Federal role in child care [microform] : hearing before the Committee on Finance, United States Senate, One Hundredth Congress, second session, September 22, 1988.

CIS Microfiche Accession Numbers: CIS 89 S361-25

HIV/AIDS work group on health care access issues for Asian and Pacific Islanders, May 9-10, 1994.

Shipping list no.: 96-0070-P.

Latchkey children [microform] : hearing before the Subcommittee on Education and Health of the Joint Economic Committee, Congress of the United States, One Hundredth Congress, second session, March 11, 1988.

CIS Microfiche Accession Numbers: CIS 89 J841-13

World hunger, health, and refugee problems : hearings before the Subcommittee to Investigate Problems Connected with Refugees and Escapees of the Committee on the Judiciary, United States Senate, Ninety-third Congress, first session.

Part 7, joint hearings before the Subcommittee on Health of the Committee on Labor and Public Welfare and the Subcommittee to Investigate Problems Connected with Refugees and Escapees of the Committee on the Judiciary.

Annual report of the U.S. Department of Health and Human Services to the Congress of the United States on services provided to handicapped children in Project Head Start.

Title from cover.

The little child in our great cities : a narrative account of original work for the health of the pre-school child in twenty-four cities of the United States /

Mode of access: Internet.

Health manpower, United States, 1965-1967 : statistics on persons employed in selected health occupations, 1965 and 1967 ... /

Bibliography: p.56.

National emission standards study : report : appendix : a report to the Congress of the United States by the Secretary of Health, Education, and Welfare, in compliance with Public Law 90-148 : Clean Air Act, as amended.

Includes bibliographies.

Current health status and the future demand for health care programs and social support services : follow-up analyses from the survey of aging veterans /

"March 1985."

Traffic safety and health care : state and national estimates of employer costs /

"DOT HS 808 234"--P. [4] of cover.

A conceptual model of organized primary care and comprehensive community health services.

Mode of access: Internet.

Financial feasibility assessment manual for rural health care facilities /

"October 1983."

Decennial census data for selected health occupations, United States, 1970 /

"Vital and health statistics."

Implications of prospective payment for the health care system and health planning /

"HRP-0906516."

Managerial work roles of health care executives in the changing environment of academic medical centers

The current U.S. health care system faces numerous environmental challenges. To compete and survive, health care organizations are developing strategies to lower costs and increase efficiency and quality. All of these strategies require rapid and precise decision making by top level managers. The purpose of this study is to determine the relationship between the environment, made up of unfavorable market conditions and limited resources, and the work roles of top level managers, specifically in the settings of academic medical centers. Managerial work roles are based on the ten work roles developed by Henry Mintzberg, in his book, The Nature of Managerial Work (1973). ^ This research utilized an integrated conceptual framework made up of systems theory in conjunction with role, attribution and contingency theories to illustrate that four most frequently performed Mintzberg's work roles are affected by the two environment dimensions. The study sample consisted of 108 chief executive officers in academic medical centers throughout the United States. The methods included qualitative methods in the form of key informants and case studies and quantitative in the form of a survey questionnaire. Research analysis involved descriptive statistics, reliability tests, correlation, principal component and multivariate analyses. ^ Results indicated that under the market condition of increased revenue based on capitation, the work roles increased. In addition, under the environment dimension of limited resources, the work roles increased when uncompensated care increased while Medicare and non-government funding decreased. ^ Based on these results, a typology of health care managers in academic medical centers was created. Managers could be typed as a strategy-formulator, relationship-builder or task delegator. Therefore, managers who ascertained their types would be able to use this knowledge to build their strengths and develop their weaknesses. Furthermore, organizations could use the typology to identify appropriate roles and responsibilities of managers for their specific needs. Consequently, this research is a valuable tool for understanding health care managerial behaviors that lead to improved decision making. At the same time, this could enhance satisfaction and performance and enable organizations to gain the competitive edge . ^