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Quality, sacrifice, and value in hospital choice: a comparative study of rural and suburban consumer perspectives. 医院选择中的质量、牺牲和价值:农村和郊区消费者视角的比较研究。
Pub Date : 1999-01-01
S K Gooding

This research examines consumers' value perceptions and their role in hospital choice behavior in rural and suburban markets. While health care markets are "local," this study confirms the broad efficacy of a value-based approach to understanding consumer choice of providers.

本研究考察了农村和郊区市场消费者的价值观念及其在医院选择行为中的作用。虽然医疗保健市场是“本地的”,但这项研究证实了以价值为基础的方法在了解消费者对供应商的选择方面的广泛功效。
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引用次数: 0
Alternative medicine among college students. 替代医学在大学生中的应用。
Pub Date : 1999-01-01 DOI: 10.1300/J043v13n01_08
R M Gaedeke, D H Tootelian, C Holst

The use of "alternative" medicine has become increasingly popular in the United States. Books devoted to alternative medicine, e.g., Spontaneous Healing and 8 Weeks to Optimum Health, have become best sellers. Nevertheless, relatively few research studies have focused on the subject. This study examined the role of alternative medicine among college students. Issues addressed included students' familiarity with, use of, and perceptions regarding unconventional health therapies. The study substantiated a phenomenon health care providers across the country are discovering: a growing number of Americans with interest and financial resources support the development of "mainstream" alternative medicine programs. Results of the study also suggest that well-respected traditional health care organizations would not suffer reputation damage if they were to offer such programs.

“替代”医学的使用在美国越来越流行。专门介绍替代医学的书籍,如《自然愈合》和《八周达到最佳健康》,已经成为畅销书。然而,相对较少的研究集中在这个问题上。本研究考察了替代医学在大学生中的作用。涉及的问题包括学生对非常规健康疗法的熟悉程度、使用和看法。这项研究证实了全国卫生保健提供者发现的一个现象:越来越多有兴趣和财力的美国人支持“主流”替代医学项目的发展。研究结果还表明,受人尊敬的传统医疗机构如果提供这样的项目,他们的声誉不会受到损害。
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引用次数: 9
Hospital web-site marketing: analysis, issues, and trends. 医院网站营销:分析、问题和趋势。
Pub Date : 1999-01-01 DOI: 10.1300/j043v13n02_06
P M Sanchez, P Maier-Donati

As hospitals continue to incorporate web technology into their overall marketing and communications strategies, they face several issues which we explore in this paper. Hospitals' effectiveness in dealing with these issues will affect the benefits received from this technology. We provide an exploratory analysis of current hospital web sites and develop implications for future web site development. Likewise, recommendations based on our research are also provided.

随着医院继续将网络技术纳入其整体营销和传播策略,他们面临着我们在本文中探讨的几个问题。医院处理这些问题的效率将影响从这项技术中获得的好处。我们对目前的医院网站进行了探索性分析,并对未来的网站发展提出了建议。同样,本文也根据我们的研究提出了建议。
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引用次数: 6
Measuring the effects of street pole banners on consumer awareness and preference. 测量街杆横幅对消费者意识和偏好的影响。
Pub Date : 1999-01-01 DOI: 10.1300/J043v13n01_01
W R Gombeski, P L Miller, M J Levine

The authors used a relatively new advertising medium to increase public awareness of their children's hospital. They found that street pole banners, a form of outdoor advertising, made a measurable, positive impression on consumer consciousness. Banners effectively supplemented a product awareness campaign that included more traditional media. This study is the first documentation of the use of banners to market health care services. Using a two-phase approach, respondents were surveyed via telephone before and after exposure. Results of the follow-up survey show significant increases in levels of awareness and preference. The authors hope their report on the successful use of street pole banners will spur further research on the use of this innovative media.

