Search results

Statistical evidence shows that medication errors are a major cause of injuries that concerns all health care oganizations. Despite all the efforts to improve the quality of care, the lack of understanding and inability of management to design a robust system that will strategically target those factors is a major cause of distress. The paper aims to discuss these issues.

Achieving optimum organizational performance requires two key variables; work process factors and human performance factors. The approach is that healthcare administrators must take in account both variables in designing a strategy to reduce medication errors. However, strategies that will combat such phenomena require that managers and administrators understand the key factors that are causing medication delivery errors.

The authors recommend that healthcare organizations implement the Toyota Production System (TPS) combined with human performance improvement (HPI) methodologies to eliminate medication delivery errors in hospitals.

Despite all the efforts to improve the quality of care, there continues to be a lack of understanding and the ability of management to design a robust system that will strategically target those factors associated with medication errors. This paper proposes a solution to an ambiguous workflow process using the TPS combined with the HPI system.

Although the United States Congress has attempted to ameliorate some of the adverse impacts of the Balanced Budget Act through the 1999 Balanced Budget Refinement Act, the final results of the reforms to Medicare remain to be seen. This article provides an update and examines the impacts of the Balanced Budget Act on health providers and medical education. The authors also discuss the implications of these impacts for further policy adjustment.

Poor people often experience a delay in meeting their healthcare needs due to their economic situation. As a result, delayed diagnoses and treatment may increase disease severity, increase the risk of death, and enhance disease transmission in the community. The purpose of this paper is to provide important information about health service delays among the poorest people in Turkey.

A field study is conducted among the 92 poorest households in the Etimesgut region of Ankara in order to ascertain any delays in health services among the poor, as well as the factors related to those delays.

The results of the study show that 87 percent of the households lived on a daily income of US$2.15, and that household member's delay seeking healthcare services an average of 4.66±1.17 times in the past year. Reasons for delaying or not seeking healthcare services included the following: participants thought they would get better without doing anything (7.6 percent), by using traditional herbs (12.7 percent), by using pharmaceuticals already on hand (11.4 percent), the health facility was too far away (5.1 percent), and inability to pay (63.3 percent). Significant associations are found between the delaying behaviors, socioeconomic characteristics of households, and health status.

At the end of the study, policy suggestions are provided for improving medical care seeking behaviors and treatment compliance among the poor.

Poverty is a complex and multidimensional phenomenon that consists of income insufficiency, lack of education, malnutrition, and poor health. The relationship between poverty and poor health impacts those who live in poverty as well as communities, organizations and entire countries. Reducing health disparities and decreasing delays and difficulties in access to health care among poor households are important goals.

A primary reason for the increase in uninsured Americans is due to the rising costs of health care that has caused a decline of employment‐based coverage for individuals working for small firms. According to the 1997 US Census Bureau figures, 43 percent of uninsured worked full‐time, and eight out of ten of the uninsured or their dependents were full‐time workers. While significant improvements at the state‐level have occurred to address the unmet health insurance needs of children, less emphasis has been placed on ways to improve access and utilization of health services for uninsured adults. This paper revisits where the health care debate has been over the last decade, system stresses currently being felt by providers in caring for the uninsured population, and the adequacy of the care which they receive. In addition, several incremental strategies for extending Medicaid coverage for children and their families, costs and financing projections, and implications for providers are examined.

In all industries, competition among businesses has long been encouraged as a mechanism to increase value for patients. In other words, competition ensures the provision of better products and services to satisfy the needs of customers This paper aims to develop a model that can be used to empirically investigate a number of complex issues and relationships associated with competition in the health care industry.

A literature review was conducted. A total of 50 items of literature related to the subject were reviewed.. Various perspectives of competition, the nature of service quality, health system costs, and patient satisfaction in health care are examined

A model of the relationship among these variables is developed. The model depicts patient satisfaction as an outcome measure directly dependent on competition. Quality of care and health care systems costs, while also directly dependent on the strategic mission and goals, are considered as determinants of customer satisfaction as well. The model is discussed in the light of propositions for empirical research.

Empirical studies based on the model proposed in this paper should help identify areas with significant impact on patient satisfaction while maintaining high quality of service at lower costs in a competitive environment.

The authors develop a research model which included propositions to examine the complex issues of competition in the health care industry.

Latinos comprise 12.5 percent of the overall population in the USA, and are the fastest‐growing minority, among which the Mexican‐origin population makes up about 66 percent. Undocumented Latino immigrants are a small, yet important group within the immigrant population. The purpose of this paper is to review the literature and discuss the most important factors that prevent immigrants from accessing health care.

