Health Services Management Research最新文献

{"title":"The leadership expectations statement: A simple tool for enhancing leadership in healthcare organizations.","authors":"John L Fortenberry","doi":"10.1177/09514848241307450","DOIUrl":"10.1177/09514848241307450","url":null,"abstract":"<p><p>Healthcare organizations are reliant on cadres of managers to oversee operations, ensuring the delivery of excellent patient care and accomplishment of institutional missions. These managers obviously must be well versed in the principles of management, but they also must be proficient in leadership. As leadership can take many different forms, healthcare organizations must take care in their associated leadership development efforts to ensure that they have a firm grasp on the precise leadership qualities needed within their given organizations. Achieving this knowledge can be greatly facilitated by developing leadership expectations statements. This article profiles leadership expectations statements, presents a recent statement developed by Willis Knighton Health, and outlines the steps required for assembling and using them in any healthcare institution.</p>","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":"38 1_suppl","pages":"11S-16S"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053837","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}

{"title":"Bibliometric analysis and trends related to dental tourism: Qualitative, social, economic and ethical implications.","authors":"Valerio Brescia, Francesco Cavarra, Maura Campra, Paolo Boffano, Vincenzo Rocchetti","doi":"10.1177/09514848251314111","DOIUrl":"https://doi.org/10.1177/09514848251314111","url":null,"abstract":"<p><p>This article delves into the multifaceted realm of dental tourism, scrutinizing patient incentives, economic ramifications, and ethical aspects. An in-depth 2023 analysis discerns research gaps, underscoring the necessity for a more exhaustive investigation to enrich the understanding of the global oral healthcare landscape. Utilizing bibliometric analysis method, the study examines the worldwide trajectory of scientific publications on dental tourism. Employing Scopus, it dissects document types, annual production, authorship, and international collaborations. The results spotlight microvariables derived from Saxena, Deheriya, Datla's macrovariables, unveiling influencers on dental tourism, ranging from social and economic to cultural factors. The study advocates for defined bilateral agreements to ensure quality care and stresses ethical considerations, emphasizing shared standards and legal implications. Economic ramifications, both positive and negative, are discussed, with an expanding global focus on dental tourism evident. In conclusion, the study accentuates micro variables, signaling avenues for future research.</p>","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"9514848251314111"},"PeriodicalIF":1.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013820","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}

{"title":"Lack of hospital resilience as the main challenge of hospital management during the COVID-19 pandemic: A grounded theory study.","authors":"Sulmaz Ghahramani, Kamran Bagheri Lankarani, Mohammadreza Zakeri, Sahar Ghahramani, Payam Shojaei","doi":"10.1177/09514848241309285","DOIUrl":"https://doi.org/10.1177/09514848241309285","url":null,"abstract":"<p><strong>Background: </strong>Traditional hospital management responses during the coronavirus disease 2019 (COVID-19) pandemic proved ineffective, particularly considering the pre-existing challenges in healthcare systems. The study examines hospital management challenges during the COVID-19 pandemic, transforming their lived experiences into a conceptual approach to prevent repetition and benefit health planners and policymakers in future crises and normal times.</p><p><strong>Methods: </strong>This qualitative study utilized the grounded theory methodology, conducting in-depth interviews with 12 hospital administrators from seven major referral hospitals in Shiraz, Bushehr, and Tehran, focusing on COVID-19 patients' complex conditions. The participants had a mean age of 46.6 ± 8.8 years. Data analysis was conducted using the grounded theory (Straussian approach).</p><p><strong>Results: </strong>A total of 98 subthemes and 25 themes were identified during the data analysis process. Using axial and selective coding, we found that in the presence of contextual and causal conditions, the lack of hospital resilience was recognized as the core theme in the final model. Intervening conditions, strategies to overcome the challenges of hospital management, and the outcomes were identified.</p><p><strong>Conclusions: </strong>Iranian hospital administrators dealing with COVID-19 recognize the lack of hospital resilience as their main management obstacle. Non-resilient hospitals' response to crises with new management strategies can fail due to insufficient documentation and information sharing, leading to persistent problems. Prioritizing evidence-based strategies and sharing successful approaches from other healthcare systems can improve resilience. Nationwide guidelines will ensure equitable patient treatment and reduce lawsuits against physicians for resource-efficient use. Hospital resilience implementation in real-world settings is widely sought for evidence.</p>","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"9514848241309285"},"PeriodicalIF":1.6,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877134","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}

