Journal of Health Organization and Management最新文献

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Dry promotions and positive psychology: striking a balance for employee well-being. 干式晋升与积极心理学:为员工的福祉取得平衡。
IF 1.7 4区 医学
Journal of Health Organization and Management Pub Date : 2025-04-10 DOI: 10.1108/JHOM-06-2024-0242
Sujoy Sen, Kuldeep Singh
{"title":"Dry promotions and positive psychology: striking a balance for employee well-being.","authors":"Sujoy Sen, Kuldeep Singh","doi":"10.1108/JHOM-06-2024-0242","DOIUrl":"10.1108/JHOM-06-2024-0242","url":null,"abstract":"<p><strong>Purpose: </strong>We aim to address the evolving phenomenon of dry promotions and its impact on employee well-being in organizations. Dry promotion, its possible effects on employee well-being and some strategies to mitigate its adverse consequences are presented as a viewpoint paper.</p><p><strong>Design/methodology/approach: </strong>The arguments in this viewpoint are built on theoretical insights drawn from various organizational theories, such as Maslow's hierarchy of needs, Herzberg's two-factor theory and self-determination theory. However, the main line of thought revolves around positive psychology theory, which assesses the paper's existing literature, news articles and case studies to discuss the emerging phenomenon concisely.</p><p><strong>Findings: </strong>Dry promotion is often characterized by job title upgrades without corresponding pay increases. While dry promotion may satisfy higher-level needs for some individuals, they usually neglect lower-level needs, leading to stress and work-life imbalance, ultimately causing detrimental effects on employee well-being. Strategies at individual, group and organizational levels are crucial to navigate this phenomenon and its consequences. We argue that fair communication, supportive workplace culture and providing avenues for skill enhancement curtail the adverse effects of dry promotion on employee well-being. In addition, a culture fostering mindfulness can help employees navigate the challenges of increased responsibilities without proportional financial rewards.</p><p><strong>Practical implications: </strong>Our study can provide at least some guidance on how to navigate through the phenomenon of dry promotions.</p><p><strong>Originality/value: </strong>Our paper contributes to the scant literature on dry promotions by assessing the likely effects of dry promotions on employee well-being and suggesting practical strategies to deal with it.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"297-309"},"PeriodicalIF":1.7,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711525","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}
引用次数: 0
Clinical leadership during the Covid-19 pandemic: a scoping review. Covid-19 大流行期间的临床领导力:范围界定审查。
IF 1.7 4区 医学
Journal of Health Organization and Management Pub Date : 2025-04-10 DOI: 10.1108/JHOM-05-2024-0205
Homa Chuku, Sharon J Williams, Stephanie Best
{"title":"Clinical leadership during the Covid-19 pandemic: a scoping review.","authors":"Homa Chuku, Sharon J Williams, Stephanie Best","doi":"10.1108/JHOM-05-2024-0205","DOIUrl":"10.1108/JHOM-05-2024-0205","url":null,"abstract":"<p><strong>Purpose: </strong>Leadership was a critical component in managing the Covid-19 pandemic. A scoping review of clinical leadership investigates the leadership styles employed by clinicians during times of unprecedented crisis, with the Covid-19 pandemic as a focus.</p><p><strong>Design/methodology/approach: </strong>The scoping review was designed based on a five-stage approach proposed by Arksey and O'Malley (2005). Three key databases were searched: Scopus, Cumulative Index for Nursing and Allied Health Literature (CINAHL), and ProQuest Healthcare Administration between 2020 and 2022.</p><p><strong>Findings: </strong>Of the 23 papers included in the review, the majority were based on developed countries. Seven leadership approaches were found to be useful in times of crises, with compassionate leadership being particularly effective. Seven key themes relating to the pandemic were also identified.</p><p><strong>Research limitations/implications: </strong>This review is limited by the search strategy employed and the possibility some publications could have been missed. However, it is clear from the results that there is limited research on healthcare leadership outside of the acute setting and in developing countries. These are important areas of further research that need to be pursued to inform our learning for other times of unprecedented crisis.