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Journal of Health Organization and Management

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https://read.qxmd.com/read/30468417/impact-of-organisational-change-for-leaders-in-mental-health
#1
Timmy Frawley, Annabel Meehan, Aoife De Brún
PURPOSE: The purpose of this paper is to examine the impact of organisational and structural change on the evolution of quality and safety in health organisations, specifically in mental health services. DESIGN/METHODOLOGY/APPROACH: Data were gathered through semi-structured interviews. In total, 25 executive management team members in both public and private mental health services were interviewed and data were analysed using Burnard's framework. FINDINGS: Three overarching themes emerged: organisational characteristics, leadership and accountability; sustaining collaboration and engagement with stakeholders; and challenges to and facilitators of quality and safety...
November 19, 2018: Journal of Health Organization and Management
https://read.qxmd.com/read/30468416/what-initiatives-do-healthcare-leaders-agree-are-needed-for-healthcare-system-improvement-results-of-a-modified-delphi-study
#2
Stuart Barson, Robin Gauld, Jonathon Gray, Goran Henriks, Christina Krause, Peter Lachman, Lynne Maher, M Rashad Massoud, Lee Mathias, Mike Wagner, Luis Villa
PURPOSE: The purpose of this paper is to identify five quality improvement initiatives for healthcare system leaders, produced by such leaders themselves, and to provide some guidance on how these could be implemented. DESIGN/METHODOLOGY/APPROACH: A multi-stage modified-Delphi process was used, blending the Delphi approach of iterative information collection, analysis and feedback, with the option for participants to revise their judgments. FINDINGS: The process reached consensus on five initiatives: change information privacy laws; overhaul professional training and work in the workplace; use co-design methods; contract for value and outcomes across health and social care; and use data from across the public and private sectors to improve equity for vulnerable populations and the sickest people...
November 19, 2018: Journal of Health Organization and Management
https://read.qxmd.com/read/30468415/costs-will-rather-increase
#3
Mio Fredriksson, Linda Moberg
PURPOSE: The purpose of this paper was to study the unfolding of an urgent and extensive decommissioning program in Sweden, focusing on the public's reactions and their arguments when opposing the decommissioning activities. DESIGN/METHODOLOGY/APPROACH: The public's responses were studied through local media. Its content was surveyed and divided into actions and arguments. The arguments were further analyzed and categorized into inductively developed themes. FINDINGS: Protest activities, such as demonstrations, meetings and petitions, were not coordinated, but mostly carried out for withdrawals of unique services and services in remote areas...
November 19, 2018: Journal of Health Organization and Management
https://read.qxmd.com/read/30468414/examining-the-relationship-between-hospital-ownership-and-population-health-efforts
#4
Meghan Hufstader Gabriel, Danielle Atkins, Xinliang Liu, Rebecca Tregerman
PURPOSE: The purpose of this paper is to investigate the relationship between ownership type and population health initiatives adopted by hospitals using the 2015 American Hospital Association data. DESIGN/METHODOLOGY/APPROACH: Hospitals of various sizes, ownership structures and geographic locations are represented in the survey. The outcome variables of interest include measures of hospital population health activities. FINDINGS: Findings indicate that nonprofit hospitals are most likely to express commitment to population health and participate in population health activities, with for-profit hospitals being least likely...
November 19, 2018: Journal of Health Organization and Management
https://read.qxmd.com/read/30468413/online-communities-as-a-new-source-of-exploring-patient-dissatisfaction
#5
Maja Nemec, Tomaž Kolar, Borut Rusjan
PURPOSE: The purpose of this paper is to analyse whether internet forums are an appropriate source for identification of causes of dissatisfaction of patients with non-medical aspects of healthcare services. DESIGN/METHODOLOGY/APPROACH: Based on the guidelines of netnography qualitative research the authors identify relevant posts or comments on selected online forums in which web users show their dissatisfaction with healthcare services. Five popular Slovenian forums representing different interest communities have been chosen and 42 forums' topics have been reviewed...
November 19, 2018: Journal of Health Organization and Management
https://read.qxmd.com/read/30465489/on-measuring-the-quality-of-hospitals
#6
Choon Cheng, Anthony Scott, Vijaya Sundararajan, Jongsay Yong
PURPOSE: Researchers, policymakers and hospital managers often encounter numerous quality measures when assessing hospital quality. The purpose of this paper is to address the challenge of summarising, interpreting and comparing multiple quality measures across different quality dimensions by proposing a simple method of constructing a composite quality index. The method is applied to hospital administrative data to demonstrate its use in analysing hospital performance. DESIGN/METHODOLOGY/APPROACH: Logistic and fixed effects regression analyses are applied to secondary admitted patient data from all hospitals in the state of Victoria, Australia for the period 2000/2001-2011/2012...
