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Biomedical subjects

S M Monroe

Publications and source records attributed to S M Monroe.

At least 73 records · Page 4Linked to original sources
PubMed1988

Nursing home diversification requires caution by hospitals.

Hospital executives considering diversifying into long-term care for the elderly need to understand the ways the nursing home acquisition market and the long-term care industry have changed in the past two years and how to best respond to those changes. Diversification into the nursing home business must be carefully planned, taking into account such factors as state Medicaid reimbursement policies; the respective advantages of buying an existing facility or constructing a new one; the need for executives with expertise in long-term care; and the financial requirements of the proposal.

Aged↗
PubMed1987

Are healthcare REITs a cheap source of capital?

Many not-for-profit healthcare institutions are using REITs as a new source of capital. These institutions are finding REITs an attractive source because they provide 100 percent funding, reduce the responsibilities of hospital management, and allow access to a new base of capital. However, to be a source of capital, REITs require the sale of the institution's assets. This transfer of ownership can create significant differences in the management of the healthcare institution that might not be a welcome change.

Capital Financing↗
PubMed1983

Major and minor life events as predictors of psychological distress: further issues and findings.

Current trends in research on stressful life events and disease have been to focus upon other psychosocial factors that may be associated with stress and illness relationships. Recently, the study of relatively minor life events or situations (e.g., daily hassles) has provided a promising alternative avenue of inquiry into basic stress measurement and the relationship of stress to disorder. While initial findings in this area of research appear encouraging, several methodological and procedural issues currently preclude definitive conclusions. The present paper outlines several of the most important limitations of existing research on this topic and provides further data taking these limitations into account for the role of minor life events as predictors of psychological distress. The results of the present prospective study indicate that undesirable minor events (e.g., hassles) significantly predict psychological symptoms, even once initial symptom status is controlled for statistically. Additionally, hassles were uniformly better predictors of subsequent psychological symptoms than were major life event categories; potentially important interactive effects (e.g., hassles x prior symptoms; hassles x prior major events) were also tested and their implications are discussed. Finally, basic associations between major and minor events were examined. The findings are discussed specifically in the context of recent advances in this area and more generally in relation to clarifying our understanding of psychosocial predictors of disorder.

Adolescent↗
PubMed1983

Social support and disorder: toward an untangling of cause and effect.

Social support has become an increasingly popular concept and research tool for studying psychosocial factors in relation to many forms of disorder. The concept has promise from a research perspective and has considerable appeal due to its potential implications for treatment and prevention. However, the vast majority of studies examining support and disorder associations have contained major methodological problems. Using multiple regression procedures, the present study directly contrasts findings from retrospective analyses with results from three different types of prospective analyses (without controlling for prior symptoms, controlling for prior symptoms, and testing important interaction effects), both for psychological and for physical symptoms. The results demonstrate that support-disorder associations vary as a function of the design employed, the control variables included, and the type of disorder studied. The implications of these findings are discussed for evaluating the existing literature on support-disorder associations and for current concepts of social environmental predictors of disorder.

Adolescent↗
PubMed1982

Assessment of life events: retrospective vs concurrent strategies.

The relationship of life events to different disorders continues to be of great interest. Most communications, however, have been based on self-report data gathered retrospectively over lengthy intervals (eg, one to ten years). While recent studies have attempted to ascertain the degree of distortion associated with such procedures, none has provided an appropriate basis for estimating absolute decrements of event reporting over time. This study compares the traditional retrospective procedure with a concurrent assessment procedure covering shorter recall periods (one month). The findings indicate as much as 60% of events may be underreported for even the most recent four-month retrospective period. Additionally, particular types of events (eg, desirable events) may be relatively more susceptible to such reporting distortion. Implications of these results for life events assessment and conceptualization of event-disorder associations are discussed.

Adolescent↗