Health Services Management Research最新文献

Financial management, efficiency, and care quality: A systematic review in the context of Health 4.0. 财务管理、效率和医疗质量：健康 4.0 背景下的系统回顾。

IF 1.6

Health Services Management Research Pub Date : 2025-05-01 Epub Date: 2024-08-28 DOI: 10.1177/09514848241275783

Ricardo do Carmo Filho, Pedro Pereira Borges

{"title":"Financial management, efficiency, and care quality: A systematic review in the context of Health 4.0.","authors":"Ricardo do Carmo Filho, Pedro Pereira Borges","doi":"10.1177/09514848241275783","DOIUrl":"10.1177/09514848241275783","url":null,"abstract":"This article investigates the intersection between innovation, Health 4.0, and financial management in the healthcare industry, emphasizing the importance of operational efficiency and quality of care. The study aims to analyze how financial management processes in healthcare relate to Health 4.0 and enhance care quality. It begins with a thorough theoretical grounding, proposing a framework that connects Health 4.0 with financial management practices. A systematic review of the literature was conducted, identifying trends, challenges, and opportunities in the financial management of Health 4.0. The results highlight selected articles on responsible innovation, Health 4.0 technologies, investments in health, hospital efficiency, performance forecasting, and high-cost patient management. These articles were clustered into \"Data Analysis and Machine Learning in Healthcare\" and \"Health Management and Sustainability,\" providing a categorized understanding of the topics. The study reveals that Health 4.0 offers significant opportunities for process efficiency and cost reduction without compromising service quality. It highlights strategic advantages in addressing contemporary healthcare challenges by optimizing processes, improving financial projections, and incorporating advanced technologies efficiently. The successful implementation of Health 4.0 can lead to substantial improvements in service quality, adding value to patients and driving local economic development. This article offers valuable insights for healthcare professionals and managers, emphasizing the transformative potential of Health 4.0 and outlining strategies for its effective implementation. The clustering of articles provides a clearer understanding of current research in Health 4.0, contributing significantly to the field and guiding future research directions.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"107-119"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082215","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

Factors influencing use of eHealth services during and after the COVID-19 pandemic. 影响在 COVID-19 大流行期间和之后使用电子保健服务的因素。

IF 1.6

Health Services Management Research Pub Date : 2025-05-01 Epub Date: 2024-08-23 DOI: 10.1177/09514848241275777

Korina Katsaliaki

{"title":"Factors influencing use of eHealth services during and after the COVID-19 pandemic.","authors":"Korina Katsaliaki","doi":"10.1177/09514848241275777","DOIUrl":"10.1177/09514848241275777","url":null,"abstract":"ObjectivesThe rapid advancement of information and communication technologies has made eHealth applications increasingly available and accessible. The COVID-19 pandemic has accelerated the need for remote health service provision. This research aims to explore the usage, perceptions, and knowledge of eHealth interventions during and after the COVID-19 pandemic.MethodsA cross-sectional survey was conducted in 2021 (during the pandemic) and 2023 (post-pandemic) using a structured questionnaire based on the Technology Acceptance Model (TAM) and the eHealth Literacy Scale (eHEALS). The survey, conducted in Greece, included 638 participants in total (277 in 2021 and 361 in 2023). Structural equation modeling was employed to assess the factors influencing eHealth adoption.ResultsThe findings indicate a slight increase in positive perceptions of eHealth usefulness, intention to use, and actual usage over the 2 years. However, concerns remain regarding the ease of use and eHealth literacy. eHealth literacy significantly predicts the perceived usefulness and ease of use of eHealth services, both of which predict the intention to use them. Additionally, higher education levels are positively associated with eHealth literacy, while older age is negatively associated with ease of use. Gender did not significantly impact these factors. These findings were consistent across both surveys.ConclusionsPolicy-makers should focus on simplifying eHealth services, removing technical barriers, and enhancing the population's eHealth literacy to promote wider adoption of eHealth services.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"97-106"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037333","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

How excellent can centres of excellence be? The impact of prevalence on service quality. 卓越中心能有多卓越？普遍性对服务质量的影响。

IF 1.6

Health Services Management Research Pub Date : 2025-05-01 Epub Date: 2024-08-10 DOI: 10.1177/09514848241270844

David Martin Foreman

引用次数: 0

Year nine (and why clinical leadership is no longer optional).

IF 1.6

Health Services Management Research Pub Date : 2025-05-01 Epub Date: 2025-02-10 DOI: 10.1177/09514848251321158

Federico Lega

引用次数: 0

Institutional influences on healthcare service innovation: Lessons from German rehabilitation clinics. 制度对医疗服务创新的影响：德国康复诊所的经验教训。

IF 1.6

Health Services Management Research Pub Date : 2025-05-01 Epub Date: 2024-08-20 DOI: 10.1177/09514848241275788

Bettina Kriegl, Herbert Woratschek, Andrea Raab

引用次数: 0

"They say they listen. But do they really listen?": A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial. "他们说他们会倾听。但他们真的倾听了吗？医院医生对组织失聪、脱节和否认的定性研究。

IF 1.6

Health Services Management Research Pub Date : 2025-05-01 Epub Date: 2024-05-31 DOI: 10.1177/09514848241254929

