Planning, implementation, and evaluation.
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Evaluation Studies as Topic↗
Biomedical subjects
R A Vraciu
Publications and source records attributed to R A Vraciu.
Hospital strategies for the eighties: a mid-decade look.
At the beginning of the 1980s, a variety of sources predicted turbulent times for the hospital industry. The past few years have brought many changes in the expectations, structure, and behavior of hospitals, and key questions face this health care industry as it enters the second half of the decade.
Computers↗
HCA hospitals cost less (in 3 states)
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Economics, Hospital↗
3 rules for selecting capital financing options.
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Capital Financing↗
Decision models for capital investment and financing decisions in hospitals.
The literature on capital investment and financing decisions for hospitals has suggested several approaches to analyzing sets of options. In this paper, I present a taxonomy of the different approaches; analyze and compare the different elements of the taxonomy; and illustrate and discuss the information that can be gained by using each approach. I view these different analytic methods as complementary rather than competing methods of providing information to decision makers, and argue that the complex nature of hospital objectives demands the use of more than one approach. Failure to do this may lead to biased evaluations and poor decision making.
Cost-Benefit Analysis↗
Legal and financial constraints on the development and growth of multiple hospital arrangements.
Health planning legislation strongly encourages a wide variety of multiple hospital arrangements. However, public policy either prohibits or discourages the same multiple hospital arrangements encouraged in the health planning efforts. This article identifies the issues and implications of the seemingly contrary and inconsistent policies.
Facility Regulation and Control↗
Cost control challenge for hospitals.
Future management decisions in hospitals will be made under some cost containment program. Thus many hospital administrators will face the challenge of reducing the rate of increase in hospital expenditures without reducing the quality of care.
Cost Control↗
Programming, budgeting, and control in health care organization: the state of the art.
The planning, budgeting, and controlling processes (PBCP) largely subsume all of the planning and controlling activities of an organization. This paper discusses these activities within the context of a single management control system, focusing on three topics. First, a brief historical perspective of management concerns which relate to PBCP is presented and several important external pressures currently imposed on the health care industry are discussed. Second, normative models of the processes--programming, budgeting, and controlling--are presented. The discussion focuses on the elements and relationships of these processes, and numerous references to the literature are provided. Third, several issues related to the gap between the state of the art in PBCP for hospitals and the current state of practice are discussed.
Budgets↗
Kaiser's financial strategies and some cues for other HMOs.
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California↗
Effectiveness of breathing exercises in preventing pulmonary complications following open heart surgery.
The effectiveness of breathing exercises in preventing pulmonary complications was studied in 40 patients undergoing open-heart surgery. Both high- and low-risk patients in the experimental group received one preoperative teaching session and treatment twice a day for the first four days postextubation. Routine postoperative care was given to all 40 patients. Breathing exercises reduced the incidence of pulmonary complications and the necessity for percutaneous endotracheal catheters in the high-risk group. These results justify the use of breathing exercises with the high-risk open-heart surgical patient.
Adult↗