Health Services Management Research最新文献

The energy burden of care: Insights from a regional survey in Italian hospitals. 护理的能源负担：来自意大利医院区域调查的见解。

IF 0.7

Health Services Management Research Pub Date : 2026-05-01 Epub Date: 2026-01-13 DOI: 10.1177/09514848261416445

Michele Dolcini, Andrea Brambilla, Sofia Borghi, Beatrice Pattaro, Isabella Nuvolari Duodo, Stefano Capolongo

{"title":"The energy burden of care: Insights from a regional survey in Italian hospitals.","authors":"Michele Dolcini, Andrea Brambilla, Sofia Borghi, Beatrice Pattaro, Isabella Nuvolari Duodo, Stefano Capolongo","doi":"10.1177/09514848261416445","DOIUrl":"10.1177/09514848261416445","url":null,"abstract":"IntroductionHospitals are among the most energy-intensive public infrastructures due to their continuous operations and complex systems. Despite the strategic importance of energy management in healthcare, detailed benchmarks for hospital energy costs remain limited in Italy.MethodsThis study analyzes energy-related facility management expenditures in 27 public hospitals in Lombardy between 2019 and 2022. Data were collected via a structured survey, focusing on electricity and heating expenditures. Parametric values were calculated in €/sqm and hospitals were classified by complexity (Basic, DEA I, DEA II).ResultsThe results reveal that energy costs represent approximately 48% of total facility management expenses. Over the 4-year period, total energy expenditures rose by 51.22%, with the most significant increases in 2021-2022. Parametric values varied by hospital type: from €71.64/sqm in Basic Hospitals to €101.65/sqm in DEA II. Though newer buildings generally showed lower energy costs, building age alone did not fully explain cost variability.ConclusionsThe study provides a first benchmarking effort on hospital energy costs in the Italian context. The findings highlight the need for energy monitoring, retrofitting, and the adoption of efficiency-oriented management strategies, providing actionable insights for infrastructure planning and healthcare policy.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"108-114"},"PeriodicalIF":0.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967498","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

Enhancing diversity and inclusion in paramedic education: Exploring educator and learner perspectives on asset-based initiatives. 加强护理教育的多样性和包容性：探索基于资产的倡议的教育者和学习者的观点。

IF 0.7

Health Services Management Research Pub Date : 2026-05-01 Epub Date: 2025-12-01 DOI: 10.1177/09514848251398807

Karina Graham, Ufuoma Jones, Tracey Rehling, Julia M Carroll, Rosie Kneafsey, Barbara Kozlowska, Amanda Rodrigues Amorim Adegboye

{"title":"Enhancing diversity and inclusion in paramedic education: Exploring educator and learner perspectives on asset-based initiatives.","authors":"Karina Graham, Ufuoma Jones, Tracey Rehling, Julia M Carroll, Rosie Kneafsey, Barbara Kozlowska, Amanda Rodrigues Amorim Adegboye","doi":"10.1177/09514848251398807","DOIUrl":"10.1177/09514848251398807","url":null,"abstract":"This study investigates the perspectives of paramedic educators and students on diversity and inclusion within UK paramedic education, with a focus on the application of the Asset-Based Community Development (ABCD) framework. Using a mixed-methods approach, data was collected from interviews with seven educators, a focus group with four ethnic minority students, a workshop involving 36 third-year students, and a survey completed by 225 students. Educators were predominantly young, White males with limited teaching experience. While many educators were unfamiliar with ABCD, they unknowingly employed asset-based practices and expressed support for its formal integration. Students reported limited ethnic diversity among peers and staff, with some having witnessed discrimination and others highlighting barriers such as cultural insensitivity, inadequate mentorship, and financial pressures. Qualitative themes revealed gaps in communication, a lack of cultural representation and inconsistent support structures. Students saw potential in the ABCD approach to foster inclusivity, but both educators and students stressed the need for institutional commitment. The study concludes that improving diversity in paramedic education requires a multifaceted strategy, including culturally responsive pedagogy, targeted outreach, mentorship programmes and systemic institutional reforms to support ethnic minority learners and enhance equity in educational outcomes.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"82-93"},"PeriodicalIF":0.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145656022","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

Why "health in all policies" matters: Insights from the EHMA 2025 conference. 为什么“健康在所有政策中”很重要：来自EHMA 2025会议的见解。

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Health Services Management Research Pub Date : 2026-05-01 Epub Date: 2026-04-01 DOI: 10.1177/09514848261441137

