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Health Services Management Research

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https://www.readbyqxmd.com/read/29103315/editorial
#1
Federico Lega
No abstract text is available yet for this article.
November 2017: Health Services Management Research
https://www.readbyqxmd.com/read/29034727/examining-the-impacts-of-health-literacy-on-healthcare-costs-an-evidence-synthesis
#2
Rocco Palumbo
Scholars and practitioners share a significant concern about rising healthcare costs. Health literacy is widely presented as a solution to this momentous issue, paving the way for a more appropriate access to care and therefore, for cost savings. However, to date little is still known about the ultimate effects of better health literacy on healthcare costs. Drawing from the findings of a systematic literature review which ultimately involved 29 papers retrieved from Scopus-Elsevier and PubMed. This manuscript is aimed at shedding light on the relationship between health literacy and healthcare costs...
November 2017: Health Services Management Research
https://www.readbyqxmd.com/read/28752778/doctors-managers-is-still-worthy
#3
Federico Lega
No abstract text is available yet for this article.
August 2017: Health Services Management Research
https://www.readbyqxmd.com/read/28539085/journal-rankings-and-directions-for-future-research-in-health-care-management-a-global-perspective
#4
Katherine A Meese, Stephen J O'Connor, Nancy Borkowski, S Robert Hernandez
Despite the increasingly global nature of health care, much of the research about journal rankings and directions for future research in health care management is from a United States based viewpoint. There is a lack of information about influential journals and trends for health care management research from a global perspective. This exploratory study gathered the opinions of health care management researchers from 17 countries regarding which journals are considered most influential, popular research topics and areas needing more attention from the research community...
May 2017: Health Services Management Research
https://www.readbyqxmd.com/read/28539084/creating-safer-health-systems-lessons-from-other-sectors-and-an-account-of-an-application-in-the-safer-clinical-systems-programme
#5
Peter Spurgeon, Hugh Flanagan, Matthew Cooke, Mark Sujan, Stephen Cross, Rose Jarvis
Despite well meaning initiatives over decades, the percentage of inpatients suffering adverse events remains constant in most advanced health systems. The notion of incident reporting as used in other safety critical industries has proved far less effective in healthcare. This article describes a new patient safety paradigm in the search for improved patient safety in healthcare. Underpinned by a holistic use of human factors the Safer Clinical Systems programme involves a proactive, risk-based approach seeking to eliminate or control risk before it is converted to patient harm...
May 2017: Health Services Management Research
https://www.readbyqxmd.com/read/28539083/patient-length-of-stay-and-mortality-prediction-a-survey
#6
Aya Awad, Mohamed Bader-El-Den, James McNicholas
Over the past few years, there has been increased interest in data mining and machine learning methods to improve hospital performance, in particular hospitals want to improve their intensive care unit statistics by reducing the number of patients dying inside the intensive care unit. Research has focused on prediction of measurable outcomes, including risk of complications, mortality and length of hospital stay. The length of stay is an important metric both for healthcare providers and patients, influenced by numerous factors...
May 2017: Health Services Management Research
https://www.readbyqxmd.com/read/28539082/the-governance-of-pluralist-health-care-systems-an-initial-review-and-typology
#7
Ewan Ferlie, Juan I Baeza, Rachael Addicott, Rakesh Mistry
We here argue that study of governance systems within increasingly pluralist health care systems needs to be broadened beyond traditionally public sector orientated literature. We develop an initial typology of multiple governance systems within the English health care sector and derive exploratory questions to inform future empirical investigation. We add to existing literature by considering the coexistence of - and possible tensions between - multiple governance systems in a pluralised health and social care system...
May 2017: Health Services Management Research
https://www.readbyqxmd.com/read/28539081/leadership-research-in-healthcare-a-realist-review
#8
Federico Lega, Anna Prenestini, Matilde Rosso
Being largely considered a human right, healthcare needs leaders who are able to make choices and to set directions. Following the recommendations expressed by Gilmartin and D'Aunno's review and roadmap compiled in 2008, today, it is important to acknowledge researchers' contributions to outline this landscape. The realist review of 77 publications answered questions such as "what works, for whom, and in which circumstances" highlighting: the effectiveness and acceptance of transformational and collaborative approaches; professionalism, expertise, and good task delegation within operational teams; distributed leadership, relationships, and social responsibility at a systemic level...
