Advances in Health Care Management最新文献

{"title":"Commentary on \"Health care organizations as complex systems: new perspectives on design and management\" by Reuben R. McDaniel, Dean J. Driebe, and Holly Jordan Lanham.","authors":"Ruth A Anderson","doi":"10.1108/s1474-8231(2013)0000015008","DOIUrl":"https://doi.org/10.1108/s1474-8231(2013)0000015008","url":null,"abstract":"<p><p>In this commentary, I highlight a few of the assertions made by McDaniel et al. (2013) about the importance of complexity science guided management practices, and extend these ideas specifically to how we might think about reducing seemingly intractable problems in health care such as patient safety, patient falls, hospital acquired infection, and the rise of chronic illness and obesity. I suggest that such changes will require managers and providers to view health care organizations and patients as complex adaptive systems and include patients as full participants in co-producing their health care.</p>","PeriodicalId":35465,"journal":{"name":"Advances in Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/s1474-8231(2013)0000015008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32276548","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":"Walk the talk: leaders' enacted priority of safety, incident reporting, and error management.","authors":"Cathy Van Dyck,&nbsp;Nicoletta G Dimitrova,&nbsp;Dirk F de Korne,&nbsp;Frans Hiddema","doi":"10.1108/s1474-8231(2013)0000014009","DOIUrl":"https://doi.org/10.1108/s1474-8231(2013)0000014009","url":null,"abstract":"<p><strong>Purpose: </strong>The main goal of the current research was to investigate whether and how leaders in health care organizations can stimulate incident reporting and error management by \"walking the safety talk\" (enacted priority of safety).</p><p><strong>Design/methodology/approach: </strong>Open interviews (N = 26) and a cross-sectional questionnaire (N = 183) were conducted at the Rotterdam Eye Hospital (REH) in The Netherlands.</p><p><strong>Findings: </strong>As hypothesized, leaders' enacted priority of safety was positively related to incident reporting and error management, and the relation between leaders' enacted priority of safety and error management was mediated by incident reporting. The interviews yielded rich data on (near) incidents, the leaders' role in (non)reporting, and error management, grounding quantitative findings in concrete case descriptions.</p><p><strong>Research implications: </strong>We support previous theorizing by providing empirical evidence showing that (1) enacted priority of safety has a stronger relationship with incident reporting than espoused priority of safety and (2) the previously implied positive link between incident reporting and error management indeed exists. Moreover, our findings extend our understanding of behavioral integrity for safety and the mechanisms through which it operates in medical settings.</p><p><strong>Practical implications: </strong>Our findings indicate that for the promotion of incident reporting and error management, active reinforcement of priority of safety by leaders is crucial.</p><p><strong>Value/originality: </strong>Social sciences researchers, health care researchers and health care practitioners can utilize the findings of the current paper in order to help leaders create health care systems characterized by higher incident reporting and more constructive error handling.</p>","PeriodicalId":35465,"journal":{"name":"Advances in Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/s1474-8231(2013)0000014009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32296404","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 interpersonal behavior and team sensemaking during health information technology implementation.","authors":"Rebecca R Kitzmiller,&nbsp;Reuben R McDaniel,&nbsp;Constance M Johnson,&nbsp;E Allan Lind,&nbsp;Ruth A Anderson","doi":"10.1108/s1474-8231(2013)00000140010","DOIUrl":"https://doi.org/10.1108/s1474-8231(2013)00000140010","url":null,"abstract":"<p><strong>Purpose: </strong>We examine how interpersonal behavior and social interaction influence team sensemaking and subsequent team actions during a hospital-based health information technology (HIT) implementation project.</p><p><strong>Design/methodology/approach: </strong>Over the course of 18 months, we directly observed the interpersonal interactions of HIT implementation teams using a sensemaking lens.</p><p><strong>Findings: </strong>We identified three voice-promoting strategies enacted by team leaders that fostered team member voice and sensemaking; communicating a vision; connecting goals to team member values; and seeking team member input. However, infrequent leader expressions of anger quickly undermined team sensemaking, halting dialog essential to problem solving. By seeking team member opinions, team leaders overcame the negative effects of anger.</p><p><strong>Practical implications: </strong>Leaders must enact voice-promoting behaviors and use them throughout a team's engagement. Further, training teams in how to use conflict to achieve greater innovation may improve sensemaking essential to project risk mitigation.</p><p><strong>Social implications: </strong>Health care work processes are complex; teams involved in implementing improvements must be prepared to deal with conflicting, contentious issues, which will arise during change. Therefore, team conflict training may be essential to sustaining sensemaking.</p><p><strong>Research implications: </strong>Future research should seek to identify team interactions that foster sensemaking, especially when topics are difficult or unwelcome, then determine the association between staff sensemaking and the impact on HIT implementation outcomes.</p><p><strong>Value/originality: </strong>We are among the first to focus on project teams tasked with HIT implementation. This research extends our understanding of how leaders' behaviors might facilitate or impeded speaking up among project teams in health care settings.