通过集成增强医疗保健服务的模块化

S. Srivastava, G. Prakash
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引用次数: 0

摘要

本文的目的是确定和验证在医疗保健服务交付环境中模块化架构促进者之间的理论关系。探讨了医疗服务异质性、协调护理路径、组织导向、综合供应链绩效和医疗服务提供模块化之间的关系。在文献回顾的基础上,建立了结构模型。一份35项的调查问卷在全印度医疗保健系统的服务提供者中分发。采用横断面研究设计来评估研究框架。采用随机抽样的方法收集数据。我们共收到127份有效回复。数据分析采用偏最小二乘结构方程模型(PLS-SEM)。结果表明,模块化架构可以通过构建一个环境来实现,该环境使服务提供者的努力得到协调和整合,并结合增强的组织导向。这项研究增加了对模块化系统理论的见解。作者认识到模块化有助于增强以患者为中心的定位。这些发现为健康服务管理人员和提供者提供了潜在的重要信息,使他们能够了解模块化体系结构的必要条件。这是第一个研究探讨在医疗保健服务的模块化促进者之间的关系。该研究补充了关于服务模块化的文献,参考了产科服务的专门护理单位。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Enhancing Modularity in Healthcare Services Through Integration
The objective of this article is to identify and validate the theoretical relationships between facilitators of modular architecture in healthcare service delivery context. The relationships among heterogeneity in healthcare services, coordinated care pathways, organisational orientation, integrated supply chain performance and modularity in health service delivery were explored. A structural model was developed based on a literature review. A 35-item questionnaire was circulated among service providers in the healthcare system all over India. A cross-sectional research design was used to assess the framework of research. The random sampling method was adopted to collect data. A total of 127 valid responses were received. Data analysis was performed using partial least square structural equation modelling (PLS-SEM).Results reveal that modular architecture can be achieved by building an environment which has coordinated and integrated efforts of service providers incorporated with enhanced organisational orientation. The study added insights to the theory of modular systems. The authors recognise that modularity helps in enhancing the patient-centric orientation. The findings provide potentially important information to health service managers and providers, enabling them to understand the requisites of modular architecture. This is the first study exploring the relationships between facilitators of modularity in healthcare services. The study complements literature on service modularity with reference to specialised care unit of maternity services.
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