May 2017: Health Services Management Research
https://www.readbyqxmd.com/read/28539080/keeping-candles-lit-the-role-of-concierge-medicine-in-the-future-of-primary-care
#9
Rocco Palumbo
Universal coverage and financial sustainability are two competing aims in primary care. Patient empowerment and patient engagement have been suggested as essential ingredients of the recipe for innovative primary care models aimed at sustaining universal coverage. Concierge medicine is achieving a growing popularity among both scholars and practitioners as a direct primary care practice which allows to bridge the gap between patient empowerment and patient engagement. However, ethical and legal concerns hinder the diffusion of concierge models in the current primary care practices...
May 2017: Health Services Management Research
https://www.readbyqxmd.com/read/28166676/editorial
#10
(no author information available yet)
No abstract text is available yet for this article.
February 2017: Health Services Management Research
https://www.readbyqxmd.com/read/28166675/the-uk-s-national-programme-for-it-why-was-it-dismantled
#11
Taghreed Justinia
This paper discusses the UK's National Programme for IT (NPfIT), which was an ambitious programme launched in 2002 with an initial budget of some £6.2 billion. It attempted to implement a top-down digitization of healthcare in England's National Health Service (NHS). The core aim of the NPfIT was to bring the NHS' use of information technology into the 21st century, through the introduction of an integrated electronic patient record systems, and reforming the way that the NHS uses information, and hence to improve services and the quality of patient care...
February 2017: Health Services Management Research
https://www.readbyqxmd.com/read/28166674/medical-managers-managerial-self-efficacy-and-role-clarity-how-do-they-bridge-the-budgetary-participation-performance-link
#12
Manuela S Macinati, Gabriele Cantaluppi, Marco Giovanni Rizzo
This study explains the process ''how'' organizational accounting practices, such as budgetary participation, influence medical doctors' perceptions and beliefs associated with their hybrid role and what the consequences are on their performance. Building on social cognitive theory, we hypothesize a structural model in which managerial self-efficacy and role clarity mediate the effects of budgetary participation on performance. The data were collected by a survey conducted in an Italian hospital. The research hypotheses were tested employing a path model...
February 2017: Health Services Management Research
https://www.readbyqxmd.com/read/28166673/predictors-of-surgeons-efficiency-in-the-operating-rooms
#13
Yoshinori Nakata, Yuichi Watanabe, Hiroto Narimatsu, Tatsuya Yoshimura, Hiroshi Otake, Tomohiro Sawa
The sustainability of the Japanese healthcare system is questionable because of a huge fiscal debt. One of the solutions is to improve the efficiency of healthcare. The purpose of this study is to determine what factors are predictive of surgeons' efficiency scores. The authors collected data from all the surgical procedures performed at Teikyo University Hospital from April 1 through September 30 in 2013-2015. Output-oriented Charnes-Cooper-Rhodes model of data envelopment analysis was employed to calculate each surgeon's efficiency score...
February 2017: Health Services Management Research
https://www.readbyqxmd.com/read/28166672/hospital-acquisitions-parenting-styles-and-management-accounting-change-an-institutional-perspective
#14
Andrea Dossi, Francesca Lecci, Francesco Longo, Marco Morelli
Many healthcare scholars have applied institutional theories to the study of management accounting systems (MAS) change. However, little attention has been devoted to MAS change within groups. Kostova et al. highlight the limitations of traditional institutional frameworks in studying groups since they are characterised not only by the existence of external institutional environments but also by intra-organisational (meso-level) ones. Given this background, the research question is: how does the meso-level institutional environment affect MAS change in healthcare groups? We use a longitudinal multiple-case study design to understand the role of headquarters in shaping local MAS change...
