Journal of Health Organization and Management最新文献

{"title":"Managerial autonomy and hospital performance: evidence from the Spanish National Health System.","authors":"M Isabel Ortega-Díaz, José-Jesús Martín-Martín","doi":"10.1108/JHOM-02-2026-0214","DOIUrl":"https://doi.org/10.1108/JHOM-02-2026-0214","url":null,"abstract":"<p><strong>Purpose: </strong>This study examines whether hospitals with and without managerial autonomy operate under distinct production technologies and achieve different efficiency outcomes. It also analyses whether they face differing structural or technological constraints within a universally accessible, publicly funded health system.</p><p><strong>Design/methodology/approach: </strong>A dynamic metafrontier data envelopment analysis framework is applied to a panel of 213 general hospitals within the Spanish National Health System over seven years.</p><p><strong>Findings: </strong>The results indicate that hospitals with managerial autonomy exhibit higher technical efficiency, operate closer to the system-wide potential frontier and function under distinct production technologies compared with traditional hospitals governed by public administration. These patterns remain largely stable over the period analysed.</p><p><strong>Practical implications: </strong>Organisational and governance arrangements are strongly associated with differences in hospital performance. Greater managerial flexibility is related to fewer structural constraints on efficiency, even within a common regulatory and financing framework. These findings are relevant for health system managers and policymakers concerned with hospital governance and organisational design.</p><p><strong>Originality/value: </strong>This study contributes to the literature by analysing managerial autonomy as a source of technological heterogeneity in hospitals within a universally accessible, publicly funded health system. Applying a dynamic metafrontier data envelopment analysis framework provides new empirical evidence on the relationship between organisational and governance arrangements and efficiency, as well as on the structural conditions in which efficiency is observed, offering insights into the ongoing debate on hospital autonomy and governance.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"1-14"},"PeriodicalIF":2.4,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370266","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":"Beyond adoption: integrating TTAT and user-centric design for mHealth service continuance.","authors":"Nishant Kumar, Krishna Kishore Soornahalli Vittal Murthy, Vasudevan Moorthy, Kamal Upreti, Shailender Singh","doi":"10.1108/JHOM-05-2025-0283","DOIUrl":"https://doi.org/10.1108/JHOM-05-2025-0283","url":null,"abstract":"<p><strong>Purpose: </strong>A significant challenge for healthcare organizations is user retention, with high early app abandonment rates impacting long-term engagement. The study evaluates how organizations can sustain mobile health (mHealth) applications by addressing perceived technological threats and leveraging user-centric design strategies.</p><p><strong>Design/methodology/approach: </strong>The study employs a cross-sectional survey design and collects data from 377 young adult mHealth users across metropolitan cities in India. An integrated SEM-ANN approach was employed to investigate how threat avoidance motivation, perceived mHealth knowledge and perceived ease of use shape continuance intentions toward mHealth applications, using technology threat avoidance theory. It further examines the moderating role of gamification and personalization in mitigating perceived threats and fostering attitudes toward mHealth applications.</p><p><strong>Findings: </strong>The findings indicate that perceived ease of use was the most crucial factor in defining attitudes, and self-efficacy emerged as a precursor for threat avoidance motivation with mHealth. While not directly influencing continuance intention, gamified elements strengthened the effects of positive attitudes and threat avoidance motivation. Interestingly, the ANN output confirms personalization as critical for continuance intention. These findings underscore the importance of combining user psychological insights with organization design-centric strategies.</p><p><strong>Originality/value: </strong>The study contributes to the limited literature on the mHealth postadoption phase of sustained engagement with novel integration of behavioral insights and user-centric design. These insights provide strategies for healthcare organizations and mHealth service providers seeking to design more engaging, secure and sustainable digital health platforms.