Verfügbarkeit: Managing health services organizations

Managing health services organizations:

Gespeichert in:

Bibliographische Detailangaben
Hauptverfasser:	Rakich, Jonathon S. (VerfasserIn), Longest, Beaufort B. (VerfasserIn), Darr, Kurt (VerfasserIn)
Format:	Buch
Sprache:	English
Veröffentlicht:	Baltimore, Md. [u.a.] Health Professions Press 1992
Ausgabe:	3. ed.
Schlagworte:	Health Facilities > organization & administration > United States Hospital Administration > United States USA
Online-Zugang:	Inhaltsverzeichnis
Beschreibung:	XXIII, 732 S. graph. Darst.
ISBN:	1878812092

Internformat

MARC


LEADER	00000nam a2200000 c 4500
001	BV039796386
003	DE-604
005	00000000000000.0
007	t
008	120110s1992 d\|\|\| \|\|\|\| 00\|\|\| eng d
020			\|a 1878812092 \|c : £ 37.50 \|9 1-878812-09-2
035			\|a (OCoLC)918267994
035			\|a (DE-599)BVBBV039796386
040			\|a DE-604 \|b ger \|e rakwb
041	0		\|a eng
049			\|a DE-B1533
100	1		\|a Rakich, Jonathon S. \|e Verfasser \|4 aut
245	1	0	\|a Managing health services organizations \|c Jonathon S. Rakich ; Beaufort B. Longest ; Kurt Darr
250			\|a 3. ed.
264		1	\|a Baltimore, Md. [u.a.] \|b Health Professions Press \|c 1992
300			\|a XXIII, 732 S. \|b graph. Darst.
336			\|b txt \|2 rdacontent
337			\|b n \|2 rdamedia
338			\|b nc \|2 rdacarrier
650		2	\|a Health Facilities \|a organization & administration \|a United States
650		2	\|a Hospital Administration \|a United States
651		4	\|a USA
700	1		\|a Longest, Beaufort B. \|e Verfasser \|4 aut
700	1		\|a Darr, Kurt \|e Verfasser \|4 aut
856	4	2	\|m HBZ Datenaustausch \|q application/pdf \|u http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=024656941&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA \|3 Inhaltsverzeichnis
999			\|a oai:aleph.bib-bvb.de:BVB01-024656941

