Health Services Management Research最新文献_第3页

Foundations to frontiers: Charting the evolution of healthcare operations management and the patient journey. 从基础到前沿：描绘医疗运营管理和患者旅程的演变。

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Health Services Management Research Pub Date : 2026-03-19 DOI: 10.1177/09514848261435947

Rossella Pellegrino, Corrado Cuccurullo, Stefano Villa

{"title":"Foundations to frontiers: Charting the evolution of healthcare operations management and the patient journey.","authors":"Rossella Pellegrino, Corrado Cuccurullo, Stefano Villa","doi":"10.1177/09514848261435947","DOIUrl":"https://doi.org/10.1177/09514848261435947","url":null,"abstract":"PurposeThis study provides a systematic analysis of key literature in healthcare Operations Management (OM), examining its evolution from manufacturing-based approaches to modern healthcare applications. It addresses two main questions: the insights gained from a bibliometric review, such as publication trends, influential authors and institutions, and emerging themes; and how OM has developed over time within healthcare, identifying key thematic shifts.MethodUsing a hybrid method that combines bibliometric and content analysis, the authors examined 604 English-language research papers from the Web of Science Core Collection™, focusing on healthcare and operations research journals. The analysis followed three steps: (1) using the histograph method to trace citation patterns and identify influential publications; (2) applying thematic evolution mapping to explore how research themes have developed across time; and (3) conducting content analysis to understand thematic clusters more deeply.ResultsResults show that early OM research emphasized strategic decision-making and efficiency in clinical areas like operating rooms and emergency departments. Over time, the field incorporated practical tools such as Lean, Six Sigma, and simulation models. More recently, the focus has shifted toward patient-centered care, with growing use of big data and artificial intelligence. These findings contribute to a theoretical framework and offer guidance for future research, healthcare managers, and policymakers.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"9514848261435947"},"PeriodicalIF":0.7,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487847","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 future of Primary Health Care in Italy: needs, concerns and aspirations of physicians in training. 意大利初级卫生保健的未来：培训医生的需求、关切和愿望。

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Health Services Management Research Pub Date : 2026-03-03 DOI: 10.1177/09514848261427146

Martina Consoloni, Annette Corraro, Luigi Maria Bracchitta, Barbara D'Avanzo, Alessia Antonella Galbussera, Igor Monti, Angelo Barbato, Giorgio Sessa, Arianna Giusti, Alessandro Nobili

{"title":"The future of Primary Health Care in Italy: needs, concerns and aspirations of physicians in training.","authors":"Martina Consoloni, Annette Corraro, Luigi Maria Bracchitta, Barbara D'Avanzo, Alessia Antonella Galbussera, Igor Monti, Angelo Barbato, Giorgio Sessa, Arianna Giusti, Alessandro Nobili","doi":"10.1177/09514848261427146","DOIUrl":"https://doi.org/10.1177/09514848261427146","url":null,"abstract":"Background: The COVID-19 pandemic exposed longstanding weaknesses in Italy's primary care system. In response, the country launched a reform aligned with Primary Health Care (PHC) principles, including the creation of Community Health Houses (CHH). However, little is known about how future physicians perceive their training and preparedness for this evolving landscape. Purpose and research design: This paper draws on a 2024 national cross-sectional exploratory survey of trainees in General Practice (GP) and Primary Care and Community Medicine (PCCM). Descriptive analysis explores trainees' motivations for choosing the GP or PCCM pathway, their perceptions of training adequacy, and their career aspirations and concerns within the context of ongoing reform. Results: Both groups reported gaps in training. Many GP trainees called for curricular reform and improved contractual conditions, while PCCM trainees expressed frustration with regulatory barriers preventing them from practising as GPs. Perceptions of CHH diverged: GP trainees were often sceptical, whereas PCCM trainees viewed them as coherent with their training and professional orientation. Conclusions: This study offers the first national evidence on how future professionals position themselves within the Italian primary reform, shedding light on the conditions influencing their engagement with change. The findings point to the need for strategies aligning training, organisational models, and regulation frameworks to support the transition to a PHC-oriented system.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"9514848261427146"},"PeriodicalIF":0.7,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147345232","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

Healthcare organization mergers and quality of care: Evidence from the Italian National Health Service. 医疗保健组织合并和护理质量：来自意大利国家卫生服务的证据。

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Health Services Management Research Pub Date : 2026-02-18 DOI: 10.1177/09514848261422167

