Journal of Management & Marketing in Healthcare最新文献

{"title":"The growth and decline of health community centres in the Netherlands: A macro-historical analysis","authors":"R. Batenburg, A. Eyck","doi":"10.1179/1753304X11Y.0000000013","DOIUrl":"https://doi.org/10.1179/1753304X11Y.0000000013","url":null,"abstract":"Abstract This paper addresses the question why the growth of community health centres in the Netherlands has strongly fluctuated, and has not become a dominant organization type in primary health care. This question is approached by describing four different periods and describe for each period the policy climate or conditions for community health centres. From this, the relationship between policy conditions and the strategic behaviour of community health centres is discussed.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127373963","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}

{"title":"Interdisciplinary complex therapies in inpatient hospital treatment in Germany: Evidence from Germany","authors":"Tobias Romeyke, H. Stummer","doi":"10.1179/1753304X11Y.0000000012","DOIUrl":"https://doi.org/10.1179/1753304X11Y.0000000012","url":null,"abstract":"Abstract Interdisciplinary complex therapies are rarely a part of German hospital care. The aim of this article is to provide the reader with an overview of the complex therapies currently used within the German health system. The paper first defines who is entitled to hospital treatment at all in Germany. Examples of pathway entry criteria for entitlement to interdisciplinary complex therapies are then presented. The contents are highlighted of two complex procedures which focus on the treatment of diseases and disturbances of the musculoskeletal system and connective tissue, and the importance is demonstrated of structural, process, and outcome quality for the provision of inpatient services. Complex therapies in inpatient care in Germany establish the basis for an interdisciplinary provision of services. They define minimal criteria for the organization of a hospital, enable the integration of different therapeutic approaches and, therefore, lead to an intensive and holistic treatment by a specially trained team. In this setting, aspects of process and outcome quality acquire considerable importance. The paper shows that for many patients in Germany with chronic diseases, complex therapies were designed to ensure that the patients received a high standard of interdisciplinary care during longer periods of hospitalization. Not every patient is entitled to this kind of treatment. If specific pathway entry criteria regulating provision of such treatment are met, the hospital receives higher remuneration for covering the higher costs incurred.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126397311","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}

{"title":"Budgetary performance diversity among Israeli governmental hospitals – Managerial qualifications or possible budget allocation inequity?","authors":"U. Gabbay, Y. Berlovitz","doi":"10.1179/1753304X11Y.0000000009","DOIUrl":"https://doi.org/10.1179/1753304X11Y.0000000009","url":null,"abstract":"Abstract Purpose The paper presents a method to indicate whether diversity in hospitals’ budgetary performance may be (at least partially) attributable to budget allocation inequity rather than to managerial qualification alone. Design The null hypothesis was that budgetary performance is solely attributable to managerial capabilities and operational efficiency. If we can introduce and simulate an alternative allocation formula revealing the same or a better overall budgetary performance while it re-ranks hospitals (by budgetary performance) then the null hypothesis may be rejected as this diversity may be attributable (by part) to allocation inequity. We analyzed 11 Israeli governmental general hospitals during 1998–2004. An alternative budget allocation formula was introduced through a mathematical model and was simulated as alternative budget allocation. Findings Both budget allocations and actual expenditures strongly correlated with that of the previous year (r2 = 0.99, 0.97, respectively) exhibiting repetitive patterns over the consecutive years. The alternative budget allocation simulation reduces overall budgetary performance diversity and re-rank hospitals (by budgetary performance) differently. Conclusions Budget allocation was strongly historical driven and hospitals' budgetary performance exhibited persistent pattern and rank. The hospitals re-ranked differently following an alternative budget simulation. Hence, the null hypothesis was rejected and we concluded that budgetary performance diversity between hospitals may be (at least partially) attributable budget allocation inequity. This paper offers a simple method to indicate the possibility of budget allocation inequity in terms of uncertainty. Our method is applicable to related hospitals (such as of national or regional healthcare system, hospitals network, or those sharing the same owner).","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134046348","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}

{"title":"Economic dimensions of burnout among medical professionals in Bulgaria","authors":"J. Pavlova, L. Afanasieva, B. Deliyska","doi":"10.1179/1753304X11Y.0000000011","DOIUrl":"https://doi.org/10.1179/1753304X11Y.0000000011","url":null,"abstract":"Abstract Healthcare professionals in Bulgaria are working in terms of increasing stress which is reflected in burnout syndrome in recent years. Reasons are multiple and complex. The purpose of this study was to examine the economic aspects and consequences of burnout for health professionals. For its implementation were solved the following tasks: analysis and assessment of the environment in which they live and work; analysis and evaluation of burnout rate; possible approaches to solving problems. Participants and data collection: 1500 doctors and 1500 nurses have completed an anonymous questionnaire on burnout rate. More than 50% of our respondents physicians and nurses show moderate-to-high and -very-high degree of burnout. Social and economic aspects of the burnout syndrome among medical professionals is reflected in reduced performance, low self-estimation, decreased quality of patient care, and therefore in some cases, lower medical treatment effect. Prevention of the burnout syndrome should be developed and implemented in programs at individual and team level. With their help at the first signs specialists and the managerial team of the health institution will be able to take adequate measures for treatment and rehabilitation.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"275 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133198231","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}