</p><p><strong>Originality/value: </strong>Various leadership styles were employed during the pandemic, but compassionate leadership, which fosters a collaborative, caring and kind environment, becomes a necessity when faced with uncertainty and adversity. This review identifies key factors that leaders need to manage during the pandemic. Practically, it sheds light on leadership strategies that may be employed in future unprecedented crises.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"381-401"},"PeriodicalIF":1.7,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683134","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}
引用次数: 0
Exploring telemedicine and organizational challenges in the healthcare system: a qualitative analysis using Grounded Theory. 探索医疗保健系统中的远程医疗和组织挑战:运用基础理论进行定性分析。
IF 1.7 4区 医学
Journal of Health Organization and Management Pub Date : 2025-04-10 DOI: 10.1108/JHOM-04-2024-0157
Surya Bahadur Thapa, Aradhana Gandhi
{"title":"Exploring telemedicine and organizational challenges in the healthcare system: a qualitative analysis using Grounded Theory.","authors":"Surya Bahadur Thapa, Aradhana Gandhi","doi":"10.1108/JHOM-04-2024-0157","DOIUrl":"10.1108/JHOM-04-2024-0157","url":null,"abstract":"<p><strong>Purpose: </strong>Telemedicine is a context-specific intervention that implies significant procedural changes in a health organization. The objective of the study is to explore healthcare professionals' usage of and perceptions towards telemedicine technology and identify the perceived factors and related process change, influencing the effective adoption of telemedicine from an organizational perspective.</p><p><strong>Design/methodology/approach: </strong>The study includes multi-disciplinary commentaries of a purposive sample of 31 healthcare professionals, conducted through semi-structured qualitative interviews and employs Grounded Theory and Thematic Analysis techniques to analyze the data.</p><p><strong>Findings: </strong>Telemedicine is perceived as a highly beneficial digital intervention in healthcare, focusing on the delivery of effective healthcare, and promoting healthcare equity. Healthcare professionals showed their willingness to assimilate technology into clinical decision-making, resulting in better treatment outcomes, and recommended its' adoption into mainstream healthcare as a viable approach to providing remote healthcare. The key organizational issues with telemedicine adoption were system requirements, network connectivity, non-standardized medical records, and legal bottlenecks, that can be addressed by improving infrastructural convenience, optimizing service processes, imparting training, and adopting better technical measures.</p><p><strong>Originality/value: </strong>The focus is on exploring factors significant for the adoption of telemedicine technology from the perspective of multi-specialties in a health organization, rather than a specific specialty, as studied in previous scholarly work. This study contributes to the theory by proposing a conceptual framework on critical factors for telemedicine adoption, integrating the theory of planned behavior (TPB) and diffusion of innovation (DOI).</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"402-419"},"PeriodicalIF":1.7,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733269","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}
引用次数: 0
A demand approach health workforce planning in the Peruvian primary care setting. 秘鲁初级保健环境中的需求方法卫生人力规划。
IF 1.7 4区 医学
Journal of Health Organization and Management Pub Date : 2025-04-08 DOI: 10.1108/JHOM-12-2024-0536
Felipe Peralta, Seimer Escobedo-Palza, Gareth H Rees, Jimmy Ango-Bedriñana, Jesse Sanchez-Vargas, Cris Scotter