Literature review was conducted from the library database. A total of 50 items of literature related to the subject were reviewed.

Border states have the highest concentration of Mexican‐origin people. The concentration of immigrants in the border has unique health and economic implications due to the vital role they have in US society, contributing both to the economy and diversity of the USA. Despite their important role, they disproportionately lack health insurance, and receive fewer health care services than US‐born citizens. This lack of insurance puts a burden on the nation's economy, and their health status deteriorates as they become more prone to chronic health conditions, and their complications due to lack of primary medical attention.

Tailored public health interventions that address the health needs of Latino immigrants in the USA need to be based on reliable data and statistics in order to effectively place resources, and to track achievements and flaws.

In this paper, I explore some of the intellectual questions which gave meaning to the social activity of dealing with crime, disorder and indigence, in the writings of three key police thinkers: Henry Field, Sir John Fielding and Patrick Colquhoun. My argument is that these early “police intellectuals” were not visionaries in the sense that they imagined a radically new apparatus of social control. Rather, the writings of these police proponents are most significant because they established a context of thought as felt and feeling as thought in which modern policing emerged. That intellectual context involved a commitment to piety, ethical standards and those institutions which supported or propagated them ‐ family, commerce and education as well as considerations of better policing, laws and punishments. Their writings, I suggest, are best understood as providing an enhanced role for the police in both enforcing order and in defining it. Police intellectuals, I conclude, created a frame of mind of police which functioned as a broad social technology of control, an institution of government and an ideology representing the crime problem as a lower class phenomenon.

This study aims to contribute to the relatively limited historic literature on social and environmental accounting/accountability. More specifically, the study explores accounting and accountability for fisheries over time and determines potential legitimacy relations as conveyed through reporting.

A content analysis method is used to analyse a fisheries-related section of an annual report of a state-owned electricity firm for 56 years (1935/36–1993). The time frame analysed is a period when environmental or social reporting was, in general, informal and not mandated. However, accountability was established for the company under study, through the legally mandated provision of (unspecific/discretional) information about fisheries activities. A lens evoking legitimacy relationships as a dyad is utilised.

The fisheries reporting within the case organisation is an early example of recognition of the important effects of business activities on the environment and biodiversity. The findings of the analyses suggest the content aligns with what may be anticipated in a contemporary setting. Drawing on trends noted from the content analysis, three potential legitimacy relationships are identified around the fisheries reporting. Only one is determined as a complete legitimacy relationship.

The research is limited in that it is an analysis of one case in a single context. Also, the content analysis methods used were developed specifically for the study, which may limit their application. Finally, the data source used, and the historic nature of the study, to some extent limits the ability to determine some legitimacy relationships.

This study offers some insights on the historic nature of environmental reporting from a fisheries perspective in the Northern Hemisphere. The longitudinal nature of the analysis also offers insights into how the content of the reporting changed over time. Additionally, the use of a relatively new approach to operationalising legitimacy may prove useful for future researchers in the accounting discipline, especially given recent concerns on how the concept of legitimacy has been utilised in such research.

The purpose of this paper is to present a system dynamics (SD) model that allows one to simulate resource deployment to fulfill increasing needs for commodities such as food and other consumables during disaster situations. The focus is on managing a suddenly increased demand (hoarding behavior) of an affected population under restricted transport conditions. The model aims to support decision makers by fostering comprehension of the systemic behavior and interdependencies of those complex settings.

Through literature review and case study analyses the SD model was established and implemented with STELLA 10.1.1.

The needs of relief units for response operations and supply of evacuees in the affected region result in conflicting needs under limited transport conditions during disaster situations. Therefore, uncertainties and dynamic parameters as, e.g., occurring delays, limited information, or delivery constraints and their influence on resource deployment under a sudden demand, have been identified and incorporated in this work. The authors found that an oscillating behavior within the system is possible to occur and is more intensified in case of regarding the additional needs of evacuees and relief units.

Due to the high level of abstraction, it is not possible to incorporate all influencing variables in the SD model. Therefore, the authors focused on the most important ones with regard to the model objective.

To focus on awareness raising is of importance for decision makers in the context of disaster management. Furthermore, the authors found that the oscillating behavior is more irregular in case of assuming a higher increase rate of the water gauge than if a low increase rate is assumed.

To the best of the authors’ knowledge, none of the work already done refers to providing a flood-prone area with commodities under consideration of a sudden demand, by applying the SD approach. The presented model contributes on the generation of systemic insights of resource deployment under consideration of conflicting needs in times of a river flood to support decision makers in those situations.