Health Services Management Research最新文献_第10页

Evaluation of mobbing perception levels of health employees. 医务人员对人群骚扰感知水平的评价。

IF 2.1

Health Services Management Research Pub Date : 2022-05-01 Epub Date: 2021-04-11 DOI: 10.1177/09514848211001689

Nurcan Hamzaoglu, Asli Yayak, Burcu Turk

{"title":"Evaluation of mobbing perception levels of health employees.","authors":"Nurcan Hamzaoglu, Asli Yayak, Burcu Turk","doi":"10.1177/09514848211001689","DOIUrl":"https://doi.org/10.1177/09514848211001689","url":null,"abstract":"The objective of this study was to evaluate the mobbing perception levels of health workers, who were mobbed and to determine whether the socio-demographic characteristics of the employees made a significant difference in the perception of mobbing. Within the scope of the study, the mobbing perception levels of 516 healthcare personnel were evaluated by using relational screening model. In order to collect data, socio-demographic data form and Leymann Psychological Terrorist Scale developed by Heinz Leymann were used. As a result of the study, 70.0% of the participants who were exposed to mobbing reported that they were exposed to mobbing behaviors by their managers. The Leymann Psychological Terrorism Scale was found to be 1.49. Mobbing behaviors that affect self-disclosure and communication possibilities is the most common bullying behavior that the participants were exposed (x̄: 1.73). As a result, the data suggested that company policies rather than demographic characteristics of individuals are effective in the exposure to mobbing behaviors. It is thought that the cultural structures of the societies and the individuals' knowledge about which behaviors can be evaluated as mobbing have an effect on the mobbing perception levels of the individuals. Accepting mobbing behaviors as a normal situation in hierarchical structure or interpersonal relationships is one of the important problems in prevention. For this reason, one of the most important steps in the prevention of mobbing is to ensure that both managers and employees are informed about mobbing.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":"35 2","pages":"74-82"},"PeriodicalIF":2.1,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/09514848211001689","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25580811","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: 2

The interaction between high-level electronic medical record adoption and hospitalist staffing levels: A focus on value-based purchasing. 高水平电子病历采用与医院人员配备水平之间的相互作用:关注基于价值的采购。

IF 2.1

Health Services Management Research Pub Date : 2022-05-01 Epub Date: 2021-03-16 DOI: 10.1177/09514848211001696

Kate Jiayi Li, Mona Al-Amin

{"title":"The interaction between high-level electronic medical record adoption and hospitalist staffing levels: A focus on value-based purchasing.","authors":"Kate Jiayi Li, Mona Al-Amin","doi":"10.1177/09514848211001696","DOIUrl":"https://doi.org/10.1177/09514848211001696","url":null,"abstract":"Objective: This study sought to understand the relationship of hospital performance with high-level electronic medical record (EMR) adoption, hospitalists staffing levels, and their potential interaction.Materials and methods: We evaluated 2,699 non-federal, general acute hospitals using 2016 data merged from four data sources. We performed ordinal logistic regression of hospitals' total performance score (TPS) on their EMR capability and hospitalists staffing level while controlling for other market- and individual-level characteristics.Results: Hospitalists staffing level is shown to be positively correlated with TPS. High-level EMR adoption is associated with both short-term and long-term improvement on TPS. Large, urban, non-federal government hospitals, and academic medical centers tend to have lower TPS compared to their respective counterparts. Hospitals belonging to medium- or large-sized healthcare systems have lower TPS. Higher registered nurse (RN) staffing level is associated with higher TPS, while higher percentage of Medicare or Medicaid share of inpatient days is associated with lower TPS.Discussion: Although the main effects of hospitalists staffing level and EMR capability are significant, their interaction is not, suggesting that hospitalists and EMR act through separate mechanisms to help hospitals achieve better performance. When hospitals are not able to invest on both simultaneously, given financial constraints, they can still reap the full benefits from each.Conclusion: Hospitalists staffing level and EMR capability are both positively correlated with hospitals' TPS, and they act independently to bolster hospital performance.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":"35 2","pages":"66-73"},"PeriodicalIF":2.1,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/09514848211001696","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25484387","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

Measuring patient safety climate in operating rooms: Validation of the Spanish version of the hospital survey on patient safety. 测量手术室患者安全气候:西班牙语版医院患者安全调查的验证。

IF 2.1

Health Services Management Research Pub Date : 2022-05-01 Epub Date: 2020-09-09 DOI: 10.1177/0951484820943598

Jose Hugo Arias Botero, Ruben Dario Gomez Arias, Angela Maria Segura Cardona, Fernando Acosta Rodriguez, Jose Antonio Quesada Rico, Vicente Gil Guillen

