Laura Morlock
Dados Biográficos
| ID | 1170293 |
|---|---|
| NOME | Laura Morlock |
| PRENOMES | Laura |
| SOBRENOME | Morlock |
| ASSINATURA | MORLOCK L |
| AFILIAÇÕES | Johns Hopkins University |
| VERIFICADO | Não |
| TOTAL DE OBRAS | 15 |
| TOTAL DE CITAÇÕES | 7 |
| TOTAL COMO AUTOR | 15 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1972 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2013 |
| ÍNDICE H | 2 |
A Phased Cluster-randomized Trial of Rural Hospitals Testing a Quality Collaborative to Improve Heart Failure Care
BACKGROUND: Use of evidence-based practices for heart failure (HF) patients has the potential to improve outcomes and reduce variations in care delivery. OBJECTIVES: To evaluate the effect of a rural hospital quality collaborative and organizational context (nurse staffing and practice environment) on 4 HF core measures. RESEARCH DESIGN: Phased cluster-randomized trial with delayed intervention control group. The intervention included a HF toolki…
Gifts, bribes and solicitions
Are Critical Pathways Effective for Reducing Postoperative Length of Stay
BACKGROUND: Many hospitals use critical pathways to attempt to reduce postoperative length of stay (PLOS) for diverse conditions and procedures. OBJECTIVE: To evaluate whether critical pathways were associated with reductions in postoperative PLOS after accounting for prepathway trends in PLOS. RESEARCH DESIGN: Retrospective cohort study, from 1988 to 1998. SETTING: Academic medical center department of surgery. SUBJECTS: A total of 10,960 admiss…
The implications of affiliations between Catholic and non-Catholic health care organizations for availability of reproductive health services
Does the Hospital Board Need a Doctor
In this study, the authors attempted to determine if physician board participation enhances or impairs the operational performance of a hospital. Two theories—managerialism and agency theory—are compared to determine if participation on the hospital board by inside (i.e., medical staff) and outside physicians provides informational advantages (managerialism) or poses the threat for opportunism (agency theory). Using hospital operating margin to m…
Strategic Activity and Financial Performance of U.S. Rural Hospitals
This study examines the effect of 13 strategic management activities on the financial performance of a national sample of 797 U.S. rural hospitals during the period of 1983‐1988. Controlled for environment‐market, geographic‐region, and hospital‐related variables, the results show almost no measurable effect of strategic adoption on rural hospital profitability and liquidity. Where statistically significant relationships existed, they were more o…
America's Rural Hospitals
We review 1980s research on American rural hospitals within the context of a decade of increasing restrictiveness in the reimbursement and operating environments. Areas addressed include rural hospital definitions, organizational and financial performance, and strategic management activities. The latter category consists of hospital closure, diversification and vertical integration, swing‐bed conversion, sole community provider designation, horiz…
Practice Changes in Response to the Malpractice Litigation Climate
Data from a 1987 survey of Maryland physicians in three specialties (internal medicine, family or general practice, and obstetrics-gynecology) were used to study the types of changes physicians have made in their practices during the last 2 years as a result of the current malpractice litigation climate. Overall, 51% reported making some type of practice change. The practice changes that physicians reported reflect both risk-reduction (e.g., incr…
Malpractice Claims Experience Associated With Fertility-Control Services Among Young Obstetrician-Gynecologists
Threatened and actual medical malpractice claims associated with delivery of fertility-control services are studied in a national sample of 1,420 recently trained obstetrician-gynecologists who had been in practice an average of 3 years at the time of the survey. Nine percent of respondents report having been threatened with a fertility-control-related lawsuit, and 5.5% report being named as a defendant in such a suit. The types of services named…
Patient Understanding and Satisfaction as Predictors of Compliance
Patients' satisfaction with the communicative aspects of their medical visits and understanding of their prescription drug regimens were measured for a sample of visits to a prepaid medical plan in a mid-Atlantic metropolitan area. The 1367 patients, who visited either the Department of Adult Medicine or the Urgent Care Center during a 2-week period and their physicians completed questionnaires as part of an ongoing quality assessment study. A 50…
Control Structure, Values, and Innovation
This comparative study of 12 hospitals in one SMSA was designed to investigate the organizational determinants of social, in contrast to technological, innovations. Major independent variables include: centralization of influence on hospital decision-making; relative influence of administrators, trustees, and medical staff; and social change values of decision-makers. Dependent variables are 20 recent innovations in obstetrical programs and servi…
Sex Differences in Response to a Blocked Career Pathway Among Unaccepted Medical School Applicants
Sex differences in career aspirations and behavior following unsuccessful application to medical school are examined. Findings from a 1972 national study indicate that, despite similar academic qualifications and initial career aspirations, women are less persistent than men in reapplying to medical school, more likely than men to lower their educational aspirations following rejection, and less likely than men to enroll in doctoral degree progra…
The Role of New Health Practitioners in a Prepaid Group Practice
Practice patterns and patient-reported outcomes of care are compared in detail for ten physicians and 12 new health practitioners delivering ambulatory care in two departments of a prepaid group practice, the Columbia Medical Plan (CMP). All providers completed questionnaires for a 50 per cent random sample of patients seen during a two-week period. Patients completed questionnaires prior to receiving care and were interviewed one week and one mo…
Unaccepted Applicants to Medical School as a Health Resource
The career decisions of national samples of male and female unaccepted applicants to the 1971-72 entering U.S. medical school class are studied in order to determine whether the increasing number of unaccepted applicants is a potential manpower pool for alternative health occupations. The dominant response to rejection among respondents is reapplication to medical school in subsequent years, and the principal determinant of reapplication is recei…
The Structure of Community Power
Gifts, bribes and solicitions
Control Structure, Values, and Innovation
