Advances in Health Care Management最新文献_第2页

Technological Change and Frontline Care Delivery Work: Toward the Quadruple Aim. 技术变革与一线护理服务工作:实现四重目标。

Advances in Health Care Management Pub Date : 2021-12-06 DOI: 10.1108/S1474-823120210000020005

Adam Seth Litwin

{"title":"Technological Change and Frontline Care Delivery Work: Toward the Quadruple Aim.","authors":"Adam Seth Litwin","doi":"10.1108/S1474-823120210000020005","DOIUrl":"https://doi.org/10.1108/S1474-823120210000020005","url":null,"abstract":"The COVID-19 pandemic stressed the health care sector's longstanding pain points, including the poor quality of frontline work and the staffing challenges that result from it. This has renewed interest in technology-centered approaches to achieving not only the \"Triple Aim\" of reducing costs while raising access and quality but also the \"Quadruple Aim\" of doing so without further squeezing wages and abrading job quality for frontline workers. How can we leverage technology toward the achievement of the Quadruple Aim? I view this as a \"grand challenge\" for health care managers and policymakers. Those looking for guidance will find that most analyses of the workforce impact of technological change consider broad classes of technology such as computers or robots outside of any particular industry context. Further, they typically predict changes in work or labor market outcomes will come about at some ill-defined point in the medium to long run. This decontextualization and detemporization proves markedly problematic in the health care sector: the nonmarket, institutional factors driving technology adoption and implementation loom especially large in frontline care delivery, and managers and policymakers understandably must consider a well-defined, near-term, i.e., 5-10-year, time horizon. This study is predicated on interviews with hospital and home health agency administrators, union representatives, health care information technology (IT) experts and consultants, and technology developers. I detail the near-term drivers and anticipated workforce impact of technological changes in frontline care delivery. With my emergent prescriptions for managers and policymakers, I hope to guide sectoral actors in using technology to address the \"grand challenge\" inherent to achieving the Quadruple Aim.","PeriodicalId":35465,"journal":{"name":"Advances in Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39713654","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

Prelims 预备考试

Advances in Health Care Management Pub Date : 2021-12-06 DOI: 10.1108/s1474-823120210000020011

引用次数: 0

Impact of COVID-19 on Primary Care Practice Sites and Their Vulnerable Patients. COVID-19对初级保健诊所及其弱势患者的影响

Advances in Health Care Management Pub Date : 2021-12-06 DOI: 10.1108/S1474-823120210000020009

Sara J Singer, Jill Glassman, Alan Glaseroff, Grace A Joseph, Adam Jauregui, Bianca Mulaney, Sara S Kelly, Samuel Thomas, Stacie Vilendrer, Maike V Tietschert

{"title":"Impact of COVID-19 on Primary Care Practice Sites and Their Vulnerable Patients.","authors":"Sara J Singer, Jill Glassman, Alan Glaseroff, Grace A Joseph, Adam Jauregui, Bianca Mulaney, Sara S Kelly, Samuel Thomas, Stacie Vilendrer, Maike V Tietschert","doi":"10.1108/S1474-823120210000020009","DOIUrl":"https://doi.org/10.1108/S1474-823120210000020009","url":null,"abstract":"Purpose: While COVID-19 has upended lives, it has also catalyzed innovation with potential to advance health delivery. Yet, we know little about how the delivery system, and primary care in particular, has responded and how this has impacted vulnerable patients. We aimed to understand the impact of COVID-19 on primary care practice sites and their vulnerable patients and to identify explanations for variation. Approach: We developed and administered a survey to practice managers and physician leaders from 173 primary care practice sites, October-November 2020. We report and graphically depict results from univariate analysis and examine potential explanations for variation in practices' process innovations in response to COVID-19 by assessing bivariate relationships between seven dependent variables and four independent variables. Findings: Among 96 (55.5%) respondents, primary care practice sites on average took more safety (8.5 of 12) than financial (2.5 of 17) precautions in response to COVID-19. Practice sites varied in their efforts to protect patients with vulnerabilities, providing care initially postponed, and experience with virtual visits. Financial risk, practice size, practitioner age, and emergency preparedness explained variation in primary care practices' process innovations. Many practice sites plan to sustain virtual visits, dependent mostly on patient and provider preference and continued reimbursement. Value: While findings indicate rapid and substantial innovation, conditions must enable primary care practice sites to build on and sustain innovations, to support care for vulnerable populations, including those with multiple chronic conditions and socio-economic barriers to health, and to prepare primary care for future emergencies.","PeriodicalId":35465,"journal":{"name":"Advances in Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39713656","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: 4

