Journal of Health Organization and Management最新文献

{"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":"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}

{"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}

{"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}

{"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}

{"title":"Implementing the Learning from Excellence approach to support continuous quality improvement in breast cancer care: a mixed-method study across Italian regions.","authors":"Francesca Ferrè, Maria Francesca Furmenti, Sara Zuccarino","doi":"10.1108/JHOM-06-2024-0258","DOIUrl":"https://doi.org/10.1108/JHOM-06-2024-0258","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study is to describe the application of the Learning from Excellence (LfE) approach in supporting a learning-oriented use of performance measures and continuous quality improvement in breast cancer (BC) care.</p><p><strong>Design/methodology/approach: </strong>Using a mix-method research, the BC pathway is evaluated among 12 Italian regions/autonomous provinces sharing the same Performance Measurement System. The study was conducted in three stages: (1) identification of the best performing geographical areas through quantitative evidence; (2) analysis of the best practices with qualitative methods; (3) professional engagement and quality improvement, and involvement of stakeholders.</p><p><strong>Findings: </strong>In the quantitative phase, the performances of 50 geographical areas were analyzed, leading to the identification of two best performing areas. After the characterization of the organizational determinants featuring the best performers' practices, the professionals were involved through on-site workshops, implementing a learning-oriented use of performance measures, benchmarking and team reflexivity on performance results. The intervention implied the modelling and assessment of the best performers' pathways, complementing performance measures with experience-based information. The models of the two areas were compared and hypothesis of care improvement were discussed. Feedback, reflexivity, networking and culture reinforcement were enacted among all the network professionals. In the last stage, the results were publicly presented allowing all stakeholders to recognize and appreciate the collaborative effort produced for the care of BC women and, leveraging on the logic of benchmarking, the stakeholders where able to identify generable performance improvements.</p><p><strong>Originality/value: </strong>This study provides evidence about the potential benefits of implementing LfE as a total quality management practice for care pathways.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659160","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 development in the NHS - a study in urgent and emergency care (UEC).","authors":"Hein Scheffer","doi":"10.1108/JHOM-03-2024-0079","DOIUrl":"10.1108/JHOM-03-2024-0079","url":null,"abstract":"<p><strong>Purpose: </strong>This paper explores why clinicians in an emergency department (ED) become leaders, their experiences of leadership and their future developmental needs. It focuses on emerging leaders, middle management, and senior management whilst addressing the knowledge gap in identifying the training needs of clinical leadership in urgent and emergency care (UEC).</p><p><strong>Design/methodology/approach: </strong>This study utilised both surveys (<i>n</i> = 36) and semi-structured interviews (<i>n</i> = 12). Qualitative data were analysed using descriptive statistics, whilst qualitative data were analysed using a thematic approach, drawing on a conceptual framework based on the inter-related concepts of culture, professional identity and leadership development. This paper focuses on the third concept and offers insights into the journey and challenges faced in making the transition from clinician to leader.</p><p><strong>Findings: </strong>The findings revealed that most clinical leaders received insufficient training to prepare them to be leaders in UEC.</p><p><strong>Research limitations/implications: </strong>This study was originally intended for a single English Acute Trust, rendering the data limiting, as an interpretivist study. The fact that three Trusts were used for the semi-structured interviews helped with the triangulation of data.</p><p><strong>Practical implications: </strong>The paper proposes an original leadership development framework for UEC to support leaders who are often excellent clinicians, to be equally brilliant and appropriately empowered leaders.</p><p><strong>Originality/value: </strong>A more individual-centric focus on clinical leadership development is advocated, offering an original leadership development framework to support leadership development and contributing to the wider literature on education.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"39 9","pages":"192-209"},"PeriodicalIF":1.7,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659164","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 comparative study of patient safety culture from departed and on-the-job nurses' viewpoints.","authors":"Chih-Hsuan Huang, Yii-Ching Lee, Hsin-Hung Wu","doi":"10.1108/JHOM-10-2024-0402","DOIUrl":"https://doi.org/10.1108/JHOM-10-2024-0402","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to first investigate and compare the perceptions of departed and on-the-job nurses in the patient safety culture and then identify critical dimension(s) that might affect these two groups.</p><p><strong>Design/methodology/approach: </strong>A chi-squared test is employed to find critical demographic variables between departed and on-the-job nurses. In addition, linear regression with forward selection is used to identify the essential dimensions of the Chinese version of the Safety Attitudes Questionnaire (CSAQ) that affect the overall satisfaction of the patient safety culture in a regional teaching hospital in Taiwan. A total of 196 departed nurses and 386 on-the-job nurses participate in this study.</p><p><strong>Findings: </strong>No significant differences in eight dimensions along with the overall satisfaction of the patient safety culture are found between these two groups. For departed nurses, the strongest predictor of the overall satisfaction of the patient safety culture is perceptions of management, while safety climate and teamwork climate have significant relationships with the overall satisfaction. On the other hand, working conditions is the most essential dimension influencing the overall satisfaction from on-the-job nurses' viewpoints followed by perceptions of management and emotional exhaustion. The perceptions of management are the only factor that influences the overall satisfaction for both groups.</p><p><strong>Practical implications: </strong>Measuring the patient safety culture cannot predict nurses' turnover; however, some aspects of dimensions from the CSAQ are associated with the overall satisfaction of the patient safety culture.