Health Care Management Review最新文献

{"title":"HCMR's contributions to the study of AI in health care organizations.","authors":"Jennifer L Hefner, Christy Harris Lemak","doi":"10.1097/HMR.0000000000000492","DOIUrl":"https://doi.org/10.1097/HMR.0000000000000492","url":null,"abstract":"","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient-centric care technology configurations: An exploratory analysis of patient engagement systems, telehealth, and remote patient monitoring in U.S. hospitals.","authors":"Jung Young Lee, C Christopher Lee, Jeong Hoon Choi","doi":"10.1097/HMR.0000000000000491","DOIUrl":"https://doi.org/10.1097/HMR.0000000000000491","url":null,"abstract":"<p><strong>Background: </strong>Despite the growing demand for patient-centered care (PCC), there is a limited understanding of how hospitals configure and coordinate patient-facing technologies, such as Patient Engagement Systems (PES), telehealth, and Remote Patient Monitoring (RPM), on a national scale.</p><p><strong>Purpose: </strong>This study seeks to identify existing technology configurations in U.S. hospitals and analyze the association between these configurations and various hospital performance measures.</p><p><strong>Methodology/approach: </strong>Using cluster analysis on data from over 3,300 U.S. hospitals, we developed a taxonomy of three distinct technology configurations: Patient-Centric Pioneers, Selective Tech Adopters, and Traditional Care Providers. The differences in structural characteristics and performance measures among these groups are statistically analyzed.</p><p><strong>Results: </strong>Hospitals in the Patient-Centric Pioneers group, which fully implement and effectively integrate PES, telehealth, and RPM, consistently outperform the others in terms of efficiency, clinical quality, and patient satisfaction. Selective Tech Adopters displayed the highest manpower productivity. However, they did not achieve better patient satisfaction than Traditional Care Providers with limited technologies.</p><p><strong>Practice implications: </strong>Our research presents a comprehensive, robust empirical taxonomy of PCC technology configuration and technology complementarity literature, highlighting a strong correlation between a holistic technology strategy and improved hospital-level performance. These findings encourage hospital administrators and policymakers to support the strategic and integrated implementation of PES, telehealth, and RPM, even after the COVID-19 pandemic has passed.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Two dimensions of information technology sourcing strategies and hospital performance: Vendor turnover and application concentration.","authors":"Joonghee Lee, Aaron Ratcliffe, Trent Spaulding","doi":"10.1097/HMR.0000000000000489","DOIUrl":"https://doi.org/10.1097/HMR.0000000000000489","url":null,"abstract":"<p><strong>Background: </strong>Health information technology (HIT) investments are on the rise, yet research on the impact of HIT sourcing strategies on hospital performance is limited.</p><p><strong>Purposes: </strong>This study defines a two-dimensional framework for assessing a hospital's IT sourcing strategy using vendor turnover and concentration of applications among vendors. We study the impact of these dimensions on hospital performance metrics, including costs and quality outcomes.</p><p><strong>Methodology/approach: </strong>We analyze HIT sourcing patterns using a data setof over 2,500 U.S. hospitals from the Healthcare Information and Management Systems Society database, the Centers for Medicare and Medicaid Services Hospital Compare Data, and the American Hospital Association Annual Survey Database. We apply ordinary least squares and two-stage least squares analysis to evaluate the effects of vendor turnover and application concentration on hospital ratings, readmission rates, IT operating expenses, and total operating costs.</p><p><strong>Findings: </strong>Greater application concentration among fewer vendors and reductions in the number of vendors are associated with lower readmission rates and lower operating costs. In contrast, adding vendors is associated with higher operating expenses. The findings suggest that vendor consolidation can improve efficiency and selected quality outcomes, whereas frequent vendor expansion may increase financial and operational burdens.</p><p><strong>Practice implications: </strong>Managers should adopt strategic approaches to HIT sourcing. Prioritizing application concentration and managing vendor turnover effectively can boost quality and efficiency. Although multisourcing offers flexibility, evidence favors concentration for performance gains. Future research should explore the broader impact of sourcing strategies on innovation, patient outcomes, and HIT adaptability in evolving health care environments.