Journal of Health Organization and Management最新文献

{"title":"Hospital falls prevention maturity model: a framework for advancing safety practices.","authors":"José Crispim, Diana Rocha, Nazaré Rego","doi":"10.1108/JHOM-12-2025-0826","DOIUrl":"https://doi.org/10.1108/JHOM-12-2025-0826","url":null,"abstract":"<p><strong>Purpose: </strong>Patient safety is a critical component of healthcare quality. Hospital falls are a frequent and harmful event, with multifactorial causes and significant consequences for both patients and healthcare systems. Despite the widespread use of incident reporting systems (IRS) as a risk management tool, challenges such as underreporting, poor data quality, and fragmented analytical approaches persist, limiting their effectiveness. To address these gaps, this study proposes a theoretical maturity model (MM).</p><p><strong>Design/methodology/approach: </strong>The proposed MM was developed based on a systematic literature review (SLR), conducted according to Joanna Briggs Institute and Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines. An inductive thematic analysis identified core capabilities required for effective hospital falls management. These were integrated into a conceptual MM supported by a data collection instrument and a fuzzy multi-criteria decision-making (MCDM) approach.</p><p><strong>Findings: </strong>Based on the synthesis of the SLR findings, a conceptual MM was developed to assess healthcare organizations' maturity levels in hospital fall management. The model enables the identification of organizational gaps, prioritization of improvement actions and guidance on decisions aligned with patient safety objectives. It includes a data collection instrument and applies a fuzzy MCDM approach to aggregate information. An illustrative example demonstrates the model's potential applicability and functionality.</p><p><strong>Originality/value: </strong>This theoretical MM offers a structured foundation for future research, tool development and practical applications in clinical settings. By integrating fall-related factors, reporting quality and system characteristics, the model promotes a comprehensive and strategic approach to fall management. It moves beyond isolated interventions and supports the coordinated enhancement of patient safety across healthcare institutions.</p><p><strong>Highlights: </strong></p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"1-20"},"PeriodicalIF":2.4,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680512","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":"Patterns of professional availability among nurses in the Portuguese National Health Service: an administrative data-based analysis within the framework of the sustainable development goals.","authors":"Sara Remédio Marques, Rosa Isabel Rodrigues","doi":"10.1108/JHOM-02-2026-0139","DOIUrl":"https://doi.org/10.1108/JHOM-02-2026-0139","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to analyse patterns of professional availability among nurses working in the Portuguese National Health Service (NHS), using administrative data for the year 2024, with a specific focus on absence typologies classified under the administrative category \"Other\".</p><p><strong>Design/methodology/approach: </strong>A quantitative, descriptive-analytical approach based on official administrative data was adopted. The analysis focused on identifying profiles of association between absence typologies and absence duration, as well as on characterising profiles of professional unavailability.</p><p><strong>Findings: </strong>Absenteeism was primarily structured according to both the duration and the typology of absence, which allowed the identification of three distinct profiles of professional unavailability: (1) short, occasional absences associated with functional adjustments in work organisation; (2) short-term absences related to civic participation and community service activities and (3) prolonged absences associated with personal development and temporal flexibility.</p><p><strong>Research limitations/implications: </strong>The data refer to a single calendar year, which constrains the analysis of temporal dynamics. Future research may benefit from longitudinal designs and interannual comparisons.</p><p><strong>Practical implications: </strong>The findings provide relevant evidence for strategic human resource planning in healthcare, highlighting the need for differentiated approaches to absenteeism management.</p><p><strong>Social implications: </strong>Absenteeism is interpreted as an indirect indicator of professional availability, with implications for the Sustainable Development Goals (SDG) related to decent work, health and well-being and the reduction of inequalities.</p><p><strong>Originality/value: </strong>This study draws on national administrative data and addresses a domain that remains underexplored in the literature on health organisation and management. The \"Other\" category is particularly relevant from a management perspective, as it includes forms of absence that are less predictable and may require short-notice adjustments in staffing, with direct implications for workforce planning and service continuity.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"1-20"},"PeriodicalIF":2.4,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670848","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":"Examining the moderating influence of age and experience on the relationship between total rewards and medical doctors' retention.","authors":"David Mensah Awadzie, Seth Fenyi, Solomon Keelson","doi":"10.1108/JHOM-11-2025-0817","DOIUrl":"https://doi.org/10.1108/JHOM-11-2025-0817","url":null,"abstract":"<p><strong>Purpose: </strong>Retaining skilled medical professionals remains a major challenge for healthcare systems as many countries struggle to sustain a stable physician workforce. Understanding what shapes doctors' retention is crucial for maintaining service delivery. This study examines how demographic characteristics influence the relationship between total rewards and doctors' retention, focussing on age and experience. Total rewards are conceptualised as financial incentives, such as salary and allowances and non-financial incentives such as promotion opportunities and career development. Doctors' retention served as the dependent variable, while age and experience were tested as moderators.