Douglas R Wholey
Datos Biográficos
| ID | 288109 |
|---|---|
| NOMBRE | Douglas R Wholey |
| NOMBRES | Douglas R |
| APELLIDO | Wholey |
| FIRMA | WHOLEY D R |
| AFILIACIONES | University of Minnesota |
| VERIFICADO | No |
| TOTAL DE OBRAS | 16 |
| TOTAL DE CITAS | 33 |
| TOTAL COMO AUTOR | 16 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1989 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2013 |
| ÍNDICE H | 3 |
What Can We Learn From the Existing Evidence of the Business Case for Investments in Nursing Care
Decisions of health care institutions to invest in nursing care are often guided by mixed and conflicting evidence of effects of the investments on organizational function and sustainability. This paper uses new evidence generated through Interdisciplinary Nursing Quality Research Initiative (INQRI)-funded research and published in peer-reviewed journals, to illustrate where the business case for nursing investments stands and to discuss factors …
Accreditation and Accountability
Rural Emergency Department Staffing and Participation in Emergency Certification and Training Programs
Context: The practice of emergency medicine presents many challenges in rural areas. Purpose: We describe how rural hospitals nationally are staffing their Emergency Departments (EDs) and explore the participation of rural ED physicians and other health care professionals in selected certification and training programs that teach skills needed to provide high‐quality emergency care. Methods: A national telephone survey of a random sample of rural…
Health Maintenance Organization
A health maintenance organization (HMO) is a managed care organization that integrates health insurance and delivery functions in an effort to contain costs and maximize quality. HMOs differ from indemnity health insurance, where the insurer compensates the consumer for the cost of specified services. On the continuum between indemnity health insurance and HMOs lie organizations such as preferred provider organizations (PPOs) that manage care del…
Measuring Rural Hospital Quality
Context: Increased interest in the measurement of hospital quality has been stimulated by accrediting bodies, purchaser coalitions, government agencies, and other entities. Purpose: This paper examines quality measurement for hospitals in rural settings. We seek to identify rural hospital quality measures that reflect quality in all hospitals and that are sensitive to the rural hospital context. Methods: We develop a conceptual model for measurin…
The Environmental Context of Patient Safety and Medical Errors
The environmental context of patient safety and medical errors was explored with specific interest in rural settings. Special attention was paid to unique features of rural health care organizations and their environment that relate to the patient safety issue and medical errors (including the distribution of patients, types of adverse events associated with learning, information flows, triage and transfer decisions, and culture of safety). Relev…
Cognitive divergence and shared mental models in software development project teams
This study examined the development of shared mental models in software development teams over time. Contrary to predictions, team members' mental models about the group's work and each other's expertise did not become more similar over time. Structural equation modelling revealed that as role differentiation increased in these teams, it led to a decrease in interaction and a corresponding decline in shared mental models. Implications for researc…
Trust Me
Sally Sleeper, Douglas R. Wholey, Richard Hamer, Shawn Schwartz, Vito Inoferio, Trust Me: Technical and Institutional Determinants of Health Maintenance Organizations Shifting Risk to Physicians, Journal of Health and Social Behavior, Vol. 39, No. 3 (Sep., 1998), pp. 189-200
The Impact of Physician Involvement in Managed Care on Efficient Use of Hospital Resources
OBJECTIVES: This research assesses the impact of managed care on the physician's efficient use of hospital resources. It examines three questions. (1) Does a higher percentage and volume of managed care patients in the physician's hospital practice lead to more efficient utilization? (2) Do physicians shift cost to nonmanaged care patients in an effort to compensate for lower reimbursement for managed care patients? (3) Are there threshold effect…
The Effect of Physician Factors on the Cesarean Section Decision
The number of deliveries by cesarean section (c-section) has increased dramatically. Clinical and demographic factors have not adequately explained the increased rate, however. This study investigates the role of nonclinical (i.e., physician) factors in explaining variations in c-section rates, including the physician's training/experience, financial and convenience incentives, and practice characteristics. The study measures the impact of these …
The Effect of Physician and Corporate Interests on the Formation of Health Maintenance Organizations
Change in professional social organization is in part a consequence of client interests, professional interests, and professional heterogeneity. Professional reorganization, which often manifests itself in organization formation, should be most likely to occur when interests of corporate clients are strong and professional diversity leads some professional groups to expand their jurisdiction by organizing. We examine these arguments with a study …
Organization Size and Failure Among Health Maintenance Organizations
We extend the organizational ecology literature by examining the relationship between organization size and failure. Contrary to the typical monotonically declining relationship between organization size and failure rates found in ecology research, we show that this relationship varies by type of organization. Using data from censuses of Health Maintenance Organizations in the United States, we find that the relationship assumes an inverted U-sha…