October 8, 2018: Journal of Health Organization and Management
https://read.qxmd.com/read/30465488/developing-allied-health-leaders-to-enhance-person-centred-healthcare
#7
Patricia Bradd, Joanne Travaglia, Andrew Hayen
PURPOSE: The purpose of this paper is to present findings from a mixed methods study investigating leadership development of allied health practitioners within a large public healthcare organization in Australia. DESIGN/METHODOLOGY/APPROACH: The South Eastern Sydney Local Health District Allied Health Leadership Development Program was undertaken with an allied health cohort ( n=16) between May 2014 and March 2015 and comprised all-day workshops, action learning sets and individual coaching...
October 8, 2018: Journal of Health Organization and Management
https://read.qxmd.com/read/30465487/doctor-patient-communication-a-review-and-a-rationale-for-using-an-assessment-framework
#8
Ariel Belasen, Alan T Belasen
PURPOSE: The purpose of this paper is to explore the extent to which improving doctor-patient communication (DPC) can address and alleviate many healthcare delivery inefficiencies. DESIGN/METHODOLOGY/APPROACH: The authors survey causes and costs of miscommunication including perceptual gaps between how physicians believe they perform their communicative duties vs how patients feel and highlight thresholds such as the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) used by hospitals to identify health outcomes and improve DPC...
October 8, 2018: Journal of Health Organization and Management
https://read.qxmd.com/read/30465486/exploring-a-transition-in-dutch-healthcare
#9
Françoise Johansen, Derk Loorbach, Annemiek Stoopendaal
PURPOSE: Healthcare systems are facing persistent challenges, such as dealing with an ageing population, related increases in chronic diseases and healthcare costs facilitated by technological progress. The authors argue that the boundaries of optimisation are being reached and a more fundamental change or transition is necessary. The purpose of this paper is to explore the contours of this transition in the Netherlands. The authors do this from the perspective of healthcare organisations that have participated in the "Expedition to Sustainable Healthcare": a learning programme organised by the Dutch Network for Sustainable Healthcare aimed at creating frontrunners in this transition...
October 8, 2018: Journal of Health Organization and Management
https://read.qxmd.com/read/30465485/governing-integrated-care-networks-through-collaborative-inquiry
#10
Matthias Mitterlechner
PURPOSE: The purpose of this paper is to develop a theory of governing in integrated care networks. Asking how and why the governance of these networks emerges and evolves over time, it responds to calls for more innovative thinking in this field. DESIGN/METHODOLOGY/APPROACH: Data result from a rare longitudinal qualitative case study conducted with the Healthcare Centre Lower Engadin, the lead organisation of pioneering health and social care network in a rural Swiss region...
October 8, 2018: Journal of Health Organization and Management
https://read.qxmd.com/read/30299225/darzi-clinical-leadership-fellows-an-activity-theory-perspective
#11
Rebecca Malby, Kieran Mervyn, Terry J Boyle
PURPOSE: The purpose of this paper is to review the impact of the clinical leadership programme, in enabling the Darzi fellows to lead change projects in health and care services, and to secure quality healthcare in the NHS beyond the lifetime of the programme. DESIGN/METHODOLOGY/APPROACH: A longitudinal empirical investigation of clinical leaders ( n=80) over an eight-year period was framed through an activity theory (AT)-driven research methodology using a mixed-methods approach...
September 17, 2018: Journal of Health Organization and Management
https://read.qxmd.com/read/30299224/discursive-practice-lean-thinking-nurses-responsibilities-and-the-cost-to-care
#12
Clare Lynette Harvey, Christophe Baret, Christian M Rochefort, Alannah Meyer, Dietmar Ausserhofer, Ruta Ciutene, Maria Schubert
PURPOSE: The purpose of this paper is to explore the literature regarding work intensification that is being experienced by nurses, to examine the effects this is having on their capacity to complete care. The authors contend that nurses' inability to provide all the care patients require, has negative implications on their professional responsibility. DESIGN/METHODOLOGY/APPROACH: The authors used institutional ethnography to review the discourse in the literature...
September 17, 2018: Journal of Health Organization and Management
https://read.qxmd.com/read/30299223/team-based-communication-and-the-healthcare-communication-space
#13
Janet Alexandra Cornett, Craig Kuziemsky
PURPOSE: While previous studies have described structural, process and social aspects of the healthcare communication space there is no overall model of it. Such a model is an essential first step to improving the operationalization and management of healthcare communication. The paper aims to discuss these issues. DESIGN/METHODOLOGY/APPROACH: This paper used a case study approach to study team-based communication on a palliative care unit. Non-participant observation, interviews and documents were analyzed using qualitative content analysis...
September 17, 2018: Journal of Health Organization and Management
https://read.qxmd.com/read/30299222/what-s-the-fuss-gender-and-academic-leadership
#14
Anne Wong, Colleen McKey, Pamela Baxter
PURPOSE: Women continue to be disproportionately represented in top leadership positions. Leadership development programs typically focus on skills attainment. The purpose of this paper is to explore the perceptions and experiences of academic leaders in order to inform how leadership development programs may more effectively address the gender gap in leadership. DESIGN/METHODOLOGY/APPROACH: A sequential mixed methods study design was used. Participants completed the Leadership Practice Inventory ®(LPI) survey followed by individual interviews of a subset of participants...
