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Redesigning delivery of care: a four-frame analysis of patient-centered innovations in six United States hospitals.

Two new phenomena, the need to contain costs and the shift to customer service as one measurement of quality, pressured the health care delivery arena in a unique way in the 1980s. The resulting environment encouraged a small number of hospitals to redesign patient care delivery systems, an innovati...

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Publicado en:Redesigning Delivery of Care: A Four-frame Analysis of Patient-centered Innovations in Six United States Hospitals pp. 175 p - 176
Autor principal: Cadwell KA
Formato: research Doctoral Dissertation
Publicado: UNION INSTITUTE 1994
Acceso en línea:Ver este registro en EBSCOhost
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      dissinst: UNION INSTITUTE
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      pub: UNION INSTITUTE
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        109872481
        109872481
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        UMI Order PUZ9516501
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      ppf: 175 p
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        atl: Redesigning delivery of care: a four-frame analysis of patient-centered innovations in six United States hospitals.
      aug:
        au: Cadwell KA
      sug:
        subj:
          Program Implementation Evaluation
          Patient Centered Care Evaluation
          Hospital Programs
          Health Care Delivery
          Interviews
          Organizational Structure
          Human
      ab: Two new phenomena, the need to contain costs and the shift to customer service as one measurement of quality, pressured the health care delivery arena in a unique way in the 1980s. The resulting environment encouraged a small number of hospitals to redesign patient care delivery systems, an innovation called 'patient-centered care.' In this study, six hospital patient-centered care project coordinators were interviewed in depth regarding the implementation of patient-centered care strategies. The elements of these projects were then examined using a four frame analysis based on the organizational model developed by Bolman and Deal. Results indicated a universal reliance on the structural frame with lesser and uneven utilization of the other three frames (human resources, political and symbolic). Implications for future health policy decisions and redesign of patient delivery systems are discussed.
      pubtype: Dissertation
      doctype:
        research
        Doctoral Dissertation
      ougenre: Unknown
    language: English
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