Journal of Health Organization and Management最新文献

{"title":"The regulation and reconciliation of hybrid professional-managerial identities in a public hospital: the case of Lean management.","authors":"Adamina Ivcovici, Greg Bamber, Timothy Bartram, Pauline Stanton, Jessica Borg, Patricia Pariona-Cabrera","doi":"10.1108/JHOM-02-2024-0058","DOIUrl":"https://doi.org/10.1108/JHOM-02-2024-0058","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to examine how hybrid medical managers in a public hospital reconcile their identities and involvement in management-introduced top-down interventions to improve operational performance. In our study, Lean serves as an example of a management intervention through which we examine how hybrids shape the implementation of managerial interventions in a public hospital.</p><p><strong>Design/methodology/approach: </strong>We gathered our data from a longitudinal qualitative study of a Lean initiative implemented in an Australian public hospital. The current analysis is part of a larger case study which involved 87 in-depth semi-structured interviews over three years in a major Australian public hospital. These interviews explored experiences of Lean and included senior managers, middle managers, hybrids, clinical staff and others. In this paper, we focus specifically on the experiences of hybrid medical managers.</p><p><strong>Findings: </strong>We demonstrate how the Lean initiative sparks identity-reconciliation work that differs among hybrids working in different parts of the hospital and with various contractual arrangements and levels of participatory voice. The hybrids in our study responded to the introduction of Lean, with heightened identity reconciliation work, but in different ways. This appears to be attributable to the organisational context, and particularly the hybrids' contractual arrangements with the hospital.</p><p><strong>Originality/value: </strong>There is a dearth of research in healthcare management that has sought to understand how hybrids reconstruct their identities in response to top-down implementations of managerial initiatives, such as Lean. Our findings offer healthcare managers practical insights into the engagement of hybrid-medical professionals through our novel understanding of the identity-reconciliation work necessary for hybrid professionals to engage with management initiatives.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"39 9","pages":"284-304"},"PeriodicalIF":1.7,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital transformation in the healthcare sector: a novel strategic perspective.","authors":"Yasmine YahiaMarzouk","doi":"10.1108/JHOM-08-2024-0349","DOIUrl":"https://doi.org/10.1108/JHOM-08-2024-0349","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to fill the gap in digital transformation (DT) literature, particularly within the healthcare sector, by investigating the effect of strategic reconfiguration (SREC), as an antecedent, on DT. Further, it also aims to investigate the effect of DT on strategic renewal (SR) as a strategic outcome of DT. Thereby, the current study explores the drivers and outcomes of DT from a new strategic perspective.</p><p><strong>Design/methodology/approach: </strong>The structural model is tested via the partial least squares structural equation modeling using a sample of 264 private Egyptian hospitals.</p><p><strong>Findings: </strong>SREC directly and positively affects SR. Besides, the SREC-SR relationship is partially mediated by DT. Accordingly, this study introduces a novel strategic perspective model of DT that depicts how Egyptian private hospitals could reconfigure themselves to transform toward digitalization, which ultimately enabled them to deliver new value propositions and diversified services.</p><p><strong>Research limitations/implications: </strong>The sample is restricted to Egyptian private hospitals; thereby, the results may differ in other sectors and other countries. This study ignores the boundary conditions that may accelerate organizations' movement toward digitalization.</p><p><strong>Practical implications: </strong>Managers of private hospitals can leverage the findings of this study to manage their strategic resources through SREC and foster a culture of DT to enhance their renewal in an increasingly digitalized healthcare landscape.</p><p><strong>Social implications: </strong>By demonstrating the positive effects of DT on SR, this study underscores the role of technology in improving healthcare delivery, patient outcomes and overall quality of care.</p><p><strong>Originality/value: </strong>To the best of the author's knowledge, this is the first empirical study to introduce a model of the strategic antecedents and consequences of DT within the healthcare sector. Unlike the existing DT literature, the current study goes beyond the traditional technological perspective for studying DT by concentrating on the strategic perspective. Therefore, the current study contributes to the existing DT literature by being the first empirical study to investigate the non-technological strategic antecedents that enable successful DT while propping the potential strategic outcome of DT.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contextual factors and competencies influencing quality improvement: perspectives from nurses and nurse managers.","authors":"Stijn Slootmans, Peter Van Bogaert, Lieve Peremans, Erik Franck","doi":"10.1108/JHOM-10-2024-0436","DOIUrl":"https://doi.org/10.1108/JHOM-10-2024-0436","url":null,"abstract":"<p><strong>Purpose: </strong>This paper explores nurses' and nurse managers' perceptions of crucial contextual factors and competencies that facilitate or hinder quality improvement projects in acute hospital settings.