Journal of Health and Human Services Administration, 2011
PURPOSE: This article explores the participation of healthcare managers in professional developme... more PURPOSE: This article explores the participation of healthcare managers in professional development (PD) activities, the reasons for seeking PD and the perceived support of their organizations in terms of reward and recognition.METHODOLOGY: An exploratory survey was emailed to current and past members of three professional associations who share similar missions "to provide educational and networking opportunities" for their members in the southern region of Florida.FINDINGS: Findings suggest that healthcare managers and healthcare organizations both support and value personal and professional development. Certification by professional organizations appears to be a key credential for upward mobility.RESEARCH LIMITATIONS: This study serves as an initial attempt to account for the factors that explain differences in pursuing professional development activities. Given the exploratory nature of the study and low response rates, the findings provide direction for further research rather than conclusive judgments.PRACTICAL IMPLICATIONS: Continuous learning by managers and organizations should allow the healthcare industry to position itself for future challenges.ORIGINALITY: Across all settings, positions, age groups, and perceived organizational support, individuals seek professional certification suggesting recognition of the professional value associated with these certifications. The value attributed to certification and PD by healthcare managers is further demonstrated by our finding that individuals engage in these activities even in the absence of employer reimbursement.
This paper analyzes the effects of child adoption on the utilization of assisted reproductive tec... more This paper analyzes the effects of child adoption on the utilization of assisted reproductive technology (ART) in the US. Using state-level longitudinal data for 1999-2006, we show that ART use is responsive to changes in adoption markets. Controlling for state-specific fixed effects, the estimated elasticity of ART cycles performed with respect to child adoptions is about -0.13 to -0.15. The responsiveness is higher when we consider infant adoptions, adoptions by older women, and international adoptions while there is no substitutability between ART and adoption of related children. Our findings suggest that public policies regarding adoption, including subsidies, influence ART use.
Inquiry : a journal of medical care organization, provision and financing, 2013
Between 1996 and 2003, a series of amendments were made to the Tax Reform Act of 1986 that gradua... more Between 1996 and 2003, a series of amendments were made to the Tax Reform Act of 1986 that gradually increased the tax deduction for health insurance purchases by the self-employed (SE) from 25 to 100 percent. We study how these changes have influenced the likelihood that a SE person has health insurance coverage as the policyholder. The Current Population Survey is used to construct a data set corresponding to 1995-2005. Both the difference-in-differences and price elasticity of demand estimates suggest that the series of tax deductions did not provide sufficient incentives for the SE to obtain health insurance coverage.
Change interventions in one form or another are viewed as important tools to reduce variation in ... more Change interventions in one form or another are viewed as important tools to reduce variation in medical services, reduce costs, and improve quality of care. With the current focus on efficient resource use, the successful design and implementation of change strategies are of utmost importance for health care managers. We present a case study in which macro and micro level change strategies were used to modify primary care physicians' practice patterns of prescribing diagnostic services in a safety-net's ambulatory clinics. The findings suggest that health care managers using evidence-based strategies can create a practice environment that reduces barriers and facilitates change.
Journal of health and human services administration, 2011
This article explores the participation of healthcare managers in professional development (PD) a... more This article explores the participation of healthcare managers in professional development (PD) activities, the reasons for seeking PD and the perceived support of their organizations in terms of reward and recognition. An exploratory survey was emailed to current and past members of three professional associations who share similar missions "to provide educational and networking opportunities" for their members in the southern region of Florida. Findings suggest that healthcare managers and healthcare organizations both support and value personal and professional development. Certification by professional organizations appears to be a key credential for upward mobility. This study serves as an initial attempt to account for the factors that explain differences in pursuing professional development activities. Given the exploratory nature of the study and low response rates, the findings provide direction for further research rather than conclusive judgments. Continuous lea...
