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data-broccoli-component="user-info.followees-count" data-click-track="profile-expand-user-info-following"><p class="label">Following</p><p class="data">5</p></div></a><a><div class="stat-container js-profile-coauthors" data-broccoli-component="user-info.coauthors-count" data-click-track="profile-expand-user-info-coauthors"><p class="label">Co-authors</p><p class="data">4</p></div></a><span><div class="stat-container"><p class="label"><span class="js-profile-total-view-text">Public Views</span></p><p class="data"><span class="js-profile-view-count"></span></p></div></span></div><div class="user-bio-container"><div class="profile-bio fake-truncate js-profile-about" style="margin: 0px;">I am an economist who studies health care systems and quality improvement.<br /><div class="js-profile-less-about u-linkUnstyled u-tcGrayDarker u-textDecorationUnderline u-displayNone">less</div></div></div><div class="suggested-academics-container"><div class="suggested-academics--header"><h3 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ds2-5-body-link" href="https://keralauniversity.academia.edu/EiabdulSathar">E.i.abdul Sathar</a><p class="suggested-user-card__user-info__subheader ds2-5-body-xs">University of Kerala</p></div></div><div class="suggested-user-card"><div class="suggested-user-card__avatar social-profile-avatar-container"><a data-nosnippet="" href="https://us.academia.edu/RogelioAltez"><img class="profile-avatar u-positionAbsolute" alt="Rogelio Altez related author profile picture" border="0" onerror="if (this.src != '//a.academia-assets.com/images/s200_no_pic.png') this.src = '//a.academia-assets.com/images/s200_no_pic.png';" width="200" height="200" src="https://0.academia-photos.com/31455160/9286093/35222284/s200_rogelio.altez.jpg" /></a></div><div class="suggested-user-card__user-info"><a class="suggested-user-card__user-info__header ds2-5-body-sm-bold ds2-5-body-link" href="https://us.academia.edu/RogelioAltez">Rogelio Altez</a><p class="suggested-user-card__user-info__subheader ds2-5-body-xs">Universidad de Sevilla</p></div></div><div class="suggested-user-card"><div class="suggested-user-card__avatar social-profile-avatar-container"><a data-nosnippet="" href="https://unipd.academia.edu/AndreaSemplicini"><img class="profile-avatar u-positionAbsolute" alt="Andrea Semplicini related author profile picture" border="0" onerror="if (this.src != '//a.academia-assets.com/images/s200_no_pic.png') this.src = '//a.academia-assets.com/images/s200_no_pic.png';" width="200" height="200" src="https://0.academia-photos.com/32392848/9699856/10803595/s200_andrea.semplicini.jpg" /></a></div><div class="suggested-user-card__user-info"><a class="suggested-user-card__user-info__header ds2-5-body-sm-bold ds2-5-body-link" href="https://unipd.academia.edu/AndreaSemplicini">Andrea Semplicini</a><p class="suggested-user-card__user-info__subheader ds2-5-body-xs">Università degli Studi di Padova</p></div></div><div class="suggested-user-card"><div class="suggested-user-card__avatar 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data-dom-id="Pill-react-component-8cfd2936-a73f-45c8-81a1-e0cf90b5a0dd"></div> <div id="Pill-react-component-8cfd2936-a73f-45c8-81a1-e0cf90b5a0dd"></div> </a><a data-click-track="profile-user-info-expand-research-interests" data-has-card-for-ri-list="37745211" href="https://www.academia.edu/Documents/in/Emergency_Medicine"><div class="js-react-on-rails-component" style="display:none" data-component-name="Pill" data-props="{"color":"gray","children":["Emergency Medicine"]}" data-trace="false" data-dom-id="Pill-react-component-40d1b7b9-b0ca-4021-90a6-914ed0d0bcd6"></div> <div id="Pill-react-component-40d1b7b9-b0ca-4021-90a6-914ed0d0bcd6"></div> </a></div></div></div></div><div class="right-panel-container"><div class="user-content-wrapper"><div class="uploads-container" id="social-redesign-work-container"><div class="upload-header"><h2 class="ds2-5-heading-sans-serif-xs">Uploads</h2></div><div class="documents-container backbone-social-profile-documents" style="width: 100%;"><div class="u-taCenter"></div><div class="profile--tab_content_container js-tab-pane tab-pane active" id="all"><div class="profile--tab_heading_container js-section-heading" data-section="Papers" id="Papers"><h3 class="profile--tab_heading_container">Papers by Linda Dynan</h3></div><div class="js-work-strip profile--work_container" data-work-id="113220845"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/113220845/Hospital_Level_Factors_Associated_with_Patient_Safety_A_Longitudinal_Analysis_with_Endogenous_Determinants"><img alt="Research paper thumbnail of Hospital-Level Factors Associated with Patient Safety: A Longitudinal Analysis with Endogenous Determinants" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Hospital-Level Factors Associated with Patient Safety: A Longitudinal Analysis with Endogenous Determinants</div><div class="wp-workCard_item"><span>Social Science Research Network</span><span>, 2022</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113220845"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113220845"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113220845; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var 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wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">HCMR Reviewers Volume 33</div><div class="wp-workCard_item"><span>Health Care Management Review</span><span>, 2008</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Wolters Kluwer Health may email you for journal alerts and information, but is committed to maint...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Wolters Kluwer Health may email you for journal alerts and information, but is committed to maintaining your privacy and will not share your personal information without your express consent. 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The item(s) has been successfully added to \u0026quot;\u0026quot;.","impression_tracking_id":null,"owner":{"id":37745211,"first_name":"Linda","middle_initials":null,"last_name":"Dynan","page_name":"LindaDynan","domain_name":"nku","created_at":"2015-11-05T14:34:00.827-08:00","display_name":"Linda Dynan","url":"https://nku.academia.edu/LindaDynan"},"attachments":[],"research_interests":[{"id":21559,"name":"Health Care Management","url":"https://www.academia.edu/Documents/in/Health_Care_Management"},{"id":73149,"name":"Business and Management","url":"https://www.academia.edu/Documents/in/Business_and_Management"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-113220819-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="101375542"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/101375542/Effects_of_Loss_and_Gain_Incentives_on_Adherence_in_Pediatric_Weight_Management_Preliminary_Studies_and_Economic_Evaluation_of_a_Theoretical_Trial"><img alt="Research paper thumbnail of Effects of Loss and Gain Incentives on Adherence in Pediatric Weight Management: Preliminary Studies and Economic Evaluation of a Theoretical Trial" class="work-thumbnail" src="https://attachments.academia-assets.com/101934398/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/101375542/Effects_of_Loss_and_Gain_Incentives_on_Adherence_in_Pediatric_Weight_Management_Preliminary_Studies_and_Economic_Evaluation_of_a_Theoretical_Trial">Effects of Loss and Gain Incentives on Adherence in Pediatric Weight Management: Preliminary Studies and Economic Evaluation of a Theoretical Trial</a></div><div class="wp-workCard_item"><span>International Journal of Environmental Research and Public Health</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Pediatric weight management is often hampered by poor engagement and adherence. Incentives based ...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Pediatric weight management is often hampered by poor engagement and adherence. Incentives based on loss have been shown to be more effective than gain-based incentives in improving outcomes among children with health conditions other than obesity. In preparation for a clinical trial comparing loss-framed to gain-framed incentives, a survey of youth and caregiver attitudes on weight management incentives, reasons for program attendance, and an economic evaluation of a theoretical trial were conducted. Ninety of 835 (11%) surveys were completed by caregiver and child. The economic evaluation showed that loss-framed incentives had a preferable incremental cost-effectiveness ratio (a lower value is considered preferable) than gain-based incentives. Most youth and caregivers felt a gain incentive would be superior, agreed that the full incentive should go to the youth (vs. the caregiver), and identified “improving health” as a top reason for pursuing weight management.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="eb152a69742260ee58a330e48c969ccd" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":101934398,"asset_id":101375542,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/101934398/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="101375542"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="101375542"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 101375542; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=101375542]").text(description); $(".js-view-count[data-work-id=101375542]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 101375542; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='101375542']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "eb152a69742260ee58a330e48c969ccd" } } $('.js-work-strip[data-work-id=101375542]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":101375542,"title":"Effects of Loss and Gain Incentives on Adherence in Pediatric Weight Management: Preliminary Studies and Economic Evaluation of a Theoretical Trial","translated_title":"","metadata":{"abstract":"Pediatric weight management is often hampered by poor engagement and adherence. 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I...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Hospitalists are physicians who specialize in the care and management of hospitalized patients. Increasingly hospitals are employing hospitalist models to deliver inpatient care because of the benefits they provide: reduced charges and reduced lengths of stay without compromising quality relative to more traditional models of inpatient care (Dynan, Stein, David et al., 2009). 