The Effects of Patient, Hospital, and Physician Characteristics on Length of Stay and Mortality
This article compares the ability of hospital and physician characteristics to explain variations in length of stay and mortality, controlling for factors associated with severity of illness. The analysis is based on 54,571 discharges, covering 11 medical and five surgical conditions, from nonfederal general hospitals in one state during 1988. Results suggest that both hospital and physician characteristics are important predictors of both outcom…
Convenience and Independence
This paper contrasts economic and professional models of physician admitting behavior. Economic models emphasize physician convenience and income maximization, while professional models emphasize physician autonomy and independence. The paper examines the relative power of these models to explain two types of admitting decisions made by physicians: which hospitals to begin admitting patients to, and how many patients to admit to a hospital. Analy…
The Effects of Formal and Informal Training on Tenure and Mobility in Manufacturing Firms
This article analyzes the effects of employer investment in employees through formal and informal on-the-job training on job tenure and mobility for male and female workers, male supervisors, and male managers. Formal on-the-job training positively affects job tenure of male and female workers, firm tenure of male workers, supervisors, and managers, and mobility of male workers and managers. It negatively affects mobility of female workers. The r…
Assessing Organizational Ecology as Sociological Theory
Cognitive divergence and shared mental models in software development project teams
This study examined the development of shared mental models in software development teams over time. Contrary to predictions, team members' mental models about the group's work and each other's expertise did not become more similar over time. Structural equation modelling revealed that as role differentiation increased in these teams, it led to a decrease in interaction and a corresponding decline in shared mental models. Implications for researc…
Organization Size and Failure Among Health Maintenance Organizations
We extend the organizational ecology literature by examining the relationship between organization size and failure. Contrary to the typical monotonically declining relationship between organization size and failure rates found in ecology research, we show that this relationship varies by type of organization. Using data from censuses of Health Maintenance Organizations in the United States, we find that the relationship assumes an inverted U-sha…
The Effect of Physician and Corporate Interests on the Formation of Health Maintenance Organizations
Change in professional social organization is in part a consequence of client interests, professional interests, and professional heterogeneity. Professional reorganization, which often manifests itself in organization formation, should be most likely to occur when interests of corporate clients are strong and professional diversity leads some professional groups to expand their jurisdiction by organizing. We examine these arguments with a study …
Assessing Organizational Ecology as Sociological Theory
Trust Me
Sally Sleeper, Douglas R. Wholey, Richard Hamer, Shawn Schwartz, Vito Inoferio, Trust Me: Technical and Institutional Determinants of Health Maintenance Organizations Shifting Risk to Physicians, Journal of Health and Social Behavior, Vol. 39, No. 3 (Sep., 1998), pp. 189-200
The Effects of Formal and Informal Training on Tenure and Mobility in Manufacturing Firms
This article analyzes the effects of employer investment in employees through formal and informal on-the-job training on job tenure and mobility for male and female workers, male supervisors, and male managers. Formal on-the-job training positively affects job tenure of male and female workers, firm tenure of male workers, supervisors, and managers, and mobility of male workers and managers. It negatively affects mobility of female workers. The r…
Assessing Organizational Ecology as Sociological Theory
The Effects of Formal and Informal Training on Tenure and Mobility in Manufacturing Firms
This article analyzes the effects of employer investment in employees through formal and informal on-the-job training on job tenure and mobility for male and female workers, male supervisors, and male managers. Formal on-the-job training positively affects job tenure of male and female workers, firm tenure of male workers, supervisors, and managers, and mobility of male workers and managers. It negatively affects mobility of female workers. The r…
The Effects of Patient, Hospital, and Physician Characteristics on Length of Stay and Mortality
This article compares the ability of hospital and physician characteristics to explain variations in length of stay and mortality, controlling for factors associated with severity of illness. The analysis is based on 54,571 discharges, covering 11 medical and five surgical conditions, from nonfederal general hospitals in one state during 1988. Results suggest that both hospital and physician characteristics are important predictors of both outcom…
Convenience and Independence
This paper contrasts economic and professional models of physician admitting behavior. Economic models emphasize physician convenience and income maximization, while professional models emphasize physician autonomy and independence. The paper examines the relative power of these models to explain two types of admitting decisions made by physicians: which hospitals to begin admitting patients to, and how many patients to admit to a hospital. Analy…
