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British Journal of Health Care Management最新文献

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Sociodemographic determinants of structural empowerment and organisational commitment among critical care nurses in Saudi Arabia: a comparative cross-sectional study 沙特阿拉伯重症护理护士的结构赋权和组织承诺的社会人口决定因素:一项比较横断面研究
British Journal of Health Care Management Pub Date : 2023-08-02 DOI: 10.12968/bjhc.2021.0167
Faiza Aljarameez, Chandni Saha, Mohammed Sinan, Loveson Rajan, G. Ahmed, A. A. Mutair
{"title":"Sociodemographic determinants of structural empowerment and organisational commitment among critical care nurses in Saudi Arabia: a comparative cross-sectional study","authors":"Faiza Aljarameez, Chandni Saha, Mohammed Sinan, Loveson Rajan, G. Ahmed, A. A. Mutair","doi":"10.12968/bjhc.2021.0167","DOIUrl":"https://doi.org/10.12968/bjhc.2021.0167","url":null,"abstract":"Improving retention of critical care nurses requires a better understanding of the perceptions and attitudes of this staff group towards structural empowerment and organisational commitment. This study aimed to assess the relationships between structural empowerment, organisational commitment and sociodemographic factors among critical care nurses. The study used a descriptive, cross-sectional, correlational research design. A convenience sample of 198 critical care nurses working in Saudi Arabia responded to a questionnaire, comprising the Conditions of Work Effectiveness Questionnaire-II, the Three-Component Commitment Model and a sociodemographic survey. Descriptive statistics and correlational analyses were conducted using the Statistical Package for the Social Sciences version 25, with a P value equal to or less than 0.05 considered statistically significant. Structural empowerment was significantly associated with organisational commitment. Employment in a private healthcare organisation, non-Saudi Arabian nationality, greater length of experience in nursing, more time spent in current working unit and average weekly working hours were significantly associated with higher organisational commitment and structural empowerment. Respondents in the higher salary bracket (over 15000 Saudi riyals per month) had significantly lower levels of organisational commitment and structural empowerment. Structural empowerment is a key predictor of organisational commitment and must be considered by managers and leaders seeking to improve retention. Further exploration of how factors such as nationality, salary and experience on empowerment and commitment is needed, so that policies can be developed accordingly.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45050425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does switching from tobacco to reduced-risk products free up hospital resources? 从烟草转向低风险产品是否会释放医院资源?
British Journal of Health Care Management Pub Date : 2023-08-02 DOI: 10.12968/bjhc.2023.0046
F. Moscone
{"title":"Does switching from tobacco to reduced-risk products free up hospital resources?","authors":"F. Moscone","doi":"10.12968/bjhc.2023.0046","DOIUrl":"https://doi.org/10.12968/bjhc.2023.0046","url":null,"abstract":"Promoting a shift from smoking tobacco to reduced-risk products—such as vapes and heat-not-burn tobacco—has the potential to ease the burden on healthcare resources, particularly health expenditure, if empirical evidence shows that reduced-risk products are an effective smoking cessation tool or can help to mitigate the risk of disease. However, there are notable variations in needs and provision of healthcare services between different regions. This article will explore this heterogeneity with the aim of understanding the different health impacts of switching from smoking to reduced-risk products across England, assessing the potential savings for the NHS and potential progress towards the goal of the country becoming smoke-free. This exploratory analysis of different sources of variation across regions offers policy insights to motivate further research.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42597108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Value-based pricing of add-on life-extending medicines based on economic evaluation 基于经济评价的附加生命延长药物的价值定价
British Journal of Health Care Management Pub Date : 2023-08-02 DOI: 10.12968/bjhc.2022.0031
A. Gandjour
{"title":"Value-based pricing of add-on life-extending medicines based on economic evaluation","authors":"A. Gandjour","doi":"10.12968/bjhc.2022.0031","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0031","url":null,"abstract":"Value-based pricing of new medicines, when defined as pricing or reimbursement based on economic evaluation, requires the use of a threshold incremental cost-effectiveness ratio. Value-based pricing can leave little room for setting a price above zero for manufacturers of new life-extending add-on medicines that are used in combination regimens. This study aimed to present and explore different methodological approaches for pricing life-extending add-on medicines in this value-based pricing framework. The analysis demonstrated that excluding the costs of background therapy will create opportunity costs. A proportional division of the price can avoid opportunity costs. In the absence of information on relative health benefits, a counterfactual scenario of a head-to-head trial has suggested halving the price of background therapy in the relevant patient subgroups. Overall, the most plausible approach appears to be a proportional division of the total price of the combination therapy, in proportion to the health benefits of the add-on medicine and the background therapy.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44861249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using quality improvement to tackle the triple aim for children and young people with asthma: improving outcomes, experience and costs 使用质量改进来解决患有哮喘的儿童和青少年的三重目标:改善结果、经验和成本
British Journal of Health Care Management Pub Date : 2023-08-02 DOI: 10.12968/bjhc.2022.0101
M. Aurelio, Rita Araujo, Janeke Zoetmann, J. Moody, Amar J. Shah