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"1-23"},"PeriodicalIF":2.4,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370295","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":"Is higher ego strength always better? Ego strength, ICT demands, and age in nurses' safety performance.","authors":"Xinglan Yang, Jianing Guo, Chuanyi Luan, Li Zhang","doi":"10.1108/JHOM-11-2025-0774","DOIUrl":"10.1108/JHOM-11-2025-0774","url":null,"abstract":"<p><strong>Purpose: </strong>This study examines how information and communication technology (ICT) demands influence nurses' safety performance in healthcare organizations. Drawing on the Job Demands-Resources (JD-R) framework, it investigates negative rumination as a cognitive mechanism linking ICT demands to safety compliance and safety participation, and explores how ego strength and age jointly shape this process through a three-way interaction.</p><p><strong>Design/methodology/approach: </strong>A two-wave survey was conducted with 498 nurses from ten hospitals in China, separated by a three-week interval. Using structural equation modeling (Mplus 8.3) and 5,000 bootstrap samples, we tested a three-way moderated mediation model linking ICT demands, negative rumination, ego strength, and age.</p><p><strong>Findings: </strong>Results show that ICT demands were significantly associated with higher levels of negative rumination, which in turn was significantly related to lower safety compliance and safety participation. The indirect effects varied by ego strength and age: the three-way moderated mediation effects were statistically significant, and they were stronger among younger nurses with low ego strength and middle-aged nurses with high ego strength.</p><p><strong>Originality/value: </strong>The study extends JD-R theory to digitalized healthcare settings by identifying negative rumination as a key cognitive pathway through which ICT demands impair nurses' safety performance. It also provides novel evidence of a three-way interaction involving ICT demands, ego strength and age, highlighting differential risk profiles within the nursing workforce. From a practical perspective, the findings offer actionable insights for healthcare managers by underscoring the importance of managing ICT demands and implementing age-sensitive support strategies to sustain nurses' safety performance.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"1-23"},"PeriodicalIF":2.4,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370290","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":"Institutional change and service innovation in Taiwan's school-based health centers: the mediating effect of organizational professionalism.","authors":"Chen-Wei Yang, Shu-Fen Chen, Shih-Chieh Fang, Fu-Sheng Tsai","doi":"10.1108/JHOM-08-2025-0519","DOIUrl":"https://doi.org/10.1108/JHOM-08-2025-0519","url":null,"abstract":"<p><strong>Purpose: </strong>This study examines the associations between perceived institutional change and service innovation in Taiwan's School-Based Health Centers (SBHCs), with particular attention to the mediating role of organizational professionalism.</p><p><strong>Design/methodology/approach: </strong>A cross-sectional survey was conducted with 298 school nurses managing SBHCs across multiple educational levels. Using validated measures of institutional change, organizational professionalism, and service innovation, hierarchical regression analysis tested the hypothesized mediation model.</p><p><strong>Findings: </strong>Results indicate that institutional change is positively associated with both organizational professionalism (β = 0.40, p < 0.001) and service innovation (β = 0.38, p < 0.001), with moderate effect sizes. Furthermore, organizational professionalism demonstrates a substantial partial mediating effect, accounting for approximately 52% of the total effect, indicating that it is significantly associated with the relationship between institutional change and service innovation in SBHCs.</p><p><strong>Practical implications: </strong>Strengthening organizational professionalism through leadership, training, and resource alignment may enhance SBHCs' adaptive capacity and sustain innovation under conditions of institutional reform and resource constraint.</p><p><strong>Originality/value: </strong>This study integrates institutional theory, professionalism, and service innovation research to advance understanding of how meso-level professionalism functions as an internal mechanism linking systemic change to organizational innovation in hybrid healthcare-education settings.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"1-18"},"PeriodicalIF":2.4,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354272","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 the role of Green e-HRM in enhancing hospital sustainability: insights from the healthcare industry.","authors":"Suresh Yamarthi, Ch Balaji, Subhodeep Mukherjee, Salma Syed, Muhammad Ashraf Fauzi","doi":"10.1108/JHOM-01-2026-0088","DOIUrl":"10.1108/JHOM-01-2026-0088","url":null,"abstract":"<p><strong>Purpose: </strong>The Indian healthcare sector is responsible for an urgent need for quality healthcare and socio-economic development. This study investigates the effects of Green e-Human Resource Management (Green e-HRM) on sustainability performance within hospitals. Green e-HRM includes e-HRM management with environmentally friendly considerations for reduced resource usage, efficiency and enhanced social accountability.