Gary Hart
Biographic Data
| ID | 3744473 |
|---|---|
| NAME | Gary Hart |
| GIVEN NAMES | Gary |
| FAMILY NAME | Hart |
| SIGNATURE | HART G |
| AFFILIATIONS | University of North Dakota |
| VERIFIED | No |
| TOTAL WORKS | 16 |
| TOTAL CITATIONS | 41 |
| WORKS AS AUTHOR | 16 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 1978 |
| LATEST PUBLICATION YEAR | 2021 |
| H-INDEX | 2 |
Using the Homeland Security Exercise and Evaluation Program (HSEEP) Building Block Approach to Implement System Evaluation Theory (SET)
This article shares lessons learned in applying system evaluation theory (SET) to evaluate a Clinical and Translational Research Center (CTR) funded by the National Institutes of Health. After describing how CTR support cores are intended to work interdependently as a system, the case is made for SET as the best fit for evaluating this evaluand. The article then details how the evaluation was also challenged to facilitate a CTR culture shift, hel…
Comparing and Contrasting a Program versus System Approach to Evaluation
This article examines the differences between approaching an evaluation problem from a program perspective and doing so from a systems perspective. The terms program, systems, systems thinking, and systems concepts are first defined. Then, using an actual evaluation of a cardiac care system, it is shown how initial investments in a program theory approach were deemed inadequate to account for the influence of external factors on patient outcomes.…
Lessons learned in evaluating the infrastructure of a Centre for Translational Research
This paper shares lessons learned while evaluating the implementation of a Clinical and Translational Research Center (CTR). To meet its overarching goals the CTR consists of numerous research support units (e.g., biostats, community engagement, professional development, etc.) that are intended to work together collaboratively. It is then argued that an evaluation approach grounded in system thinking was the best fit to evaluate this key CTR desi…
The connection between logic models and systems thinking concepts
This article examines the relationship between systems thinking concepts and the logic model. Two notable shortcomings of the logic model are illustrated: depicting the program theory linearly and failing to place the program in context. Both issues lead to an artificial depiction of reality making evaluation findings difficult to interpret. Systems thinking concepts are defined and how they address these shortcomings is discussed. This article t…
Rural and Urban Primary Care Physician Professional Beliefs and Quality Improvement Behaviors
PURPOSE: We evaluated whether primary care physicians (PCPs) from urban and rural practices differ on attitudes and behaviors related to quality improvement (QI) activities, patient relationships, and professionalism/self-regulation. METHODS: Data from a national survey that assessed physician attitudes and behaviors based on the Physician Charter on Medical Professionalism were used. Of the 1,891 survey respondents, N = 840 were PCPs (n = 274 fa…
Defining frontier areas in the United States
Demand is growing for a statistically based, nationally consistent definition of frontier territory, one that is adjustable within a reasonable range and applicable in different research and policy contexts. The need arises from Congressional mandates affecting rural health programs and from limitations of previous classification schemes. As used here, the term frontier denotes territory characterized by some combination of relatively low-populat…
After bin Laden
Sometimes a Great Notion
The commonwealth
Metropolitan, Urban, and Rural Commuting Areas
Discontent with the current definition of metropolitan areas and the lack of differentiation within nonmetropolitan territory provided the incentive for the research presented here. Census tracts rather than counties were used as the building blocks for assignment of tracts, not just to metropolitan areas, but also to larger towns (10,000 to 49,999) and to smaller urban places (2,500 to 9,999). The analysis used 1990 census-defined urbanized area…
The Minuteman
The mysterious disappearance of American liberalism
What happens when the individualist and rights‐based core beliefs of American liberalism become commonplace orthodoxy and the new right scourges its distributive instincts? Naturally, liberalism disappears as a political energy field. But could it revive itself to help shape the next (ontological) republic based upon politics on a human scale
America Can Win
The Effect of Including Secondary Diagnoses on the Description of the Diagnostic Content of Family Practice
The diagnoses that physicians record are an important part of the mosaic that describes what they do. Various classifications are used to code the recorded diagnoses to permit the identification of specific conditions. The more specific the classification, the more readily this can be achieved, and for all its faults the International Classification of Diseases1 is the most widely used classification of both hospital and ambulatory diagnoses. For…
Diagnosis Clusters
A clustering method for the analysis of ambulatory morbidity data is presented. This approach reduces spurious variations resulting from idiosyncratic diagnosis labeling and coding habits of physicians and facilitates the analysis of the content of ambulatory medical care through the use of aggregate morbidity data. The clusters provide a tool that allows for the comparison of the content of practice based on different factors such as provider tr…
The U.S. Senate and the Future of the Navy
Metropolitan, Urban, and Rural Commuting Areas
Discontent with the current definition of metropolitan areas and the lack of differentiation within nonmetropolitan territory provided the incentive for the research presented here. Census tracts rather than counties were used as the building blocks for assignment of tracts, not just to metropolitan areas, but also to larger towns (10,000 to 49,999) and to smaller urban places (2,500 to 9,999). The analysis used 1990 census-defined urbanized area…
Lessons learned in evaluating the infrastructure of a Centre for Translational Research
