Journal of management in medicine最新文献

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ERP implementation in rural health care. 农村卫生保健ERP的实施。
Journal of management in medicine Pub Date : 2002-01-01 DOI: 10.1108/02689230210434871
Kenneth J Trimmer, Lela D Pumphrey, Carla Wiggins
{"title":"ERP implementation in rural health care.","authors":"Kenneth J Trimmer,&nbsp;Lela D Pumphrey,&nbsp;Carla Wiggins","doi":"10.1108/02689230210434871","DOIUrl":"https://doi.org/10.1108/02689230210434871","url":null,"abstract":"<p><p>Enterprise resource planning (ERP) systems provide organizations with the opportunity to integrate individual, functionally-oriented information systems. Although much of the focus in the popular press has been placed on ERP systems in large for-profit organizations, small hospitals and clinics are candidates for ERP systems. Focusing information systems on critical success factors (CSFs) allows the organization to address a limited number of areas associated with performance. This limited number of factors can provide management with an insight into dimensions of information that must be addressed by a system. Focuses on CSFs for small health-care organizations. In addition, also considers factors critical to the implementation of health-care information systems. Presents two cases. The results indicate support for the continuing use of CSFs to help focus on the benefits of ERPs. Focusing on groups of tangible and intangible benefits can also assist the rural health-care organization in the use of ERPs.</p>","PeriodicalId":80033,"journal":{"name":"Journal of management in medicine","volume":"16 2-3","pages":"113-32"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/02689230210434871","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21972979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 64
"The nurse satisfaction, service quality and nurse retention chain": implications for management of recruitment and retention. “护士满意度、服务质量和护士保留链”:对招聘和保留管理的启示。
Journal of management in medicine Pub Date : 2002-01-01 DOI: 10.1108/02689230210445095
Karin Newman, Uvanney Maylor, Bal Chansarkar
{"title":"\"The nurse satisfaction, service quality and nurse retention chain\": implications for management of recruitment and retention.","authors":"Karin Newman,&nbsp;Uvanney Maylor,&nbsp;Bal Chansarkar","doi":"10.1108/02689230210445095","DOIUrl":"https://doi.org/10.1108/02689230210445095","url":null,"abstract":"<p><p>This paper presents the findings of a qualitative study, based on interviews with over 130 nurses and midwives in four London Trust hospitals on: the main factors influencing nurse satisfaction and retention; empirical support for the robustness of a conceptual framework or model \"the nurse satisfaction, service quality and nurse retention chain\"; and some managerial considerations for recruitment and retention. The three main factors influencing job satisfaction were patients, the inherent characteristics of nursing and the nursing team; the two main sources of job dissatisfaction were staff shortages and poor management and amongst nurse retention strategies improving working conditions was more important than increased pay. For recruitment, as well as retention, improving the image and reputation of nursing along with improvements in work-life balance were pre-requisites for meeting the challenging target of an additional 20,000 nurses on the wards by 2004.</p>","PeriodicalId":80033,"journal":{"name":"Journal of management in medicine","volume":"16 4-5","pages":"271-91"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/02689230210445095","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22138786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 146
Labour-management forums and workplace performance. Evidence from union officials in health care organizations. 劳资管理论坛及工作场所表现。来自卫生保健机构工会官员的证据。
Journal of management in medicine Pub Date : 2002-01-01 DOI: 10.1108/02689230210450972
Terry H Wagar, Kent V Rondeau
{"title":"Labour-management forums and workplace performance. Evidence from union officials in health care organizations.","authors":"Terry H Wagar,&nbsp;Kent V Rondeau","doi":"10.1108/02689230210450972","DOIUrl":"https://doi.org/10.1108/02689230210450972","url":null,"abstract":"<p><p>Many health care workplaces are adopting more cooperative labour-management relations, spurred in part by sweeping changes in the economic environment that have occurred over the last decade. Labour-management cooperation is seen as essential if health care organizations are to achieve their valued performance objectives. Joint labour-management committees (LMCs) have been adopted in many health care workplaces as a means of achieving better industrial relations. Using data from a sample of Canadian union leaders in the health care sector, this paper examines the impact of labour-management forums and labour climate on employee and organizational outcomes. Research results suggest that labour climate is less important in predicting workplace performance (and change in workplace performance) than is the number of LMCs in operation. However, labour climate is found to be at least as important in predicting union member satisfaction (and change in member satisfaction) as is the wide adoption of LMCs in operation. These findings are consistent with the notion that the greater use of LMCs is associated with augmented workplace performance (and a positive change in workplace performance), notwithstanding the contribution of the labour climate in the workplace.</p>","PeriodicalId":80033,"journal":{"name":"Journal of management in medicine","volume":"16 6","pages":"408-21"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/02689230210450972","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22201644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
What might encourage later retirement among general practitioners? 什么会促使全科医生推迟退休?