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-89356466-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="89356448"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/89356448/Impact_of_Automated_Information_Sharing_on_Health_Care_Delivery_to_Youths_in_Foster_Care"><img alt="Research paper thumbnail of Impact of Automated Information Sharing on Health Care Delivery to Youths in Foster Care" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Impact of Automated Information Sharing on Health Care Delivery to Youths in Foster Care</div><div class="wp-workCard_item"><span>The Journal of Pediatrics</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="89356448"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="89356448"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 89356448; 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-89356448-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="80182875"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/80182875/Sources_of_nurse_sensitive_inpatient_safety_improvement"><img alt="Research paper thumbnail of Sources of nurse‐sensitive inpatient safety improvement" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Sources of nurse‐sensitive inpatient safety improvement</div><div class="wp-workCard_item"><span>Health Services Research</span><span>, 2022</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="80182875"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="80182875"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 80182875; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=80182875]").text(description); $(".js-view-count[data-work-id=80182875]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 80182875; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='80182875']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=80182875]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":80182875,"title":"Sources of nurse‐sensitive inpatient safety improvement","translated_title":"","metadata":{"publisher":"Wiley","publication_date":{"day":null,"month":null,"year":2022,"errors":{}},"publication_name":"Health Services Research"},"translated_abstract":null,"internal_url":"https://www.academia.edu/80182875/Sources_of_nurse_sensitive_inpatient_safety_improvement","translated_internal_url":"","created_at":"2022-05-29T06:02:47.608-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":37745211,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Sources_of_nurse_sensitive_inpatient_safety_improvement","translated_slug":"","page_count":null,"language":"en","content_type":"Work","summary":null,"impression_tracking_id":null,"owner":{"id":37745211,"first_name":"Linda","middle_initials":null,"last_name":"Dynan","page_name":"LindaDynan","domain_name":"nku","created_at":"2015-11-05T14:34:00.827-08:00","display_name":"Linda Dynan","url":"https://nku.academia.edu/LindaDynan"},"attachments":[],"research_interests":[{"id":83471,"name":"Health Services","url":"https://www.academia.edu/Documents/in/Health_Services"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1"}],"urls":[{"id":20884456,"url":"https://onlinelibrary.wiley.com/doi/pdf/10.1111/1475-6773.13979"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-80182875-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="80182874"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/80182874/Long_Term_Healthcare_Cost_Savings_of_a_Pediatric_Nephrotoxic_Medication_Associated_Acute_Kidney_Injury_Reduction_Program_in_a_Simulated_Sample"><img alt="Research paper thumbnail of Long-Term Healthcare Cost Savings of a Pediatric Nephrotoxic Medication-Associated Acute Kidney Injury Reduction Program in a Simulated Sample" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Long-Term Healthcare Cost Savings of a Pediatric Nephrotoxic Medication-Associated Acute Kidney Injury Reduction Program in a Simulated Sample</div><div class="wp-workCard_item"><span>Journal of Pharmacy Practice</span><span>, 2022</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background Nephrotoxic medication exposure is a common cause of acute kidney injury (AKI) in hosp...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background Nephrotoxic medication exposure is a common cause of acute kidney injury (AKI) in hospitalized children and is associated with chronic kidney disease (CKD). The pharmacist-reliant NINJA program reduced nephrotoxic medication exposure and associated AKI. Objectives We assess potential healthcare cost savings from reduced CKD by preventing AKI with the NINJA program for a pediatric population through age 21. Methods We simulated a cohort of 1000 hospitalized non-critically ill children. From the published literature, 310 develop AKI, 267 survive to 6 months, and 10-70% develop CKD, and NINJA implementation reduced AKI by 23.8%. Allowing for varying CKD rates, we estimated a range of NINJA’s savings. We assumed an annual GFR decline of 1.2 (noHTN) ml/min/1.73 m2 for half the sample and 1.7 (HTN) ml/min/1.73 m2 for the other half to account for CKD progression without and with hypertension (HTN). We model attributable costs including CKD stage-related medications and outpatie...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="80182874"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="80182874"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 80182874; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=80182874]").text(description); $(".js-view-count[data-work-id=80182874]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 80182874; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='80182874']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=80182874]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":80182874,"title":"Long-Term Healthcare Cost Savings of a Pediatric Nephrotoxic Medication-Associated Acute Kidney Injury Reduction Program in a Simulated Sample","translated_title":"","metadata":{"abstract":"Background Nephrotoxic medication exposure is a common cause of acute kidney injury (AKI) in hospitalized children and is associated with chronic kidney disease (CKD). The pharmacist-reliant NINJA program reduced nephrotoxic medication exposure and associated AKI. Objectives We assess potential healthcare cost savings from reduced CKD by preventing AKI with the NINJA program for a pediatric population through age 21. Methods We simulated a cohort of 1000 hospitalized non-critically ill children. From the published literature, 310 develop AKI, 267 survive to 6 months, and 10-70% develop CKD, and NINJA implementation reduced AKI by 23.8%. Allowing for varying CKD rates, we estimated a range of NINJA’s savings. We assumed an annual GFR decline of 1.2 (noHTN) ml/min/1.73 m2 for half the sample and 1.7 (HTN) ml/min/1.73 m2 for the other half to account for CKD progression without and with hypertension (HTN). We model attributable costs including CKD stage-related medications and outpatie...","publisher":"SAGE Publications","publication_date":{"day":null,"month":null,"year":2022,"errors":{}},"publication_name":"Journal of Pharmacy Practice"},"translated_abstract":"Background Nephrotoxic medication exposure is a common cause of acute kidney injury (AKI) in hospitalized children and is associated with chronic kidney disease (CKD). The pharmacist-reliant NINJA program reduced nephrotoxic medication exposure and associated AKI. Objectives We assess potential healthcare cost savings from reduced CKD by preventing AKI with the NINJA program for a pediatric population through age 21. Methods We simulated a cohort of 1000 hospitalized non-critically ill children. From the published literature, 310 develop AKI, 267 survive to 6 months, and 10-70% develop CKD, and NINJA implementation reduced AKI by 23.8%. Allowing for varying CKD rates, we estimated a range of NINJA’s savings. 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We model attributable costs including CKD stage-related medications and outpatie...","internal_url":"https://www.academia.edu/80182874/Long_Term_Healthcare_Cost_Savings_of_a_Pediatric_Nephrotoxic_Medication_Associated_Acute_Kidney_Injury_Reduction_Program_in_a_Simulated_Sample","translated_internal_url":"","created_at":"2022-05-29T06:02:47.398-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":37745211,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Long_Term_Healthcare_Cost_Savings_of_a_Pediatric_Nephrotoxic_Medication_Associated_Acute_Kidney_Injury_Reduction_Program_in_a_Simulated_Sample","translated_slug":"","page_count":null,"language":"en","content_type":"Work","summary":"Background Nephrotoxic medication exposure is a common cause of acute kidney injury (AKI) in hospitalized children and is associated with chronic kidney disease (CKD). 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Mergers, acquisitions, internal restructuring, and new interorganizational relationships occurred at a record pace. Matching this was a large wave of study and discourse among health services researchers, industry experts, and consultants to understand the causes and consequences of organizational change. In many cases, this literature provides mixed signals about what was accomplished through these organizational efforts. The purpose of this review is to synthesize this diverse litera-ture. This review examines studies of horizontal consolidation and integration of hospi-tals, horizontal consolidation and integration of physician organizations, and integra-tion and relationship development between physicians and hospitals. In all, around 100 studies were examined to assess what w...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="80182873"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="80182873"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 80182873; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=80182873]").text(description); $(".js-view-count[data-work-id=80182873]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 80182873; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='80182873']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=80182873]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":80182873,"title":"10.1177/1077558704266818ARTICLEMCR\u0026amp;R 61:3 (September 2004)Bazzoli et al. / Organizational Change Review Two Decades of Organizational Change in Health Care: What Have We Learned?","translated_title":"","metadata":{"abstract":"The 1980s and 1990s witnessed a substantial wave of organizational restructuring among hospitals and physicians, as health providers rethought their organizational roles given perceived market imperatives. 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In all, around 100 studies were examined to assess what w...","internal_url":"https://www.academia.edu/80182873/10_1177_1077558704266818ARTICLEMCR_and_amp_R_61_3_September_2004_Bazzoli_et_al_Organizational_Change_Review_Two_Decades_of_Organizational_Change_in_Health_Care_What_Have_We_Learned","translated_internal_url":"","created_at":"2022-05-29T06:02:47.261-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":37745211,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"10_1177_1077558704266818ARTICLEMCR_and_amp_R_61_3_September_2004_Bazzoli_et_al_Organizational_Change_Review_Two_Decades_of_Organizational_Change_in_Health_Care_What_Have_We_Learned","translated_slug":"","page_count":null,"language":"en","content_type":"Work","summary":"The 1980s and 1990s witnessed a substantial wave of organizational restructuring among hospitals and physicians, as health providers rethought their organizational roles given perceived market imperatives. 