Search PubMed⌕ Search

Biomedical subjects

M M Hagland

Publications and source records attributed to M M Hagland.

At least 19 recordsLinked to original sources
PubMed1993

New waves. Hospitals struggle to meet the challenge of multiculturalism now--and in the next generation.

Multiculturalism means different things to different people. For hospital executives, there are a number of major implications inherent in the rapidly expanding diversity of the United States. Beginning on page 23, we look at the ethnic diversity issues hospitals face as employers. A consensus has developed that more minority young people must be encouraged to enter health care administration and clinical care; but there are a variety of obstacles to be overcome. Then, beginning on page 29, we examine the many challenges hospitals struggle with as their patient populations become more and more diverse, and in many cases, change very quickly. Problems in dealing with an array of languages, cultures and backgrounds can put up major barriers to effective patient care. Providers must understand the cultural assumptions that patients bring with them.

Communication Barriers↗
PubMed1992

The sagging safety net. Emergency departments on the brink of crisis.

U.S. hospitals are facing an emergency care crisis. At the same time emergency departments are overflowing with uninsured patients seeking primary care, violence-related trauma cases are soaring, leaving underfunded trauma systems on the verge of collapse. In a special cover package, we explore the causes of the crisis, the current prospects for change, and related issues in emergency care today. Beginning on page 26, we present an overview of the crisis, with particular attention to the breakdown of trauma systems. Starting on page 30, we look at the growing threat of violence itself entering hospital EDs; on pages 34-35, we examine how hospitals are attracting and retaining critically needed clinicians, and how trauma systems are dealing with ongoing shortages of specialists. On pages 37-38, we explore the patient satisfaction question; and on pages 38-39, we present the latest data on emergency care utilization from the American Hospital Association.

American Hospital Association↗
PubMed1991

Top developments in health care: a watershed year.

Regulations, reimbursement battles, collaboration efforts, financial difficulties and the reform process all helped make 1991 a watershed year for health care issues--and an eventful one for executives. News media attention to health care policy, financing and delivery issues was intense: television, radio and print coverage focused on overcrowded emergency departments, uninsured pregnant women with no access to obstetrical care, employers demanding cost-efficient care and the pluses and minuses of foreign health care systems. The close of 1991 left hospital executives dealing with the effects of issues like the Medicare capital payment fold-in, physician payment reform, hospitals' geographic reclassification and the push for national health care reform. Below are brief summaries of some of the year's top issues.

Acquired Immunodeficiency Syndrome↗
PubMed1991

Compensation, social trends alter hospital-MD relations.

Changes in physician compensation and social trends are ushering in a new era in hospital-physician group relations, according to experts. Physician payment reform, the shift toward managed care, ongoing primary care physician shortages, and the changing lifestyle preferences of younger physicians are helping to redefine hospital-MD relations for years to come. Still, some health care organizations are ahead of the curve on this issue. Meanwhile, what does it take to lure a city doctor to Weiser, Idaho? Some towns will do almost anything to recruit a physician.

California↗
PubMed1991

Physician execs bring clinical insight to non-clinical challenges.

Many physicians look to administrative careers as a natural step in their professional development. But the training and development of a hospital manager is strikingly different from that of a clinician. Physician executives who've made the transition to a variety of posts, including that of CEO, speak out on the shifts and surprises involved in making the transition.

Career Mobility↗
PubMed1991

Restructuring care: patient focus is key to innovation.

Hospitals across the country are busy reconfiguring their delivery systems to improve patient care delivery. In the process, they are overhauling their organizational structures, reaching out to other institutions for input and participation, and embracing local communities. Many hospital executives are also finding that the path itself is at least as interesting and valuable as the end result.

Community Health Services↗