municipalities were chosen from the 47 municipalities comprising the province of Pangasinan and randomly assigned to experimental and control groups. Four indicators were used to match the chosen …

Ethical Dilemmas Faced By Independent Practitioners As A Result Of Managed Care, Caren Renee Debernardo

All-Inclusive List of Electronic Theses and Dissertations

This study surveyed licensed psychologists in private practice regarding their perceptions of ethical issues associated with managed care. Surveys addressing ethical issues were mailed to 1,000 members of the American Psychological Association's (APA) Division oflndependent Practice (Division 42). Forty-two percent of the surveys were returned. The responses were summarized using descriptive statistics and analyzed to compare opinions of psychologists as a function of theoretical orientation, geographical location, specialty, population of location area, years in practice, and level of state and national organizational involvement. The results of the study identified a number of ethical concerns including compromised confidentiality, inadequate diagnosis and …

The Leader Who Serves (Scottsdale, Az), C. William Pollard

C. William Pollard Papers

In this address to the Baptist Healthcare Association (Scottsdale, AZ), Pollard applauds religious healthcare institutions for their commitment to the physical and spiritual welfare of the human person. With this holistic approach, they refuse to submit to the logic of simple economic efficiency and thus serve as a prime example of servant leadership.

Health Care Marketing And The Internet, C. David Shepherd, Daniel Fell

Faculty Articles

This article presents research on the growing number of health care providers using the Internet as a health care marketing tool in the U.S. The author notes that the Internet is changing the way consumers seek healthcare related information as well as the way it can be provided to them. The results of the study suggest that consumers will increasingly rely on sources like the Internet for information, that health information will be a commodity on the Internet, that the Internet will help build relationships between providers and consumers and that marketers will be expected to develop and manage Internet-related …

Performance And Accountability In Human Services: Ownership And Responsibility Of Professionals, Anna-Marie Madison

New England Journal of Public Policy

The recent frenzy of grant makers and government agencies in requiring impact evaluations of all grant recipients has created consternation among human service providers. To ensure their agencies' survival and worker job security, the leaders are faced with meeting the demands offunder-driven programming. Agencies seeking funding must comply with funder-defined needs and accountability criteria rather than their public missions. This article describes the use of mission-based performance evaluation rather than funder compliance to demonstrate accountability for mission accomplishment.

Improving Workforce Conditions In Private Human Service Agencies: A Partnership Between A Union And Human Service Providers, James Green

New England Journal of Public Policy

In 1995 the Service Employees International Union Local 509 and four Massachusetts human service providers signed an unusual agreement to forge a partnership in which employers would remain neutral while the union approached its workers with an offer to advocate in the state legislature for greater funding for private human service employees and to promote cooperative relations with their employers. This study examines the context of the agreement and the pressures on public employee unions and small human service providers whose workforce copes with low wages, high turnover, meager benefits, and poor public image as well as the give-and-take between …

Labor's Response To Hospital And Workplace Transformation, Enid Eckstein

New England Journal of Public Policy

The health care industry and the nation's hospitals are in the throes of revolutionary change. The shift to managed care resulted in fundamental changes in the delivery of care and the structure of health care, For the past ten years, hospitals have actively been merging and creating large-scale integrated delivery systems. Employers, eager to expand market share and reduce costs, are engaged in radical reorganization of the hospital and the structure of work from which no group is immune. Physicians, nurses, technicians, and housekeepers are all affected by these changes. Hospitals are reducing their personnel, shifting work outside the hospital, …

Congress Crafts Child Health Insurance Program, George Washington University Medical Center, Center For Health Policy Research

Center for Health Policy Research

No abstract provided.

Integrating Indian Health Programs Into Medicaid Managed Care Systems, Part 2, Sara J. Rosenbaum, Ann Zuvekas

Center for Health Policy Research

The Indian Health Service (IHS), recognizing that state Medicaid programs are rapidly purchasing managed care plans for their beneficiaries and that managed care enrollment has significant implications for both Indians and Indian health facilities, convened this Roundtable to discuss options for participation in such care. The purpose of this roundtable was to identify options to increase Medicaid managed care participation by Indian health programs. These include programs operated directly by IHS, programs operated by tribes under the Indian Self-Determination Act, and urban Indian programs under Title V of the Indian Health Care Improvement Act.By design, Roundtable participants were a group …

Integrating Indian Health Programs Into Medicaid Managed Care Systems, Part 1, Sara J. Rosenbaum, Ann Zuvekas

Center for Health Policy Research

The Indian Health Service (IHS), recognizing that state Medicaid programs are rapidly purchasing managed care plans for their beneficiaries and that managed care enrollment has significant implications for both Indians and Indian health facilities, convened this Roundtable to discuss options for participation in such care. The purpose of this roundtable was to identify options to increase Medicaid managed care participation by Indian health programs. These include programs operated directly by IHS, programs operated by tribes under the Indian Self-Determination Act, and urban Indian programs under Title V of the Indian Health Care Improvement Act.By design, Roundtable participants were a group …