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In all, around 100 studies were examined to assess what w...","impression_tracking_id":null,"owner":{"id":37745211,"first_name":"Linda","middle_initials":null,"last_name":"Dynan","page_name":"LindaDynan","domain_name":"nku","created_at":"2015-11-05T14:34:00.827-08:00","display_name":"Linda Dynan","url":"https://nku.academia.edu/LindaDynan"},"attachments":[],"research_interests":[{"id":1324,"name":"Organizational Change","url":"https://www.academia.edu/Documents/in/Organizational_Change"},{"id":132194,"name":"Organizational Restructuring","url":"https://www.academia.edu/Documents/in/Organizational_Restructuring"}],"urls":[{"id":20884454,"url":"http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.974.8768\u0026rep=rep1\u0026type=pdf"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-80182873-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="80182872"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/80182872/Wilson_Woodrow_Administration_"><img alt="Research paper thumbnail of Wilson, Woodrow (Administration)" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Wilson, Woodrow (Administration)</div><div class="wp-workCard_item"><span>Encyclopedia of World Poverty</span><span>, 2006</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="80182872"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="80182872"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 80182872; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=80182872]").text(description); $(".js-view-count[data-work-id=80182872]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 80182872; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='80182872']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=80182872]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":80182872,"title":"Wilson, Woodrow (Administration)","translated_title":"","metadata":{"publisher":"Sage Publications, Inc.","publication_date":{"day":null,"month":null,"year":2006,"errors":{}},"publication_name":"Encyclopedia of World Poverty"},"translated_abstract":null,"internal_url":"https://www.academia.edu/80182872/Wilson_Woodrow_Administration_","translated_internal_url":"","created_at":"2022-05-29T06:02:47.133-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":37745211,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Wilson_Woodrow_Administration_","translated_slug":"","page_count":null,"language":"en","content_type":"Work","summary":null,"impression_tracking_id":null,"owner":{"id":37745211,"first_name":"Linda","middle_initials":null,"last_name":"Dynan","page_name":"LindaDynan","domain_name":"nku","created_at":"2015-11-05T14:34:00.827-08:00","display_name":"Linda Dynan","url":"https://nku.academia.edu/LindaDynan"},"attachments":[],"research_interests":[],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-80182872-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="80182762"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/80182762/Is_Provider_Capitation_Working"><img alt="Research paper thumbnail of Is Provider Capitation Working?" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Is Provider Capitation Working?</div><div class="wp-workCard_item"><span>Medical Care</span><span>, 2000</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">ABSTRACT Capitation holds health providers fiscally responsible for the services they deliver or ...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">ABSTRACT Capitation holds health providers fiscally responsible for the services they deliver or arrange and thus provides strong motivation for physicians and hospitals to integrate activities and reduce costs of care. The objective of this study was to assess 2 potential effects of capitation: (1) its effects on the integration of functional, financial, and clinical processes between hospitals and physicians and (2) its effects, in conjunction with process integration, on hospital costs. We studied a 1995 American Hospital Association (AHA) special survey that has information on 44 different physician-hospital integrative activities and on global capitation contracts held by management service organizations, physician-hospital organizations, and other similar entities. These data were combined with the AHA&amp;#39;s Annual Survey of Hospitals, InterStudy HMO data, the area resource file, and state regulation data. Multivariate analysis was used to assess the relationship between capitation and integration and then to examine the influence of these factors and others on hospital costs. We studied 319 urban hospitals with complete data. Provider capitation was found to promote integration between hospitals and physicians in relation to administrative/practice management, physician financial risk sharing, joint ventures to create new services, computer linkages, and an overall measure of physician-hospital integration. However, anticipated effects of integration and capitation on hospital costs were not evident. Global capitation is motivating tighter integration between physicians and hospitals in a number of respects. Although capitation is currently having the intermediate effect of encouraging process integration, it is not yet having the ultimate anticipated effect of lowering hospital costs.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="80182762"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="80182762"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 80182762; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=80182762]").text(description); $(".js-view-count[data-work-id=80182762]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 80182762; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='80182762']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=80182762]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":80182762,"title":"Is Provider Capitation Working?","translated_title":"","metadata":{"abstract":"ABSTRACT Capitation holds health providers fiscally responsible for the services they deliver or arrange and thus provides strong motivation for physicians and hospitals to integrate activities and reduce costs of care. The objective of this study was to assess 2 potential effects of capitation: (1) its effects on the integration of functional, financial, and clinical processes between hospitals and physicians and (2) its effects, in conjunction with process integration, on hospital costs. We studied a 1995 American Hospital Association (AHA) special survey that has information on 44 different physician-hospital integrative activities and on global capitation contracts held by management service organizations, physician-hospital organizations, and other similar entities. These data were combined with the AHA\u0026amp;#39;s Annual Survey of Hospitals, InterStudy HMO data, the area resource file, and state regulation data. Multivariate analysis was used to assess the relationship between capitation and integration and then to examine the influence of these factors and others on hospital costs. We studied 319 urban hospitals with complete data. Provider capitation was found to promote integration between hospitals and physicians in relation to administrative/practice management, physician financial risk sharing, joint ventures to create new services, computer linkages, and an overall measure of physician-hospital integration. However, anticipated effects of integration and capitation on hospital costs were not evident. Global capitation is motivating tighter integration between physicians and hospitals in a number of respects. Although capitation is currently having the intermediate effect of encouraging process integration, it is not yet having the ultimate anticipated effect of lowering hospital costs.","publisher":"Ovid Technologies (Wolters Kluwer Health)","publication_date":{"day":null,"month":null,"year":2000,"errors":{}},"publication_name":"Medical Care"},"translated_abstract":"ABSTRACT Capitation holds health providers fiscally responsible for the services they deliver or arrange and thus provides strong motivation for physicians and hospitals to integrate activities and reduce costs of care. The objective of this study was to assess 2 potential effects of capitation: (1) its effects on the integration of functional, financial, and clinical processes between hospitals and physicians and (2) its effects, in conjunction with process integration, on hospital costs. We studied a 1995 American Hospital Association (AHA) special survey that has information on 44 different physician-hospital integrative activities and on global capitation contracts held by management service organizations, physician-hospital organizations, and other similar entities. These data were combined with the AHA\u0026amp;#39;s Annual Survey of Hospitals, InterStudy HMO data, the area resource file, and state regulation data. Multivariate analysis was used to assess the relationship between capitation and integration and then to examine the influence of these factors and others on hospital costs. We studied 319 urban hospitals with complete data. Provider capitation was found to promote integration between hospitals and physicians in relation to administrative/practice management, physician financial risk sharing, joint ventures to create new services, computer linkages, and an overall measure of physician-hospital integration. However, anticipated effects of integration and capitation on hospital costs were not evident. Global capitation is motivating tighter integration between physicians and hospitals in a number of respects. Although capitation is currently having the intermediate effect of encouraging process integration, it is not yet having the ultimate anticipated effect of lowering hospital costs.","internal_url":"https://www.academia.edu/80182762/Is_Provider_Capitation_Working","translated_internal_url":"","created_at":"2022-05-29T06:01:33.594-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":37745211,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Is_Provider_Capitation_Working","translated_slug":"","page_count":null,"language":"en","content_type":"Work","summary":"ABSTRACT Capitation holds health providers fiscally responsible for the services they deliver or arrange and thus provides strong motivation for physicians and hospitals to integrate activities and reduce costs of care. The objective of this study was to assess 2 potential effects of capitation: (1) its effects on the