</p><p><strong>Design/methodology/approach: </strong>This research is premised on the resource-based view (RBV), technology acceptance model (TAM) and triple bottom line (TBL) methodologies. This study used a mixed-method approach, quantitative data collection through surveys of 380 public and private hospitals, with results from healthcare professionals' responses analysed through partial least squares structural equation modelling.</p><p><strong>Findings: </strong>It was determined that Green e-HRM significantly and positively impacts sustainability performance in hospital environmental, economic and social performance, with the most considerable impact being social sustainability. Thus, implementing digitalisation practices of Green HR can reduce environmental accountability while promoting personnel welfare and organisational social accountability.</p><p><strong>Research limitations/implications: </strong>Results found that Green e-HRM is a strategic sustainability facilitator for knowledge-based resource management.</p><p><strong>Originality/value: </strong>Ultimately, this study attempts to fill a literature gap surrounding Green e-HRM in a developing country's healthcare system while contributing to value for practitioners seeking digital HR systems with significant sustainable developments in the healthcare SDG realm.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"1-24"},"PeriodicalIF":2.4,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370341","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":"From waste to wellness: unlocking pharmacy efficiency through Lean management and staff satisfaction.","authors":"T P Neenu, S M Riha Parvin, Niyaz Panakaje, Sajida Begam","doi":"10.1108/JHOM-07-2025-0442","DOIUrl":"https://doi.org/10.1108/JHOM-07-2025-0442","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;This study aims to examine the impact of Lean management awareness and implementation (LMAI) on operational efficiency (efficiency improvements from Lean practices [EILP]) within hospital pharmacy services by exploring the mediating role of staff satisfaction with Lean management (SSLM) and the influence of challenges in adapting to Lean processes (CALP). The study intends to provide empirical insights into the interrelationships among Lean practices, employee perceptions and organizational performance, grounded in socio-technical systems (STS) theory and total quality management (TQM).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design/methodology/approach: &lt;/strong&gt;A quantitative research design was adopted for this study, utilizing a structured questionnaire. Data were collected from 170 pharmacy professionals working in various hospitals in Thrissur, Kerala, selected through purposive sampling. The collected data were analyzed using SPSS and SmartPLS 4.0. The analysis included descriptive statistics, reliability and validity assessments, and structural equation modeling (SEM) to examine direct, mediating and moderating relationships among the variables.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Findings: &lt;/strong&gt;The results demonstrate that operational efficiency and staff satisfaction significantly improve with higher Lean awareness and implementation. SSLM partially mediates the relationship between LMAI and EILP, indicating that social engagement reinforces the technical benefits of Lean. However, CALP did not significantly moderate this relationship. The findings confirm that sustainable efficiency and medication safety are achieved through alignment of Lean technical tools and social-cultural factors.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Research limitations/implications: &lt;/strong&gt;Although the study was conducted across multiple hospitals, the findings are limited to a single geographic region, which may affect their generalizability.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Practical implications: &lt;/strong&gt;Hospital administrators should prioritize structured Lean awareness programs, continuous staff training and participative decision-making to enhance pharmacy efficiency. Embedding Lean performance indicators into governance systems and linking them to staff appraisal can sustain improvements. Strengthening leadership support and employee engagement ensures long-term operational efficiency and improved patient safety outcomes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Social implications: &lt;/strong&gt;The study highlights that strengthening Lean awareness and staff satisfaction in hospital pharmacies enhances service reliability, reduces medication errors and promotes patient safety, thereby improving overall healthcare quality and community trust.