Quality Of Family Planning Programme In India: A Review Of Public And Private Sector, Dileep V. Mavalankar

Reproductive Health

Increasing attention has been paid to quality of care (QOC) in family planning (FP) during the last few years, and there have been several initiatives to strengthen QOC in FP in the developing world. This paper reviews the quality of the FP program in India’s public and private sectors, and examines six elements: choice of methods, information given to clients, technical competence, interpersonal relations, continuity of care and follow-up, and appropriate constellation of services. Overall, the paper finds that not much attention has been paid to QOC and hence the level is quite low. Evidence and observations indicate that QOC …

A Synthesis Of Research Findings On Quality Of Services In The Indian Family Welfare Programme, Gillian H.C. Foo

Reproductive Health

In recent years, there has been growing recognition among researchers and policymakers that the quality of care provided by family planning (FP) programs in developing countries is an important determinant of whether couples adopt contraception and continue as contraceptive users, or whether these programs are underutilized. A major initiative to identify and implement improvements in the quality of services within the Indian program calls for a systematic analysis, organization, and presentation of the available data to the policymakers and program managers concerned. Additional data is also required on issues such as user's perception of quality of care, the relative importance …

Program Evaluation: A Look At A Case Management Program Of Big Spring State Hospital Community Services, Sharon Root Treadway

Graduate Theses

Case management services are an expanding program in the Texas Department of Mental Health and Mental Retardation (TXMHMR) system's treatment for chronically mentally ill individuals (CMI). CMI’s are individuals who are unable to maintain a stable adjustment to community life because of persistent and serious emotional disabilities. Previous research findings as to the effectiveness of this type of service in other programs have been mixed, and because of differences in program guidelines are not directly applicable to the TXMHMR program. The hypotheses of this study, which was a program evaluation of one specific program of case management, were two-fold; one, …

Child Health Supervision: Analytical Studies In The Financing, Delivery, And Cost-Effectiveness Of Preventive And Health Promotion Services For Infants, Children, And Adolescents, Michele R. Solloway, Peter Budetti

Center for Health Policy Research

Contents: Financing and Delivery of Child Health Supervision Services (An Overview of Health Insurance Coverage and Access to Child Health Supervision Services, Private Health Insurance Coverage of Preventive Benefits for Children, A 20-Year Retrospective of Child Health Supervision in Ambulatory Pediatric Settings, Ensuring Adequate Health Care Benefits for Children and Adolescents); Child Health Supervision Services and Medicaid (Informing State Medicaid Providers about EPSDT, Barriers to Full Participation in EPSDT and Possible Strategies for the Maternal and Child Bureau, Medicaid Managed Care: A Briefing Book on Issues for Children and Adolescents; State Implementation of OBRA '89 EPSDT Amendments within Medicaid Managed …

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) …

Ua66/4/2 Allied Health Department Newsletter Issue No. 3, Wku Allied Health

WKU Administration Documents

Newsletter created by and about WKU Allied Health.

A Comparative Analysis Of Organisation Health-Care Machinery In Hospital: Doctoral Dissertation Abstract, J P Sahu

IIMB Management Review

Health Care Services are significant in providing social justice and equal life opportunities to individuals in the society. The health care system of today, is evoking criticism from various corners, for its rising costs due to introduction of expensive sophisticated technology, maldistribution, dehumanisation and heavy bureaucratisation, etc. This is particularly true for the developing countries where on one hand, increasing population and ever changing disease patterns (due to developing activities like agriculture, irrigation, mining and industrialisation, etc.) and growing expectations of the people (due to increase in education and communication) on the other, exert further pressure on the limited health …

Assertiveness As A Measure Of Satisfaction In The Physician-Patient Communication Process, Joan Delores Johnson

Masters Theses & Specialist Projects

In recent years medical societies have begun to recognize the effects and benefits of good communication between physician and patient. Like any other relationship, the exchange of information with fluent understanding creates a stronger bond of trust. Most applied research conducted in the area of physician-patient communication concentrates on physician behaviors which the patient views as problematic. This thesis focuses on patient assertiveness and its relationship to physician-patient satisfaction in the consultation process. Specifically, the study focuses on the relationship between patient assertiveness and physician-patient satisfaction.

For the study the researcher developed a patient questionnaire and pre- and post-physician questionnaires …

Ua35/11 Student Honors Research Bulletin, Wku Honors Program

WKU Administration Documents

The WKU Student Honors Research Bulletin is dedicated to scholarly involvement and student research. These papers are representative of work done by students from throughout the university.

• Alkolibi, Fahad. Bowling Green Urban Heat Island
• Chattin, John. John Grimes' Abandoning of Religion in James Baldwin's Go Tell It on the Mountain
• Clark, Michelle. Abortion and the Moral Status of the Fetus
• Garrett, Kristy. The Making of a Serial Killer
• Lilley, Elizabeth. Is Environmental Recovery Possible in Prince William Sound Following the Alaskan Oil Spill?
• McMurtry, Brian. Biblical Imagery and Symbols in El Arbol De Oro
• Metzger, Kim. The Rise and Fall …

Long-Term Care Policy: Where Are We Going?, Gerontology Institute, University Of Massachusetts Boston, Omb Watch

Gerontology Institute Publications

Millions of Americans suffer from physical or mental conditions that make it difficult for them to live fully independent lives. These are the frail elderly, disabled and chronically ill persons of all ages, and many mentally ill or mentally retarded persons. They need help to manage daily activities, whether they live in their own homes or in nursing homes.

