Health Services Management Research最新文献_第7页

The emergence of a value transformation strategic initiative in the healthcare context. 医疗保健背景下价值转型战略举措的出现。

IF 2.1

Health Services Management Research Pub Date : 2023-11-01 Epub Date: 2023-01-11 DOI: 10.1177/09514848231151819

A Erin Bass, Ivana Milosevic, Mary Uhl-Bien, Meagan Millier

{"title":"The emergence of a value transformation strategic initiative in the healthcare context.","authors":"A Erin Bass, Ivana Milosevic, Mary Uhl-Bien, Meagan Millier","doi":"10.1177/09514848231151819","DOIUrl":"https://doi.org/10.1177/09514848231151819","url":null,"abstract":"How do strategic initiatives emerge? Despite rich tradition in the emergent strategy literature-focused on significant organizational change-surprisingly little insight exists on the dynamics of a new initiative's emergence. This is particularly relevant in healthcare because of the increasing pressure to implement value transformation models focused on maximizing value at the point of care. The value transformation model prioritizes the decisions of the frontline providers and thus requires their expertise and commitment for the model's implementation and success. In our case study of a dental organization, \"OptiPlex,\" we trace the emergence of a value transformation strategic initiative from its origination at the point of care to its formalization into the organization's strategic plan. Using qualitative methods, we identify three phases in the emergence of the value transformation strategic initiative, each embodying different championing behaviors necessary for the initiative's emergence. In doing so, we explicate the nature of these behaviors and how they link up across the organizational hierarchy to drive the value transformation strategic initiative's emergence and implementation.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":"36 4","pages":"273-283"},"PeriodicalIF":2.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215619","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

Staff perceptions of organisational performance measurement implementation in a health charity. 员工对健康慈善机构实施组织绩效衡量的看法。

IF 2.1

Health Services Management Research Pub Date : 2023-11-01 Epub Date: 2022-10-17 DOI: 10.1177/09514848221134403

Richard William Colbran, Robyn Ramsden, Genevieve Pepin, John W Toumbourou, Karen Stagnitti

{"title":"Staff perceptions of organisational performance measurement implementation in a health charity.","authors":"Richard William Colbran, Robyn Ramsden, Genevieve Pepin, John W Toumbourou, Karen Stagnitti","doi":"10.1177/09514848221134403","DOIUrl":"https://doi.org/10.1177/09514848221134403","url":null,"abstract":"The non-acute health charity sector forms part of the global health services industry. Organisational Performance Measurement (OPM) is fundamental for modern business to achieve sustained excellence yet is under-utilised by non-acute health charities. The Non-Acute Health Charity Performance Implementation Framework (NCPI Framework) was developed to support non-acute health charities undertaking OPM. A non-acute health charity case study undertook a 12-month OPM implementation process using the NCPI Framework. This study had three aims. Firstly, to understand the perceptions of staff employed by the case study organisation regarding their experience of the 12-month NCPI Framework implementation process, secondly to identify whether an interrelationship existed between the NCPI Framework's implementation elements and the staff's perspectives, and thirdly, identify areas of strength and improvement which could enhance the NCPI Framework's effectiveness. Data were collected post implementation and analysed thematically from open-ended question responses from an anonymous survey and semi-structured interviews. Participants supported the introduction of OPM and valued the NCPI Framework's structured implementation guidelines. Six interrelated themes were identified: clarity, adaptability, alignment, transparent communication, capability and accountability. Participants suggested adaptations to enhance the NCPI Framework's impact. A culture aligned with organisational learning was identified as potentially having a positive impact on the NCPI Framework's implementation. The NCPI Framework may also have relevance and application to the non-profit industry beyond non-acute health care and for use in program development and service quality initiatives.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":"36 4","pages":"262-272"},"PeriodicalIF":2.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215618","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

Physical therapists' experience using focus on therapeutic outcome in outpatient clinics: A qualitative study. 物理治疗师在门诊使用关注治疗结果的经验：一项定性研究。

IF 2.1

Health Services Management Research Pub Date : 2023-11-01 Epub Date: 2022-08-09 DOI: 10.1177/09514848221118749