{"title":"Causes of care discontinuity in chronic outpatient care: A mixed method case study.","authors":"Anu Vehkamäki, Märt Vesinurm, Riina-Riitta Helminen, Olli Halminen, Paul Lillrank","doi":"10.1177/09514848241307183","DOIUrl":"https://doi.org/10.1177/09514848241307183","url":null,"abstract":"<p><strong>Background: </strong>While health systems are primarily designed for acute health issues, managing life-long conditions often results in chronic care discontinuity. This refers to situations where a chronic patient's planned care fails to actualise.</p><p><strong>Research design: </strong>This study descriptively explores the reasons behind chronic care discontinuity in outpatient care.</p><p><strong>Data collection: </strong>Data was collected via interviews and a focus group with healthcare professionals, and a patient survey specifically targeting chronic abdominal patients.</p><p><strong>Analysis: </strong>Using grounded theorising the Discontinuity of Chronic Care (DoCC) framework was developed, to identify and categorise reasons behind chronic care discontinuity.</p><p><strong>Results: </strong>The framework reveals that reasons for discontinuity can be largely divided into healthcare system related factors-including caregiver, technological, and process challenges-and patient-related factors such as situational and internal psychological challenges.</p><p><strong>Conclusions: </strong>The DoCC-framework provides a valuable tool for analysing various patient processes, offering healthcare managers insights to improve the management of chronic patient journeys. Additionally, it guides healthcare professionals to better focus their development efforts on challenges they have the capacity to address.</p>","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"9514848241307183"},"PeriodicalIF":1.6,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847949","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}

{"title":"Exploring collaborative practices for chronic disease management: Results from a new survey to primary care physicians and specialists in Italy.","authors":"Sofia Longhi, Chiara Seghieri, Francesca Ferrè, Lorenzo Taddeucci, Sabina Nuti","doi":"10.1177/09514848241304634","DOIUrl":"10.1177/09514848241304634","url":null,"abstract":"<p><p><b>Background:</b> Non-communicable diseases (NCDs) represent a global health challenge that requires coordination across various healthcare settings.<b>Purpose:</b> This study in Tuscany, Italy, investigates professional integration between primary care physicians (PCPs) and specialists in NCD management.<b>Research Design:</b> A self-developed survey was used to explore professionals' views on clinical and organizational collaboration, accountability, and service improvement.<b>Study Sample:</b> The study involved primary care physicians (PCPs) and specialists working in the field of NCD management.<b>Data Collection and/or Analysis:</b> The survey gathered data on professionals' perceptions of clinical protocol use, care integration effectiveness, and other aspects of collaboration in NCD management.<b>Results:</b> Findings reveal disparities between PCPs and specialists in clinical protocol use and care integration effectiveness.<b>Conclusions:</b> The study emphasizes the need to reduce bureaucratic obstacles and enhance information sharing. Promoting peer relationships and innovative performance evaluation tools is vital for improving chronic disease management. This survey contributes valuable insights for the development of integrated care models, aiding healthcare decision-makers in enhancing chronic care system performance.</p>","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"9514848241304634"},"PeriodicalIF":1.6,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787117","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}

{"title":"Hybrid managers in an evolving healthcare: Does gender matter?","authors":"Marco Sartirana, Roberta Montanelli","doi":"10.1177/09514848241295584","DOIUrl":"https://doi.org/10.1177/09514848241295584","url":null,"abstract":"<p><strong>Introduction: </strong>Hybrid 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.</p><p><strong>Methods: </strong>We 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.</p><p><strong>Results: </strong>We 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.</p><p><strong>Conclusion: </strong>While 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.</p>","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"9514848241295584"},"PeriodicalIF":1.6,"publicationDate":"2024-11-06","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}