{"title":"The Global Village of healthcare management: new challenges ahead","authors":"P. Moreira","doi":"10.1179/175330311X13016677137824","DOIUrl":"https://doi.org/10.1179/175330311X13016677137824","url":null,"abstract":"The role of scientific journals focused on healthcare management is shifting from a pure source of academic complex knowledge to a balanced approach with the role of promoting evidence-based decision making, applied knowledge, regular processes of sharing effective practice and open thematic debates. The complex issues facing health systems are now inseparable from the impacts of the current financial and budget restraints. Yet, the current context of health systems and organizations demands that, amidst short-term decisions and the risk of the unwanted effects of unplanned budget cuts, the international healthcare management community shares and learns from the experiences of managers who, all over the World, tackle concrete common issues by exploring, testing and developing flexible solutions. With an open mind and without ideological boundaries we aim at engaging further in the international debate and publish articles and solutions from international pan-European researchers, managers and decision-makers involved in the private, public and non-for profit sectors at all levels of healthcare development. In this sense, the Future positioning of our Journal will take into consideration the new set of relations between knowledge and priorities for action in healthcare organizations with a global perspective. We need to assume and overcome some current invisible barriers and extend the boundaries of the reflections on healthcare management. Whilst keeping track of the European history of health systems development, now is the time to open ourselves further to all sectors of societies and indeed to the world by inviting further reflection from Eastern Europe and Southern Europe but also from the other side of the Atlantic (north and south) and from Asian agents of healthcare management. Solutions for common problems faced by healthcare managers will benefit from further international participation and our Journal aims at congregating this effort. In essence, we aim at promoting a sense of a Global Village on healthcare management in the positive sense and based in the concept of a learning society constituted by learning healthcare systems and organizations. This effort has already become visible in the recent issues of our Journal, including the current issue, with a growing diversity of sources and countries of origin of papers as well as a broader view of related themes of interest. The Global Village of healthcare management is here. And it is here to stay.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116525738","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}

{"title":"Marketing of healthcare services in India: a study on factors influencing patients' decision making on choice of a hospital","authors":"V. Bhangale","doi":"10.1179/175330311X12943314049376","DOIUrl":"https://doi.org/10.1179/175330311X12943314049376","url":null,"abstract":"Abstract The healthcare delivery market in India is expected to be more than double within the next decade. According to a CII – McKinsey report, 2002, estimated spending would cross Rs. 2 000 000 million mark by 2012 from Rs. 860 000 million in 2001. India is witnessing an era where new hospitals are being built at a pace like never before. There are exciting challenges that these hospitals are facing while they are being commissioned. One challenging task that every hospital, new or old, small or big, is facing today is the task of marketing itself. With increasing competition, healthcare marketing is undergoing a transition from service providers' dominance to service seekers preference. A study was therefore undertaken to understand the factors influencing patients' decision making with respect to choice of a hospital. Marketing professionals in leading hospitals in Mumbai were also interviewed in order to gather information on current marketing practices.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116470627","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}

{"title":"The management of multicultural teams: Opportunities and challenges in retirement homes","authors":"M. Jäger, M. Raich","doi":"10.1179/1753304X11Y.0000000010","DOIUrl":"https://doi.org/10.1179/1753304X11Y.0000000010","url":null,"abstract":"Abstract Demographic and socioeconomic changes in many developed countries are increasing the demand for nurses in health-care institutions, such as retirement homes. This increasing demand cannot be met through a local supply, making it necessary to hire nurses from abroad. This results in a cultural diversification of the nursing workforce and the consequential formation of multicultural teams. The aim of this research paper is to find out the particular opportunities and challenges faced by culturally diverse nursing teams. An online-based survey was used to test hypotheses and employs national diversity as a surface-level measure of the teams’ cultural diversity. Results from the online survey show that when commitment to the team is high, increasing levels of diversity induce decreasing levels of commitment. Furthermore, increasing team diversity is associated with increasing levels of both process and delegation conflict. When relationship conflict was low, increasing levels of team diversity were associated with increasing levels of relationship conflict. Results also indicate that when communication is effective and misunderstandings are low, increasing levels of diversity are in negative association with the overall communication outcome. Based on a discussion on the research findings, recommendations to manage cultural diversity within health-care institutions are given.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123737342","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}