Sarbinaz Bekmuratova, Angela Bahle-Lampe, Travis Pflaster

{"title":"Physical therapists' experience using focus on therapeutic outcome in outpatient clinics: A qualitative study.","authors":"Sarbinaz Bekmuratova, Angela Bahle-Lampe, Travis Pflaster","doi":"10.1177/09514848221118749","DOIUrl":"https://doi.org/10.1177/09514848221118749","url":null,"abstract":"While patient-reported outcomes measures (PROMs) are used in many practice settings as a standardized system of outcome measures, various factors may impact the meaningful use of PROMs by clinicians operating in various settings. Very limited research exists that focused on examining the use of FOTO® in outpatient rehabilitation settings. This study aimed to explore the barriers and facilitators in achieving FOTO® treatment completion rates and patient functional outcomes among physical therapists. Additionally, the study aimed to explore the internal acceptance of FOTO as a useful tool in rehabilitation from the perspectives of physical therapists. Qualitative data were collected through four focus group interviews with physical therapists at outpatient rehabilitation clinics. The interviews were audio-recorded and transcribed, and transcribed, and qualitative content analysis was applied for data analysis. Four major themes emerged from qualitative data analyses including (a) use of FOTO® in clinical practice, (b) reasons why the FOTO® process may not be followed, (c), therapists' perceptions of FOTO®, and (d) perceived barriers and enablers related to FOTO®. The study concluded that multi-level determinants impact the successful use of FOTO® by therapists in outpatient rehabilitation settings. The findings have important implications for clinical practice, organizational leaders, and PROM developers.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":"36 4","pages":"240-248"},"PeriodicalIF":2.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215616","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

Predictors of international Muslim medical tourists' expectations on halal-friendly healthcare services: A hospital-based study. 国际穆斯林医疗游客对清真医疗服务期望的预测因素：一项基于医院的研究。

IF 2.1

Health Services Management Research Pub Date : 2023-11-01 Epub Date: 2022-06-17 DOI: 10.1177/09514848221109831

Mohsen Naserirad, Mohamad Tavakol, Mahmoud Abbasi, Behrooz Jannat, Naficeh Sadeghi, Zahra Bahemmat

{"title":"Predictors of international Muslim medical tourists' expectations on halal-friendly healthcare services: A hospital-based study.","authors":"Mohsen Naserirad, Mohamad Tavakol, Mahmoud Abbasi, Behrooz Jannat, Naficeh Sadeghi, Zahra Bahemmat","doi":"10.1177/09514848221109831","DOIUrl":"10.1177/09514848221109831","url":null,"abstract":"Background: Halal-friendly healthcare services have emerged as an important sector of the overall healthcare service delivery system. This study aimed to examine levels and determinants of expectations on halal-friendly healthcare services from the Muslim medical tourists' perspective.Methods: A cross-sectional survey was conducted in four cities, seventeen hospitals, across Iran, with a sample of 365 international Muslim medical tourists.Results: Mean expectation score of the respondents was 3.95 ± 1.43. Being in the 25-34 age group (aOR = 2.65; CI 95%: 2.14-3.16), being married (aOR = 2.09; CI 95%: 1.46-2.72), having completed secondary education (aOR = 2.14; CI 95%: 1.26-3.02), belonging to a high-income socioeconomic background (aOR = 1.69; CI 95%: 1.06-2.33), coming from Iraq (aOR = 3.08; CI 95%: 2.12-4.04), being Shia (aOR = 2.83; CI 95%: 2.00-3.67), receiving information by recommendation as a source for travel decision (aOR = 3.02; CI 95%: 1.82-4.22), traveling with family or relatives (aOR=2.16; CI 95%: 1.42-2.90), receiving medical service of cosmetic surgery (aOR = 1.57; CI 95%: 1.22-1.92) and cardiovascular therapy (aOR = 2.33; CI 95%: 1.23-3.43), and traveling one or two times in the past (aOR = 2.33; CI 95%: 1.00-3.66) significantly increased the expectations on halal-friendly healthcare services.Conclusion: This study will represent an important contribution to the literature concerned with the levels and drivers of expectations on halal-friendly healthcare services.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":"36 4","pages":"230-239"},"PeriodicalIF":2.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e6/23/10.1177_09514848221109831.PMC10552339.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41147721","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: 3

