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P L Cruise

Publications and source records attributed to P L Cruise.

9 recordsLinked to original sources
PubMed2000

Comparative performance assessment in managed care: data envelopment analysis for health care managers.

In health care markets increasingly dominated by managed care, health care managers need sophisticated yet understandable comparative performance assessment methods. Ideally, these methods should provide targets for the managers to improve program or organization performance. This article reviews three comparative performance methodologies with a comprehensive explanation of data envelopment analysis (DEA). DEA is a form of linear programming that allows for the inclusion of multiple input and output/outcome performance variables from a virtually unlimited number of organizations, facilitating meaningful health service provider comparative assessments.

Administrative Personnel↗
PubMed2000

First among (UN) equals: assessing hospital performance using data envelopment analysis.

This article explores the use of Data Envelopment Analysis (DEA) as a comparative analytic tool to assess the relative effectiveness of competing hospitals. Building on previous research with DEA in hospital efficiency analysis, the authors extend the earlier technical efficiency-based DEA models to include qualitative outcome measures. Data from hospitals in a regional competitive health care market in South Florida are assessed using this new DEA model.

Benchmarking↗
PubMed1997

AIDS services in Florida: who's doing what, and who's paying for it?

The rapid growth of AIDS in the 1980s was paralleled by a rapid growth in AIDS Service Organizations (ASOs) throughout the United States. This article examines one state, Florida, and the 52 ASOs to determine each ASOs organizational affiliation, major types of service offered, sources of funding, and geographic dispersion in the state. Based on the results of this examination, several research and policy implications are discussed.

AIDS Serodiagnosis↗
PubMed1996

The limits of Medicaid reimbursement incentives. An evaluation of the Florida AIDS Nursing Home Admission Program.

Provider incentive payments in the Medicaid program have been in operation nationally since the early 1980s. Although initially indicating favorable results, recently the ability of such incentives to produce the desired action has been questioned. This study examined the Florida Medicaid AIDS Nursing Home Admission Incentive Program to determine the reasons behind the program's apparent inability to increase Medicaid-covered persons with AIDS (PWAs) admissions to nursing homes. A survey of 308 nursing homes in the 10 Florida counties with the highest cumulative AIDS cases in the state was conducted. The results reveal that (a) the level of incentive reimbursement received, (b) the financial classification of existing (non-AIDS) residents, and (c) the level of technological sophistication of the facility are all significantly related to the number of PWAs admitted. Based on these results, the author discusses implications for the future of Medicaid incentive programs for PWAs.

Acquired Immunodeficiency Syndrome↗
PubMed1994

AIDS and long-term care. An examination of Florida's Medicaid incentive reimbursement program.

People living with HIV/AIDS will have a greater need for long-term care options as the disease develops into a chronic, rather than an acute, condition. Nursing homes, a major component in the long-term care continuum, traditionally have been reluctant to admit PWAs, forcing some states to adopt incentive programs to encourage such admissions. The efficacy of such programs, however, has not been studied. This article will examine Florida's Medicaid AIDS nursing home admission incentive program, focusing on its effect on PWA admission rates in the state.

Acquired Immunodeficiency Syndrome↗
PubMed1994

Assessing employee attitudes in a community-based AIDS service organization.

This study surveyed employees of the Comprehensive AIDS Program of Palm Beach County, Florida, a community-based AIDS service organization, to understand employees' motives for working for the organization and their attitudes toward their jobs, the organization, its clients (persons with AIDS), and governments. The study revealed that the primary reasons employees work for the organization are a desire for personal involvement in the AIDS fight and the personal lifestyle and/or feeling of each employee. These employees were highly motivated, showing some very positive attitudes toward their jobs, organization, and clients. On the other side, these employees reported concern for future funding of their organization and unhappiness with both federal and state governments' role in the fight against AIDS. Based on these findings, the authors discuss implications for the management of AIDS service organizations, the quality of the AIDS service delivery system, and the future development of AIDS service organizations.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

Ethnography and AIDS: a methodology for identifying culturally relevant risk-reducing behaviors.

As the AIDS pandemic enters its second decade, persons most at risk for developing the disease are low-income African-American women and their children. This group has been extremely difficult to reach with traditional "top-down" risk reduction programs developed by the federal government. The authors describe an ethnographic case study strategy, appropriate for and within the reach of many community-based organizations. This strategy can be used to identify barriers to risk-reducing behaviors; ultimately this strategy can be used to assist organizations to develop culturally relevant intervention programs.

Acquired Immunodeficiency Syndrome↗