Finance

Measuring the Costs of Quality

Measuring the Costs of Quality
in Health Services Management: Readings and Commentary, Seventh Edition, A. Kovner and D. Neuhauser, editors, AUPHA Press/Health Administration Press, Chicago, IL, pp. 114-121.

Finkler, S.A.
01/01/2001

Managers of a healthcare organization have numerous demands on their time, their skills, their knowledge, and their budgets. They are responsible for adapting to change, managing their office, making effective decisions, among countless other tasks.

This book, newly revised to include readings, commentary, and cases, offers a bridge from management theory to the actual world of healthcare management. Throughout its past editions, Health Services Management has featured the best literature on health services management to help readers understand the role of the manager, organizational design and control, the blending of organization and health professionals, change (adaptation), and responsiveness (accountability). This edition continues that effort, and features new readings.

 

Microenterprise Development for Better Health Outcomes

Microenterprise Development for Better Health Outcomes
Westport, CT: Greenwood Publishing.

Rodriguez-Garcia, R., Macinko, J. & Waters, W.
01/01/2001

Showing that economic development and public health, often thought of as distinct, are both interdependent and dependent on social and political conditions, this book provides a new appreciation of the close relationship between microenterprise development and health in developing countries. Many of the world's poor earn a living from microenterprises, often outside the formal economy, and international practitioners have recently turned their attention to this underground economy, providing support through group poverty lending and village banking models, but overlooking the potential benefits of linking income generation with public health. This book argues for a conceptual and practical relationship between microenterprise development and household health, nutrition, and sanitation. To support their framework, the authors look at specific actions for harnessing the power of microeconomic development to improve health and human development. They support their argument further with case studies of innovative programs carried out in Latin America, Asia, and Africa. The book challenges the reader to cross disciplinary and professional boundaries to not only understand the interrelationships between health and income generation but to use available tools to enhance those interrelationships.

Principles to Guide Housing Policy in the New Millenium

Principles to Guide Housing Policy in the New Millenium
in Cityscapes: A Journal of Policy Development and Research. 5(2): 5-19.

Schill, M. & Wachter, S.
01/01/2001

The 1990s were a tumultuous time for Federal housing policy. The decade began with deep divisions in the housing community over how to deliver housing assistance. Federal budget cuts in the mid-1990s, for the first time in recent history, essentially froze the number of households that received housing assistance. At roughly the same time, the continuing existence of HUD was itself in doubt, as the New York Times Magazine in 1995 published its lead article proclaiming "The Year That Housing Died."

As the new millennium begins, things have changed dramatically. Not only is Congress no longer seriously questioning whether to disband HUD, but in response to a record-setting economic expansion and internal reforms within the agency, Congress has substantially increased HUD 's budget. In marked contrast to the beginning of the last decade, remarkable consensus exists among housing policymakers and analysts over the future direction of housing policy. In this article, we explore this emerging consensus and set forth our views regarding the principles that should guide housing policy over the next decade.

Variation in Teenage Mothers’ Experiences of Child Care and Other Components of Welfare Reform: Selection Processes and Developmental Consequences

Variation in Teenage Mothers’ Experiences of Child Care and Other Components of Welfare Reform: Selection Processes and Developmental Consequences
Child Development, Volume 72, pp. 299-317,

Yoshikawa, H., Rosman, E.A. & Hsueh, J..
01/01/2001

Developmental evaluations of the current wave of welfare reform programs present challenges with regard to (1) assessing child outcomes; (2) accounting for heterogeneity among low-income families in both baseline characteristics and involvement in self-sufficiency activities and supports, and (3) development of alternatives to experimental approaches to causal inference. This study (N = 1,079) addresses these challenges by examining effects on 4- to 6-year-old children of different patterns of child care, self-sufficiency activities, and other service utilization indicators among experimental-group mothers in a 16-site welfare reform program. Outcomes in areas of cognitive ability and behavior problems were investigated. The study identified seven subgroups of participants engaging in different patterns of service utilization and activity involvement. A two-stage simultaneous equation methodology was used to account for selection, and effects on child cognitive ability of participation in specific patterns of services and activities were found. For example, children of mothers characterized by high levels of involvement in center-based child care, education, and job training showed higher levels of cognitive ability than children of mothers in groups characterized by high involvement in center-based care and education, or center-based care and job training. In addition, children of mothers in groups with high levels of involvement in any of these activities showed higher levels of cognitive ability than those with low levels of involvement. The bulk of selection effects occurred through site-level differences, rather than family-level socio-economic status or maternal depression indicators. Implications for welfare reform program and policy concerns are discussed.