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Originality/value: &lt;/strong&gt;This study extends Lean healthcare research by empirically integrating awareness, staff satisfaction and adaptation challenges within a socio-technical framework in Indian hospital pharmacies, offering a behavioral explanation for operational efficiency beyo","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"1-20"},"PeriodicalIF":2.4,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354159","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":"Challenging traditional leadership models: a narrative review of advanced practice provider integration in health system governance.","authors":"Michael John Steger","doi":"10.1108/JHOM-05-2025-0251","DOIUrl":"10.1108/JHOM-05-2025-0251","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;Advanced practice providers (APPs) are essential to health system capacity yet remain underrepresented in governance and executive leadership. This narrative review synthesizes existing peer-reviewed and organizational evidence into a five-domain framework for APP leadership integration and assesses its implications for organizational performance.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design/methodology/approach: &lt;/strong&gt;A targeted narrative review was conducted, drawing from peer-reviewed literature, organizational case reports, and industry analyses published between 2013 and 2025. Sources were identified through PubMed, CINAHL, Google Scholar, discipline-specific journals and professional organizations. Inclusion criteria focused on governance, leadership, and organizational integration of Physician Assistants and Advanced Practice Registered Nurses. Given the applied focus on governance, selected grey literature was included to capture emerging practices. Evidence was synthesized thematically into five domains of APP leadership integration. This approach emphasizes conceptual clarity rather than exhaustive coverage.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Findings: &lt;/strong&gt;Five interdependent domains of APP governance integration emerged: (1) governance inclusion and medical staff structures, (2) leadership development and career pathways, (3) operational alignment and role optimization, (4) culture, scope, and policy enablement and (5) measurement, accountability and the business case. Together these domains provide a framework for intentional inclusion of APPs in health system governance. Evidence indicates that APP leadership integration supports workforce retention, improves efficiency, and contributes to financial sustainability. Distinctions were noted between public and private health systems, with mission-driven organizations emphasizing equity and access, and private systems prioritizing return on investment and margin recovery.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Research limitations/implications: &lt;/strong&gt;As a targeted narrative review, this study does not claim exhaustiveness and may be subject to selection and publication bias. The existing literature is largely descriptive, with limited comparative studies or standardized outcome measures. Future research should evaluate governance models across diverse systems and establish benchmarks for measuring the impact of APP leadership.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Practical implications: &lt;/strong&gt;Health systems can strengthen organizational performance by embedding APPs into governance structures, developing leadership pipelines, aligning roles operationally, fostering inclusive cultures, and implementing measurement frameworks. These strategies reduce turnover, improve collaboration and enhance financial and clinical outcomes. While public sector systems may emphasize access and equity, private sector systems may prioritize return on investment and margin recovery, making APP governance integration a valuable strategy across contexts.&lt;/p&gt;&lt;","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"863-874"},"PeriodicalIF":2.4,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145477272","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":"Unlocking potential: impact of mHealth affordance realization on patient well-being.","authors":"Ramakrishna Dantu, Mohammad Moinul Islam Murad","doi":"10.1108/JHOM-03-2025-0133","DOIUrl":"10.1108/JHOM-03-2025-0133","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigates how realized affordances of mobile health technologies influence the relationship between technology use, patient empowerment and well-being in diabetes self-management.</p><p><strong>Design/methodology/approach: </strong>The research proposes a technology use-empowerment-well-being (TEW) model based on affordance theory. Data were collected through a survey of 257 diabetes patients using mobile technologies for self-management and analyzed using structural equation modeling with SmartPLS.</p><p><strong>Findings: </strong>Results indicate that patient empowerment fully mediates the relationship between mobile technology use and patient well-being. Importantly, realized affordances moderately strengthen the relationship between technology use and patient empowerment, demonstrating that patients derive greater benefits when they actively utilize technology's capabilities for diabetes management.</p><p><strong>Research limitations/implications: </strong>Reliance on self-reported data and the cross-sectional design limit causal inferences about the evolution of technology-empowerment-well-being relationships over time.