This comparative study of 12 hospitals in one SMSA was designed to investigate the organizational determinants of social, in contrast to technological, innovations. Major independent variables include: centralization of influence on hospital decision-making; relative influence of administrators, trustees, and medical staff; and social change values of decision-makers. Dependent variables are 20 recent innovations in obstetrical programs and servi…
The Structure of Community Power
Sex Differences in Response to a Blocked Career Pathway Among Unaccepted Medical School Applicants
Sex differences in career aspirations and behavior following unsuccessful application to medical school are examined. Findings from a 1972 national study indicate that, despite similar academic qualifications and initial career aspirations, women are less persistent than men in reapplying to medical school, more likely than men to lower their educational aspirations following rejection, and less likely than men to enroll in doctoral degree progra…
The Role of New Health Practitioners in a Prepaid Group Practice
Practice patterns and patient-reported outcomes of care are compared in detail for ten physicians and 12 new health practitioners delivering ambulatory care in two departments of a prepaid group practice, the Columbia Medical Plan (CMP). All providers completed questionnaires for a 50 per cent random sample of patients seen during a two-week period. Patients completed questionnaires prior to receiving care and were interviewed one week and one mo…
Unaccepted Applicants to Medical School as a Health Resource
The career decisions of national samples of male and female unaccepted applicants to the 1971-72 entering U.S. medical school class are studied in order to determine whether the increasing number of unaccepted applicants is a potential manpower pool for alternative health occupations. The dominant response to rejection among respondents is reapplication to medical school in subsequent years, and the principal determinant of reapplication is recei…
Control Structure, Values, and Innovation
This comparative study of 12 hospitals in one SMSA was designed to investigate the organizational determinants of social, in contrast to technological, innovations. Major independent variables include: centralization of influence on hospital decision-making; relative influence of administrators, trustees, and medical staff; and social change values of decision-makers. Dependent variables are 20 recent innovations in obstetrical programs and servi…
Patient Understanding and Satisfaction as Predictors of Compliance
Patients' satisfaction with the communicative aspects of their medical visits and understanding of their prescription drug regimens were measured for a sample of visits to a prepaid medical plan in a mid-Atlantic metropolitan area. The 1367 patients, who visited either the Department of Adult Medicine or the Urgent Care Center during a 2-week period and their physicians completed questionnaires as part of an ongoing quality assessment study. A 50…
Malpractice Claims Experience Associated With Fertility-Control Services Among Young Obstetrician-Gynecologists
Threatened and actual medical malpractice claims associated with delivery of fertility-control services are studied in a national sample of 1,420 recently trained obstetrician-gynecologists who had been in practice an average of 3 years at the time of the survey. Nine percent of respondents report having been threatened with a fertility-control-related lawsuit, and 5.5% report being named as a defendant in such a suit. The types of services named…
Practice Changes in Response to the Malpractice Litigation Climate
Data from a 1987 survey of Maryland physicians in three specialties (internal medicine, family or general practice, and obstetrics-gynecology) were used to study the types of changes physicians have made in their practices during the last 2 years as a result of the current malpractice litigation climate. Overall, 51% reported making some type of practice change. The practice changes that physicians reported reflect both risk-reduction (e.g., incr…
America's Rural Hospitals
We review 1980s research on American rural hospitals within the context of a decade of increasing restrictiveness in the reimbursement and operating environments. Areas addressed include rural hospital definitions, organizational and financial performance, and strategic management activities. The latter category consists of hospital closure, diversification and vertical integration, swing‐bed conversion, sole community provider designation, horiz…
Strategic Activity and Financial Performance of U.S. Rural Hospitals
This study examines the effect of 13 strategic management activities on the financial performance of a national sample of 797 U.S. rural hospitals during the period of 1983‐1988. Controlled for environment‐market, geographic‐region, and hospital‐related variables, the results show almost no measurable effect of strategic adoption on rural hospital profitability and liquidity. Where statistically significant relationships existed, they were more o…
Does the Hospital Board Need a Doctor
In this study, the authors attempted to determine if physician board participation enhances or impairs the operational performance of a hospital. Two theories—managerialism and agency theory—are compared to determine if participation on the hospital board by inside (i.e., medical staff) and outside physicians provides informational advantages (managerialism) or poses the threat for opportunism (agency theory). Using hospital operating margin to m…
The implications of affiliations between Catholic and non-Catholic health care organizations for availability of reproductive health services
Are Critical Pathways Effective for Reducing Postoperative Length of Stay
BACKGROUND: Many hospitals use critical pathways to attempt to reduce postoperative length of stay (PLOS) for diverse conditions and procedures. OBJECTIVE: To evaluate whether critical pathways were associated with reductions in postoperative PLOS after accounting for prepathway trends in PLOS. RESEARCH DESIGN: Retrospective cohort study, from 1988 to 1998. SETTING: Academic medical center department of surgery. SUBJECTS: A total of 10,960 admiss…
Gifts, bribes and solicitions
A Phased Cluster-randomized Trial of Rural Hospitals Testing a Quality Collaborative to Improve Heart Failure Care
BACKGROUND: Use of evidence-based practices for heart failure (HF) patients has the potential to improve outcomes and reduce variations in care delivery. OBJECTIVES: To evaluate the effect of a rural hospital quality collaborative and organizational context (nurse staffing and practice environment) on 4 HF core measures. RESEARCH DESIGN: Phased cluster-randomized trial with delayed intervention control group. The intervention included a HF toolki…
Medicine (10 obras) · Business (7 obras) · Political science (7 obras) · Psychology (6 obras) · Health care (5 obras) · Healthcare Policy and Management (5 obras) · Law (5 obras) · Nursing (5 obras) · Family medicine (4 obras) · Public relations (4 obras)