{"title":"Measuring patient safety climate in operating rooms: Validation of the Spanish version of the hospital survey on patient safety.","authors":"Jose Hugo Arias Botero, Ruben Dario Gomez Arias, Angela Maria Segura Cardona, Fernando Acosta Rodriguez, Jose Antonio Quesada Rico, Vicente Gil Guillen","doi":"10.1177/0951484820943598","DOIUrl":"https://doi.org/10.1177/0951484820943598","url":null,"abstract":"Objective: The measurement of patient safety climate within hospitals, and specifically in operating rooms is a basic tool for the development of the patient's safety policy. There are no validated Spanish versions of instruments to measure safety climate. The objective of this research was to validate the Spanish version of the Hospital Survey on Patient Safety (HSOPS®), with the addition of a module for surgical units, to evaluate the patient safety climate in operating rooms.Methods: Survey validation study. The Hospital Survey on Patient Safety (HSOPS®) was applied to health workers from 6 acute general hospitals, from Medellín (Colombia), with surgical procedures greater than 300 per month, 18 items were added considered specific for Operating Rooms. For construct validation, an exploratory factor analysis (EFA) was used, utilizing principal components as the extraction method. Reliability was evaluated with Cronbach's α.Results: A 10 dimensions model was obtained with EFA, most of the dimensions of the original questionnaire were conserved, although the factorial structure was not reproduced. Two new dimensions emerged from the added items. The Cronbach's α ranged between 0.66 and 0.87. Conclusions: We found the HSOPS questionnaire is valid and reliable for measuring patient safety climate in Spanish speaking Latin American countries. Two additional dimensions are proposed for Operating Rooms.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":"35 2","pages":"58-65"},"PeriodicalIF":2.1,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0951484820943598","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38359402","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: 1

A systems approach to address the impact of second victim phenomenon. 处理第二受害者现象影响的系统方法。

IF 2.1

Health Services Management Research Pub Date : 2022-05-01 Epub Date: 2020-11-11 DOI: 10.1177/0951484820971455

Brenda Gamble, Kathleen Jean Gamble

{"title":"A systems approach to address the impact of second victim phenomenon.","authors":"Brenda Gamble, Kathleen Jean Gamble","doi":"10.1177/0951484820971455","DOIUrl":"https://doi.org/10.1177/0951484820971455","url":null,"abstract":"Over the last decade, second victim phenomenon (SVP) has been identified as a serious issue for healthcare workers (HCWs). Results from a 2018 survey of Canadian HCWs demonstrated that the majority of those who responded had experienced SVP and indicated that there was a lack of support in the workplace. The overall objectives of this paper are to a) heighten the awareness about SVP and its impact on HCWs and 2) to recommend an organizational/systems approach to support HCWs as second victims. This will be accomplished by first defining SVP and its relationship to patient safety. We will apply a health geography framework which incorporates the concepts of location, place, human interaction, movement and region to demonstrate the variability across care settings and the need for a systems approach to support HCWs. A human geography approaches to SVP would allow policymakers, leadership teams and managers within a health care setting to uniquely tailor their support systems to their individual contexts, which in turn will create a workplace culture of safety that builds on the organization's unique qualities.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":"35 2","pages":"110-113"},"PeriodicalIF":2.1,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0951484820971455","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38695672","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: 1

Implementation stages in practice: A review of behavioral health innovation within hospitals. 实践中的实施阶段:医院行为健康创新综述。

IF 2.1

Health Services Management Research Pub Date : 2022-05-01 Epub Date: 2021-05-26 DOI: 10.1177/09514848211010271

Ariel M Domlyn

{"title":"Implementation stages in practice: A review of behavioral health innovation within hospitals.","authors":"Ariel M Domlyn","doi":"10.1177/09514848211010271","DOIUrl":"https://doi.org/10.1177/09514848211010271","url":null,"abstract":"Behavioral health influences patient health outcomes and healthcare utilization rates. Hospitals are promising settings for appropriate identification, treatment, and referral of behavioral health issues and may affect hospital admission rates and healthcare costs. Implementation frameworks are designed to aid successful adoption and scaling of health innovations. One type - process models - present staged frameworks for rolling out an innovation into routine practice. Process models are appealing for their pragmatism but are criticized for oversimplifying the complexity of implementation. This review investigates the empirical evidence for process models' utility in hospitals, chosen for their uniquely complex structures, by determining whether their use impacts implementation outcomes. Using systematic search and selection criteria across six databases, ten peer-reviewed studies were identified. Each applied a process model for implementing behavioral health innovations within hospital systems. Studies were coded by type of stage framework and reported implementation outcomes. Studies reported mostly favorable or mixed outcomes. No one framework prevailed in use nor evidence. Due to the paucity of published literature and reported data, there is limited evidence that process model application propels implementation outcomes in hospital settings. Furthering the science requires creating and utilizing systematic guidelines to employ process models, measure and report implementation stage transition, and measure and report implementation outcomes. Management and practitioners can include such data collection in standard process evaluations of hospital implementation and scale-up activities, or adopt complexity-informed approaches that lack the simplicity of process models but may be more realistic for complex settings.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":"35 2","pages":"92-109"},"PeriodicalIF":2.1,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/09514848211010271","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38952112","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: 1

The challenges of formal volunteering in hospitals. 医院正式志愿工作的挑战。

IF 2.1

Health Services Management Research Pub Date : 2022-05-01 Epub Date: 2021-05-05 DOI: 10.1177/09514848211010255

