Personal Research Database

Title: Journal of Hospital Marketing & Public Relations

Full Journal Title: Journal of Hospital Marketing & Public Relations

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JCR Abbreviated Title: J Hosp Mark Public Relations

ISSN: 1539-0942

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? Parsons, R.J., Murray, B.P. and Dwore, R.B. (2003), Trends in rural healthcare delivery in the United States, 1990-1999. Journal of Hospital Marketing & Public Relations, 14 (2), 23-36.

Full Text: 2003\J Hos Mar Pub Rel14, 23.pdf

Abstract: This article describes the results of a literature search of pertinent professional literature written on issues important to rural healthcare delivery in the United States. The purpose of the literature review was to provide journal articles to practicing rural healthcare leaders who, because of time and economic constraints, claimed they were unable to research their own relevant journal articles. The authoring team is composed of individuals who work as full-time faculty members at institutions that offer courses in health administration. Because the nature of their professional work and research dictates that they focus on areas of rural health, the authoring team offered to share their findings with rural administrators as a means to assist them. The intent was to form a working collaboration between health services management professionals in academia, representatives of the state’s healthcare organizational affiliate associations, and professionals practicing in the industry. This ten-year collaboration resulted in a unique wedding of resources that helped both in the delivery of rural healthcare services in a western state and in the advancement of the field of health services administration through original research. Thus, the product of this literature search is a comprehensive study of the trends in rural healthcare delivery. The variety of topics discussed were gleaned from over 500 articles found in and summarized from 70 professional healthcare journals published between 1990 and 1999.

Keywords: Administration, Collaboration, Delivery, Economic, Faculty, Field, Health, Health Services, Institutions, Journal, Journal Articles, Journals, Literature, Literature Review, Management, Organizational, Purpose, Research, Review, Rural, Rural Health, Services, State, Trends, United States, Work

Title: Journal of Hospital Medicine

Full Journal Title: Journal of Hospital Medicine

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? Macy, M.L., Kim, C.S., Sasson, C., Lozon, M.M. and Davis, M.M. (2010), Pediatric observation units in the United States: A systematic review. Journal of Hospital Medicine, 5 (3), 172-182.

Abstract: BACKGROUND: As more efficient and value-based care models are sought for the US healthcare system, geographically distinct observation units (OUs) may become an integral part of hospital-based care for children. PURPOSE: To systematically review the literature and evaluate the structure and function of pediatric OUs in the United States. DATA SOURCES: Searches were conducted in MEDLINE, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Health Care Advisory Board (HCAB), Lexis-Nexis, National Guideline Clearinghouse, and Cochrane Reviews, through February 2009, with review of select bibliographies. STUDY SELECTION: English language peer-reviewed publications on pediatric OU care in the United States. DATA EXTRACTION: Two authors independently determined Study eligibility. Studies were graded using a 5-level quality assessment tool. Data were extracted using a standardized form. DATA SYNTHESIS: A total of 21 studies met inclusion criteria: 2 randomized trials, 2 prospective observational, 12 retrospective cohort, 2 before and after, and 3 descriptive studies. Studies present data on more than 22,000 children cared for in OUs, most at large academic centers. This systematic review provides a descriptive overview of the structure and function of pediatric OUs in the United States. Despite seemingly straightforward outcomes for OU care, significant heterogeneity in the reporting of length of stay, admission rates, return visit rates, and costs precluded our ability to conduct meta-analyses. We propose standard outcome measures and future directions for pediatric OU research. CONCLUSIONS: Future research using consistent outcome measures will be critical to determining whether OUs can improve the quality and cost of providing care to children requiring observation-length stays. Journal of Hospital Medicine 2010;5:172-182. (C) 2010 Society of Hospital Medicine.

Keywords: Acute Asthma, Assessment, Authors, Care, Chest-Pain, Children, Cochrane, Costs, Descriptive Studies, Emergency Department, Emergency-Department Observation, Extraction, Health, Hospital, Hospital Charges, Hospitalization, Inpatient Care, Journal, Length of Stay, Length-Of-Stay, Literature, Management, Nursing, Observation, Observation Medicine, Observation Unit, Oral Ondansetron, Outcome, Outcomes, Overview, Pediatric, Peer-Reviewed Publications, Publications, Randomized Controlled-Trial, Research, Review, Science, Selection, Systematic, Systematic Review, US, Web of Science

? Kripalani, S. and Williams, M.V. (2010), Author responsibilities and disclosures at the Journal of Hospital Medicine. Journal of Hospital Medicine, 5 (6), 320-322.

Abstract: Disclosure: Dr. Kripalani is supported by K23HL077597 from the National Heart, Lung, and Blood Institute. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung, and Blood Institute or the National Institutes of Health. Dr. Kripalani receives honoraria from the Society of Hospital Medicine as a Deputy Editor of the Journal of Hospital Medicine. He serves as a consultant to and holds equity in PictureRx, LLC. He has received investigator-initiated grant funding from Pfizer, Inc. and has served as a consultant to Pfizer, Inc. and Bristol-Myers Squibb/Sanofi. Dr. Williams receives honoraria from the Society of Hospital Medicine as Editor-in-Chief of the Journal of Hospital Medicine. He has received investigator-initiated grant funding from The John A. Hartford Foundation.

Keywords: Authors, Competing Interests, ICMJE Journals, Misconduct, Plagiarism, Uniform Format

? Tipping, M.D., Forth, V.E., Magill, D.B., Englert, K. and Williams, M.V. (2010), Systematic review of time studies evaluating physicians in the hospital setting. Journal of Hospital Medicine, 5 (6), 353-359.

Abstract: BACKGROUND: Time studies, first developed in the late 19th century, are now being used to evaluate and improve worker efficiency in the hospital setting. This is the first review of hospital time study literature of which we are aware. PURPOSE: We performed a systematic review of the literature to better understand the available time study literature describing the activities of hospital physicians. DATA SOURCES: We searched MEDLINE, EMBASE, EMBASE Classic, PsycINFO, Cochrane Library, CINAHL, and Web of Science. We also manually reviewed the reference lists of retrieved articles and consulted experts in the field to identify additional articles for review. STUDY SELECTION: We selected studies that used time-motion or work-sampling performed via direct observation, included physicians, medical residents, or interns in their study population, and were performed on an inpatient hospital ward. DATA EXTRACTION: We abstracted data on subject population, study site, collection tools, and percentage of time spent on key categories of activity. DATA SYNTHESIS: Our search produced 11 time-motion and 2 work-sampling studies that met our criteria. These studies focused primarily on academic hospitals (92%) and the activities of physicians in training (69%). Other results varied widely. A lack of methodological standardization and dissimilar activity categorizations inhibited our efforts to summarize detailed findings across studies. However, we consistently found that activities indirectly related to a patient’s care took more of hospital physicians’ time than direct interaction with hospitalized patients. CONCLUSIONS: Time studies, when properly performed, have a great deal to offer in helping us understand and reengineer hospital care. Journal of Hospital Medicine 2010;5:353-359. (C) 2010 Society of Hospital Medicine.

Keywords: Academic Medical Centers, Activities, Cochrane, Efficiency, Embase, Evolution, Extraction, Hospital, Hospitalist, Hospitals, Internal-Medicine, Journal, Literature, Medical, Medical Staff, Medicare, Medicine House Staff, Medline, Motion, Observation, Patient-Care, Physicians, Residents, Review, Science, Selection, Spend, Systematic, Systematic Review, Systems Analysis, Task Performance And Analysis, Time And Motion Studies, Time Management, Training, Web of Science, Work, Work Sampling, Work Simplification