</p><p><strong>Practical implications: </strong>Healthcare technology designers should focus on creating clear, tangible benefits for patients that support specific self-management behaviors. Healthcare providers should educate patients about the benefits of technology and support them in realizing these affordances through training and ongoing assistance.</p><p><strong>Originality/value: </strong>This study integrates affordance theory with patient empowerment concepts, providing empirical evidence that realized affordances - not merely technology availability - are critical for improving self-management outcomes. The TEW model introduces a novel framework for understanding how technology empowers patients and enhances well-being in chronic disease management.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"896-921"},"PeriodicalIF":2.4,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379246","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 dual process model linking dispositional resistance to perceived benefits and change self-efficacy: a study amongst Canadian healthcare professionals.","authors":"Martin Lauzier, Caroline Nicolas","doi":"10.1108/JHOM-03-2025-0126","DOIUrl":"10.1108/JHOM-03-2025-0126","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to explore the dual process model linking dispositional resistance to change with perceived benefits and change self-efficacy among healthcare professionals. It investigates how individual differences in resistance to change affect their perceptions and abilities during the early stages of organizational change.</p><p><strong>Design/methodology/approach: </strong>A two-wave prospective study was conducted with 222 healthcare professionals in a Canadian healthcare setting, with a four-month time lag between waves. The model integrates two pathways: an affective pathway through uncertainty of change and a cognitive pathway through the legitimacy of change, to examine their mediation roles in the relationship between dispositional resistance and change outcomes.</p><p><strong>Findings: </strong>The study yielded three key findings. First, dispositional resistance to change was not directly associated with change outcomes. Second, uncertainty of change, acting as an affective mediator, significantly influenced the relationship between dispositional resistance and perceived benefits and self-efficacy in change implementation. Third, legitimacy of change, as a cognitive mediator, also played a crucial role in this process.</p><p><strong>Practical implications: </strong>These findings highlight the importance of addressing both emotional and cognitive factors in managing change in healthcare settings. Interventions that reduce uncertainty and enhance the perceived legitimacy of change may improve healthcare professionals' ability to perceive its benefits and integrate it effectively.</p><p><strong>Originality/value: </strong>This study provides new insights into the mechanisms through which dispositional resistance affects individuals' responses to organizational change, particularly in the context of healthcare. It underscores the need for a dual-process approach in understanding and managing resistance to change.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"957-974"},"PeriodicalIF":2.4,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764312","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":"Cloud-based healthcare architecture for securing and monitoring healthcare data.","authors":"Y Prathima, T Sampradeepraj","doi":"10.1108/JHOM-10-2024-0434","DOIUrl":"10.1108/JHOM-10-2024-0434","url":null,"abstract":"<p><strong>Purpose: </strong>A new method known as Lionized Remora optimization based Recurrent Neural Network (LRObRNN) is recommended to enhance the safety of medical information stored on cloud servers to tackle these issues.</p><p><strong>Design/methodology/approach: </strong>To safeguard patient data, healthcare organizations must thoughtfully choose reliable and compliant cloud service providers while implementing robust security measures. Storing patient information in cloud systems raises issues with illegal access and data breaches.</p><p><strong>Findings: </strong>The LRObRNN generates a secret key using Lionized Remora optimization and employs cryptography to encrypt sensitive healthcare data. Continuous monitoring ensures the security of data transmission by identifying irregularities.</p><p><strong>Originality/value: </strong>Leveraging Recurrent Neural Networks the system analyzes sequential data, enabling the detection of patterns and potential security breaches during data transmission. The performance evaluation includes metrics such as encryption and decryption time, confidentiality rate, processing time, resource usage and efficiency, which are compared with other existing models.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"837-862"},"PeriodicalIF":2.4,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145641180","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}