International Journal of Health Governance最新文献

What influences perceptions about the concept of return on investment from healthcare quality improvement programmes? An institutional theory perspective 是什么影响了人们对医疗质量改进计划投资回报概念的看法？制度理论视角

IF 1.8

International Journal of Health Governance Pub Date : 2024-08-12 DOI: 10.1108/ijhg-04-2024-0045

S'thembile Thusini, T. Soukup, Claire Henderson

{"title":"What influences perceptions about the concept of return on investment from healthcare quality improvement programmes? An institutional theory perspective","authors":"S'thembile Thusini, T. Soukup, Claire Henderson","doi":"10.1108/ijhg-04-2024-0045","DOIUrl":"https://doi.org/10.1108/ijhg-04-2024-0045","url":null,"abstract":"PurposeThis paper aims to highlight the factors influencing the conceptualisation of return on investment (ROI) from healthcare quality improvement (QI) programmes.Design/methodology/approachIn their previous work, the authors found that the concept of ROI from QI is broad and includes numerous internal and external benefits for organisations. In this paper, the authors developed a framework outlining the factors that influence this conceptualisation of QI-ROI from an institutional theory perspective. The framework is based on the synthesis of their serial studies on the determinants of the concept of ROI from QI. The research was performed from 2020–2023 and involved a global multidisciplinary systematic literature review (N = 68), qualitative interviews (N = 16) and a Delphi study (N = 23). The qualitative and Delphi studies were based on the publicly-funded mental healthcare in UK. Participants included board members, clinical and service directors, as well as QI leaders.FindingsThe authors outline a framework of internal and external institutional forces that influence the conceptualisation of ROI from QI programmes in mental healthcare and similar organisations. Based on these factors, the authors state several conjectures. In doing this, the authors highlight the ambiguities and uncertainties surrounding QI-ROI conceptualisation. These challenge leaders to balance various monetary and non-monetary benefits for organisations and health systems. This explains the broadness of the QI-ROI concept.Originality/valueThe authors developed a framework highlighting the forces underpinning the broad, ambiguous and sometimes uncertain nature of the QI-ROI concept. They raise awareness about dilemmas to be confronted in developing or applying any tool to evaluate the value for money of QI programmes. Specifically, the work highlights the limitations of the ROI methodology as a primary tool in the QI context and the need for a more comprehensive tool.","PeriodicalId":42859,"journal":{"name":"International Journal of Health Governance","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141919027","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

What influences perceptions about the concept of return on investment from healthcare quality improvement programmes? An institutional theory perspective 是什么影响了人们对医疗质量改进计划投资回报概念的看法？制度理论视角

IF 1.8

International Journal of Health Governance Pub Date : 2024-08-12 DOI: 10.1108/ijhg-04-2024-0045

S'thembile Thusini, T. Soukup, Claire Henderson

{"title":"What influences perceptions about the concept of return on investment from healthcare quality improvement programmes? An institutional theory perspective","authors":"S'thembile Thusini, T. Soukup, Claire Henderson","doi":"10.1108/ijhg-04-2024-0045","DOIUrl":"https://doi.org/10.1108/ijhg-04-2024-0045","url":null,"abstract":"PurposeThis paper aims to highlight the factors influencing the conceptualisation of return on investment (ROI) from healthcare quality improvement (QI) programmes.Design/methodology/approachIn their previous work, the authors found that the concept of ROI from QI is broad and includes numerous internal and external benefits for organisations. In this paper, the authors developed a framework outlining the factors that influence this conceptualisation of QI-ROI from an institutional theory perspective. The framework is based on the synthesis of their serial studies on the determinants of the concept of ROI from QI. The research was performed from 2020–2023 and involved a global multidisciplinary systematic literature review (N = 68), qualitative interviews (N = 16) and a Delphi study (N = 23). The qualitative and Delphi studies were based on the publicly-funded mental healthcare in UK. Participants included board members, clinical and service directors, as well as QI leaders.FindingsThe authors outline a framework of internal and external institutional forces that influence the conceptualisation of ROI from QI programmes in mental healthcare and similar organisations. Based on these factors, the authors state several conjectures. In doing this, the authors highlight the ambiguities and uncertainties surrounding QI-ROI conceptualisation. These challenge leaders to balance various monetary and non-monetary benefits for organisations and health systems. This explains the broadness of the QI-ROI concept.Originality/valueThe authors developed a framework highlighting the forces underpinning the broad, ambiguous and sometimes uncertain nature of the QI-ROI concept. They raise awareness about dilemmas to be confronted in developing or applying any tool to evaluate the value for money of QI programmes. Specifically, the work highlights the limitations of the ROI methodology as a primary tool in the QI context and the need for a more comprehensive tool.","PeriodicalId":42859,"journal":{"name":"International Journal of Health Governance","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141919551","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

