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This fifth volume of Advances in Health Care Management examines international health care management. It consists of 12 papers, one of which serves as an introduction, with the other papers arranged into three sections. The first section on patients and providers focuses on such issues as how socio-cultural forces affect the health care experience; how hospital providers function differently under various governance structures; how global strategies affect providers and patients; and why and how provider organizations should consider integrating within a health delivery system. The second section on policy and management addresses such dilemmas as whether some health care issues are impossible to solve through traditional policy reforms; how international refugees should receive health care; and whether policy reform lessons from other countries can be adapted and applied to transform another country's health system. The third and final section on performance and management addresses issues such as whether the quality of care can be managed at the hospital level, how human resource management can be benchmarked within and across health care organizations, how health care informatics and telemedicine can improve the continuity of care, and whether different ways of accessing care within health systems can be systemically compared and improved. Authors from Australia, Chile, Finland, France, Germany, Greece, South Africa, Taiwan, the United Kingdom, and the United States of America contributed to this volume. They explore the delivery and organization of care in health systems from Africa, Asia, Australia, Europe, North America, and South America, encompassing more than 20 countries in their comparisons. The papers included in this volume were only accepted following a rigorous peer review process. Each paper, whether solicited or responding to our open call, went through a double-blind review and revision process. The result is a select collection of outstanding papers

Patient safety : state-of-the-art in health care management and future directions / Eric W. Ford, Grant T. Savage -- Quality and patient safety from the top : a case study of St. Francis medical center governing board's call to action / Louis Rubino, Marsha Chan -- The trustee and patient safety : redefining boundaries / Richard A. Culbertson, Julia A. Hughes -- Protecting the patient : collaborating to achieve the ideal hospital work environment / Donde Batten, Gerald Goodman, Susan M. Distefano -- Privacy, security and the national health information network : a mixed methods case study of state-level stakeholder awareness / Kimberly A. Galt, Karen A. Paschal, Amy Abbott, Andjela Drincic, Mark V. Siracuse, James D. Bramble, Ann M. Rule -- Evidence-based medicine and patient safety : limitations and implications / Grant T. Savage, Eric S. Williams -- Examining barriers to health information technology adoption / James D. Bramble, Mark V. Siracuse, Kimberly A. Galt, Ann M. Rule, Bartholomew E. Clark, Karen A. Paschal -- Improving patient safety through organizational development : considering the opportunities / Ann Scheck McAlearney -- S*t*a*r*t : a great handoff : an approach to effective medical communication in a high-risk environment / Ellen S. Deutsch, Brian Binck, Gina Moore, Ben-Tzion Karsh -- Changing a pediatric sub-acute facility to increase safety and reliability / Daved W. van Stralen, Racquel M. Calderon, Jeff F. Lewis, Karlene H. Roberts -- The anatomy and physiology of error in adverse health care events / Patrick A. Palmieri, Patricia R. DeLucia, Lori T. Peterson, Tammy E. Ott, Alexia Green -- Promoting patient safety by monitoring errors : a view from the middle / Michal Tamuz, Cynthia K. Russell, Eric J. Thomas

This study tests four hypotheses derived from the Leader Interpersonal Influence Model, which examines leaders' ability to adapt communicator styles that enhance problem-solv ing effectiveness in small groups. University students participated as leaders in problem- solving groups made up of confederates. The findings indicate that the two primary dimensions of leaders' communicator style are dominance and supportiveness. Addition ally, the results show that effective leaders displayed a wider repertoire of communicator styles than ineffective leaders. Also, within an experimental situation that demands strong direction, dominance was highly correlated with effectiveness for directive leaders, and both dominance and supportiveness were highly correlated with effective ness for participative leaders. Lastly, the findings reveal that leaders' relational com munication must exceed a minimal threshold before obtaining desired responses from group members. Implications for management are outlined and suggestions are made that future research should examine leaders' communicator styles in other decision-making contexts.

This volume will interest healthcare researchers and health system designers alike. It revisits the evolution of health systems organization in light of regulatory and organizational evolution in health care, as well as assessing the latest evidence on physician integration, complexity, and system redesign.

