introduction: recognition and implementation of knowledge management have an important effect on improving the quality of hospital activities. according to the direct relationship with the society’s health, health and treatment departments need knowledgeable and skillful staff. thus, this research investigated different dimensions of the knowledge management processes in teaching hospitals of s...

background: professional burnout is defined as a state of depletion and loss of motivation accompanied by different mental and physical symptoms. objective: to assess personal losses suffered by correctional officers due to burnout. methods: this cross-sectional study conducted between june and december 2012 included 201 correctional officers in two bulgarian prisons. the mean age of the whole ...

The accountable care organization (ACO) has emerged as the centerpiece of postreform initiatives to improve the delivery of quality, cost-efficient care. As the primary partners in delivering ACOs, payers and providers have begun to collaborate on the opportunities presented by the legislation. For employers, however, this new approach to managed health care delivery models will present challen...

Accountable care organizations (ACOs) and hospitals are investing in improving "population health," by which they nearly always mean the health of the "population" of patients "attributed" by Medicare, Medicaid, or private health insurers to their organizations. But population health can and should also mean "the health of the entire population in a geographic area." We present arguments for an...

This paper presents the conceptual framework and implementation strategies of a relationship-focused behavioral intervention for pregnant women and their families. The program, PrePare ('Prenatal Parenting'), was designed as a prenatal precursor to the pediatric health care model, Healthy Steps. PrePare includes preventive intervention elements that address parents' universal concerns about pre...

This Issue Brief discusses the evolution of the health care delivery and financing systems and its effects on health care cost management and describes the changes in the health care delivery system as they pertain to managed care. It presents empirical evidence on the effectiveness of managed care and concludes with an analysis of the potential of future health care reform to influence the evo...

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Minneapolis/St. Paul, because of its history of health maintenance organization development and active employer participation in the health care arena, is often cited as a community in which managed competition has been tested to some degree. This paper reviews the historical development of the Twin Cities health care market and summarizes findings from past studies of this market. It also desc...

Washington State is in the midst of a multi-payer model home test with implications for the nascent national effort to construct new health care payment and delivery systems. The model homes are redesigned primary care medical practices. Their structural supports include additional upfront payments, potential shared savings, and other elements reflective of “accountable care.” Accountable care,...