Health Services Management Research最新文献_第3页

Exploring the determinants of private healthcare providers' market power: A performance-based perspective. 探索私立医疗机构市场力量的决定因素：基于绩效的视角。

IF 1.6

Health Services Management Research Pub Date : 2024-08-01 Epub Date: 2023-08-14 DOI: 10.1177/09514848231194850

Antonio Fabio Forgione, Guido Noto

{"title":"Exploring the determinants of private healthcare providers' market power: A performance-based perspective.","authors":"Antonio Fabio Forgione, Guido Noto","doi":"10.1177/09514848231194850","DOIUrl":"10.1177/09514848231194850","url":null,"abstract":"This research focuses on market power in the private healthcare sector. This topic has been poorly explored by the extant literature and the reasons mainly rely on the peculiarities of the sector and the specific market. In fact, health providers' market power is influenced by multiple factors and by the fact that prices are often regulated by national or regional public authorities. To fill this gap, the article explores the relationship between performance characteristics and health providers' market power, measured through the Lerner index. The research is based on the analysis of panel data for 437 Italian private healthcare providers over the period 2012-2020. To explore the determinants of health providers' market power, this research employs System-generalized method of moments (SYS-GMM) estimation models. The results highlight a significant and non-linear relationship between market power and process performance, as well as with gender diversity. Intangible assets are another input variable that has a significant and positive relationship with market power. The study contributes to the identification of the performance characteristics driving health providers' market power.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"153-159"},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9990976","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 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 1.6

Health Services Management Research Pub 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":"https://doi.org/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":"9514848241265770"},"PeriodicalIF":1.6,"publicationDate":"2024-07-23","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

Primary care team reorganisation after the SARS-COV-2 pandemic. Differences between Catalonia and Spain in the PRICOV study. SARS-COV-2 大流行后基层医疗团队的重组。加泰罗尼亚和西班牙在 PRICOV 研究中的差异。

IF 1.6

Health Services Management Research Pub Date : 2024-07-21 DOI: 10.1177/09514848241265784

Antoni Peris Grao, Núria Freixenet, Toni Mora, David Roche

{"title":"Primary care team reorganisation after the SARS-COV-2 pandemic. Differences between Catalonia and Spain in the PRICOV study.","authors":"Antoni Peris Grao, Núria Freixenet, Toni Mora, David Roche","doi":"10.1177/09514848241265784","DOIUrl":"https://doi.org/10.1177/09514848241265784","url":null,"abstract":"Background: Spanish primary care services are managed differently by each region's authorities. Catalonia started its services provision and design nearly two decades before other Spanish regions and developed nurses' roles and task shifting in primary care.Purpose: This work identifies differences in the Europe PRICOV-19 study answers between Catalonia and those submitted from the rest of Spain regarding how primary care teams (PCT) were organised during the SARS-CoV-2-2019 pandemic, how tasks and roles changed, and the pandemic's impact on the care providers. Initially, we computed bivariate relationships and tested using contingency association and unpaired Wilcoxon.Analysis: Still, we estimated multiple linear regressions controlling with a list of individual and GP practice characteristics and clustering standard errors at the kind of location.Results: Main statistically significant differences were found in the adaptation to the new tasks, the ability to solve most health problems, and specific accessibilities to primary care. In Catalonia, satisfaction with the adaptation to the new tasks was higher (41.9% satisfied and 30.2% neutral) than in the rest of Spain (50.9% dissatisfaction). Also, GPs in Catalonia reported to a greater extent than the rest of Spain that chronic patients were listed for extensive follow-up. These differences may be related to Catalonia's strategy for empowering primary care professionals other than family doctors.Conclusions: Considering future pandemics, demographic ageing, and professional shortages, we point out the potential benefits of these changes in PCT organisations and the need to review the centres's design.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"9514848241265784"},"PeriodicalIF":1.6,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735262","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 1.6

Health Services Management Research Pub Date : 2024-07-19 DOI: 10.1177/09514848241265749

