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Biomedical subjects

G E Hargrave

Publications and source records attributed to G E Hargrave.

7 recordsLinked to original sources
PubMed1997

Dialogue. Quality and the bottom line. How can shareholder interests be prevented from interfering with quality care?

Market-driven, for-profit behavioral health systems put patients and investors in the same financial equation. Do shareholder profits depend on preventing patients from receiving appropriate care? Does investor greed directly increase consumer pain and suffering? Or, does the marketplace work the way one hopes: providing profits to investors in proportion to improvements in healthcare quality and affordability? Well-intentioned providers find themselves walking right through the middle of this high-stakes minefield. Should the government and the marketplace allow clinicians--and their standards of ethics and social values--to be swept away in the name of efficiency? Or does the marketplace for behavioral healthcare require government intervention through legislation and regulation to protect the interests of both patients and providers? This debate is far from over. Every reader of this journal has a vital stake in the outcome. In the following dialogue, leaders representing employers, clinicians, and managed care plans argue different positions in this debate and propose compelling solutions.

Economic Competition↗
PubMed1995

An analysis of outpatient psychotherapy: quality improvement indicators.

Two studies investigated relationships among quality improvement indicators in a large outpatient mental health delivery system. Results showed patient satisfaction with treatment, good agreement between treatment outcome ratings by patients and therapists, modest agreement between patient satisfaction and problem resolution ratings, and a significant relationship between peer reviewer ratings of therapists and client satisfaction ratings. Although reflecting significant improvement, GAF ratings were not related to clients' or therapists' ratings of problem resolution. Overall, the studies support the use of these ratings in quality improvement programs and suggest directions for further research.

Attitude of Health Personnel↗
PubMed1994

Psychological assessment of gay and lesbian law enforcement applicants.

Psychological profiles and measures of law enforcement job performance were compared for gay, lesbian, and heterosexual samples. No differences were found in selection rates or ratings of job performance. Compared to heterosexual men, gay men scored higher on Minnesota Multiphasic Personality Inventory (MMPI) Scale 5 and lower on California Psychological Inventory (CPI) scales Wb and Sc. No significant MMPI or CPI differences were found for lesbian and heterosexual women.

Adult↗
PubMed1988

MMPI profiles of problem peace officers.

The Minnesota Multiphasic Personality Inventory (MMPI) profiles of officers who had been involved in serious disciplinary actions were compared with those of a matched group of officers who had not been involved in such actions. A multivariate analysis of variance (MANOVA) found the profiles of the two groups to be significantly different, with Scales F, 5, 6, and 9 significantly higher and Scale L significantly lower for the problem group. In addition, subjects in the problem group were twice as likely to have a high-point elevation T-score greater than or equal to 70 as their nonproblem counterparts. Overall, these results indicate that any degree of psychopathology, as reflected by MMPI profile elevations, increases the likelihood of serious job performance problems. In addition, a presentation of self as conventional and moderately defended is associated with a lesser likelihood of job difficulty, whereas characteristics such as hypersensitivity, impulsivity, and poor frustration tolerance contribute to significant job problems.

Adult↗
PubMedDate not supplied

The characteristics of highly effective therapists in managed behavioral provider networks.

As managed behavioral healthcare plans experience increasing requirements to measure outcomes, create report cards and adopt other quantifiable approaches to quality management, rating the effectiveness of behavioral healthcare providers is essential. The authors describe one aspect of their company's quality management program, which uses standardized assessments of client satisfaction, problem resolution and appropriateness of care to identify highly effective therapists. This process has yielded useful results that indicate some of the characteristics of highly effective therapists in such areas as experience, gender and personality type.

Clinical Competence↗