integration of functional, financial, and clinical processes between hospitals and physicians and (2) its effects, in conjunction with process integration, on hospital costs. We studied a 1995 American Hospital Association (AHA) special survey that has information on 44 different physician-hospital integrative activities and on global capitation contracts held by management service organizations, physician-hospital organizations, and other similar entities. These data were combined with the AHA\u0026amp;#39;s Annual Survey of Hospitals, InterStudy HMO data, the area resource file, and state regulation data. Multivariate analysis was used to assess the relationship between capitation and integration and then to examine the influence of these factors and others on hospital costs. We studied 319 urban hospitals with complete data. Provider capitation was found to promote integration between hospitals and physicians in relation to administrative/practice management, physician financial risk sharing, joint ventures to create new services, computer linkages, and an overall measure of physician-hospital integration. However, anticipated effects of integration and capitation on hospital costs were not evident. Global capitation is motivating tighter integration between physicians and hospitals in a number of respects. Although capitation is currently having the intermediate effect of encouraging process integration, it is not yet having the ultimate anticipated effect of lowering hospital costs.","impression_tracking_id":null,"owner":{"id":37745211,"first_name":"Linda","middle_initials":null,"last_name":"Dynan","page_name":"LindaDynan","domain_name":"nku","created_at":"2015-11-05T14:34:00.827-08:00","display_name":"Linda Dynan","url":"https://nku.academia.edu/LindaDynan"},"attachments":[],"research_interests":[{"id":16635,"name":"Health Services Research","url":"https://www.academia.edu/Documents/in/Health_Services_Research"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":27659,"name":"Applied Economics","url":"https://www.academia.edu/Documents/in/Applied_Economics"},{"id":41482,"name":"Multivariate Analysis","url":"https://www.academia.edu/Documents/in/Multivariate_Analysis"},{"id":96680,"name":"Hospital costs","url":"https://www.academia.edu/Documents/in/Hospital_costs"},{"id":98134,"name":"United States","url":"https://www.academia.edu/Documents/in/United_States"},{"id":219645,"name":"Medical Care","url":"https://www.academia.edu/Documents/in/Medical_Care"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1"},{"id":579119,"name":"Marketing of Health Services","url":"https://www.academia.edu/Documents/in/Marketing_of_Health_Services"},{"id":602889,"name":"Cost Control","url":"https://www.academia.edu/Documents/in/Cost_Control"},{"id":995700,"name":"Capitation","url":"https://www.academia.edu/Documents/in/Capitation"}],"urls":[{"id":20884401,"url":"https://journals.lww.com/00005650-200003000-00008"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-80182762-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="75054892"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/75054892/Two_Decades_of_Organizational_Change_in_Health_Care_What_Have_we_Learned"><img alt="Research paper thumbnail of Two Decades of Organizational Change in Health Care: What Have we Learned?" class="work-thumbnail" src="https://attachments.academia-assets.com/82979123/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/75054892/Two_Decades_of_Organizational_Change_in_Health_Care_What_Have_we_Learned">Two Decades of Organizational Change in Health Care: What Have we Learned?</a></div><div class="wp-workCard_item"><span>Medical Care Research and Review</span><span>, 2004</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">The 1980s and 1990s witnessed a substantial wave of organizational restructuring among hospitals ...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The 1980s and 1990s witnessed a substantial wave of organizational restructuring among hospitals and physicians, as health providers rethought their organizational roles given perceived market imperatives. Mergers, acquisitions, internal restructuring, and new interorganizational relationships occurred at a record pace. Matching this was a large wave of study and discourse among health services researchers, industry experts, and consultants to understand the causes and consequences of organizational change. In many cases, this literature provides mixed signals about what was accomplished through these organizational efforts. The purpose of this review is to synthesize this diverse literature. This review examines studies of horizontal consolidation and integration of hospitals, horizontal consolidation and integration of physician organizations, and integration and relationship development between physicians and hospitals. In all, around 100 studies were examined to assess what was ...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="7b57a1816470c8b7b00bfbaedac4ecb9" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":82979123,"asset_id":75054892,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/82979123/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="75054892"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="75054892"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 75054892; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=75054892]").text(description); $(".js-view-count[data-work-id=75054892]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 75054892; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='75054892']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "7b57a1816470c8b7b00bfbaedac4ecb9" } } $('.js-work-strip[data-work-id=75054892]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":75054892,"title":"Two Decades of Organizational Change in Health Care: What Have we Learned?","translated_title":"","metadata":{"abstract":"The 1980s and 1990s witnessed a substantial wave of organizational restructuring among hospitals and physicians, as health providers rethought their organizational roles given perceived market imperatives. 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In all, around 100 studies were examined to assess what was ...","publisher":"SAGE Publications","publication_date":{"day":null,"month":null,"year":2004,"errors":{}},"publication_name":"Medical Care Research and Review"},"translated_abstract":"The 1980s and 1990s witnessed a substantial wave of organizational restructuring among hospitals and physicians, as health providers rethought their organizational roles given perceived market imperatives. Mergers, acquisitions, internal restructuring, and new interorganizational relationships occurred at a record pace. Matching this was a large wave of study and discourse among health services researchers, industry experts, and consultants to understand the causes and consequences of organizational change. In many cases, this literature provides mixed signals about what was accomplished through these organizational efforts. The purpose of this review is to synthesize this diverse literature. This review examines studies of horizontal consolidation and integration of hospitals, horizontal consolidation and integration of physician organizations, and integration and relationship development between physicians and hospitals. 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In all, around 100 studies were examined to assess what was ...","impression_tracking_id":null,"owner":{"id":37745211,"first_name":"Linda","middle_initials":null,"last_name":"Dynan","page_name":"LindaDynan","domain_name":"nku","created_at":"2015-11-05T14:34:00.827-08:00","display_name":"Linda Dynan","url":"https://nku.academia.edu/LindaDynan"},"attachments":[{"id":82979123,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/82979123/thumbnails/1.jpg","file_name":"2004.61.3.MCRR.pdf","download_url":"https://www.academia.edu/attachments/82979123/download_file","bulk_download_file_name":"Two_Decades_of_Organizational_Change_in.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/82979123/2004.61.3.MCRR-libre.pdf?1648722609=\u0026response-content-disposition=attachment%3B+filename%3DTwo_Decades_of_Organizational_Change_in.pdf\u0026Expires=1744190802\u0026Signature=bHAxb17AAVOZMGTbdTJi5GAVVKK1A4YJaIeRc98QtMaY-iSKaNH4QdL5zXKYcm1HSZSLMR9qSG~QhqqGYLHZYzWzvmZTt7kZbCLHs6Ho1d19dAMXSYFC32HLXsvcH1EkMXJ5kPqjRlOA0FwRibFsguilPUoztokm99CpQdmOMJ0wm4SyV9A4TRFJRFI5wMiyzhAZw-3EJR34NsiRSvjlUErDMGT2EGxmYFZkqQDKENyoOSZh8l7ksE2y3HRA~6fxZP6lDEVgMqgG8ApyBtlN8iXIsbFdVlwK4oPsHoHoc7twRKsLBJCHpnotyYYMl3GhIqkRLEIWVk9hkVu3MluL3A__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":26,"name":"Business","url":"https://www.academia.edu/Documents/in/Business"},{"id":1324,"name":"Organizational Change","url":"https://www.academia.edu/Documents/in/Organizational_Change"},{"id":4441,"name":"Health Care","url":"https://www.academia.edu/Documents/in/Health_Care"},{"id":16635,"name":"Health Services Research","url":"https://www.academia.edu/Documents/in/Health_Services_Research"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":73149,"name":"Business and Management","url":"https://www.academia.edu/Documents/in/Business_and_Management"},{"id":98134,"name":"United States","url":"https://www.academia.edu/Documents/in/United_States"},{"id":219645,"name":"Medical Care","url":"https://www.academia.edu/Documents/in/Medical_Care"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1"},{"id":458190,"name":"Organizational Innovation","url":"https://www.academia.edu/Documents/in/Organizational_Innovation"},{"id":674838,"name":"Organizational Efficiency","url":"https://www.academia.edu/Documents/in/Organizational_Efficiency"},{"id":2749012,"name":"Delivery of Health Care","url":"https://www.academia.edu/Documents/in/Delivery_of_Health_Care"},{"id":3194761,"name":"Quality of health care","url":"https://www.academia.edu/Documents/in/Quality_of_health_care"}],"urls":[{"id":18975854,"url":"http://journals.sagepub.com/doi/pdf/10.1177/1077558704266818"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-75054892-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="65672257"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/65672257/Behavioral_Economics_A_Primer_and_Applications_to_the_UN_Sustainable_Development_Goal_of_Good_Health_and_Well_Being"><img alt="Research paper thumbnail of Behavioral Economics: A Primer and Applications to the UN Sustainable Development Goal of Good Health and Well-Being" class="work-thumbnail" src="https://attachments.academia-assets.com/77167080/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/65672257/Behavioral_Economics_A_Primer_and_Applications_to_the_UN_Sustainable_Development_Goal_of_Good_Health_and_Well_Being">Behavioral Economics: A Primer and Applications to the UN Sustainable Development Goal of Good Health and Well-Being</a></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Behavioral economics (BE) is a relatively new field within economics that incorporates insights f...