journal
Journals Health Services Management Res...

Health Services Management Research

https://read.qxmd.com/read/38355431/design-organization-and-clinical-processes-around-patient-characteristics-evidence-from-a-multiple-case-study-of-hemophilia
#1
JOURNAL ARTICLE
Stefano Villa, Raimondo De Cristofaro, Giovanni Di Minno, Simone Laratro, Flora Peyvandi, Lara Pippo, Sara Villa, Antonio G De Belvis
Background: There is growing evidence of the relevance of designing organization of care around patient characteristics; this is especially true in the case of complex chronic diseases. Purpose: The goal of the paper - that focuses on the analysis of the clinical condition hemophilia in three different centers - is to address two different research questions:1. How can we define, within the same clinical condition, different patient profiles homogeneous in terms of intensity of service required (e.g. number of visits or diagnostics)? 2...
February 14, 2024: Health Services Management Research
https://read.qxmd.com/read/38308403/reducing-the-burden-of-travel-and-environmental-impact-through-decentralization-of-cancer-care
#2
JOURNAL ARTICLE
Giovanni Fattore, Michela Bobini, Francesca Meda, Benedetta Pongiglione, Luca Baldino, Stefano Gandolfi, Licia Confalonieri, Manuela Proietto, Stefano Vecchia, Luigi Cavanna
Life expectancy, quality of life and satisfaction of oncologic patients highly depend on access to adequate specialized services, that consider their conditions in a holistic way. The present study aims to evaluate the introduction of oncology services in an outpatient setting in a mountain village in Northern Italy. The initiative is evaluated using the three pillars of sustainability (social, economic and environmental) as dimensions that are often overlooked by healthcare policy makers. Using micro data on 18,625 interventions, we estimate the number of kilometers saved by patients (reduction of "travel burden" as indicator of social sustainability), the additional travel costs for the NHS (indicator of economic sustainability) and the implied reduction of CO2 emissions (indicator of environmental sustainability)...
February 2, 2024: Health Services Management Research
https://read.qxmd.com/read/38148608/welcome-to-the-home-of-health-management-research
#3
EDITORIAL
Federico Lega
No abstract text is available yet for this article.
December 26, 2023: Health Services Management Research
https://read.qxmd.com/read/38059353/strategies-to-convert-hospital-beds-for-covid-19-patients-to-minimize-emergency-department-overcrowding
#4
JOURNAL ARTICLE
Giovanni Nattino, Marco Maria Paganuzzi, Giulia Irene Ghilardi, Giorgio Costantino, Carlotta Rossi, Francesca Cortellaro, Roberto Cosentini, Stefano Paglia, Maurizio Migliori, Guido Bertolini
Background: The shortage of hospital beds for COVID-19 patients has been one critical cause of Emergency Department (ED) overcrowding. Purpose: We aimed at elaborating a strategy of conversion of hospital beds, from non-COVID-19 to COVID-19 care, minimizing both ED overcrowding and the number of beds eventually converted. Research Design: Observational retrospective study. Study Sample: We considered the centralized database of all ED admissions in the Lombardy region of Italy during the second "COVID-19 wave" (October to December 2020)...
December 7, 2023: Health Services Management Research
https://read.qxmd.com/read/38018489/-a-different-sense-of-what-we-do-here-who-we-are-and-what-we-deliver-provider-perspectives-on-the-effects-of-a-change-in-governance-of-healthcare-services-in-correctional-facilities-in-british-columbia
#5
JOURNAL ARTICLE
Katherine E McLeod, Jane A Buxton, Ruth Elwood Martin
In 2017, British Columbia (BC) transferred responsibility for healthcare services in provincial correctional facilities from the Ministry of Public Safety and Solicitor General to the Ministry of Health. This study explored how healthcare leadership perceived the impact of the transfer on services, work-life, and job satisfaction. We conducted one-on-one interviews ( n = 8) with healthcare managers and medical and administrative leadership within Correctional Health Services. Using the Two-Factor theory of job satisfaction as a framework, we applied Interpretive Description methodology to analyse interview data...
November 29, 2023: Health Services Management Research
https://read.qxmd.com/read/38016671/delphi-plus-a-novel-methodology-for-identifying-evidence-based-data-standards-for-health-service-decision-making
#6
JOURNAL ARTICLE
Peter W Clark, Lauren T Williams, Jessica Lee, Lauren Ball
The underlying tenet of evidence-based decision-making in health services is assessing all the relevant evidence. Using the traditional qualitative and quantitative approaches to identifying evidence may not capture the full spectrum of factors that need to be addressed. A selective mixed-method approach may provide a comprehensive assessment of the relevant knowledge. This paper adds to the methodological literature by outlining a novel sequential, mixed-method, exploratory process for identifying evidence-based data standards that may be used for health service decision-making...