Andrea Mariani, Mario Daniele, Antonella Cifalinò

{"title":"Healthcare organization mergers and quality of care: Evidence from the Italian National Health Service.","authors":"Andrea Mariani, Mario Daniele, Antonella Cifalinò","doi":"10.1177/09514848261422167","DOIUrl":"https://doi.org/10.1177/09514848261422167","url":null,"abstract":"PurposeThe increasing frequency and relevance of mergers have significantly impacted the healthcare industry in recent decades. A recurring topic in the ensuing debate is whether and how hospitals achieve quality-of-care benefits post-merger. Italy offers a useful case study: with Italian hospital facilities adopting the National Outcomes Program (NOP) to measure quality of care, this research compares quality-of-care indicators reported by merged and non-merged public hospitals.Design/methodology/approachThe paper analyzes the impact of mergers on the quality of care among all Italian public hospitals (N = 466) during 2012-2019. Hospitals involved in mergers (N = 155) were compared to the control group through t-tests and a panel regression analysis of 13 indicators. To better isolate the Average Treatment Effect (ATE) of mergers on NOP indicators, the study develops a Difference-in-Differences model with a multiple-period estimator.FindingsResults generally show that hospitals improved their quality-of-care performance from pre- to post-merger. However, a more detailed comparison reveals a slight worsening of clinical outcomes and a significant deterioration in treatment processes in the post-merger period.Originality/valueThis study enriches the debate on HCO mergers by illustrating their complex impact on quality of care at the hospital facility level. Accordingly, both HCO managers and policymakers must carefully plan and monitor mergers to avoid disruption and ensure continuity in care. Limitations include a single-country focus and the use of 13 indicators selected from the broader set of over 190 quality-of-care measures published annually by the NOP.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"9514848261422167"},"PeriodicalIF":0.7,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214574","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 collaborative practices for chronic disease management: Results from a new survey to primary care physicians and specialists in Italy. 探索慢性疾病管理的合作实践：意大利初级保健医生和专家的一项新调查结果。

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Health Services Management Research Pub Date : 2026-02-01 Epub Date: 2024-12-05 DOI: 10.1177/09514848241304634

Sofia Longhi, Chiara Seghieri, Francesca Ferrè, Lorenzo Taddeucci, Sabina Nuti

{"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":"Background: Non-communicable diseases (NCDs) represent a global health challenge that requires coordination across various healthcare settings.Purpose: This study in Tuscany, Italy, investigates professional integration between primary care physicians (PCPs) and specialists in NCD management.Research Design: A self-developed survey was used to explore professionals' views on clinical and organizational collaboration, accountability, and service improvement.Study Sample: The study involved primary care physicians (PCPs) and specialists working in the field of NCD management.Data Collection and/or Analysis: The survey gathered data on professionals' perceptions of clinical protocol use, care integration effectiveness, and other aspects of collaboration in NCD management.Results: Findings reveal disparities between PCPs and specialists in clinical protocol use and care integration effectiveness.Conclusions: 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.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"12-23"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12827804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787117","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

Redefining knowledge-generation-driven blockchain for healthcare use: Insights from medical institutions. 为医疗保健用途重新定义知识生成驱动的区块链：来自医疗机构的见解。

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Health Services Management Research Pub Date : 2026-02-01 Epub Date: 2025-07-07 DOI: 10.1177/09514848251358332

Amir A Abdulmuhsin, Abdulkareem H Dbesan, Shafique Ur Rehman, Alhamzah Alnoor, Abeer F Alkhwaldi

{"title":"Redefining knowledge-generation-driven blockchain for healthcare use: Insights from medical institutions.","authors":"Amir A Abdulmuhsin, Abdulkareem H Dbesan, Shafique Ur Rehman, Alhamzah Alnoor, Abeer F Alkhwaldi","doi":"10.1177/09514848251358332","DOIUrl":"10.1177/09514848251358332","url":null,"abstract":"This study explores the factors influencing healthcare professionals' willingness to adopt knowledge-generation-driven Blockchain technology (KGDBT) in government healthcare facilities, using the Unified Theory of Acceptance and Use of Technology 2 (UTAUT2) framework. It introduces transparency as an independent variable and examines the mediating role of knowledge generation in the relationship between transparency and healthcare professionals' intention to adopt KGDBT. Data were collected from 322 healthcare professionals in government hospitals and analyzed using SPSS version 26 and SmartPLS version 3.9 for Partial Least Squares Structural Equation Modeling (PLS-SEM). The results strongly support the theoretical framework, demonstrating that performance expectancy, effort expectancy, social influence, facilitating conditions, and transparency significantly influence healthcare professionals' adoption of Blockchain technology. Additionally, the study identifies knowledge generation as a critical mediating factor between transparency and behavioral intention to adopt KGDBT. This research addresses the challenges of implementing Blockchain technology in healthcare by proposing a knowledge management-oriented approach to enhance its effectiveness. It highlights the critical role of transparency in promoting technology adoption and fills a gap in the literature on Blockchain and knowledge management, particularly within the Iraqi healthcare context. This study offers new insights, contributing to a comprehensive understanding of the role of knowledge generation in Blockchain adoption.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"37-54"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585218","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。

