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Transitional care is increasingly important in reducing readmission rates and length of stay (LOS). Singapore is focusing on transitional care to address the evolving care…
Transitional care is increasingly important in reducing readmission rates and length of stay (LOS). Singapore is focusing on transitional care to address the evolving care needs of a multi-morbid ageing population. This study aims to investigate the impact of transitional care programs (TCPs) on acute healthcare utilization.
A retrospective, longitudinal, interventional study was conducted. High-risk patients were enrolled into a transitional care program of local tertiary hospital. Patients received either telephone follow-up (TFU) or home-based intervention (HBI) with TFU. Readmission rates and LOS were assessed for both groups.
There was no statistically significant difference in readmissions or LOS between TFU and HBI. After excluding demised patients, TFU had statistically significant lower LOS than HBI. Both interventions demonstrated statistically significant reductions in readmissions and LOS in pre–post analyses.
TFU may be more effective than HBI in patients with lower clinical severity, despite both interventions showing statistically significant reductions in acute healthcare utilization. Study findings may be used to inform transitional care practices. Future studies should continue to examine the comparative effectiveness of transitional care interventions and the patient populations most likely to benefit.
Previous studies demonstrated promising outcomes for TFU and HBIs, but few have evaluated their comparative effectiveness on acute healthcare utilization and specific patient populations most likely to benefit. This study evaluated interventional effectiveness of both, which might be useful for informing allocation of resources based on clinical complexity and care needs.
Fiscal stress has forced local governments to pay increasing attention to revenue trends and has increased the importance of financial forecasting in local government…
Fiscal stress has forced local governments to pay increasing attention to revenue trends and has increased the importance of financial forecasting in local government. After reviewing the role of revenue forecasting in financial planning and discussing the use of regression and econometric analysis in revenue forecasting, this article applies this technique to forecast several key revenue components in a medium-sized city. Three general conclusions may be drawn: (1) systematic revenue forecasting and long-range planning are necessities, not luxuries, (2) risk aversion to "technical" revenue forecasting can be overcome, and (3) the implementation of a systematic revenue forecasting system does not require a battery of "rocket scientists." As municipal revenue bases come to rely less on relatively stable property taxes and more on less stable sources such as sales taxes, fees, and charges, the use of a regression and econometric based model should prove increasingly fruitful.
Local governments have long been concerned with economic growth and development. Some local governments take an aggressive, proactive stance on economic development, while…
Local governments have long been concerned with economic growth and development. Some local governments take an aggressive, proactive stance on economic development, while others take a more incremental, reactionary approach. When economic development opportunities arise, the frequently asked question is “Who’s on first?” Is it the responsibility of local government to take the lead in promoting economic development opportunities, or should local government remain in the background leaving development activities to private developers? This article uses community power theory to examine the evolution of economic development in Wichita, Kansas and the roles played by the public and private sectors and their impact on the course of development activities. In order for a booster regime to be successful, the lead government must establish the legitimacy of the development effort with other potential members of the coalition. The lead government must establish a hospitable business climate and establish a commitment to support the infrastructure and service needs of developers. Coalition members must view the undertaking as a positive-sum gain.
Multiattribute ratings of country‐image are commonly obtained to study the influence of country‐of‐origin on product preference and purchase decisions. Usually, such…
Multiattribute ratings of country‐image are commonly obtained to study the influence of country‐of‐origin on product preference and purchase decisions. Usually, such ratings are obtained for products made in different countries in order to make comparisons across countries. However, recent research evidence indicates that, when individual respondents rate multiple entities (e.g., multiple countries), the ratings of a particular country can be affected by the other “contextual” countries included in the questionnaire. The purpose of this study is to examine, via a controlled experiment, the issue of measurement context effects in the measurement of country images. The hypotheses tested concern the stability of attribute‐based and entity‐based country image scaling and potential methods of reducing the vulnerability of multi‐entity scaling to entity context ‐‐ the use of an anchor entity and an insulator question set to increase country image measurement stability.
The focus of this article is to examine the relationship between local economic growth and development and local government revenue capacity. A model is established to…
The focus of this article is to examine the relationship between local economic growth and development and local government revenue capacity. A model is established to determine the relationship between the number of agricultural, manufacturing, service, and retail establishments per capita and employees per capita on real local government property tax capacity per capita. High property tax levies are highly negatively correlated with tax capacity. Population density, the general price level, and the presence of local retail sales taxes also play a role in determining tax capacity. New business creation in the service industry does appear to have a positive impact on local government tax capacity, while increases in agricultural, manufacturing, and retail activity do not. Although increasing concentration in the number of service establishments has a positive impact on tax capacity, increasing concentration in the number of service workers alone does not seem to lead to increases in tax capacity.
Concepts of internal marketing and external marketing in the context of service firms are here discussed and examined for their effects on consumer satisfaction. These…
Concepts of internal marketing and external marketing in the context of service firms are here discussed and examined for their effects on consumer satisfaction. These concepts in the context of foreign and domestic banks in Thailand are focused upon. The results show differences between banks and a strong relationship between internal marketing and consumer satisfaction. The effective practice of internal marketing appears to influence the effectiveness of external marketing programmes influencing customer satisfaction.
Sales promotion is an important element of marketing communication strategy which accounts for more promotional expenditures than advertising in some countries. However…
Sales promotion is an important element of marketing communication strategy which accounts for more promotional expenditures than advertising in some countries. However, sales promotion has been generally ignored by researchers. This article briefly reviews the criteria used in the US to evaluate sales promotions and these criteria are found inadequate to guide the formulation of sales promotion internationally. Environmental sensitivity factors are identified which are overlooked in domestic sales promotions and an audit approach to planning and evaluating cross‐national sales promotion strategy is presented.