Health Services Management Research最新文献_第7页

Health system chief diversity officers: who are they and what do they do? 卫生系统首席多元化官员:他们是谁，他们做什么?

IF 2.1

Health Services Management Research Pub Date : 2023-08-01 DOI: 10.1177/09514848221115091

Tory H Hogan, Lena Stevens, Jennifer L Hefner, Christy Harris Lemak

引用次数: 1

Use of telehealth: Evidence from French teleconsultation for women's healthcare, prior and during COVID-19 pandemic. 远程医疗的使用:来自2019冠状病毒病大流行之前和期间法国妇女保健远程咨询的证据

IF 2.1

Health Services Management Research Pub Date : 2023-08-01 DOI: 10.1177/09514848221115845

Carine Milcent, Saad Zbiri

{"title":"Use of telehealth: Evidence from French teleconsultation for women's healthcare, prior and during COVID-19 pandemic.","authors":"Carine Milcent, Saad Zbiri","doi":"10.1177/09514848221115845","DOIUrl":"https://doi.org/10.1177/09514848221115845","url":null,"abstract":"Prior to the COVID-19 pandemic, French healthcare practitioners seldom used teleconsultations in France. COVID-19 has brought with it a great need for the use of teleconsultation and other interventions using digital technology. The study's objective was to identify how French healthcare practitioners used teleconsultation for obstetrics and gynecology care services before and during COVID-19. Our study used a survey of French healthcare practitioners specializing in obstetrics and gynecology from 1 March 2020, to 31 April 2020. We first described the global picture of the teleconsultation context prior to COVID-19 and then during the first lockdown measures. For both contexts, we set up three aspects: 1- teleconsultation regarding providers' ability; 2- teleconsultation with regards to its technological features; and 3- teleconsultation for which type of healthcare. Second, we mobilized logit models to study the determinant factors of teleconsultation use as well as what drives provider satisfaction with teleconsultation practice. We show the central role of training, and the importance of some main digital technology benefits, namely improving public health, responding to patients' requests, and facilitating healthcare access. We also exhibit the importance of the limitations specifically related to the lack of convenience in digital technology use and the lack of trust in the digital service provided. Our results guide policy makers on suppliers' motivation and needs for teleconsultation adoption. These results highlight the conditions for efficient use of teleconsultation.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9353317/pdf/10.1177_09514848221115845.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9803706","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: 4

Organizational innovation under constraints: The case of covid patients' flow management in Parisian hospitals. 约束下的组织创新:以巴黎医院新冠肺炎患者流程管理为例

IF 2.1

Health Services Management Research Pub Date : 2023-05-01 DOI: 10.1177/09514848221115243

Marie-Léandre Gomez, Marie Kerveillant, Matthieu Langlois, Nicolas Lot, Mathieu Raux

{"title":"Organizational innovation under constraints: The case of covid patients' flow management in Parisian hospitals.","authors":"Marie-Léandre Gomez, Marie Kerveillant, Matthieu Langlois, Nicolas Lot, Mathieu Raux","doi":"10.1177/09514848221115243","DOIUrl":"https://doi.org/10.1177/09514848221115243","url":null,"abstract":"The COVID crisis has put hospitals under great stress over the past 2 years and some institutions came close to their breaking points. This has often forced decision makers and the entire institutions to change their practices and the organization of the hospitals in order to continue operating despite limited resources. It has also led some hospitals to develop and implement organizational innovations. This article is based on a qualitative case study analyzing the case of a crisis unit that has implemented various innovative medical and organizational actions in order to manage the flow of resuscitation Covid patients in a large group of hospitals in Paris. This team has implemented a new evaluation scale of resuscitation needs in order to better manage quantitatively and qualitatively the patients' flow; it has defined medical criteria to select the patients eligible for transfer; it has organized one hundred patients transfers to other hospitals' intensive care units, in and out of the region, involving private hospitals and private ambulances for a new collaboration. The case allows us to understand innovation in the midst of an extreme situation, when material and human resources are highly constrained, and with very strong time pressure. We highlight the importance of implementing flexible organizational processes and staffing the crisis team with physicians and nurses with specific and complementary skills and experience in flow management and crisis situations.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9261457","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: 3

Who counts when health counts? A case-study of multi-stakeholder initiative to promote value-creation in Swedish healthcare. 当健康重要时，谁重要?促进瑞典医疗保健领域创造价值的多方利益相关者倡议的案例研究。