Such care can be extremely expensive, since it often must be provided for many years, even a lifetime. Today, those costs are met largely by the individuals themselves or by their families and by public programs for low-income persons.

For many …

Trends In Hospital And Nursing Home Care Expenditures, Maine, 1982 To 1986, Maine Department Of Human Services

Maine Collection

Trends in Hospital and Nursing Home Care Expenditures, Maine, 1982 to 1986

Maine Department of Human Services - Office of Data, Research, and Vital Statistics

John R. McKernan, Jr., Governor, Rollin Ives, Commissioner, Brenda Smith, Planning and Research Associate, May, 1989.

"This report produced under Appropriation No. 1310-4010."

Contents: Introduction / Hospital Care Expenditures / Nursing Home Care Expenditures / Comparison of Hospital and Nursing Home Care Expenditure Trends / Concluding Remarks / References

Ua35/11 Student Honors Research Bulletin, Wku Honors Program

WKU Administration Documents

The WKU Student Honors Research Bulletin is dedicated to scholarly involvement and student research. These papers are representative of work done by students from throughout the university.

• Coates, Alan. Management's Attitude Toward Collective Bargaining
• Frew, Becky. The Effects of Personality Type and Social Support on Instances of Job Stress
• Green, Laura. Earth Sheltered Housing
• Gregory, Vicky. Fraud and Abuse by Medical Providers in Medicare and Medicaid
• Hignite, Susan. Japanese Students in Kentucky Classrooms
• Hodum, Martha. The Mathematically Gifted Child
• Jones, Rodney. Superman to Censorship: America's Romance with the Comic Book
• Marrs, Shawn. Romanticism and Unromanticism in Sir Gawain and the …

Blue Ribbon Commission On The Regulation Of Health Care Expenditures, State Of Maine, 113th Legislature

Maine Collection

Blue Ribbon Commission on the Regulation of Health Care Expenditures

State of Maine, 113th Legislature (January, 1989)

Office of Policy and Legal Analysis, Room 101, State House--Sta. 13, Augusta, Maine 04333.

Contents: Preface / Executive Summary of Recommendations / Introduction and Background / Detailed Recommendations

Acute Care Bed Need In Maine: General Use Acute Care Facilities In Maine : Utilization, Occupancy Rates, And Bed Need Projected To 1990 And 1995, Stephen Greenberg

Maine Collection

Acute Care Bed Need in Maine: General Use Acute Care Facilities in Maine : Utilization, Occupancy Rates, and Bed Need Projected to 1990 and 1995

by Stephen Greenberg, Planning and Research Associate, Office of Data, Research, and Vital Statistics.

Prepared at the request of the Division of Planning, Bureau of Health, Maine Department of Human Services.

Produced under Appropriations 1310.4, 1305.1065 and 2210.2950 (November, 1988).

Contents: Overview and Discussion of Findings / Using the Data: An Example / List of Detailed Tables / Appendices

Ua66/4/2 Allied Health Department Newsletter Issue No. 2, Wku Allied Health

WKU Administration Documents

Newsletter created by and about WKU Allied Health.

Ua35/11 Student Honors Research Bulletin, Wku Honors Program

WKU Administration Documents

The WKU Student Honors Research Bulletin is dedicated to scholarly involvement and student research. These papers are representative of work done by students from throughout the university.

• Padilla, Anne. First and Second Language Acquisition: A Comparison
• Scott, Angela. Salted and Unsalted Snacks: Taste Preferences of Second Grade Students in a Rural Area School
• Fuqua, Nancy. Acceptance by High School Students of Muffins Containing Supplemental Soy Polysaccharides
• Mans, Glee. Preference Levels of High School Freshmen for Four Cheese Food Products
• Denney, Pam. Consumer Acceptance of UHT Choclate Lowfat Milk
• Harris, Carla. Jacques-Louis David: Raphael of the Sansculottes
• Vaughn, James. Corporate Reorganization …

Tidewater Virginia: A Case Study In Health Planning, Maria Justice Moore Griffin

School of Public Service Theses & Dissertations

Leigh Memorial Hospital, a small private community care hospital merged with Norfolk General Hospital in 1972 to form an innovative health care corporation in Tidewater Virginia. By deciding to merge and alter its organizational identity, the Leigh Memorial Hospital leadership reversed a previous decision to relocate to the downtown Norfolk Medical Center complex, choosing instead to move to within a few yards of the neighboring city of Virginia Beach. Those two decisions and the story behind them are part of a complex, highly interdependent series of decisions which altered the health care delivery system in Tidewater Virginia.

This study is …