Hospitalists, two decades later: Which US hospitals utilize them?

2020 ◽  
pp. 095148482096229
Author(s):  
Josue Patien Epane ◽  
Robert Weech-Maldonado ◽  
Larry R Hearld ◽  
Bisakha Sen ◽  
Stephen J O’Connor ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Hospital Medicine ◽  
Lower Probability ◽  
For Profit ◽  
Not For Profit ◽  
Urban Hospitals ◽  
Staffing Strategy ◽  
Per Capita ◽  
The U.S ◽  
Probability Of Adoption

Hospitalists, or specialists of hospital medicine, have long been practicing in Canada and Europe. However, it was not until the mid-1990s, when hospitals in the U.S. started widespread adoption of hospitalists. Since then, the number of hospitalists has grown exponentially in the U.S. from a few hundred to over 50,000 in 2016. Prior studies on hospitalists have well documented benefits hospitals gain from adopting this innovative staffing strategy. However, there is a dearth of research documenting predictors of hospitals’ adoption of hospitalists. To fill this gap, this longitudinal study (2003–2015) purposes to determine organizational and market characteristics of U.S. hospitals that utilize hospitalists. Our findings indicate that private not-for-profit, system affiliated, teaching, and urban hospitals, and those located in higher per capita income markets have a higher probability of utilizing hospitalists. Additionally, large or medium, profitable hospitals, and those that treat sicker patients have a higher probability of adoption. Finally, hospitals with a high proportion of Medicaid patients have a lower probability of utilizing hospitalists. Our results suggest that hospitals with greater slack resources and those located in munificent counties are more likely to use hospitalists, while their under-resourced counterparts may experience more barriers in adopting this innovative staffing strategy.

EU fiscal policy effectiveness can be better shown

2021 ◽  
Keyword(s):  
Fine Tuning ◽  
Detailed Data ◽  
Content Type ◽  
For Profit ◽  
Goods And Services ◽  
Not For Profit ◽  
Poverty And Inequality ◽  
Per Capita ◽  
The Eu ◽  
Purchasing Power Parities

Significance Measures of AIC per capita at purchasing power parities (PPS) show goods and services consumed by households and individuals, an indication of their material welfare. Some of the EU-11 were by this measure on a par with southern Europe, but five have AIC levels well below the EU average. Impacts Governments will continue to measure their success both by GDP growth but also by reducing poverty and inequality. AIC measures have significant potential as a tool for fine-tuning regional and cohesion policies. More detailed data could clarify which parts of government and not-for-profit spending affect households most. Current geographical hierarchies within the EU may be shifting.

scholarly journals P4 Medicine and Scientific Wellness: Catalyzing a Revolution in 21st Century Medicine

2017 ◽  
Vol 01 (02) ◽  
pp. 132-137 ◽  
Author(s):  
Lee Hood
Keyword(s):  
Systems Biology ◽  
21St Century ◽  
Systems Approach ◽  
Healthcare Systems ◽  
Major Focus ◽  
For Profit ◽  
P4 Medicine ◽  
Not For Profit ◽  
The U.S

Dr. Lee Hood and researchers at Institute for Systems Biology pioneered the concept of medicine that is predictive, preventive, personal and participatory (P4). ISB’s exploration of scientific wellness and a systems approach to disease, along with its affiliation with Providence St. Joseph Health, one of the largest not-for-profit healthcare systems in the U.S., is accelerating momentum to transform the structure of modern healthcare, shifting from an almost complete focus on disease to a major focus on wellness.

scholarly journals Answering the Call to Accessible Quality Health Care for All Using a New Model of Local Community Not-for-Profit Charity Clinics: A Return to Christ-Centered Care of the Past

2017 ◽  
Vol 84 (1) ◽  
pp. 44-56
Author(s):  
Yuri Cuellar De la Cruz ◽  
Stephen Robinson
Keyword(s):  
Health Care ◽  
Human Dignity ◽  
Common Good ◽  
Local Community ◽  
Quality Health Care ◽  
For Profit ◽  
Not For Profit ◽  
Quality Health ◽  
The Common ◽  
The U.S

