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  • 1
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Annals of the New York Academy of Sciences 768 (1995), S. 0 
    ISSN: 1749-6632
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Natural Sciences in General
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Community mental health journal 31 (1995), S. 11-24 
    ISSN: 1573-2789
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract This papers applies a multiconstitutency approach to assessing organizational performance in Canadian general hospital psychiatric units and provincial psychiatric hospitals. In the absence of reliable and valid outcome measures, researchers and administrators have increasingly considered the views of external constituencies as a means of both defining the criteria for effective performance and actually assessing organizational performance. Key constituencies included psychiatric unit staff, psychiatric hospital administrators, and directors of community agencies providing mental health and related services. Opinions about organizational roles were found to exist among constituencies and among professional groups. Perceptions of organizational performance were highest for primary roles and substantially lowest for roles of secondary importance to the constituency. Future analyses of this type could help to validate the use of both constitutency measures and more traditional performance measures. While constitutency views may be seen as subjective, they are nevertheless key to building effective mental health service delivery systems.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1573-2789
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The community support network has beenwell-established as a requirement for communitytreatment of individuals with severe mental disorders.This network generally consists of a multidisciplinaryset of organizations that interrelate in some mannerwith individuals in the community. The question ofcoordination within this network has been muchdiscussed; however little published research hasempirically examined the types and extent of coordinationamong network organizations. In particular, littleattention has been given to community support networksin rural communities. In each of seven rural counties, information was obtained on interactions amongorganizations in the community support network. Thesenetworks were analyzed to yield information on networkdensity and centralization. Using measures of centrality, the most central organizations ineach network were identified. Exchanges of informationwere the most common type of interaction amongorganizations in each network. Client referrals occurred less frequently, and sharing of resources wasan even rarer phenomenon. Network analysis of communitysupport networks provides an objective perspective onthe structure of community support networks. An understanding of exchange among organizationswithin these networks is of value to administrators,clinicians, and planners interested in achieving greatereffectiveness, as well as to patients, their families, and advocacy groups concerned with access andquality of care.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1556-3308
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Psychology
    Notes: Abstract This article compares provider perceptions of access to services and utilization management (UM) procedures in two Medicaid programs in the same state: a full-risk capitated managed care (MC) program and a no-risk, fee-for-service (FFS) program. Survey data were obtained from 198 mental health clinicians and administrators. The only difference found between respondents in the FFS and MC sites was that outpatient providers in the MC site reported significantly lower levels of access to high-intensity services than did providers in the FFS site (p〈.001). Respondents in the two sites reported similar attitudes toward UM procedures, including a strong preference for internal over external UM procedures. These findings support the conclusion that through diffusion of UM procedures, all care in the Medicaid program for persons with a serious mental illness is managed, regardless of risk arrangement. Implications for mental health services and further research are discussed.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Employee responsibilities and rights journal 1 (1988), S. 69-84 
    ISSN: 1573-3378
    Keywords: labor relations in health care organizations ; labor relations and productivity ; employee participation and productivity
    Source: Springer Online Journal Archives 1860-2000
    Topics: Economics
    Notes: Abstract Inadequate attention has been given to labor-management relations in health care organizations. Bacause of the labor-intensive nature of health care and the great dependence on human resources, health services researchers should place greater emphasis on labor-management issues. This article develops a framework and suggests methodologies for examining labor relations in health care organizations. Specifically, six cirtical issues are suggested for attention by researchers: (1) the quality of the union-management relationship; (2) union organizing drives; (3) collective bargaining and contract negotiations; (4) impasse resolution; (5) contract administration and grievance handling; and (6) labor-management cooperation. These areas of research have been dominated by industrial relations researchers who have focused primarily on the manufacturing sector. Given cost containment and competitive pressures, it is timely to bridge the gap between the health services research community and the accumulating body of knowledge in industrial relations.
    Type of Medium: Electronic Resource
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