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Health Services Management Research

Birgit Grüb, Sebastian Martin
The Healthy Cities Network (HCN) of the WHO seems to be an effective approach to introduce innovative ideas into the healthcare sector. It is a knowledge-based network and at the same time a learning network. Within literature, communication is carved out as an essential precondition for such organisational learning. Still, there exists no study that explicitly focusses on the communication processes of the HCN Germany. The aim of this study is to get first insights into such communication processes and the information flow within the HCN Germany and to analyse these with respect to the processes of inter-organisational learning...
December 30, 2018: Health Services Management Research
Rocco Palumbo, Rosalba Manna
All over the world, health care systems are experiencing the challenges raised by the epidemiological transition from the prevalence of acute diseases to the preponderance of chronic illnesses. However, the traditional design for acute conditions of most of health care systems - which triggers a hospital-centric culture - is not consistent with the special health needs of people suffering from long-term conditions. In fact, the access of chronic patients to hospital services has been variously contested to be inappropriate and ineffective to meet their demand for care...
December 12, 2018: Health Services Management Research
Annelies van der Ham, Henri Boersma, Arno van Raak, Dirk Ruwaard, Frits van Merode
In order to improve the quality and efficiency of hospitals, they can be viewed as a logistical system in which integration is a critical factor for performance. This paper describes the results of a scoping study that identifies the logistical parameters mentioned in international research on hospitals and indicates whether literature reflects system integration. When subsystems collaborate in order to accomplish the task of the entire organization, there is integration. A total number of 106 logistical parameters are identified in our study...
November 21, 2018: Health Services Management Research
Ulrike Weske, Paul Boselie, Elizabeth van Rensen, Margriet Schneider
The implementation of a quality and patient safety accreditation system is crucial for hospitals. Although control systems-such as accreditation-can contribute to quality improvements, they also run the risk of unintended consequences. As a result, ways should be found to avoid or reduce these undesirable consequences. This study aims to answer this call by exploring the association of different approaches to the enforcement of rules (punishment, based on monitoring and threats of sanctions; and persuasion, based on dialog and suggestion) with compliance...
November 21, 2018: Health Services Management Research
Steve Sizmur, Firona Roth
The National Health Service Staff Survey is an annual, England-wide survey of staff employed by National Health Service organisations. It is administered using online and paper questionnaires. Response rates have fallen over time, while the proportion of staff receiving the online version - which historically has a lower response rate - has increased. Three interventions to increase online response were tested using an experimental design: more reminders; change of signatory to the invitation to participate and concise messaging in the invitation...
November 14, 2018: Health Services Management Research
Adrian Wilkinson, Olav Muurlink, Nabil Awan, Keith Townsend
While there is a plethora of research on people management and high-commitment management, most are focused on commercial enterprises. Even the high-commitment management literature on commercial organisations argues that we need to move beyond the confines of financial performance. There are relatively few studies of high-commitment management which focus on hospitals. This is despite the fact that human resources are a major cost and source of performance leverage in hospitals.
October 30, 2018: Health Services Management Research
Federico Lega
No abstract text is available yet for this article.
October 28, 2018: Health Services Management Research
Suzanne J Wood
Using any number of open system strategic frameworks, the planning process follows a fairly consistent trajectory: formulation, implementation, and evaluation. Most agree that the formulation and evaluation phases are the most straightforward, yet successful implementation remains elusive. If done thoughtfully, taking advantage of a complementary framework suitable for aligning facility-level initiatives with system priorities presents a feasible opportunity for health systems interested in cascading enterprise-wide strategy successfully...
October 11, 2018: Health Services Management Research
Kristine R Hearld, Larry R Hearld, Amy Y Landry, Henna Budhwani
The patient-centered medical home (PCMH) has increasingly been touted as one means of integrating behavioral health and primary care and more holistically caring for patients with chronic disease. With its whole person orientation, the PCMH presents an opportunity to reduce emergency department visits for patients with depression by focusing on the patient and his/her health care needs, facilitating communication among providers and patients, and improving patients' access to care providers across settings...
August 27, 2018: Health Services Management Research
Irene Gabutti, Federica Morandi
Purpose The healthcare sector has been facing major reforms, among which the introduction of the Clinical Directorate (CD) model for hospitals. The purpose of this work is to explore the degree of implementation of innovative Human Resource Management (HRM) practices within CDs, in order to understand whether, after more than 15 years from their introduction, they have been able to transform their managerial approach concretely, in line with the CD model's objectives. The tools have been attributed to three main HR initiatives: training, control, and evaluation ones...
