Health Services Management Research最新文献_第2页

How are digital platforms affecting the accessibility of healthcare services? 数字平台如何影响医疗保健服务的可及性？

IF 1.6

Health Services Management Research Pub Date : 2025-07-07 DOI: 10.1177/09514848251358328

Gaurav Talwar, Sabyasachi Sinha

{"title":"How are digital platforms affecting the accessibility of healthcare services?","authors":"Gaurav Talwar, Sabyasachi Sinha","doi":"10.1177/09514848251358328","DOIUrl":"https://doi.org/10.1177/09514848251358328","url":null,"abstract":"The healthcare industry has traditionally lagged in adopting technology, contributing to rising costs, limited accessibility, and ongoing challenges in affordability. This study explores how digital platforms can transform healthcare by reducing the friction in transactions and facilitate increase in the depth and width of accessibility of healthcare services. Using a qualitative research approach, we applied Gioia's method to identify emerging patterns and aggregate dimensions leading to formulation of a robust theoretical framework. We used dynamic capability and an ecosystem lens to investigate our research inquiry. Our research indicates that digital platforms enhance healthcare accessibility by ensuring last-mile delivery, reducing friction, ensuring symmetrical information dissemination, personalizing information, and facilitating remote diagnosis. Platform players' ability to reconfigure capabilities at speed and scale and offer services never imagined have begun to show green shoots in healthcare. While these platforms offer significant opportunities, strategic implementation and adaptation are essential. Policymakers, practitioners, and providers must collaborate to ensure effective use and integration. Our conceptual framework bridges theoretical concepts with practical applications, offering new insights for future research.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"9514848251358328"},"PeriodicalIF":1.6,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585217","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

Work ability in healthcare: Vulnerable groups and organizational factors. 医疗保健工作能力：弱势群体与组织因素。

IF 1.6

Health Services Management Research Pub Date : 2025-07-04 DOI: 10.1177/09514848251358329

Loretta Casolari, Ylenia Curzi, Tommaso Fabbri, Michele Mastroberardino, Barbara Pistoresi, Erica Poma

{"title":"Work ability in healthcare: Vulnerable groups and organizational factors.","authors":"Loretta Casolari, Ylenia Curzi, Tommaso Fabbri, Michele Mastroberardino, Barbara Pistoresi, Erica Poma","doi":"10.1177/09514848251358329","DOIUrl":"https://doi.org/10.1177/09514848251358329","url":null,"abstract":"BackgroundThe recent pandemic, along with heavy workloads and staff shortages, has placed significant pressure on healthcare workers. Maintaining adequate work ability is vital for ensuring favorable working conditions, mitigating stress and safeguarding worker performance and patient safety.PurposeThis study analyses the key factors influencing work ability in healthcare, exploring individual and organizational determinants, challenges faced by vulnerable groups such as women and older workers or membership of a specific department. In addition, the influence of family composition and work-life balance is examined.Research Design and Study SampleTo achieve these objectives, 443 healthcare workers of the Azienda Ospedaliero-Universitaria di Modena were interviewed through a survey between 1 August and 30 September 2022.ResultsThe results show that positive workplace factors - such as supervisor support, teamwork, decision-making autonomy, process involvement, and skill-task alignment - are associated with higher work ability. Female and older employees experience lower work ability, with notable differences in the emergency and medical departments. The emergency department (ED), in particular, stands out as the most demanding, characterized by high work intensification, low support, poor work ability, and a strained work-life balance. Finally, among employees with reduced work ability, 47% report poor work-life balance, and 50% care for at least one dependent adult.ConclusionsThese findings highlight the urgent need for tailored interventions, such as improved leadership training, work-life balance policies, and targeted support for vulnerable groups, to enhance well-being and resilience in healthcare workplaces.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"9514848251358329"},"PeriodicalIF":1.6,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561513","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 1.6

Health Services Management Research Pub 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":"https://doi.org/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":"9514848251339735"},"PeriodicalIF":1.6,"publicationDate":"2025-05-03","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

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). 第九年（以及为什么临床领导不再是可有可无的）。

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