Purpose – As a profession, healthcare management values commitment to lifelong learning and conti... more Purpose – As a profession, healthcare management values commitment to lifelong learning and continuous professional development. Individual participation, however, is voluntary and healthcare managers choose to participate based in part on perceptions of organizational support (rewards, promotion and recognition) as well as on individual values. As women are narrowing the career attainment gap, participation in development activities may play a
In the U.S., the overwhelming majority (61 percent) of Americans receive health insurance through... more In the U.S., the overwhelming majority (61 percent) of Americans receive health insurance through their employers. Since health insurance coverage is often linked to full-time wage/salary employment, a larger portion of self-employed individuals lack coverage. Beginning in the 1980s, attempts have been made to level the playing field between wage/salary and self-employed individuals. The Tax Reform Act of 1986 (TRA86)
Neurogenesis in the adult dentate gyrus (DG) of the hippocampus has been implicated in neural pla... more Neurogenesis in the adult dentate gyrus (DG) of the hippocampus has been implicated in neural plasticity and cognition but the specific functions contributed by adult-born neurons remain controversial. Here, we have explored the relationship between adult hippocampal neurogenesis and memory function using tasks which specifically require the participation of the DG. In two separate experiments several groups of rats were exposed to fractionated ionizing radiation (two sessions of 7 Gy each on consecutive days) applied either to the whole brain or focally, aiming at a region overlying the hippocampus. The immunocytochemical assays showed that the radiation significantly reduced the expression of doublecortin (DCX), a marker for immature neurons, in the dorsal DG. Ultrastructural examination of the DG region revealed disruption of progenitor cell niches several weeks after the radiation. In the first experiment, whole-brain and focal irradiation reduced DCX expression by 68% and 43%, respectively. Whole-brain and focally-irradiated rats were unimpaired compared with control rats in a matching-to-place (MTP) working memory task performed in the T-maze and in the long-term retention of the no-alternation rule. In the second experiment, focal irradiation reduced DCX expression by 36% but did not impair performance on (1) a standard non-matching-to-place (NMTP) task, (2) a more demanding NMTP task with increasingly longer within-trial delays, (3) a long-term retention test of the alternation rule and (4) a spatial reversal task. However, rats irradiated focally showed clear deficits in a "purely" contextual fear-conditioning task at short and long retention intervals. These data demonstrate that reduced adult hippocampal neurogenesis produces marked deficits in the rapid acquisition of emotionally relevant contextual information but spares spatial working memory function, the long-term retention of acquired spatial rules and the ability to flexibly modify learned spatial strategies.
Journal of Health and Human Services Administration, 2011
PURPOSE: This article explores the participation of healthcare managers in professional developme... more PURPOSE: This article explores the participation of healthcare managers in professional development (PD) activities, the reasons for seeking PD and the perceived support of their organizations in terms of reward and recognition.METHODOLOGY: An exploratory survey was emailed to current and past members of three professional associations who share similar missions "to provide educational and networking opportunities" for their members in the southern region of Florida.FINDINGS: Findings suggest that healthcare managers and healthcare organizations both support and value personal and professional development. Certification by professional organizations appears to be a key credential for upward mobility.RESEARCH LIMITATIONS: This study serves as an initial attempt to account for the factors that explain differences in pursuing professional development activities. Given the exploratory nature of the study and low response rates, the findings provide direction for further research rather than conclusive judgments.PRACTICAL IMPLICATIONS: Continuous learning by managers and organizations should allow the healthcare industry to position itself for future challenges.ORIGINALITY: Across all settings, positions, age groups, and perceived organizational support, individuals seek professional certification suggesting recognition of the professional value associated with these certifications. The value attributed to certification and PD by healthcare managers is further demonstrated by our finding that individuals engage in these activities even in the absence of employer reimbursement.
This paper analyzes the effects of child adoption on the utilization of assisted reproductive tec... more This paper analyzes the effects of child adoption on the utilization of assisted reproductive technology (ART) in the US. Using state-level longitudinal data for 1999-2006, we show that ART use is responsive to changes in adoption markets. Controlling for state-specific fixed effects, the estimated elasticity of ART cycles performed with respect to child adoptions is about -0.13 to -0.15. The responsiveness is higher when we consider infant adoptions, adoptions by older women, and international adoptions while there is no substitutability between ART and adoption of related children. Our findings suggest that public policies regarding adoption, including subsidies, influence ART use.