{"title":"A demand approach health workforce planning in the Peruvian primary care setting.","authors":"Felipe Peralta, Seimer Escobedo-Palza, Gareth H Rees, Jimmy Ango-Bedriñana, Jesse Sanchez-Vargas, Cris Scotter","doi":"10.1108/JHOM-12-2024-0536","DOIUrl":"https://doi.org/10.1108/JHOM-12-2024-0536","url":null,"abstract":"<p><strong>Purpose: </strong>Health workforce planning seeks to align supplies of health workers with population health needs by using models. However, some of these models can be difficult to implement, requiring specialized skills, resources and data. This study presents a parsimonious demand approach staff requirement methodology developed by a middle-income health system that aims to overcome existing model barriers and offers a viable health workforce planning alternative for countries with limited health information systems.</p><p><strong>Design/methodology/approach: </strong>The study is set in a sample of Peruvian capital's Primary Care clinics and models TB staffing requirements according to legislative requirements and treatment norms. It provides a step-by-step description of the method used to calculate presentation and staffing volumes and to identify the gaps.</p><p><strong>Findings: </strong>The model's results indicate that the service demand for TB patient treatment types: bacilloscopic sample collection, evaluation, delivery and laboratory processing to have the highest volumes; and nurse and nurse technicians to have the largest service requirements - with the annual gap for Nurses found to be 94,687.8 h.</p><p><strong>Practical implications: </strong>This model's frugal method and data requirements mean that managers and planners may be better able to apply staff requirement studies to improve their service planning, health workforce supply and health worker training policies.</p><p><strong>Originality/value: </strong>Most middle-income health systems rely on the WHO Workload Indicators of Staffing Needs method for service gap determination; however, this model has been locally developed as a solution to counteract some of WISN's operational issues.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796595","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}
引用次数: 0
Importance of managerial roles in physician leaders' work evaluated by medical students: a mixed methods approach. 医学生评估医师领导工作中管理角色的重要性:混合方法方法。
IF 1.7 4区 医学
Journal of Health Organization and Management Pub Date : 2025-04-04 DOI: 10.1108/JHOM-02-2024-0034
Sari Huikko-Tarvainen, Timo Tuovinen, Petri Kulmala
{"title":"Importance of managerial roles in physician leaders' work evaluated by medical students: a mixed methods approach.","authors":"Sari Huikko-Tarvainen, Timo Tuovinen, Petri Kulmala","doi":"10.1108/JHOM-02-2024-0034","DOIUrl":"https://doi.org/10.1108/JHOM-02-2024-0034","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to investigate final-year medical students' perceptions regarding the significance of different managerial roles in fulfilling physician leaders' work.</p><p><strong>Design/methodology/approach: </strong>In 2020, an electronic questionnaire was distributed to all final-year medical students at the University of Oulu, Finland. A quantitative analysis of managerial roles, based on Mintzberg's model, utilized statements rated on a five-point Likert scale. Statistical assessments examined differences in role importance relative to students' age, gender, and educational background. The free-text responses underwent qualitative deductive content analysis and quantification.</p><p><strong>Findings: </strong>In total, 110 participants (68%) responded. Both quantitative and qualitative analyses underscored the high importance of different managerial roles in leadership work. Female respondents attributed greater importance to the monitoring role (mean Likert scale score of 4.6 vs. 4.1, <i>p</i> < 0.0001). Age exhibited a slight negative correlation with the disseminator role (rs = -0.2, <i>p</i> = 0.04), while previous higher education did not significantly influence the importance of Mintzberg's roles.</p><p><strong>Practical implications: </strong>This study underscores the necessity for physicians to embody different managerial roles, emphasizing the need for comprehensive leadership education to manage operations and lead subordinates. The heightened importance assigned to the monitoring role by female students is significant, considering the increasing number of female physicians. Mintzberg's framework could offer an additional tool for leadership education in medical curricula.</p><p><strong>Originality/value: </strong>This study marks the first exploration of final-year medical students' perspectives on the importance of managerial roles in the physician leaders' work through Mintzberg's model.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"39 9","pages":"228-246"},"PeriodicalIF":1.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812727","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}
引用次数: 0
