To enhance the limited empirical evidence in the literature, the authors developed new knowledge and information on the basis of implementation experiences (e.g., strategic planning, goals, outcomes, barriers, mistakes) of hospital executives with actual health information technology (HIT). The authors asked why hospital leaders implement HIT and how they do so, and then applied the answers to the theoretical framework of change management and leadership. The authors accomplished this through a qualitative research study design. Various employees from different levels of the organizational chart provide their perspectives, allowing the authors to examine internal trends related to HIT. The authors examined external trends through a comparative analysis of healthcare markets.

No abstract

An examination of total quality management implementation projects in the healthcare industry is reported. Illustrations of the projects show how projects are predominantly managerial issues-oriented, rather than emphasizing medical/clinical aspects. The issue of competition between healthcare and managerial perspectives is raised. The five cases reported were undertaken as part of a Community Excellence Initiative in north-eastern Pennsylvania which aimed to make the region more attractive to relocating business. Looks at implications of the projects for the future.

Human development efforts continue to change the world and improve quality of life for humans. Without the struggle and drive to contemplate new ideas to improve society, the global community would be in a constant state of oppression. Although cultures and norms change as international boundaries are crossed, the universal goal is to improve standards of living to include behavioral health services for underserved populations. In recent times, pioneers and community groups have used social marketing as an instrument to change public perceptions and behaviors within societies. These efforts have transformed nations in the acceptance and understanding of community health and rehabilitation, education, service, and human rights. This article examines the justification for utilization of the concepts and tools of social marketing to bring about proactive behavior modification among segments of underserved populations. A section of this article provides an overview of the basics of social marketing for the benefit of makers of health policy in transition countries. Finally, the case of 2 underserved population segments in the Republic of Slovakia, a new member of the European Union (former socialist block member), is examined for possible implementation.