Doctors only blame the patients: a systems analysis of polycystic ovarian syndrome (PCOS) 医生只指责患者：多囊卵巢综合征（PCOS）的系统分析

IF 1.8

International Journal of Health Governance Pub Date : 2024-08-08 DOI: 10.1108/ijhg-05-2024-0059

D. Mathur

{"title":"Doctors only blame the patients: a systems analysis of polycystic ovarian syndrome (PCOS)","authors":"D. Mathur","doi":"10.1108/ijhg-05-2024-0059","DOIUrl":"https://doi.org/10.1108/ijhg-05-2024-0059","url":null,"abstract":"PurposeThis study is conducted to understand an emerging public health problem in the garb of polycystic ovarian syndrome (PCOS) that affects about 6–21% of women in reproductive age from a systems perspective.Design/methodology/approachThe research is conducted in two phases. In phase 1, 15 women suffering from PCOS were interviewed to generate a knowledge map using an interpretive phenomenological research approach. The emerging themes were divided into four categories, namely individual, familial, societal, organizational, medical and systemic. In phase 2, five workshops were conducted with six invited actors to generate a causal loop diagram (CLD) of PCOS. The Standards for Reporting Qualitative Research (SRQR) are used in this study.FindingsA CLD from an individual's perspective with implications on organizational, societal and system levels.Research limitations/implicationsAwareness of “lifestyle diseases” is increasing, and this research shall help future studies put PCOS in the larger psychosocial context. The geographical location of respondents can be a limitation, as the causal linkages could only be true for the research site.Practical implicationsThe CLD provides a comprehensive understanding of complex emerging phenomenon of PCOS.Social implicationsThe paper draws attention to factors such as frequently changing doctors, withdrawal from work, medication fatigue, inclination to adopt due to infertility, etc.Originality/valueThis is the first such paper laying out the causal relationships between factors at the individual levels and connecting them to societal, organizational and system levels. This mapping can be useful for policymakers and industry leaders to empathize with PCOS sufferers so that their working conditions can be managed better.","PeriodicalId":42859,"journal":{"name":"International Journal of Health Governance","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141927108","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

Exploring the quality of life of palliative care patients: empirical evidence from India 探索姑息关怀患者的生活质量：来自印度的经验证据

IF 1.8

International Journal of Health Governance Pub Date : 2024-07-19 DOI: 10.1108/ijhg-02-2024-0020

S.S. Dulari, M. Dhanya, Indu Nair

{"title":"Exploring the quality of life of palliative care patients: empirical evidence from India","authors":"S.S. Dulari, M. Dhanya, Indu Nair","doi":"10.1108/ijhg-02-2024-0020","DOIUrl":"https://doi.org/10.1108/ijhg-02-2024-0020","url":null,"abstract":"PurposeThis research paper aims to study the achievement of the objectives set by the Government of Kerala through the Arogyakeralam Pain and Palliative Care project.Design/methodology/approachThe research paper delves into diverse facets of an individual’s well-being including medical, emotional, spiritual and social aspects, when confronted with an incurable and incapacitating disease through the intervention of the PPC project. This insightful study was conducted in the state of Kerala, India.FindingsThe analysis reveals that quality of life (QoL) is most influenced by spiritual, social and psychological factors. This paper raises pertinent questions about the effectiveness of PPC initiatives within the realm of medical care.Social implicationsThe thought, conception and preparation of the subject is on improving social health care by assessing the existing practices followed by the local governance. This, by far, would benefit millions by formulating appropriate policies for improving the QoL.Originality/valueThe Kerala model of health care has garnered global acclaim, standing shoulder to shoulder with the health systems of developed nations. Adopting “active total care” to address pain and allied indications, the Arogyakeralam palliative care program significantly enhances patients' QoL. The focus was to uplift the QoL of patients suffering from terminal illnesses post-pandemic.","PeriodicalId":42859,"journal":{"name":"International Journal of Health Governance","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141820769","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 role of governance in mitigating an epidemic disease: evidence from HIV prevalence in 45 Sub-Saharan African countries, 1996–2019 治理在缓解流行病方面的作用：1996-2019 年 45 个撒哈拉以南非洲国家艾滋病毒感染率的证据

IF 1.8

International Journal of Health Governance Pub Date : 2024-07-17 DOI: 10.1108/ijhg-10-2023-0099