Organization Size and Failure Among Health Maintenance Organizations
We extend the organizational ecology literature by examining the relationship between organization size and failure. Contrary to the typical monotonically declining relationship between organization size and failure rates found in ecology research, we show that this relationship varies by type of organization. Using data from censuses of Health Maintenance Organizations in the United States, we find that the relationship assumes an inverted U-sha…
The Effect of Physician and Corporate Interests on the Formation of Health Maintenance Organizations
Change in professional social organization is in part a consequence of client interests, professional interests, and professional heterogeneity. Professional reorganization, which often manifests itself in organization formation, should be most likely to occur when interests of corporate clients are strong and professional diversity leads some professional groups to expand their jurisdiction by organizing. We examine these arguments with a study …
The Effect of Physician Factors on the Cesarean Section Decision
The number of deliveries by cesarean section (c-section) has increased dramatically. Clinical and demographic factors have not adequately explained the increased rate, however. This study investigates the role of nonclinical (i.e., physician) factors in explaining variations in c-section rates, including the physician's training/experience, financial and convenience incentives, and practice characteristics. The study measures the impact of these …
The Impact of Physician Involvement in Managed Care on Efficient Use of Hospital Resources
OBJECTIVES: This research assesses the impact of managed care on the physician's efficient use of hospital resources. It examines three questions. (1) Does a higher percentage and volume of managed care patients in the physician's hospital practice lead to more efficient utilization? (2) Do physicians shift cost to nonmanaged care patients in an effort to compensate for lower reimbursement for managed care patients? (3) Are there threshold effect…
Trust Me
Sally Sleeper, Douglas R. Wholey, Richard Hamer, Shawn Schwartz, Vito Inoferio, Trust Me: Technical and Institutional Determinants of Health Maintenance Organizations Shifting Risk to Physicians, Journal of Health and Social Behavior, Vol. 39, No. 3 (Sep., 1998), pp. 189-200
Cognitive divergence and shared mental models in software development project teams
This study examined the development of shared mental models in software development teams over time. Contrary to predictions, team members' mental models about the group's work and each other's expertise did not become more similar over time. Structural equation modelling revealed that as role differentiation increased in these teams, it led to a decrease in interaction and a corresponding decline in shared mental models. Implications for researc…
Measuring Rural Hospital Quality
Context: Increased interest in the measurement of hospital quality has been stimulated by accrediting bodies, purchaser coalitions, government agencies, and other entities. Purpose: This paper examines quality measurement for hospitals in rural settings. We seek to identify rural hospital quality measures that reflect quality in all hospitals and that are sensitive to the rural hospital context. Methods: We develop a conceptual model for measurin…
The Environmental Context of Patient Safety and Medical Errors
The environmental context of patient safety and medical errors was explored with specific interest in rural settings. Special attention was paid to unique features of rural health care organizations and their environment that relate to the patient safety issue and medical errors (including the distribution of patients, types of adverse events associated with learning, information flows, triage and transfer decisions, and culture of safety). Relev…
Health Maintenance Organization
A health maintenance organization (HMO) is a managed care organization that integrates health insurance and delivery functions in an effort to contain costs and maximize quality. HMOs differ from indemnity health insurance, where the insurer compensates the consumer for the cost of specified services. On the continuum between indemnity health insurance and HMOs lie organizations such as preferred provider organizations (PPOs) that manage care del…
Rural Emergency Department Staffing and Participation in Emergency Certification and Training Programs
Context: The practice of emergency medicine presents many challenges in rural areas. Purpose: We describe how rural hospitals nationally are staffing their Emergency Departments (EDs) and explore the participation of rural ED physicians and other health care professionals in selected certification and training programs that teach skills needed to provide high‐quality emergency care. Methods: A national telephone survey of a random sample of rural…
Accreditation and Accountability
What Can We Learn From the Existing Evidence of the Business Case for Investments in Nursing Care
Decisions of health care institutions to invest in nursing care are often guided by mixed and conflicting evidence of effects of the investments on organizational function and sustainability. This paper uses new evidence generated through Interdisciplinary Nursing Quality Research Initiative (INQRI)-funded research and published in peer-reviewed journals, to illustrate where the business case for nursing investments stands and to discuss factors …
Health care (9 obras) · Medicine (9 obras) · Economics (7 obras) · Business (6 obras) · Political science (6 obras) · Psychology (6 obras) · Economic growth (5 obras) · Healthcare Policy and Management (5 obras) · Health maintenance (4 obras) · Medical emergency (4 obras)