The implementation of a precision case management model in a Canadian inpatient rehabilitation center: The 12-months post-implementation findings of a quality improvement project. 精准病例管理模式在加拿大住院康复中心的实施:质量改进项目实施后12个月的结果。

IF 2.1

Health Services Management Research Pub Date : 2023-08-01 DOI: 10.1177/09514848221109832

Michael Chislett, Karen Hurtubise, Jason McCarthy, Cathy Hoyles

{"title":"The implementation of a precision case management model in a Canadian inpatient rehabilitation center: The 12-months post-implementation findings of a quality improvement project.","authors":"Michael Chislett, Karen Hurtubise, Jason McCarthy, Cathy Hoyles","doi":"10.1177/09514848221109832","DOIUrl":"https://doi.org/10.1177/09514848221109832","url":null,"abstract":"Despite recommendations, few have reported on quality improvement initiatives to implement length of rehabilitation stay benchmarks, while actively monitoring functional outcomes. This article describes the development, implementation, and evaluation of a precision case management model across all inpatient rehabilitation client groups in a Canadian facility. To develop the length of rehabilitation-stay (LoRS) benchmarks, patient data was retrospectively analyzed. A severity specific method was used to stratify median length of stay. A target reduction on 8.6 days in LoRS was established. Functional discharge targets were also set and monitored at specific intervals via the Functional Independence Measure (FIM®). The implementation used an incremental quality improvement phased approach. Following 12-months, a statistically significant reduction in mean LoRS of 13.2 days was achieved, along with a small increase in FIM® change across all rehabilitation client groups. A similar pattern was seen across the three main client groups, where a LoRS reduction greater than the target was achieved, along with important improvements in LoRS efficiency. This study demonstrates how the implementation of a precision case management model can assist a facility in markedly reducing LoRS across inpatient groups, without compromising functional change or community discharge rates and begin its transformation to a value-based organization.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":"36 3","pages":"162-169"},"PeriodicalIF":2.1,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9803695","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

When caring breeds contempt: The impact of moral emotions on healthcare professionals' commitment during a pandemic. 当关怀滋生轻蔑:大流行期间道德情绪对医护人员承诺的影响。

IF 2.1

Health Services Management Research Pub Date : 2023-08-01 DOI: 10.1177/09514848231165894

Morgan Davidson, Meena Andiappan

{"title":"When caring breeds contempt: The impact of moral emotions on healthcare professionals' commitment during a pandemic.","authors":"Morgan Davidson, Meena Andiappan","doi":"10.1177/09514848231165894","DOIUrl":"https://doi.org/10.1177/09514848231165894","url":null,"abstract":"The novel coronavirus (COVID-19) pandemic is a major heath crisis that continues to impact healthcare organizations worldwide. As infection rates surged, there was a global shortage of personal protective equipment, critical medications, ventilators, and hospital beds, meaning that healthcare professionals faced increasingly difficult workplace conditions. In this conceptual study, we argue these situations can lead to healthcare professionals experiencing moral emotions - defined as specific emotions which relate, or occur in response, to the interest or welfare of others - towards their organizations. This paper explores the three moral emotions of contempt, anger and disgust, and their potential influence on healthcare professionals' workplace commitment in the context of a pandemic. Drawing from the moral emotions and organizational commitment literature, we develop a process model to demonstrate how healthcare professionals' affective and continuous commitment are likely to decrease while, paradoxically, normative, and professional commitment may become amplified. The possible potential for positive outcomes from negative moral emotions is discussed, followed by theoretical and practical contributions of the model, and finally, directions for future research.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":"36 3","pages":"215-227"},"PeriodicalIF":2.1,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d8/74/10.1177_09514848231165894.PMC10037123.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9804284","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

