Health Services Management Research最新文献

Exploring cost changes with time-driven activity-based costing after service delivery redesign in Dutch maternity care. 探索荷兰孕产妇护理服务重新设计后以时间驱动的活动成本计算的成本变化。

IF 0.7

Health Services Management Research Pub Date : 2025-11-01 Epub Date: 2024-07-23 DOI: 10.1177/09514848241265770

Maud van den Berg, Hilco van Elten, Julia Spaan, Arie Franx, Kees Ahaus

{"title":"Exploring cost changes with time-driven activity-based costing after service delivery redesign in Dutch maternity care.","authors":"Maud van den Berg, Hilco van Elten, Julia Spaan, Arie Franx, Kees Ahaus","doi":"10.1177/09514848241265770","DOIUrl":"10.1177/09514848241265770","url":null,"abstract":"The implementation of Value-Based Healthcare (VBHC) has spread across international healthcare systems, aiming to improve decision-making by combining information about patient outcomes and costs of care. Time-Driven Activity-Based Costing (TDABC) is introduced as a pragmatic yet accurate method to calculate costs of care pathways. It is often applied to demonstrate value-improving opportunities, such as interventions aimed at service delivery redesign. It is imperative for healthcare managers to know whether these interventions yield the expected outcome of improving patient value, for which TDABC is also suitable. However, its application becomes more complex and labour intensive if the intervention extends beyond activity-level changes in existing care pathways, to the implementation of entirely new care pathways. The complexity arises from the potential influence of such interventions on the costs of related care pathways. To fully comprehend the impact of such interventions on organizational costs, it is important to include these factors in the cost calculation. Given the substantial effort required for this analysis, this may explain the limited number of prior TDABC studies with similar objectives. This methodological development paper addresses this gap by offering a pragmatic enrichment of the TDABC methodology. This enrichment is twofold. First, it provides guidance on calculating a change in costs without the need for a total cost calculation. Second, to secure granularity, a more detailed level of cost-allocation is proposed. The aim is to encourage further application of TDABC to conduct financial evaluations of promising interventions in the domain of VBHC and service delivery redesign.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"219-227"},"PeriodicalIF":0.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749233","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 impact of acquisition on quality of care among US home health agencies. 探索获取对美国家庭保健机构护理质量的影响。

IF 0.7

Health Services Management Research Pub Date : 2025-11-01 Epub Date: 2025-05-03 DOI: 10.1177/09514848251339735

Debra Winberg, Jillian Torres

{"title":"Exploring the impact of acquisition on quality of care among US home health agencies.","authors":"Debra Winberg, Jillian Torres","doi":"10.1177/09514848251339735","DOIUrl":"10.1177/09514848251339735","url":null,"abstract":"Background: Throughout the United States and Europe, the home health care industry is rapidly consolidating, with merger and acquisition (M&A) activity on the rise.Purpose: The consolidation of the industry raises questions about the impact that diminished competition may have on the quality of care being delivered.Research Design: This study utilizes a weighted, staggered difference-in-differences analysis.Study Sample: This study examines the impact of home health agency acquisition on quality of care among a sample of 10,184 home health agencies across the United States.Analysis: Utilizing publicly available data from the Outcome and Assessment Information Set (OASIS) and the Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS) from 2018 to 2022, this study investigates changes in clinical outcomes, organizational process measures, and patient experience.Results: The findings suggest there is a modest 1.07 percentage point improvement in process measures post-acquisition, but no significant changes in outcome or patient experience measures among the 169 agencies that were acquired during the study period.Conclusion: These findings suggest that, while integration has the potential to modestly improve home health process efficiency, there is very little benefit to patients.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"211-218"},"PeriodicalIF":0.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029789","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

Role of community health needs and assets assessment in promoting PHC-oriented models of care. 社区卫生需求和资产评估在促进以初级保健为导向的护理模式中的作用。

IF 0.7

Health Services Management Research Pub Date : 2025-11-01 Epub Date: 2025-08-07 DOI: 10.1177/09514848251365547

Hamid Ravaghi, Zhaleh Abdi, Samar Elfeky, Maha El-Adawy, Federico Lega, Awad Mataria