Moonsoo Lee, Yunmin Nam

{"title":"The role of governance in mitigating an epidemic disease: evidence from HIV prevalence in 45 Sub-Saharan African countries, 1996–2019","authors":"Moonsoo Lee, Yunmin Nam","doi":"10.1108/ijhg-10-2023-0099","DOIUrl":"https://doi.org/10.1108/ijhg-10-2023-0099","url":null,"abstract":"PurposeThis study proposed a theoretical framework to illustrate how governance can be instrumental in preventing the proliferation of HIV. It decomposed governance into six multidimensional facets and empirically examined their effects on HIV prevalence.Design/methodology/approachThe study utilized panel data from 45 sub-Saharan African countries from 1996 to 2019. HIV prevalence, the dependent variable, was estimated based on the number of adults aged 15–49 years infected with HIV, irrespective of the progression to AIDS symptoms. The independent variables included governance and its six dimensions: voice and accountability, political stability, government effectiveness, regulatory quality, rule of law, and control of corruption. The analysis incorporated the random and fixed effects models while controlling for economic development, economic inequality, foreign aid, sanitation, and population.FindingsThe findings revealed a significant association between good governance and lower HIV prevalence. Improved governance quality in sub-Saharan African countries has led to a reduction in HIV prevalence among adults. Specifically, governance dimensions, such as voice and accountability, political stability, rule of law, and control of corruption, contributed to reducing HIV prevalence. Conversely, government effectiveness and regulatory quality did not show significant impacts on HIV prevalence.Originality/valueThis study underscores the significant role of good governance in effectively curbing the spread of epidemic diseases, highlighting its importance in controlling HIV in sub-Saharan African countries.","PeriodicalId":42859,"journal":{"name":"International Journal of Health Governance","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141639800","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

Editorial: IJHG author guidelines and policies 编辑：IJHG 作者指南和政策

IF 1.8

International Journal of Health Governance Pub Date : 2024-07-16 DOI: 10.1108/ijhg-06-2024-162

I. Ibragimova, H. Phagava

引用次数: 0

Appraisal of policy measures at the beginning of a pandemic: Empirical evidence from the first four months and 12 months of the COVID-19 pandemic 评估大流行初期的政策措施：COVID-19 大流行头四个月和十二个月的经验证据

IF 1.8

International Journal of Health Governance Pub Date : 2024-07-08 DOI: 10.1108/ijhg-05-2023-0053

Emile du Plessis

{"title":"Appraisal of policy measures at the beginning of a pandemic: Empirical evidence from the first four months and 12 months of the COVID-19 pandemic","authors":"Emile du Plessis","doi":"10.1108/ijhg-05-2023-0053","DOIUrl":"https://doi.org/10.1108/ijhg-05-2023-0053","url":null,"abstract":"PurposeThe rapid spread of the COVID-19 pandemic upended societies across the world, with billions forced into lockdowns. As countries contemplated instating and rolling back lockdown measures, and considered the impact of pandemic fatigue on policy measures, and furthermore to prepare for the improved management of future pandemics, this study examines the effectiveness of policy measures in limiting the spread of infections and fatalities.Design/methodology/approachThe methodological approach in the study centres on a fixed effects panel regression analysis and employs the COVID-19 Government Response Stringency Index, which comprises eight containment measures and three health campaigns, with progressive degrees of stringency, in order to investigate the efficacy of government policies.FindingsFindings suggest that some government policies were effective at reducing implicit mortality rates, infection cases and fatalities during the first four months of the COVID-19 pandemic. Solid stringency measures to reduce mortality rates include public gathering restrictions on more than 100 attendees, and international travel limits for developed countries and islands. Fatalities can further be reduced through the closing of public transport, whereas infection cases also experience benefits from public information campaigns. Comparable results are observed in a robustness test across 12 months.Originality/valueSome non-pharmaceutical policies are shown to be more effective than others at reducing the spread of infections, fatalities and mortality rates, and support policymakers to manage future pandemics more effectively.","PeriodicalId":42859,"journal":{"name":"International Journal of Health Governance","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141669562","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

Did the increase in birth grants result in higher births? Evidence from the Czech demographic and population policy change 生育补助金的增加是否导致了更高的出生率？捷克人口和人口政策变化的证据

IF 1.8

International Journal of Health Governance Pub Date : 2024-07-02 DOI: 10.1108/ijhg-04-2024-0036

