Journal of Health Organization and Management最新文献

{"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}

{"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}

{"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}

{"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}

{"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":"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}

{"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}

{"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}