</p>","PeriodicalId":35465,"journal":{"name":"Advances in Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/s1474-8231(2013)00000140010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32296308","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":"Annual review of health care management: revisiting the evolution of health systems organization.","authors":"Jim Goes","doi":"10.1108/s1474-8231(2013)0000015006","DOIUrl":"https://doi.org/10.1108/s1474-8231(2013)0000015006","url":null,"abstract":"","PeriodicalId":35465,"journal":{"name":"Advances in Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/s1474-8231(2013)0000015006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32276546","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":"Issues in researching leadership in health care organizations.","authors":"Tony Simons,&nbsp;Hannes Leroy","doi":"10.1108/s1474-8231(2013)00000140014","DOIUrl":"https://doi.org/10.1108/s1474-8231(2013)00000140014","url":null,"abstract":"<p><strong>Purpose: </strong>We provide a review of the research in this volume and suggest avenues for future research.</p><p><strong>Design/methodology/approach: </strong>Review of the research in this volume and unstructured interviews with health care executives.</p><p><strong>Findings: </strong>We identified the three central themes: (1) trust in leadership, (2) leading by example, and (3) multi-level leadership. For each of these themes, we highlight the shared concerns and findings, and provide commentary about the contribution to the literature on leadership.</p><p><strong>Research implications: </strong>While relation-oriented leadership is important in health care, there is a danger of too much emphasis on relations in an already caring profession. Moreover, in most health care organizations, leadership is distributed and scholars need to adopt the appropriate methods to investigate these multi-level phenomena.</p><p><strong>Practical implications: </strong>In health care organizations, hands-on leadership, through role modeling, may be necessary to promote change. However, practicing what you preach is not as easy as it may seem.</p><p><strong>Value/originality: </strong>We provide a framework for understanding current research on leadership in health care organizations.</p>","PeriodicalId":35465,"journal":{"name":"Advances in Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/s1474-8231(2013)00000140014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32296312","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":"Efficiency as a domain of health care systems: a phenomenographic approach.","authors":"Cristiana Cattaneo,&nbsp;Giovanna Galizzi,&nbsp;Gaia Bassani","doi":"10.1108/s1474-8231(2012)0000013012","DOIUrl":"https://doi.org/10.1108/s1474-8231(2012)0000013012","url":null,"abstract":"<p><strong>Purpose: </strong>This paper focuses on efficiency as a central theme of the Italian health care reforms, combining macrolevel policies with microlevel (i.e., operating room) perceptions of the concept.</p><p><strong>Design/methodology/approach: </strong>According to the phenomenographic approach, this analysis investigates how the components of a surgical team (22 semistructured interviews) experience efficiency in their daily workflows.</p><p><strong>Findings: </strong>The main findings show that the concept of efficiency is multidimensional. According to participants' perspective, several categories of efficiency collected in an outcome space emphasize an holistic view of efficiency driving health policies and strategies.</p><p><strong>Social implications: </strong>The suggestion of further relationships between perspectives and other constructs (i.e., quality, safety, patient focus, process) at micro and macro level could enhance the impact of health reforms.</p><p><strong>Originality/value: </strong>A qualitative approach conducted at microlevel help to recognize the phenomenon (of efficiency), engaging the individual conception that practitioners have of the health efficiency.</p>","PeriodicalId":35465,"journal":{"name":"Advances in Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/s1474-8231(2012)0000013012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31140958","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":"How can routine health information systems improve health systems functioning in low- and middle-income countries? Assessing the evidence base.","authors":"David R Hotchkiss,&nbsp;Mark L Diana,&nbsp;Karen G Fleischman Foreit","doi":"10.1108/s1474-8231(2012)0000012006","DOIUrl":"https://doi.org/10.1108/s1474-8231(2012)0000012006","url":null,"abstract":"<p><strong>Purpose: </strong>Health system performance depends on production and use of quality health data and information. Routine health information systems (RHIS) are defined as systems that provide information at regular intervals of a year or less to meet predictable information needs. These include paper-based or electronic health records and facility- and district-level management information systems. RHIS are receiving increasing attention as an essential component of efficient, country-owned, integrated national systems. To guide investment decisions on RHIS, evidence is needed on which types of RHIS interventions work and which do not.</p><p><strong>Design/methodology/approach: </strong>This chapter is a systematic review of the literature on the evaluation of RHIS interventions in low- and middle-income countries, starting from the premise that investments in RHIS could be better understood and so produce greater benefits than they currently do.</p><p><strong>Findings: </strong>We describe the conceptual literature on the determinants of RHIS performance and its role in improving health systems functioning, discuss the evidence base on the effectiveness of strategies to improve RHIS performance, provide an overview of RHIS evaluation challenges, and make suggestions to improve the evidence base.</p><p><strong>Originality/value: </strong>The goal is to help ensure that (a) RHIS interventions are appropriately designed and implemented to improve health systems functioning and (b) resulting RHIS information is used more effectively.