Datensatz im Suchindex

_version_	1804148722376900608
adam_text	Contents About the Authors xix Preface : xxi Acknowledgments xxiii PART I A Framework of Management in Health Services Organizations 1 Chapter 1 The Management Process and Managerial Roles 3 Health Care and Health Services 4 Health Services Organizations 4 Focus of the Book 4 Management in HSOs 5 Types of Managers 5 The Management Process 6 Management Functions 7 Senior Management Activities 9 Managerial Roles 9 Organizational Culture and Philosophy 12 Philosophy About Customers and Continuous Quality Improvement 13 Philosophy About Employees—The Human Resource Perspective 13 Philosophy About Stakeholders 13 Senior Management and Culture 14 A Management Model for HSOs 14 Input-Conversion-Output Perspective 15 Linkage, Change, and Continuous Improvement 18 External Environment (A Systems Perspective) 18 Macroenvironment 19 Health Care Environment 19 Framework and Structure of the Book 19 About Part II: The Health Services Environment 20 About Part III: Structuring Health Services Organizations 20 About Part IV: Strategic Planning and Interorganizational Linkages for Health Services Organizations 20 About Part V: Problem Solving, Quality Improvement, and Control in Health Services Organizations 20 About Part VI: Managing People in Health Services Organizations 21 About Part VII: Human Resources Management in Health Services Organizations 21 Summary 21 Discussion Questions 22 Case Study 1: The CEO s Day 22 Case Study 2: American Hospital Association Role and Functions of Executive Management 24 Case Study 3: A Management Function Questionnaire 26 Notes 26 Bibliography 28 PART II The Health Services Environment 31 Chapter 2 The Health Care Delivery System 33 Conceptual Framework of Health Care 33 v vi Contents Health and System Goals 33 Lack of Synchrony 35 A Brief History of Health Services in the United States 35 Technology 35 Morbidity and Mortality 36 Social Welfare 36 Other Systems 38 Federal Initiatives 38 Present Structure of the Health Services System 41 Classification and Types of HSOs 41 Profit or Not for Profit 41 Ownership 43 Length of Patient Stay 43 Role in Health Services System 43 Health Services Workers 45 Education of Managers 47 Licensure, Certification, and Registration of Caregivers 48 Physicians 49 Nonphysician Caregivers 51 Shortages of Personnel 54 State and Federal Regulation of HSOs 54 Inspections 54 Planning and Rate Regulation 54 UR, PSROs, and PROs 56 Diagnosis-Related Groups 57 Resource Utilization Groups 57 Ambulatory Patient Groups 58 Resource-Based Relative Value Scale 58 Other Regulators 59 Joint Commission on Accreditation of Healthcare Organizations 59 Associations for Persons and Organizations 61 Personal Professional Associations 61 Organizational Professional Associations 62 Educational Accreditors 63 Managers 63 Physicians 63 Nurses 65 Medical Specialty Boards 65 Financing Health Services 66 Expenditure Trends 66 Sources and Uses of Funds in Health Care 66 Trends and Developments in the System 77 International Comparisons 78 International Health Care Expenditures 78 International Satisfaction with Health Care Systems 81 Canada s Universal, Comprehensive Health Care System 83 The Canadian System 83 A Comparison with the United States 84 Observations 87 Summary 88 Discussion Questions 89 Case Study 1: Gourmand and Food—A Fable 89 Notes 91 Bibliography 95 Contents vii Chapter 3 Ethical Considerations 99 Sources of Law 99 Relationship of Law to Ethics 100 Moral Philosophies 102 Teleology 102 Deontology 103 Natural Law 103 John Rawls and the Concept of Social Contract 103 Philosophical Bases for Ethics 104 Respect for Persons 104 Beneficence 105 Nonmaleficence 105 Justice 106 Summary 106 Codes of Ethics 106 Health Services Codes of Ethics 107 Institutions 107 The Professions 107 Managers 108 Physicians 108 Nurses 109 Patient Bills of Rights 109 Ethical Issues Affecting Governance and Management 110 Fiduciary Duty 110 Conflict of Interest Ill Confidential Information 113 Ethics and Marketing 113 Conflicts of Interest in Managed Care 115 Biomedical Ethical Issues 118 Resource Allocation 118 Consent 119 Experimentation 120 Death and Dying 122 Advance Medical Directives (AMDs) 125 Acquired Immunodeficiency Syndrome 130 Preventing and Solving Ethical Problems 135 Organizational Culture and Philosophy 135 Institutional Ethics Committees 135 Infant Care Review Committees 137 Specialized Assistance 138 Summary 139 Discussion Questions 139 Case Study 1: What