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Financial Outcomes (financial + outcome)
Selected AbstractsEmergency Department Throughput, Crowding, and Financial Outcomes for HospitalsACADEMIC EMERGENCY MEDICINE, Issue 8 2010Daniel A. Handel MD ACADEMIC EMERGENCY MEDICINE 2010; 17:840,847 © 2010 by the Society for Academic Emergency Medicine Abstract Emergency department (ED) crowding has been identified as a major public health problem in the United States by the Institute of Medicine. ED crowding not only is associated with poorer patient outcomes, but it also contributes to lost demand for ED services when patients leave without being seen and hospitals must go on ambulance diversion. However, somewhat paradoxically, ED crowding may financially benefit hospitals. This is because ED crowding allows hospitals to maximize occupancy with well-insured, elective patients while patients wait in the ED. In this article, the authors propose a more holistic model of hospital flow and revenue that contradicts this notion and offer suggestions for improvements in ED and hospital management that may not only reduce crowding and improve quality, but also increase hospital revenues. Also proposed is that increased efficiency and quality in U.S. hospitals will require changes in systematic microeconomic and macroeconomic incentives that drive the delivery of health services in the United States. Finally, the authors address several questions to propose mutually beneficial solutions to ED crowding that include the realignment of hospital incentives, changing culture to promote flow, and several ED-based strategies to improve ED efficiency. [source] Quality of life among long-term survivors of breast cancer: different types of antecedents predict different classes of outcomesPSYCHO-ONCOLOGY, Issue 9 2006Charles S. Carver Abstract Quality of life (QOL) has many aspects, both in the short-term and in the long-term. Different aspects of QOL may have different types of precursors: demographic, medical, and psychosocial. We examined this possibility in a group of long-term breast cancer survivors. Early-stage breast cancer patients (N=163) who had provided information about medical, demographic, and psychosocial variables during the year after surgery completed a multidimensional measure of QOL 5,13 years later. Initial chemotherapy and higher stage predicted greater financial problems and greater worry about appearance at follow-up. Being partnered at diagnosis predicted many psychosocial benefits at follow-up. Hispanic women reported greater distress and social avoidance at follow-up. Initial trait optimism predicted diverse aspects of better psychosocial QOL at follow-up, but not other aspects of QOL. Thus, different aspects of QOL at long-term follow-up had different antecedents. Overall, psychological outcomes were predicted by psychosocial variables, presence of a partner at diagnosis, and ethnicity. Financial outcomes, in contrast, were predicted by medical variables, which otherwise predicted little about long-term QOL. This divergence among aspects of QOL should receive closer attention in future work. Copyright © 2005 John Wiley & Sons, Ltd. [source] Caving, role playing, and staying home: Shopper coping strategies in a negotiated pricing environmentPSYCHOLOGY & MARKETING, Issue 10 2004Philip J. Trocchia This interpretive study reveals specific behaviors that shoppers enact in order to cope with the tensions they experience in an environment where negotiated pricing is the expected norm. Consumers experience inner conflict, or tension, when they feel that a pleasant shopping experience may only be attained at the risk of a poor financial outcome. These tensions, derived from 34 depth interviews with auto shoppers, include "truth versus deception," "self-presentation versus testing the limits," and "reciprocation versus looking out for number one." Some coping strategies emanating from these tensions include using analogies, role playing, and bringing one's own audience. Implications for academicians and retailers are discussed. © 2004 Wiley Periodicals, Inc. [source] Talentship, talent segmentation, and sustainability: A new HR decision science paradigm for a new strategy definitionHUMAN RESOURCE MANAGEMENT, Issue 2 2005John W. Boudreau Two paradigm shifts are discussed here: talentship and sustainability. First, the traditional service-oriented HR focus must be extended to a "decision science" that enhances decisions about human capital. We call this decision science talentship. It includes talent segmentation, or identifying pivotal talent pools where the quality and/or availability of human capital makes the biggest difference to strategic success. Second, HR and business leaders increasingly define organizational effectiveness beyond traditional financial outcomes to encompass sustainability,achieving success today without compromising the needs of the future. A common strategic human capital decision science can reveal pivotal talent under both traditional and sustainability-based definitions, and thus uncover important insights about the talent implications of the shifting definition of strategic success. © 2005 Wiley Periodicals, Inc. [source] Outcomes in work-related injuries: A comparison of older and younger workersAMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 2 2005Glenn S. Pransky MD, MOCCH Abstract Background The "graying of the workforce" has generated concerns about the physical capacity of older workers to