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PubMedDate not supplied

Trust between managers and physicians in community hospitals: the effects of power over hospital decisions.

Trust is a key element of effective work relationships between managers and physicians. Despite its importance, little is known about the factors that promote trust between these two professional groups. We examine whether manager and physician power over hospital decisions fosters manager-physician trust. We expect that with more power, managers and physicians will have greater control to enforce decisions that benefit the interests of both groups. Subsequently, they may gain confidence that their interests are supported and have more trust for each other. We test proposed hypotheses with data collected in a national study of chief executive officers and physician leaders in community hospitals in 1993. Findings indicate that power of managers and physicians over hospital decisions is related to manager-physician trust. Consistent with our expectations, physicians perceive greater trust between the two groups when they hold more power in four separate decision-making areas. Our hypotheses, however, are only partially supported in the manager sample. The relationship between power and trust holds in only one decision area: cost/quality management. Our findings have important implications for physician integration in hospitals. A direct implication is that physicians should be given the opportunity to influence hospital decisions. New initiatives, such as task force committees with open membership or open forums on hospital management, allow physicians a more substantial involvement in decisions. Such initiatives will give physicians more "voice" in hospital decision making, thus creating opportunities for physicians to express their interests and play a more active role in the pursuit of the hospital's mission and objectives.

Decision Making, Organizational↗
PubMedDate not supplied

GPs' poor relations.

Explore the source record for details and available documents.

Family Practice↗
PubMedDate not supplied

Children with asthma: initial development of the child resilience model.

PURPOSE: The purpose of this study was to develop a clinically relevant conceptual model of resilience in children based on theoretical relationships between family environment, specific child characteristics, and selected health outcomes. METHODS: A correlational study method was used to study a nonprobability, volunteer sample of 235 children, diagnosed with asthma on daily medication. FINDINGS: Findings revealed that the paths in the inner core of a resilience model were statistically significant. Fifteen percent of the variance in the illness indices outcome for children with asthma was explained by family environment, specific child characteristics, appraisal and coping, and child perceived quality of life. A child's sense of coherence and self-esteem, as mediated by a child's appraisal of asthma, accounted for 37% of the variance explained in the perceived quality of life. CONCLUSIONS: Nurses and physicians, committed to working in partnerships with parents, can help foster specific child characteristics that impact the effects of asthma.

Adaptation, Psychological↗
PubMed2002

There is no standing still.

Changes in dentistry are leading to new and more interdependent relationships among dentists, patients, and laboratories. Most important among these emerging forces are the rapid development of new product technologies, dentists' desire to increase their financial and creative satisfaction, and changing demographics and customer involvement.

Attitude of Health Personnel↗
PubMedDate not supplied

Interjurisdictional placement of children in foster care.

As the population of children in foster care has increased and more children are freed for adoption, foster and adoptive families are needed in ever increasing numbers. One avenue for expanding the pool of families is through placement of children with families in other counties and states. This article considers the policy and practice implications of interjurisdictional placement in the context of foster care, adoption, and kinship care and suggests directions for interjurisdictional adoption practice and policy.

Adoption↗