November 28, 2023: Health Services Management Research
https://read.qxmd.com/read/38011078/a-multi-dimensional-study-of-organisational-boundaries-and-silos-in-the-healthcare-sector
#7
JOURNAL ARTICLE
Esben Rahbek Gjerdrum Pedersen, Frantisek Sudzina, Francesco Rosati
Purpose: The aim of this study is to understand how healthcare practitioners experience organisational boundaries and silos in day-to-day operations. Based on a multi-dimensional scale of organisational boundaries, the study examines how organisational demarcation lines enable and constrain daily work tasks in the healthcare sector. Research design: The study is based on a quantitative and qualitative analysis of survey responses from 895 healthcare practitioners in Denmark. Results: The results indicate that tendencies toward organisational silos relate to systems and hierarchies (management-staff) rather than professions and departments...
November 27, 2023: Health Services Management Research
https://read.qxmd.com/read/38001556/sustainable-quality-management-in-hospitals-the-experiences-of-healthcare-quality-managers
#8
JOURNAL ARTICLE
Fien Claessens, Eva Marie Castro, Deborah Seys, Jonas Brouwers, Astrid Van Wilder, Anneke Jans, Dirk De Ridder, Kris Vanhaecht
BACKGROUND: Quality management systems are essential in hospitals, but evidence shows a real literature gap on the sustainable implementation of quality. PURPOSE: This study aimed to explore and identify enablers towards sustainable quality management in hospitals. Research design and Study Sample: Interviews were conducted with 23 healthcare quality managers from 20 hospitals. Data collection and/or Analysis: Data collection and analysis were conducted simultaneously by using the Qualitative Analysis Guide of Leuven and following the COREQ Guidelines...
November 24, 2023: Health Services Management Research
https://read.qxmd.com/read/37747939/editorial
#9
EDITORIAL
(no author information available yet)
No abstract text is available yet for this article.
September 25, 2023: Health Services Management Research
https://read.qxmd.com/read/37699151/a-self-care-process-model-for-patients-with-chronic-noncommunicable-diseases
#10
JOURNAL ARTICLE
Marija Milavec Kapun, Vladislav Rajkovič, Olga Šušteršič, Uroš Rajkovič
Self-care of patients with chronic noncommunicable diseases is an essential component of contemporary healthcare. The purpose of this paper is to present a novel self-care process model and place it in the broader context of professional care. The extended Event-driven Process Chain approach to process modelling was used, focusing on a detailed overview of sequences of events, connections and activities and other elements/building blocks. A self-care process model was designed. The model is divided into two parts...
September 12, 2023: Health Services Management Research
https://read.qxmd.com/read/37611290/a-framework-for-lean-implementation-in-preoperative-assessment-evidence-from-a-high-complexity-hospital-in-italy
#11
JOURNAL ARTICLE
Giulia Goretti, Martina Pisarra, Maria Rosaria Capogreco, Patrizia Meroni
Purpose: A routine preoperative assessment is considered both ineffective and inefficient. Despite the widespread application of lean thinking in healthcare, there is little evidence of successful experiences in preoperative admissions in order to reduce "No value added" activities. A conceptual framework reporting the drivers (clinic, tools, innovation, organization, and governance) and impacts (patient, efficiency, sustainability, time, learning and growth) was developed. Methodology: Drawing on the experience of an Italian high complexity hospital, this paper analyzes the case study by reporting evidence on how to implement lean in preoperative assessment and how to evaluate the positive results obtained...
August 23, 2023: Health Services Management Research
https://read.qxmd.com/read/37578998/exploring-the-determinants-of-private-healthcare-providers-market-power-a-performance-based-perspective
#12
JOURNAL ARTICLE
Antonio Fabio Forgione, Guido Noto
This research focuses on market power in the private healthcare sector. This topic has been poorly explored by the extant literature and the reasons mainly rely on the peculiarities of the sector and the specific market. In fact, health providers' market power is influenced by multiple factors and by the fact that prices are often regulated by national or regional public authorities. To fill this gap, the article explores the relationship between performance characteristics and health providers' market power, measured through the Lerner index...
August 14, 2023: Health Services Management Research
https://read.qxmd.com/read/37553289/service-design-for-the-transformation-of-healthcare-systems-a-systematic-review-of-literature
#13
JOURNAL ARTICLE
Noe Vaz, Cláudia Affonso Silva Araujo
There is a growing interest in applying the Service Design (SD) approach to innovate and transform healthcare systems. However, comprehensive studies are scarce. This study systematically reviews the literature on SD initiatives towards healthcare system transformation. The research questions are: How has the SD approach been applied to the healthcare sector? To what extent are the SD initiatives contributing to transform the health systems? What are the main challenges faced by SD initiatives to transform the health system? Which are the main stakeholders involved in the process, and how could they change according to the type of initiative? The search was conducted in March 2021 in eight databases and returned 990 articles evaluated through a research protocol, resulting in 47 studies included in this review...