Ondrˇej Dvouletý

{"title":"Did the increase in birth grants result in higher births? Evidence from the Czech demographic and population policy change","authors":"Ondrˇej Dvouletý","doi":"10.1108/ijhg-04-2024-0036","DOIUrl":"https://doi.org/10.1108/ijhg-04-2024-0036","url":null,"abstract":"PurposeThis research contributes to a better understanding of the effects of public demographic and population policy. The study investigates whether a considerable increase in birth grants in 2006 in the Czech Republic resulted in a higher number of births.Design/methodology/approachTo quantify the effects, we work with the administrative, statistical daily data (1993–2016) on the number of births and use time series analysis tools. In particular, we estimate a time series regression model via the ordinary least squares (OLS) technique with robust standard errors, testing placebo effects and the differences between the trend-forecasted values in the absence of the grant change.FindingsOur results, spread over several time windows covering up to a ten-year period after the intervention, show that the intervention significantly and positively affected the number of births in the post-intervention periods. The evidence obtained from the econometric analysis of the time series clearly shows that after the demographic and population policy change, there was an average increase of 17–19 births daily when the data was analysed up to 2016. Therefore, the conclusion is that the policy intervention led to expected and desired policy outcomes.Originality/valueThe study provides the stakeholders and policymakers with an experience of the public policy aiming to support fertility, which has reached its expectations.","PeriodicalId":42859,"journal":{"name":"International Journal of Health Governance","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141684379","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

Intersectional collaboration and the development of prevention infrastructures: a qualitative study 跨部门合作与预防基础设施的发展：定性研究

IF 1.3

International Journal of Health Governance Pub Date : 2024-06-14 DOI: 10.1108/ijhg-11-2023-0100

A. de Bekker, Païvi Reckman, Peter Kemper, Lidwien Lemmens

{"title":"Intersectional collaboration and the development of prevention infrastructures: a qualitative study","authors":"A. de Bekker, Païvi Reckman, Peter Kemper, Lidwien Lemmens","doi":"10.1108/ijhg-11-2023-0100","DOIUrl":"https://doi.org/10.1108/ijhg-11-2023-0100","url":null,"abstract":"PurposeInvesting in prevention could be of great benefit to public health. Especially for people with health risks, such as overweight, depressive symptoms, low social-economic status or people who experience loneliness or a sedentary lifestyle. In the Netherlands, different parties are responsible for financing and organising selective and indicated preventive interventions: the government, municipalities and health insurance companies. The aim of this study was two-fold: First, to describe the transition towards a sustainable prevention infrastructure. And second, to gain insight into barriers and facilitators associated with intersectoral collaboration regarding organising prevention for high-risk groups.Design/methodology/approachA longitudinal qualitative study was conducted among collaborative networks working together to build a prevention infrastructure. During a five-year study period, 86 semi-structured interviews were held. The COM-B model was used for data analysis.FindingsBarriers to intersectoral collaboration are: unknown (cost-)effectiveness, limited incentives to invest in collaboration, lack of clarity about responsibilities, differences in priorities and organisational culture between municipalities and health insurers. Facilitators are commitment, trust, sharing knowledge between parties, meeting regularly within the network and acknowledgement of mutual responsibilities. Also, national policy interventions targeted at the development of regional prevention infrastructures facilitated collaboration.Originality/valueThis study shows that collaboration regarding prevention is becoming increasingly common. It can be concluded that the transition towards a sustainable prevention infrastructure has started. The relationship between key stakeholders, like municipalities and health insurers, is generally stronger than it was five years ago. They have a better understanding of each other’s interests and expectations.","PeriodicalId":42859,"journal":{"name":"International Journal of Health Governance","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141344474","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

A self-assessment guide for readiness to govern 治理准备情况自我评估指南

IF 1.3

International Journal of Health Governance Pub Date : 2024-06-12 DOI: 10.1108/ijhg-04-2024-0035

Alex Berland

{"title":"A self-assessment guide for readiness to govern","authors":"Alex Berland","doi":"10.1108/ijhg-04-2024-0035","DOIUrl":"https://doi.org/10.1108/ijhg-04-2024-0035","url":null,"abstract":"PurposeThis viewpoint introduces a “Readiness Self-Assessment Guide” that can be used as a diagnostic tool to help health service governors and managers, particularly in Low-Middle Income Countries, or those in the early stages of developing their governance program.Design/methodology/approachThe approach uses the conceptual framework for governance developed by Barbazza and Tello (2014).FindingsThe Guide is based on five foundational elements or components of governance that frame the actual governance activities. The self-assessment process uses a sequence of real-world examples to help users of the Guide assess their organization’s “readiness” or current capacity to strengthen quality. A simple scoring process allows users to rate their organization’s progress through potential evolutionary steps. The resulting analysis is intended to be the starting point of a structured discussion among team members about priorities, enabling factors and constraints.Practical implicationsAssessment of the institutional context is a fundamental step that will enable quality teams to select the appropriate tools for their priority concerns. This Readiness Self-Assessment Guide can be used as part of that diagnostic assessment.Originality/valueThis paper is empirically derived from the author’s experience as a consultant helping health service organizations and governing authorities to develop health governance programs in several countries.","PeriodicalId":42859,"journal":{"name":"International Journal of Health Governance","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141352754","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