Jennifer Creese, John Paul Byrne, Edel Conway, Gerard O'Connor, Niamh Humphries

{"title":"\"They say they listen. But do they really listen?\": A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial.","authors":"Jennifer Creese, John Paul Byrne, Edel Conway, Gerard O'Connor, Niamh Humphries","doi":"10.1177/09514848241254929","DOIUrl":"10.1177/09514848241254929","url":null,"abstract":"The sharing of information and feedback directly from service-providing staff to healthcare organisational management is vital for organisational culture and service improvement. However, hospital doctors report feeling unable to communicate effectively with management to provide evidence and affect improvement, and this can impact job satisfaction, workplace relations, service delivery and ultimately patient safety. In this paper, we draw on data elicited from a Mobile Instant Messaging Ethnography (MIME) study involving 28 hospital doctors working in Irish hospitals, to explore the barriers preventing them from speaking up and effecting change, and the impact of this on staff morale and services. We identify three major barriers, consistent with previous literature, to effective feedback and communication: (1) organisational deafness, (2) disconnect between managers and frontline staff, and (3) denial of the narratives and issues raised. We draw these together to identify key implications from these findings for healthcare managers, and suggest policy and practice improvements.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"62-70"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141180993","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

Competing in the "war for talent" in nursing homes: A quantitative investigation. 养老院的 "人才争夺战"：定量调查。

IF 1.6

Health Services Management Research Pub Date : 2025-05-01 Epub Date: 2024-08-05 DOI: 10.1177/09514848241270767

Irene Gabutti, Lorena Martini, Daniele Pandolfi, Luigi Apuzzo, Domenico Mantoan

{"title":"Competing in the \"war for talent\" in nursing homes: A quantitative investigation.","authors":"Irene Gabutti, Lorena Martini, Daniele Pandolfi, Luigi Apuzzo, Domenico Mantoan","doi":"10.1177/09514848241270767","DOIUrl":"10.1177/09514848241270767","url":null,"abstract":"PurposeThis study explores the characteristics of primary care organizations that are likely to attract and retain highly skilled professionals, meeting their expectations and increasing Person-Organization fit. Both \"hard\" dimensions (ownership) and organizational/managerial traits under the span of control of management are investigated. The objective is to raise awareness on how to mitigate unpopular features of primary healthcare organizations so to effectively compete in the war for talent.MethodsThis study has been carried out based on data extrapolated from a broader study conducted by the Italian National Agency for Regional Health Services and commissioned by the Italian Ministry of Health. Data deriving from Italian nursing homes was extrapolated from the broader public dataset and multiple regressions were carried out to detect associations between managerial variables and staff seniority.FindingsSeveral significant associations were detected, suggesting that both physicians and nurses are affected by some investigated variables when deciding where to work and for how long. While some of these are common to the two categories of professionals (e.g., the presence of a nursing director), others are not (e.g., the presence of internal training programs).Original valueThe implications of this study are related to the need of increasing awareness of managers of nursing homes on those features that are likely to increase their attractiveness and long-lasting appeal to professionals. This is a paramount topic in times in which the war for talent is strong. A lack of attention on this field may lead to the inability to attract and retain staff in primary care settings and, in turn, to implement strategic trends of change healthcare systems are facing in Italy and worldwide.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"80-87"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894578","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

Maintaining health service during COVID-19: A study on regional health services. 在 COVID-19 期间维持医疗服务：地区医疗服务研究。

IF 1.6

Health Services Management Research Pub Date : 2025-05-01 Epub Date: 2024-06-14 DOI: 10.1177/09514848241254931

Luca Giorgio, Federica Morandi, Americo Cicchetti

引用次数: 0

Health and well-being of staff in substance use services: The case of Scotland.

IF 1.6

Health Services Management Research Pub 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":"https://doi.org/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":"9514848251318296"},"PeriodicalIF":1.6,"publicationDate":"2025-02-06","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

Sustainable quality management in hospitals: The experiences of healthcare quality managers. 医院可持续质量管理:医疗质量管理者的经验。

IF 1.6

Health Services Management Research Pub Date : 2025-02-01 Epub Date: 2023-11-24 DOI: 10.1177/09514848231218631

Fien Claessens, Eva Marie Castro, Deborah Seys, Jonas Brouwers, Astrid Van Wilder, Anneke Jans, Dirk De Ridder, Kris Vanhaecht

{"title":"Sustainable quality management in hospitals: The experiences of healthcare quality managers.","authors":"Fien Claessens, Eva Marie Castro, Deborah Seys, Jonas Brouwers, Astrid Van Wilder, Anneke Jans, Dirk De Ridder, Kris Vanhaecht","doi":"10.1177/09514848231218631","DOIUrl":"10.1177/09514848231218631","url":null,"abstract":"Background: Quality management systems are essential in hospitals, but evidence shows a real literature gap on the sustainable implementation of quality.Purpose: This study aimed to explore and identify enablers towards sustainable quality management in hospitals. Research design and Study Sample: Interviews were conducted with 23 healthcare quality managers from 20 hospitals. Data collection and/or Analysis: Data collection and analysis were conducted simultaneously by using the Qualitative Analysis Guide of Leuven and following the COREQ Guidelines. Thematic analysis from interview transcripts was performed in NVivo 12.Results: The results reveal two categories: (1) quality in the organisation's DNA and (2) quality in the professional's DNA. The first category consists of: bottom-up and top-down management, the organisation-wide integration of quality and an organisational culture shift. The second one consists of: quality awareness, understanding the added value, the encouragement and engagement, the accountability and ownership for quality. Moving towards sustainable quality management systems in hospitals requires a good interaction between a bottom-up approach and leadership to ensure continuous support from healthcare stakeholders.Conclusions: This study contributes to existing conceptual and theoretical foundations with practical insights into sustainable quality management. The findings can guide quality departments and hospital management to regain professionals' commitment to quality and to establish a sustainable quality management system.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"50-57"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138435233","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