System wide health reform has become the norm across the globe, forcing health care delivery organizations to critically examine the ways in which they are structured and operate on a day to day basis. Resource scarcity has become common while at the same time, quality and clinical outcomes become the basis upon which these organizations are measured and compared with one another. This volume of "Advances in Health Care Management" includes contributions from key academic thought leaders from around the world who critically examine how health reform impacts the macro, meso and micro level strategy and policy decisions of healthcare organizations

Strategic management of HR in health care is important in delivering high-quality patient care. This volume of Advances in Health Care Management which focuses on Human Resource Management aims to explore the strategic role that HRM can play in delivering high quality and affordable health care.

Dual‐concern models suggest that "concern about self" and "concern about other" motivate individuals to choose conflict‐handling strategies. We test those assumptions with a study of the cognitions associated with the choice of conflict strategies. Consistent with dual‐concern model conceptualizations, regression analyses that account for up to 41% of variance indicate that concern about self and concern about other are significantly associated with dominating and obliging strategies. However, predicted interactions between concern about self and concern about other and avoiding, compromising, and integrating strategies are not consistent with conceptualizations in dual‐concern models. Results from this study suggest the need for a conflict‐handling model with dimensions that account for more of the variance in the choices to avoid, compromise, and integrate.

Advances in health care management : overview / Grant T. Savage, John D. Blair, Myron D. Fottler -- Nurse staffing and nursing performance : a review and synthesis of the relevent literature / Lynn Y. Unruh, Myron D. Fottler -- Population health management in theory and practice / Ann Scheck McAlearney -- Emotions, the neglected side of patient-centered health care management : the case of emergency department patients waiting to see a physician / Laurette Dub(c)Øe, Lefa Teng, Josiah Hawkins, Marilyn Kaplow -- Innovation in medical devices and medical electronics : are European regulations and practices shifting innovation to Europe? / David F. Robinson -- Manager's perceptions of hospital capabilities : a theoretical and empirical study / Adelaide Wilcox King, Carl P. Zeithaml -- Management of academic health centers : the past, present, and future / Sharon Topping, Donna Malvey -- A strategic change/organizational ecology based theory of post-bankruptcy performance in healthcare firms / David D. Dawley, James J. Hoffman, Mark Hoelscher -- From stakeholder management strategies to stakeholder management styles : serendipitous research on organizational configurations / John D. Blair, Starr A. Blair, Myron D. Fottler, Timothy W. Nix, G. Tyge Payne, Grant T. Savage -- The benefits of staffing and paying more : the effects of staffing levels and wage practices for registered nurses on hospital's average lengths of stay / Mark P. Brown, Michael C. Sturman, Marcia J. Simmering -- The impact of workplace empowerment, organizational trust on staff nurses' work satisfaction and organizational commitment / Heather K. Spence Laschinger, Joan Finegan, Judith Shamian -- Managing routine exceptions : a model of nurse problem solving behavior / Anita L. Tucker, Amy C. Edmondson

