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Improving Hospital Restructuring

Health Care Management Review, 2004
Many health care organizations struggle to implement restructuring efforts that produce positive results. This article presents specific ways that restructuring can be improved and what causes such efforts to derail.
Stephen L, Walston   +2 more
openaire   +2 more sources

Hospital Restructuring Initiatives in Canada

Medical Care, 1997
Recent changes in the organization, staffing, and utilization of acute hospitals in Canada are reviewed with regard to the potential implications for quality of care, national nurse workforce requirements, and research.Available national and selected provincial data and trends in hospital utilization, capacity, and staffing are synthesized.Health ...
J, Shamian, E Y, Lightstone
openaire   +2 more sources

Effects of organisational restructuring of hospitals on nurses

Journal of Nursing Management, 2020
The study aims to determine the thoughts, feelings and attitudes of nurses towards organisational change in hospitals, and the effects of organisational cynicism, job satisfaction, organisational commitment and work alienation on nurses' attitudes towards change.Changes and employees' thoughts, attitudes and behaviours can be mutually affected in the ...
Özçelik, Semanur Kumral   +3 more
openaire   +4 more sources

Hospital Restructuring

JONA: The Journal of Nursing Administration, 2000
The past decade has witnessed pronounced changes in the organization of U.S. hospitals, many the direct result of restructuring and reengineenng initiative intended to decrease costs and increase productivity Little is known about how these initiatives have affected clinical care and patient outcomes.
L H, Aiken, S P, Clarke, D M, Sloane
openaire   +3 more sources

Hospital Corporate Restructuring and Financial Performance

Medical Care, 1993
In the last decade, an important innovation in the organizational structure of acute care hospitals occurred. Many hospitals restructured by creating subsidiaries that segment assets or services into separate corporations. We know relatively little about the effects of such restructuring.
J P, Clement, T A, D'Aunno, B L, Poyzer
openaire   +2 more sources

Market Restructuring and Pricing in the Hospital Industry

SSRN Electronic Journal, 2000
This paper examines the diagnosis related group-level (DRG) price effects of recent hospital mergers and acquisitions that occurred in Ohio and California. Empirical results indicate that hospital mergers and acquisitions increase prices at the DRG level. Further, price increases are greater in DRGs where the merging hospitals gained substantial market
openaire   +2 more sources

Downsizing in the Hospital System: A Restructuring Process

Healthcare Management Forum, 1996
In an effort to maintain fiscal viability, hospitals have been undergoing major restructuring. This article reports on a study that examined innovative downsizing strategies used by 20 acute care hospitals in Ontario. The study team reviewed hospital operating plans and analysed the results of interviews conducted with administrators and employees ...
A, Baumann   +5 more
openaire   +2 more sources

Impact of Restructuring Scale: An Instrument to Measure Effects of Hospital Restructuring

Healthcare Management Forum, 2001
As restructuring and downsizing occur throughout the workplace, many individuals are either losing their jobs or experiencing job insecurity. The study of downsizing is particularly important within the healthcare system where hospital mergers and closings, and severe cutbacks, have dramatically reduced healthcare services. Since nurses are the largest
E R, Greenglass, R J, Burke
openaire   +2 more sources

The Evaluation of Hospital Restructuring Efforts

Quality Management in Health Care, 1998
This article reports on study evaluating the effects of hospital restructuring on patient satisfaction, nurse satisfaction, cost of care, and clinical quality. The restructuring involved facility redesign, telecommunications enhancement, and implementation of patient care processes incorporating multiskilled personnel and case facilitation systems. The
Y E, Bryan   +4 more
openaire   +2 more sources

Hospital Restructuring and the Epidemiology of Hospital Utilization

Medical Care, 1997
The author highlights changes in hospital utilization that have occurred in association with restructuring of Ontario hospitals. The basic features of the epidemiology of hospital utilization described link the analysis of the organizational and structural components of hospitals with a more comprehensive evaluation of the impacts of their ...
openaire   +2 more sources

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