Inquiry : a journal of medical care organization, provision and financing, 2013
Between 1996 and 2003, a series of amendments were made to the Tax Reform Act of 1986 that gradua... more Between 1996 and 2003, a series of amendments were made to the Tax Reform Act of 1986 that gradually increased the tax deduction for health insurance purchases by the self-employed (SE) from 25 to 100 percent. We study how these changes have influenced the likelihood that a SE person has health insurance coverage as the policyholder. The Current Population Survey is used to construct a data set corresponding to 1995-2005. Both the difference-in-differences and price elasticity of demand estimates suggest that the series of tax deductions did not provide sufficient incentives for the SE to obtain health insurance coverage.
Change interventions in one form or another are viewed as important tools to reduce variation in ... more Change interventions in one form or another are viewed as important tools to reduce variation in medical services, reduce costs, and improve quality of care. With the current focus on efficient resource use, the successful design and implementation of change strategies are of utmost importance for health care managers. We present a case study in which macro and micro level change strategies were used to modify primary care physicians' practice patterns of prescribing diagnostic services in a safety-net's ambulatory clinics. The findings suggest that health care managers using evidence-based strategies can create a practice environment that reduces barriers and facilitates change.
Journal of health and human services administration, 2011
This article explores the participation of healthcare managers in professional development (PD) a... more This article explores the participation of healthcare managers in professional development (PD) activities, the reasons for seeking PD and the perceived support of their organizations in terms of reward and recognition. An exploratory survey was emailed to current and past members of three professional associations who share similar missions "to provide educational and networking opportunities" for their members in the southern region of Florida. Findings suggest that healthcare managers and healthcare organizations both support and value personal and professional development. Certification by professional organizations appears to be a key credential for upward mobility. This study serves as an initial attempt to account for the factors that explain differences in pursuing professional development activities. Given the exploratory nature of the study and low response rates, the findings provide direction for further research rather than conclusive judgments. Continuous lea...
Purpose – As a profession, healthcare management values commitment to lifelong learning and conti... more Purpose – As a profession, healthcare management values commitment to lifelong learning and continuous professional development. Individual participation, however, is voluntary and healthcare managers choose to participate based in part on perceptions of organizational support (rewards, promotion and recognition) as well as on individual values. As women are narrowing the career attainment gap, participation in development activities may play a
In the U.S., the overwhelming majority (61 percent) of Americans receive health insurance through... more In the U.S., the overwhelming majority (61 percent) of Americans receive health insurance through their employers. Since health insurance coverage is often linked to full-time wage/salary employment, a larger portion of self-employed individuals lack coverage. Beginning in the 1980s, attempts have been made to level the playing field between wage/salary and self-employed individuals. The Tax Reform Act of 1986 (TRA86)
Neurogenesis in the adult dentate gyrus (DG) of the hippocampus has been implicated in neural pla... more Neurogenesis in the adult dentate gyrus (DG) of the hippocampus has been implicated in neural plasticity and cognition but the specific functions contributed by adult-born neurons remain controversial. Here, we have explored the relationship between adult hippocampal neurogenesis and memory function using tasks which specifically require the participation of the DG. In two separate experiments several groups of rats were exposed to fractionated ionizing radiation (two sessions of 7 Gy each on consecutive days) applied either to the whole brain or focally, aiming at a region overlying the hippocampus. The immunocytochemical assays showed that the radiation significantly reduced the expression of doublecortin (DCX), a marker for immature neurons, in the dorsal DG. Ultrastructural examination of the DG region revealed disruption of progenitor cell niches several weeks after the radiation. In the first experiment, whole-brain and focal irradiation reduced DCX expression by 68% and 43%, respectively. Whole-brain and focally-irradiated rats were unimpaired compared with control rats in a matching-to-place (MTP) working memory task performed in the T-maze and in the long-term retention of the no-alternation rule. In the second experiment, focal irradiation reduced DCX expression by 36% but did not impair performance on (1) a standard non-matching-to-place (NMTP) task, (2) a more demanding NMTP task with increasingly longer within-trial delays, (3) a long-term retention test of the alternation rule and (4) a spatial reversal task. However, rats irradiated focally showed clear deficits in a "purely" contextual fear-conditioning task at short and long retention intervals. These data demonstrate that reduced adult hippocampal neurogenesis produces marked deficits in the rapid acquisition of emotionally relevant contextual information but spares spatial working memory function, the long-term retention of acquired spatial rules and the ability to flexibly modify learned spatial strategies.
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Papers by Gulcin Gumus