</p><p><strong>Design/methodology/approach: </strong>A quantitative research design was employed, with a structured online survey distributed to doctors at public and private healthcare facilities. 400 valid responses were analysed through structural equation modelling to evaluate both the direct effects of total rewards and the moderating role of demographic factors.</p><p><strong>Findings: </strong>Total rewards have a positive, significant effect on doctors' retention, indicating that comprehensive reward structures support workforce stability. Age and experience have a negative, significant influence on retention, suggesting that older, more experienced doctors are less motivated by rewards and more inclined to leave. However, these demographic factors do not significantly moderate the relationship between reward retention and the other variables.</p><p><strong>Practical implications: </strong>Reward strategies must align with different career stages. Combining financial incentives with structured career development could strengthen long-term retention.</p><p><strong>Originality/value: </strong>Empirical research rarely considers demographic characteristics as moderators of the rewards-retention relationship in medical contexts. This study provides new evidence that age and experience influence retention independently, rather than altering the effect of rewards.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"1-17"},"PeriodicalIF":2.4,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621987","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":"Balancing technical and social controls across performance measurement and management stages: a bibliometric synthesis of digitally enabled healthcare performance management.","authors":"Kutay Güneştepe","doi":"10.1108/JHOM-09-2025-0574","DOIUrl":"https://doi.org/10.1108/JHOM-09-2025-0574","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;An integrated, field-level synthesis of digitally enabled performance measurement and management systems (PM/PMS) in healthcare is provided, addressing fragmentation across tool-centered streams and limited cross-stage comparison of control configurations. The thematic structure of the field is mapped, themes are positioned along the balance between technical and social controls, and their placement across PM/PMS stages (design, implementation and use/revision) is made explicit.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design/methodology/approach: &lt;/strong&gt;A bibliometric science-mapping design was applied to Web of Science Core Collection records from 2000 to 2025. Records were filtered by indices, document type (articles, reviews), language (English) and subject-category refinements aligned with health management and information-systems relevance. Keyword variants were harmonized using a domain thesaurus, and low-specificity tokens were filtered. VOSviewer generated keyword co-occurrence networks (full counting, a minimum occurrence of 10 and association-strength normalization) and an overlay by average publication year. Clusters were interpreted through control-balance and stage lenses, and descriptive profiles were produced by outlets, journals, periods and country groups.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Findings: &lt;/strong&gt;A coherent thematic structure is revealed, organized around infrastructures that stabilize measurement, implementation arrangements that make indicators governable through review routines and accountability and service contexts in which measures are enacted and revised. A temporal overlay indicates a recency gradient from established infrastructure and measurement foundations toward more recent emphases in distributed care and analytics-augmented practice. Artificial intelligence (AI), machine learning (ML) and natural language processing terms are positioned as extensions at the edge of improvement-oriented work rather than as a detached methods stream. Descriptive profiles indicate uneven anchoring across outlet types and country contexts.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Research limitations/implications: &lt;/strong&gt;Coverage is limited by reliance on a single database and on author and indexer keywords, which can under- or overrepresent niche topics. Co-occurrence indicates conceptual proximity rather than causal effects, and indexing updates can change record counts over time. The geographic concentration of contributing country contexts also limits the transferability of findings across diverse health-system settings. Even with these constraints, field-level configurations are made visible in a transparent, reproducible way. Robustness could be tested by extending the corpus to Scopus and PubMed, using alternative vocabularies where available and examining longitudinal slices of the corpus.