This article uses studies and organizational trends to understand available solutions to the lack of quality health care access, especially for the poor and needy of local U.S. communities. The U.S. healthcare system seems to be moving toward the World Health Organization's recommendation for universal health coverage for healthcare sustainability. Healthcare trends and offered solutions are varied. Christian healthcare traditionally implements works of mercy guided by a Christian ethos embracing the teachings of human dignity, solidarity, the common good, and subsidiarity. Culture of Life Ministries is one of many new sustainable U.S. healthcare models which implements Christ-centered health care to meet the need of quality and accessible health care for the local community. Culture of Life Ministries employs a model of charity care through volunteerism. Volunteer workers not only improve but also transform the local healthcare system into a personal healing ministry of the highest quality for every person. Summary The lack of access to quality health care is a common problem in the U.S. despite various solutions offered through legislative and socioeconomic works: universal healthcare models, insurance models, and other business models. U.S. health care would be best transformed by returning to the implementation of a traditional system founded on the Christian principles of human dignity, solidarity, subsidiarity, and the common good. Culture of Life Ministries is an example of such a local ministry in Texas, which has found success in practically applying these Christ-centered, healthcare principles into an emerging not-for-profit, economically sustainable, healthcare model.

A FRESH AND CALCULATED LOOK AT U.S. TEENAGERS: EXAMINING THE PRESENT TO PREDICT THE FUTURE

1999 ◽  
Vol 27 (6) ◽  
pp. 587-596 ◽  
Author(s):  
Chris Manolis
Keyword(s):  
Empirical Studies ◽  
Economic Strategy ◽  
For Profit ◽  
Not For Profit ◽  
The Future ◽  
Research Findings ◽  
The U.S

This paper takes a fresh look at the teenage population in the U.S. In addition to reviewing a series of recent empirical studies on teenagers, the paper presents a straightforward model whereby research findings pertaining to teenagers might be conceptualized and organized. Ultimately, the model may be utilized not only to develop a better understanding of teens, but also to predict their behavior and derive sound economic strategy on behalf of the various organizations and institutions entrusted to serve and support this important segment of the population. The paper considers current cognitions and affect of U.S. teenagers and their parents, as well as current and future teen behavior. As a unique and ever-changing segment of the population, teenagers are socially as well as economically significant, and warrant continued study and contemplation by a variety of public, private, forprofit, and not-for-profit firms, organizations, and/or institutions.

Emergent First-Time Leadership in Patient Advocacy Organizations

2021 ◽  
pp. 319-343
Author(s):  
Nancy J. Muller
Keyword(s):  
Patient Advocacy ◽  
Essential Elements ◽  
Future Research ◽  
Leadership Theories ◽  
Advocacy Organizations ◽  
For Profit ◽  
Not For Profit ◽  
Social Entrepreneurism ◽  
First Time ◽  
The U.S

Leadership in effecting change and transformation of the healthcare landscape on behalf of patients resides chiefly in patient advocacy organizations. The purpose of this chapter is to focus on leadership among not-for-profit patient advocacy organizations both in the U.S. and Europe by examining case studies of first-time leaders emerging in recent decades. Characteristics of these selected individuals are analyzed in the context of established leadership theories. Because of the necessity of securing funds to fulfill an organization's mission, transparency is of growing importance as an on-going and future challenge. Social entrepreneurism is introduced at the chapter's conclusion for its possible relevance to tomorrow's leaders emerging in patient advocacy organizations. Such thinking opens the door to future research to identify essential elements of success in the examination of first-time leadership in patient advocacy and to determine how it is best nurtured, mentored, and applauded.

Epilogue: The Afterlife of the Little Arts Colony: Institutionalising Creative Collectivities

2020 ◽  
pp. 239-244
Author(s):  
Geneva M. Gano
Keyword(s):  
Creative Class ◽  
First Century ◽  
Tourist Industry ◽  
For Profit ◽  
Not For Profit ◽  
The Arts ◽  
Art Colony ◽  
The Masses ◽  
Arts Community ◽  
The U.S

This brief epilogue begins by looking at the current development of the little art colony at Marfa, Texas, then extends a consideration of the little art colony in the U.S. past mid-century. By this time, the growth of the modern tourist industry had largely overwhelmed the places examined in this study and, as the local economies expanded and diversified beyond arts tourism and became physically and financially accessible to the masses, their reputations as vital little art colonies became diluted and faltered. As a model of possibility, however, the little arts community seems to have spawned two significant iterations that continue to be alive and well in the twenty-first century: the widespread, not-for-profit, artist residency program that fosters cross-pollination across the arts and the ubiquitous ‘arts district’ of cities eager to attract and capitalize on the creative class as part of a development and investment plan. the sketches out the salient features of each that draw from the model of the modern little arts colony and considers the effects of institutionalization in each instance.

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