The purpose of this study was to compare two Mississippi community health centers to determine the roles of administration and organizational structure in explaining success or failure in the operation of health care organizations. Holding all other variables constant, the health centers' administration, organizational structure and employee attitudes were examined in the context of how these variables relate to the overall productivity and accomplishments of each health center. A definition of success was developed to aid in determining whether each health center was a success or a failure in its operation. The two part success definition measured success as 1) the ability of the administration and health care workers to accomplish established goals as set forth by the parent funding agency, as well as those established by the local governing body and 2) the effectiveness of the organization in addressing the needs of the client community. In order to examine the ability of the administration and staff to accomplish goals, several goals established through legislation were used as a standard to compare each health center's actual accomplishments. An attitudinal questionnaire was administered to the employees of the health centers to further explore the importance of administration and organizational structure to the successful operation of their respective health centers. Based on the findings, it was determined that one health center was a success according to the definition of success for purposes of this study and the other health center was not. Based on the research there may have been other factors that contributed to the failure of the health center e.g., the existence of other available facilities which did not warrant the creation of a new health facility. However, as the writer contended, the lack of capable administration and coordinated organization were causes of the health center's failure while good administration and organizational capabilities proved to be advantageous for the other health center. / Department of Urban Planning

This paper details several factors that affect Medicaid, the federal program that provides health care reimbursement for millions of low-income Americans. The research presents many challenges to sustaining an equitable welfare system that also produces positive health outcomes. Growing levels of poverty have resulted in increased enrollment in the Medicaid program and projections indicate a continuation of this trend. A decrease in the supply of physicians along with an aging population creates new obstacles to health care access. The Patient Protection and Affordable Care Act (PPACA) introduces additional complexities by expanding Medicaid enrollment, increasing regulatory requirements and reducing payments to health care providers through rate cuts and penalties. / Medicaid -- Health care -- Structures and organizations -- Administrative law and regulation -- Reports and projections -- Expectations and challenges. / Department of Political Science

This thesis examines the determinants of ethical leadership and the manner in which they are associated with the directive, transactional, and transformational leadership styles, as well as their effects on organizational followers. A review is first conducted of the major theories of leadership and ethics, and current perspectives on ethical leadership are discussed. The determinants of ethical leadership are postulated to be altruism, manifested through some combination of teleological and deontological values, intellectual integrity, and moral integrity. A framework is then presented which integrates ethics and leadership by illustrating the proposed linkages among the ethics variables, leadership styles and effects on followers. This is followed by a series of hypotheses concerning the suggested relationships among the variables. The empirical investigation to test the hypotheses was conducted in a series of Canadian hospitals. Leaders were heads of various departments and services while followers were individuals who reported directly to the leader. Leader altruism was measured by a self-report questionnaire completed by the leaders themselves. Since leadership style and integrity are conceptualized as attributions by followers, all other variables were assessed via a self-report questionnaire having subordinates as respondents. The main findings of the thesis are the significant relationships between intellectual integrity and the three leadership styles compared with insignificant associations observed for moral integrity, as well as the stronger, although indirect, effects of leader intellectual integrity on subordinates compared with those for moral integrity. The thesis concludes with suggestions for future research and practical implications for management.

Thesis (Ph.D.)--Drexel University, 2008. / Includes abstract and vita. Includes bibliographical references (leaves 122-131).

Thesis (Ph. D.)--Montana State University--Bozeman, 2008. / Typescript. Chairperson, Graduate Committee: Shi-Jie (Gary) Chen. Includes bibliographical references (leaves 98-117).

Thesis (Ph.D.)--The Pennsylvania State University, 2007. / Includes bibliographical references.

Thesis (Ph. D.)--University of Toronto, 2008. / Includes bibliographical references.

Thesis (M.S.)--University of Michigan, 1993.

Thesis (M.S.)--University of Michigan, 1993.

Thesis (Ph. D.)--Ohio State University, 1976. / Includes vita. Includes bibliographical references (leaves 262-273). Available online via OhioLINK's ETD Center.