Advances in health care management : this volume / John D. Blair, Myron D. Fottler, Grant T. Savage -- Complexity science and health care management / Reuben R. McDaniel, Dean J. Driebe -- Managed care and drug treatment practices : a model of organizational response to external influence / Christy Harris Lemak, Jeffrey A. Alexander -- The strategic importance of open access for HMOs in a competitive environment / Marjorie L. Icenogle, John E. Gamble, Norman B. Bryan, Daniel A. Rickert -- Reshaping health professions in the new marketplace / James W. Begun, Roice D. Luke -- Physician executives : the evolution and impact of a hybrid profession / Kathleen Montgometry -- Understanding physicians : intentions to withdraw from practice : the role of job satisfaction, job stress, mental and physical health / Eric S. Williams, Thomas R. Konrad, William E. Scheckler, Donald E. Pathman, Mark Linzer, Julia E. McMurray, Martha Gerrity, Mark Schwartz -- Total quality management in health care : a goal setting approach / Liane Soberman Ginsburg -- Strategy, structure and performance in nursing facilities / Jullet A. Davis, Diane Brannon, Jacqueline Zinn, Vincent Mor -- A longitudinal study of work group innovation : the importance of transformational leadership and morale / Elisabeth Wilson-Evered, Charmine E.J. H(c)·artel, Matthew Neale -- The challenge of interpreting performance in health care : a study of intensive care units in Norwegian hospitals / Inger Johanne Pettersen -- Integration as networks and systems : a strategic stakeholder analysis / Grant T. Savage, Alison M. Roboski -- Understanding the meaning of health care management research through the use of a cognitive mapping approach / Richard M. Shewchuk, Stephen J. O'Connor, Myron D. Fottler, Hanh Q. Trinh -- Managed care and medical practice guidelines : the thorny problem of attaining physician compliance / Howard L. Smith, Steven Yourstone, David Lorber, Bruce Mann

The role of paradox in integrated strategy and structure configurations : exploring integrated delivery in health care / G. Tyge Payne, John D. Blair, Myron D. Fottler -- A turbulent field : theory, research, and practice on organizational change in health care / James B. Goes, Leonard Friedman, Nancy Seifert, Jan Buffa -- The future of integrated delivery systems : a consumer perspective / Myron D. Fottler, Grant T. Savage, John D. Blair -- Physician transition journeys : developing dual commitment on the road from private practitioner to employee / Jeffery A. Thompson, Andrew H. Van de Ven -- Determinants of service orientation among medical students / Stephen J. O'Connor, Hanh Q. Trinh, Richard M. Shewchuk -- Investments in management staffing and the financial performance of medical groups / Howard L. Smith, Neill F. Piland, William I. Bullers -- Responding to a consolidating healthcare system : options for physician organizations / Lawton R. Burns, Douglas R. Wholey -- Advances in health care management : the series / John D. Blair, Myron D. Fottler, Grant F. Savage -- The transfer of business practices into hospitals : history and implications / Margarete Arndt, Barbara Bigelow -- The content of health care strategy / Peter M. Ginter, W. Jack Duncan -- Market and regulatory forces and the transformation of the nursing facility industry / Jacqueline S. Zinn, Vincent Mor, Pedro Gozalo -- Does resource scarcity create interorganizational coordination and formal service linkages? A case study of a rural mental health system / Sharon Topping, Michael Calloway -- International health care management : investigating best practices around the globe / Grant T. Savage, Robert Schwarz, Kim Sydow Campbell -- Marketing strategies and relationships / Stephen J. O'Connor, V. Kanti Prasad

Although the importance of safety regulations is highly emphasized in hospitals, nurses frequently work around, or intentionally bypass, safety regulations. We argue that work-arounds occur because adhering to safety regulations usually requires more time and work process design often lacks complementarity with safety regulations. Our main proposition is that mindfulness is associated with a decrease in occupational safety failures through a decrease in work-arounds. First, we propose that individual mindfulness may prevent the depletion of motivational resources caused by worrying about the consequences of time lost when adhering to safety regulations. Second, we argue that collective mindfulness may provide nursing teams with a cognitive infrastructure that facilitates the detection and adaptation of work processes. The results of a multilevel analysis of 580 survey responses from nurses are consistent with our propositions. Our multilevel analytic approach enables us to account for the unique variance in work-arounds that individual and collective mindfulness explain.

Business‐to‐business technology development firms face a unique set of challenges when participating in the opportunities made possible by emerging multi‐sector innovations. The greatest challenge involves the firm's efforts to influence and shape the market in its favor. This requires strategies for dealing with numerous stakeholders – many with which the firm has had little experience. Because both the risks and pay‐offs are great, the firm needs an analytical and systematic process for stakeholder analysis to provide the basis for stakeholder management strategies. The case of one significant multi‐sector innovation – wireless technologies for integrated traffic management and emergency response – provides an illustrative context for demonstrating a five‐step process for stakeholder analysis.