{"title":"Challenging healthcare-associated infections: a review of healthcare quality management issues","authors":"Pilar Baylina, P. Moreira","doi":"10.1179/175330311X13016677137770","DOIUrl":"https://doi.org/10.1179/175330311X13016677137770","url":null,"abstract":"Abstract Healthcare-associated infections (HAIs) are now a worldwide problem with devastating effects, both in economic and public health impacts in the medium and long term. In reality, this healthcare management problem became frightening when we became aware of large number of cases associated with this type of infection, especially the infections caused by agents for which the existing treatment no longer works effectively. This is the case of infections associated with healthcare caused by multi-resistant microorganisms, whose line of action in therapeutic terms may be exhausted. Several factors of growth have been identified, among which are the overuse of antibiotics (by direct intake or through food), environmental conditions, and the evolution of microorganisms. This means that, all over the world, rates of high prevalence and incidence for diseases caused by HAIs agents are now new contributions to rates of mortality and morbidity. Yet, already in 1959 a report on hospital infections by Staphylococcus, published by the Central Health Services UK, identified the prevalence of Staphylococcus as a major concern. Since then, this type of infection continued to occur, in spite of a growing understanding of the necessary measures for their control. It is known that, currently, the percentage of methicillin-resistant Staphylococcus aureus (MRSA) existing in the bacterial population of S. aureus associated with HAIs varies between 1% (Netherlands and Finland) and 44% (UK and Greece). However, regardless of advances in infection control systems, the incidence of HAIs remained relatively unchanged in the last 20 years (about 10%). The situation does not get better when we analyse the problem from the cost perspective. At this point, it is known that there is a direct impact in the hospitalization costs, in diagnostics (tests, examinations, etc.), and in treatments (antibiotics, surgery, and others). A 1992 CDC study estimated costs of HAIs and already suggested that the cost of infection control programs was approximately 6% of the total costs of the infections. In a 2003 report by the United Kingdom (UK) Department of Health, entitled ‘Winning Ways: Working together to Reduce HAIs in England’, it was estimated that the cost associated with HAIs per patient bed for a year was identical to the cost of an infection control program applied to a hospital with 250 beds. On what concerns quality management system, costs with HAIs may be comprised as non-quality costs. In this sense, an estimate by the Juran Institutes, suggests that non-quality costs can be approximately one-third of direct healthcare costs, and according to Nordgren et al. inflation of related costs is, in part, due to the increased length of stay and associated increased costs with providing the extra implicit care. This article explores these issues.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"130 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134068065","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}

{"title":"Influence of team composition and knowledge sharing on the ability to innovate in patient-centered healthcare teams for rare diseases","authors":"Henrike Hannemann-Weber","doi":"10.1179/1753304X11Y.0000000014","DOIUrl":"https://doi.org/10.1179/1753304X11Y.0000000014","url":null,"abstract":"Abstract This paper presents a study that investigated the relationship between the composition of interdisciplinary healthcare teams and the intra-team knowledge sharing processes, as well as their joint influence on the generation of new, individualized solutions. Innovative behavior is essential, especially for healthcare professionals treating patients with rare diseases when they are faced with an uncertain, unpredictable care environment and the challenge of creating individualized patient treatment options. Four theoretically derived hypotheses were tested by survey data collected from 81 patient-centered healthcare teams. Additionally, in a pre-phase, 26 semi-structured interviews were conducted to obtain a deeper understanding of potential barriers to intra-team communication that cause diminished innovative behavior. The results demonstrated that a high level of fluctuation within interdisciplinary teams diminishes knowledge sharing activities and innovative behavior. Furthermore, intrateam communication is a significant predictor of team members' innovative behavior. Due to a lack of standardized processes and procedures in uncertain environments, the generation of new knowledge is vital to the generation and implementation of innovative care solutions. It is crucial that all healthcare professionals involved, such as general practitioners, physicians, nurses, and therapists, for example, develop a common understanding of the necessity for innovative processes, especially in the context of rare diseases, to maximize efficiency in the provision of health services.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125536302","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}

{"title":"Equality for rape victims: developing pathways in Southwest Finland","authors":"P. Immonen-Räihä, Rauni Klami, K. Bildjuschkin, Tiina-Riitta Rantanen, K. Koskinen, T. Taiminen, L. Kauhava, T. Tunturi","doi":"10.1179/1753304X11Y.0000000008","DOIUrl":"https://doi.org/10.1179/1753304X11Y.0000000008","url":null,"abstract":"Abstract Within the Hospital District of Southwest Finland, about one hundred rape victims arrive annually to the emergency units for sample taking and care. It is believed that the number of victims is manifold to that of the victims seeking examinations. The rape victim care chain was constructed by a multiprofessional task force, consisting of representatives of the specialized health care, the primary health care, the authorities, organizations, and the Lutheran Church. The aim was to guarantee all rape victims an equal mental survival and holistic health care, based on the most recent scientific data. As a result of the effort, uniform hospital district principles for care management were reached, for encountering patients, examinations, sample taking, and transorganizational care. The care chain is available on the internet to all actors in the area. The instructions have been centralized to one server, which facilitates their maintenance and use. Information on the care chain has also been published in public media for the benefit of the inhabitants, with the aim of encouraging victims to seek examinations and care, as well as to improve their judicial status in the light of criminal law.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114347146","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}