Health Services Management Research最新文献_第9页

Examining supervisor undermining through the job-demands resources framework. 通过工作需求资源框架考察主管破坏行为。

IF 2.1

Health Services Management Research Pub Date : 2022-11-01 DOI: 10.1177/09514848211048608

Marilyn V Whitman, Russell A Matthews, Eric S Williams

{"title":"Examining supervisor undermining through the job-demands resources framework.","authors":"Marilyn V Whitman, Russell A Matthews, Eric S Williams","doi":"10.1177/09514848211048608","DOIUrl":"https://doi.org/10.1177/09514848211048608","url":null,"abstract":"Introduction: Supervisor undermining has recently gained increasing attention due to its negative effects on employee health and well-being. In the healthcare context, negative supervisor behaviors have been linked to unfavorable individual and organizational outcomes as well as medical errors and patient mortality. Our study, therefore, examines the influence that supervisor undermining behavior has on employee engagement and performance within a standard job stress framework.Methods: Our sample consisted of occupational therapists, a health professions group who is growing in demand and importance in the U.S. and has unique job demands. Using an observational, cross-sectional study design, a convenience sample of 521 occupational therapists completed an online survey. A series of independent t-test and multiple-groups path analytic modeling was used.Results: Participants who had a supervisor perceived as engaging in undermining behaviors reported lower levels of resources, higher levels of demands, less motivation, and more overload than those who did not perceive supervisor undermining. These participants were also less engaged and reported lower levels of performance.Conclusion: Our results shed further light on the importance of supervisory behaviors specifically in a healthcare setting and the need for organizations to create an environment that promotes positive and productive workplace behaviors.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":"35 4","pages":"206-214"},"PeriodicalIF":2.1,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10406487","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

Volume creates value: The volume-outcome relationship in Scandinavian obesity surgery. 数量创造价值：斯堪的纳维亚肥胖症手术中的手术量与手术结果之间的关系。

IF 1.6

Health Services Management Research Pub Date : 2022-11-01 Epub Date: 2022-02-06 DOI: 10.1177/09514848211048598

Anna Svarts, Thorell Anders, Mats Engwall

{"title":"Volume creates value: The volume-outcome relationship in Scandinavian obesity surgery.","authors":"Anna Svarts, Thorell Anders, Mats Engwall","doi":"10.1177/09514848211048598","DOIUrl":"10.1177/09514848211048598","url":null,"abstract":"This study establishes the relationship between surgical volume and cost and quality outcomes, using patient-level clinical data from a national quality registry for bariatric surgery in Sweden. Data include patient characteristics with comorbidities, surgical and follow-up data for patients that underwent gastric bypass or gastric sleeve operations between 2007 and 2016 (52,703 patients in 51 hospitals). The relationships between surgical volume (annual number of bariatric procedures) and several patient-level outcomes were assessed using multilevel, mixed-effect regression models, controlling for patient characteristics and comorbidities. We found that hospitals with higher volumes had lower risk of intraoperative complications as well as complications within 30 days post-surgery (odds ratios per 100 procedures are 0.78 and 0.87, respectively, p<0.01). In addition, higher-volume hospitals had substantially shorter procedure time (17 min per 100 procedures, p<0.01) and length of stay (0.88 incidence-rate ratio per 100 procedures p<0.01). Our results support the claim that increased surgical volume significantly improves quality. Further, the results strongly suggest that increased volume leads to lower cost per surgery, by reducing cost drivers such as procedure time and length of stay.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":"35 4","pages":"229-239"},"PeriodicalIF":1.6,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9574905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10408723","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

The new strategic agenda for value transformation. 价值转型的新战略议程。

IF 2.1

Health Services Management Research Pub Date : 2022-08-01 Epub Date: 2021-04-26 DOI: 10.1177/09514848211011739

