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Understanding the relationships between clinical and non-clinical
caregivers in the hospital environment of care is vital to
determining best practices that improve patient outcomes. The
purpose of this study is to understand the relationships among
biomedical engineering technicians (BMETs) and clinical caregivers
in order to promote hospital quality through the reduction of
hospital acquired infections associated with medical equipment. The
BMET health support occupation is under-represented in research
despite evidence that validates their indirect impact on patient
outcomes through their medical equipment duties. Results from the
Biomedical Engineering Interdepartmental survey determined the
effects of structural complexity and process adequacy in Clinical
Engineering using structural equation analysis under the
theoretical framework of Donabedian's Structure-Process-Outcome
model. Statistical analysis leads to recommendations that hospital
environments that create a coordinated organizational culture of
interdepartmental device management through communication,
collaboration, teamwork, and knowledge management can promote
quality and therefore, reduce adverse events.
The Patient Protection and Affordable Care Act of 2010 (PPACA)
expanded rural Medicaid and Medicare coverage. However, factors
that contribute to productivity growth in hospital-based rural
health clinics are less known. This book makes a contribution by
investigating the impact of organizational factors on productivity
growth, while recognizing that contextual factors also affect
productivity growth rates. For the years 2005 to 2008,
hospital-based rural health clinics in the US showed significant
growth in productivity. Prospective payment system was negatively
related with productivity growth rates. Newer facilities had higher
productivity. Facilities in proximity to urban areas had higher
productivity. Physician availability was positively related to
productivity. Therefore, specific provisions of PPACA to attract
and retain physicians to rural areas and expand rural health
coverage need to be implemented. This book would benefit policy
makers, practitioners and researchers engaged in rural health
services.
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