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Behavioral economics (BE) is a relatively new field within economics that incorporates insights from psychology that can be harnessed to improve economic decision making with the potential to enhance good health and well-being of individuals and societies, the third of the United Nations Sustainable Development Goals. While some of the psychological principles of economic decision making were described as far back as the 1700s by Adam Smith, BE emerged as a discipline in the 1970s with the groundbreaking work of psychologists Daniel Kahneman and Amos Tversky. We describe the basic concepts of BE, heuristics (decision-making shortcuts) and their associated biases, and the BE strategies framing, incentives, and economic nudging to overcome these biases. We survey the literature to identify how BE techniques have been employed to improve individual choice (focusing on childhood obesity), health policy, and patient and healthcare provider decision making. Additionally, we discuss how th...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="fb5e98476f99c26f4173c82029ed18ab" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":77167080,"asset_id":65672257,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/77167080/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="65672257"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="65672257"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 65672257; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=65672257]").text(description); $(".js-view-count[data-work-id=65672257]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 65672257; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='65672257']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "fb5e98476f99c26f4173c82029ed18ab" } } $('.js-work-strip[data-work-id=65672257]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":65672257,"title":"Behavioral Economics: A Primer and Applications to the UN Sustainable Development Goal of Good Health and Well-Being","translated_title":"","metadata":{"abstract":"Behavioral economics (BE) is a relatively new field within economics that incorporates insights from psychology that can be harnessed to improve economic decision making with the potential to enhance good health and well-being of individuals and societies, the third of the United Nations Sustainable Development Goals. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-65672257-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="65672255"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/65672255/Hospital_Characteristics_and_Quality_of_Pediatric_Inpatient_Care_A_Multi_Level_Analysis"><img alt="Research paper thumbnail of Hospital Characteristics and Quality of Pediatric Inpatient Care: A Multi-Level Analysis" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Hospital Characteristics and Quality of Pediatric Inpatient Care: A Multi-Level Analysis</div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="65672255"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="65672255"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 65672255; 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Specifically, African Americans (black) live lives that are substantially shorter, on average, than those of their white neighbors. Moreover, blacks generally experience worse health outcomes than whites throughout their lifetimes.This paper examines the contributions of differences between blacks and whites in specific health-enhancing and health-deterring behaviors to the difference in self-reported health status (and a constructed health status measure) of these two groups. Micro-simulation based decomposition analysis using data from the 2005 Center for Disease Control Behavioral Risk Factor Surveillance System demonstrates that in particular, black/white differences in physical activity have relatively large impacts on the measured health status gap between the two groups, yet black/white differences in socioeconomic and demographic characteristics remain dominant sources in...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="65672252"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="65672252"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 65672252; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=65672252]").text(description); $(".js-view-count[data-work-id=65672252]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 65672252; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='65672252']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=65672252]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":65672252,"title":"A Micro-Simulation Based Decomposition of the Health Status Gap Between US Blacks and Whites","translated_title":"","metadata":{"abstract":"It is well established that health status differs across racial subpopulations within the United States. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-65672248-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="65672089"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/65672089/An_Integrated_System_of_Education_Using_Structured_Learning_Environments_and_Assurance_of_Learning_to_Improve_Students_Human_Capital"><img alt="Research paper thumbnail of An Integrated System of Education: Using Structured Learning Environments and Assurance of Learning to Improve Students' Human Capital" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">An Integrated System of Education: Using Structured Learning Environments and Assurance of Learning to Improve Students' Human Capital</div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Students striving to acquire the capability of contributing to the modern global economy are neit...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Students striving to acquire the capability of contributing to the modern global economy are neither clients nor customers of an educational institution. 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The item(s) has been successfully added to \u0026quot;\u0026quot;.","impression_tracking_id":null,"owner":{"id":37745211,"first_name":"Linda","middle_initials":null,"last_name":"Dynan","page_name":"LindaDynan","domain_name":"nku","created_at":"2015-11-05T14:34:00.827-08:00","display_name":"Linda Dynan","url":"https://nku.academia.edu/LindaDynan"},"attachments":[],"research_interests":[{"id":21559,"name":"Health Care Management","url":"https://www.academia.edu/Documents/in/Health_Care_Management"},{"id":73149,"name":"Business and Management","url":"https://www.academia.edu/Documents/in/Business_and_Management"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-113220819-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="101375542"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/101375542/Effects_of_Loss_and_Gain_Incentives_on_Adherence_in_Pediatric_Weight_Management_Preliminary_Studies_and_Economic_Evaluation_of_a_Theoretical_Trial"><img alt="Research paper thumbnail of Effects of Loss and Gain Incentives on Adherence in Pediatric Weight Management: Preliminary Studies and Economic Evaluation of a Theoretical Trial" class="work-thumbnail" src="https://attachments.academia-assets.com/101934398/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/101375542/Effects_of_Loss_and_Gain_Incentives_on_Adherence_in_Pediatric_Weight_Management_Preliminary_Studies_and_Economic_Evaluation_of_a_Theoretical_Trial">Effects of Loss and Gain Incentives on Adherence in Pediatric Weight Management: Preliminary Studies and Economic Evaluation of a Theoretical Trial</a></div><div class="wp-workCard_item"><span>International Journal of Environmental Research and Public Health</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Pediatric weight management is often hampered by poor engagement and adherence. Incentives based ...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Pediatric weight management is often hampered by poor engagement and adherence. Incentives based on loss have been shown to be more effective than gain-based incentives in improving outcomes among children with health conditions other than obesity. In preparation for a clinical trial comparing loss-framed to gain-framed incentives, a survey of youth and caregiver attitudes on weight management incentives, reasons for program attendance, and an economic evaluation of a theoretical trial were conducted. Ninety of 835 (11%) surveys were completed by caregiver and child. The economic evaluation showed that loss-framed incentives had a preferable incremental cost-effectiveness ratio (a lower value is considered preferable) than gain-based incentives. Most youth and caregivers felt a gain incentive would be superior, agreed that the full incentive should go to the youth (vs. the caregiver), and identified “improving health” as a top reason for pursuing weight management.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="eb152a69742260ee58a330e48c969ccd" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":101934398,"asset_id":101375542,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/101934398/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="101375542"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="101375542"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 101375542; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=101375542]").text(description); $(".js-view-count[data-work-id=101375542]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 101375542; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='101375542']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "eb152a69742260ee58a330e48c969ccd" } } $('.js-work-strip[data-work-id=101375542]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":101375542,"title":"Effects of Loss and Gain Incentives on Adherence in Pediatric Weight Management: Preliminary Studies and Economic Evaluation of a Theoretical Trial","translated_title":"","metadata":{"abstract":"Pediatric weight management is often hampered by poor engagement and adherence. 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I...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Hospitalists are physicians who specialize in the care and management of hospitalized patients. Increasingly hospitals are employing hospitalist models to deliver inpatient care because of the benefits they provide: reduced charges and reduced lengths of stay without compromising quality relative to more traditional models of inpatient care (Dynan, Stein, David et al., 2009). 