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Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

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At least 1,135 records · Page 63Linked to original sources
PubMed1995

The role of research in systems reform.

Knowledge concerning the care of people with severe and persistent mental illness has grown dramatically, but that knowledge is seldom translated into improvements in care. The authors describe their involvement in three service delivery projects in Ontario and discuss how, by assuming multiple roles, they were able to ensure that planning and policy development were informed by current knowledge. In addition to being an investigator, such roles may include being an administrator, planner, consultant and advocate. The redevelopment of Whitby Psychiatric Hospital resulted in an innovative plan for a comprehensive, integrated service delivery system based upon community support services research. Implementation of the Graham Report in Ontario provided an array of district mental health plans which incorporate current knowledge with regard to service delivery. Ontario's mental health reform strategy represents a close connection between public policy and scientific information. The authors recommend that researchers be prepared to assume multiple roles in the service delivery field so as to reduce the gap between science and practice.

Comprehensive Health Care↗
PubMed1995

Transforming vision into achievement--great comebacks.

Leadership is the quality that distinguishes a Great Comeback from an impressive financial turnaround, and the organizations we selected as winners of our Fifth Annual Great Comebacks Contest can boast CEOs with an exceptional vision of what health care can and should be. Find out what Michael Boyd, Craig Melin and Leon Malmud have in common, and how they and their management teams brought their hospitals into a new era.

Awards and Prizes↗
PubMedDate not supplied

Redesigning care delivery in the community hospital.

In 1991, Augusta Hospital Corporation implemented a patient care delivery redesign project in an effort to enhance overall quality of care while improving cost effectiveness. Preliminary findings suggest success in both of these endeavors.

Delivery of Health Care↗
PubMed1994

Reorganization: premises, processes, and pitfalls.

As the technological environment changes and libraries assume new and more active roles in their institutions, the traditional library hierarchy ceases to be an effective organizational structure. Guided by theories that emphasize teamwork, quality, and employee empowerment and participation, libraries are developing flatter, more networked organizations. The Health Sciences Library at Columbia University in New York, New York, recently underwent a reorganization in an effort to become a more resilient, more flexible organization. The process was beneficial overall. While some errors and confusion occurred, these are seen as opportunities for learning and evidence of the library's new atmosphere of creativity and experimentation.

Hospital Restructuring↗
PubMed1994

[The clinic as profit center and management with reference figures].

Financial responsibility is one of the important aspects of hospital management. At the hospital of Uster a trial with a profit center concept was started in October 1991. This concept included development of management tools such as reference figures to check costs, returns and performance. Thus it was possible to obtain an equilibrium between personnel costs and performance within 6 months. In the first half of 1993 the budgeted performance figures for 1993 have so far been reached. Although a complete implementation of a profit center concept in a public hospital does not seem possible, a profit center-like structure helps to obtain financial control and enables the hospital management to readily adapt to changing conditions.

Budgets↗
PubMed1994

Capacity crisis. The U.S. health care system is bulging with hospital beds--but emotions run high when talks turn to cutting the excess.

Closing down hospital beds is a tough proposition all around; no executive looks forward to the operational, financial, human resources and community relations issues involved. But the forward march of managed care is forcing the issue. In an overbedded health care system, executives are struggling to come up with answers to the capacity crisis.

Bed Occupancy↗