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Practical implications: &lt;/strong&gt;Implications are offered as navigation cues rather than prescriptive best practices. At design, attention can be directed","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"1-33"},"PeriodicalIF":2.4,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622020","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":"Retraction notice: Efficiency dynamics in Latin American healthcare reforms: a comprehensive growth mixture analysis within institutional theory.","authors":"","doi":"10.1108/JHOM-07-2026-0878","DOIUrl":"https://doi.org/10.1108/JHOM-07-2026-0878","url":null,"abstract":"","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"1-2"},"PeriodicalIF":2.4,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585617","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":"Risk-taking as a strategic capability in public hospitals: multidimensional performance effects in a resource-constrained health system.","authors":"Hellen Njeri Ndung'u, Duncan Mugambi Njeru, Stephen Makau Muathe, Kennedy Nyabuto Ocharo","doi":"10.1108/JHOM-02-2026-0220","DOIUrl":"https://doi.org/10.1108/JHOM-02-2026-0220","url":null,"abstract":"<p><strong>Purpose: </strong>The study investigates whether risk-taking functions as a strategic capability that improves firm performance in public hospitals that operate in resource-constrained healthcare systems.</p><p><strong>Design/methodology/approach: </strong>Data were collected through survey method from 151 public hospitals. A multivariate general linear model was used to analyse the effect of risk-taking on organisational effectiveness and organisational relevance. Hospital level, bed capacity and number of personnel in the public hospitals were used as control variables.</p><p><strong>Findings: </strong>The study revealed that risk-taking has a significant multivariate effect on organisational performance. Specifically, risk-taking positively influences organisational effectiveness of public hospitals. Risk-taking does not significantly influence organisational relevance once the controls are included.</p><p><strong>Research limitations/implications: </strong>The study adopted a cross-sectional research design, which limits causal interpretation. Future research should engage longitudinal study designs and incorporate objective performance indicators such as return on assets to strengthen causal understanding.</p><p><strong>Practical implications: </strong>The findings suggest that organised entrepreneurial commitment in an organisation, can improve internal service provision performance devoid of essentially undermining institutional mission and vision. This occurs when entrepreneurial commitment is embedded within appropriate governance structures.</p><p><strong>Originality/value: </strong>The study improves the understanding of risk-taking as a strategic capability in public hospitals and further reveals that, in order to enhance performance in organisations, organisational characteristics such as the number of personnel should be understood.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"1-17"},"PeriodicalIF":2.4,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537279","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":"Betrayal to border crossings: the mediated-moderated trajectories in psychological contract breach to migration intentions among Ghanaian healthcare professionals.","authors":"Sampson Asumah, Henry Kofi Mensah, Kwame Owusu Kwateng, Ahmed Agyapong","doi":"10.1108/JHOM-12-2025-0914","DOIUrl":"https://doi.org/10.1108/JHOM-12-2025-0914","url":null,"abstract":"<p><strong>Purpose: </strong>This research examines how non-financial breaches of psychological contracts affect the migration intentions of healthcare professionals via employee well-being, considering emotional resilience as a moderating factor in this indirect relationship.</p><p><strong>Design/methodology/approach: </strong>The survey design adopted (explanatory quantitative survey) was used to sample 572 healthcare providers in three teaching hospitals in Ghana. The hypothesised relationships were analysed using partial least-squares structural equation modelling (PLS-SEM).</p><p><strong>Findings: </strong>Psychological contract breach has a significant positive effect on migration intentions, with this relationship operating indirectly through reduced psychological, social and workplace well-being. Furthermore, emotional resilience buffers the adverse effects of psychological contract breach on well-being and attenuates the indirect relationship with migration intentions.</p><p><strong>Originality/value: </strong>This study represents one of the first to empirically test a multidimensional well-being mediation model that relates non-financial psychological contract breaches to migration intentions in the context of a health system in Africa. The study combines a detailed analysis of well-being decomposition with conditional process analyses of emotional resilience and uses data from teaching hospitals across three ecological zones in Ghana to provide new theoretical evidence and cost-effective interventions that could inform retention strategies in similar low-resource settings.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"1-20"},"PeriodicalIF":2.4,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148457346","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":"Servant leadership and job satisfaction in medical assistants: mediating effect of work-life balance and burnout.","authors":"Jayanthi Sebastian, John Harrison, Grace M Hildenbrand, Shaoping Qiu","doi":"10.1108/JHOM-01-2026-0071","DOIUrl":"10.1108/JHOM-01-2026-0071","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;The purpose of this research is to investigate the impact of servant leadership on the job satisfaction of medical assistants (MAs) in healthcare organizations across the United States of America, focusing primarily on the mediating effects of work-life balance (WLB) and burnout.