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The pharmacist-reliant NINJA program reduced nephrotoxic medication exposure and associated AKI. Objectives We assess potential healthcare cost savings from reduced CKD by preventing AKI with the NINJA program for a pediatric population through age 21. Methods We simulated a cohort of 1000 hospitalized non-critically ill children. From the published literature, 310 develop AKI, 267 survive to 6 months, and 10-70% develop CKD, and NINJA implementation reduced AKI by 23.8%. Allowing for varying CKD rates, we estimated a range of NINJA’s savings. We assumed an annual GFR decline of 1.2 (noHTN) ml/min/1.73 m2 for half the sample and 1.7 (HTN) ml/min/1.73 m2 for the other half to account for CKD progression without and with hypertension (HTN). We model attributable costs including CKD stage-related medications and outpatie...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="80182874"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="80182874"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 80182874; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=80182874]").text(description); $(".js-view-count[data-work-id=80182874]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 80182874; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='80182874']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=80182874]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":80182874,"title":"Long-Term Healthcare Cost Savings of a Pediatric Nephrotoxic Medication-Associated Acute Kidney Injury Reduction Program in a Simulated Sample","translated_title":"","metadata":{"abstract":"Background Nephrotoxic medication exposure is a common cause of acute kidney injury (AKI) in hospitalized children and is associated with chronic kidney disease (CKD). 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We model attributable costs including CKD stage-related medications and outpatie...","internal_url":"https://www.academia.edu/80182874/Long_Term_Healthcare_Cost_Savings_of_a_Pediatric_Nephrotoxic_Medication_Associated_Acute_Kidney_Injury_Reduction_Program_in_a_Simulated_Sample","translated_internal_url":"","created_at":"2022-05-29T06:02:47.398-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":37745211,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Long_Term_Healthcare_Cost_Savings_of_a_Pediatric_Nephrotoxic_Medication_Associated_Acute_Kidney_Injury_Reduction_Program_in_a_Simulated_Sample","translated_slug":"","page_count":null,"language":"en","content_type":"Work","summary":"Background Nephrotoxic medication exposure is a common cause of acute kidney injury (AKI) in hospitalized children and is associated with chronic kidney disease (CKD). The pharmacist-reliant NINJA program reduced nephrotoxic medication exposure and associated AKI. Objectives We assess potential healthcare cost savings from reduced CKD by preventing AKI with the NINJA program for a pediatric population through age 21. Methods We simulated a cohort of 1000 hospitalized non-critically ill children. From the published literature, 310 develop AKI, 267 survive to 6 months, and 10-70% develop CKD, and NINJA implementation reduced AKI by 23.8%. Allowing for varying CKD rates, we estimated a range of NINJA’s savings. We assumed an annual GFR decline of 1.2 (noHTN) ml/min/1.73 m2 for half the sample and 1.7 (HTN) ml/min/1.73 m2 for the other half to account for CKD progression without and with hypertension (HTN). We model attributable costs including CKD stage-related medications and outpatie...","impression_tracking_id":null,"owner":{"id":37745211,"first_name":"Linda","middle_initials":null,"last_name":"Dynan","page_name":"LindaDynan","domain_name":"nku","created_at":"2015-11-05T14:34:00.827-08:00","display_name":"Linda Dynan","url":"https://nku.academia.edu/LindaDynan"},"attachments":[],"research_interests":[{"id":13388,"name":"Pharmacy Practice","url":"https://www.academia.edu/Documents/in/Pharmacy_Practice"}],"urls":[{"id":20884455,"url":"http://journals.sagepub.com/doi/pdf/10.1177/08971900221074978"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-80182874-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="80182873"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/80182873/10_1177_1077558704266818ARTICLEMCR_and_amp_R_61_3_September_2004_Bazzoli_et_al_Organizational_Change_Review_Two_Decades_of_Organizational_Change_in_Health_Care_What_Have_We_Learned"><img alt="Research paper thumbnail of 10.1177/1077558704266818ARTICLEMCR&amp;R 61:3 (September 2004)Bazzoli et al. / Organizational Change Review Two Decades of Organizational Change in Health Care: What Have We Learned?" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">10.1177/1077558704266818ARTICLEMCR&amp;R 61:3 (September 2004)Bazzoli et al. / Organizational Change Review Two Decades of Organizational Change in Health Care: What Have We Learned?</div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">The 1980s and 1990s witnessed a substantial wave of organizational restructuring among hospitals ...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The 1980s and 1990s witnessed a substantial wave of organizational restructuring among hospitals and physicians, as health providers rethought their organizational roles given perceived market imperatives. Mergers, acquisitions, internal restructuring, and new interorganizational relationships occurred at a record pace. Matching this was a large wave of study and discourse among health services researchers, industry experts, and consultants to understand the causes and consequences of organizational change. In many cases, this literature provides mixed signals about what was accomplished through these organizational efforts. The purpose of this review is to synthesize this diverse litera-ture. This review examines studies of horizontal consolidation and integration of hospi-tals, horizontal consolidation and integration of physician organizations, and integra-tion and relationship development between physicians and hospitals. In all, around 100 studies were examined to assess what w...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="80182873"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="80182873"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 80182873; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=80182873]").text(description); $(".js-view-count[data-work-id=80182873]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 80182873; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='80182873']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=80182873]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":80182873,"title":"10.1177/1077558704266818ARTICLEMCR\u0026amp;R 61:3 (September 2004)Bazzoli et al. / Organizational Change Review Two Decades of Organizational Change in Health Care: What Have We Learned?","translated_title":"","metadata":{"abstract":"The 1980s and 1990s witnessed a substantial wave of organizational restructuring among hospitals and physicians, as health providers rethought their organizational roles given perceived market imperatives. Mergers, acquisitions, internal restructuring, and new interorganizational relationships occurred at a record pace. Matching this was a large wave of study and discourse among health services researchers, industry experts, and consultants to understand the causes and consequences of organizational change. In many cases, this literature provides mixed signals about what was accomplished through these organizational efforts. The purpose of this review is to synthesize this diverse litera-ture. This review examines studies of horizontal consolidation and integration of hospi-tals, horizontal consolidation and integration of physician organizations, and integra-tion and relationship development between physicians and hospitals. In all, around 100 studies were examined to assess what w...","publication_date":{"day":null,"month":null,"year":2016,"errors":{}}},"translated_abstract":"The 1980s and 1990s witnessed a substantial wave of organizational restructuring among hospitals and physicians, as health providers rethought their organizational roles given perceived market imperatives. Mergers, acquisitions, internal restructuring, and new interorganizational relationships occurred at a record pace. Matching this was a large wave of study and discourse among health services researchers, industry experts, and consultants to understand the causes and consequences of organizational change. In many cases, this literature provides mixed signals about what was accomplished through these organizational efforts. The purpose of this review is to synthesize this diverse litera-ture. This review examines studies of horizontal consolidation and integration of hospi-tals, horizontal consolidation and integration of physician organizations, and integra-tion and relationship development between physicians and hospitals. In all, around 100 studies were examined to assess what w...","internal_url":"https://www.academia.edu/80182873/10_1177_1077558704266818ARTICLEMCR_and_amp_R_61_3_September_2004_Bazzoli_et_al_Organizational_Change_Review_Two_Decades_of_Organizational_Change_in_Health_Care_What_Have_We_Learned","translated_internal_url":"","created_at":"2022-05-29T06:02:47.261-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":37745211,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"10_1177_1077558704266818ARTICLEMCR_and_amp_R_61_3_September_2004_Bazzoli_et_al_Organizational_Change_Review_Two_Decades_of_Organizational_Change_in_Health_Care_What_Have_We_Learned","translated_slug":"","page_count":null,"language":"en","content_type":"Work","summary":"The 1980s and 1990s witnessed a substantial wave of organizational restructuring among hospitals and physicians, as health providers rethought their organizational roles given perceived market imperatives. Mergers, acquisitions, internal restructuring, and new interorganizational relationships occurred at a record pace. Matching this was a large wave of study and discourse among health services researchers, industry experts, and consultants to understand the causes and consequences of organizational change. In many cases, this literature provides mixed signals about what was accomplished through these organizational efforts. The purpose of this review is to synthesize this diverse litera-ture. This review examines studies of horizontal consolidation and integration of hospi-tals, horizontal consolidation and integration of physician organizations, and integra-tion and relationship development between physicians and hospitals. In all, around 100 studies were examined to assess what w...","impression_tracking_id":null,"owner":{"id":37745211,"first_name":"Linda","middle_initials":null,"last_name":"Dynan","page_name":"LindaDynan","domain_name":"nku","created_at":"2015-11-05T14:34:00.827-08:00","display_name":"Linda Dynan","url":"https://nku.academia.edu/LindaDynan"},"attachments":[],"research_interests":[{"id":1324,"name":"Organizational Change","url":"https://www.academia.edu/Documents/in/Organizational_Change"},{"id":132194,"name":"Organizational Restructuring","url":"https://www.academia.edu/Documents/in/Organizational_Restructuring"}],"urls":[{"id":20884454,"url":"http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.974.8768\u0026rep=rep1\u0026type=pdf"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-80182873-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="80182872"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/80182872/Wilson_Woodrow_Administration_"><img alt="Research paper thumbnail of Wilson, Woodrow (Administration)" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Wilson, Woodrow (Administration)</div><div class="wp-workCard_item"><span>Encyclopedia of World Poverty</span><span>, 2006</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="80182872"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="80182872"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 80182872; 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-80182872-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="80182762"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/80182762/Is_Provider_Capitation_Working"><img alt="Research paper thumbnail of Is Provider Capitation Working?" