Health Services Management Research最新文献_第8页

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

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":"36 2","pages":"119-126"},"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

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":"36 2","pages":"127-136"},"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

Reducing hospital admissions and transfers to long-term inpatient care: A systematic literature review. 减少住院和转移到长期住院治疗:系统的文献综述。

IF 2.1

Health Services Management Research Pub Date : 2023-02-01 DOI: 10.1177/09514848211068620

Stephan Herberg, Frank Teuteberg

{"title":"Reducing hospital admissions and transfers to long-term inpatient care: A systematic literature review.","authors":"Stephan Herberg, Frank Teuteberg","doi":"10.1177/09514848211068620","DOIUrl":"https://doi.org/10.1177/09514848211068620","url":null,"abstract":"Individuals in need of long-term care and their relatives prefer to receive and give care in their domestic environment for as long as possible. Residential long-term care is to be avoided for as long as possible. To achieve this goal, the care setting must be optimally oriented to the needs of the person in need of care. Moreover, relatives who provide care must be professionally supported. The Regional Care Competence Center (ReKo), launched on October 1, 2019, is a quasi-experimental study (two groups and pre-post design), funded by the Innovation Fund. As part of the ReKo project, people in need of care and their relatives are assisted by a case management (CM) system. An independent CM, supported by an IT network that includes the most important service providers, is to establish a comprehensive CM for people in need of care. Based on a literature review, this paper aimed to take a conceptual approach to the ReKo project by drawing on previous research and comparing the findings with the ReKo approach. The review considered CM projects that defined avoidance of hospitalization and/or delay in the transition of care recipients to long-term inpatient care as endpoints. Using PubMed and Google Scholar, the study screened 270 articles, abstracted and quality-assessed data, and included eight randomized clinical trials, two other studies, and seven reviews in the analysis. The review results and ReKo approaches are presented along the dimensions of clinical and medical benefits, community and public health benefits, economic benefits, and political and legislative benefits. CM organizations will continue to be established internationally in aging societies. The questions of improving quality of care, avoiding service costs, and the costs of establishing a CM must be raised, even if clear evidence is difficult to provide.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":"36 1","pages":"10-24"},"PeriodicalIF":2.1,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10669641","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

Effect of surgeon experience on technical efficiency. 外科医生经验对技术效率的影响。

IF 2.1

Health Services Management Research Pub Date : 2023-02-01 DOI: 10.1177/09514848221080688

Yoshinori Nakata, Yuichi Watanabe, Hiroshi Otake

{"title":"Effect of surgeon experience on technical efficiency.","authors":"Yoshinori Nakata, Yuichi Watanabe, Hiroshi Otake","doi":"10.1177/09514848221080688","DOIUrl":"https://doi.org/10.1177/09514848221080688","url":null,"abstract":"Surgeon experience certainly improves their technical efficiency although it also causes physiological changes with aging. The authors hypothesized that surgeons’ technical efficiency improves with increasing experience up to a point where it then decreases, which is a concave relationship. The authors collected data from all the surgical procedures performed at University Hospital from April through September in 2013–19. The dependent variable was defined as surgeons’ technical efficiency scores that were calculated using output-oriented Charnes–Cooper–Rhodes model of data envelopment analysis. Inputs were defined as (1) the number of assistants and (2) the duration of surgical operation. The output was defined as the surgical fee for each surgery. Surgeon experience was defined as the number of years since medical school graduation. Five control variables were selected: surgical volume, gender, academic rank, surgical specialty, and the year of surgery. Multiple regression analysis using pooled and random-effects Tobit models was performed for our panel data. Totally 20,375 surgical procedures performed by 264 surgeons in 42 months were analyzed. The coefficients of experience and the square of experience were not significantly different from zero. The other coefficients were also insignificant. Surgeons’ technical efficiency does not have a concave relationship with experience.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":"36 1","pages":"34-41"},"PeriodicalIF":2.1,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10570444","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

Analysis of the effect of patients' health status on efficiency: Application of data envelopment analysis in healthcare. 患者健康状况对效率的影响分析:数据包络分析在医疗保健中的应用。

IF 2.1

Health Services Management Research Pub Date : 2023-02-01 DOI: 10.1177/09514848211065464

Tamás Koltai, Rita V Dénes, Zoltán Dénes

引用次数: 1

Editorial. 社论。

IF 2.1

Health Services Management Research Pub Date : 2023-02-01 DOI: 10.1177/09514848231151891

Federico Lega

引用次数: 0

Do policies affect management? Evidence from a survey of clinicians of the Italian National Health Service. 政策会影响管理吗?来自意大利国家卫生服务临床医生调查的证据。

IF 2.1

Health Services Management Research Pub Date : 2023-02-01 DOI: 10.1177/09514848211073521

Giovanni Fattore, Dino Numerato, Domenico Salvatore

引用次数: 1

Why are there so many hospital beds in Germany? 为什么德国有这么多医院床位?

IF 2.1

Health Services Management Research Pub Date : 2023-02-01 DOI: 10.1177/09514848221080691

Matthias Brunn, Torsten Kratz, Michael Padget, Marie-Caroline Clément, Marc Smyrl

{"title":"Why are there so many hospital beds in Germany?","authors":"Matthias Brunn, Torsten Kratz, Michael Padget, Marie-Caroline Clément, Marc Smyrl","doi":"10.1177/09514848221080691","DOIUrl":"https://doi.org/10.1177/09514848221080691","url":null,"abstract":"The place of hospitals in health systems is undergoing rapid change worldwide due to the high cost of hospital care and the changing health needs of the population. The Covid-19 pandemic has recently drawn public attention towards hospital capacity and has added new urgency to discussions on the future role of hospitals. In this context, recent experience in Germany provides valuable information for health systems seeking to manage hospital capacity. Despite reform efforts to reduce hospital capacity, Germany has the highest rates of intensive care beds among high-income countries and the highest overall hospital capacity in Europe. The capacity of the German hospital system can be explained in large part by the high number of elderly in-patients. This, in turn, is driven by (1) a fragmented ambulatory care system; (2) physicians admitting and maintaining elderly patients in hospital at a high rate; (3) a hospital market adding incentives to admit patients; and (4) a political commitment to egalitarian access and universal care. Additionally, recent policies to reduce hospital capacity have had limited impact because hospitals have not responded to financial incentives in the expected manner. Countries looking to learn from Germany's hospital capacity must therefore consider systemic features, political commitments, and unintended policy consequences.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":"36 1","pages":"75-81"},"PeriodicalIF":2.1,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9134865","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: 2