s a Manager To Do? 140 Case Study 2: Bits and Pieces 140 Case Study 3: Demarketing To Avoid Bankruptcy 141 Case Study 4: Choices 142 Case Study 5: Benefiting the Elderly by Infecting Them with Influenza 143 Notes 143 Bibliography 145 Chapter 4 Legal Considerations 149 Public Processes that Produce the Law 149 The Legislative Process: Proposing and Enacting Laws 149 The Regulatory Process: Administrative Law and Rule Making 150 viii Contents The Judicial Process: Court Systems 152 Executive Orders 152 Contracts 153 Elements of a Contract 153 Breaches of Contract 153 Torts Involving Individual Providers 154 Distinguishing Tort from Contract Liability 154 Intentional Torts 154 Negligent Practice 155 Malpractice Crises 159 Torts and HSOs 161 Background 161 Agency and Corporate Liability 161 Developing Legal Areas 162 Acquired Immunodeficiency Syndrome-Related Litigation 162 Antitrust Litigation 164 Charitable Status of HSOs 166 The Legal Process 168 Special Considerations for the Manager 169 Record Keeping 170 Effective Use of House and Retainer Counsel 170 Testifying 171 Other Means of Dispute Resolution 171 Summary 172 Discussion Questions 173 Case Study 1: Reporting Suspected Child Abuse or Neglect 173 Case Study 2: Effective Consent 174 Case Study 3: The Missing Needle Protector 175 Case Study 4: Is This the Most Efficient Way? 176 Notes 176 Bibliography 177 Chapter 5 Health Services Technology 179 History and Background 181 Types of Technologies 181 Definitive Technologies 181 Halfway Technologies 181 Competing Technologies 181 Cost-Saving Technologies 182 Effect of Technology on Health Status 183 Forces Affecting Development and Diffusion of Technology 183 Medical Education and Practice 183 Reimbursement 184 The Public 185 Competitive Environment 185 Federal Government Responses to Diffusion of Technology 186 Food and Drug Administration 186 Professional Standards Review Organizations and Professional Review Organizations 187 Certificate of Need 187 Technology Assessment 188 HSO Technology Decision Making 190 Review and Planning 191 Technology Evaluation and Acquisition Methods 191 Current Methods of Technology Assessment 192 Contents ix Managing Medical Technology Equipment 193 Joint Commission 194 Clinical Engineering 194 Summary 196 Discussion Questions 197 Case Study 1: The Feasibility of BEAM 198 Case Study 2: Stay Out of My Backyard! 199 Case Study 3: Let s Do a Joint Venture 199 Case Study 4: Why Can t You Keep My Lab Running?! 200 Case Study 5: Isn t There a Better Way? 201 Notes 201 Bibliography 203 PART III Structuring Health Services Organizations 205 Chapter 6 Concepts of Organization Design 207 Classical Organization Design Concepts 209 Division of Work 210 Authority and Responsibility Relationships 212 Departmentation 214 Span of Control 218 Coordination 219 Summary of the Classical Organization Design Concepts 223 The Informal Organization 225 The Nature of Informal Organizations 225 Why People Form Informal Groups 226 Key Parameters of Informal Groups 226 Positive Aspects of the Informal Organization 228 Living with the Informal Organization 230 An Integrated View of Organization Design 230 Choosing an Organization Design 234 Summary 234 Discussion Questions 235 Case Study 1: A New Approach on the Nursing Units 238 Case Study 2: The New Administrative Resident 238 Case Study 3: I Cannot Do It All! 239 Case Study 4: The Secretaries 239 Case Study 5: Somebody Has To Be Let Go 240 Notes 241 Bibliography 242 Chapter 7 How HSOs Are Organized 245 Background 245 Legal Status 246 Organizational Structure 247 Governing Bodies 247 Role and Functions 247 Composition 248 Committees 248 Relationship to the CEO 249 Management 251 Function 251 Qualifications 251 Relationships 251 Professional Staff Organization 252 History 253 x Contents PSO Organization 253 Clinical Departmentation 255 Managing the PSO 255 The Credentialing Process 255 PSO Membership 256 Privileges 257 PSO Discipline 258 Special Issues in Credentialing 258 Integration 259 Impaired Clinicians 259 Continuing Function of the PSO 260 Organization of Selected HSOs 260 Acute Care Hospitals 261 Nursing Facilities 269 Ambulatory Health Services 274 Hospices 277 Managed Care 280 Birth Centers 285 Home Health Agencies 288 Summary 293 Discussion Questions 293 Case Study 1: The Medical Staff 294 Case Study 2: The Emergency Department 294 Case Study 3: Authority Relationships 295 Case Study 4: The Orthopedic Surgery Group Practice 296 Case Study 5: The Right Thing To Do 296 Notes 