From bureaucratic administration to effective intervention: Comparing early governmental responses to the COVID-19 virus across East Asian and western health systems. 从官僚行政到有效干预:比较东亚和西方卫生系统早期政府对COVID-19病毒的反应。

IF 2.1

Health Services Management Research Pub Date : 2023-08-01 DOI: 10.1177/09514848221139680

Yu Liu, Richard B Saltman, Ming-Jui Yeh

{"title":"From bureaucratic administration to effective intervention: Comparing early governmental responses to the COVID-19 virus across East Asian and western health systems.","authors":"Yu Liu, Richard B Saltman, Ming-Jui Yeh","doi":"10.1177/09514848221139680","DOIUrl":"https://doi.org/10.1177/09514848221139680","url":null,"abstract":"The outbreak of COVID-19 in early 2020 created dangerous public health conditions which pressured governments and health systems to respond in a rapid and effective manner. However, this type of rapid response required many governments to bypass standing; bureaucratic structures of health sector administration and political governance to quickly take; essential measures against a rapidly evolving public health threat. Each government's particular; configuration of governmental and health system decision-making created specific structural and functional challenges to these necessary centrally developed and coordinated strategies. Most East Asian governments (except Japan) succeeded relatively quickly in centralizing essential disease control and treatment initiatives in a timely manner. In contrast, a number of European countries, especially those with predominantly tax-based financing and politically managed health delivery systems, had greater difficulty in escaping bureaucratic governance and management constraints. Drawing on data about these governments' early stage COVID-19 control experiences, this article suggests that structural changes will be necessary if low-performing governments are to better respond to a pandemic. This paper also summarizes other relatively successful strategies. By adopting such strategies, nations can help overcome structural bureaucratic and administrative obstacles in responding to further waves of COVID-19 or similar future pandemic events.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":"36 3","pages":"193-204"},"PeriodicalIF":2.1,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9663273/pdf/10.1177_09514848221139680.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10156534","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

No one will be left behind? 没有人会掉队吗?

IF 2.1

Health Services Management Research Pub Date : 2023-08-01 DOI: 10.1177/09514848231185725

Federico Lega

引用次数: 4

Health, care or shelter? An exploratory analysis of the factors affecting overall satisfaction with services of residents' relatives in nursing homes. 健康、护理还是住所?疗养院住客家属服务整体满意度影响因素的探索性分析。

IF 2.1

Health Services Management Research Pub Date : 2023-08-01 DOI: 10.1177/09514848221113520

Antonio Sebastiano, Umberto Restelli, Romano Astolfo, Antonio Giangreco

引用次数: 0

A conceptual model of health insurance stability in the United States health care system. 美国医疗保健系统中健康保险稳定性的概念模型。

IF 2.1

Health Services Management Research Pub Date : 2023-08-01 DOI: 10.1177/09514848221146677

David Grembowski, Christine Leibbrand

{"title":"A conceptual model of health insurance stability in the United States health care system.","authors":"David Grembowski, Christine Leibbrand","doi":"10.1177/09514848221146677","DOIUrl":"https://doi.org/10.1177/09514848221146677","url":null,"abstract":"In the U.S. health care system, people under age 65 are at risk of losing and regaining health insurance coverage over their lifetimes, which has important consequences for their physical and mental health. Despite the importance of insurance stability, we have an incomplete understanding about the complex factors influencing whether people lose and regain coverage. To advance our understanding of the dynamics of health insurance coverage and guide future research, our purpose is to present a new conceptual model of health insurance stability, where instability is defined as a person's loss or change of coverage, which can occur more than once in a lifetime. Drawing from theory and evidence in the literature, we posit that personal and plan characteristics, the health system, and the environmental context - economic, social/cultural, political/judicial, and geographic - drive health insurance stability over the life course and are understudied. Studies are needed to identify the populations most at risk of experiencing insurance instability and vulnerability in health outcomes that results from such insecurity, which may suggest reforms and health policies at the individual, health system, or environment levels to reduce those risks.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":"36 3","pages":"205-214"},"PeriodicalIF":2.1,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9748299","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