IF 2.1

Health Services Management Research Pub Date : 2023-05-01 DOI: 10.1177/09514848221100751

Leonard Tragl, Carl Savage, Magna Andreen-Sachs, Mats Brommels

{"title":"Who counts when health counts? A case-study of multi-stakeholder initiative to promote value-creation in Swedish healthcare.","authors":"Leonard Tragl, Carl Savage, Magna Andreen-Sachs, Mats Brommels","doi":"10.1177/09514848221100751","DOIUrl":"https://doi.org/10.1177/09514848221100751","url":null,"abstract":"A European initiative to design a \"medical information framework\" conceptualised how multiple stakeholders join in collaborative networks to create innovations. It conveyed the ways in which value is created and captured by stakeholders. We applied those insights to analyse a multi-stakeholder initiative to promote improvement of Swedish healthcare. Our longitudinal case study covered totally fifty stakeholders involved in a national project, aiming at designing a system to support value-based evaluation and reimbursement. During the project the focus changed from reimbursement to benchmarking. Sophisticated case-mix adjusting algorithms were designed to make outcome comparisons valid and incorporated in a software platform enabling detailed analysis of eight patient groups across seven regional health authorities. Those were deliverables demonstrating value created. However, the project was unable to transfer the system into routine use in the regions, a failed value-capture. The initial success was promoted by collaborative processes in diagnosis-specific working groups of well-informed and engaged professionals. The change of focus away from reimbursement decreased the involvement among health authorities, leaving no centrally placed persons to push for implementation. It highlights the importance of health professionals as the key stakeholder, who has both the know-how instrumental to creating an innovation, and the local involvement guaranteeing its implementation.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10080372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9277163","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: 1

Impact of austerity programs: Evidence from the Italian national health service. 紧缩计划的影响:来自意大利国家卫生服务的证据。

IF 2.1

Health Services Management Research Pub Date : 2023-05-01 DOI: 10.1177/09514848221134473

Giorgio Chisari, Federico Lega

引用次数: 0

Toward a universalistic behavioural model of perceived managerial and leadership effectiveness for the health services sector. 建立保健服务部门管理和领导效能的普遍行为模型。

IF 2.1

Health Services Management Research Pub Date : 2023-05-01 DOI: 10.1177/09514848211065462

Robert G Hamlin, Carlos E Ruiz, Jenni Jones, Taran Patel

{"title":"Toward a universalistic behavioural model of perceived managerial and leadership effectiveness for the health services sector.","authors":"Robert G Hamlin, Carlos E Ruiz, Jenni Jones, Taran Patel","doi":"10.1177/09514848211065462","DOIUrl":"https://doi.org/10.1177/09514848211065462","url":null,"abstract":"Much management and leadership development provision for healthcare professionals has been the subject of considerable criticism, and there have been numerous calls for training programmes explicitly focused on the specific managerial (manager/leader) behaviours healthcare managers, physician leaders and nurse managers need to exhibit to be perceived effective. The aim of our multiple cross-case/cross-nation comparative study has been to: i) identify similarities and differences between the findings of published qualitative critical incident studies of effective and ineffective managerial behaviour observed within British, Egyptian, Mexican and Romanian public hospitals, respectively, and ii) if possible, deduce from the identified commonalities a healthcare-related behavioural model of perceived managerial and leadership effectiveness. Adopting a philosophical stance informed by pragmatism, epistemological instrumentalism and abduction, we used realist qualitative analytic methods to code and classify into a maximum number of discrete behavioural categories empirical source data obtained from five previous studies. We found high degrees of empirical generalization which resulted in the identification of five positive (effective) and four negative (ineffective) behavioural dimensions (BDs) derived, respectively, from 14 positive and 9 negative deduced behavioural categories (BCs). These BDs and underpinning BCs are expressed in the form of an emergent two-factor universalistic behavioural model of perceived managerial and leadership effectiveness. We suggest the model could be used to critically evaluate the relevance and appropriateness of existing training provision for physician leaders, nurse managers and other healthcare managers/leaders in public hospitals or to design new explicit training programmes informed and shaped by healthcare-specific management research, as called for in the literature.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9315382","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

Benefits, Barriers and Determinants of Clinical Pathway Use in Germany, Austria and Switzerland. A pilot study. 德国、奥地利和瑞士临床路径使用的益处、障碍和决定因素。一项初步研究。