297 Bibliography 301 PART IV Strategic Planning and Interorganizational Linkages for Health Services Organizations 303 Chapter 8 Strategic Planning and Marketing 305 Planning Defined 305 Planning and the Management Model 306 Planning Characteristics 307 Type of Planning 307 Time Frame of Planning and Who Plans 307 Approach to Planning 308 Planning Outcomes 309 Mission 309 Objectives 309 Organization Strategies and Operational Programs 310 Policies and Procedures 311 HSO Planning Environment 312 Health Services Marketing—An Environmental Link 313 Marketing Concept 314 Marketing Audit 314 Elements of Marketing (PPPP and SCAP) 315 HSO Strategic Planning 319 I: Formulating Objectives 319 II: Strategic Assessment 322 III: Strategy Choice 325 Stakeholders and Strategic Planning 332 Contents xi Summary 333 Discussion Questions 335 Case Study 1: Hospital Marketing Effectiveness Rating Instrument 335 Case Study 2: HSO Strategic Assessment 338 Case Study 3: Closing Pediatrics 338 Case Study 4: National Health Insurance 338 Case Study 5: Violation 339 Notes 340 Bibliography 343 Chapter 9 Interorganizational Relationships 347 Linkages Among Organizations 347 Market Transactions 349 Phases of Negotiation 350 Voluntary Interorganizational Relationship Transactions 351 Co-opting 352 Coalescing and Loose Coupling 352 Quasi Firm 353 Ownership 354 Effective Linkages 355 Involuntary Interorganizational Relationship Transactions 355 Regulatory Agency Relationships 356 Managing Interdependence 356 Managing Interorganizational Linkages 357 Types of Interdependence 357 Linkage Costs 358 Corporate Restructuring 358 Multiorganizational Arrangements 360 Types of Arrangements 361 Growth and Extent of Multiorganizational Arrangements 362 Multihospital Systems and Alliances 363 Problems and Benefits 364 Diversification 365 Impetus for Hospital Diversification 366 Context of Hospital Diversification 367 Types of HSO Diversification Activities 368 Outcomes of Hospital Diversification 369 Joint Ventures 370 Problems with Joint Ventures 371 Elements of Successful Joint Ventures 372 Summary 373 Discussion Questions 373 Case Study 1: Does It Make Sense? 374 Case Study 2: How To Turn an Intimidating Government Bureaucracy into a Partner and Ally 374 Case Study 3: Community Health Plan 375 Notes 376 Bibliography 378 PART V Problem Solving, Quality Improvement, and Control in Health Services Organizations 381 Chapter 10 Managerial Problem Solving and Decision Making 383 Decision Making 383 Types of Decisions 384 xii Contents Managerial Problem Solving 385 Problem-Solving Process and Model 386 Conditions that Initiate Problem Solving 387 Problem-Solving Activities 388 Problem Analysis (Recognition and Definition) [1] 390 Making Assumptions [2] 391 Identifying Tentative Alternative Solutions [3] 391 Developing and Applying Decision Criteria [4] 392 Selecting and Implementing the Alternative Solution [5] 392 Implications for the Health Services Manager 392 Factors Influencing Problem Solving and Decision Making 393 Problem Solver Attributes 393 The Situation 394 Environmental Constraints 395 Implications for the Health Services Manager 396 Group Problem Solving 396 Quality Circles as a Problem-Solving and Quality Improvement Technique 397 Other Group Formats 398 Problem-Solving and Decision-Making Styles 398 Situational Variables (Problem Attributes) 399 Situations and Styles 399 Use of the Model 399 Implications for the Health Services Manager 402 Summary 402 Discussion Questions 402 Case Study 1: The New Charge Nurse 403 Case Study 2: The Nurse Aide 403 Case Study 3: Preferred Provider Organization 404 Notes 405 Bibliography 406 Chapter 11 Quality and Productivity Improvement 407 Quality—Two Dimensions 408 Continuous Quality Improvement 409 CQI Model 410 CQI, Productivity Improvement, and Cost Effectiveness 412 Approaches to Quality Improvement 412 W. Edwards Deming 413 Joseph M. Juran 415 Philip B. Crosby 417 Statistical Control 418 Process Improvement—Two Models, Same Results 420 Understanding and Measuring a Process 420 Improvement and Problem Solving 423 The Improvement Team 424 CQI and Professional Autonomy 425 Productivity Improvement 426 Productivity and Productivity Improvement 426 CQI and Productivity Improvement 427 Analysis and Improvement of Work Systems and Job Design 428 Capacity Planning and Facilities Layout 430 Production Control, Scheduling, and Materials Distribution 430 Summary 431 Contents xiii Discussion Questions 431 Case Study 1: Fed Up in Dallas 431 Case