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Let me handle this myself\": The value of psychological empowerment and kaleidoscope career orientation for career sustainability.","authors":"Denise Mary Jepsen, Beatrice Van der Heijden, Sait Gürbüz","doi":"10.1097/HMR.0000000000000490","DOIUrl":"https://doi.org/10.1097/HMR.0000000000000490","url":null,"abstract":"<p><strong>Background: </strong>High staff turnover in residential aged care threatens both care quality and workforce sustainability, highlighting the urgent need to understand factors that support employee well-being and performance.</p><p><strong>Purpose: </strong>Building on self-determination theory and the kaleidoscope career model, this study examines how psychological empowerment, authenticity, balance, and challenge predict career sustainability among eldercare staff.</p><p><strong>Methodology: </strong>Cross-sectional survey data from 370 staff in 21 facilities in metropolitan and regional Australia were analyzed. Participants completed validated measures of the predictor variables, job satisfaction, psychological distress, and task performance. Hypothesized relationships were tested using structural equation modeling.</p><p><strong>Results: </strong>Psychological empowerment was positively related to job satisfaction and task performance and negatively related to psychological distress. Contrary to expectations, an authentic career orientation was negatively associated with job satisfaction and positively associated with psychological distress. Balanced career orientation was not associated with any sustainable career indicators. Challenge career orientation was positively associated with job satisfaction and negatively associated with psychological distress.</p><p><strong>Practice implications: </strong>Given the predictive value of psychological empowerment and challenge career orientation for workers' career sustainability, HR professionals and line managers need to be aware of the importance of fostering psychological empowerment in the workplace, and enabling opportunities for growth and development across the working life. In doing so, career sustainability can be protected and supported, which will be reflected in improved retention-relevant outcomes, well-being, and performance. Findings suggest that authenticity-oriented career priorities may be more difficult to realize in structurally constrained care settings.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Organizational Compassion in Health Care Settings: A Mixed-Methods Systematic Review of Employee Experiences and Outcomes and Contributing Organizational Traits.","authors":"Jacqueline Galica, Agnès Alsius, Kemal Jemal Mohammed, Danielle Macdonald, Mukemil Awol, Oluwamisimi Oluwole, Jacoba Lilius, Amanda Ross-White, Erna Snelgrove-Clarke","doi":"10.1097/HMR.0000000000000480","DOIUrl":"https://doi.org/10.1097/HMR.0000000000000480","url":null,"abstract":"<p><strong>Background: </strong>Organizational compassion (OC), the process in which members of an organization collectively notice, feel, and respond to distress within their organization, can buffer against the stressors experienced by health care professionals. A growing body of research has examined the experiences, outcomes, and contributing traits of organizational compassion in health care.</p><p><strong>Purpose: </strong>The purpose of this review was to synthesize this literature in order to illuminate the processes and practices that foster compassionate organizations and enhance providers' well-being.</p><p><strong>Methods: </strong>We followed the JBI guidelines for mixed-methods reviews, using a convergent segregated approach. Two independent reviewers completed screening, quality assessment, and extraction. Conflicts were resolved by discussion or by a third reviewer. Meta-aggregation was used to synthesize qualitative findings; quantitative results were synthesized narratively.</p><p><strong>Results: </strong>Twenty-four studies (16 qualitative and eight quantitative) were included. Synthesized qualitative findings captured (1) the benefits and enablers of organizational compassion, and (2) the personal and shared journeys of organizational compassion through understanding, becoming, and embodying compassion. A variety of outcomes, predictors, and mediators of OC were identified from the quantitative studies. Notable points of convergence and divergence were found between qualitative findings and quantitative results.</p><p><strong>Practice implications: </strong>A supportive work environment that nurtures sustainable leadership, procedural knowledge, workplace friendships, a culture of service, self-compassion, connections, and space can bring numerous benefits at both individual and organizational levels. Cultivating compassionate organizations is multifaceted and depends on individuals and the overall institutional context. When employees in health care settings experience compassion, it positively impacts their psychological and emotional well-being, enhancing their workplace behavior and performance.