Journal of management in medicine Pub Date : 2002-01-01 DOI: 10.1108/02689230210445112
Anna Luce, Tim van Zwanenberg, Jenny Firth-Cozens, Claire Tinwell
{"title":"What might encourage later retirement among general practitioners?","authors":"Anna Luce,&nbsp;Tim van Zwanenberg,&nbsp;Jenny Firth-Cozens,&nbsp;Claire Tinwell","doi":"10.1108/02689230210445112","DOIUrl":"https://doi.org/10.1108/02689230210445112","url":null,"abstract":"<p><p>More GPs are needed, but there are concerns about retaining the existing workforce quite apart from recruiting new doctors. This survey of GP principals in the Northern deanery aged over 45, identified factors potentially encouraging them to take early retirement (before 60) or to work on beyond 60. Over a third of those with retirement plans intended to retire early. Perceived undesirable changes in the NHS and workload were the main factors influencing intentions to retire. Reducing hours and administrative duties, and improving managerial support were factors that may encourage later retirement. Financial incentives in the form of increased pensions were most attractive to those already planning later retirement. A total of 35 per cent scored above threshold for significant psychological distress, and the higher psychological distress the earlier GPs wanted to retire. Interventions encouraging later retirement should be targeted at reducing workload and administration. Interventions to reduce stress could also encourage later retirement.</p>","PeriodicalId":80033,"journal":{"name":"Journal of management in medicine","volume":"16 4-5","pages":"303-10"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/02689230210445112","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22138788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 30
The NHS Performance Assessment Framework: a "balanced scorecard" approach? NHS绩效评估框架:“平衡计分卡”方法?
Journal of management in medicine Pub Date : 2002-01-01 DOI: 10.1108/02689230210446526
Li-Cheng Chang, Stephen W Lin, Deryl N Northcott
{"title":"The NHS Performance Assessment Framework: a \"balanced scorecard\" approach?","authors":"Li-Cheng Chang,&nbsp;Stephen W Lin,&nbsp;Deryl N Northcott","doi":"10.1108/02689230210446526","DOIUrl":"https://doi.org/10.1108/02689230210446526","url":null,"abstract":"<p><p>The NHS in the UK has recently adopted a new Performance Assessment Framework (PAF), aiming to provide a broader view of performance within the NHS The PAF is not only a multi-stakeholder approach reflecting various stakeholders' interests across six dimensions, but is also used by the Government as a strategic management tool to ink national strategies with local operation activities. The Government claims that the PAF is a \"balanced scorecard\" approach This study discusses the concepts of the BSC underlying the NHS PAF.</p>","PeriodicalId":80033,"journal":{"name":"Journal of management in medicine","volume":"16 4-5","pages":"345-58"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/02689230210446526","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22138791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 127
Management demands on information and communication technology in process-oriented health-care organizations: the importance of understanding managers' expectations during early phases of systems design. 面向过程的卫生保健组织对信息和通信技术的管理要求:在系统设计的早期阶段了解管理者期望的重要性。
Journal of management in medicine Pub Date : 2002-01-01 DOI: 10.1108/02689230210434907
Anna Andersson, Vivian Vimarlund, Toomas Timpka
{"title":"Management demands on information and communication technology in process-oriented health-care organizations: the importance of understanding managers' expectations during early phases of systems design.","authors":"Anna Andersson,&nbsp;Vivian Vimarlund,&nbsp;Toomas Timpka","doi":"10.1108/02689230210434907","DOIUrl":"https://doi.org/10.1108/02689230210434907","url":null,"abstract":"<p><p>There are numerous challenges to overcome before information and communication technology (ICT) can achieve its full potential in process-oriented health-care organizations. One of these challenges is designing systems that meet users' needs, while reflecting a continuously changing organizational environment. Another challenge is to develop ICT that supports both the internal and the external stakeholders' demands. In this study a qualitative research strategy was used to explore the demands on ICT expressed by managers from functional and process units at a community hospitaL The results reveal a multitude of partially competing goals that can make the ICT development process confusing, poor in quality, inefficient and unnecessarily costly. Therefore, from the perspective of ICT development, the main task appears to be to coordinate the different visions and in particular clarify them, as well as to establish the impact that these visions would have on the forthcoming ICT application.</p>","PeriodicalId":80033,"journal":{"name":"Journal of management in medicine","volume":"16 2-3","pages":"159-69"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/02689230210434907","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21972891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 29
A proposed approach for modelling health-care systems for understanding. 为便于理解对卫生保健系统进行建模的建议方法。
Journal of management in medicine Pub Date : 2002-01-01 DOI: 10.1108/02689230210434916
Tillal Eldabi, Zahir Irani, Ray J Paul
