The Cayuga Medical Center A Case Study in Landscape Master Planning and Sustainability

Previous planning for rural revival in towns has emphasized construction and government-led policies. However, we argue that the dilemmas of peri-metropolitan rural areas, such as Desakota in China, are far more complex faced with rural super village and hollowed village transformations. Rural revival planning needs to coordinate with the development of urbanized and rural areas towards multifunctional goals and plans as a whole. Therefore, we selected the town master plan of Lijia, a typical peri-metropolitan village in China, as a case study. Through a historical–interpretative approach involving analysis of planning policies, questionnaires, and in-depth interviews with the key stakeholders involved, we structured the process and mechanism of rural revival in Lijia into three phases: resource identification, capitalization, and financialization. In different phases, different stakeholders adopt different roles. The government takes a leading role in resource identification and capitalization, while firms take a leading role in the process of financialization. “Market-dominant and government-guided” planning stimulates villagers to participate in rural revival. We highlight the importance of multifunctional land-use in terms of rural revival in the master planning of peri-metropolitan villages and provide a practical reference for uniting multiple stakeholders, including governments, firms, and villagers.

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A Service-Oriented Healthcare Message Alerting Architecture in an Asia Medical Center: A Case Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph6061870 ◽

2009 ◽

Vol 6 (6) ◽

pp. 1870-1881 ◽

Cited By ~ 8

Author(s):

Po-Hsun Cheng ◽

Feipei Lai ◽

Jin-Shin Lai

Keyword(s):

Medical Center ◽

Service Oriented

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Validating the primary provider theory in emergency medicine

Leadership in Health Services ◽

10.1108/17511870810870565 ◽

2008 ◽

Vol 21 (2) ◽

pp. 120-130 ◽

Cited By ~ 2

Author(s):

Joseph S. Guarisco ◽

Stefoni A. Bavin

Keyword(s):

Emergency Department ◽

Patient Satisfaction ◽

Pay For Performance ◽

Medical Center ◽

Waiting Times ◽

Emergency Department Visits ◽

Business Success ◽

Content Type ◽

The Impact

PurposeThe purpose of this paper is to provide a case study testing the Primary Provider Theory proposed by Aragon that states that: disproportionate to any other variables, patient satisfaction is distinctly and primarily linked to physician behaviors and secondarily to waiting times.Design/methodology/approachThe case study began by creating incentives motivating physicians to reflect and improve behaviors (patient interactions) and practice patterns (workflow efficiency). The Press Ganey Emergency Department Survey was then utilized to track the impact of the incentive programs and to ascertain any relationship between patient satisfaction with the provider and global patient satisfaction with emergency department visits by measuring patient satisfaction over an eight quarter period.FindingsThe findings were two‐fold: firstly, the concept of “pay for performance” as a tool for physician motivation was valid; and secondly, the impact on global patient satisfaction by increases in patient satisfaction with the primary provider was significant and highly correlated, as proposed by Aragon.Practical implicationsThese findings can encourage hospitals and physician groups to place a high value on the performance of primary providers of patient care, provide incentives for appropriate provider behaviors through “pay for performance” programs and promote physician understanding of the links between global patient satisfaction with physician behaviors and business growth, malpractice reduction, and other key measures of business success.Originality/valueThere are no other case studies prior to this project validating the Primary Provider Theory in an urban medical center; this project adds to the validity and credibility of the theory in this setting.

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