作者使用了一种相对较新的广告媒介来提高公众对他们儿童医院的认识。他们发现,作为户外广告的一种形式,街头条幅对消费者意识产生了可衡量的积极印象。横幅广告有效地补充了包括更多传统媒体在内的产品宣传活动。这项研究是第一个使用横幅来推销医疗保健服务的文件。采用两阶段方法,在暴露前后通过电话对受访者进行调查。后续调查的结果显示,意识和偏好水平显著提高。作者希望他们关于成功使用街头条幅的报告将促进对这种创新媒体使用的进一步研究。
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引用次数: 4
The dilemma of conflicting attitudes: survey results or community perceptions? 矛盾态度的困境:调查结果还是社区观念?
Pub Date : 1999-01-01
F B Krohn, T M Zboch

This present article investigates conflicting community attitudes and formal survey results. The survey results suggest that patients viewed their physicians' and nurses' competency and care very highly, as well as receiving satisfactory care in specialized departments. The results further suggest that hospital meals were less satisfactory in terms of patient enjoyment of meals and with the services of the dietitian. However, one major area of concern was the low number of survey responses and the recommendations that are made for improving the response rate. Demographic inconsistencies in the survey results are reviewed as evidence of lack of validity lending support to the contrary community perception of low health care quality at the hospital. Suggestions are made for improvement of the survey instrument and procedures to insure greater validity and reliability.

这篇文章调查了相互矛盾的社区态度和正式的调查结果。调查结果显示,患者对医生和护士的能力和护理评价很高,在专科得到了满意的护理。结果进一步表明,在患者享受膳食和营养师的服务方面,医院膳食不太令人满意。然而,令人关切的一个主要方面是调查答复的数量少,以及为提高答复率而提出的建议少。对调查结果中的人口统计不一致进行了审查,作为缺乏有效性的证据,为社区对医院卫生保健质量低的相反看法提供了支持。提出了改进调查工具和程序的建议,以确保更大的有效性和可靠性。
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引用次数: 0
The use of drug formularies in managed care. 管理式医疗中药物处方的使用。
Pub Date : 1999-01-01 DOI: 10.1300/j043v13n02_05
L A Hill

As a way of controlling the rising costs of health care, most managed care companies have implemented drug formularies. A drug formulary is generally defined as a listing of medications the health plan will cover for reimbursement. Some medications may need authorization from the health plan before they will be dispensed. This paper argues that drug formularies contain cost while causing no physical harm to the patient. The method of research used is descriptive. The paper will examine the issue from the side of the physician, the health plan and the patient. The research includes personal interviews, anecdotal records and reviews of available literature. The findings will show that patients still have access to a wide range of therapeutic medications and do not suffer physical harm as a result of a drug formulary.

作为控制医疗保健费用上涨的一种方式,大多数管理医疗公司都实施了药物处方。药物处方通常被定义为医疗计划将报销的药物清单。有些药物在分发之前可能需要获得健康计划的授权。本文认为,药物处方包含成本,但不会对患者造成身体伤害。使用的研究方法是描述性的。本文将从医生、健康计划和病人的角度来审视这个问题。这项研究包括个人访谈、轶事记录和对现有文献的评论。研究结果将表明,患者仍然可以获得广泛的治疗药物,并且不会因药物处方而遭受身体伤害。
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引用次数: 2
A model of strategic marketing alliances for hospices: vertical, internal, osmotic alliances and the complete model. 临终关怀医院战略营销联盟模式:纵向联盟、内部联盟、渗透联盟和完整联盟。
Pub Date : 1999-01-01 DOI: 10.1300/J043v13n01_03
B J Starnes, D R Self

This article develops two previous research efforts. William J. Winston (1994, 1995) has proposed a set of strategies by which health care organizations can benefit from forging strategic alliances. Raadt and Self (1997) have proposed a classification model of alliances including horizontal, vertical, internal, and osmotic. In the second of two articles, this paper presents a model of vertical, internal, and osmotic alliances. Advantages and disadvantages of each are discussed. Finally, the complete alliance system model is presented.