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design/methodology/approach: &lt;/strong&gt;This study adopted a quantitative, non-experimental, correlational and cross-sectional design. It utilizes Hayes's PROCESS model 4 with bootstrapping to test the hypotheses. Data were collected from 998 certified MAs in healthcare organizations in the United States of America using a purposive and convenience sampling method.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Findings: &lt;/strong&gt;The study finds that servant leadership positively predicts job satisfaction and WLB and negatively predicts burnout; servant leadership has a partial mediating effect on job satisfaction in the presence of both mediators.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Research limitations/implications: &lt;/strong&gt;The purposive and convenience sampling procedure decreased the generalizability of the findings. While survey of a broader sample of MAs was attempted, only a small percentage of the respondents were from healthcare organizations, and a majority of the participants were from the professional organization, the American Association of Medical Assistants. Using a quantitative approach did not allow for gathering information as in-depth as could be obtained with qualitative research. Although the study was open to all genders among the target population, the results were oriented towards the female population, since a majority of MAs were female.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Practical implications: &lt;/strong&gt;The findings from this study support that servant leadership influences the job satisfaction of MAs. Additionally, servant leadership can be utilized to improve compassion and understanding, increase communication, improve WLB and reduce burnout and maintain the well-being of MAs, which will significantly enhance the job satisfaction of the MAs. Furthermore, healthcare leaders and administrators may focus on creating a trusting relationship and empowering their MAs by displaying servant leadership characteristics. Overall, the research implications are that the perception of servant leadership positively impacts the job satisfaction of MAs.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Social implications: &lt;/strong&gt;The study validates the servant leadership theory, which operates primarily on empathy, in which the leader is a servant first and primarily focuses on the needs of the subordinates, which resonates with the MAs who put others first (Liden et al., 2008). Next, the study validates the boundary theory with servant leadership supporting employees' well-being, with WLB as a mediator. The study also validates the job demands-resources model of burnout, demonstrating that burnout negatively impacts job satisfaction.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Originality/value: &lt;/strong&gt;The study examines whether servant leadership i","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"1-16"},"PeriodicalIF":2.4,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13583063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of well-being, green organizational behavior and green organizational climate on nurses' job performance in hospitals.","authors":"Şirin Özkan, Hasan Boztoprak, Mehmet Bağış, Mehmet Nurullah Kurutkan, Ömer Özişli, Mehmet Eryılmaz","doi":"10.1108/JHOM-01-2026-0005","DOIUrl":"https://doi.org/10.1108/JHOM-01-2026-0005","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to examine the effects of nurses' employee well-being on green organizational behavior, green organizational climate, and job performance, as well as the mediating roles of green organizational behavior and green organizational climate in the relationship between employee well-being and job performance.</p><p><strong>Design/methodology/approach: </strong>This study was conducted as a cross-sectional survey of nurses working in three public hospitals. Data were collected from 561 nurses who completed valid questionnaires and were analyzed using structural equation modeling in SmartPLS 4.</p><p><strong>Findings: </strong>The structural equation modeling results showed that employee well-being had a significant positive effect on both green organizational behavior and green organizational climate. In turn, green organizational behavior strongly influenced job performance, while green organizational climate also had a positive impact. Furthermore, employee well-being showed significant indirect effects on job performance through both green organizational behavior and green organizational climate, confirming the mediating role of environmental factors in translating well-being into performance outcomes.</p><p><strong>Originality/value: </strong>The findings extend social exchange theory and the theory of planned behavior by showing that employee well-being alone is insufficient to enhance performance unless it is channeled through supportive green behaviors and an enabling green climate. The study contributes theoretically by positioning green organizational behavior as a behavioral mechanism and green organizational climate as a contextual mechanism through which well-being is converted into performance outcomes, particularly in high-stress healthcare settings.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"1-28"},"PeriodicalIF":2.4,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438499","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":"Retraction notice: Artificial intelligence and employee performance in Uganda's healthcare institutions: exploring the mediation effects of perceived ease of use and skills enhancement.","authors":"","doi":"10.1108/JHOM-06-2026-0735","DOIUrl":"https://doi.org/10.1108/JHOM-06-2026-0735","url":null,"abstract":"","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"1"},"PeriodicalIF":2.4,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148382934","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}