February 2017: Health Services Management Research
https://www.readbyqxmd.com/read/28166671/the-unintended-consequences-of-the-centers-for-medicare-and-medicaid-services-pay-for-performance-structures-on-safety-net-hospitals-and-the-low-income-medically-vulnerable-population
#15
Elmer B Fos
Safety-net hospitals are hospitals with patient mix that is substantially composed of the uninsured, underinsured, and low-income, medically vulnerable patient populations. They are the hospitals of last resort for poor patients. This article examined the impact of The Centers for Medicare and Medicaid Services pay-for-performance reimbursement policies on the financial viability of safety-net hospitals. Studies showed that these policies, which are based on the principle of reward and punishment, might have unintentionally placed safety-net hospitals on financial disadvantage compared to other hospital organizations...
February 2017: Health Services Management Research
https://www.readbyqxmd.com/read/28166670/the-role-of-organizational-structure-in-readiness-for-change-a-conceptual-integration
#16
Justin K Benzer, Martin P Charns, Sami Hamdan, Melissa Afable
The purpose of this review is to extend extant conceptualizations of readiness for change as an individual-level phenomenon. This review-of-reviews focuses on existing conceptual frameworks from the dissemination, implementation, quality improvement, and organizational transformation literatures in order to integrate theoretical rationales for how organization structure, a key dimension of the organizational context, may impact readiness for change. We propose that the organization structure dimensions of differentiation and integration impact readiness for change at the individual level of analysis by influencing four key concepts of relevance, legitimacy, perceived need for change, and resource allocation...
February 2017: Health Services Management Research
https://www.readbyqxmd.com/read/29084478/translational-health-economics-the-key-to-accountable-adoption-of-in-vitro-diagnostic-technologies
#17
Christopher P Price, Jane Wolstenholme, Patrick McGinley, Andrew St John
Adoption of new technologies, including diagnostic tests, is often considered not to deliver the expected return on investment. The reasons for this poor link between expectation and outcome include lack of evidence, variation in use of the technology, and an inability of the health system to manage the balance between investment and disinvestment associated with the change in care pathway. The challenges lie in the complex nature of healthcare provision where the investment is likely to be made in the jurisdiction of one stakeholder while the benefits (as well as dis-benefits) accrue to the other stakeholders...
January 1, 2017: Health Services Management Research
https://www.readbyqxmd.com/read/28990800/a-robust-analysis-of-hospital-efficiency-and-factors-affecting-variability
#18
Herve Leleu, Mona Al-Amin, Michael Rosko, Vivian G Valdmanis
The objectives of this paper are to use data envelopment analysis to measure hospital inefficiency in a way that accounts for patient outcomes and to study the association between organizational factors, such as hospital-physicians integration level and teaching status, and market competition with hospital inefficiency. We apply the robust data envelopment analysis approach to a sample of private (both not-for-profit and for-profit) hospitals operating in the United States. Our data envelopment analysis model includes mortality and readmission rates as bad outputs and admissions, surgeries, emergency room, and other visits as good outputs...
January 1, 2017: Health Services Management Research
https://www.readbyqxmd.com/read/28876139/taxes-bankruptcy-costs-and-capital-structure-in-for-profit-and-not-for-profit-hospitals
#19
Sean S Huang, Jie Yang, Nathan Carroll
About 60% of the US hospitals are not-for-profit and it is not clear how traditional theories of capital structure should be adapted to understand the borrowing behavior of not-for-profit hospitals. This paper identifies important determinants of capital structure taken from theories describing for-profit firms as well as prior literature on not-for-profit hospitals. We examine the differential effects these factors have on the capital structure of for-profit and not-for-profit hospitals. Specifically, we use a difference-in-differences regression framework to study how differences in leverage between for-profit and not-for-profit hospitals change in response to key explanatory variables (i...
January 1, 2017: Health Services Management Research
https://www.readbyqxmd.com/read/28868934/business-model-framework-applications-in-health-care-a-systematic-review
#20
Jens Jacob Fredriksson, Pamela Mazzocato, Rafiq Muhammed, Carl Savage
It has proven to be a challenge for health care organizations to achieve the Triple Aim. In the business literature, business model frameworks have been used to understand how organizations are aligned to achieve their goals. We conducted a systematic literature review with an explanatory synthesis approach to understand how business model frameworks have been applied in health care. We found a large increase in applications of business model frameworks during the last decade. E-health was the most common context of application...
January 1, 2017: Health Services Management Research
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