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Full-Text Articles in Social and Behavioral Sciences
Determinants Of Hospital Efficiency And Patient Safety In The United States, Madhu Shettian
Determinants Of Hospital Efficiency And Patient Safety In The United States, Madhu Shettian
Electronic Theses and Dissertations
Hospitals engage in undertakings on a continual basis to enhance IT capabilities, diffusion of innovations, hospital-physician integration, and standardization to improve their performance. This empirical study explored the interdependence of three macro-level structural factors and their independent impact on the hospital performance measures efficiency and patient safety, with standardization as an important mediator. The researcher conducted a cross-sectional analysis of multiple data sets from public user files on the acute care hospital industry. The theoretical underpinnings of the study included the structure-process-outcome theory and institutional isomorphism theory. The statistical analysis comprised confirmatory factor analysis (CFA) and covariance structural equation modeling …
Jail Mental Health Innovations: Factors Influencing Mental Health Services Innovations For Jails, Orville Clayton
Jail Mental Health Innovations: Factors Influencing Mental Health Services Innovations For Jails, Orville Clayton
Electronic Theses and Dissertations
The U.S. is recognized for uniquely high incarceration rates. Over recent decades, there has been a concurrent dramatic increase of jail detainees with mental disorders. Provision of adequate mental health services for jail inmates is constitutionally mandated, and has legal, ethical, quality of care, and fiscal implications for jails, families, communities, and detainees. Significant variation exists in the provision of mental health services across jails, and increased understanding of the factors that influence the adoption of such services may help guide jails to implement beneficial services, and ensure that such services reflect, reflect quality standards. This study used a mixed …
Local Health Department Adoption Of Health Information Technology And Its Impact On Population Health, Tina Yeung
Local Health Department Adoption Of Health Information Technology And Its Impact On Population Health, Tina Yeung
Electronic Theses and Dissertations
Since the enactment of the HITECH Act in 2009, the US has invested billions in building a robust health information technology (HIT) infrastructure that is secure, capable of the electronic transfer of data and allows for real-time access of patient medical data, among others. This empirical study explored the driving forces (coercive, mimetic, and normative) in the adoption of HIT (i.e. EHRs and HIEs) by local health departments (LHDs) and how it has impacted the population health of counties in the US. The researcher conducted a cross-sectional, quantitative study using secondary data sources. The study included data on 505 local …