This paper shares lessons learned while evaluating the implementation of a Clinical and Translational Research Center (CTR). To meet its overarching goals the CTR consists of numerous research support units (e.g., biostats, community engagement, professional development, etc.) that are intended to work together collaboratively. It is then argued that an evaluation approach grounded in system thinking was the best fit to evaluate this key CTR desi…
America Can Win
The connection between logic models and systems thinking concepts
This article examines the relationship between systems thinking concepts and the logic model. Two notable shortcomings of the logic model are illustrated: depicting the program theory linearly and failing to place the program in context. Both issues lead to an artificial depiction of reality making evaluation findings difficult to interpret. Systems thinking concepts are defined and how they address these shortcomings is discussed. This article t…
The Minuteman
The U.S. Senate and the Future of the Navy
Diagnosis Clusters
A clustering method for the analysis of ambulatory morbidity data is presented. This approach reduces spurious variations resulting from idiosyncratic diagnosis labeling and coding habits of physicians and facilitates the analysis of the content of ambulatory medical care through the use of aggregate morbidity data. The clusters provide a tool that allows for the comparison of the content of practice based on different factors such as provider tr…
The Effect of Including Secondary Diagnoses on the Description of the Diagnostic Content of Family Practice
The diagnoses that physicians record are an important part of the mosaic that describes what they do. Various classifications are used to code the recorded diagnoses to permit the identification of specific conditions. The more specific the classification, the more readily this can be achieved, and for all its faults the International Classification of Diseases1 is the most widely used classification of both hospital and ambulatory diagnoses. For…
America Can Win
The mysterious disappearance of American liberalism
What happens when the individualist and rights‐based core beliefs of American liberalism become commonplace orthodoxy and the new right scourges its distributive instincts? Naturally, liberalism disappears as a political energy field. But could it revive itself to help shape the next (ontological) republic based upon politics on a human scale
The Minuteman
Metropolitan, Urban, and Rural Commuting Areas
Discontent with the current definition of metropolitan areas and the lack of differentiation within nonmetropolitan territory provided the incentive for the research presented here. Census tracts rather than counties were used as the building blocks for assignment of tracts, not just to metropolitan areas, but also to larger towns (10,000 to 49,999) and to smaller urban places (2,500 to 9,999). The analysis used 1990 census-defined urbanized area…
Sometimes a Great Notion
The commonwealth
After bin Laden
Defining frontier areas in the United States
Demand is growing for a statistically based, nationally consistent definition of frontier territory, one that is adjustable within a reasonable range and applicable in different research and policy contexts. The need arises from Congressional mandates affecting rural health programs and from limitations of previous classification schemes. As used here, the term frontier denotes territory characterized by some combination of relatively low-populat…
Rural and Urban Primary Care Physician Professional Beliefs and Quality Improvement Behaviors
PURPOSE: We evaluated whether primary care physicians (PCPs) from urban and rural practices differ on attitudes and behaviors related to quality improvement (QI) activities, patient relationships, and professionalism/self-regulation. METHODS: Data from a national survey that assessed physician attitudes and behaviors based on the Physician Charter on Medical Professionalism were used. Of the 1,891 survey respondents, N = 840 were PCPs (n = 274 fa…
The connection between logic models and systems thinking concepts
This article examines the relationship between systems thinking concepts and the logic model. Two notable shortcomings of the logic model are illustrated: depicting the program theory linearly and failing to place the program in context. Both issues lead to an artificial depiction of reality making evaluation findings difficult to interpret. Systems thinking concepts are defined and how they address these shortcomings is discussed. This article t…
Comparing and Contrasting a Program versus System Approach to Evaluation
This article examines the differences between approaching an evaluation problem from a program perspective and doing so from a systems perspective. The terms program, systems, systems thinking, and systems concepts are first defined. Then, using an actual evaluation of a cardiac care system, it is shown how initial investments in a program theory approach were deemed inadequate to account for the influence of external factors on patient outcomes.…
Lessons learned in evaluating the infrastructure of a Centre for Translational Research
This paper shares lessons learned while evaluating the implementation of a Clinical and Translational Research Center (CTR). To meet its overarching goals the CTR consists of numerous research support units (e.g., biostats, community engagement, professional development, etc.) that are intended to work together collaboratively. It is then argued that an evaluation approach grounded in system thinking was the best fit to evaluate this key CTR desi…
Using the Homeland Security Exercise and Evaluation Program (HSEEP) Building Block Approach to Implement System Evaluation Theory (SET)
This article shares lessons learned in applying system evaluation theory (SET) to evaluate a Clinical and Translational Research Center (CTR) funded by the National Institutes of Health. After describing how CTR support cores are intended to work interdependently as a system, the case is made for SET as the best fit for evaluating this evaluand. The article then details how the evaluation was also challenged to facilitate a CTR culture shift, hel…
Political science (9 works) · Engineering (7 works) · Computer Science (6 works) · Law (5 works) · Law (5 works) · Medicine (5 works) · Economics (4 works) · Evaluation and Performance Assessment (4 works) · Public Administration (4 works) · Public Administration (4 works)