Emergent Homecare Models Are Shaping Care in England: An Ethnographic Study of Four Distinct Homecare Models. 新兴的家庭护理模式正在塑造英国的护理:四种不同家庭护理模式的民族志研究。

Advances in Health Care Management Pub Date : 2021-12-06 DOI: 10.1108/S1474-823120210000020001

Karla Zimpel-Leal

{"title":"Emergent Homecare Models Are Shaping Care in England: An Ethnographic Study of Four Distinct Homecare Models.","authors":"Karla Zimpel-Leal","doi":"10.1108/S1474-823120210000020001","DOIUrl":"https://doi.org/10.1108/S1474-823120210000020001","url":null,"abstract":"This chapter addresses the grand challenge of an aging society and the subsequent growing demand for in-home care for the elderly - often referred to as homecare. It examines how emergent homecare models in England differ from the \"time and task\" model and how they are shaping the care market. These models offer new approaches regarding what, how, and when care is delivered at home. Homecare providers face rising demand driven not only by population aging but also by market demand for personalized care, choice, continuity of care, and real-time availability. The landscape presents an opportunity for innovative models to become established, by offering a more inducing service design and value propositions that respond to customers' needs. Using the \"business model canvas\" to guide data collection, this study presents an ethnographic case analysis of four homecare organizations with distinct emergent homecare models. The study includes 14 months of field observation and 33 in-depth interviews. It finds that providers are becoming increasingly aware of evolving customer needs, establishing models such as the \"uberization,\" \"community-based,\" \"live-in,\" and \"preventative\" described in the chapter. These models are becoming more pervasive and are mostly market-driven; however, some of their innovations are market shaping. The major innovations are in their value propositions, partnership arrangements, and customer segments. Their value propositions focus on well-being outcomes, including choice and personalization for care users; their workforces are perceived to be a major stakeholder segment, and their networks of partners offer access to complementary services, investments, and specialist knowledge.","PeriodicalId":35465,"journal":{"name":"Advances in Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39624993","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

An Exploration of Gender Bias Affecting Women in Medicine. 医学中影响女性的性别偏见探讨。

Advances in Health Care Management Pub Date : 2021-12-06 DOI: 10.1108/S1474-823120210000020004

Amber L Stephenson, Amy B Diehl, Leanne M Dzubinski, Mara McErlean, John Huppertz, Mandeep Sidhu

{"title":"An Exploration of Gender Bias Affecting Women in Medicine.","authors":"Amber L Stephenson, Amy B Diehl, Leanne M Dzubinski, Mara McErlean, John Huppertz, Mandeep Sidhu","doi":"10.1108/S1474-823120210000020004","DOIUrl":"https://doi.org/10.1108/S1474-823120210000020004","url":null,"abstract":"Women in medicine face barriers that hinder progress toward top leadership roles, and the industry remains plagued by the grand challenge of gender inequality. The purpose of this study was to explore how subtle and overt gender biases affect women physicians, physician leaders, researchers, and faculty working in academic health sciences environments and to further examine the association of these biases with workplace satisfaction. The study used a convergent mixed methods approach. Sampling from a list of medical schools in the United States, in conjunction with a list of each state's medical society, the authors analyzed the quantitative survey responses of 293 women in medicine. The authors conducted ordinary least squares multiple regression to assess the relationship of gender barriers on workplace satisfaction. Additionally, 132 of the 293 participants provided written open-ended responses that were explored using a qualitative content analysis methodology. The survey results showed that male culture, lack of sponsorship, lack of mentoring, and queen bee syndrome were associated with lower workplace satisfaction. The qualitative results provided illustrations of how participants experienced these biases. These results emphasize the obstacles that women face and highlight the detrimental nature of gender bias in medicine. The authors conclude by presenting concrete recommendations for managers endeavoring to improve the culture of gender equity and inclusivity.","PeriodicalId":35465,"journal":{"name":"Advances in Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39713658","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: 3

The Challenge of Employee Retention in Medical Practices across the United States: An Exploratory Investigation Into the Relationship between Operational Succession Planning and Employee Turnover. 美国医疗实践中员工保留的挑战:对业务继任计划与员工离职关系的探索性调查。

Advances in Health Care Management Pub Date : 2021-12-06 DOI: 10.1108/S1474-823120210000020003