</p><p><strong>Design/methodology/approach: </strong>A descriptive qualitative method was employed, utilising three focus groups and two semi-structured interviews with 22 nurses and nurse managers from two Belgian hospitals. Data were analysed using inductive thematic analysis.</p><p><strong>Findings: </strong>Five domains emerged: motivation and trigger, continuous improvement, team factors and dynamics, organisational factors and stakeholders. Participants indicated that motivation is strongly enhanced when the trigger for quality improvement originates within the team. At the team level, nurse managers should be present and provide support, while nurses, as clinical leaders, need to influence peers and offer feedback. Organisational support and adequate resources are essential for successful quality improvement efforts.</p><p><strong>Research limitations/implications: </strong>Our findings enrich existing frameworks by highlighting how leadership at all levels, team-driven motivation and organisational support foster a conducive environment for quality improvement in nursing teams. This study also informs future research exploring the interplay of these factors using diverse methodologies.</p><p><strong>Practical implications: </strong>Hospitals and healthcare teams should incorporate these factors into quality improvement strategies to enhance the effectiveness of these initiatives and their outcomes.</p><p><strong>Originality/value: </strong>While prior research predominantly focuses on organizational-level factors, this study offers novel insights into how contextual factors and competencies across various levels support quality improvement, with a particular emphasis on nursing teams. Our study fills a gap in the literature by exploring the nursing perspective on these factors.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"To adopt or not to adopt mobile health applications? A study among Generation X mobile phone users in a developing country.","authors":"T S Mohan Raj Subramaniam, Ali Vafaei-Zadeh, Haniruzila Hanifah, Davoud Nikbin","doi":"10.1108/JHOM-03-2024-0103","DOIUrl":"https://doi.org/10.1108/JHOM-03-2024-0103","url":null,"abstract":"<p><strong>Purpose: </strong>This study utilizes the extended technology acceptance model (E-TAM) to explore the key factors influencing the behavioral intention of Generation X (Gen X) users in Malaysia to adopt mobile health applications (MHAs).</p><p><strong>Design/methodology/approach: </strong>A total of 252 responses were gathered from the Malaysian Gen X population through an online survey using a non-probability purposive sampling technique. Data were analyzed using SmartPLS software to validate the proposed framework and provide a logical foundation for achieving the study's objectives.</p><p><strong>Findings: </strong>The results reveal that perceived system quality (PSQ), perceived mobile experience (PXS), perceived ease of use (PEOU), perceived playfulness (PPF), perceived usefulness (PU) and attitude are all positively associated with behavioral intention to use MHAs.</p><p><strong>Originality/value: </strong>This research extends the TAM by introducing novel constructs - PSQ, PXS and PPF - forming the E-TAM framework to analyze MHA adoption, a perspective not previously explored in the Malaysian context. From a practical standpoint, this study provides actionable insights to enhance the adoption of MHAs among Malaysia's pivotal Gen X population. The findings aim to guide the development of engaging and user-friendly mHealth applications to improve self-care capabilities and increase user satisfaction.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emergence of learning and quality - using scientific social media facilitating a complex adaptive space in healthcare.","authors":"Jonas Boström, Malin Heimer, Johan Lilja","doi":"10.1108/JHOM-07-2024-0284","DOIUrl":"https://doi.org/10.1108/JHOM-07-2024-0284","url":null,"abstract":"<p><strong>Purpose: </strong>Organizations are currently challenged to learn and develop quality at an increasing speed, as well as to navigate rising levels of complexity. This calls for new approaches to facilitating learning and quality as phenomena emerging in interconnected complex ecosystems of stakeholders. This paper explores the possibilities of facilitating the emergence of learning and quality in transformation and complexity with the support of scientific social media.</p><p><strong>Design/methodology/approach: </strong>The paper is based on a qualitative research design. Using scientific social media [SSM] for reflection and dialogue with an action research approach, it allows individuals with specific roles/functions linked to a transformative process to reflect on strong emotional experiences and action-oriented assignments. This can be described as equipping the ecosystem with sensors to capture systemic obstacles and levers.</p><p><strong>Findings: </strong>As a result, a triad with three themes of action possibilities for facilitating emergence was identified, with the support of scientific social media: (1) creating a living arena for emergence; (2) learning for emergence and (3) leading for emergence in transformation.</p><p><strong>Research limitations/implications: </strong>Future research could benefit from using scientific social media and combined qualitative and quantitative data to study quality and learning as emerging phenomena. Practically, organizations could use SSM for health system transformation.</p><p><strong>Originality/value: </strong>This paper provides empirical insights and new innovative ways of conducting research when exploring complex transformational changes in healthcare and the emergence paradigm of quality management.