Designing a resilience network for inter-organizational partnerships in disasters. 为灾害中的组织间伙伴关系设计弹性网络。
IF 1.7 4区 医学
Journal of Health Organization and Management Pub Date : 2025-04-01 DOI: 10.1108/JHOM-04-2024-0132
Mohammad Hossein Yarmohammadian, Faeze Akbari, Mozhdeh Hashemzadeh, Fatemeh Rezaei
{"title":"Designing a resilience network for inter-organizational partnerships in disasters.","authors":"Mohammad Hossein Yarmohammadian, Faeze Akbari, Mozhdeh Hashemzadeh, Fatemeh Rezaei","doi":"10.1108/JHOM-04-2024-0132","DOIUrl":"https://doi.org/10.1108/JHOM-04-2024-0132","url":null,"abstract":"<p><strong>Purpose: </strong>The shortcomings in multiorganizational collaboration and coordination in disasters necessitate a resilience network to facilitate all parties' involvement which is the aim of this study.</p><p><strong>Design/methodology/approach: </strong>This study began with a comparative review of disaster management networks in ten countries to identify responsible entities and their functions. The advantages of each country for designing a network for public-private partnerships were benchmarked. The initial network was validated through focus group discussions and interviews.</p><p><strong>Findings: </strong>The research revealed that governments typically assume responsibility for disaster management through multiorganizational councils, workgroups, etc., often using the network administrative organization (NAO) approach, with varying autonomy for Non-governmental Organizations (NGOs) and private sectors (PSs). The proposed network consists of four inter-organizational coordination groups at the national, state, county, city/town and local levels, each with predefined roles, responsibilities and mutual communication. Voluntary groups called \"CHEED\" and local resiliency councils collaborate with public entities, such as coordinating groups and liaison offices, to organize participants and ensure their competency.</p><p><strong>Practical implications: </strong>The proposed resilience network provides policymakers with situation-based responses within central, administrative and participatory governance contexts. By integrating NAO, lead organization-governed network (LOGN) and participant-governed networks (PGN) governance forms, the network ensures effective collaboration among public, private and voluntary entities across all disaster phases. This approach can improve the overall resilience and efficiency of disaster management through practical restructuring and by granting legitimacy to participants in future exercises.</p><p><strong>Originality/value: </strong>The proposed resilience network is unique in its comprehensive, multi-tiered structure that integrates all entities from local to national levels in all disaster phases, enhancing disaster management through effective public-private partnerships.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753789","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}
引用次数: 0
Is a stimulating work environment related to job satisfaction and retention among care professionals? A cross-sectional study in Dutch nursing homes. 激励性的工作环境与护理专业人员的工作满意度和留任率有关吗?荷兰养老院的横断面研究。
IF 1.7 4区 医学
Journal of Health Organization and Management Pub Date : 2025-04-01 DOI: 10.1108/JHOM-03-2024-0085
Bellis van den Berg, Yael Reijmer, Karin Kee, Henk Nies, Bianca Beersma, Mariëlle Zondervan-Zwijnenburg
{"title":"Is a stimulating work environment related to job satisfaction and retention among care professionals? A cross-sectional study in Dutch nursing homes.","authors":"Bellis van den Berg, Yael Reijmer, Karin Kee, Henk Nies, Bianca Beersma, Mariëlle Zondervan-Zwijnenburg","doi":"10.1108/JHOM-03-2024-0085","DOIUrl":"https://doi.org/10.1108/JHOM-03-2024-0085","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to examine how care professionals of different occupational groups perceive organizational conditions for voice behavior and whether these conditions are related to job satisfaction and retention as was experienced at nursing home (NH) facilities.</p><p><strong>Design/methodology/approach: </strong>An online survey study was conducted among care professionals, (middle) managers and policy officers of 175 Dutch nursing home (NH) facilities (<i>N</i> = 3,932 respondents). Data were collected between November 2020 and January 2022. Organizational conditions were clustered into four categories: dealing with incidents, formal opportunities, supportive management and teams' improvement orientation.