Health Services Management Research最新文献_第4页

Delphi Plus: A novel methodology for identifying evidence-based data standards for health service decision-making. Delphi Plus:一种用于确定卫生服务决策的循证数据标准的新方法。

IF 1.6

Health Services Management Research Pub Date : 2024-11-01 Epub Date: 2023-11-28 DOI: 10.1177/09514848231218637

Peter W Clark, Lauren T Williams, Jessica Lee, Lauren Ball

{"title":"Delphi Plus: A novel methodology for identifying evidence-based data standards for health service decision-making.","authors":"Peter W Clark, Lauren T Williams, Jessica Lee, Lauren Ball","doi":"10.1177/09514848231218637","DOIUrl":"10.1177/09514848231218637","url":null,"abstract":"The underlying tenet of evidence-based decision-making in health services is assessing all the relevant evidence. Using the traditional qualitative and quantitative approaches to identifying evidence may not capture the full spectrum of factors that need to be addressed. A selective mixed-method approach may provide a comprehensive assessment of the relevant knowledge. This paper adds to the methodological literature by outlining a novel sequential, mixed-method, exploratory process for identifying evidence-based data standards that may be used for health service decision-making. The three-phase process, entitled Delphi Plus, engages peer-nominated topic-specific experts to assess all publicly available and practice-based items and, through a series of reviews, reach an evidence-based consensus on standards for decision-making. Each process phase is outlined in-depth and supplemented by practical learnings gained through its implementation. The Delphi Plus methodology provides the first comprehensive process for combining the published and practised data to develop evidence-based data standards. The routine use of Delphi Plus would provide a framework for benchmarking in health services, enabling greater monitoring and evaluation of client outcomes and improving quality care. This manuscript describes the process of implementing Delphi Plus and provides an example of data standards generated from its use, which directly inform the Australian Government's Primary Health Care 10 Year Plan.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"227-235"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138452823","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 multi-dimensional study of organisational boundaries and silos in the healthcare sector. 组织边界和孤岛在医疗保健部门的多维研究。

IF 1.6

Health Services Management Research Pub Date : 2024-11-01 Epub Date: 2023-11-27 DOI: 10.1177/09514848231218617

Esben Rahbek Gjerdrum Pedersen, Frantisek Sudzina, Francesco Rosati

引用次数: 0

An exploration of factors leading to readiness for organizational health literacy change in community-based health organizations. 探讨导致社区医疗机构做好组织健康知识变革准备的因素。

IF 1.6

Health Services Management Research Pub Date : 2024-10-24 DOI: 10.1177/09514848241295655

Melanie Stone, Ricardo Wray, Jason Rosenfeld, Melissa Valerio-Shewmaker, Teresa Wagner

{"title":"An exploration of factors leading to readiness for organizational health literacy change in community-based health organizations.","authors":"Melanie Stone, Ricardo Wray, Jason Rosenfeld, Melissa Valerio-Shewmaker, Teresa Wagner","doi":"10.1177/09514848241295655","DOIUrl":"https://doi.org/10.1177/09514848241295655","url":null,"abstract":"Introduction: Healthcare systems have a responsibility to improve organizational health literacy (OHL) to increase health equity. This study explored two organizational cultural factors, leadership support and staff buy-in, for organizations planning OHL change.Methods: Ten community-based health organizations participated in an OHL program. The study design was mixed methods. The qualitative inquiry was interviews with senior leaders to explore awareness of OHL and: impetus to transform, leadership commitment, staff engagement, alignment to organizational goals, and integration of health literacy change with current practices. The quantitative assessment was the Organizational Readiness for Implementing Change (ORIC) questionnaire to assess staff's perceptions about OHL change readiness.Results: Senior leaders articulated the effects of low health literacy in their patient and client population. Support for OHL change was seen at both leadership and staff levels. Impetus for change was primarily a response to a community need or for quality improvement. Most of the non-clinical organizations had higher ORIC scores than the clinical organizations, indicating a perceived higher level of readiness for OHL change.Conclusion: Leadership commitment and staff buy-in are important factors of readiness for OHL change. A novel finding is that community-based health organizations are able and willing to engage in OHL change.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"9514848241295655"},"PeriodicalIF":1.6,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510135","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 impact of policy and technology infrastructure on telehealth utilization. 政策和技术基础设施对远程医疗使用的影响。

IF 1.6

Health Services Management Research Pub Date : 2024-08-28 DOI: 10.1177/09514848241276471