August 8, 2023: Health Services Management Research
https://read.qxmd.com/read/37399521/addressing-the-healthcare-waste-management-barriers-a-structural-equation-modeling-approach
#14
JOURNAL ARTICLE
Abhishek Raj, Cherian Samuel, Abhishek Kumar Singh
Due to the growing population and advancing economy, medical waste accumulation has come to the attention of all facets of society. Although the issue of medical waste management planning has been addressed in developed nations, it still exists in several developing nations. This paper examines the effects of barriers under the Organization action, work handling, and Human Resource Practices section on the healthcare waste management (HCWM) sector in a developing country India. In this study, three hypotheses were constructed and tested using Structural equation modeling...
July 3, 2023: Health Services Management Research
https://read.qxmd.com/read/37394445/insights-into-how-universal-tax-funded-single-payer-health-systems-manage-their-waiting-lists-a-review-of-the-literature
#15
JOURNAL ARTICLE
Francesco Amigoni, Federico Lega, Elena Maggioni
Background: A conspicuous consequence of gatekeeping arrangements in universal, tax-funded, single-payer health care systems is the long waiting times. Besides limiting equal access to care, long waiting times can have a negative impact on health outcomes. Long waiting times can create obstacles in a patient's care pathway. Organization for Economic Co-operation and Development (OECD) countries have implemented various strategies to tackle this issue, but there is little evidence for which approach is the most effective...
July 2, 2023: Health Services Management Research
https://read.qxmd.com/read/37368436/how-does-staff-and-patient-feedback-on-hospital-quality-relate-to-mortality-outcomes-a-provider-level-national-study
#16
JOURNAL ARTICLE
Antonio Michael Borrelli, Rebecca J Birch, Katie Spencer
This study aimed to use national data to examine the relationship between staff and inpatient survey results (National Health Service (NHS) Friends and Family Test (FFT)) and assess how these align with more traditional measurements of hospital quality as captured by the summary hospital mortality indicator (SHMI). Provider level FFT responses were obtained for 128 English non-specialist acute providers for staff and inpatients between April 2016 and March 2019. Multilevel linear regression models assessed the relationship between staff and patient FFT recommendations, and separately how SHMI related to each of staff and patient FFT recommendations...
June 27, 2023: Health Services Management Research
https://read.qxmd.com/read/37339096/no-one-will-be-left-behind
#17
EDITORIAL
Federico Lega
No abstract text is available yet for this article.
June 20, 2023: Health Services Management Research
https://read.qxmd.com/read/37247431/exploring-the-relationship-between-performance-feedback-and-medical-managers-budgetary-performance-the-role-of-managerial-self-efficacy
#18
JOURNAL ARTICLE
Marco Giovanni Rizzo
This study addresses recent calls for more research on the potential intervening role exerted by certain individual variables in the relationship between performance feedback and performance. Specifically, this study selects medical managers' sense of managerial self-efficacy as a potential mediational variable in the feedback-performance relationship. A mediational model examining how the effect of performance feedback on medical managers' budgetary performance is influenced by their sense of managerial self-efficacy was established based on survey data from 60 medical managers working in a hospital...
May 29, 2023: Health Services Management Research
https://read.qxmd.com/read/37247254/a-systematic-review-of-typologies-on-aged-care-system-components-to-facilitate-complex-comparisons
#19
JOURNAL ARTICLE
Jenni Suen, Suzanne Dyer, Wendy Shulver, Tyler Ross, Maria Crotty
Objectives: Typologies are frequently utilised in analyses of the quality, funding, and efficiency of aged care systems. This review aims to provide a comprehensive resource identifying and critiquing existing aged care typologies. Methods: Systematic search of MEDLINE, Econlit, Google Scholar, greylit.org and Open Grey databases from inception to July 2020, including typologies of national, regional or provider aged care systems. Article screening, data extraction, and quality appraisal were conducted in duplicate...
May 29, 2023: Health Services Management Research
https://read.qxmd.com/read/37230804/hospital-workforce-engagement-satisfaction-burnout-and-effects-on-patient-mortality-findings-from-the-english-national-health-service-staff-surveys
#20
JOURNAL ARTICLE
Robert E Boyle, Leon Jonker, Sudha Xirasagar, Hayrettin Okut, Robert G Badgett
Previous studies of healthcare organizations' workforces and their performance have focused on burnout and its impact on care. The aim of this research is to expand on this and examine the association of positive organizational states, engagement and recommendation of employer as a place to work, in comparison to burnout on Hospital performance. Methods: This was a panel study of the respondents to the 2012-2019 yearly Staff Surveys of the English National Health Service (NHS) hospital Trusts with hospital performance measured by the adjusted inpatient Summary Hospital-level Mortality Indicator (SHMI)...
May 25, 2023: Health Services Management Research
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