An analysis of initiative petition 99-4, "An Act to Protect the Rights of Patients and to Promote Access to Quality Health Care for All Residents of the Commonwealth".
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Cost Control↗
Biomedical subjects
J E McDonough
Publications and source records attributed to J E McDonough.
Health care reform stages a comeback in Massachusetts.
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Child↗
Preceptors' perceptions of a baccalaureate preceptorial experience.
A preceptor's perception of a baccalaureate preceptorial experience has implications for faculty, nursing service administrators, and clinical agency personnel as they select nurses to serve as preceptors. This article describes a specific preceptorial experience and presents data collected from 137 preceptors who participated. Data include descriptive information about the preceptors and an analysis of their responses to six questions about the experience.
Attitude of Health Personnel↗
Nurse faculty practice: from theory to reality.
This article discusses the developmental stages involved in moving the concept of faculty practice from theory to reality. Bennis, Benne, and Chin's theories for planned change and Hage's theory for organizational change with a dominant coalition form the theoretical bases for this redical innovation. Smith's Time Line serves as the framework for tracing the development of the plan over its 6-year history. The political, logistic, and financial promoters and constraints at each stage of development are identified. Faculty reaction to the idea of faculty practice is presented, and the mechanisms used to bring about group consensus are described. The key elements for the successful transition of this plan are a small and resilient group of faculty planners and adaptation of existing organizational systems to accommodate nursing's interests. Finally, the practice plan is presented at its present stage of development with its future goals.
Attitude of Health Personnel↗
A rural nursing practicum: making it work.
Inciting the interest of baccalaureate students in the practice of nursing in a rural setting has been an ongoing challenge for many educators. The authors identify difficulties they encountered when attempting to involve students in a rural nursing practicum and delineate several strategies used to overcome these difficulties.
Attitude↗
Tracking the demise of state hospital rate setting.
From its once preeminent position in state health policy, prospective hospital rate setting has declined in use from more than thirty states in 1980 to two today. This essay tracks the trend toward deregulation in various states--especially Massachusetts, New Jersey, and New York-- and examines the continuation of rate setting in Maryland. Principally, the decline reflects the development of managed care and capitation as alternative means to control health spending growth. This trend represents both an evolution in prospective payment methodology and a renewed preference for private over public-sector price controls.
Capitation Fee↗
Using and misusing anecdote in policy making.
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Anecdotes as Topic↗
Mass retreat: the demise of Massachusetts hospital rate regulation.
Massachusetts recently deregulated its 16-year-old hospital rate regulation system, after earlier voting in favor of a delay of its "play-or-pay" universal health care mandate. This retreat holds important lessons for the rest of the nation. Specific flaws in the design of the system weakened regulation's effectiveness and undermined its political support. The failure to control costs led to the postponement of universal access. Massachusetts' experience illustrates that neither competition nor regulation--as currently practiced--are adequate to meet the access and cost control challenges facing the nation.
Cost Control↗