{"title":"Affordable healthcare for persons over 55: Reasons for patronising specific providers and implications","authors":"G. Moschis, Melany Chambers","doi":"10.1179/mmh.2009.2.1.44","DOIUrl":"https://doi.org/10.1179/mmh.2009.2.1.44","url":null,"abstract":"Abstract The current growth of the US mature market is projected to continue until 2025. This increase not only in numbers, but also in terms of diversity and importance, relative to other segments of the population deems this group extremely important to marketers. Within the healthcare market, this increase is expected to be further enhanced should the proposed healthcare reform suggested by current presidential candidates materialise. As is the case within other industries, increased market size encourages increased competitive activity, forcing service providers to pursue business models that will enhance profitability and survival. Achieving continued viability and growth may be accomplished by identifying and employing strategies that will result in the competitive advantage necessitated by prevailing market conditions. Traditionally, age has been the characteristic utilised for targeting the mature market. This presupposes similarities among members of the segment, and products are designed and positioned based on these presumed similarities. Recent studies, however, show that other characteristics are more reliable predictors of consumer needs and attitudes within this market. This paper shows the results of two such studies and discusses the implications of these findings with regard to the continued viability of healthcare providers in the USA.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134365506","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":"Doctors managing in primary care: An international focus","authors":"N. Chambers, D. Colin‐Thomé","doi":"10.1179/MMH.2009.2.1.28","DOIUrl":"https://doi.org/10.1179/MMH.2009.2.1.28","url":null,"abstract":"Abstract As well as looking after their patients and running their own small businesses, family doctors have to build and sustain an increasingly complex web of long-term relationships. These doctors require an independent entrepreneurial spirit as well as an ability to influence others without having direct authority over them. They also need to be politically astute, to understand 'the big picture' of how health services function as a whole, but also be able to work through the detail to ensure seamless patient care. Finally, given the nature of primary care, and its place in healthcare systems, this paper concludes that those doctors who are by nature problem-solvers, tolerant of ambiguity and inherent optimists are those who thrive best in this particular management environment. The paper draws its arguments from the organisational context of health services and the position of primary care doctors within that system. It examines the future in terms of emerging health service trends and wider societal pressures. This leads to an analysis of the key management competences. What does it take to manage as a doctor in primary care and how can doctors prepare themselves for this role?","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127073407","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":"Privatisation and transparency: A marketing perspective","authors":"J. Summers","doi":"10.1179/mmh.2009.2.1.56","DOIUrl":"https://doi.org/10.1179/mmh.2009.2.1.56","url":null,"abstract":"Abstract The healthcare problem is to provide access to high-quality services to the overall population for an affordable cost. Among industrial nations, only the USA has taken the private market approach, covering most people through employers. Since 2001 the USA has sought to move the coverage or the costs of coverage more directly to the individual. The US approach utilises transparency of price and quality, insurance initiatives such as consumer-driven healthcare and pay for performance. What may other nations learn from these efforts — something to emulate or to avoid? Contrasted to individuals, competition and the purchasing power of large employers give them the edge in taming the healthcare market. However, the data suggest they have been remiss in using the available information to influence provider or employee behaviour. Internationally, many employers are using healthcare as a recruiting and retention tool. Transparency and effective education and motivation of employees hold great promise, but the US model suggests much more aggressive action is needed from employers before the system will bear fruit. A variety of strategies for using information in a more patient-centred way and as a means to influence provider and subscriber behaviour are shown.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116770818","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":"Medicines management: An integrated approach?","authors":"S. Bojakowski, L. Filer","doi":"10.1179/mmh.2009.2.1.102","DOIUrl":"https://doi.org/10.1179/mmh.2009.2.1.102","url":null,"abstract":"Abstract Medicines management is an important issue and getting it right is central to improving patient outcomes and maximising health service efficiency. Yet different professional groups have different interpretations of what it means, potentially compromising the joined-up delivery of care. As more medicines become available, there is a growing tension between containing costs and the desire to make effective treatments available to patients who could benefit. A fully-integrated medicine management programme involving all organisations across a local health economy would significantly contribute to achieving excellence in healthcare. This paper examines a major impediment to an integrated approach — the different beliefs and interpretation of what medicines management actually means and involves. The term 'medicines management' seems to have been adopted as the umbrella term for any issue related to medicines. Various aspects have been identified; however, different priorities have been allocated to each stage by key organisations within health services. As a result the activities are disjointed, and an efficient system demands an integrated approach for it to work well.