</p><p><strong>Findings: </strong>Certified nurse assistants (CNAs) and registered nurses (RNs) were more critical about the organizational conditions than other respondents from the same NH facility. Linear mixed effect models showed that organizational conditions were positively related to job satisfaction and perceived employee retention (<i>p</i> < 0.001). Hierarchical multiple regression models show that \"teams' improvement orientation\" and \"supportive management\" are strong independent predictors of job satisfaction and perceived employee retention (<i>p</i> < 0.001).</p><p><strong>Practical implications: </strong>It is important that leaders realize that their own perspectives may not correspond with those of frontline care workers. This emphasizes the importance of capturing different perspectives on organizational conditions and the important role of middle managers who are in the position to create stimulating working environments to retain care professionals for NH care.</p><p><strong>Originality/value: </strong>This study has the unique opportunity to examine the relation between organizational conditions and job satisfaction among different occupational groups in Dutch NHs. Showing that care professionals were considerably more critical about the conditions and their job satisfaction compared to management and policy officers.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"39 9","pages":"210-227"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143773945","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}
引用次数: 0
Post-pandemic healthcare choices: SERVQUAL model and the influence of hospital image. 大流行后医疗选择:SERVQUAL模型与医院形象的影响
IF 1.7 4区 医学
Journal of Health Organization and Management Pub Date : 2025-03-27 DOI: 10.1108/JHOM-01-2024-0002
Om Jee Gupta, Krishna Pal Singh, Susheel Yadav, Pooja Darda, Shubhendra Singh Parihar
{"title":"Post-pandemic healthcare choices: SERVQUAL model and the influence of hospital image.","authors":"Om Jee Gupta, Krishna Pal Singh, Susheel Yadav, Pooja Darda, Shubhendra Singh Parihar","doi":"10.1108/JHOM-01-2024-0002","DOIUrl":"https://doi.org/10.1108/JHOM-01-2024-0002","url":null,"abstract":"<p><strong>Purpose: </strong>This article studies the customer's purchase intention to choose healthcare services in the post-COVID-19 situation. The authors have used the most prominent SERVQUAL model to assess the service quality offered to patients and each variable's influence on customer intent to purchase healthcare services.</p><p><strong>Design/methodology/approach: </strong>Tangibility, reliability, responsiveness, assurance, empathy, hospital image and customer purchase intention are the variables considered for this study. Data have been collected from customers who have recently experienced services in different hospitals. Standardized statements of the SERVQUAL model and purchase intention were adapted and modified as per the requirements of the constructs. Out of 271 filled questionnaires, the authors have undertaken the data cleaning process to circumvent any kind of biasness; finally the authors have considered 225 questionnaires to conduct this research work.</p><p><strong>Findings: </strong>This study's findings indicate significant and positive relationships between service quality, hospital image and customer purchase intention to choose hospital services. Additionally, the mediating role of hospital image was confirmed in all four hypotheses.</p><p><strong>Practical implications: </strong>The results of this study provide practitioners with valuable insights and guidance for developing effective strategies for providing better services to patients.</p><p><strong>Originality/value: </strong>Confirmatory factor analysis (CFA) was used to check the validity and reliability of all the constructs. Due to the high correlation between tangibility, reliability, responsiveness, assurance and empathy, authors have created a second-order construct, i.e. service quality. Authors have also used structural equation modeling (SEM) to inspect the associations between different constructs. Authors have measured the mediating role of hospital image between the relationship of all the service quality dimensions and customer purchase intention.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732419","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}
引用次数: 0
AI-IoT integration in Tanzania's primary healthcare system: a narrative review. 坦桑尼亚初级医疗保健系统中的人工智能与物联网整合:叙述性综述。