IF 2.1

Health Services Management Research Pub Date : 2023-05-01 DOI: 10.1177/09514848221107485

Elisabeth Noehammer, Matthias Ponweiser, Tobias Romeyke, Florian Eibinger

{"title":"Benefits, Barriers and Determinants of Clinical Pathway Use in Germany, Austria and Switzerland. A pilot study.","authors":"Elisabeth Noehammer, Matthias Ponweiser, Tobias Romeyke, Florian Eibinger","doi":"10.1177/09514848221107485","DOIUrl":"https://doi.org/10.1177/09514848221107485","url":null,"abstract":"Background: Performance-oriented financing of healthcare aims at demand-based and efficient resource allocation. Often, clinical pathways (CPs) are introduced in this context.Purpose: For CP success (a) the degree of utilization of and divergence, (b) cost effects and (c) health professionals' acceptance rate of and satisfaction are relevant. There are gaps in research regarding these issues in general, and more specifically in the German speaking part of Europe.Methodology/approach: Employing a two-stage mixed-methods pilot study, we studied (a) and (b) quantitatively in Germany, Austria, and Switzerland, and (c) qualitatively in Germany and Austria.Results: Many hospitals already implemented CPs, but the utilization varies. They are expected to yield middle-range savings, but intangible benefits are more important. In general, employees are in favor of CPs, but several conditions need to be met, e.g. adaptability to local requirements.Conclusion: Linking the results to the Consolidated Framework for Implementation Research showed many criteria are covered, which might lead to the positive evaluations, but also highlights the complexity of the intervention.Practice implication: As enhanced acceptance rates are expected to lead to higher benefits and vice versa, management team should safeguard employee participation and perceived benefits in all phases of the CP cycle.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/63/b1/10.1177_09514848221107485.PMC10080374.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9646974","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: 2

Causing harm but doing good: Recognizing and overcoming the burden of necessary evil enactment in healthcare service professions. 害而为善:认识和克服医疗服务行业必要的恶立法负担。

IF 2.1

Health Services Management Research Pub Date : 2023-05-01 DOI: 10.1177/09514848221109833

Meena Andiappan

引用次数: 1

Contextual factors and business strategy choice: The case of us hospitals. 情境因素与经营策略选择:以美国医院为例。

IF 2.1

Health Services Management Research Pub Date : 2023-05-01 DOI: 10.1177/09514848221115093

Akbar Ghiasi, Robert Weech-Maldonado, Ferhat Zengul, Neeraj Puro

{"title":"Contextual factors and business strategy choice: The case of us hospitals.","authors":"Akbar Ghiasi, Robert Weech-Maldonado, Ferhat Zengul, Neeraj Puro","doi":"10.1177/09514848221115093","DOIUrl":"https://doi.org/10.1177/09514848221115093","url":null,"abstract":"US hospitals are struggling with how to compete and remain viable in an increasingly turbulent and competitive environment. Using Porter's generic strategies and resource dependence theory, this study examined the relationship between environmental factors and business strategy choice among U.S. hospitals. The study used longitudinal data from 2006 to 2016 of US urban, general acute care hospitals from the American Hospital Association Annual Survey, Medicare cost reports, and Area Health Resource File. Multinomial regression was used to analyze the data. and Discussion: Our findings showed four types of hospital strategy: cost-leadership, differentiation, hybrid, and stuck-in-the-middle. A greater number of physicians (county-level) increases the likelihood of pursuing differentiation and hybrid strategy. On the other hand, a higher older adult population (65 years+) increases the likelihood of pursuing a cost-leadership strategy. Similarly, lower competition and higher Medicare Advantage penetration increases the likelihood of pursuing cost-leadership over hybrid strategy. An increase in the unemployment rate decreases the likelihood of pursuing differentiation and cost-leadership strategies versus the hybrid strategy. Finally, hospitals pursuing a differentiation strategy tended to be larger, teaching, and not-for-profit. The results showed the importance of environmental and organizational factors in predicting the strategy choice of hospitals.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9261455","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: 1

Allied health clinical supervision: An opportunity lost. 联合医疗临床监督:一个失去的机会。

IF 2.1

Health Services Management Research Pub Date : 2023-05-01 DOI: 10.1177/09514848221100747

Nicky Baker, Jill Garner, Liz Kapur, Belinda Lange

引用次数: 1