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding clinician deviance: A systematic review of text messaging practices.","authors":"Michele L Heath, Tracy H Porter, Ashleigh Allgood","doi":"10.1097/HMR.0000000000000466","DOIUrl":"10.1097/HMR.0000000000000466","url":null,"abstract":"<p><strong>Background: </strong>Clinicians in the United States often prefer quick, efficient, and convenient ways to communicate with colleagues. However, using standard text messaging without a secure text messaging system (STMS) constitutes a violation of Health Insurance Portability and Accountability Act regulations.</p><p><strong>Purposes: </strong>This systematic review aims to investigate why clinicians might choose not to use STMSs when sharing patient health information (PHI) with their peers. This research will explore whether these clinicians are consciously disregarding federal guidelines concerning the texting of PHI and the reasons behind this choice. Deliberate noncompliance could be classified as a form of deviant behavior within the workplace.</p><p><strong>Methodology/approach: </strong>We conducted a Preferred Reporting Items for Systematic Review and Meta-Analysis-guided systematic literature review across four databases, examining 10 empirical studies from the United States published in English between January 2017 and August 2024.</p><p><strong>Conclusion: </strong>We identified deviant behaviors associated with the unsecured text messaging of PHI through a deductive approach. These behaviors were classified based on Lawrence and Robinson's workplace deviance framework, which includes the need for autonomy, social identity, and perceived organizational justice. We also found inductive themes, which included training needs and increased workloads.</p><p><strong>Practice implications: </strong>The findings of this study demonstrate a number of areas hospital leaders might examine relevant to this topic, including reluctance to use STMSs, a choice to adopt it, or a tendency to blame issues on inadequate policies or insufficient training. This situation emphasizes the necessity of offering comprehensive training and clear policies to address both the psychological barriers and practical challenges faced by clinicians.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":" ","pages":"78-86"},"PeriodicalIF":2.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Leveraging AI-enabled learning health systems to advance value-based health care: A conceptual framework.","authors":"Dong-Gil Ko, Umberto Tachinardi, Eric J Warm, Brett M Kissela","doi":"10.1097/HMR.0000000000000472","DOIUrl":"10.1097/HMR.0000000000000472","url":null,"abstract":"<p><strong>Issue: </strong>Despite rapid innovation, health care systems face a persistent 17-year gap between evidence discovery and implementation, undermining efforts to deliver value-based care. Bridging this \"know-do gap\" is essential to improving outcomes and reducing waste. Existing Learning Health System (LHS) frameworks often lack mechanisms to institutionalize learning at speed and scale.</p><p><strong>Critical theoretical analysis: </strong>We propose an AI-enabled LHS framework that leverages artificial intelligence (AI) to connect micro-level clinical learning with macro-level organizational decision-making. Grounded in organizational learning theory, our model illustrates how AI accelerates knowledge capture, conversion, and institutionalization via continuous, bidirectional feedback loops. AI enables real-time learning cycles, linking patient-provider data (\"micro\") to system-wide insights and policy adjustments (\"macro\"), and back to point-of-care decision support.</p><p><strong>Insight/advance: </strong>Our framework advances the LHS paradigm by adding speed, scale, and micro↔macro integration. Unlike earlier models, it centers AI not as an adjunct but as a foundational learning engine. Case examples from UCHealth and Mass General Brigham show how AI can drive real-time operational learning and institutional memory through structured governance and data infrastructure.</p><p><strong>Practice implications: </strong>To implement an AI-LHS, organizations should (1) assess readiness and align on value-based goals; (2) invest in data infrastructure and interoperability; (3) cultivate a learning culture by engaging clinicians and staff; (4) embed AI into continuous improvement cycles with interdisciplinary governance; (5) adopt a sociotechnical approach integrating people, processes, and technology; and (6) ensure safeguards for equity, privacy, and security. These steps allow systems to reduce lag between insight and impact, accelerating value-based care transformation.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":" ","pages":"151-161"},"PeriodicalIF":2.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recent trends in health care provider well-being research.","authors":"","doi":"10.1097/HMR.0000000000000473","DOIUrl":"10.1097/HMR.0000000000000473","url":null,"abstract":"","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":" ","pages":"67"},"PeriodicalIF":2.