Biomedical subjects
Publications and source records attributed to Andrew N Garman.
Entrepreneurship has received little attention in the healthcare industry, perhaps in part because of barriers inherent in the structure and culture of healthcare organizations. Eliminating barriers can help promote entrepreneurial activities to drive continuing innovation and identify new sources of revenue.
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Research on burnout has thus far focused primarily on the individual; however, in work environments in which teamwork is emphasized, it seems plausible that a meaningful group-level burnout construct could emerge. This theory was tested by examining burnout in psychosocial rehabilitation teams and its effects on patient satisfaction. Three hundred thirty-three staff from 31 behavioral health teams completed the Maslach Burnout Inventory; 405 of the clients they served completed the Consumer Satisfaction Scale. Multilevel analyses (hierarchical linear modeling) confirmed the existence of a meaningful team-level burnout construct. Team-level analyses revealed significant relationships between team burnout and patient satisfaction.
Although customer loyalty is frequently cited as a benefit of patient satisfaction, an empirical link between the two has not, to our knowledge, ever been statistically established in a hospital setting. The goal of the present study was to evaluate the relationship between self-reported patient satisfaction measures and subsequent return to the provider for care at a large academic medical center. Data from all adult medical patients responding to a patient satisfaction survey distributed by a large midwestern academic medical center during fiscal year 1997 (n = 1485) were analyzed. Response patterns were examined as they related to whether patients returned to the provider during the subsequent 2-year period. Analyses suggested that return-to-provider was associated with only a minority of the satisfaction items (approx. 11%). All items showing a significant relationship measured perceptions of how well physicians and nurses attended to, and provided information to, patients and their families. Although the size of these relationships was generally small, the estimated financial implications are substantial. Other implications of these findings for planning effective service improvement initiatives as well as improving patient survey design are discussed.
Multisource or 360-degree feedback has become a widely used component of leadership development in many organizations, and a growing body of research supports its use for this purpose. Unfortunately, most commercially available multisource surveys were developed in private-sector corporate settings, making their transferability to healthcare settings less than straightforward. This article describes a research project undertaken to develop a job-relevant, commercial-quality multisource feedback survey for use in health administration settings. Using critical incident methodology and enlisting the help of subject matter expert groups (i.e., executive search consultants, human resources executives, leadership development consultants, and administrative fellowship supervisors), a competency framework was developed containing 26 competencies arranged according to seven clusters. A third survey was then conducted with incumbent leaders to populate the competency framework with behavioral descriptors. The end result was a survey consisting of 128 total items that, when matrixed across four relationship types, create surveys ranging from 36 to 95 items in length. Two pilot studies were then conducted to assess reliability as well as validity against other measures of leadership ability. Results from these studies suggest that the instrument can provide reliable and valid assessments of leadership effectiveness for development purposes.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.