Study 2: The Carbondale Clinic 432 Case Study 3: Total Quality Management (TQM) Inventory 433 Case Study 4: Noninvasive Cardiovascular Laboratory (Revised) 436 Case Study 5: The Clinic Layout 437 Notes 438 Bibliography 440 Chapter 12 Control, Risk Management, Quality Assessment/Improvement, and Resource Allocation 443 Control and Planning 443 Monitoring (Control) and Intervention Points 444 Output Control 444 Process Control 445 Input Control 445 Control Model 445 In Control Loop 446 Acceptance Control Loop 446 Required Change Control Loop 447 Positive Control Loop 447 Control and CQI 447 Control and Problem Solving 447 Control Considerations 447 Managerial Considerations 448 Design Considerations 448 Management Information Systems and Control 449 Types of MIS 449 MIS Uses 450 Risk Management and Quality Assessment and Improvement 451 Background 451 Risk Management 452 Assessing and Improving Quality 457 Final Comments 464 Control Methods 465 Budgeting 465 Case-Mix Accounting 467 Ratio Analysis 467 Network Programming 473 Use of Analytical Techniques in Resource Allocation 474 Volume Analysis with Revenue 475 Volume Analysis without Revenue 478 Capital Budgeting 479 Cost-Benefit Analysis 481 Simulation 482 Summary 484 Discussion Questions 486 Case Study 1: Admitting Department 486 Case Study 2: Centralized Reproduction 486 Case Study 3: Barriers to an Effective QA/I Program 487 Case Study 4: Don s Risk Management 488 Case Study 5: The Array Machine 489 Notes 489 Bibliography • 492 xiv Contents PART VI Managing People in Health Services Organizations 495 Chapter 13 Motivation 497 The Concept of Motivation 497 Motivation Modeled and Defined 498 Managerial Attitudes and Motivation 499 Motivation Theories 501 Content Theories 502 Maslow s Hierarchy of Needs 502 Alderfer s ERG Theory 503 Herzberg s Two-Factor Theory 505 McClelland s Learned Needs Theory 507 The Content Theories Summarized 508 Process Theories 508 Vroom s Expectancy Theory 509 Adams s Equity Theory 511 Locke s Goal-Setting Theory 512 Skinner s Reinforcement Theory 513 Toward Integrating the Theories of Motivation 515 Summary 516 Discussion Questions 517 Case Study 1: A Potential Conflict 517 Case Study 2: The Young Associate s Dilemma 517 Case Study 3: Clockwork 518 Case Study 4: Bill s Promotion 518 Case Study 5: What Needs Are Most Important to You? 519 Notes 521 Bibliography 523 Chapter 14 Leadership 525 Leadership Modeled and Defined 526 Power and Influence 528 Sources of Power 528 Leader Traits and Skills 530 Leader Behavior 531 Ohio State University Leadership Studies 532 University of Michigan Leadership Studies 532 Likert s System 4 Management Model 533 Blake and McCanse s Managerial Grid® 535 Tannenbaum and Schmidt s Continuum of Leader Decision-Making Authority 536 Situational Theories of Leader Traits and Behavior 538 Fiedler s Contingency Theory 538 Hershey and Blanchard s Situational Leadership Model 541 Vroom-Yetton Model 543 House-Mitchell Path-Goal Theory of Leadership 545 Toward Integrating the Theories of Leadership 547 Summary 549 Discussion Questions 550 Case Study 1: Charlotte Cook s Problem 550 Case Study 2: The Presidential Search 551 Case Study 3: Is Leadership the Issue? 551 Case Study 4: You Didn t Tell Me! 552 Case Study 5: Supervisory Behavior Questionnaire 552 Notes 554 Bibliography 555 Contents xy Chapter 15 Communication 557 Communication Defined and Modeled 559 Barriers to Effective Communication 561 Environmental Barriers 561 Personal Barriers 563 Managing Barriers to Effective Communication 564 Flow of Intraorganizational Communication 565 Downward Flow 565 Upward Flow 565 Horizontal and Diagonal Flows 566 Communication Networks 567 Informal Communication 567 Summary of Intraorganizational Communication 570 Flow of Interorganizational Communication 571 Special Case: Communicating Among Units of Systems 573 Special Case: Communicating When Things Go Badly 574 Summary 575 Discussion Questions 576 Case Study 1: ABC Nursing Home 576 Case Study 2: The Business Office 576 Case Study 3: Good Work Is Expected 577 Case Study 4: The Group Health Cooperative of Puget Sound s Hard Rock Sell 578 Notes 578 Bibliography 579 Chapter 16 Organizational Change 581 Pressures for Change 582 Organizational Change Defined and Modeled 583 Typologies of Organizational Change 583 The Process of Change Modeled 586 The Process of Managing Organizational Change 587 Stage I: Change Identification 587 Stage II: Implementation Planning 589 Stage III: Implementation 597 Stage IV: Evaluation and Feedback 598 Final Comments 598 Managers as Change Agents 598 Requisites to Change 599 The Special Case of Retrenchment 599 Summary 600 Discussion Questions 601 Case Study 1: Delivery Room Staffing Situation 601 Case Study 2: A Response to Change 602 Case Study 3: How Ready Are You for Managing in a Turbulent World? 