Francesca Ferrè

引用次数: 0

Designing and delivering managerial training for the turnaround of a National Health System. Lessons and reflections from research evidence and field work in the Romanian NHS. 为国家卫生系统的转型设计和提供管理培训。经验教训和反思从研究证据和实地工作在罗马尼亚国民保健服务。

IF 0.7

Health Services Management Research Pub Date : 2026-05-01 Epub Date: 2025-12-16 DOI: 10.1177/09514848251407051

Elena Maggioni, Giada Castellini, Bogdan Baciu, Mafaten Chaouali, Tomas Zapata Lopez, Alexandru Rafila, Cristian Vlădescu, Teodor Cristian Blidaru, Nicolae Dragos Garofil, Federico Lega

{"title":"Designing and delivering managerial training for the turnaround of a National Health System. Lessons and reflections from research evidence and field work in the Romanian NHS.","authors":"Elena Maggioni, Giada Castellini, Bogdan Baciu, Mafaten Chaouali, Tomas Zapata Lopez, Alexandru Rafila, Cristian Vlădescu, Teodor Cristian Blidaru, Nicolae Dragos Garofil, Federico Lega","doi":"10.1177/09514848251407051","DOIUrl":"10.1177/09514848251407051","url":null,"abstract":"Contemporary scholarships in leadership and management increasingly emphasizes the centrality of competent leaders and professionals in enhancing performance at both organizational and system levels, particularly within public health systems facing growing demands for sustainability and reform. Despite initial efforts across various National Health Systems (NHSs) to strengthen managerial capabilities, progress remains constrained by structural path-dependencies and professional bureaucracies. This study investigates the design and implementation of a large-scale, competency-based managerial training program within the Romanian NHS, developed between 2023 and 2024 with the support of the Ministry of Health and the World Health Organization. The intervention followed a multi-phase approach, including a comprehensive literature review and a national needs assessment involving 1200 stakeholders through semistructured interviews and online surveys. A Training-of-Trainers (ToT) scheme was delivered to 150 selected participants by academic experts from Italy, Spain, and Portugal. These trainers subsequently facilitated system-wide training activities, reaching up to 5000 clinical leaders and managers across the country. Findings underscore the strategic relevance of tailored training initiatives in advancing competence-based human resource management. Common training needs identified include leadership, strategic planning, ethics, change management, and systems thinking. The Romanian experience offers transferable insights for designing context-sensitive training programs capable of fostering system-wide organizational transformation in other transitioning health systems.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"94-107"},"PeriodicalIF":0.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764132","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

Examining healthcare staff views and experiences with equity, diversity, and inclusion (EDI) in a multi-disciplinary healthcare setting: A mixed methods needs assessment to advance inclusive excellence. 在多学科医疗保健环境中检查医疗保健人员对公平、多样性和包容性（EDI）的看法和经验：需要对混合方法进行评估，以促进包容性卓越。

IF 0.7

Health Services Management Research Pub Date : 2026-05-01 Epub Date: 2025-10-09 DOI: 10.1177/09514848251387042

Lauren R Squires, Logan Meyers, Myann Marks, Eryn Tong, Ekaterina An, Camilla Zimmermann, Jacqueline L Bender

{"title":"Examining healthcare staff views and experiences with equity, diversity, and inclusion (EDI) in a multi-disciplinary healthcare setting: A mixed methods needs assessment to advance inclusive excellence.","authors":"Lauren R Squires, Logan Meyers, Myann Marks, Eryn Tong, Ekaterina An, Camilla Zimmermann, Jacqueline L Bender","doi":"10.1177/09514848251387042","DOIUrl":"10.1177/09514848251387042","url":null,"abstract":"Equity, diversity, and inclusion (EDI) is increasingly identified as a priority in healthcare organizations and an essential component of high-quality care. However, research on advancing EDI in healthcare workplaces is limited. This study sought to elucidate how to advance inclusive excellence in a clinical department of a comprehensive cancer centre. A mixed-methods quality improvement project was undertaken whereby staff completed an online survey, and a sub-group were interviewed. Quantitative data were summarized using descriptive statistics and univariate regression analyses and qualitative data were analyzed using thematic analysis. 103 of 219 staff/learners completed the survey and 17 staff were interviewed. Over 90% of survey participants agreed EDI should be a priority and 29% had experienced discrimination, which was associated with considering leaving the organization. Facilitators to EDI were: enthusiasm/awareness of EDI, openness to new ideas, gender diversity, and safe environments for self-expression. Barriers to EDI were lack of: EDI knowledge, cohesion/collaboration, psychological safety, diversity along various dimensions, EDI-related communication, and burnout. To advance departmental EDI, initiatives should leverage facilitators and overcome barriers to meet department needs aligning with organizational goals. These findings will inform the development of a story huddle learning series to strengthen EDI-related knowledge and skills.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"66-81"},"PeriodicalIF":0.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13062439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259668","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}