{"title":"Role of community health needs and assets assessment in promoting PHC-oriented models of care.","authors":"Hamid Ravaghi, Zhaleh Abdi, Samar Elfeky, Maha El-Adawy, Federico Lega, Awad Mataria","doi":"10.1177/09514848251365547","DOIUrl":"10.1177/09514848251365547","url":null,"abstract":"The Primary Health Care (PHC) approach is essential to ensuring that individuals and communities receive quality health services without financial hardship, thereby advancing Universal Health Coverage (UHC). PHC-oriented models of care promote people-centered services that are accessible, comprehensive, and responsive to the needs of individuals and communities. However, practical tools and approaches are needed to guide the shift from traditional disease-based models to integrated, people-centered systems tailored to diverse and evolving population needs. To facilitate this transition, the WHO Regional Office for the Eastern Mediterranean (EMRO) developed a Community Health Needs and Assets Assessment (CHNAA) guide to assist member states in integrating community voices into local health planning and decision-making, and aligning services with identified community priorities to advance PHC-oriented care. This perspective paper, grounded in a review of literature, policy guidance, and regional implementation experiences, outlines the rationale behind the guide, its core principles, and its potential to support health system reforms toward more resilient and equitable care in the Eastern Mediterranean Region (EMR).","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"228-231"},"PeriodicalIF":0.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800543","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

Primary care calls for more. 初级保健需要更多。

IF 0.7

Health Services Management Research Pub Date : 2025-11-01 Epub Date: 2025-08-26 DOI: 10.1177/09514848251374496

Federico Lega

引用次数: 0

Hybrid managers in an evolving healthcare: Does gender matter? 不断发展的医疗保健行业中的混合型管理者：性别是否重要？

IF 0.7

Health Services Management Research Pub Date : 2025-11-01 Epub Date: 2024-11-06 DOI: 10.1177/09514848241295584

Marco Sartirana, Roberta Montanelli

{"title":"Hybrid managers in an evolving healthcare: Does gender matter?","authors":"Marco Sartirana, Roberta Montanelli","doi":"10.1177/09514848241295584","DOIUrl":"10.1177/09514848241295584","url":null,"abstract":"IntroductionHybrid managers have the potential to respond to the need for more integrated, responsive and accountable healthcare. Scholars have studied the antecedents of hybridization, but the role of gender has been neglected. Therefore, we study whether and how gender impacts on the way in which medical professionals exercise their managerial role.MethodsWe adopted a qualitative approach in order to gain an in-depth understanding of the specificities of women hybrids. Data was collected through semi-structured interviews, focusing on hybrids in Italy in the field of neurology.ResultsWe found that women hybrids show specific abilities and motivations, but they also encounter a specific lack of opportunities. Women hybrid managers appear well positioned to foster the evolution of professionalism, but healthcare organizations should implement policies and practices to effectively support them.ConclusionWhile existing research has treated hybrid managers as a homogenous group, we underline the specificities of women hybrids. They can support the evolution of healthcare organizations towards logics of service integration, user centricity, and staff engagement. Therefore, our findings have important theoretical and practical implications for health policy and management.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"193-201"},"PeriodicalIF":0.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590898","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

Testing contingency theory to drive organizational change in community care: A case study in the Emilia Romagna Region. 测试权变理论以推动社区医疗的组织变革：艾米利亚-罗马涅地区的案例研究。

IF 0.7

Health Services Management Research Pub Date : 2025-11-01 Epub Date: 2024-07-19 DOI: 10.1177/09514848241265749

Irene Gabutti, Maria Pia Fantini, Chiara Reno

引用次数: 0

Health and well-being of staff in substance use services: The case of Scotland. 药物使用服务机构工作人员的健康和福利：以苏格兰为例。

IF 0.7

Health Services Management Research Pub Date : 2025-11-01 Epub Date: 2025-02-06 DOI: 10.1177/09514848251318296

Joshua Bird, Sarah Henning

{"title":"Health and well-being of staff in substance use services: The case of Scotland.","authors":"Joshua Bird, Sarah Henning","doi":"10.1177/09514848251318296","DOIUrl":"10.1177/09514848251318296","url":null,"abstract":"Background: Addressing high rates of drug and alcohol mortality requires a sustained commitment to supporting a resilient and skilled substance use workforce. Employee well-being in wider health and social care has been the subject of much empirical research, however there is a dearth of evidence specific to professionals working in substance use services.Methods: Data were derived from a cross-sectional survey of publicly-funded drug and alcohol services operating in Scotland during autumn 2021. Nested semi-log regression models estimated the associations between workplace characteristics and workforce composition, and the main outcome measure: non-Covid sickness absence. Qualitative data were analysed using thematic analysis.Results: 88 services, representing 43% of Scotland's drug and alcohol services, were included in the study. Factors significantly and positively associated with non-Covid sickness absence in multivariable analysis included average caseload per whole-time equivalent and number of whole-time equivalent clinical roles. Descriptive statistics show that vacancy rates and caseloads are comparatively higher in statutory services, and are also higher for clinical than non-clinical positions.Conclusion: This study revealed that and burnout leading to sickness absence are serious issues for frontline staff in drug and alcohol services, and these worsened during the Covid-19 pandemic. This research provides a foundation for validating the current findings via future large-scale longitudinal studies, and improving the well-being of people delivering health and social care services in substance use settings.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"202-210"},"PeriodicalIF":0.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257009","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

