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Health Services Management Research

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https://www.readbyqxmd.com/read/25594995/what-constitutes-high-performance-in-priority-setting-and-resource-allocation-decision-maker-narratives-identified-from-a-survey-and-qualitative-study-in-canadian-healthcare-organizations
#1
Neale Smith, William Hall, Craig Mitton, Stirling Bryan, Bonnie Urquhart
Priority setting and resource allocation are key management functions; however, there may be different understandings as to what makes for a high-performing organization in this area. To interpret how decision makers actually approach this question, our research looks at what might contribute to one's reputation as such. Two sets of qualitative data are used. Senior healthcare leaders were asked to nominate organizations which they considered high performers in priority setting and resource allocation and to justify their choices...
December 4, 2014: Health Services Management Research
https://www.readbyqxmd.com/read/25595016/unwarranted-variations-in-healthcare-time-for-a-european-agenda
#2
Paul Giepmans, Olivia Dix
No abstract text is available yet for this article.
February 2014: Health Services Management Research
https://www.readbyqxmd.com/read/25595015/interventions-to-reduce-bullying-in-health-care-organizations-a-scoping-review
#3
REVIEW
Elizabeth Quinlan, Susan Robertson, Natasha Miller, Danielle Robertson-Boersma
The problem of staff-to-staff bullying and its consequences in the health care sector has given rise to urgent knowledge needs among health care employers, union representatives, and professional associations. The purpose of this scoping review is to increase the uptake and application of synthesized research results of interventions designed to address bullying among coworkers within health care workplaces. The scoping review's methodology uses an adapted version of the Arksey and O'Malley framework to locate and review empirical studies involving interventions designed to address bullying in health care workplaces...
February 2014: Health Services Management Research
https://www.readbyqxmd.com/read/25595014/leadership-in-academic-health-centers-in-the-us-a-review-of-the-role-and-some-recommendations
#4
REVIEW
Thomas P Weil
The leadership of the US's most complex academic health centers (AHCs)/medical centers requires individuals who possess a high level of clinical, organizational, managerial, and interpersonal skills. This paper first outlines the major attributes desired in a dean/vice president of health affairs before then summarizing the educational opportunities now generally available to train for such leadership and management roles. For the most part, the masters in health administration (MHA), the traditional MBA, and the numerous alternatives primarily available at universities are considered far too general and too lacking in emotional intelligence tutoring to be particularly relevant for those who aspire to these most senior leadership positions...
February 2014: Health Services Management Research
https://www.readbyqxmd.com/read/25595013/applying-the-concept-of-consumer-confusion-to-healthcare-development-and-validation-of-a-patient-confusion-model
#5
Christoph Gebele, Dieter K Tscheulin, Jörg Lindenmeier, Florian Drevs, Ann-Kathrin Seemann
As patient autonomy and consumer sovereignty increase, information provision is considered essential to decrease information asymmetries between healthcare service providers and patients. However, greater availability of third party information sources can have negative side effects. Patients can be confused by the nature, as well as the amount, of quality information when making choices among competing health care providers. Therefore, the present study explores how information may cause patient confusion and affect the behavioral intention to choose a health care provider...
February 2014: Health Services Management Research
https://www.readbyqxmd.com/read/25595012/organisational-readiness-and-lean-thinking-implementation-findings-from-three-emergency-department-case-studies-in-new-zealand
#6
Gareth H Rees
This paper describes and contrasts the implementation of Lean Thinking – a quality methodology that emphasises waste reduction and performing at higher levels of productivity with the same or less resources – into New Zealand's healthcare system. As the field is relatively new, three literature-based exemplar cases were developed to provide an analysis framework to analyse the three New Zealand research sites, which had activities, teamwork, leadership and sustainability as its core themes. Each research site's case was developed from primary data gathered through interviews, augmented by secondary data from project reports, District Health Board websites and media stories...
February 2014: Health Services Management Research
https://www.readbyqxmd.com/read/25595011/understanding-patient-nutrition-a-case-study-of-the-organizational-and-managerial-dimension-to-good-clinical-care
#7
Jeni Bremner
No abstract text is available yet for this article.
November 2013: Health Services Management Research
https://www.readbyqxmd.com/read/25595010/the-use-of-memoranda-of-understanding-in-fostering-inter-agency-collaboration-a-qualitative-study-of-health-services-agencies-serving-vulnerable-populations-in-baltimore-usa
#8
Nidhi Khosla, Jill A Marsteller, David R Holtgrave
INTRODUCTION: We examined whether mandated collaboration reflected in memoranda of understanding (MOUs) developed by health agencies to meet funder expectations is effective in fostering inter-agency collaboration. METHODS: We conducted 22 semi-structured interviews from late 2010 to early 2012 in Baltimore, USA, with representatives of 17 HIV service agencies, three local health department units, and one agency that closed in 2008 (two interviews). RESULTS: While there was no consensus, most respondents perceived MOUs negatively, mainly because the process of obtaining signed MOUs was time consuming; frontline staff was mostly unaware of MOUs, agencies did not necessarily work with agencies they signed MOUs with and MOUs were rarely evaluated after being signed...