引用次数: 0

An exercise in the prioritization of patient experience dimensions: What is important and for whom? A resource allocation simulation. 对患者体验维度进行优先排序的练习：什么是重要的，对谁重要？资源分配模拟。

IF 0.7

Health Services Management Research Pub Date : 2026-03-23 DOI: 10.1177/09514848261435936

Anne-Sophie Gresle, Joan Fernando, Rosario Scandurra, Brittany Taylor, Begoña Ibañez, Jessica Farré, Eva Palou, Olga Rubio, Joan Escarrabill

{"title":"An exercise in the prioritization of patient experience dimensions: What is important and for whom? A resource allocation simulation.","authors":"Anne-Sophie Gresle, Joan Fernando, Rosario Scandurra, Brittany Taylor, Begoña Ibañez, Jessica Farré, Eva Palou, Olga Rubio, Joan Escarrabill","doi":"10.1177/09514848261435936","DOIUrl":"https://doi.org/10.1177/09514848261435936","url":null,"abstract":"IntroductionPatient experience (PX) is now recognized as the third pillar of healthcare quality, with evidences linking PX dimensions to improved clinical outcomes. As health systems shift toward value-based care, understanding which aspects of care citizens value most is essential for aligning services with their expectations and improving health outcomes.MethodologyThis study explores how citizens (n = 78; 29 men, 49 women) prioritize PX dimensions, through a simulation conducted during an open day at a University Hospital. Participants at the PX team's outreach stand received information on seven PX dimensions-Information, Therapeutic education, Physical environment, Participation in service governance, Shared decision-making, Professional accessibility, and Respectful treatment-identified through literature and over 70 focus groups. Each was asked to allocate a simulated 500€ budget across these dimensions using play money. Color-coded envelopes were distributed based on gender identity.ResultsParticipants prioritized Professional accessibility (22%), followed by Therapeutic education (17%) and Respectful treatment (17%). Shared decision-making (12%), Information (11%), Participation (11%), and Physical environment (10%) followed. Gender differences were observed: while both men and women placed highest value on Professional accessibility (21%), men favoured Therapeutic education (19% vs 16%), while women prioritized Respectful treatment (18% vs 14%).ConclusionsThese findings highlight the potential of participatory approaches to reveal citizens' true priorities, informing more targeted, equitable, and people-centred strategies. By aligning PX improvements with dimensions citizens value most, particularly accessibility, education, and respectful care, healthcare systems can enhance both responsiveness and overall quality.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"9514848261435936"},"PeriodicalIF":0.7,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500149","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

Foundations to frontiers: Charting the evolution of healthcare operations management and the patient journey. 从基础到前沿：描绘医疗运营管理和患者旅程的演变。

IF 0.7

Health Services Management Research Pub Date : 2026-03-19 DOI: 10.1177/09514848261435947

Rossella Pellegrino, Corrado Cuccurullo, Stefano Villa

{"title":"Foundations to frontiers: Charting the evolution of healthcare operations management and the patient journey.","authors":"Rossella Pellegrino, Corrado Cuccurullo, Stefano Villa","doi":"10.1177/09514848261435947","DOIUrl":"https://doi.org/10.1177/09514848261435947","url":null,"abstract":"PurposeThis study provides a systematic analysis of key literature in healthcare Operations Management (OM), examining its evolution from manufacturing-based approaches to modern healthcare applications. It addresses two main questions: the insights gained from a bibliometric review, such as publication trends, influential authors and institutions, and emerging themes; and how OM has developed over time within healthcare, identifying key thematic shifts.MethodUsing a hybrid method that combines bibliometric and content analysis, the authors examined 604 English-language research papers from the Web of Science Core Collection™, focusing on healthcare and operations research journals. The analysis followed three steps: (1) using the histograph method to trace citation patterns and identify influential publications; (2) applying thematic evolution mapping to explore how research themes have developed across time; and (3) conducting content analysis to understand thematic clusters more deeply.ResultsResults show that early OM research emphasized strategic decision-making and efficiency in clinical areas like operating rooms and emergency departments. Over time, the field incorporated practical tools such as Lean, Six Sigma, and simulation models. More recently, the focus has shifted toward patient-centered care, with growing use of big data and artificial intelligence. These findings contribute to a theoretical framework and offer guidance for future research, healthcare managers, and policymakers.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"9514848261435947"},"PeriodicalIF":0.7,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487847","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 future of Primary Health Care in Italy: needs, concerns and aspirations of physicians in training. 意大利初级卫生保健的未来：培训医生的需求、关切和愿望。