</p><p><strong>Originality/value: </strong>Health practitioners should focus on implementing known strategies to improve the overall satisfaction, including support from leadership, sufficient resources and burnout alleviation.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598066","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":"Healthcare 4.0: a systematic literature review.","authors":"Bárbara Santiago de Mendonça, Lásara Fabrícia Rodrigues, Karine Araújo Ferreira","doi":"10.1108/JHOM-09-2024-0372","DOIUrl":"https://doi.org/10.1108/JHOM-09-2024-0372","url":null,"abstract":"<p><strong>Purpose: </strong>Healthcare has been facing rising challenges in recent years. To mitigate these issues, an appreciable amount of effort has been invested in studies about Healthcare 4.0. Despite the recognized importance of this topic, its recentness and multidisciplinary character are obstacles to its precise understanding. In this light, this paper aims to provide a comprehensive view of the current development of Healthcare 4.0.</p><p><strong>Design/methodology/approach: </strong>We systematically reviewed the literature, which resulted in 130 papers retrieved from the Web of Science and Scopus databases. Quantitative and qualitative analyses were carried out using this sample.</p><p><strong>Findings: </strong>As a result of the quantitative analysis, we notice an increasing trend in health-related studies, notwithstanding its novelty. India is also recognized as the leading reference on the subject, as it is the country with more papers in the sample and the most influential authors. On the other hand, through qualitative analysis, an extensive review and analysis of the technologies and applications of Healthcare 4.0 is presented, along with a discussion of its underexplored areas.</p><p><strong>Originality/value: </strong>The results of this paper provide valuable knowledge to guide and encourage further analysis on this topic, including recommendations for future research directions.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558025","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 effect of leader-member exchange on turnover intention in healthcare employees.","authors":"Meltem Saygili, Neset Hikmet, Gamze Yorgancioglu Tarcan","doi":"10.1108/JHOM-09-2024-0394","DOIUrl":"https://doi.org/10.1108/JHOM-09-2024-0394","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to evaluate the effects of perceived leader--member exchange and working conditions on turnover intention among healthcare employees.</p><p><strong>Design/methodology/approach: </strong>The study population consisted of healthcare employees working in a medical faculty hospital in Türkiye. A stratified sampling method was used in sample selection. The data were obtained by the questionnaire method, and voluntary participation was taken as a basis. The questionnaire included sociodemographic information, a leader--member exchange (LMX) scale and a turnover intention scale. The research was conducted between April and May 2022 and completed with 400 participants. Descriptive statistics, correlation analysis and multiple linear stepwise regression analyses were chosen for data analysis.</p><p><strong>Findings: </strong>The findings showed that the participants had a medium-level perception of leader--member exchange and a medium-level turnover intention. Multiple linear stepwise regression analysis revealed that especially \"affect and professional respect\" sub-dimensions of LMX had a statistically significant and negative effect on turnover intention scores. In addition, weekly working hours had a statistically significant and positive effect on turnover intention (<i>p</i> < 0.05). Finally, it was determined that the variance in turnover intention score was explained by the \"affect and professional respect\" sub-dimensions of LMX and weekly working hours (<i>R</i>² = 0.241).</p><p><strong>Originality/value: </strong>This study provides evidence on the impact of the \"affect\" and \"professional respect\" sub-dimensions of leader-member exchange as well as work environment factors on the turnover intentions of healthcare employees. The results are expected to guide healthcare organization leaders and managers on how to create a collaborative work environment that leads to employee retention.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544011","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":"Consequences of centralized healthcare systems: changing role and autonomy of hospital managers - insights from a Hungarian case.","authors":"Eva Krenyacz, Eva Erika Revesz","doi":"10.1108/JHOM-08-2024-0358","DOIUrl":"10.1108/JHOM-08-2024-0358","url":null,"abstract":"<p><strong>Purpose: </strong>The objective of this paper is to investigate how top managers in public healthcare interpret and perceive their autonomy within a highly centralized system and how their roles and attitudes have evolved in response to centralization.</p><p><strong>Design/methodology/approach: </strong>The research examines how increased centralization and reduced organizational autonomy affect decision-making in hospitals, employing qualitative analysis through in-depth interviews with top managers. The study collected and analyzed data from 15 hospital managers in year 2015 and 2022 (eight interviews each year, one person interviewed twice), to capture changes following significant centralization efforts and the effects of the pandemic and health sector reforms.</p><p><strong>Findings: </strong>Centralization has reduced financial and operational managerial autonomy for many institutions, leading to delays in decision-making, especially in financial matters and has also brought significant administrative and reporting burdens. Despite this, hospital managers reported retaining some professional autonomy in developing and managing their service portfolios, but this autonomy is primarily operational rather than strategic and is limited by financial constraints.</p><p><strong>Research limitations/implications: </strong>This study examines the Hungarian healthcare system, influenced by unique political context, which also presents a methodological limitation concerning the transferability of findings.</p><p><strong>Practical implications: </strong>Hospital top managers' professional autonomy is often obscured by heavy administrative and financial pressures; thus, enhancing their strategic mindset is essential.</p><p><strong>Social implications: </strong>Policymakers should adopt a comprehensive perspective in hospital maintaining, with a particular focus on balancing financial and medical perspectives.</p><p><strong>Originality/value: </strong>The paper focuses on an under-explored area: the organizational autonomy of hospital top management in the context of centralization efforts, delivering a message to both hospital managers and policymakers by emphasizing organizational aspects.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"39 9","pages":"177-191"},"PeriodicalIF":1.7,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11884511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574296","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}