Heather Moore, Lihua Dishman, John Fick

{"title":"The Challenge of Employee Retention in Medical Practices across the United States: An Exploratory Investigation Into the Relationship between Operational Succession Planning and Employee Turnover.","authors":"Heather Moore, Lihua Dishman, John Fick","doi":"10.1108/S1474-823120210000020003","DOIUrl":"https://doi.org/10.1108/S1474-823120210000020003","url":null,"abstract":"Employee turnover is a growing challenge for health-care providers delivering patient care today. US population demographics are shifting as the population ages, which leaves the field of health care poised to lose key leaders and employees to retirement at a time when patient care has grown more complex. This means health care will lose its core of key employees at a time when skilled leadership and specialized knowledge is most needed and directly impacts health care's ability to deliver quality care. Operational succession planning (OSP) may be one solution to manage this looming challenge in health care, as the process identifies and develops the next generation of leadership. Thus, this exploratory national study used a quantitative and cross-sectional design to examine the relationship between OSP and employee turnover. Demographic and 10-point Likert scale data were collected from n = 66 medical practices, using an online survey instrument. Data were analyzed using various descriptive and inferential statistical methods. Distribution (frequency and chi-square) analyses of the study sample, one-way analysis of variance (ANOVA), and regression analyses were performed across seven demographic characteristics of the medical practices: Specialty, Ownership Structure, Number of full-time equivalent (FTE) Physicians, Number of FTE Clinical Employees, Number of FTE Nonclinical Employees, Number of FTE Employees Left Position, and Region. Study results provided statistically significant evidence to support the relationship between OSP and employee turnover, highlighting that OSP was associated with lower employee turnover. The finding suggests that OSP can serve as an effective mechanism for increasing employee retention.","PeriodicalId":35465,"journal":{"name":"Advances in Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39713653","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

The Contributions of Health Care Management to Grand Health Care Challenges 卫生保健管理对大卫生保健挑战的贡献

Advances in Health Care Management Pub Date : 2021-12-06 DOI: 10.1108/s1474-8231202220

Timothy R. Huerta

引用次数: 3

Even Superheroes Need Rest: A Guide to Facilitating Recovery from Work for Health-care Workers during COVID-19 and beyond. 即使是超级英雄也需要休息：新冠肺炎期间及以后促进医护人员从工作中恢复的指南。

Advances in Health Care Management Pub Date : 2021-12-06 DOI: 10.1108/S1474-823120210000020010

Bram P I Fleuren, Amber L Stephenson, Erin E Sullivan, Minakshi Raj, Maike V Tietschert, Abi Sriharan, Alden Y Lai, Matthew J DePuccio, Samuel C Thomas, Ann Scheck McAlearney

{"title":"Even Superheroes Need Rest: A Guide to Facilitating Recovery from Work for Health-care Workers during COVID-19 and beyond.","authors":"Bram P I Fleuren, Amber L Stephenson, Erin E Sullivan, Minakshi Raj, Maike V Tietschert, Abi Sriharan, Alden Y Lai, Matthew J DePuccio, Samuel C Thomas, Ann Scheck McAlearney","doi":"10.1108/S1474-823120210000020010","DOIUrl":"https://doi.org/10.1108/S1474-823120210000020010","url":null,"abstract":"The COVID-19 pandemic burdens health-care workers (HCWs) worldwide. Amid high-stress conditions and unprecedented needs for crisis management, organizations face the grand challenge of supporting the mental health and well-being of their HCWs. The current literature on mental health and well-being primarily focuses on improving personal resilience among HCWs. However, this puts the responsibility for coping with COVID-19-related stress almost fully on the individual. This chapter discusses an important alternative framing of this issue - how health-care organizations (HCOs) can facilitate recovery from work processes (i.e., returning to a baseline level by engaging in nonwork activities after work) for their workers. Based on a narrative review of the occupational health psychology literature, we provide practical strategies for supporting the four key recovery experiences of detachment, control, mastery, and relaxation, as well as present general recommendations about how to promote recovery. These strategies can help HCOs facing the grand challenge of sustaining worker well-being and functioning during the COVID-19 pandemic, as well as during future pandemics and for workers facing high work pressure in general.","PeriodicalId":35465,"journal":{"name":"Advances in Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39624991","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

NCHL's "Best Organizations for Leadership Development" Program: A Case Study in Improving Evidence-based Practice through Benchmarking and Recognition. NCHL的“领导力发展最佳组织”计划:通过基准和认可改善循证实践的案例研究。

Advances in Health Care Management Pub Date : 2021-12-06 DOI: 10.1108/S1474-823120210000020008

Andrew N Garman, Melanie P Standish, Cassia Carter, Matthew M Anderson, Callie Lambert

引用次数: 0

Index 指数

Advances in Health Care Management Pub Date : 2021-12-06 DOI: 10.1108/s1474-823120210000020017

引用次数: 0