September 17, 2018: Journal of Health Organization and Management
https://read.qxmd.com/read/30299221/new-ways-to-get-policy-into-practice
#15
Peter Nugus, Geetha Ranmuthugala, Josianne Lamothe, David Greenfield, Joanne Travaglia, Kendall Kolne, Julia Kryluk, Jeffrey Braithwaite
PURPOSE: Health service effectiveness continues to be limited by misaligned objectives between policy makers and frontline clinicians. While capturing the discretion workers inevitably exercise, the concept of "street-level bureaucracy" has tended to artificially separate policy makers and workers. The purpose of this paper is to understand the role of social-organizational context in aligning policy with practice. DESIGN/METHODOLOGY/APPROACH: This mixed-method participatory study focuses on a locally developed tool to implement an Australia-wide strategy to engage and respond to mental health services for parents with mental illness...
September 17, 2018: Journal of Health Organization and Management
https://read.qxmd.com/read/30175682/integrated-care-mobilising-professional-identity
#16
Stephanie Best, Sharon Williams
Purpose Integrated care has been identified as essential to delivering the reforms required in health and social care across the UK and other healthcare systems. Given this suggests new ways of working for health and social care professionals, little research has considered how different professions manage and mobilise their professional identity (PI) whilst working in an integrated team. The paper aims to discuss these issues. Design/methodology/approach A qualitative cross-sectional study was designed using eight focus groups with community-based health and social care practitioners from across Wales in the UK during 2017...
August 20, 2018: Journal of Health Organization and Management
https://read.qxmd.com/read/30175681/caveats-for-high-reliability-in-healthcare
#17
Peter F Martelli, Peter E Rivard, Karlene H Roberts
Purpose Given the pace of industry change and the rapid diffusion of high reliability organization (HRO) approaches, lags and divergences have arisen between research and practice in healthcare. The purpose of this paper is to explore several of these theory-practice gaps and propose implications for research and practice. Design/methodology/approach Classic and cutting-edge HRO literature is applied to analyze two industry trends: delivery system integration, and the confluence of patient-as-consumer and patient-centered care...
August 20, 2018: Journal of Health Organization and Management
https://read.qxmd.com/read/30175680/dynamics-of-distributed-leadership-during-a-hospital-merger
#18
Charlotte Jonasson, Anne Mette Kjeldsen, Maria Shubhra Ovesen
Purpose Mergers have become an influential part of public hospital development, and the successful implementation of such mergers requires skillful management. Recent studies have pointed to the impact of the distribution of leadership tasks amongst employees for implementing planned radical changes, yet this lacks examination with regard to hospital mergers. The purpose of this paper is to investigate the emergence of distributed leadership and this leadership's influence on the implementation of a hospital merger...
August 20, 2018: Journal of Health Organization and Management
https://read.qxmd.com/read/30175679/determinants-of-good-and-poor-quality-as-perceived-by-us-health-care-managers
#19
Rebecca Amati, Amer A Kaissi, Annegret F Hannawa
Purpose The scientific literature evidences that the quality of care must be improved. However, little research has focused on investigating how health care managers - who are responsible for the implementation of quality interventions - define good and poor quality. The purpose of this paper is to develop an empirically informed taxonomy of quality care as perceived by US managers - named the Integrative Quality Care Assessment Tool (INQUAT) - that is grounded in Donabedian's structure, process and outcome model...
August 20, 2018: Journal of Health Organization and Management
https://read.qxmd.com/read/30175678/implementation-of-a-comprehensive-program-to-improve-coordination-of-care-in-an-urban-academic-health-care-system
#20
Ya Luan Hsiao, Eric B Bass, Albert W Wu, Melissa B Richardson, Amy Deutschendorf, Daniel J Brotman, Michele Bellantoni, Eric E Howell, Anita Everett, Debra Hickman, Leon Purnell, Raymond Zollinger, Carol Sylvester, Constantine G Lyketsos, Linda Dunbar, Scott A Berkowitz
Purpose Academic healthcare systems face great challenges in coordinating services across a continuum of care that spans hospital, community providers, home and chronic care facilities. The Johns Hopkins Community Health Partnership (J-CHiP) was created to improve coordination of acute, sub-acute and ambulatory care for patients, and improve the health of high-risk patients in surrounding neighborhoods. The paper aims to discuss this issue. Design/methodology/approach J-CHiP targeted adults admitted to the Johns Hopkins Hospital and Johns Hopkins Bayview Medical Center, patients discharged to participating skilled nursing facilities (SNFs), and high-risk Medicare and Medicaid patients receiving primary care in eight nearby outpatient sites...
August 20, 2018: Journal of Health Organization and Management
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