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130551329","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 impact of globalisation on hospital management: Corporate governance rules in both public and private nonprofit hospitals","authors":"P. Mordelet","doi":"10.1179/mmh.2009.2.1.7","DOIUrl":"https://doi.org/10.1179/mmh.2009.2.1.7","url":null,"abstract":"Abstract This paper contributes to research in health systems and hospitals governance by examining the reasons for and the expected outcomes of the international generalisation of corporate governance rules, in both public hospitals and private nonprofit hospitals, in order to achieve clinical, quality and financial objectives.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122817222","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}
Yasemin Akbulut, M. Tatar, A. Çetinyürek, F. Tatar
{"title":"Non-urgent use of the emergency department: A quantitative evaluation from a patient perspective","authors":"Yasemin Akbulut, M. Tatar, A. Çetinyürek, F. Tatar","doi":"10.1179/mmh.2008.1.4.389","DOIUrl":"https://doi.org/10.1179/mmh.2008.1.4.389","url":null,"abstract":"Abstract The objectives of this study are twofold: to investigate the reasons why patients considered as non-urgent by physicians visit the emergency department, and to explore the relationship between patients' perceived urgency and the factors in the behavioural model of utilisation. This cross-sectional study develops a survey instrument to assess the predisposing, enabling and need factors affecting patients' perceived urgency. In order to identify the independent variables associated with the perceptions of urgency, a multiple logistic regression model is used. According to the results, two-thirds of patients perceive their problem as urgent. Level of pain and duration of complaint are found to be significant factors affecting patients' perceptions. For patients perceiving their problem as non-urgent, the most common reasons for visiting an emergency department include infections, dressings and the like. The findings support the general conclusion that the definition of urgency differs for patients and health professionals. The reasons why patients with non-urgent problems use emergency departments in Turkey include problems attached to primary healthcare facilities, crowded outpatient clinics, difficulty getting outpatient appointments and accessibility problems due to working hours.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134327097","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":"Exploring technological innovation in health systems: Is Canada measuring up?","authors":"G. Prada","doi":"10.1179/mmh.2008.1.4.362","DOIUrl":"https://doi.org/10.1179/mmh.2008.1.4.362","url":null,"abstract":"Abstract The societal and economic benefits of technological innovations are indisputable. However, the race for knowledge and talent to develop and commercialise health innovations has never been so fierce. Countries traditionally seen as leaders in health innovation — countries such as the UK — are being challenged by newer players. This study examines how technological innovation is encouraged, and discouraged, in Canada and other selected Organisation for Economic Cooperation and Development (OECD) countries, including the UK, France and the USA. The research uses The Conference Board of Canada's Innovation Framework as an analytical tool in benchmarking the performance of Canada and other OECD countries in several areas of health innovation, including the innovation environment, and the creation, diffusion, transformation and use of knowledge. The results of this study are discouraging for Canada as it scores poorly in many important areas of technological health innovation. Substantial efforts are needed, and needed now, to revitalise health innovation systems and to refuel the capacity to commercialise health innovations. Action in four key areas is recommended.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"118 27","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131745858","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":"Effective people management in an ever-changing NHS environment","authors":"S. Hodgetts","doi":"10.1179/mmh.2008.1.4.324","DOIUrl":"https://doi.org/10.1179/mmh.2008.1.4.324","url":null,"abstract":"","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"417 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116683797","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":"Proactive recruitment in local government","authors":"Kathryn Kelly","doi":"10.1179/MMH.2008.1.4.338","DOIUrl":"https://doi.org/10.1179/MMH.2008.1.4.338","url":null,"abstract":"Abstract New ways of partnership working, new organisational structures, and new role and skill demands are among the challenges facing organisations engaged in commissioning and/or delivering services to local communities. Within this context, local councils have the additional challenges of an ageing workforce, and recruitment and retention difficulties in key service areas and leadership roles. As the pool of appropriately qualified and experienced people shrinks, a competitive market for key professionals has emerged, creating retention problems throughout the UK. Radical changes beyond the scope of individual councils have been required to tackle these shortages and workforce and succession planning have become increasingly important as a result. Supported by national activities, collaboration rather than competition is now occurring to increase supply locally and regionally. Individual employers are also reviewing their existing workforce and creating new pathways to progression in line with new ways of working. Examples of national activities and case studies from social care, environmental health and planning are offered as illustrations of these proactive steps.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129764453","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}