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Medical Humanities Commons

Open Access. Powered by Scholars. Published by Universities.®

2012

Executive Doctor of Science (DSc) School of Health Professions

Articles 1 - 3 of 3

Full-Text Articles in Medical Humanities

A Study Of Early Adopters Of Innovation, John B. Mcwhorter Jan 2012

A Study Of Early Adopters Of Innovation, John B. Mcwhorter

All ETDs from UAB

This research study focused on identification of environmental and organizational variables that influence the rate of adoption of administrative innovation in organizations, and specifically hospitals that have adopted nurse magnet programs. The study identified both organizational and environmental factors as statistically significant among early adopters of magnet programs in hospitals, with organizational influences stronger than environmental influences in determining the rate of adoption of innovation. Organizational complexity, size, control of domain, presence of a competitor, and available resources were the factors identified as influencing the early adoption of innovation among hospitals.


Environmental And Organizational Characteristics Associated With A Critical Access Hospital Being Contract Managed Or Becoming Acquired, Virginia Anne Razo Jan 2012

Environmental And Organizational Characteristics Associated With A Critical Access Hospital Being Contract Managed Or Becoming Acquired, Virginia Anne Razo

All ETDs from UAB

The focus of this research is the relationship between environmental and organizational characteristics and critical access hospitals (CAHs) being contract managed or acquired. The resource dependence theory guided the methodology. Based on this theory, organizations prefer to remain autonomous until key resources become scarce. The scarcity of resources combined with a dynamic external environment causes environmental uncertainty that requires organizations to consider a variety of strategic responses in order to survive. Given the results of this study, contract managed CAHs were associated with markets that were less munificent and more dynamic with older facilities, relative to independent hospitals. Due to …


Contracted Hospitalists And Non-Contracted Hospitalists: Impact On Hospital Cost And Quality Care Outcomes, Kathleen L. Adams Jan 2012

Contracted Hospitalists And Non-Contracted Hospitalists: Impact On Hospital Cost And Quality Care Outcomes, Kathleen L. Adams

All ETDs from UAB

Background Changes in the health care delivery and policy environment are creating increased need for attention to health care costs and efficiency. Hospitals need to develop and implement oversight processes to effectively control costs and provide quality services. It is common for hospitals to contract with physician groups to staff various departments throughout the facility. Hospitalists are the most recent addition to hospital rosters. While some hospitals hire hospitalists directly as employees, others contract with physician groups to provide hospitalist services. The purpose of this study was to compare the potential benefits for hospitals that contracted with a hospitalist group …