Paul B van der Nat

{"title":"The new strategic agenda for value transformation.","authors":"Paul B van der Nat","doi":"10.1177/09514848211011739","DOIUrl":"https://doi.org/10.1177/09514848211011739","url":null,"abstract":"The model for value-based healthcare introduced in 2006 by Porter and Teisberg is still relevant, but it is incomplete. Porter and Teisberg put a strong focus on measuring outcomes, but how to use these measurements to actually improve quality of care has not been described. In addition, value-based healthcare as originally introduced neglects that a true shift from volume to patient value requires a change in culture and way of working of healthcare professionals. The original strategic agenda for value transformation (in short: 'value agenda') consists of six elements: organize into Integrated Practice Units (1), measure outcomes and costs for every patient (2), move to bundled payments for care cycles (3), integrate care delivery systems (4), expand geographic reach (5), and build an enabling information technology platform (6). For value-based healthcare to become a reality, the strategic agenda needs to be extended with four elements. First, healthcare providers need to set up a systematic approach for value-based quality improvement. Second, value needs to be integrated in patient communication. Third, we should invest in a culture of value delivery. And fourth, we should build learning platforms for healthcare professionals based on patient outcome data. Best practices on value-based healthcare implementation are working on these four elements in addition to the original value agenda. In conclusion, a new strategic agenda for value transformation is proposed that combines the vision of the founders of value-based healthcare with implementation experience in order to support healthcare providers in their shift to become value-based.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":"35 3","pages":"189-193"},"PeriodicalIF":2.1,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/09514848211011739","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38909311","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: 21

Regularity of contact with general practitioners and diabetes-related hospitalisation through a period of policy change: A retrospective cohort study. 政策改变期间与全科医生接触和糖尿病相关住院的规律性:一项回顾性队列研究

IF 2.1

Health Services Management Research Pub Date : 2022-08-01 Epub Date: 2021-06-19 DOI: 10.1177/09514848211020866

David Youens, David B Preen, Mark Harris, Cameron Wright, Rachael Moorin

{"title":"Regularity of contact with general practitioners and diabetes-related hospitalisation through a period of policy change: A retrospective cohort study.","authors":"David Youens, David B Preen, Mark Harris, Cameron Wright, Rachael Moorin","doi":"10.1177/09514848211020866","DOIUrl":"https://doi.org/10.1177/09514848211020866","url":null,"abstract":"Background: This study evaluated changes in regularity of general practitioner (GP) contact (the pattern of visits over time) and the impact of regularity on diabetes-related hospitalisation following introduction of care co-ordination incentives.Methods: Linked primary care, hospital and death records covered West Australian adults from 1991-2004. Different eras were evaluated based on incentive program changes and model fit, to assess changes in regularity. Changes in regularity, derived from the variance in the number of days between GP contacts, were evaluated using ordered logistic regression. The impact of regularity on hospitalisation rates and costs were evaluated.Results: Two eras prior to program introduction (1991/92-1994/9 and 1995/96-1998/99), and one after (1999/2000-2002/03) were assessed. Among 153,455 at risk of diabetes-related hospitalisation GP contact became slightly less regular in the second era, though there was no change from the second to third era. The most regular decile had 5.5% fewer hospitalisations (95% CI -0.9% to -9.9%) and lower per-patient costs (difference AU$115, CI -$63 to -$167) than the least regular. Associations were similar in each era.Conclusions: Ongoing relationships between GPs and patients are important to maintaining health. Historical data provide the opportunity to assess the impact of care co-ordination incentives on relationships.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":"35 3","pages":"134-145"},"PeriodicalIF":2.1,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/09514848211020866","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39248707","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

Impact of socio-economic status and race on emergency hospital admission outcomes: Analysis from hospital admissions between 2001 and 2012. 社会经济地位和种族对急诊住院结果的影响:2001年至2012年住院情况分析

IF 2.1

Health Services Management Research Pub Date : 2022-08-01 Epub Date: 2021-06-09 DOI: 10.1177/09514848211012189