本文发展了之前的两项研究成果。William J. Winston(1994,1995)提出了一套战略,通过这些战略,卫生保健组织可以从建立战略联盟中受益。Raadt和Self(1997)提出了一个联盟的分类模型,包括水平、垂直、内部和渗透。在两篇文章中的第二篇中,本文提出了一个垂直的、内部的和渗透的联盟模型。讨论了每种方法的优缺点。最后,给出了完整的联盟系统模型。
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引用次数: 5
Cross-cultural healthcare challenges: an insight into small American community hospitals. 跨文化医疗挑战:对美国小型社区医院的洞察。
Pub Date : 1998-04-22 DOI: 10.1300/J043V12N01_02
M. P. Kothari, V. Kothari
The healthcare industry in the United States is faced with many strategic challenges, because of the nation's growing culturally diverse population. Growing cultural diversity now calls for better trained medical staff that is capable of handling language, religious and cultural differences. In the rural communities, where cultural diversity is rapidly becoming a demographic fact, small hospitals with limited resources are especially confronted with medical challenges for which they seem to be least prepared. Based on an exploratory research that includes a study of small town hospitals, this paper provides insights into cross-cultural problems facing healthcare professionals in small communities. The paper highlights also the ways in which hospitals are responding to such challenges.
由于美国不断增长的多元文化人口,美国的医疗保健行业面临着许多战略挑战。日益增长的文化多样性现在要求训练有素的医务人员能够处理语言、宗教和文化差异。在农村社区,文化多样性正迅速成为人口构成的事实,资源有限的小医院尤其面临着它们似乎准备不足的医疗挑战。基于一项探索性研究,包括对小城镇医院的研究,本文提供了对小社区医疗保健专业人员面临的跨文化问题的见解。该文件还强调了医院应对此类挑战的方式。
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引用次数: 1
Selection of a hospital for a transfer: the roles of patients, families, physicians and payers. 选择转诊医院:病人、家属、医生和付款人的角色。
Pub Date : 1998-04-22 DOI: 10.1300/J043V12N01_04
W. Gombeski, D. Konrad, G. Kanoti, S. Ulreich, J. Skilogianis, J. Clough
OBJECTIVEThis study investigates the reasons for hospital transfers and the role patients, their families, physicians, and payers play in the choice of a referral center.DATA SOURCESA thirty-three item questionnaire and clinical data from the hospital's discharge database.STUDY DESIGNA study of all 307 hospital transfer patients admitted between November 9 and December 3, 1993 was conducted to understand the factors contributing to the increase in transfers and the reasons patients were sent to CCH. Data on the transfer decision were collected by interviewing patients 48 hours after admittance to the hospital or by telephone if they were discharged before an interview could be completed. Two hundred and sixty-two (85%) patients were interviewed.PRINCIPLE FINDINGS(1) Almost 58% of transfers were patient-initiated or -influenced; the remainder were physician- (38%) or payer-directed (4%); (2) More than 78% of the patients identified lack of clinical expertise/technology at originating hospital as the main reason for transferring. Other reasons included: established CCH patient status (43%), CCH marketing (31%), and concerns regarding quality of care at originating hospital (10%). Financial and quality dumping were not identified as reasons for the transfer. New patients to CCH were more likely to indicate that marketing and lack of clinical resources at originating hospital were reasons for selecting CCH than previous patients.CONCLUSIONSPatients significantly influenced the transfer decision and the transfer decision-making process can be influenced by marketing. The opinions of the consumer should not be underestimated, especially by those seeking non-marketing solutions to health care reform.
目的探讨转诊的原因,以及患者、家属、医生和付款人在转诊中心选择中的作用。数据来源来自医院出院数据库的33项问卷调查和临床数据。研究设计对1993年11月9日至12月3日住院的307名转院患者进行了研究,以了解导致转院人数增加的因素以及患者被送往CCH的原因。关于转院决定的数据是在病人入院48小时后通过访谈收集的,如果病人在访谈完成前出院,则通过电话收集。对262例(85%)患者进行了访谈。主要发现(1)几乎58%的转院是由患者发起或受其影响的;其余的是医生(38%)或付款人指导(4%);(2)超过78%的患者认为原住医院缺乏临床专业知识/技术是转院的主要原因。其他原因包括:已建立的CCH患者状态(43%)、CCH营销(31%)和对原医院护理质量的担忧(10%)。财务和质量倾销并没有被确定为转移的原因。与以前的患者相比,新到CCH的患者更有可能表示原医院的营销和缺乏临床资源是选择CCH的原因。结论患者对迁移决策有显著影响,市场营销对迁移决策过程有影响。消费者的意见不应被低估,尤其是那些寻求医疗改革非营销解决方案的人。
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引用次数: 10
Stewardship and managed care. 管理和管理式护理。
Pub Date : 1998-01-01 DOI: 10.1300/J043v12n02_01
R L Goldman, R Dunn, D L Weinberg
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引用次数: 0
期刊
Journal of hospital marketing
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