Irene Gabutti, Maria Pia Fantini, Chiara Reno

引用次数: 0

The emergence and organizational choices of patient advocacy associations: Evidence from the Italian context. 病人权益协会的出现和组织选择：来自意大利的证据。

IF 1.6

Health Services Management Research Pub Date : 2024-06-24 DOI: 10.1177/09514848241263728

Federica Morandi, Eugenio Di Brino, Americo Cicchetti

{"title":"The emergence and organizational choices of patient advocacy associations: Evidence from the Italian context.","authors":"Federica Morandi, Eugenio Di Brino, Americo Cicchetti","doi":"10.1177/09514848241263728","DOIUrl":"https://doi.org/10.1177/09514848241263728","url":null,"abstract":"Background: Within many advanced healthcare systems, patient advocacy associations are gaining a more relevant role in healthcare policy decisions. These associations provide help, representation, and voice to patients and citizens. However, although their role is important, a paucity of research exists analyzing their foundation dynamics, including their organizational decision, from a managerial perspective. To fill this knowledge gap, we formulated two research questions to investigate the motivations underlying the foundation of patient advocacy associations and the institutional pressures influencing the changes that have occurred in these associations throughout their evolution.Methods: Using a semi-structured questionnaire developed as part of a larger research project, we collected data about 31 patient advocacy associations operating within the Italian National Health Service. We employed qualitative analysis to examine the associations' birth and evolution as well as the motivations and influences driving change within the sampled organizations.Results: Questionnaire responses provided information about the patient advocacy associations' histories and highlighted their close links with the Italian National Health Service. Our results indicated the motivations for the associations' establishment could be grouped into five categories: support at the system level, patient protection and support, actions to increase awareness, actions for improving patients' health and quality of life, and dissemination of knowledge. We also identified the frequency and nature of the changes within the associations and explored the institutional pressures that influenced these organizational changes.Conclusions: The results can be interpreted considering the organizational theories that focus on organizations' establishment decisions and how external pressures impact organizations' dynamics and evolution.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"9514848241263728"},"PeriodicalIF":1.6,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447297","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 2.1

Health Services Management Research Pub Date : 2024-06-14 DOI: 10.1177/09514848241254931

Luca Giorgio, Federica Morandi, Americo Cicchetti

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 2.1

Health Services Management Research Pub 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":"9514848241254929"},"PeriodicalIF":2.1,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141180993","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

Towards a shared understanding of the learning health system in a large academic-based health system: A qualitative analysis. 在以学术为基础的大型医疗系统中实现对学习型医疗系统的共同理解：定性分析。

IF 2.1

Health Services Management Research Pub Date : 2024-05-15 DOI: 10.1177/09514848241254928

Allyson L Varley, Trudi Venters Horton, Maria Pisu, Raegan W Durant, Michael J Mugavero, Andrea L Cherrington, Kevin R Riggs

{"title":"Towards a shared understanding of the learning health system in a large academic-based health system: A qualitative analysis.","authors":"Allyson L Varley, Trudi Venters Horton, Maria Pisu, Raegan W Durant, Michael J Mugavero, Andrea L Cherrington, Kevin R Riggs","doi":"10.1177/09514848241254928","DOIUrl":"https://doi.org/10.1177/09514848241254928","url":null,"abstract":"Healthcare delivery is currently undergoing major structural reform, and the Learning Health System (LHS) has been proposed as an aspirational model to guide healthcare transformation. As efforts to build LHS take considerable investment from health systems, it is critical to understand their leaders' perspectives on the rationale for pursuing an LHS and the potential benefits for doing so. This paper describes the qualitative analysis of semi-structured interviews (n = 17) with health system leaders about their general perceptions of the LHS, description of key attributes and potential benefits, and perception of barriers to and facilitators for advancing the model. Participants universally endorsed the goal of the local health system aspiring to become an LHS. Participants identified many recognized attributes of LHS, though they emphasized unique attributes and potential benefits. There was also heterogeneity in participants' views on what to prioritize, how to structure the local LHS within existing initiatives, and how new initiatives should be implemented. Improving conceptual clarity of attributes of the LHS would improve its potential in guiding future reform.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"9514848241254928"},"PeriodicalIF":2.1,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140945325","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