Ying-Chih Sun, Ozlem Cosgun, Raj Sharman

{"title":"The impact of policy and technology infrastructure on telehealth utilization.","authors":"Ying-Chih Sun, Ozlem Cosgun, Raj Sharman","doi":"10.1177/09514848241276471","DOIUrl":"https://doi.org/10.1177/09514848241276471","url":null,"abstract":"The COVID-19 outbreak resulted in an unprecedented surge in telehealth utilization. However, the effects of policy enactment on utilization remain understudied in the literature. Our research examines the impact of policy mandates relating to federal incentive programs on telehealth utilization across states during the pandemic by considering technology infrastructure, such as broadband penetration and equipment possession. This study also considers the impact of political orientation and control factors, including income attributes, on telehealth utilization. Considering telehealth utilization in the Medicare program as a test case, this study employed the partial least square and structural equation model to analyze data from the Centers for Medicare & Medicaid Services, the American Community Survey, and the Microsoft Airband Project to draw inferences. Our study finds that telehealth legislation, broadband penetration, political orientation, and control factors have a direct significant impact on telehealth utilization, whereas incentive programs and equipment possession have an indirect impact through broadband penetration.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"9514848241276471"},"PeriodicalIF":1.6,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142093952","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

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。

IF 1.6

Health Services Management Research Pub 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":"https://doi.org/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":"9514848241270874"},"PeriodicalIF":1.6,"publicationDate":"2024-08-05","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

Insights into how universal, tax-funded, single payer health systems manage their waiting lists: A review of the literature. 洞察由税收资助的全民单一支付医疗系统如何管理候诊名单：文献综述。

IF 1.6

Health Services Management Research Pub Date : 2024-08-01 Epub Date: 2023-07-02 DOI: 10.1177/09514848231186773

Francesco Amigoni, Federico Lega, Elena Maggioni

{"title":"Insights into how universal, tax-funded, single payer health systems manage their waiting lists: A review of the literature.","authors":"Francesco Amigoni, Federico Lega, Elena Maggioni","doi":"10.1177/09514848231186773","DOIUrl":"10.1177/09514848231186773","url":null,"abstract":"Background: A conspicuous consequence of gatekeeping arrangements in universal, tax-funded, single-payer health care systems is the long waiting times. Besides limiting equal access to care, long waiting times can have a negative impact on health outcomes. Long waiting times can create obstacles in a patient's care pathway. Organization for Economic Co-operation and Development (OECD) countries have implemented various strategies to tackle this issue, but there is little evidence for which approach is the most effective. This literature review examined waiting times for ambulatory care. Objective: The aim was to identify the main policies or combinations of policies universal, tax-funded, and single-payer healthcare systems have implemented to improve the governance of outpatient waiting times. Methods: Starting from 1040 potentially eligible articles, a total of 41 studies were identified via a 2-step selection process. Findings: Despite the relevance of the issue, the literature is limited. A set of 15 policies for the governance of ambulatory waiting time was identified and categorized by the type of intervention: generation of supply capacity, control of demand, and mixed interventions. Even if a primary intervention was always identifiable, rarely a policy was implemented solo. The most frequent primary strategies were: guidelines implementation and/or clinical pathways, including triage, guidelines for referral and maxim waiting times (14 studies), task shifting (9 studies), and telemedicine (6 studies). Most studies were observational, with no data on costs of intervention and impact on clinical outcomes.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"160-173"},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9740002","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 relationship between performance feedback and medical managers' budgetary performance:The role of managerial self-efficacy. 探讨绩效反馈与医疗管理人员预算绩效之间的关系：管理者自我效能感的作用。

IF 1.6

Health Services Management Research Pub Date : 2024-08-01 Epub Date: 2023-05-29 DOI: 10.1177/09514848231179177

Marco Giovanni Rizzo

{"title":"Exploring the relationship between performance feedback and medical managers' budgetary performance:The role of managerial self-efficacy.","authors":"Marco Giovanni Rizzo","doi":"10.1177/09514848231179177","DOIUrl":"10.1177/09514848231179177","url":null,"abstract":"This study addresses recent calls for more research on the potential intervening role exerted by certain individual variables in the relationship between performance feedback and performance. Specifically, this study selects medical managers' sense of managerial self-efficacy as a potential mediational variable in the feedback-performance relationship. A mediational model examining how the effect of performance feedback on medical managers' budgetary performance is influenced by their sense of managerial self-efficacy was established based on survey data from 60 medical managers working in a hospital. Data analysis was conducted using the partial least squares technique, and the results confirmed the hypothesised relationships. Specifically, performance feedback was positively associated with managerial self-efficacy, and managerial self-efficacy exerted a positive influence on medical managers' budgetary performance. Further, performance feedback was determined not to be directly associated with budgetary performance; however, a full mediating effect of managerial self-efficacy was found. These findings make several contributions to the literature and can help healthcare managers have a better understanding of the consequences and importance of the technical features of performance feedback reports.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"135-142"},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9541454","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

Addressing the healthcare waste management barriers: A structural equation modeling approach. 解决医疗废物管理障碍：结构方程模型法。

IF 1.6

Health Services Management Research Pub Date : 2024-08-01 Epub Date: 2023-07-03 DOI: 10.1177/09514848231186775