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Health Services Management Research Pub Date : 2026-02-01 Epub 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":"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":"24-36"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","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

Coordinating patient care across multiple healthcare professionals: Essential factors and challenges. 跨多个医疗保健专业人员协调患者护理：基本因素和挑战。

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Health Services Management Research Pub Date : 2026-02-01 Epub Date: 2025-09-03 DOI: 10.1177/09514848251374968

Delphine Wannenmacher, Alejandra Duenas, Isabelle Flachere, Vera Ivanaj, Jennifer Ramone-Louis

引用次数: 0

Hospital process performance and the adoption of medical devices: An organization-based view. 医院流程绩效与医疗设备的采用：基于组织的观点。

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Health Services Management Research Pub Date : 2026-02-01 Epub Date: 2024-08-05 DOI: 10.1177/09514848241270874

Francesca De Domenico, Guido Noto, Maria Cristina Cinici

{"title":"Hospital process performance and the adoption of medical devices: An organization-based view.","authors":"Francesca De Domenico, Guido Noto, Maria Cristina Cinici","doi":"10.1177/09514848241270874","DOIUrl":"10.1177/09514848241270874","url":null,"abstract":"Over the past two decades, there has been a growing scholarly interest in the adoption of technology in healthcare. While numerous studies have delved into the effects of specific technologies on the performance of different organizational units and medical specialties, the findings have often been divergent. Unlike the established literature, our approach focuses on the organization's perspective to analyze how technology impacts process performance in hospital settings. More precisely, we compiled a tailored dataset from 56 healthcare organizations in Italy and conducted a comprehensive analysis of panel data from 2016 to 2019, utilizing Ordinary Least Squares (OLS) regression as our main analytical tool. The data shows a clear relationship between an organization's use of medical devices and its overall process performance. Our research highlights the importance of achieving substantial improvements in process performance by strategically integrating new technologies and devices. Policymakers are encouraged to consider introducing incentives to drive hospitals to invest in innovative technologies. Furthermore, monitoring expenditures on new devices could serve as a valuable metric for assessing the extent of technology adoption within clinical practices.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"2-11"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890434","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

Stay meaningful. Research what matters. 保持有意义的。研究什么是重要的。

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Health Services Management Research Pub Date : 2026-01-05 DOI: 10.1177/09514848251412865

Federico Lega

引用次数: 0

Evaluation of physicians' opinions on receiving health information from ChatGPT; trustworthiness, value, and danger. 医生接收ChatGPT健康信息的意见评价诚信、价值和危险。

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Health Services Management Research Pub Date : 2025-12-18 DOI: 10.1177/09514848251407117

Mustafa Said Yıldız, Ayfer Alper

{"title":"Evaluation of physicians' opinions on receiving health information from ChatGPT; trustworthiness, value, and danger.","authors":"Mustafa Said Yıldız, Ayfer Alper","doi":"10.1177/09514848251407117","DOIUrl":"https://doi.org/10.1177/09514848251407117","url":null,"abstract":"This study assesses physicians' perspectives on the role of ChatGPT in providing health-related information, highlighting its reliability, contributions and potential risks. In a survey of 88 physicians who were selected using convenience sampling, ChatGPT's answers to three different health questions were evaluated, and reliability, benefits and potential hazards were rated on a scale of 1-10. The physicians were then asked about the rationale behind their evaluation scores. The qualitative assessments of the physicians were evaluated together with quantitative analyses of the scores. The results showed high trustworthiness scores across all questions (mean scores of 8.4, 8.2 and 8.6 over 10) and non-significant difference between questions, as well as significant benefits in promoting health literacy through general health advice and lifestyle recommendations (mean scores of 7.3, 7.9 and 8.3). Answer for lowering cholesterol was evaluated at at higher level of contribution than first question (p = 0.0004). However, concerns were raised about risks, particularly due to more direct answers including treatment recommendations, and the potential for misuse by patients was noted (mean scores of 2.6, 3.5 and 2.5). Second question (the treatment for atrial fibration) was evaluated at a higher level of risk (p = 0.002). While ChatGPT has the potential to be an effective tool for health education and promotion, this study underlines the importance of increasing users' health literacy and establishing guidelines to ensure safe and ethical use. The findings highlight the need for multi-stakeholder approaches to optimise the integration of ChatGPT into healthcare settings.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"9514848251407117"},"PeriodicalIF":0.7,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145775977","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