{"title":"Using quality improvement to tackle the triple aim for children and young people with asthma: improving outcomes, experience and costs","authors":"M. Aurelio, Rita Araujo, Janeke Zoetmann, J. Moody, Amar J. Shah","doi":"10.12968/bjhc.2022.0101","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0101","url":null,"abstract":"Asthma in children and young people represents a substantial burden to the healthcare system, with these patients requiring frequent emergency care and having poorer health outcomes, leading to high system costs and poor patient experiences. This study used quality improvement methodology to achieve the triple aim of improved outcomes, better experience and reduced costs for those aged 0–16 years with asthma in north east London. A multidisciplinary project team used quality improvement methods to implement and assess two interventions: a community high-risk asthma clinic and educational asthma-friendly school groups, both of which were delivered by a specialist asthma nurse. Population-level outcomes included asthma control test scores, accident and emergency department admissions and costs. Intervention-specific outcomes included number of clinic consultations delivered, did-not-attend rates and participant confidence ratings following the school sessions. Accident and emergency admissions for asthma reduced by 52%, with a 50% reduction in average monthly acute care costs. Asthma control test scores improved significantly, from an average of 18.56 to 22.34 out of a maximum score of 25 (P=0.000) following the interventions. Participants in the asthma-friendly school groups reported increased confidence in both day-to-day and emergency asthma management at the end of their sessions. Having dedicated specialist asthma nurse input in the community and using school-based interventions can help to improve asthma care for children and young people, reducing the burden of frequent accident and emergency department admissions. Using quality improvement methods in pursuit of triple aim outcomes can help teams to work towards a shared goal.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48970575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Innovative job planning to facilitate UK surgeon engagement with international development 创新工作规划，促进英国外科医生参与国际发展
British Journal of Health Care Management Pub Date : 2023-08-02 DOI: 10.12968/bjhc.2022.0045
T. Gana, S. Boyes, Lesley Hunt
{"title":"Innovative job planning to facilitate UK surgeon engagement with international development","authors":"T. Gana, S. Boyes, Lesley Hunt","doi":"10.12968/bjhc.2022.0045","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0045","url":null,"abstract":"Low- and middle-income countries have inadequate access to high-quality medical and surgical care; as a result, over 8 million lives are lost every year in these countries. Lack of high-quality surgical care not only leads to poor health outcomes, but also has significant economic implications. Therefore, increasing surgical capacity in low- and middle-income countries is one of the most important global surgical issues. The NHS can play a significant role in alleviating these issues. Among surgeons, there is a growing interest in volunteering for global surgery initiatives, and engagement in these programmes can have important benefits for both the NHS itself and its staff. A significant consideration for volunteers is whether they can obtain time off their usual role to participate in global surgery initiatives, while balancing NHS service provision needs. This article discusses practical options for facilitating surgeon engagement in international development.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48005845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
One-fifth of adults in England will have a major illness by 2040: a reflection for healthcare managers 到2040年，英国五分之一的成年人将患有一种重大疾病:这是对医疗管理人员的一个反思
British Journal of Health Care Management Pub Date : 2023-08-02 DOI: 10.12968/bjhc.2023.0094
I. Clough
{"title":"One-fifth of adults in England will have a major illness by 2040: a reflection for healthcare managers","authors":"I. Clough","doi":"10.12968/bjhc.2023.0094","DOIUrl":"https://doi.org/10.12968/bjhc.2023.0094","url":null,"abstract":"","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45211997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
In memory of monica duncan, 1950–2023 纪念莫妮卡·邓肯，1950-2023年
British Journal of Health Care Management Pub Date : 2023-08-02 DOI: 10.12968/bjhc.2023.0086
I. Clough
{"title":"In memory of monica duncan, 1950–2023","authors":"I. Clough","doi":"10.12968/bjhc.2023.0086","DOIUrl":"https://doi.org/10.12968/bjhc.2023.0086","url":null,"abstract":"","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42486423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Building a sustainable healthcare workforce through innovative social partnerships 通过创新的社会伙伴关系建设一支可持续的医疗保健队伍
British Journal of Health Care Management Pub Date : 2023-07-02 DOI: 10.12968/bjhc.2023.0050
N. Muir
{"title":"Building a sustainable healthcare workforce through innovative social partnerships","authors":"N. Muir","doi":"10.12968/bjhc.2023.0050","DOIUrl":"https://doi.org/10.12968/bjhc.2023.0050","url":null,"abstract":"","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49257907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Frugal innovation in wound care: the five Rs 伤口护理的节俭创新：五个R
British Journal of Health Care Management Pub Date : 2023-07-02 DOI: 10.12968/bjhc.2023.0061
M. Stephens, M. Wynn, Sheba Pradeep, L. Ackers
{"title":"Frugal innovation in wound care: the five Rs","authors":"M. Stephens, M. Wynn, Sheba Pradeep, L. Ackers","doi":"10.12968/bjhc.2023.0061","DOIUrl":"https://doi.org/10.12968/bjhc.2023.0061","url":null,"abstract":"Wound care represents a significant cost burden for the NHS. Four experts from the University of Salford discuss the key principles of frugal innovation in wound care, and their practical implications for UK services.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48509176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Continuous glucose monitoring: key points for healthcare managers 连续血糖监测:医疗保健管理人员的关键点
British Journal of Health Care Management Pub Date : 2023-07-02 DOI: 10.12968/bjhc.2023.0071
F. Ramadan
{"title":"Continuous glucose monitoring: key points for healthcare managers","authors":"F. Ramadan","doi":"10.12968/bjhc.2023.0071","DOIUrl":"https://doi.org/10.12968/bjhc.2023.0071","url":null,"abstract":"Health writer Francesca Ramadan provides an overview of the implications of continuous glucose monitoring and ‘flash’ monitoring for patient care and costs, ahead of the upcoming National Institute for Health and Care Excellence guidelines.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47920690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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