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Is Provider Capitation Working?</div><div class="wp-workCard_item"><span>Medical Care</span><span>, 2000</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">ABSTRACT Capitation holds health providers fiscally responsible for the services they deliver or ...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">ABSTRACT Capitation holds health providers fiscally responsible for the services they deliver or arrange and thus provides strong motivation for physicians and hospitals to integrate activities and reduce costs of care. The objective of this study was to assess 2 potential effects of capitation: (1) its effects on the integration of functional, financial, and clinical processes between hospitals and physicians and (2) its effects, in conjunction with process integration, on hospital costs. We studied a 1995 American Hospital Association (AHA) special survey that has information on 44 different physician-hospital integrative activities and on global capitation contracts held by management service organizations, physician-hospital organizations, and other similar entities. These data were combined with the AHA&amp;#39;s Annual Survey of Hospitals, InterStudy HMO data, the area resource file, and state regulation data. Multivariate analysis was used to assess the relationship between capitation and integration and then to examine the influence of these factors and others on hospital costs. We studied 319 urban hospitals with complete data. Provider capitation was found to promote integration between hospitals and physicians in relation to administrative/practice management, physician financial risk sharing, joint ventures to create new services, computer linkages, and an overall measure of physician-hospital integration. However, anticipated effects of integration and capitation on hospital costs were not evident. Global capitation is motivating tighter integration between physicians and hospitals in a number of respects. Although capitation is currently having the intermediate effect of encouraging process integration, it is not yet having the ultimate anticipated effect of lowering hospital costs.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="80182762"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="80182762"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 80182762; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=80182762]").text(description); $(".js-view-count[data-work-id=80182762]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 80182762; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='80182762']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=80182762]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":80182762,"title":"Is Provider Capitation Working?","translated_title":"","metadata":{"abstract":"ABSTRACT Capitation holds health providers fiscally responsible for the services they deliver or arrange and thus provides strong motivation for physicians and hospitals to integrate activities and reduce costs of care. 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Provider capitation was found to promote integration between hospitals and physicians in relation to administrative/practice management, physician financial risk sharing, joint ventures to create new services, computer linkages, and an overall measure of physician-hospital integration. However, anticipated effects of integration and capitation on hospital costs were not evident. Global capitation is motivating tighter integration between physicians and hospitals in a number of respects. 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We studied a 1995 American Hospital Association (AHA) special survey that has information on 44 different physician-hospital integrative activities and on global capitation contracts held by management service organizations, physician-hospital organizations, and other similar entities. These data were combined with the AHA\u0026amp;#39;s Annual Survey of Hospitals, InterStudy HMO data, the area resource file, and state regulation data. Multivariate analysis was used to assess the relationship between capitation and integration and then to examine the influence of these factors and others on hospital costs. We studied 319 urban hospitals with complete data. Provider capitation was found to promote integration between hospitals and physicians in relation to administrative/practice management, physician financial risk sharing, joint ventures to create new services, computer linkages, and an overall measure of physician-hospital integration. However, anticipated effects of integration and capitation on hospital costs were not evident. Global capitation is motivating tighter integration between physicians and hospitals in a number of respects. 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The objective of this study was to assess 2 potential effects of capitation: (1) its effects on the integration of functional, financial, and clinical processes between hospitals and physicians and (2) its effects, in conjunction with process integration, on hospital costs. We studied a 1995 American Hospital Association (AHA) special survey that has information on 44 different physician-hospital integrative activities and on global capitation contracts held by management service organizations, physician-hospital organizations, and other similar entities. These data were combined with the AHA\u0026amp;#39;s Annual Survey of Hospitals, InterStudy HMO data, the area resource file, and state regulation data. Multivariate analysis was used to assess the relationship between capitation and integration and then to examine the influence of these factors and others on hospital costs. We studied 319 urban hospitals with complete data. Provider capitation was found to promote integration between hospitals and physicians in relation to administrative/practice management, physician financial risk sharing, joint ventures to create new services, computer linkages, and an overall measure of physician-hospital integration. However, anticipated effects of integration and capitation on hospital costs were not evident. Global capitation is motivating tighter integration between physicians and hospitals in a number of respects. Although capitation is currently having the intermediate effect of encouraging process integration, it is not yet having the ultimate anticipated effect of lowering hospital costs.","impression_tracking_id":null,"owner":{"id":37745211,"first_name":"Linda","middle_initials":null,"last_name":"Dynan","page_name":"LindaDynan","domain_name":"nku","created_at":"2015-11-05T14:34:00.827-08:00","display_name":"Linda Dynan","url":"https://nku.academia.edu/LindaDynan"},"attachments":[],"research_interests":[{"id":16635,"name":"Health Services Research","url":"https://www.academia.edu/Documents/in/Health_Services_Research"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":27659,"name":"Applied Economics","url":"https://www.academia.edu/Documents/in/Applied_Economics"},{"id":41482,"name":"Multivariate Analysis","url":"https://www.academia.edu/Documents/in/Multivariate_Analysis"},{"id":96680,"name":"Hospital costs","url":"https://www.academia.edu/Documents/in/Hospital_costs"},{"id":98134,"name":"United States","url":"https://www.academia.edu/Documents/in/United_States"},{"id":219645,"name":"Medical Care","url":"https://www.academia.edu/Documents/in/Medical_Care"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1"},{"id":579119,"name":"Marketing of Health Services","url":"https://www.academia.edu/Documents/in/Marketing_of_Health_Services"},{"id":602889,"name":"Cost Control","url":"https://www.academia.edu/Documents/in/Cost_Control"},{"id":995700,"name":"Capitation","url":"https://www.academia.edu/Documents/in/Capitation"}],"urls":[{"id":20884401,"url":"https://journals.lww.com/00005650-200003000-00008"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-80182762-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="75054892"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/75054892/Two_Decades_of_Organizational_Change_in_Health_Care_What_Have_we_Learned"><img alt="Research paper thumbnail of Two Decades of Organizational Change in Health Care: What Have we Learned?" class="work-thumbnail" src="https://attachments.academia-assets.com/82979123/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/75054892/Two_Decades_of_Organizational_Change_in_Health_Care_What_Have_we_Learned">Two Decades of Organizational Change in Health Care: What Have we Learned?</a></div><div class="wp-workCard_item"><span>Medical Care Research and Review</span><span>, 2004</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">The 1980s and 1990s witnessed a substantial wave of organizational restructuring among hospitals ...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The 1980s and 1990s witnessed a substantial wave of organizational restructuring among hospitals and physicians, as health providers rethought their organizational roles given perceived market imperatives. Mergers, acquisitions, internal restructuring, and new interorganizational relationships occurred at a record pace. Matching this was a large wave of study and discourse among health services researchers, industry experts, and consultants to understand the causes and consequences of organizational change. In many cases, this literature provides mixed signals about what was accomplished through these organizational efforts. The purpose of this review is to synthesize this diverse literature. This review examines studies of horizontal consolidation and integration of hospitals, horizontal consolidation and integration of physician organizations, and integration and relationship development between physicians and hospitals. In all, around 100 studies were examined to assess what was ...