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social determinants of health data reporting and hospitals' 30-day readmissions.","authors":"Hanadi Hamadi, D Rob Haley, Sinyoung Park, Aurora Tafili, Mei Zhao, Aaron Spaulding","doi":"10.1097/HMR.0000000000000469","DOIUrl":"10.1097/HMR.0000000000000469","url":null,"abstract":"<p><strong>Background: </strong>Hospitals' utilization of social determinants of health data represents an important strategy for improving patient outcomes and reducing 30-day readmissions.</p><p><strong>Purpose: </strong>Using a contingency theory lens, this study investigated the relationship between hospitals' use of social needs data (SND) and 30-day readmission rates for conditions targeted by the Centers for Medicare and Medicaid Services' Hospital Readmission Reduction Program.</p><p><strong>Methodology/approach: </strong>A cross-sectional retrospective study was conducted using data from general and surgical acute care hospitals ( n =1,350). Regression models were used to examine associations between SND usage and 30-day readmission rates.</p><p><strong>Findings: </strong>Hospitals using SND for referrals to social service organizations experienced a 0.46-point decrease in heart failure readmissions ( p <.001). Population health analytics use was associated with a 0.13-point decrease in hospital-wide readmissions ( p <.05). Complete utilization of SND use was associated with a 0.30-point decrease in COPD ( p <.05) and a 0.33-point decrease in pneumonia readmissions ( p <.05).</p><p><strong>Conclusions: </strong>The effectiveness of SND strategies varies significantly based on hospital characteristics, regional factors, and clinical conditions, supporting contingency theory's premise that performance depends on alignment between strategies and contextual factors.</p><p><strong>Practice implications: </strong>Rather than advocating for uniform activities, our results suggest that hospital administrators should seek to achieve an optimal fit between the social needs identified in their communities and their specific organizational and environmental circumstances.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":" ","pages":"121-128"},"PeriodicalIF":2.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient and clinician perspectives of high-reliability organizing in practice: A qualitative study of cancer teams.","authors":"Megan Salwei, Leigh Anne Tang, Timothy J Vogus, Matthew B Weinger, Daniel J France, Shilo Anders, Carrie Reale, Joyce Harris, Jason M Slagle, Kim M Unertl, Laurie L Novak","doi":"10.1097/HMR.0000000000000474","DOIUrl":"10.1097/HMR.0000000000000474","url":null,"abstract":"<p><strong>Background: </strong>Health care organizations have failed to replicate the performance of high-reliability organizations (HROs), systems that operate nearly error-free despite inherently complex, interdependent, and time-pressured environments.</p><p><strong>Purposes: </strong>We sought to better understand conditions that facilitate and inhibit HRO in health care by expanding the conceptualization of who contributes to high reliability to include patients. We also examine how cancer care teams and patients describe jointly enacting (or failing to enact) each of the five HRO principles.</p><p><strong>Methodology/approach: </strong>We conducted a qualitative field study, interviewing 25 oncology clinicians from diverse roles (e.g., surgery, nursing, dentistry) (17 interviews) and eight cancer patients. Interviews were audio-recorded, transcribed, and deductively coded for barriers and facilitators to the five HRO principles.</p><p><strong>Findings: </strong>We identified conditions that supported and hindered high-reliability cancer care. HRO principles commonly overlapped to support or hinder system resilience. A common barrier was insufficient processes to proactively identify clinical deterioration. Patients and their family caregiver(s) were primarily responsible for monitoring their health and identifying and communicating any signs of deterioration. Cancer patients and caregivers were routinely engaged as team members, and patients developed expertise throughout treatment, thereby supporting system safety.</p><p><strong>Conclusions: </strong>These findings expand the conceptualization of how high reliability is produced. Specifically, we highlight the key role that patients play in preventing errors and monitoring care.</p><p><strong>Practice implications: </strong>Our findings expand our understanding of how HRO principles interact to promote cancer care system safety and elucidate how patients and their family caregivers contribute to system resilience. This work can inform the redesign of care processes to optimize patient safety.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":" ","pages":"108-120"},"PeriodicalIF":2.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}