{"title":"A proposed approach for modelling health-care systems for understanding.","authors":"Tillal Eldabi,&nbsp;Zahir Irani,&nbsp;Ray J Paul","doi":"10.1108/02689230210434916","DOIUrl":"https://doi.org/10.1108/02689230210434916","url":null,"abstract":"<p><p>Discrete event simulation (DES) application is not as widely perceived as being useful for problem solving in the health-care arena as in other application areas. Suggests that this might be due to the way DES is applied in health-care modelling, as it follows a traditionally based-on-engineering approach This may not be a problem in itself; however, health-care systems are often complex in that they involve multiple decision-makers and thus understanding and communication between the various stakeholders are potentially problematic. Thinks that problem understanding and efficient communication tools largely contribute to the solution; consequently, proposes a modelling approach to enhance stakeholder understanding and communication. The approach is based on participation of stakeholders; it is also iterative rather than step-based. To demonstrate this approach, gives an example, aiming to show how this approach has been used successfully to facilitate the understanding process, concluding that involving stakeholders throughout not only helps them to understand their problem better, but also enables them to more fully appreciate the findings resulting from the model. This approach thus serves usefully to enrich the communication between the stakeholders.</p>","PeriodicalId":80033,"journal":{"name":"Journal of management in medicine","volume":"16 2-3","pages":"170-87"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/02689230210434916","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21972892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 65
Evaluating self-managed integrated community teams. 评估自我管理的综合社区团队。
Journal of management in medicine Pub Date : 2002-01-01 DOI: 10.1108/02689230210450016
Keith Hurst, Jackie Ford, Cath Gleeson
{"title":"Evaluating self-managed integrated community teams.","authors":"Keith Hurst,&nbsp;Jackie Ford,&nbsp;Cath Gleeson","doi":"10.1108/02689230210450016","DOIUrl":"https://doi.org/10.1108/02689230210450016","url":null,"abstract":"<p><p>After briefly describing self-managed integrated community teams, the authors explore potential and actual methods of evaluating their structures, processes and outcomes. Primary health care staff in three comparable sites were studied using non-participant observation, interviews, focus groups and questionnaires. After describing the fieldwork, the authors examine integrated team structures, which are characterised by a large number of barriers that integrated teams face. Processes surrounding different working practices are explored next. Ways of unifying health care professional practice in integrated teams are suggested using evidence from both the literature and fieldwork. Outcomes that emerged after one year of the new teams' lives are discussed in detail. The difficulty in establishing acceptable outcomes, especially the validity and reliability of outcome measures, is considered. Throughout, the positive and negative aspects of integrated teams emerging from the fieldwork are compared and contrasted with issues in the literature. Finally, recommendations are made to help strengthen integrated teams in the UK.</p>","PeriodicalId":80033,"journal":{"name":"Journal of management in medicine","volume":"16 6","pages":"463-83"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/02689230210450016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22201648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 20
Cultural competency: professional action and South Asian carers. 文化能力:专业行动与南亚照顾者。
Journal of management in medicine Pub Date : 2002-01-01 DOI: 10.1108/02689230210428599
G. Mir, P. Tovey
{"title":"Cultural competency: professional action and South Asian carers.","authors":"G. Mir, P. Tovey","doi":"10.1108/02689230210428599","DOIUrl":"https://doi.org/10.1108/02689230210428599","url":null,"abstract":"Inequality and exclusion are characteristic of the experience of UK South Asian communities. In health care, community needs are often not addressed by health and social welfare services. An increase in cultural competency is now part of identified policy. The aim of this paper is to examine the extent to which there is evidence of cultural competency amongst professionals concerning South Asian parents caring for a person with cerebral palsy. Semi-structured interviews were conducted with respondents from 19 service organisations. Results are presented on perceptions of service delivery and on the dynamics of service development: evidence is found that inadequate service delivery continues despite professional knowledge that it exists. Conditions necessary for the achievement of cultural competence are discussed. We suggest that service development to meet the needs of South Asian carers must form part of an overall strategy geared to change at different levels within and outside service organisations.","PeriodicalId":80033,"journal":{"name":"Journal of management in medicine","volume":"16 1 1","pages":"7-19"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/02689230210428599","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62517171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 13
Skill mix, doctors and nurses: substitution or diversification? 技能组合,医生和护士:替代还是多样化?
Journal of management in medicine Pub Date : 2002-01-01 DOI: 10.1108/02689230210445086
Lindsey Banham, Jim Connelly
{"title":"Skill mix, doctors and nurses: substitution or diversification?","authors":"Lindsey Banham,&nbsp;Jim Connelly","doi":"10.1108/02689230210445086","DOIUrl":"https://doi.org/10.1108/02689230210445086","url":null,"abstract":"<p><p>This commentary surveys the current arguments for and against modifying the work of doctors and nurses by placing the main viewpoints - substitution and diversification - within the policy background, particularly that of the UK. We discuss the forces for modification: cost effectiveness, professional development, quality improvement and pragmatic management and how each provides a stand-point for evaluation of the issues. Policy makers and managers in the health sector should be aware of the rather fragmented evidence base for doctor-nurse substitution and should consider skill mix changes only when they are clear about: purpose, evidence base, acceptable risks, accountability and quality assurance. Doctor-nurse substitution is not necessarily cost effective, nor is it unfailingly a gain in nurse professionalism or in quality of care. Of the management perspectives available - advocacy, skepticism or pragmatism - the current evidence and policy base favours pragmatism over evaluations of the rightness or wrongness of a general policy.</p>","PeriodicalId":80033,"journal":{"name":"Journal of management in medicine","volume":"16 4-5","pages":"259-70"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/02689230210445086","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22138365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 19
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