Thomas Davidson, Farhaan Mirza, Mirza M Baig

{"title":"Impact of socio-economic status and race on emergency hospital admission outcomes: Analysis from hospital admissions between 2001 and 2012.","authors":"Thomas Davidson, Farhaan Mirza, Mirza M Baig","doi":"10.1177/09514848211012189","DOIUrl":"https://doi.org/10.1177/09514848211012189","url":null,"abstract":"Socio-economic and racial/ethnic disparities in healthcare quality have been the point of huge discussion and debate. There is currently a public debate over healthcare legislation in the United States to eliminate the disparities in healthcare. We reviewed the literature and critically examined standard socio-economic and racial/ethnic measurement approaches. As a result of the literature review, we identified and discussed the limitations in existing quality assessment for identifying and addressing these disparities. The aim of this research was to investigate the difference between health outcomes based on patients' ability to pay and ethnic status during a single emergency admission. We conducted a multifactorial analysis using the 11-year admissions data from a single hospital to test the bias in short-term health outcomes for length of stay and death rate, based on 'payment type' and 'race', for emergency hospital admissions. Inconclusive findings for racial bias in outcomes may be influenced by different insurance and demographic profiles by race. As a result, we found that the Self-Pay (no insurance) category has the shortest statistically significant length of stay. While the differences between Medicare, Private and Government are not significant, Self-Pay was significantly shorter. That 'Whites' have more Medicare (older) patients than 'Blacks' might possibly lead to a longer length of stay and higher death rate for the group.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":"35 3","pages":"127-133"},"PeriodicalIF":2.1,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/09514848211012189","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39010644","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

Member engagement in multi-sector health care alliances. 成员参与多部门卫生保健联盟。

IF 2.1

Health Services Management Research Pub Date : 2022-08-01 Epub Date: 2021-07-07 DOI: 10.1177/09514848211028708

Larry R Hearld, Jeffrey Alexander, Yunfeng Shi, Laura J Wolf

{"title":"Member engagement in multi-sector health care alliances.","authors":"Larry R Hearld, Jeffrey Alexander, Yunfeng Shi, Laura J Wolf","doi":"10.1177/09514848211028708","DOIUrl":"https://doi.org/10.1177/09514848211028708","url":null,"abstract":"Many communities are developing innovative forms of collaborative organizations such as multi-sector health care alliances (MHCAs) to address problems of misaligned incentives among providers, payers, and community stakeholders and improve health and health care. Member engagement is essential to the success of these organizations due to their dependence on volunteer members to develop and implement strategy and provide material and in-kind support for alliance efforts, yet relatively little research has examined how alliances can foster engagement. This study examined behavioral indicators of member engagement (e.g., recruitment and retention of organizational and individual members) and how they are related to two foundational dimensions of alliance functioning - alliance leadership and community centrality. Using three rounds of an internet-based survey of alliance members from 14 alliances, the study found that organizational recruitment and retention increased over time, from 26.6% to 41.5% and 56.0% to 65.2%, respectively. Recruitment of individuals increased over the study period (38.3% to 47.2%, while retention of individual members declined over the study period (61.0% to 53.2%). Alliance leadership was associated with lower levels of recruitment (both organizational and individual members) but higher levels of organizational retention (both organizational and individual members). Collectively, our findings suggest that behavioral aspects of alliances are more effective at retaining members than relatively stable characteristics such as size and positioning in the community. Contrasting relationships between recruitment and retention, however, suggest that different forms of leadership may be required to simultaneously attract new members while retaining existing ones.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":"35 3","pages":"146-153"},"PeriodicalIF":2.1,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/09514848211028708","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39161016","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 complications among older adults: Better processes could reduce the risk of delirium. 老年人的医院并发症:更好的流程可以降低谵妄的风险。

IF 2.1

Health Services Management Research Pub Date : 2022-08-01 Epub Date: 2021-07-11 DOI: 10.1177/09514848211028707

Valdery Moura Junior, M Brandon Westover, Feng Li, Eyal Kimchi, Maura Kennedy, Nicole M Benson, Lidia Maria Moura, John Hsu

