Journal of Management & Marketing in Healthcare最新文献

{"title":"Approaches to developing integrated care in Europe: a systematic literature review","authors":"Vanessa Antunes, J. P. Moreira","doi":"10.1179/175330311X13016677137743","DOIUrl":"https://doi.org/10.1179/175330311X13016677137743","url":null,"abstract":"Abstract Purpose Many European countries have been undertaking measures to promote integration of health and social care. The purpose of this study is to identify different approaches to integrated care and retrieve a number of experiences and approaches of working in some European countries. Methods A systematic review of the integrated care literature was conducted in a 3-month period. The Pubmed, Embase, and BioMed Central databases were searched for articles from 2002 through 2008. The articles were selected according to inclusion and exclusion criteria. A standard form was used for data extraction. Findings A total of 24 studies that conformed to the criteria were found. The analysed articles describe integrated care in 16 European countries: UK, Germany, Finland, Sweden, Austria, Spain, Netherlands, Ireland, Portugal, Denmark, France, Greece, Italy, Norway, Poland, and Switzerland. The studies' setting was primary care, social care, home care, or a combination of these. In majority of the studies similar challenges to health care systems were identified: advances in health care, ageing population, multi-system nature of chronic diseases, hospital-based care system, insufficient provision of community care services, lack of cooperation among health and social care providers, fragmentation of the health and social care systems, and rurality. These challenges are seen as a stimulus to the integration of care. The articles also mentioned some integration strategies that were categorized according to: changes in organizational structure, workforce reconfiguring, and changes in the financing system. Integrated care definitions were also derived from the articles, and from the verbatim text when possible. Definitions were grouped according to their sectorial focus: community-based care, combined health and social care, combined acute and primary care, the providers, and in a more comprehensive approach the whole health system. Conclusion Despite integrated care being implemented in some European countries since the beginning of the millennium, it is a relatively new concept in health management discourse. There is room for more studies on the need for integrated care and the effectiveness of the implemented strategies. Despite integration models having a similar background there is no European consensus about the definition of integrated care. The data collected are useful for debate on the topic within the international health management and marketing community.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124127745","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":"Applying logic models to cancer centers and programs","authors":"B. Longest","doi":"10.1179/175330311X12943314049457","DOIUrl":"https://doi.org/10.1179/175330311X12943314049457","url":null,"abstract":"Abstract Improving the overall management of cancer centers and programs increases the likelihood that they will attain their intended results. Logic models, which are depictions of how entities are intended to operate, are very useful aids for center directors and other leaders in organizing and operating their centers and programs. A template for a cancer center logic model is presented and used to focus discussion on the model's components (resources; processes; and desired results expressed as outputs, outcomes, and impact), and their interactions. This discussion includes the utility of logic models in improving center management in two important ways. First, logic models can assist center leaders in defining their management roles and responsibilities and in integrating the core management activities of strategizing, designing, and leading other center participants. Second, logic models can assist center leaders in establishing and maintaining effective stakeholder relationships. A comprehensive logic model helps leaders explain to internal and external stakeholders the results their center or program seeks to achieve and the resources and processes necessary to achieve them.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133399230","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":"Health information and the digital divide","authors":"Mugur V. Geana, K. Greiner","doi":"10.1179/175330311X12943314049538","DOIUrl":"https://doi.org/10.1179/175330311X12943314049538","url":null,"abstract":"Abstract Using data from the 2007 Health Information National Trends Survey, conducted by the Centers for Disease Control and Prevention, the present study explores whether a ‘digital divide’ driven by age and socioeconomic status exists among white adults in the United States, and its possible influence on health information search, retrieval, and utilization. The results suggest that there are major differences in exploiting health information sources between Internet users and non-users, and on perception about the search process itself: using the Internet as a channel to access health information decreases search effort, and increases understanding and confidence with the retrieved information. The authors argue that a ‘digital divide’ exists, which left uncorrected may pose significant challenges to the American health system in the long run, and may have an impact on the ability of marketers to reach their intended audiences.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"299 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115544362","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":"Growing old and living alone: perceptions of preventive health services","authors":"Jonna Holland, A. R. Rodie","doi":"10.1179/175330311X12943314049574","DOIUrl":"https://doi.org/10.1179/175330311X12943314049574","url":null,"abstract":"Abstract With a growing population of elderly consumers, marketers and providers of health-related services need to understand the motivations and perceptions influencing the actions of this increasingly important target market. This investigation draws from both the consumer behavior and health literatures to examine participation in a preventive health service designed to enable independent living. Empirical findings showed that motivating factors, including perceptions of susceptibility (risk), seriousness of the consequences and benefits of the service, and the barriers (i.e. lack of awareness and perceived social stigma) were significant predictors of participation in a preventive health service. User participation and satisfaction with core benefits significantly influenced continuing loyalty and positive word-of-mouth. Implications for marketing managers of preventive health services in general and personal emergency response systems in particular are outlined.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126730131","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":"Innovation in the elderly care sector – at the edge of chaos","authors":"K. Verleye, P. Gemmel","doi":"10.1179/1753304X11Y.0000000002","DOIUrl":"https://doi.org/10.1179/1753304X11Y.0000000002","url":null,"abstract":"Abstract As the elderly care sector is characterized by several challenges, rethought and restructured organizations and institutions and thus innovation are necessary. This study investigated (1) what innovation in the elderly care sector means and (2) which factors determine the innovativeness of elderly care organizations. Our goal was to develop a framework to catch innovation and explain the capacity for innovation in the elderly care sector. Via case studies within five Flemish elderly care organizations, the applicability of the complex adaptive system (CAS) theory was examined. The results showed that organizations partially acted as CASs, but totally acting as CASs was restrained by top-down forces, procedures, and regulations.