IF 1.7 4区 医学
Journal of Health Organization and Management Pub Date : 2025-03-25 DOI: 10.1108/JHOM-01-2025-0013
Augustino Mwogosi, Rajabu Mohamedi Simba, Ashura Kayya, Swaumu Abdallah, Petronila Mkane, Aprojestus Lugaba, Haruna Hussein
{"title":"AI-IoT integration in Tanzania's primary healthcare system: a narrative review.","authors":"Augustino Mwogosi, Rajabu Mohamedi Simba, Ashura Kayya, Swaumu Abdallah, Petronila Mkane, Aprojestus Lugaba, Haruna Hussein","doi":"10.1108/JHOM-01-2025-0013","DOIUrl":"https://doi.org/10.1108/JHOM-01-2025-0013","url":null,"abstract":"<p><strong>Purpose: </strong>This narrative review explores the integration of artificial intelligence (AI) and Internet of Things (IoT) technologies in Tanzania's primary healthcare system. It aims to identify barriers to adoption, propose strategies for effective implementation and align these insights with Tanzania's digital health transformation goals.</p><p><strong>Design/methodology/approach: </strong>A narrative review methodology was employed, synthesising evidence from 21 peer-reviewed studies and reports published between 2015 and 2024. The thematic analysis examined barriers, strategies and research gaps, focusing on technical, socio-cultural and organisational factors specific to Tanzania's healthcare context.</p><p><strong>Findings: </strong>The review highlights several challenges, including infrastructural limitations, low digital literacy, socio-cultural resistance and the lack of robust policy frameworks. Strategies such as participatory system design, capacity building and investments in resilient digital infrastructure emerged as critical enablers. Insights also underscore the importance of addressing ethical considerations and customising solutions to Tanzania's unique socio-economic and cultural realities.</p><p><strong>Originality/value: </strong>This study uniquely focuses on the Tanzanian context, providing actionable recommendations to bridge the gap between AI-IoT technological potential and practical implementation in low-resource settings. Integrating global and local evidence offers a comprehensive framework to guide policymakers, practitioners and stakeholders in advancing digital health innovations personalised to the needs of primary healthcare systems.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694084","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}
引用次数: 0
Determinants of competitive advantage through achieving pharmaceutical supply chain management capabilities in the Ethiopian healthcare sector. 通过实现埃塞俄比亚医疗保健部门的药品供应链管理能力,形成竞争优势的决定因素。
IF 1.7 4区 医学
Journal of Health Organization and Management Pub Date : 2025-03-24 DOI: 10.1108/JHOM-04-2024-0136
Tao Zhou, Gutama Kusse Getele
{"title":"Determinants of competitive advantage through achieving pharmaceutical supply chain management capabilities in the Ethiopian healthcare sector.","authors":"Tao Zhou, Gutama Kusse Getele","doi":"10.1108/JHOM-04-2024-0136","DOIUrl":"https://doi.org/10.1108/JHOM-04-2024-0136","url":null,"abstract":"<p><strong>Purpose: </strong>These days, supply chain management (SCM) is essential to maintaining the long-term sustainability of the whole manufacturing ecosystem. This research examines the effects of competitive priorities (cost, quality, flexibility and delivery) on achieving success for the three key participants in SCM: suppliers, distributors and customers.</p><p><strong>Design/methodology/approach: </strong>Survey data from 258 workers in pharmaceutical businesses was utilized in an empirical study partial least squares structural equation modeling (PLS-SEM) was employed to examine whether supply chain capabilities (SCC) were influenced by competitive advantage (cost, quality, flexibility and delivery).</p><p><strong>Findings: </strong>The results of the investigation show a favorable correlation between competitive advantage in the Ethiopian pharmaceutical and medical supplier industry and SCC.</p><p><strong>Originality/value: </strong>This study demonstrates the positive impacts of cost, quality, flexibility and delivery on suppliers, distributors and customers. Our findings suggest that pharmaceutical and medical suppliers prioritize achieving high-quality service before focusing on cost reduction.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677323","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}
引用次数: 0
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