{"title":"Hospital complications among older adults: Better processes could reduce the risk of delirium.","authors":"Valdery Moura Junior, M Brandon Westover, Feng Li, Eyal Kimchi, Maura Kennedy, Nicole M Benson, Lidia Maria Moura, John Hsu","doi":"10.1177/09514848211028707","DOIUrl":"https://doi.org/10.1177/09514848211028707","url":null,"abstract":"Using observational data and variation in hospital admissions across days of the week, we examined the association between ED boarding time and development of delirium within 72 hours of admission among patients aged 65+ years admitted to an inpatient neurology ward. We exploited a natural experiment created by potentially exogenous variation in boarding time across days of the week because of competition for the neurology floor beds. Using proportional hazard models adjusting for socio-demographic and clinical characteristics in a propensity score, we examined the time to delirium onset among 858 patients: 2/3 were admitted for stroke, with the remaining admitted for another acute neurologic event. Among all patients, 81.2% had at least one delirium risk factor in addition to age. All eligible patients received delirium prevention protocols upon admission to the floor and received at least one delirium screening event. While the clinical and social-demographic characteristics of admitted patients were comparable across days of the week, patients with ED arrival on Sunday or Tuesday were more likely to have had delayed floor admission (waiting time greater than 13 hours) and delirium (adjusted HR = 1.54, 95%CI:1.37-1.75). Delayed initiation of delirium prevention protocol appeared to be associated with greater risk of delirium within the initial 72 hours of a hospital admission.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":"35 3","pages":"154-163"},"PeriodicalIF":2.1,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/09514848211028707","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39172954","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: 8

Reducing costs and improving care after hospitalization: Economic evaluation of a novel transitional care clinic. 降低成本，改善住院后护理:一种新型过渡护理诊所的经济评估。

IF 2.1

Health Services Management Research Pub Date : 2022-08-01 Epub Date: 2021-07-23 DOI: 10.1177/09514848211028710

Jonathan R Murrow, Zahraa Rabeeah, Kofi Osei, Catherine Apaloo

引用次数: 0

Bibliometrix analysis of medical tourism. 医疗旅游文献计量学分析。

IF 2.1

Health Services Management Research Pub Date : 2022-08-01 Epub Date: 2021-05-07 DOI: 10.1177/09514848211011738

Maura Campra, Patrizia Riva, Gianluca Oricchio, Valerio Brescia

引用次数: 22

Service design in the healthcare space with a special focus on non-clinical service departments: A synthesis and future directions. 医疗保健领域的服务设计，特别关注非临床服务部门:综合和未来方向。

IF 2.1

Health Services Management Research Pub Date : 2022-05-01 Epub Date: 2021-05-09 DOI: 10.1177/09514848211010250

Nafisa Vaz, R Venkatesh

{"title":"Service design in the healthcare space with a special focus on non-clinical service departments: A synthesis and future directions.","authors":"Nafisa Vaz, R Venkatesh","doi":"10.1177/09514848211010250","DOIUrl":"https://doi.org/10.1177/09514848211010250","url":null,"abstract":"Although there has been a tremendous change in the way diseases are diagnosed and treated, the ways in which health care delivery has been managed has seen very little change.Several academic studies have arisen in the area of service design, but an amalgamation of this research, especially in the area of healthcare services is not available. The aim of this systematic review is to evaluate the published research on service design in healthcare and accordingly identify the gaps and scope of future research. After analyzing the articles and reviewing the Service design in healthcare literature, the following are our main contributions: (i) clarification of the service design concept and the developments that appears in the literature review of service design in the healthcare sector; (ii) classification of the service design tools and techniques that are most commonly used in the healthcare sector; (iii) demonstration of the service design as the preponderant construct that is used as a tool and technique to improve quality and efficiency in the healthcare service.The resultant systematic review reveals a change in the type of research carried out, the service design tools used and a shift towards service design from using the co-design tool to other methods. The paper highlights the gaps in the very limited amount of empirical work in the non-clinical healthcare space and accordingly a model is recommended.","PeriodicalId":45801,"journal":{"name":"Health Services Management Research","volume":"35 2","pages":"83-91"},"PeriodicalIF":2.1,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/09514848211010250","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38894543","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: 4