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"39 9","pages":"266-283"},"PeriodicalIF":1.7,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What characteristics define the success of early-stage health-tech startups?","authors":"Imon Chakraborty, P Vigneswara Ilavarasan, Sisira Edirippulige","doi":"10.1108/JHOM-08-2024-0337","DOIUrl":"https://doi.org/10.1108/JHOM-08-2024-0337","url":null,"abstract":"<p><strong>Purpose: </strong>The present study aims to identify and prioritize the key components that contribute to the success of early-stage health-tech startups. It seeks to guide the survival and growth of these startups within the rapidly evolving landscape of digital healthcare.</p><p><strong>Design/methodology/approach: </strong>The study used a mixed-method approach, starting with comprehensive qualitative interviews with 21 founders of health-tech startups. The qualitative data were thematically analyzed to discover the components of success. Analytical hierarchical process (AHP) was employed to prioritize these components.</p><p><strong>Findings: </strong>The study identified seven critical components that influence the success of early-stage health-tech startups. The components serve as essential tools for assessing the performance and impact of the startups. The study provides an operational definition of success that enables benchmarking and comparisons of firms within the health-tech industry.</p><p><strong>Practical implications: </strong>The identified components can be used by health-tech entrepreneurs, investors and industry stakeholders to guide strategic planning and decision-making. The operation definition offers practical tools for assessing startup performance, facilitating industry comparisons and enhancing the strategic focus of health-tech startups.</p><p><strong>Originality/value: </strong>The study contributes to the growing body of knowledge and theory development in the domain of digital entrepreneurship with respect to healthcare. It is one of the first studies to systematically identify and prioritize success components for health-tech startups. It offers unique metrics for understanding and improving startup outcomes.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between telehealth service utilization and healthcare services during the pandemic: evidence from a national survey of American patients.","authors":"Eric Pulice, Doohee Lee","doi":"10.1108/JHOM-08-2024-0357","DOIUrl":"https://doi.org/10.1108/JHOM-08-2024-0357","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to investigate the association between telehealth service utilization and healthcare services during the pandemic.</p><p><strong>Design/methodology/approach: </strong>This is a cross-sectional study. Secondary data, the 2022 Health Information National Trends Survey (HINTS; <i>n</i> = 4,709), were analyzed using descriptive and inferential statistics, including hierarchical multivariate regression.</p><p><strong>Findings: </strong>The national telehealth utilization rate was 43%. Of the seven health service factors (HSF), four factors (literacy, perceived racial discrimination, care delay and care frequency) were associated with telehealth utilization in statistical tests for group comparisons. However, only care delay and care frequency were found to be significant in regression while controlling for demographic variables (age, gender, race/ethnicity and education). Technological (Internet access) and geographical factors (the Midwest region) were also found to be associated with telehealth utilization.</p><p><strong>Research limitations/implications: </strong>Health literacy was assessed using a single item in the study. Our study did not account for the effect that the level of broadband access might have on telehealth utilization. Our findings are limited to adult patients who received care at least once in the past year. Our study did not investigate the reasons for utilizing telehealth services or their capacity to access them. Future studies need to investigate those areas further.</p><p><strong>Practical implications: </strong>The 43% national telehealth utilization prevalence rate suggests that significant numbers of American patients are now utilizing telehealth services. Only certain HSFs (delay in seeking medical care and care frequency) were found to be significant in predicting the utilization of telehealth services, suggesting that healthcare executives may want to carefully consider evaluating which specific HSFs would be beneficial for their medical communities by utilizing telehealth services.</p><p><strong>Originality/value: </strong>Results suggested that significant numbers of American patients utilized telehealth services (43%) during the pandemic. Multivariate regression results presented evidence that not all, but only certain HSFs were found to be associated with telehealth utilization. Specifically, compared to non-telehealth utilizers, telehealth utilizers were more likely to be frequent-visit patients and delayed in seeking medical care.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Financial protection of Iran's healthcare system during the COVID-19 pandemic and strategies for improvement.","authors":"Fatemeh Gharaghieh, Ali Davati, Mohammad Amiri-Ara","doi":"10.1108/JHOM-05-2024-0179","DOIUrl":"https://doi.org/10.1108/JHOM-05-2024-0179","url":null,"abstract":"<p><strong>Purpose: </strong>The conclusion of the COVID-19 pandemic provides an opportune moment to assess the performance of health systems in financial protection. This study aims to analyze the state of financial protection within Iran's healthcare system during the COVID-19 pandemic and propose practical solutions to enhance the system's financial protection.