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Biomedical subjects

H L Smith

Publications and source records attributed to H L Smith.

At least 127 records · Page 7Linked to original sources

Hospital diversification into home health care: examination of strategic issues.

With the trend toward expansion of services and diversification, hospital executives are increasingly considering entering the business of home health care. To be successful, however, home health care must be both feasible and appropriate for the institution. Examined here are the factors that should be considered before entering this growing market.

Decision Making↗

Does prospective payment encourage nursing home efficiency?

The health-care field is increasingly sensitive to the effect of third-party reimbursement policies on health-care organization performance. The ability to attain low costs and high net income, for example, is particularly affected by prospective reimbursement. Theoretically, prospective payments should provide an incentive to health-care organizations to implement better control over performance. These ideas are examined in a study of nursing homes. Results of this analysis indicate that management control practices contribute to efficient performance. The association of this finding with prospective reimbursement is discussed from the perspective of implications for health-care organizations.

Efficiency↗

A theory of organizational response to hospital regulation: a reply.

A recently published general theory of organizational response to regulation is examined. A number of problems are observed in regard to the basic assumption underlying the theory, the directionality of predicted relationships forming the theory, the exclusion of goal attainment as a realistic motivation for managing, and the generality of the theory.

Certificate of Need↗

The quality of working life for allied health professionals in an HMO.

Two hundred seventy-six allied health professionals were surveyed about their levels of job satisfaction, organizational commitment, and job tension in order to assess the quality of working life in a large west coast health maintenance organization. The results suggest that this HMO contributed slightly to these allied health professionals' level of job satisfaction and organizational commitment. Job tension did not appear to be excessive in the HMO. Personal characteristics and facts relating to an allied health professional's environment did not surface as major predictors of the quality of working life for this sample. The implications of these findings for allied health professionals and HMOs are presented.

Adult↗

Planning for rural community health nursing needs: the experience of Ecuador.

One of the most prevalent and enduring health care delivery problems in the Third World and less developed countries is the lack of skilled medical personnel. This is particularly true in Ecuador where there are serious deficiencies at the community health level. This paper describes the health problems which have resulted from this situation. A planning model is then presented which Ecuador is beginning to follow for improving its rural community health nursing capabilities. Other countries or developing regions with similar problems might consider the model and its implementation in resolving their own community health problems.

Community Health Nursing↗