maintain their health and productivity on the job, especially after an injury occurs. There is little detailed research on age-related differences in work outcomes after an occupational injury. Methods A self-report survey about occupational, health, and financial outcomes, and related factors was administered 2,8 weeks post-injury to workers aged <,55 and ,,55 who had lost time due to a work injury. Results Despite more severe injuries in older workers, most outcomes were similar in both age groups. In multivariate models, age was unrelated or inversely related to poor outcomes. Injury severity, physical functioning, and problems upon return to work were associated with adverse work injury outcomes. Conclusions Older workers appear to fare better than younger workers after a work injury; their relative advantage may be primarily due to longer workplace attachment and the healthy worker effect. Am. J. Ind. Med. 47:104,112, 2005. © 2005 Wiley-Liss, Inc. [source] Financial Champions and Masters of Innovation: Analyzing the Effects of Balancing Strategic Orientations,THE JOURNAL OF PRODUCT INNOVATION MANAGEMENT, Issue 6 2009Angela Paladino Theory predicts that market and resource orientations can each lead to innovation and financial success. Despite this, no research has examined whether the pursuit of both resource and market orientations is feasible and, if so, the impact of this combined effect on innovative and financial outcomes. This paper aims to address these gaps. Thus, it is the first to examine the interdependent relationship between market orientation (MO) and resource orientation (RO). Additionally, this study responds to calls for (1) cross-disciplinary research, particularly in the areas of marketing and strategic management, and (2) comparative studies of diverse strategic orientations on performance. In doing so, this paper investigates the difference in innovation performance and financial performance between firms adopting a high or low degree of market orientation or a high or low degree of resource orientation. This allows us to observe independent and interdependent effects of these orientations on the firm's performance. Data were collected from 250 senior executives in Australia. Confirmatory factor analysis and related techniques were applied to assess the robustness of the measures used. A two-way between-groups analysis of variance (ANOVA) was used to evaluate the relationships. Results show the emergence of four organizational types: unfocused imitators or followers; market-driven innovators; masters of innovation; and financial champions. From these, financial champions emerge as having the greatest impact on the financial performance of the firm, while masters of innovation are best for maximizing innovation outcomes. In fact, organizations with a high RO in the matrix (masters of innovation and financial champions) achieved a higher impact on innovation relative to the quadrants reflecting a lower MO. Results also demonstrate that pursuing a low degree of resource and market orientations leads to inferior financial performance. Therefore, a balance of resource and market orientations is important. A potential extension of this research is to assess these relationships on an industry-by-industry basis. This would contribute to our knowledge by allowing us to determine if and how these results differ between industries. Managerial and theoretical implications are also discussed. [source] Centralization and the relationship between volume and outcome in knee arthroplasty proceduresANZ JOURNAL OF SURGERY, Issue 4 2010Nicholas E. Marlow Abstract Background:, Centralization aims to reduce adverse patient outcomes by concentrating complex surgical procedures in specified hospitals. Objectives:, This review assessed the efficacy of centralization for knee arthroplasty by examining the relationship between hospital and surgeon volume and patient outcomes. Data Sources and Review Methods:, The systematic review identified studies using multiple databases, including Medline and Embase. Two independent researchers ensured studies met the inclusion criteria. Morbidity, mortality, length of stay, financial outcomes and statistical rigour were examined. Correlations between volume and outcome were reported. Results:, Twelve primary knee arthroplasty studies examined hospital volume, which was significantly associated with decreased morbidity (five of seven studies), mortality (two of five studies) and length of stay (two of three studies). Three primary knee arthroplasty studies examined surgeon volume, which was significantly associated with decreased morbidity (two of three studies), mortality (zero of two studies) and length of stay (one of one study). Two revision knee arthroplasty studies examined hospital volume. One study examined but did not test for significance between hospital volume and patient morbidity; both studies examined volume and patient mortality reporting inconclusive results; and one study reported no significant association between volume and length of stay. None of the revision knee arthroplasty studies examined surgeon volume. Conclusions:, Significant associations between increased hospital and surgeon volume and improved patient outcomes were reported. However, when these results were separated by arthroplasty type, the association appeared tenuous. Judgements regarding centralization of knee arthroplasty should be made with caution until further evidence is published. [source] | |||||||||||||