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128686444","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 intrinsic motivation on satisfaction with extrinsic rewards in a nursing environment","authors":"D. Dave, M. Dotson, J. Cazier, S. Chawla, T. Badgett","doi":"10.1179/175330311X12943314049493","DOIUrl":"https://doi.org/10.1179/175330311X12943314049493","url":null,"abstract":"Abstract Nurses in a hospital located in Southern US were surveyed to determine their perceptions of the reward structures existent in their hospital. Reward structures were divided into two categories: extrinsic and intrinsic. The cluster analysis procedure partitioned the sample into two clusters based on their level of satisfaction with the hospital's reward structure. The analysis of variance procedure comparing scale responses on comfort, challenge, financial reward, relation with coworkers, resource adequacy, and promotion suggest nurses with a high degree of intrinsic motivation are more satisfied with extrinsic rewards.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"233 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123161049","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":"Positioning and self-presentation of innovative organizational forms on the European healthcare market","authors":"M. A. Pfannstiel","doi":"10.1179/1753304X11Y.0000000004","DOIUrl":"https://doi.org/10.1179/1753304X11Y.0000000004","url":null,"abstract":"Abstract Germany is the largest healthcare market anywhere in Europe and the third largest in the world after the United States and Japan and that means he is of signal importance to the German healthcare economy. There is one thing these healthcare markets have in common: they have health regions with regional and supra-regional collaboration structures for generating innovations in healthcare. All of these health regions are governed by processes of change and exposed to global and regional economic influences and competitive mechanisms. This is the reason why healthcare experts will have to come up with well-reasoned forms of collaboration in their individual health locations to maintain economic strength and visibility. This article is dedicated to existing innovative organizational forms in the German health landscape that support branding and brand management on regional and supra-regional level, and thus the positioning and self-presentation on the healthcare market. This article has set itself the goal of delving into the way health regions can boost their attractiveness for and visibility to qualified stakeholders and consumers and what options there are for coming up with forms of collaboration and accessing the potential for innovation within these health regions. This article illustrates what factors are critical for success in terms of innovative organizational forms and how they can achieve a sustainable reinforcement of regional value-added chains. It will find that the focus that stakeholders and consumers of health regions have on results can have a positive impact on the positioning and self-presentation on the healthcare market.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122253935","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":"Designing external healthcare assessment and improvement systems in Serbia","authors":"Annette Katrava, Snezana Manic, N. Karanovic, Maja Vučković-Krčmar, Marija Mitic, Miroslav Obrovački, I. Jekic","doi":"10.1179/1753304X10Y.0000000001","DOIUrl":"https://doi.org/10.1179/1753304X10Y.0000000001","url":null,"abstract":"Abstract This paper is a summary of a current European Union (EU)-funded project (1.5 M EUR, June 2009–April 2011) from the IPA (Instrument for Pre-Accession Assistance) 2007 programme, as part of the EU's assistance to healthcare in Serbia. The project's main objective is to improve the health-care system in the Republic of Serbia so as to create a safe, equitable, viable, and high-performance-oriented healthcare system where providers of care are stimulated to achieve continuously increasing standards of efficiency, effectiveness, and quality. Supporting the development of the Serbian Accreditation Agency for Healthcare Institutions and the challenges in assisting the Ministry of Health of the Republic of Serbia with continuous quality improvement at system level will be described, including the project achievements to date and analysis of results.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117120716","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":"Why do patients follow a medication regimen? A matter of freedom or control?","authors":"Sonja Marbaise, H. Stummer","doi":"10.1179/1753304X10Y.0000000006","DOIUrl":"https://doi.org/10.1179/1753304X10Y.0000000006","url":null,"abstract":"Abstract The aim of modern medicine is the development of innovations in health care, such as better therapy methods and more effective medication. But what about the unknown factor, the patients? Non-adherence — patients not following health-care advice — is a major problem in health care, which affects both individual and public health. In particular, the steadily increasing number of patients with chronic diseases, e.g. 5–6 million diagnosed German diabetics, leads to severe financial and health-related consequences. Thus, this work evaluates the use of pharmacy records as a screening tool for healthcare providers to detect possibly non-adherent patients as early as possible. This work analyses the databases of two German pharmacies P1 and P2 with 4474 and 2650 datasets, respectively, to detect a pattern of non-adherent patients. Possibly influencing factors have been selected based on the World Health Organization's five dimensions of adherence. As a result, there is no pattern detectable. Thus, the question of more freedom or control may not be answered. But this result leads to reconsidering the complete understanding of adherence.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124326308","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":"Use of action learning in a higher education setting to improve the quality of health care","authors":"N. Chambers, E. Clark, L. Smith, G. Harvey, S. Mciver, L. Benson","doi":"10.1179/175330304X10Y.0000000005","DOIUrl":"https://doi.org/10.1179/175330304X10Y.0000000005","url":null,"abstract":"Abstract Health care faces challenges that are only partially addressed by incremental innovations. This paper outlines the potential for action learning to be used to challenge existing paradigms and mindsets. It provides the background and introduction to the concept, and describes the main principles and approach. Limitations in the theoretical conceptualization and research evidence about action learning are explored. Meanwhile, action learning has been used as a learning tool for graduate entry-level health service managers, senior health-care leaders, and students on postgraduate courses. Evaluations of these programmes have unearthed the key characteristics and benefits of effective action learning. The conclusions are that effective action learning is enabled by skilled facilitation, has benefits in embedding double-loop learning and developing personal resilience, and may result in enhanced organizational ambidexterity. Further work is now required to build a stronger conceptual framework and to explore the theory–practice gap around the impact of action learning at the organization level.","PeriodicalId":354315,"journal":{"name":"Journal of Management & Marketing in Healthcare","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127464335","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}