Subject(s)
Cellulitis/etiology , Eyelids , Foreign Bodies/diagnosis , Foreign Bodies/surgery , Staphylococcal Infections/etiology , Biopsy, Needle , Cellulitis/pathology , Emergency Service, Hospital , Female , Follow-Up Studies , Foreign Bodies/complications , Humans , Infant , Paint/adverse effects , Staphylococcal Infections/pathology , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
Doctoral education varies according to how students that graduate from a particular program are prepared for various type of careers. PhD programs principally work to develop researchers; researchers produce and disseminate new knowledge in a given area of expertise. This manuscript looks specifically at a PhD program designed to produce researchers in healthcare strategic management. This program is based in a business school and builds on general business principles to produce strategists that do research in the healthcare context. The business school program (type B) will be analyzed according to the areas (or potential areas) of research done by its graduates. The different areas are shown in a table where one axis is research content (i.e., specifically what the functional area of research is) and the other axis is publication outlet (i.e., what journal the research is disseminated in). Advantages of the type B program are compared to advantages of a PhD program based in a healthcare administration or healthcare management school (type H program) in terms of publications in these different areas.
Subject(s)
Education, Graduate/organization & administration , Health Services Administration , Models, Educational , Curriculum , Health Services Research , Humans , Organizational Culture , Periodicals as Topic , Planning Techniques , Program Development , Publishing , Texas , Universities , WorkforceABSTRACT
This is the fourth in a series of articles describing and interpreting the results from the Facing the Uncertain Future (FUF) study. This article focuses on one vital aspect of strategic stakeholder management: assessment of key stakeholders. Specifically, the article uses Round Two data and presents an assessment of four key medical group practice stakeholders: integrated delivery systems/networks (IDS/Ns), managed care organizations (MCOs), physicians and hospitals. These key stakeholders were identified by medical group practice executives as some of the most important stakeholders in the year 2000. These four stakeholders are assessed on the criteria of organizational control, coalition formation, control of resources, and relative power. The FUF study was conducted jointly between the Center for Research in Ambulatory Health Care Administration (the research and development arm of MGMA), and The Institute for Management and Leadership Research (IMLR), College of Business Administration at Texas Tech University, Lubbock, Texas. MGMA's American College of Medical Practice Executives, faculty of Texas Tech University's Ph.D. and M.B.A. Programs in Health Organization Management (HOM), and faculty from the University of Alabama at Birmingham collaborated on the project. Abbott Laboratories, Abbott Park, Ill., provided funding for the FUF project. The administration of Round One was completed in the Fall of 1994. The administration of Round Two was completed in the summer of 1995. Selected Round One and Round Two results have previously been presented in educational programs and publications.
Subject(s)
Community Networks/organization & administration , Group Practice/organization & administration , Hospital-Physician Joint Ventures/organization & administration , Managed Care Programs/organization & administration , Cooperative Behavior , Health Resources , Health Services Research/methods , Investments , Leadership , Operations Research , Power, Psychological , United StatesABSTRACT
To characterize the epidemiology of Alaska Native children hospitalized for respiratory syncytial virus infections, we reviewed records of hospitalizations during the winter seasons of 1991 to 1992 and 1992 to 1993 at a hospital in Anchorage and a rural hospital in the Yukon Kuskokwim Delta (YKD) region of southwestern Alaska. The median age of hospitalization for respiratory syncytial virus infection was 2 months of age for YKD residents and 4.5 months for Anchorage residents. Sixteen percent of the hospitalized YKD children were less than 1 month of age, whereas the same was true for only 3% of the Anchorage children. Eight percent of the YKD patients required mechanical ventilation, whereas none of the Anchorage patients required ventilation. The median hospital stay was 4.8 days for YKD patients and 3.2 days for Anchorage patients. Hospitalization rates for infants less than 1 year of age were 33/1000 for Alaska Natives in Anchorage and 100/1000 for those in the YKD region. The extremely high hospitalization rate, especially among very young infants in the rural YKD region, points to a need for early preventive efforts.
Subject(s)
Respiratory Syncytial Virus Infections/epidemiology , Respiratory Syncytial Virus, Human , Age Factors , Alaska , Female , Hospitalization , Humans , Infant , Length of Stay , Male , SeasonsSubject(s)
Hospitals, Voluntary/statistics & numerical data , Hospitals/statistics & numerical data , Organizational Affiliation , Ownership , Pastoral Care , Patient Acceptance of Health Care/statistics & numerical data , Religion and Medicine , Consumer Behavior , Data Collection , Decision Making , Hospital Bed Capacity, 500 and over , Humans , Southeastern United StatesABSTRACT
A conceptual and empirical analysis of the strategic vulnerability of HMOs shows that they are strategically vulnerable on the social dimension of stakeholder supportiveness. One of the major implications of this finding is that HMOs' cost leadership strategy cannot be sustained, given the competition from such substitutes as PPAs.
Subject(s)
Economic Competition , Economics , Health Maintenance Organizations/organization & administration , Attitude to Health/statistics & numerical data , Costs and Cost Analysis , Data Collection , Health Maintenance Organizations/economics , Health Services Accessibility , Models, Theoretical , Quality of Health Care , Social Support , Socioeconomic Factors , United StatesABSTRACT
Progressive nodular histiocytoma is a clinically distinct variant in the general group of normolipemic histiocytic proliferations. Its cardinal feature is the presence of two different lesions--a superficial yellow-brown papule and a deep nodule. We describe herein a 29-year-old man with such lesions. Histologically, a variety of fibrous and cellular patterns were seen, mimicking the wide spectrum of findings in ordinary dermatofibromas. On ultrastructural examination, the most striking feature of the preponderant cell was lipid phagocytosis.
