Patient value creation and implications for financial and market performance: insights from Moroccan clinics.

IF 2.4 4区 医学 Q3 HEALTH POLICY & SERVICES
Chafik Echine, Ridouan Nejjari, Jawad Kibou, Abdellatif Taghzouti
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Abstract

Purpose: This study examines the impact of patient value creation on clinics' performances. Patient value is conceptualized as a multi-stage, multi-actor process that involves the participation of healthcare professionals while integrating the perspectives of clinics' directors and of patients. The study also assesses both financial performance (FP) and market performance (MP).

Design/methodology/approach: In order to explore the three perspectives, data were collected through 81 clinic directors, 324 healthcare professionals or service healthcare providers (doctors and nurses) and 324 patients. Hypotheses were tested through partial least squares structural equation modelling (PLS-SEM) using SmartPLS4 software.

Findings: The findings revealed that patient value had a positive and significant effect on both clinics' FP and MP. The results revealed a series of relationships in which each stakeholder contributes to subsequent phases, leading to improvements in performance outcomes of healthcare organizations. In addition, significant mediation effects are observed within this patient value phases and performance outcomes.

Originality/value: Previous research on patient value creation has primarily focused either on the perspective of healthcare institutions or on that of patients. This theoretical dichotomy prevents researchers from exploring potential discrepancies between the value offered by healthcare organizations and the value perceived by patients. Furthermore, no study has incorporated the perspective of healthcare professionals, despite their crucial role in providing care-value to patients. This study fills this gap by incorporating three perspectives of patient value creation to explain the clinics' performance outcomes.

病人价值的创造及其对财务和市场表现的影响:来自摩洛哥诊所的见解。
目的:本研究探讨病患价值创造对诊所绩效的影响。患者价值被概念化为一个多阶段、多参与者的过程,涉及医疗保健专业人员的参与,同时整合诊所主任和患者的观点。该研究还评估了财务绩效(FP)和市场绩效(MP)。设计/方法/方法:为了探索这三个视角,通过81名诊所主任、324名医疗保健专业人员或服务医疗保健提供者(医生和护士)和324名患者收集了数据。使用SmartPLS4软件通过偏最小二乘结构方程模型(PLS-SEM)对假设进行检验。结果:患者价值对诊所的FP和MP均有显著的正向影响。结果揭示了一系列关系,其中每个利益相关者都为后续阶段做出了贡献,从而改善了医疗保健组织的绩效结果。此外,在患者价值阶段和表现结果中观察到显著的中介效应。原创性/价值:以前对患者价值创造的研究主要集中在医疗机构的角度或患者的角度。这种理论上的二分法阻止了研究人员探索医疗机构提供的价值与患者感知的价值之间的潜在差异。此外,没有研究纳入医疗保健专业人员的观点,尽管他们在为患者提供护理价值方面发挥着至关重要的作用。本研究通过结合患者价值创造的三个角度来解释诊所的绩效结果,填补了这一空白。
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来源期刊
CiteScore
3.20
自引率
7.10%
发文量
72
期刊介绍: ■International health and international organizations ■Organisational behaviour, governance, management and leadership ■The inter-relationship of health and public sector services ■Theories and practices of management and leadership in health and related organizations ■Emotion in health care organizations ■Management education and training ■Industrial relations and human resource theory and management. As the demands on the health care industry both polarize and intensify, effective management of financial and human resources, the restructuring of organizations and the handling of market forces are increasingly important areas for the industry to address.
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