</p>","PeriodicalId":35465,"journal":{"name":"Advances in Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/s1474-8231(2012)0000012006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30835602","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":"Reflections on US health care information technology policy from a global perspective.","authors":"Timothy R Huerta,&nbsp;Eric W Ford","doi":"10.1108/s1474-8231(2012)0000012009","DOIUrl":"https://doi.org/10.1108/s1474-8231(2012)0000012009","url":null,"abstract":"<p><strong>Purpose: </strong>Health information technology (HIT) has been lauded as a foundation upon which the development of an integral solution to cost and quality problems facing many nations is predicated. Countries throughout the world have taken differing approaches in their efforts to advance that foundation through policy, financial, and cultural systems that come to support or hinder adoption. As we explore potential opportunities to learn from the experience of others, we pause to consider the environmental, regulatory, financial, and social dynamics that define the US context.</p><p><strong>Design/methodology/approach: </strong>This chapter outlines the framework for a comparative approach through four dimensions--environmental, regulation, financial, and social--through which comparative HIT studies should be explored.</p><p><strong>Findings: </strong>With such markedly different contexts in which their HIT is embedded, it is important to not simply look at other countries as a yardstick upon which we compare our failures and successes. Rather, we must look critically at these examples understanding that the dynamics at play in each context have created opportunities and obligations that have come to define each country's implementation.</p><p><strong>Originality/value: </strong>The need for a common framework through which scholars can explore comparative HIT systems, while remaining grounded in the US context is an important aspect of effective knowledge translation in adoption.</p>","PeriodicalId":35465,"journal":{"name":"Advances in Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/s1474-8231(2012)0000012009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30835605","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":"International medical graduates and health information technology use in the United States.","authors":"Olena Mazurenko,&nbsp;Gouri Gupte,&nbsp;Valerie A Yeager","doi":"10.1108/s1474-8231(2012)0000012010","DOIUrl":"https://doi.org/10.1108/s1474-8231(2012)0000012010","url":null,"abstract":"<p><strong>Purpose: </strong>Health information technology (HIT) holds promise for improving the quality of health care and reducing health care system inefficiencies. Numerous studies have examined HIT availability, specifically electronic health records (EHRs), and utilization among physicians in individual countries. However, no one has examined EHR use among physicians who train in one country and move to practice in another country. In the United States, physicians who complete medical school outside the country but practice within the United States are commonly referred to as International Medical Graduates (IMGs). IMGs have a growing presence in the United States, yet little is known about the availability and use of HIT among these physicians. The purpose of this study is to explore the availability and use of HIT among IMGs practicing in United States.</p><p><strong>Design/methodology/approach: </strong>The Health Tracking Physician Survey (2008) was used to examine the relationship between availability and use of HIT and IMG status controlling for several physician and practice characteristics. Our analysis included responses from 4,720 physicians, 20.7% of whom were IMGs.</p><p><strong>Findings: </strong>Using logistic regression, controlling for physician gender, specialty, years in practice, practice type, ownership status and geographical location, we found IMGs were significantly less likely to have a comprehensive EHR in their practices (OR = 0.84; p = 0.005). In addition, findings indicate that IMGs are more likely to have and use several so-called first generation HIT capabilities, such as reminders for clinicians about preventive services (OR = 1.31; p = 0.001) and other needed patient follow-up (OR = 1.26; p = 0.007).</p><p><strong>Originality/value: </strong>This study draws attention to the need for further research regarding barriers to HIT adoption and use among IMGs.</p>","PeriodicalId":35465,"journal":{"name":"Advances in Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/s1474-8231(2012)0000012010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30835606","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 importance of using open source technologies and common standards for interoperability within eHealth: perspectives from the Millennium Villages Project.","authors":"Andrew S Kanter,&nbsp;Rob Borland,&nbsp;Mourice Barasa,&nbsp;Casey Iiams-Hauser,&nbsp;Olivia Velez,&nbsp;Nadi Nina Kaonga,&nbsp;Matt Berg","doi":"10.1108/s1474-8231(2012)0000012013","DOIUrl":"10.1108/s1474-8231(2012)0000012013","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this chapter is to illustrate the importance of using open source technologies and common standards for interoperability when implementing eHealth systems, and to illustrate this through case studies, where possible.</p><p><strong>Design/methodology/approach: </strong>The sources used to inform this chapter draw from the implementation and evaluation of the eHealth Program in the context of the Millennium Villages Project (MVP).</p><p><strong>Findings: </strong>As the eHealth Team was tasked to deploy an eHealth architecture, the Millennium Villages Global-Network (MVG-Net), across all 14 of the MVP sites in sub-Saharan Africa, the team not only recognized the need for standards and uniformity but also realized that context would be an important factor. Therefore, the team decided to utilize open source solutions.</p><p><strong>Practical implications: </strong>The MVP implementation of MVG-Net provides a model for those looking to implement informatics solutions across disciplines and countries. Furthermore, there are valuable lessons learned that the eHealth community can benefit from.</p><p><strong>Originality/value: </strong>By sharing lessons learned and developing an accessible, open source eHealth platform, we believe that we can more efficiently and rapidly achieve the health-related and collaborative Millennium Development Goals.</p>","PeriodicalId":35465,"journal":{"name":"Advances in Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/s1474-8231(2012)0000012013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30835609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}