Factors influencing participation in weekly support groups among women completing an HIV/STD Intervention program

Factors influencing participation in weekly support groups among women completing an HIV/STD Intervention program
Women and Health 2000; 30(1): 15-35

Van Devanter, N., Parikh, N., Cohall, R., Faber, N., Litwak, E., Messeri, P., Gonzales, V., Kruger, S. & Greenberg, J.
01/01/2000

Over the past three decades, the influence and importance of social support has been well documented and the findings have suggested a beneficial effect on stress-related situations, mental and physical health, and social functioning. More recently, small group/skills training behavioral interventions have demonstrated success in changing behaviors which affect the transmission of sexually transmitted diseases, including HIV among populations at risk for these diseases. Studies of support groups to date have been conducted exclusively in research settings where women are offered financial incentives for participation. Little is known about the willingness of women to participate in ongoing support groups after successfully completing a skills training intervention. The present study examines the factors that may influence participation among women in a weekly support group after completing a structured, six session HIV/STD intervention. Both quantitative and qualitative data are collected from 265 women in the intervention arm of a multi-site randomized controlled behavioral intervention trial. Results reveal that less than a quarter (22%) of women participated in at least one support group. Participation varied significantly by site, ranging from 34% to 15% (p = .008). Participation was also strongly linked to recent use of domestic violence services. Qualitative data indicated that although monetary incentives play some role in the woman's decision to participate, other factors are also important. These include program outreach, support group size, salience of the group content, consistency of group leadership from the intervention to the support group, and use of peer leaders along with professional facilitators. Implications for design of post-intervention support groups programs are discussed.

Financial Management for Nurse Managers and Executives

Financial Management for Nurse Managers and Executives
2nd Edition, W.B. Saunders, Philadelphia,

Finkler, S.A. & Kovner, C.T.
01/01/2000

Covering the financial topics all nurse managers need to know and use, this book explains how financial management fits into the healthcare organization. You'll study accounting principles, cost analysis, planning and control management of the organization's financial resources, and the use of management tools.

High School Size: The Effects on Budgets and Performance in New York City

High School Size: The Effects on Budgets and Performance in New York City
Educational Evaluation and Policy Analysis, Spring

Stiefel, L., Berne, R., Iatarola, P. & Fruchter, N.
01/01/2000

Combines budget and performance information to study the effects of high school size. Suggests that since small high schools are more effective for minority and poor students, and the budget per student is found to be similar for small and large schools, policymakers might support the creation of more small high schools. (SLD)

Microfinance Beyond Group Lending

Microfinance Beyond Group Lending
with Beatriz Armendariz de Aghion. The Economics of Transition 8 (2) 2000: 401-420.

Morduch, J.
01/01/2000

Studies the mechanisms that allows microfinance programs to successfully penetrate new segments of credit markets. Repayment rates from low-income borrowers; Microfinance in transition economies; Non-refinancing threats; Features of microfinance credit contracts.

Perceived Family and Peer Transactions and Self-Esteem Among Urban Early Adolescents

Perceived Family and Peer Transactions and Self-Esteem Among Urban Early Adolescents
Journal of Early Adolescence, 20(1), 68-92,

Roberts, A., Seidman, E., Pedersen, S., Chesir-Teran, D., Allen, L., Aber, J.L., Duran, V. & Hsueh, J.
01/01/2000

This research extends previous work that identified groups of youth characterized by profiles of perceived family and peer transactions. Predictions derived from self-enhancement and self-consistency theories concerning how such transactions might relate to self-esteem in a diverse sample of early adolescents (N = 635) were investigated. Both theories indicate independent contributions of family and peer transactions to self-esteem. The theories differ, however, with regard to implications for how the two microsystems might interrelate in their linkages with self-esteem, with self-enhancement theory implying a moderational model and self-consistency theory a mediational model. As predicted, family and peer profiles each made independent contributions to the prediction of self-esteem. Consistent with self-consistency theory, the relations of family transactions to self-esteem were mediated in part by their associations with peer transactions, with particularly strong linkages evident between qualitatively similar profiles of family and peer experiences. Support for a moderational model, however, was not found.

The Internet Backbone and the American Metropolis

The Internet Backbone and the American Metropolis
Information Society, Jan-March, Vol. 16 Issue 1, p35-47, 13p.

Moss, M. L. & Townsend, A.
01/01/2000

Despite the rapid growth of advanced telecommunications services, there is a lack of knowledge about the geographic diffusion of these new technologies. The Internet presents an important challenge to communications researchers, as it threatens to redefine the production and delivery of vital services including finance, retailing, and education. This article seeks to address the gap in the current literature by analyzing the development of Internet backbone networks in the United States between 1997 and 1999. We focus upon the intermetropolitan links that have provided transcontinental data transport services since the demise of the federally subsidized networks deployed in the 1970s and 1980s. We find that a select group of seven highly interconnected metropolitan areas consistently dominated the geography of national data networks, despite massive investment in this infrastructure over the study period. Furthermore, while prosperous and internationally oriented American cities lead the nation in adopting and deploying Internet technologies, interior regions and economically distressed cities have failed to keep up. As information-based industries and services account for an increasing share of economic activity, this evidence suggests that the Internet may aggravate the economic disparities among regions, rather than level them. Although the capacity of the backbone system has slowly diffused throughout the metropolitan system, the geographic structure of interconnecting links has changed little. Finally, the continued persistence of the metropolis as the center for telecommunications networks illustrates the need for a more sophisticated understanding of the interaction between societies and technological innovations.

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