IF 0.7

Health Services Management Research Pub Date : 2026-03-03 DOI: 10.1177/09514848261427146

Martina Consoloni, Annette Corraro, Luigi Maria Bracchitta, Barbara D'Avanzo, Alessia Antonella Galbussera, Igor Monti, Angelo Barbato, Giorgio Sessa, Arianna Giusti, Alessandro Nobili

{"title":"The future of Primary Health Care in Italy: needs, concerns and aspirations of physicians in training.","authors":"Martina Consoloni, Annette Corraro, Luigi Maria Bracchitta, Barbara D'Avanzo, Alessia Antonella Galbussera, Igor Monti, Angelo Barbato, Giorgio Sessa, Arianna Giusti, Alessandro Nobili","doi":"10.1177/09514848261427146","DOIUrl":"https://doi.org/10.1177/09514848261427146","url":null,"abstract":"Background: The COVID-19 pandemic exposed longstanding weaknesses in Italy's primary care system. In response, the country launched a reform aligned with Primary Health Care (PHC) principles, including the creation of Community Health Houses (CHH). However, little is known about how future physicians perceive their training and preparedness for this evolving landscape. Purpose and research design: This paper draws on a 2024 national cross-sectional exploratory survey of trainees in General Practice (GP) and Primary Care and Community Medicine (PCCM). Descriptive analysis explores trainees' motivations for choosing the GP or PCCM pathway, their perceptions of training adequacy, and their career aspirations and concerns within the context of ongoing reform. Results: Both groups reported gaps in training. Many GP trainees called for curricular reform and improved contractual conditions, while PCCM trainees expressed frustration with regulatory barriers preventing them from practising as GPs. Perceptions of CHH diverged: GP trainees were often sceptical, whereas PCCM trainees viewed them as coherent with their training and professional orientation. Conclusions: This study offers the first national evidence on how future professionals position themselves within the Italian primary reform, shedding light on the conditions influencing their engagement with change. The findings point to the need for strategies aligning training, organisational models, and regulation frameworks to support the transition to a PHC-oriented system.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"9514848261427146"},"PeriodicalIF":0.7,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147345232","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

Healthcare organization mergers and quality of care: Evidence from the Italian National Health Service. 医疗保健组织合并和护理质量：来自意大利国家卫生服务的证据。

IF 0.7

Health Services Management Research Pub Date : 2026-02-18 DOI: 10.1177/09514848261422167

Andrea Mariani, Mario Daniele, Antonella Cifalinò

{"title":"Healthcare organization mergers and quality of care: Evidence from the Italian National Health Service.","authors":"Andrea Mariani, Mario Daniele, Antonella Cifalinò","doi":"10.1177/09514848261422167","DOIUrl":"https://doi.org/10.1177/09514848261422167","url":null,"abstract":"PurposeThe increasing frequency and relevance of mergers have significantly impacted the healthcare industry in recent decades. A recurring topic in the ensuing debate is whether and how hospitals achieve quality-of-care benefits post-merger. Italy offers a useful case study: with Italian hospital facilities adopting the National Outcomes Program (NOP) to measure quality of care, this research compares quality-of-care indicators reported by merged and non-merged public hospitals.Design/methodology/approachThe paper analyzes the impact of mergers on the quality of care among all Italian public hospitals (N = 466) during 2012-2019. Hospitals involved in mergers (N = 155) were compared to the control group through t-tests and a panel regression analysis of 13 indicators. To better isolate the Average Treatment Effect (ATE) of mergers on NOP indicators, the study develops a Difference-in-Differences model with a multiple-period estimator.FindingsResults generally show that hospitals improved their quality-of-care performance from pre- to post-merger. However, a more detailed comparison reveals a slight worsening of clinical outcomes and a significant deterioration in treatment processes in the post-merger period.Originality/valueThis study enriches the debate on HCO mergers by illustrating their complex impact on quality of care at the hospital facility level. Accordingly, both HCO managers and policymakers must carefully plan and monitor mergers to avoid disruption and ensure continuity in care. Limitations include a single-country focus and the use of 13 indicators selected from the broader set of over 190 quality-of-care measures published annually by the NOP.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"9514848261422167"},"PeriodicalIF":0.7,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214574","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

Stay meaningful. Research what matters. 保持有意义的。研究什么是重要的。

IF 0.7

Health Services Management Research Pub Date : 2026-01-05 DOI: 10.1177/09514848251412865

Federico Lega

引用次数: 0