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="7b57a1816470c8b7b00bfbaedac4ecb9" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":82979123,"asset_id":75054892,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/82979123/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="75054892"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="75054892"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 75054892; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=75054892]").text(description); $(".js-view-count[data-work-id=75054892]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 75054892; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='75054892']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "7b57a1816470c8b7b00bfbaedac4ecb9" } } $('.js-work-strip[data-work-id=75054892]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":75054892,"title":"Two Decades of Organizational Change in Health Care: What Have we Learned?","translated_title":"","metadata":{"abstract":"The 1980s and 1990s witnessed a substantial wave of organizational restructuring among hospitals and physicians, as health providers rethought their organizational roles given perceived market imperatives. 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Mergers, acquisitions, internal restructuring, and new interorganizational relationships occurred at a record pace. Matching this was a large wave of study and discourse among health services researchers, industry experts, and consultants to understand the causes and consequences of organizational change. In many cases, this literature provides mixed signals about what was accomplished through these organizational efforts. The purpose of this review is to synthesize this diverse literature. This review examines studies of horizontal consolidation and integration of hospitals, horizontal consolidation and integration of physician organizations, and integration and relationship development between physicians and hospitals. In all, around 100 studies were examined to assess what was ...","impression_tracking_id":null,"owner":{"id":37745211,"first_name":"Linda","middle_initials":null,"last_name":"Dynan","page_name":"LindaDynan","domain_name":"nku","created_at":"2015-11-05T14:34:00.827-08:00","display_name":"Linda Dynan","url":"https://nku.academia.edu/LindaDynan"},"attachments":[{"id":82979123,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/82979123/thumbnails/1.jpg","file_name":"2004.61.3.MCRR.pdf","download_url":"https://www.academia.edu/attachments/82979123/download_file","bulk_download_file_name":"Two_Decades_of_Organizational_Change_in.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/82979123/2004.61.3.MCRR-libre.pdf?1648722609=\u0026response-content-disposition=attachment%3B+filename%3DTwo_Decades_of_Organizational_Change_in.pdf\u0026Expires=1744190802\u0026Signature=bHAxb17AAVOZMGTbdTJi5GAVVKK1A4YJaIeRc98QtMaY-iSKaNH4QdL5zXKYcm1HSZSLMR9qSG~QhqqGYLHZYzWzvmZTt7kZbCLHs6Ho1d19dAMXSYFC32HLXsvcH1EkMXJ5kPqjRlOA0FwRibFsguilPUoztokm99CpQdmOMJ0wm4SyV9A4TRFJRFI5wMiyzhAZw-3EJR34NsiRSvjlUErDMGT2EGxmYFZkqQDKENyoOSZh8l7ksE2y3HRA~6fxZP6lDEVgMqgG8ApyBtlN8iXIsbFdVlwK4oPsHoHoc7twRKsLBJCHpnotyYYMl3GhIqkRLEIWVk9hkVu3MluL3A__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":26,"name":"Business","url":"https://www.academia.edu/Documents/in/Business"},{"id":1324,"name":"Organizational Change","url":"https://www.academia.edu/Documents/in/Organizational_Change"},{"id":4441,"name":"Health Care","url":"https://www.academia.edu/Documents/in/Health_Care"},{"id":16635,"name":"Health Services Research","url":"https://www.academia.edu/Documents/in/Health_Services_Research"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":73149,"name":"Business and Management","url":"https://www.academia.edu/Documents/in/Business_and_Management"},{"id":98134,"name":"United States","url":"https://www.academia.edu/Documents/in/United_States"},{"id":219645,"name":"Medical Care","url":"https://www.academia.edu/Documents/in/Medical_Care"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1"},{"id":458190,"name":"Organizational Innovation","url":"https://www.academia.edu/Documents/in/Organizational_Innovation"},{"id":674838,"name":"Organizational Efficiency","url":"https://www.academia.edu/Documents/in/Organizational_Efficiency"},{"id":2749012,"name":"Delivery of Health Care","url":"https://www.academia.edu/Documents/in/Delivery_of_Health_Care"},{"id":3194761,"name":"Quality of health care","url":"https://www.academia.edu/Documents/in/Quality_of_health_care"}],"urls":[{"id":18975854,"url":"http://journals.sagepub.com/doi/pdf/10.1177/1077558704266818"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-75054892-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="65672257"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/65672257/Behavioral_Economics_A_Primer_and_Applications_to_the_UN_Sustainable_Development_Goal_of_Good_Health_and_Well_Being"><img alt="Research paper thumbnail of Behavioral Economics: A Primer and Applications to the UN Sustainable Development Goal of Good Health and Well-Being" class="work-thumbnail" src="https://attachments.academia-assets.com/77167080/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/65672257/Behavioral_Economics_A_Primer_and_Applications_to_the_UN_Sustainable_Development_Goal_of_Good_Health_and_Well_Being">Behavioral Economics: A Primer and Applications to the UN Sustainable Development Goal of Good Health and Well-Being</a></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Behavioral economics (BE) is a relatively new field within economics that incorporates insights f...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Behavioral economics (BE) is a relatively new field within economics that incorporates insights from psychology that can be harnessed to improve economic decision making with the potential to enhance good health and well-being of individuals and societies, the third of the United Nations Sustainable Development Goals. While some of the psychological principles of economic decision making were described as far back as the 1700s by Adam Smith, BE emerged as a discipline in the 1970s with the groundbreaking work of psychologists Daniel Kahneman and Amos Tversky. We describe the basic concepts of BE, heuristics (decision-making shortcuts) and their associated biases, and the BE strategies framing, incentives, and economic nudging to overcome these biases. We survey the literature to identify how BE techniques have been employed to improve individual choice (focusing on childhood obesity), health policy, and patient and healthcare provider decision making. Additionally, we discuss how th...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="fb5e98476f99c26f4173c82029ed18ab" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":77167080,"asset_id":65672257,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/77167080/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="65672257"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="65672257"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 65672257; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=65672257]").text(description); $(".js-view-count[data-work-id=65672257]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 65672257; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='65672257']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "fb5e98476f99c26f4173c82029ed18ab" } } $('.js-work-strip[data-work-id=65672257]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":65672257,"title":"Behavioral Economics: A Primer and Applications to the UN Sustainable Development Goal of Good Health and Well-Being","translated_title":"","metadata":{"abstract":"Behavioral economics (BE) is a relatively new field within economics that incorporates insights from psychology that can be harnessed to improve economic decision making with the potential to enhance good health and well-being of individuals and societies, the third of the United Nations Sustainable Development Goals. While some of the psychological principles of economic decision making were described as far back as the 1700s by Adam Smith, BE emerged as a discipline in the 1970s with the groundbreaking work of psychologists Daniel Kahneman and Amos Tversky. We describe the basic concepts of BE, heuristics (decision-making shortcuts) and their associated biases, and the BE strategies framing, incentives, and economic nudging to overcome these biases. We survey the literature to identify how BE techniques have been employed to improve individual choice (focusing on childhood obesity), health policy, and patient and healthcare provider decision making. 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Specifically, African Americans (black) live lives that are substantially shorter, on average, than those of their white neighbors. Moreover, blacks generally experience worse health outcomes than whites throughout their lifetimes.This paper examines the contributions of differences between blacks and whites in specific health-enhancing and health-deterring behaviors to the difference in self-reported health status (and a constructed health status measure) of these two groups. Micro-simulation based decomposition analysis using data from the 2005 Center for Disease Control Behavioral Risk Factor Surveillance System demonstrates that in particular, black/white differences in physical activity have relatively large impacts on the measured health status gap between the two groups, yet black/white differences in socioeconomic and demographic characteristics remain dominant sources in...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="65672252"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="65672252"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 65672252; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=65672252]").text(description); $(".js-view-count[data-work-id=65672252]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 65672252; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='65672252']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=65672252]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":65672252,"title":"A Micro-Simulation Based Decomposition of the Health Status Gap Between US Blacks and Whites","translated_title":"","metadata":{"abstract":"It is well established that health status differs across racial subpopulations within the United States. 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