602 Case Study 4: Organizational Development (OD) in a Health Care Clinic 604 Notes 605 Bibliography 606 PART VII Human Resources Management in Health Services Organizations 609 Chapter 17 Personnel/Human Resources Management 611 Role of Personnel/Human Resources Management 611 Staffing Activities 6I2 Acquiring Human Resources 612 Human Resources Planning 612 xvi Contents Human Resources Sources 614 Job Analysis and Job Descriptions 615 Recruitment 615 Selection 618 Orientation 619 Equal Employment Opportunity 620 Workforce Diversity 625 Retaining Employees 625 Performance Appraisal 625 Training and Development 630 Discipline (Corrective Counseling) 631 Compensation Administration 631 Employee Assistance Programs 634 Health and Safety 635 Separation from Employment (Exit) 635 Preretirement Planning 635 Outplacement 636 Exit Interviews 636 Human Resources Department and Clinical Staff 636 Human Resources in Multifacility HSOs 636 The Human Resources Perspective 637 A Contemporary Perspective 637 Personnel Model (Pre-1965) 637 Labor Relations Model (Late 1960s to Mid-1980s) 638 Human Resources Model (Contemporary) 639 The Future 640 Summary 641 Discussion Questions 641 Case Study 1: Personnel Policies at Robbins Memorial Hospital 642 Case Study 2: Complaint of LPN Pay Inequity 643 Case Study 3: Termination of Head Nurse Jones 643 Case Study 4: Substance Abuse and EAP 644 Case Study 5: Missing Narcotics 644 Case Study 6: Physician Harassment 645 Notes 645 Bibliography 648 Chapter 18 Labor Relations 651 Importance of Labor Relations in HSOs 651 Collective Bargaining in HSOs: A Recent Development 652 History of Unionism in the United States 652 Pre-1930 Era 652 Post-1930 Era 653 Federal Labor Legislation 654 Norris-LaGuardia (Anti-Injunction) Act (1932) 654 Wagner (National Labor Relations) Act (1935) 655 Taft-Hartley (Labor-Management Relations) Act (1947) 656 Nonprofit Hospital Amendments to the Taft-Hartley Act (1974) 658 Bargaining Unit Determination 660 Reason for the Controversy 661 History of Bargaining Unit Litigation 661 Rule Making 662 Consequences of Rule Making 663 Solicitation and Distribution 663 Contents xvii Unionization in Health Services 664 Why Employees Unionize 667 Symptoms of an Organization Campaign 670 Types of Union Elections 670 Employer Conduct During an Election Campaign 672 Permissible Employer Activities 673 Prohibited Employer Activities 673 Managerial Responsibilities in Labor Relations 674 Setting the Tone and Environment 675 Proactive Steps 675 Collective Bargaining 676 Recognition 676 Negotiation 676 Impasses 677 Summary 677 Discussion Questions 678 Case Study 1: Taylor Medical Center and the Union 678 Case Study 2: Union Membership Solicitation and Distribution of Union Material at Dunlap Memorial Hospital 679 Case Study 3: The Firing of Sam 680 Case Study 4: Promotion at Visiting Nurse Service 680 Notes 681 Bibliography 684 Author Index 687 Subject Index 699
any_adam_object	1
author	Rakich, Jonathon S. Longest, Beaufort B. Darr, Kurt
author_facet	Rakich, Jonathon S. Longest, Beaufort B. Darr, Kurt
author_role	aut aut aut
author_sort	Rakich, Jonathon S.
author_variant	j s r js jsr b b l bb bbl k d kd
building	Verbundindex
bvnumber	BV039796386
ctrlnum	(OCoLC)918267994 (DE-599)BVBBV039796386
edition	3. ed.
format	Book
fullrecord	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01310nam a2200337 c 4500</leader><controlfield tag="001">BV039796386</controlfield><controlfield tag="003">DE-604</controlfield><controlfield tag="005">00000000000000.0</controlfield><controlfield tag="007">t</controlfield><controlfield tag="008">120110s1992 d\|\|\| \|\|\|\| 00\|\|\| eng d</controlfield><datafield tag="020" ind1=" " ind2=" "><subfield code="a">1878812092</subfield><subfield code="c">: £ 37.50</subfield><subfield code="9">1-878812-09-2</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(OCoLC)918267994</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)BVBBV039796386</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-604</subfield><subfield code="b">ger</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1="0" ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="049" ind1=" " ind2=" "><subfield code="a">DE-B1533</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Rakich, Jonathon S.