The Association Between Behavior Disorders and Return Visit to the Emergency Department
Destiney A. Fraguada, DHA
Abstract
Overcrowding of emergency departments (EDs) by behavior disorder patients is prevalent. The purpose of this quantitative study was to address whether a relationship exists between psychotic and/or substance abuse disorders and repeated ED visits within 72 hours. The cross-sectional archival data from the 2016 National Ambulatory Medical Care Survey was analyzed by univariate tests and multiple logistic regression analysis. The primary independent variables were statistically significant in unweighted univariate analyses. These findings were not confirmed by weighted multivariate analyses. Results should be treated with caution but suggest a need for outpatient interventions targeted at persons with psychotic and/or substance abuse disorders. Health Care Management Research Digest, Vol 1 (2020-2021). https://healthcaremanagementresearchdigest.com/wp-content/uploads/2020/12/fraguada_ddec62020pdf.pdf
Changes in Operating Performance in Rural Hospitals from 2012 to 2019
Oluwaseyi Tami Young-Harry, DHA
Abstract
Rural hospitals treat patients while dealing with the challenges of an inadequate workforce, limited financial resources, and an isolated geographic location, leading to difficulties in achieving financial viability. The purpose of this quantitative study was to analyze the operating performance of rural, general, medical and surgical hospitals in the United States and to determine if performance had changed from 2012 to 2019. Guided by x-efficiency theory, this study addressed whether hospital ownership explained variation in performance and if performance had changed from 2012 to 2019. A random sample of 394 rural hospitals was used, with data drawn from the American Hospital Association Guides for 2012 and 2019. A 2-step method of analysis that included both data envelopment analysis and linear regression was employed to generate the findings. The results of this study revealed that ownership was not associated with performance scores. Performance scores did not change over time. The implications for social change include the need for rural hospitals to modify structures and operations to improve efficiency while increasing services, access, and operations to their patients. Health Care Management Research Digest, Vol. 1 (2020-2021). Contact: youngharrytami@yahoo.com https://healthcaremanagementresearchdigest.com/wp-content/uploads/2020/12/youngharry.odec162020.pdf
Competition and Services Offered Among General Hospitals in the Deep South
Vanessa Stone
Abstract
In the United States, the cost of health care is much higher than it is anywhere else. High expenditures for hospital services could reduce the resources available for primary care and other services that could do more for population health. The purpose of this study was to explore the competition among general medical and surgical hospitals in the deep southern states of Mississippi, Alabama, Georgia, South Carolina, and Louisiana to determine if increasing the level of competition was associated with more services being offered. The design of the study was cross-sectional, employing multiple regression guided by the Medical Arms Race (MAR) theory. The dependent variable was the total number of services offered, and the primary independent variable was market concentration, as measured by the Herfindahl-Hirschman Index. The covariates were age, poverty level, and urban/rural location. The number of services in general medical and surgical hospitals in Mississippi, Alabama, Georgia, South Carolina, and Louisiana were measured to determine whether increasing levels of competition resulted in more services being offered. The findings of this study strongly support the MAR theory with higher market concentration being associated with fewer services being offered; this indicates that more competition increases the number of services offered. Health Care Management Research Digest, Volume 1 (2020-2021). Contact: dr.vanessastone@outlook.com. https://healthcaremanagementresearchdigest.com/wp-content/uploads/2020/12/stonevhcmrddec-22.2020.pdf
Health Care Management Awareness for Culturally Diverse Women: Infertility among Arab Women
Zena Hamdan and Cheryl L. Anderson
Abstract
Infertility is a serious public health and personal health issue. Infertile couples may perceive infertility differently based on their own cultural background. Health care leaders may be challenged with how to meet the specific needs of culturally diverse community members. Infertility represents a significant health care need for women. Ethnic minority women may be challenged with seeking appropriate care within current health care systems. Arab women represent one subset of culturally diverse women. There is a paucity of literature about how infertility is perceived among Arab women living in the United States and their efforts to access appropriate care. The purpose of this study was to understand how Arab American women feel about infertility and to understand their concerns and worries about their health care access and care. This qualitative case study sought to explore the specific perceptions of Arab women in one US city. Ten women who self-identified as Arab American women with fertility issues participated in the research. Findings demonstrated that cultural beliefs on infertility in the Arab women community had an impact on the women’s own well-being and health seeking behaviors. Health care leaders may need to recognize the specific needs of minority populations around private and intimate topics such as infertility. Health Care Management Research Digest, Volume 1 (2020-2021). Contact: Dr Cheryl Anderson cheryl.anderson@mail.waldenu.edu. https://healthcaremanagementresearchdigest.com/wp-content/uploads/2021/03/hamdan_anderson_03012021.pdf
Unmet Need and Missed Opportunities of Hospital-Based Substance Abouse Outpatient Services in Rural Wisconsin
James E. Rohrer and David J Duncan
Abstract
Hospital leaders are expected to base decisions regarding services offered on community needs, consumer demands, and financial feasibility. Leaders are likely to pursue opportunities to provide potential services in convenient places at competitive pricing. In this study, the positive impact of providing hospital-based outpatient alcohol and drug treatment on total outpatient visits is demonstrated among rural hospitals in Wisconsin. However, only 16% of targeted rural hospitals offered outpatient and drug treatment services. The provision of services seemed unrelated to community need, potential demand, or consumer preference. Contact: James rohrer jim.rohrer1955@gmail.com https://healthcaremanagementresearchdigest.com/wp-content/uploads/2021/04/unmetneeds_review_04082021careviewrev1.pdf
HEALTH CARE MANAGEMENT RESEARCH DIGEST 