</p><p><strong>Design/methodology/approach: </strong>This study, conducted in three stages, first assessed financial protection among 24,170 COVID-19 patients in three major Tehran hospitals, categorized by insurance status. We used dispersion indices to depict cost distribution and the Kruskal-Wallis test to analyze variations in out-of-pocket payments. In the second phase, ordinary least squares regression identified key factors affecting out-of-pocket payments. The third stage involved deriving strategies to improve health system financial protection using the Delphi technique and prioritizing them with the TOPSIS approach.</p><p><strong>Findings: </strong>The average patient hospitalization cost was 512.41 US$, with patients covering 29.60% of total expenses while insurers handled 70.39%. Among Iran's basic health insurances, armed forces insurance exhibited the highest financial protection, with over 90% for insurers and less than 10% for the insured. The study highlights the significance of factors like prevention, equitable access, healthcare cost structuring and economic efficiency in enhancing financial protection. Priority for strengthening financial protection is given to promoting disease prevention and structuring demand through family doctor mechanisms and referral systems.</p><p><strong>Originality/value: </strong>Enhancing financial protection requires attention to a wide range of measures, including health promotion and prevention, organizing healthcare demand, improving access structures, leveraging technological advancements and optimizing economic efficiency within the healthcare system.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inter-organizational knowledge and information transfer in long-term care for older persons: Do sector and resource availability matter?","authors":"Rūta Kazlauskaitė, Irina Liubertė, Virginija Poškutė, Irmina Matonytė","doi":"10.1108/JHOM-11-2024-0453","DOIUrl":"https://doi.org/10.1108/JHOM-11-2024-0453","url":null,"abstract":"<p><strong>Purpose: </strong>This article aims to determine if and how social capital enables inter-organizational knowledge and information transfer in long-term care (LTC) for older persons and within what boundary conditions.</p><p><strong>Design/methodology/approach: </strong>The study builds on a survey of key LTC actors (<i>N</i> = 265) representing public, private and non-governmental organizations.</p><p><strong>Findings: </strong>Our findings revealed a positive relationship between two social capital dimensions and knowledge and information transfer. In addition, partial support was provided for the moderating effects of sector and resource availability.</p><p><strong>Originality/value: </strong>Our study explores to what extent social capital facilitates inter-organizational knowledge and information transfer in LTC. Secondly, it contributes to the broader knowledge management literature by disclosing two boundary conditions in the above relationship.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preventative self-regulatory primary care leadership in urban China: impact on physician well-being and medical service quality.","authors":"Mengyuan Xu, Ruixue Zhao, Mengyao Li, Stephen Nicholas, Elizabeth Maitland, Jinnan Zhang, Huan Jia, Jing Wang, Wenhua Wang","doi":"10.1108/JHOM-03-2024-0104","DOIUrl":"10.1108/JHOM-03-2024-0104","url":null,"abstract":"<p><strong>Purpose: </strong>The study aims to address the gap between leaders' preventative self-regulatory focus and its impact on Chinese primary care physicians (PCPs) well-being, measured by work-family spillover stress and work exhaustion and on healthcare quality, measured by preventive service delivery and clinical guideline adherence.</p><p><strong>Design/methodology/approach: </strong>This paper conducted a cross-sectional in-person survey with 38 leaders and 224 PCPs in 38 primary health centers (PHCs) in Jinan, Tianjin, Shenzhen and Shanghai. Guided by the regulatory focus theory, this paper built hierarchical linear regression models to examine the association between the leadership's regulatory focus and physician burnout, work-family conflict, clinic guideline adherence and preventive service delivery.</p><p><strong>Findings: </strong>This paper added the knowledge of leadership's regulatory focus impact on the well-being and medical service quality of PCPs. Prevention regulatory focus of leaders was significantly associated with work exhaustion and physicians' reported work-family conflict. There is no significant association between leadership's prevention regulatory focus and PCPs' preventive service delivery or clinical guideline adherence.</p><p><strong>Research limitations/implications: </strong>Data on the regulatory focus of PCPs were not collected. Future studies should collect longitudinal data, allowing for exploration of the mechanism.</p><p><strong>Practical implications: </strong>This paper revealed that PHC leaders should restructure their leadership focus away from preventive regulatory behavior, promoting a team atmosphere and enhancing PCP attitudes, behaviors and well-being.</p><p><strong>Social implications: </strong>To improve the well-being of PCPs and the quality of medical services, our results recommend a focus on establishing a positive organizational culture and addressing the emotional and professional needs of PCPs. To achieve these aims, policymakers should implement measures that promote a more comprehensive and balanced regulatory focus within PHC institutions. These measures should aim to create an environment that supports physician well-being and enhances the quality of healthcare services. Providing ample resources and support, promoting a collaborative team atmosphere and encouraging open communication are vital to empowering PCPs.</p><p><strong>Originality/value: </strong>This study examined the preventive regulatory focus of PHC leaders on the well-being and medical service quality of PCPs in China.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"447-458"},"PeriodicalIF":1.7,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}