August 2, 2018: Health Services Management Research
Andrea Tomo, Stefania De Simone
PURPOSE: The aim of this study is to advance a model to assess the overall level of well-being within healthcare organizations. DESIGN/METHODOLOGY/APPROACH: The paper employs a job demands-resources approach by considering the multilevel model of employee well-being as theoretical framework, integrated with personal resources and health indicators. A specific case is built in the Italian context, with empirical data gathered from three Italian paediatric hospitals belonging to the same healthcare organizations...
August 2, 2018: Health Services Management Research
Radhoine Laouer
We mobilize theories of corporate governance and the theory of the social psychology of decision-making small groups to understand the operational process of the public hospital supervisory board. More precisely, we empirically test the mediation relationship of the decision-making process (effort norms, use of knowledge and skills, and conflict cognitive) between its structure (size, the composition, and diversity) and the performance of its roles (strategy, control, and service). A total of 320 questionnaires coming from members of the French public hospital supervisory board were collected...
August 2018: Health Services Management Research
Anne-Francoise Audrain-Pontevia, Loick Menvielle
The diffusion of the Web 2.0 has made it possible for patients to exchange on online health communities, defined as computer-mediated communities dedicated to health topics, wherein members can build relationships with other members. It is now acknowledged that online health communities provide users not only with medical information but also with social support with no time or geographical boundaries. However, in spite of their considerable interest, there is still a paucity of research as to how online health communities alter the patient-physician relationship...
August 2018: Health Services Management Research
Sebastian Gurtner, Nadine Hietschold, María Vaquero Martín
Innovations in health care are costly and risky, but they also provide the opportunity for hospitals to increase quality of care, to distinguish themselves from competitors and to attract patients. While numerous hospitals strive to increase their innovativeness by adopting a costly innovation leader strategy, the question of whether this actually influences the patient's choice remains unanswered. To understand the role of innovativeness from the patient perspective, this study conceptualizes the construct of innovativeness reputation of hospitals and determines its relevance in patients' hospital choice decisions...
August 2018: Health Services Management Research
Nathan C Proudlove, Buddhika Sw Samarasinghe, Kieran Walshe
As part of efforts to increase productivity in healthcare, there is considerable interest in the extent and causes of variation in the performance of provider organisations. In this study, we use publically available data from the English NHS to examine the characteristics of variation in the rates of short-notice cancellations of elective operations due to hospital reasons (e.g. lack of the required resources such as operating theatres and beds). We find that the variation between hospital trusts is very non-random...
August 2018: Health Services Management Research
Zahoor A Soomro, Javed Ahmed, Raza Muhammad, Dawn Hayes, Mahmood H Shah
Effective and efficient staff scheduling has always been a challenging issue, especially in health service organisations. Both the extremes of staff shortage and overage have an adverse impact on the performance of healthcare organisations. In this case, an electronic and systematic staff scheduling (e-rostering) system is the often seen as the best solution. Unless an organisation has an effective implementation of such a system, possible cost savings, efficiency, and benefits could be minimal. This study is aimed to research key success factors for the successful effective implementation of an electronic rostering system, especially at healthcare organisations...
August 2018: Health Services Management Research
Joan Prades, Verdiana Morando, Valeria D Tozzi, Didier Verhoeven, Jose R Germà, Josep M Borras
Background The study examines two meso-strategic cancer networks, exploring to what extent collaboration can strengthen or hamper network effectiveness. Unlike macro-strategic networks, meso-strategic networks have no hierarchical governance structures nor are they institutionalised within healthcare services' delivery systems. This study aims to analyse the models of professional cooperation and the tools developed for managing clinical practice within two meso-strategic, European cancer networks. Methods Multiple case study design based on the comparative analysis of two cancer networks: Iridium, in Antwerp, Belgium and the Institut Català d'Oncologia in Catalonia, Spain...
August 2018: Health Services Management Research
Federico Lega
No abstract text is available yet for this article.
May 2018: Health Services Management Research
Grazia Antonacci, Julie E Reed, Laura Lennox, James Barlow
Introduction Process mapping provides insight into systems and processes in which improvement interventions are introduced and is seen as useful in healthcare quality improvement projects. There is little empirical evidence on the use of process mapping in healthcare practice. This study advances understanding of the benefits and success factors of process mapping within quality improvement projects. Methods Eight quality improvement projects were purposively selected from different healthcare settings within the UK's National Health Service...
May 2018: Health Services Management Research
Federica Centauri, Pamela Mazzocato, Stefano Villa, Marta Marsilio
Background Lean practices have been widely used by health care organizations to meet efficiency, performance and quality improvement needs. The lean health care literature shows that the effective implementation of lean requires a holistic system-wide approach. However, there is still limited evidence on what drives effective system-wide lean implementation in health care. The existing literature suggests that a deeper understanding of how lean interventions interact with the organizational context is necessary to identify the critical variables to successfully sustain system-wide lean strategies...
May 2018: Health Services Management Research
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