Health services administration and health services research.
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Health and social service administrators are increasingly realising the importance of adopting a community or neighbourhood scale for the organisation and delivery of many different services. The concept of neighbourhood is an elusive one, yet it has been used for a number of planning purposes. This paper reviews the nature and utility of neighbourhoods and demonstrates the variety of territorial units used by different statutory agencies. The results of an empirical exercise in North Staffordshire are reported as an example of the practical issues involved. Neighbourhoods are identified with a view to being used for data collection, the delivery of health care services and the possible implementation of health forums.
Health care administrators should recognize that the economic quality and behavioral quality dimensions comprising consumer satisfaction are conceptually independent in nature and may be empirically independent as well.
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The training of health services administration professionals in Mexico has faced two main challenges. One the one hand, the need to have recognition as professionals, and on the other hand the difficulty to train individuals that are currently working as health care administrators. This article emphasizes a distance education strategy as an alternative to provide training to these type of personnel. A proposal developed as the second phase of the Advance Education Program on Health Administration (PROASA-II) is presented. It has the objective to strengthen local institutions to take responsibility for the future training of their professional administration staff. Once that this is started, we can begin to talk about the creation of a national system of manpower training in health administration and public health, that will support the decentralization and the appropriate training of the different levels of health administration in the country.
Health services administration continues to evolve in response to environmental changes in reimbursement, technology, demographics, and health care reform. These changes encourage further integration of business skills in health services, an emphasis which often conflicts with the perspectives of clinicians. The balance between business and clinical perspectives must be developed such that administrators and clinicians foster the survival and growth of their organizations while assuring comprehensive and quality health services to patients and the community. This paper describes education in health services administration, and uses a survey of one program's graduates to assess the usefulness of the current educational model in balancing business and clinical perspectives.
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This article documents research into the demand for graduate education in health services administration/management with a case study model. Research included background information on the profession, the history of graduate education in health services administration, health care administrator demographics and their perceptions of the demand for graduate-prepared professionals and their own educational needs, most appropriate degree to offer, and curriculum content. The findings support the trend toward a balance between specific and general health care business skills in graduate education. Other schools may benefit from the student profile, program delivery, appropriate degree information, and curriculum content findings as well as the research instrument design and methodology when assessing and planning graduate programs in health services administration/management.
This notice announces: (1) Factors that the Health Services Administration (HSA) will use in determining which Community Health Center (CHC) projects to fund, and (2) restrictions on the type of project activities that will be eligible for Federal support under the CHC program. a reduced level of authorization of appropriations for section 30 of the Public Health Service (PHS) Act in the recently enacted Omnibus Budget Reconciliation Act of 1981 (Pub. L 97-35) is the reason for the announcement of these factors and restrictions.
The evaluation policy of the Substance Abuse and Mental Health Services Administration (SAMHSA) is described in this article. Three studies are presented that exemplify SAMHSA's evaluations. These include evaluations of a program to prevent substance abuse among pregnant and postpartum women and their infants; a Job Corps treatment enrichment program; and the McKinney program for homeless persons with severe mental illnesses. Each of these evaluations demonstrated the effectiveness of the programs in reducing substance abuse or homelessness and in improving the health and well-being of the consumers served. SAMHSA will use the results of these and similar evaluations to guide policy and program development. Through its evaluations, SAMHSA must identify effective approaches to prevention, treatment, and rehabilitation. By using its evaluation results to guide policy and program development, SAMHSA aims to improve the quality of the public system of substance abuse and mental health services.
Critical to the success of contemporary health administration practice is the ability to identify, access, synthesize, apply, and report information from a diversity of sources. To enhance the critical logic and bibliographic research skills of first-semester graduate students in health services administration, a fifteen-hour learning module was collaboratively developed and integrated into a required course on health care organization. Reference librarians and health administration faculty participate to provide both group and individual instruction.
Central Michigan University offers a Master of Science in Administration (MSA) degree with a concentration in Health Services Administration (HSA) to on-campus students and a large number of non-traditional students at about fifty off-campus locations throughout the continental United States and Hawaii. The degree and concentration emphasize a practical, applied course of study. The University recently undertook a curriculum review of the MSA degree and the HSA concentration with the goal of building on existing strengths and altering the curriculum to accommodate changing educational needs of future health services administrators. The review sought broadly-based input from alumni, employers, faculty/advisors, and a consultant. This ensured both that academicians' and practitioners' perspectives would guide discussions and that decisions would preserve the program's academic quality and applied nature. Generally the review did not create the sort of radical curricular change which some advisors and staff had first thought might happen. Instead it developed a consensus on curriculum content which reemphasized basic managerial skills; provided students additional preparation in cognitive skills of data gathering, analysis, synthesis, and communication; and strengthened strategic planning competencies.
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Effectively evaluating preparation programs for health services administrators is important for program providers, trainers, future employers, the health care system, and the American public. Because the methods employed for evaluation do not exist in a vacuum, policy formation with respect to learner outcomes assessment is a critical concern for all those interested in health care management issues. During the 1990s, the prevalent trend in evaluation is "assessment," which emphasizes performance-oriented outcomes rather than traditional testing approaches. This article examines the evolving role of assessment from a higher education policy perspective. Current trends and issues in general education, teacher testing, and nursing home administrator preparation are brought to bear on the problem of how to implement the goals of assessment. Realistic expectations of assessment are subsequently offered.
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