{"title":"A framework for lean implementation in preoperative assessment: Evidence from a high complexity hospital in Italy.","authors":"Giulia Goretti, Martina Pisarra, Maria Rosaria Capogreco, Patrizia Meroni","doi":"10.1177/09514848231194853","DOIUrl":"10.1177/09514848231194853","url":null,"abstract":"<p><p><b>Purpose:</b> A routine preoperative assessment is considered both ineffective and inefficient. Despite the widespread application of lean thinking in healthcare, there is little evidence of successful experiences in preoperative admissions in order to reduce \"No value added\" activities. A conceptual framework reporting the drivers (clinic, tools, innovation, organization, and governance) and impacts (patient, efficiency, sustainability, time, learning and growth) was developed. <b>Methodology:</b> Drawing on the experience of an Italian high complexity hospital, this paper analyzes the case study by reporting evidence on how to implement lean in preoperative assessment and how to evaluate the positive results obtained. <b>Results:</b> Applying lean principles, the identification of value improved the appropriateness of care by creating 40 personalized pathways; the value stream resulted in a reduction of \"No Value Added Time\" from 37% to 28%, chest X-rays from 41% to 14% and cardiac visits from 49% to 37%; the pursuit of continuous flow through innovation contributed to increase the use of digitalization; the new pull organization helped to reduce the average time spent per year by 1.5 h; the continuous improvement was ensured through the governance of results. <b>Conclusion:</b> The proposed framework should be used to improve the quality of care in preoperative admissions by adopting the lean drivers for successful implementation and reporting the impacts.</p>","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"236-244"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11545146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10283163","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}

{"title":"\"A different sense of what we do here, who we are and what we deliver\": Provider perspectives on the effects of a change in governance of healthcare services in correctional facilities in British Columbia.","authors":"Katherine E McLeod, Jane A Buxton, Ruth Elwood Martin","doi":"10.1177/09514848231218626","DOIUrl":"10.1177/09514848231218626","url":null,"abstract":"<p><p>In 2017, British Columbia (BC) transferred responsibility for healthcare services in provincial correctional facilities from the Ministry of Public Safety and Solicitor General to the Ministry of Health. This study explored how healthcare leadership perceived the impact of the transfer on services, work-life, and job satisfaction. We conducted one-on-one interviews (<i>n</i> = 8) with healthcare managers and medical and administrative leadership within Correctional Health Services. Using the Two-Factor theory of job satisfaction as a framework, we applied Interpretive Description methodology to analyse interview data. Participants identified changes to four areas of the working environment: (1) staffing, equipment, and resources (2) systems of supervision and support (3) standards, policies, and quality improvement and (4) culture and orientation. These changes predominantly affected motivational factors of job satisfaction and were described as enriching the roles of managers and staff. Participants described improved autonomy and recognition of providers, increased quality of services delivered, and a shift toward patient-centred care. The perspectives of healthcare leaders provide new insight into the potential impact of transferring healthcare services in custody to a public healthcare system. Discussion of changes and their affects also provide practical learning for jurisdictions seeking to improve healthcare under a variety of governance and service-delivery models.</p>","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"219-226"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11545118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138452822","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}

{"title":"Strategies to convert hospital beds for COVID-19 patients to minimize emergency department overcrowding.","authors":"Giovanni Nattino, Marco Maria Paganuzzi, Giulia Irene Ghilardi, Giorgio Costantino, Carlotta Rossi, Francesca Cortellaro, Roberto Cosentini, Stefano Paglia, Maurizio Migliori, Guido Bertolini","doi":"10.1177/09514848231218648","DOIUrl":"10.1177/09514848231218648","url":null,"abstract":"<p><p><b>Background:</b> The shortage of hospital beds for COVID-19 patients has been one critical cause of Emergency Department (ED) overcrowding. <b>Purpose:</b> We aimed at elaborating a strategy of conversion of hospital beds, from non-COVID-19 to COVID-19 care, minimizing both ED overcrowding and the number of beds eventually converted. <b>Research Design:</b> Observational retrospective study. <b>Study Sample:</b> We considered the centralized database of all ED admissions in the Lombardy region of Italy during the second \"COVID-19 wave\" (October to December 2020). <b>Data collection and Analysis:</b> We analyzed all admissions to 82 EDs. We devised a family of Monte Carlo simulations to evaluate the performance of hospital beds' conversion strategies triggered by ED crowding of COVID-19 patients, determining a critical number of beds to be converted when passing an ED-specific crowding threshold. <b>Results:</b> Our results suggest that the maximum number of patients waiting for hospitalization could have been decreased by 70% with the proposed strategy. Such a reduction would have been achieved by converting 30% more hospital beds than the total number converted in the region. <b>Conclusions:</b> The disproportion between reduction in ED crowding and additionally converted beds suggests that a wide margin to improve the efficiency of the conversions exists. The proposed simulation apparatus can be easily generalized to study management policies synchronizing ED output and in-hospital bed availability.</p>","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"209-218"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11545217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499710","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}

{"title":"The (very real) risk of irrelevance, and the great opportunity.","authors":"Federico Lega","doi":"10.1177/09514848241295480","DOIUrl":"10.1177/09514848241295480","url":null,"abstract":"","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"199"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477267","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}