Abhishek Raj, Cherian Samuel, Abhishek Kumar Singh

{"title":"Addressing the healthcare waste management barriers: A structural equation modeling approach.","authors":"Abhishek Raj, Cherian Samuel, Abhishek Kumar Singh","doi":"10.1177/09514848231186775","DOIUrl":"10.1177/09514848231186775","url":null,"abstract":"Due to the growing population and advancing economy, medical waste accumulation has come to the attention of all facets of society. Although the issue of medical waste management planning has been addressed in developed nations, it still exists in several developing nations. This paper examines the effects of barriers under the Organization action, work handling, and Human Resource Practices section on the healthcare waste management (HCWM) sector in a developing country India. In this study, three hypotheses were constructed and tested using Structural equation modeling. The questionnaire was distributed among 200 health professionals to collect their responses. Ninety-seven responses were received, and 15 barriers were identified affecting the healthcare waste management sector. The results show that all three barriers (i.e., Organizational, Waste handling, and Human resources) hinder the Healthcare waste management sector. Organizational Barriers are the most significant among other barriers. So, the hospitals have to take appropriate actions to overcome these barriers. This paper helps to complete the research gap by providing the different characteristics of barriers. The development of a model for the analysis of barriers influencing HCWM is the Author's original contribution.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"143-152"},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9747547","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 self-care process model for patients with chronic noncommunicable diseases. 慢性非传染性疾病患者的自我护理过程模型。

IF 1.6

Health Services Management Research Pub Date : 2024-08-01 Epub Date: 2023-09-12 DOI: 10.1177/09514848231201405

Marija Milavec Kapun, Vladislav Rajkovič, Olga Šušteršič, Uroš Rajkovič

{"title":"A self-care process model for patients with chronic noncommunicable diseases.","authors":"Marija Milavec Kapun, Vladislav Rajkovič, Olga Šušteršič, Uroš Rajkovič","doi":"10.1177/09514848231201405","DOIUrl":"10.1177/09514848231201405","url":null,"abstract":"Self-care of patients with chronic noncommunicable diseases is an essential component of contemporary healthcare. The purpose of this paper is to present a novel self-care process model and place it in the broader context of professional care. The extended Event-driven Process Chain approach to process modelling was used, focusing on a detailed overview of sequences of events, connections and activities and other elements/building blocks. A self-care process model was designed. The model is divided into two parts. The first part represents the self-care process when patients are able to manage their symptoms and be independent. The second part includes the process when patients are unable to perform self-care and/or need professional support. By identifying the essential elements of this process and incorporating them into the patients' care process, we can ensure that professional support for self-care creates a dynamic balance in the patients' ecosystems. Patients with chronic noncommunicable diseases need to make timely decisions about individual aspects of their health and seek professional help. In this way, an optimal level of health and well-being of patients can be achieved. Focusing on the patients' self-care process could also reduce treatment costs and improve the quality of life of patients. The novel designed model of the process of self-care, with all its essential elements, can be supported by digital technology, especially in the decision-making process and needs to become an important part of healthcare and long-term care systems.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"189-197"},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10224119","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

Service design for the transformation of healthcare systems: A systematic review of literature. 医疗系统转型的服务设计：文献系统回顾。

IF 1.6

Health Services Management Research Pub Date : 2024-08-01 Epub Date: 2023-08-08 DOI: 10.1177/09514848231194846

Noe Vaz, Cláudia Affonso Silva Araujo

{"title":"Service design for the transformation of healthcare systems: A systematic review of literature.","authors":"Noe Vaz, Cláudia Affonso Silva Araujo","doi":"10.1177/09514848231194846","DOIUrl":"10.1177/09514848231194846","url":null,"abstract":"There is a growing interest in applying the Service Design (SD) approach to innovate and transform healthcare systems. However, comprehensive studies are scarce. This study systematically reviews the literature on SD initiatives towards healthcare system transformation. The research questions are: How has the SD approach been applied to the healthcare sector? To what extent are the SD initiatives contributing to transform the health systems? What are the main challenges faced by SD initiatives to transform the health system? Which are the main stakeholders involved in the process, and how could they change according to the type of initiative? The search was conducted in March 2021 in eight databases and returned 990 articles evaluated through a research protocol, resulting in 47 studies included in this review. These studies were explored through thematic analysis and considering two conceptual models: the SD approach (Patrício et al., 2020) and the ecosystem perspective (Beirão et al., 2017). The findings show that SD initiatives have been implemented at all levels of the ecosystem, but only 49% (47/23 studies) present a transformative character. The SD initiatives challenges were organized into four themes: (1) Planning SD initiatives as a lever in transforming health systems; (2) Using SD tools creatively; (3) Considering the use of new technologies to transform health systems positively, and (4) Facing the challenges of applying the Experience-Based Design and Experience Based in Co-Design approaches in project development. This study is relevant for helping managers and researchers in their efforts to design truly transformative services with a focus on improving health systems and social wellbeing.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":" ","pages":"174-188"},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9951055","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