The characteristics of leadership and their effectiveness in quality management in healthcare - A systematic literature review and a content analysis. 领导力的特点及其在医疗质量管理中的有效性--系统文献综述和内容分析。

IF 2.1

Health Services Management Research Pub Date : 2024-05-14 DOI: 10.1177/09514848241254921

Susanna Friman, Riikka Maijala, Sini Eloranta, Sakari Suominen, Tuija Ikonen

{"title":"The characteristics of leadership and their effectiveness in quality management in healthcare - A systematic literature review and a content analysis.","authors":"Susanna Friman, Riikka Maijala, Sini Eloranta, Sakari Suominen, Tuija Ikonen","doi":"10.1177/09514848241254921","DOIUrl":"https://doi.org/10.1177/09514848241254921","url":null,"abstract":"Effective quality leadership is identified as a critical factor for organisational success. Leadership style has an important role in the implementation of quality management. This systematic review describes the characteristics of leadership in quality management in healthcare, and analyses their association with successful or unsuccessful quality management by using content analysis. Papers published in peer-reviewed journals between 2011 and June 2023 were selected by exploring the Abi/Inform, Business Source Complete, Cinahl, Pubmed and Web of Science electronic databases. Altogether 3014 records were found. PRISMA-protocol was used for selection of studies. 12 original and three review articles were included. Six leadership characteristics were identified that were linked to successful or unsuccessful implementation of quality management. The six categories were strategic, knowledge-oriented, value-based, supportive, participatory and communicative leadership. Supercategories and subcategories of successful and unsuccessful implementation are described. The results can be used to identify the leadership characteristics that promote successful quality management in healthcare organisations. In education for leaders and managers, attention should be in the characteristics and style of leadership and their impact on the effectiveness of quality management.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"9514848241254921"},"PeriodicalIF":2.1,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923642","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

A systematic review of typologies on aged care system components to facilitate complex comparisons. 对老年护理系统各组成部分的类型进行系统审查，以便于进行复杂的比较。

IF 1.6

Health Services Management Research Pub Date : 2024-05-01 Epub Date: 2023-05-29 DOI: 10.1177/09514848231179176

Jenni Suen, Suzanne Dyer, Wendy Shulver, Tyler Ross, Maria Crotty

{"title":"A systematic review of typologies on aged care system components to facilitate complex comparisons.","authors":"Jenni Suen, Suzanne Dyer, Wendy Shulver, Tyler Ross, Maria Crotty","doi":"10.1177/09514848231179176","DOIUrl":"10.1177/09514848231179176","url":null,"abstract":"Objectives: Typologies are frequently utilised in analyses of the quality, funding, and efficiency of aged care systems. This review aims to provide a comprehensive resource identifying and critiquing existing aged care typologies. Methods: Systematic search of MEDLINE, Econlit, Google Scholar, greylit.org and Open Grey databases from inception to July 2020, including typologies of national, regional or provider aged care systems. Article screening, data extraction, and quality appraisal were conducted in duplicate. Results: 14 aged care typologies were identified; five applied to residential care, two to home care and seven to mixed settings; eight examined national systems and seven regional or provider systems. Five typologies classifying national financing or home care services, provider financing of staff and services and quality of residential care were considered high quality. The schematic provided summarises the focus area and aids in typology selection. Discussion: The aged care typologies identified cover a wide range of areas and contexts of aged care provision. This schematic, summary and critique will aid researchers, providers, and aged care policy makers to examine their own setting, compare it to other approaches to aged care provision and assist in identifying alternatives and important considerations, when undertaking aged care reform.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"123-134"},"PeriodicalIF":1.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9544846","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