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Biomedical subjects

M A Counte

Publications and source records attributed to M A Counte.

35 records · Page 2Linked to original sources

Using ratios to measure hospital financial performance: can the process be simplified?

Evaluation of a hospital's financial condition is often contingent upon the analysis of financial ratios. This study of 114 Illinois hospitals sought to simplify the financial assessment process by exploring the empirical dimensions that underlie 25 financial ratios. Results of a factor analytic solution suggest that there are five underlying factors which account for approximately 77% of the total variance. Uses of summative scaled measures in health services financial management and research are discussed.

Accounting↗

Managerial innovation in the hospital: an analysis of the diffusion of hospital cost-accounting systems.

Currently much interest is focused on the uses of cost-accounting systems within the hospital industry. Proponents frequently contend that such systems will help hospitals successfully adapt to new methods of financial reimbursement because they are essential to a number of major management functions, including competitive bidding, cost management, pricing, and profitability assessment. This article reports the results of a study conducted to examine the extent to which hospitals in a major market are actually beginning to use standard cost-accounting systems and identify factors that either aid or hinder the diffusion of these methods. Chief financial officers from 94 hospitals (83 percent response rate) participated in the study during the summer of 1986 where less than half of the hospitals (43 percent) had recently purchased a cost-accounting system. Detailed information about the interface of cost-accounting systems with other application systems and their specific management uses is reported.

Accounting↗

Participative management among staff nurses.

Findings are presented from a field experimental study of the effects of increased participation on the job satisfaction and attendance behavior of staff nurses. Eight units of nurses from a large teaching hospital were involved. Four units attempted to introduce participative management while four others served as contrast units. Repeated-measures analysis of variance and stepwise multiple regression techniques were used to assess the effects of the intervention on job attitudes and attendance behavior. Results of the one-year project suggest that increased involvement in decision making had insignificant effects on attendance behavior and satisfaction with the nurses' work, supervision, and co-workers.

Absenteeism↗

Medical information system training: an analysis of the reactions of hospital employees.

Six months after the implementation of a medical information system (MIS) employees were questioned concerning their evaluation of the training they received. Wide variability is observed in the range of employee responses to questions addressing their: satisfaction with the training experience, desire for any additional training, ease of learning to use the system, and level of felt competence in currently using the system. The results of stepwise regression analyses of the response patterns indicate that personality traits, attitudes toward automation, and work history variables are key factors in explaining why employees have different reactions to training.

Computers↗

Implementation of a medical information system: evaluation of adaptation.

A study was conducted to explain variability in hospital employee responses to the implementation of a medical information system. Results showed that 28 to 35 percent of the variance in adaptation was explained by the predictor variables, and that the significant variables were attitudes toward computers in general, role ambiguity, personality attributes, the person's work shift and previous history of job mobility.

Adaptation, Psychological↗

Stress and personal attitudes in chronic illness.

The possible relation of two stressor types (life events and illness experience) to three sets of attitudes (personal life satisfaction, self-assessed coping, and satisfaction with treatment personnel/facilities) was examined within a sample of 97 outpatients having multiple sclerosis. In addition, potential moderators of hypothesized relationships were examined (trait anxiety, age, social class, and knowledge of the disease). When attitudes were regressed on stressors and moderators, both sets of stressors exerted significant influence, though their impacts were mitigated by the moderators. This study's findings support the position that the association of attitudes with stressor exposure in chronic disease populations is contingent on demographic and psychological moderating factors.

Adult↗

Issues in family practice: medical student and practicing physician perspectives.

The elevation of Family Medicine to the status of a recognized specialty is designed, at least in part, to enhance the attractiveness of family practice as a career alternative for physicians. This paper examines the attitudinal orientations of group of medical students and physicians toward family practice in an attempt to highlight some of the issues that might be anticipated as this new specialty develops. Based on the results, it is concluded that fundamental change in the nature of the medical education experience will be needed if greater numbers of physicians are to be involved in primary care.

Attitude of Health Personnel↗

An administrative and curricular model for behavioral science teaching.

Various models of faculty organization for teaching behavioral science in medical schools have been advanced. Three of these are reviewed and compared with regard to their effects of curricular structure and content. Some significant variations on existing models are described in the context of a behavioral science curriculum in a new medical college. Several recurrent issues are addressed: How shall behavioral scientists be organized for maximum curricular effectiveness? How shall a curriculum be organized and administered to provide comprehensive yet integrated presentation of a broad spectrum of behavioral science knowledge and skills? What might constitute a model curriculum in the behavioral sciences? A basic science curriculum is described which spans the first two years of medical education, introducing students to fundamental concepts, behavioral skills, human development, behavioral pathology, and special topic seminars.

Behavioral Sciences↗

The impact of computer systems in a medical environment.

The acceptance and proliferation of computer technology in health care has not been as rapid as many expected. Research in this area suggests that several factors are related to computer acceptance including social network processes, attitudes toward computers, and personality characteristics. Potential implications for the field of magnetic resonance imaging are discussed.

Attitude to Computers↗