Collective bargaining for health facilities: the management response.
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Biomedical subjects
Publications and source records attributed to R C McKibbin.
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Growth is continuing in schools of allied health in terms of faculty, enrollments, the use of university-based clinics and in the volume of training facilities required for allied health education. At the same time, budgets for future expansion of facilities are likely to become more stringent. Thus, the efficient allocation of physical space within schools of allied health is extremely important and it will become more important in future years. This paper examines procedures for evaluating space needs in allied health schools. A number of possible approaches, and their strengths and weaknesses, are explored. Influences of the physical environment--of which space is a primary component--on behavior is considered in the context of allied health education and their implications for space allocation are explored. The likely effects of Occupational Safety and Health Administration (OSHA) regulations on space utilization are also examined. Throughout the analysis recommendations are made for the safe and effective use of the available physical space within which allied health education occurs.
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Evidence on the cost-effectiveness of physician assistants has accumulated in diverse sources in recent years. In this analysis the findings of major studies which bear on the issue are assembled and evaluated. Numerous studies indicate that the utilization of physician assistants has a positive correlation with productivity measures; other studies reveal significant cost savings as well. This conclusion has several important qualifications and implications: (1) the generality of physician assistants cost-effectiveness has not yet been demonstrated; (2) patients and third parties may not benefit so that physician assistants may serve only in increase physician incomes, which may reduce patient acceptance and affect overall utilization rates of physician assistants; and (3) reimbursement policies are inadequate and may curtail cost-effective utilization of physician assistants in many circumstances.
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This paper seeks to determine the extent to which the Nursing Student Loan program (NSL) has accomplished its primary objectives of increasing the supply and effecting a more equitable geographic distribution of nurses. The history and provisions of the program are discussed and data from a survey of nursing schools on students' incomes, borrowing practices and withdrawal rates are analyzed. The major conclusion of the paper is that although NSL has fallen far short of its principal goals, it has produced some secondary benefits. A review of the program is recommended as a means of determining which activities should be emphasized to maximize its overall effectiveness.
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