Coordinating patient care across multiple healthcare professionals: Essential factors and challenges. 跨多个医疗保健专业人员协调患者护理：基本因素和挑战。

IF 0.7

Health Services Management Research Pub Date : 2025-09-03 DOI: 10.1177/09514848251374968

Delphine Wannenmacher, Alejandra Duenas, Isabelle Flachere, Vera Ivanaj, Jennifer Ramone-Louis

引用次数: 0

At the core of the balanced scorecard: Understanding cause-and-effect relationships in health and social care. 平衡计分卡的核心是：理解健康和社会保健中的因果关系。

IF 0.7

Health Services Management Research Pub Date : 2025-08-28 DOI: 10.1177/09514848251374955

Gaia Bassani, Luca Piubello Orsini, Chiara Leardini

{"title":"At the core of the balanced scorecard: Understanding cause-and-effect relationships in health and social care.","authors":"Gaia Bassani, Luca Piubello Orsini, Chiara Leardini","doi":"10.1177/09514848251374955","DOIUrl":"https://doi.org/10.1177/09514848251374955","url":null,"abstract":"Healthcare organizations increasingly use performance management systems to ensure flexibility, service quality, and cost efficiency. In this context, the balanced scorecard (BSC) represents one of the most popular performance management tools for achieving these objectives. A crucial element that makes it widely employed is that it allows measures and perspectives to be linked through clearly defined cause-and-effect relationships. Nevertheless, despite its centrality in implementing BSC, a discussion regarding the effective interpretation of cause-and-effect relationships has sparked. In particular, the previous literature emphasizes the dichotomy between non-statistical causality, i.e., based on logical or finality relationships, and causality tested statistically. This study aims to investigate the nature of causal relationships between indicators and perspectives of BSC through a systematic literature review of studies conducted in the health and social care contexts. Findings reveal that both perspectives of causality can be identified; however, numerous directions for future research are possible for both. Overall, there is a need for more attention to theoretical perspectives supporting causal analysis. Furthermore, although the development of quantitative methodologies to support empirical analyses is remarkable, there is room for further improvement. Finally, the research focuses mainly on the organizational level, overlooking the role of BSC causality at other levels.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"9514848251374955"},"PeriodicalIF":0.7,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973607","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 factors leading to readiness for organizational health literacy change in community-based health organizations. 探讨导致社区医疗机构做好组织健康知识变革准备的因素。

IF 1.6

Health Services Management Research Pub Date : 2025-08-01 Epub Date: 2024-10-24 DOI: 10.1177/09514848241295655

Melanie Stone, Ricardo Wray, Jason Rosenfeld, Melissa Valerio-Shewmaker, Teresa Wagner

{"title":"An exploration of factors leading to readiness for organizational health literacy change in community-based health organizations.","authors":"Melanie Stone, Ricardo Wray, Jason Rosenfeld, Melissa Valerio-Shewmaker, Teresa Wagner","doi":"10.1177/09514848241295655","DOIUrl":"10.1177/09514848241295655","url":null,"abstract":"IntroductionHealthcare systems have a responsibility to improve organizational health literacy (OHL) to increase health equity. This study explored two organizational cultural factors, leadership support and staff buy-in, for organizations planning OHL change.MethodsTen community-based health organizations participated in an OHL program. The study design was mixed methods. The qualitative inquiry was interviews with senior leaders to explore awareness of OHL and: impetus to transform, leadership commitment, staff engagement, alignment to organizational goals, and integration of health literacy change with current practices. The quantitative assessment was the Organizational Readiness for Implementing Change (ORIC) questionnaire to assess staff's perceptions about OHL change readiness.ResultsSenior leaders articulated the effects of low health literacy in their patient and client population. Support for OHL change was seen at both leadership and staff levels. Impetus for change was primarily a response to a community need or for quality improvement. Most of the non-clinical organizations had higher ORIC scores than the clinical organizations, indicating a perceived higher level of readiness for OHL change.ConclusionLeadership commitment and staff buy-in are important factors of readiness for OHL change. A novel finding is that community-based health organizations are able and willing to engage in OHL change.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"146-153"},"PeriodicalIF":1.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510135","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