</subfield><subfield code="e">Verfasser</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Managing health services organizations</subfield><subfield code="c">Jonathon S. Rakich ; Beaufort B. Longest ; Kurt Darr</subfield></datafield><datafield tag="250" ind1=" " ind2=" "><subfield code="a">3. ed.</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="a">Baltimore, Md. [u.a.]</subfield><subfield code="b">Health Professions Press</subfield><subfield code="c">1992</subfield></datafield><datafield tag="300" ind1=" " ind2=" "><subfield code="a">XXIII, 732 S.</subfield><subfield code="b">graph. Darst.</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="b">n</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="b">nc</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="650" ind1=" " ind2="2"><subfield code="a">Health Facilities</subfield><subfield code="a">organization & administration</subfield><subfield code="a">United States</subfield></datafield><datafield tag="650" ind1=" " ind2="2"><subfield code="a">Hospital Administration</subfield><subfield code="a">United States</subfield></datafield><datafield tag="651" ind1=" " ind2="4"><subfield code="a">USA</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Longest, Beaufort B.</subfield><subfield code="e">Verfasser</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Darr, Kurt</subfield><subfield code="e">Verfasser</subfield><subfield code="4">aut</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="m">HBZ Datenaustausch</subfield><subfield code="q">application/pdf</subfield><subfield code="u">http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=024656941&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA</subfield><subfield code="3">Inhaltsverzeichnis</subfield></datafield><datafield tag="999" ind1=" " ind2=" "><subfield code="a">oai:aleph.bib-bvb.de:BVB01-024656941</subfield></datafield></record></collection>
geographic	USA
geographic_facet	USA
id	DE-604.BV039796386
illustrated	Illustrated
indexdate	2024-07-10T00:11:39Z
institution	BVB
isbn	1878812092
language	English
oai_aleph_id	oai:aleph.bib-bvb.de:BVB01-024656941
oclc_num	918267994
open_access_boolean
owner	DE-B1533
owner_facet	DE-B1533
physical	XXIII, 732 S. graph. Darst.
publishDate	1992
publishDateSearch	1992
publishDateSort	1992
publisher	Health Professions Press
record_format	marc
spelling	Rakich, Jonathon S. Verfasser aut Managing health services organizations Jonathon S. Rakich ; Beaufort B. Longest ; Kurt Darr 3. ed. Baltimore, Md. [u.a.] Health Professions Press 1992 XXIII, 732 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Health Facilities organization & administration United States Hospital Administration United States USA Longest, Beaufort B. Verfasser aut Darr, Kurt Verfasser aut HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=024656941&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis
spellingShingle	Rakich, Jonathon S. Longest, Beaufort B. Darr, Kurt Managing health services organizations Health Facilities organization & administration United States Hospital Administration United States
title	Managing health services organizations
title_auth	Managing health services organizations
title_exact_search	Managing health services organizations
title_full	Managing health services organizations Jonathon S. Rakich ; Beaufort B. Longest ; Kurt Darr
title_fullStr	Managing health services organizations Jonathon S. Rakich ; Beaufort B. Longest ; Kurt Darr
title_full_unstemmed	Managing health services organizations Jonathon S. Rakich ; Beaufort B. Longest ; Kurt Darr
title_short	Managing health services organizations
title_sort	managing health services organizations
topic	Health Facilities organization & administration United States Hospital Administration United States
topic_facet	Health Facilities organization & administration United States Hospital Administration United States USA
url	http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=024656941&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA
work_keys_str_mv	AT rakichjonathons managinghealthservicesorganizations AT longestbeaufortb managinghealthservicesorganizations AT darrkurt managinghealthservicesorganizations

Verfügbarkeit

Es ist kein Print-Exemplar vorhanden.

Fernleihe Bestellen Achtung: Nicht im THWS-Bestand! Inhaltsverzeichnis

MARC

Datensatz im Suchindex

Es ist kein Print-Exemplar vorhanden.

Ähnliche Einträge