Sara Tavares, Teresa Proença, Marisa R Ferreira

引用次数: 1

No health organization or system will ever be better than its people... 没有哪个卫生组织或系统会比它的人民更好。。。

IF 2.1

Health Services Management Research Pub Date : 2022-04-12 DOI: 10.1177/09514848221096184

F. Lega

引用次数: 0

Meaningful moves: A meaning-based view of nurses' turnover. 有意义的行动:基于意义的护士离职观。

IF 2.1

Health Services Management Research Pub Date : 2022-02-01 Epub Date: 2021-04-29 DOI: 10.1177/09514848211010427

A R Elangovan, Anirban Kar, Claudia Steinke

引用次数: 2

The impact of preferences for clinical and managerial leadership roles on the willingness to apply for a medical leadership position: Analysis of gender differences among a sample of German senior physicians. 临床和管理领导角色偏好对申请医疗领导职位意愿的影响:德国高级医生样本中的性别差异分析。

IF 2.1

Health Services Management Research Pub Date : 2022-02-01 Epub Date: 2021-04-19 DOI: 10.1177/09514848211010258

Florian Liberatore, Julia Schätzle, Henrik Räwer, Kia Homayounfar, Jörg Lindenmeier

{"title":"The impact of preferences for clinical and managerial leadership roles on the willingness to apply for a medical leadership position: Analysis of gender differences among a sample of German senior physicians.","authors":"Florian Liberatore, Julia Schätzle, Henrik Räwer, Kia Homayounfar, Jörg Lindenmeier","doi":"10.1177/09514848211010258","DOIUrl":"https://doi.org/10.1177/09514848211010258","url":null,"abstract":"Background: The hybrid role (clinical and managerial leadership tasks) of physicians in medical leadership positions (MLPs) is a driver of the attractiveness of these positions. The increasing feminization of the medical profession makes gender-related preferences for hybrid roles relevant.Purpose: The current study uses the (EPL) career aspirations framework to analyze the (gender-related) effects that efficacy beliefs, motivations, and preferences for clinical leadership and managerial leadership have on the willingness of chief physicians to apply for an MLP.Methodology: A survey of senior physicians in German university hospitals yielded a sample size of N = 496. The resulting data were analyzed using a structural equation modeling approach.Findings: The results confirm the low preference for MLPs among senior physicians, which is mainly affected by preferences for managerial leadership tasks. Female senior physicians perceive the position of an MLP to be less attractive than their male counterparts do, and female physicians' willingness to apply for an MLP is concurrently driven by their preferences for clinical leadership and managerial leadership tasks.Practical implications: Mentoring programs could boost female senior physicians' preparedness for MLPs. Further, flexibility in fulfilling managerial leadership tasks could be promoted to make MLPs more attractive to women.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":"35 1","pages":"27-36"},"PeriodicalIF":2.1,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/09514848211010258","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38889338","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: 2

A systematic approach towards implementing value-based health care in heart failure: Understandings from retrospective analysis methods in South London. 在心力衰竭中实施基于价值的医疗保健的系统方法:来自南伦敦回顾性分析方法的理解。

IF 2.1

Health Services Management Research Pub Date : 2022-02-01 Epub Date: 2020-11-30 DOI: 10.1177/0951484820971442

Emma Burnhope, Michael Waring, Andrew Guilder, Bharti Malhotra, Jorge M Cardoso, Reza Razavi, Gerald Carr-White

{"title":"A systematic approach towards implementing value-based health care in heart failure: Understandings from retrospective analysis methods in South London.","authors":"Emma Burnhope, Michael Waring, Andrew Guilder, Bharti Malhotra, Jorge M Cardoso, Reza Razavi, Gerald Carr-White","doi":"10.1177/0951484820971442","DOIUrl":"https://doi.org/10.1177/0951484820971442","url":null,"abstract":"Background: Value-Based Health Care (VBHC) is an evolving model of healthcare delivery aimed at achieving better patient outcomes at lower costs to the healthcare provider. The practise of VBHC requires efficient information systems with good reporting capability and subsequent outcome measuring. Information systems within the National Health Service (NHS) are often multiple and not necessarily integrated to one another. We therefore developed a systematic approach to collecting, validating and analysing data from multiple sources and information systems, with the aim of designing and endorsing an automatic system to capture health outcomes data in heart failure to support future VBHC models.Methods: A retrospective cohort of heart failure patients with reduced ejection fraction undergoing Implantable Cardioverter Defibrillator (ICD) or Cardiac Resynchronization Therapy (CRT) procedures within a limited geographical area in South London were evaluated. A purpose built database was created to integrate, transform and validate health care data from multiple information systems.Results: Validation analysis shows that our implemented methodology has produced a robust dataset. Our limited cohort of 134 patients does not allow for any complex statistical analysis however has identified some important themes related to outcomes and costs.Conclusion: We have created a validated database specific to our Trust that can be upscaled locally with ease and transferred to other health diseases. Due to variations in local procedure from one Trust to another, this methodology now requires implementation across multiple sites to understand differences in transformation of data and outcome measuring.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":"35 1","pages":"37-47"},"PeriodicalIF":2.1,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0951484820971442","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38317997","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: 4