November 2013: Health Services Management Research
https://www.readbyqxmd.com/read/25595009/medical-leadership-arrangements-in-english-healthcare-organisations-findings-from-a-national-survey-and-case-studies-of-nhs-trusts
#9
Helen Dickinson, Chris Ham, Iain Snelling, Peter Spurgeon
This project sought to describe the involvement of doctors in leadership roles in the NHS and the organisational structures and management processes in use in NHS trusts. A mixed methods approach was adopted combining a questionnaire survey of English NHS trusts and in-depth case studies of nine organisations who responded to the survey. Respondents identified a number of challenges in the development of medical leadership, and there was often perceived to be an engagement gap between medical leaders and doctors in clinical roles...
November 2013: Health Services Management Research
https://www.readbyqxmd.com/read/25595008/hospital-characteristics-affecting-potentially-avoidable-emergency-admissions-national-ecological-study
#10
A O'Cathain, E Knowles, R Maheswaran, J Turner, E Hirst, S Goodacre, T Pearson, J Nicholl
Some emergency admissions can be avoided if acute exacerbations of health problems are managed by emergency and urgent care services without resorting to admission to a hospital bed. In England, these services include hospitals, emergency ambulance, and a range of primary and community services. The aim was to identify whether characteristics of hospitals affect potentially avoidable emergency admission rates. An age-sex adjusted rate of admission for 14 conditions rich in avoidable emergency admissions was calculated for 129 hospitals in England for 2008-2011...
November 2013: Health Services Management Research
https://www.readbyqxmd.com/read/25595007/a-theoretical-and-empirical-investigation-into-the-willingness-to-pay-function-for-new-innovative-drugs-by-germany-s-health-technology-assessment-agency-iqwig
#11
Afschin Gandjour
Under the recently enacted pharmaceutical price and reimbursement regulation in Germany, new drugs are subject to a rapid assessment to determine whether there is sufficient evidence of added clinical benefits compared with the existing standard of treatment. If such added benefits are confirmed, manufacturers and representatives of the Statutory Health Insurance (SHI) are expected to negotiate an appropriate reimbursement price. If parties fail to reach an agreement, a final decision on the reimbursement price will be made by an arbitration body...
November 2013: Health Services Management Research
https://www.readbyqxmd.com/read/25595006/how-patients-choose-hospitals-using-the-stereotypic-content-model-to-model-trustworthiness-warmth-and-competence
#12
Florian Drevs
In many countries, policy initiatives force the implementation of demand-driven healthcare systems to encourage competition among providers. When actively choosing hospitals, consumers can compare data on the quality of hospital performance among providers. However, patients do not necessarily take full advantage of comparative quality information but instead use a number of readily available proxies to evaluate provider trustworthiness. According to the stereotypic content model, organizational trustworthiness is built on stereotypical perceptions of hospitals' competence and warmth, reflected by visible hospital characteristics such as ownership and teaching status, and size...
August 2013: Health Services Management Research
https://www.readbyqxmd.com/read/25595005/what-causes-international-variations-in-length-of-stay-a-comparative-analysis-for-two-inpatient-conditions-in-japanese-and-canadian-hospitals
#13
COMPARATIVE STUDY
James Tiessen, Hirofumi Kambara, Tsuneo Sakai, Ken Kato, Kazunobu Yamauchi, Charles McMillan
Hospital average length of stay varies considerably between countries. However, there is limited patient-level research identifying or discounting possible reasons for these differences. This study compares the length of stay of patients in Japan, where it is the longest in the OECD, and Canada, where length of stay is closer to the OECD mean. Administrative patient-level data, including age, gender, co-morbidities, intervention, discharge plan, outcome and length of stay were collected from two Japanese and two Ontario, Canada hospitals for two diagnoses: colorectal cancer surgery and acute myocardial infarction...
August 2013: Health Services Management Research
https://www.readbyqxmd.com/read/25595004/health-management-education-in-europe-and-in-the-united-states-a-comparative-review-and-analysis
#14
REVIEW
Thomas P Weil
In Europe and in the United States, health management education and the role of health managers are patterned and consistent with how the country's healthcare system is organized, managed, and financed. In the United States, the fee-for-service, entrepreneurial dominated approach, resulting in health being one of the few remaining growth industries, has created a huge demand for additional health management education programs and managers. Therefore, universities finding themselves in an economic slump are attracted to establish health services administration programs (a North American term) since they require limited capital, continue to attract enrollment, and contribute to the "social good...
August 2013: Health Services Management Research
https://www.readbyqxmd.com/read/25595003/frameworks-for-change-in-healthcare-organisations-a-formative-evaluation-of-the-nhs-change-model
#15
Graham P Martin, Elizabeth Sutton, Janet Willars, Mary Dixon-Woods
BACKGROUND: Organisational change in complex healthcare systems is a multifaceted process. The English National Health Service recently introduced a 'Change Model' that seeks to offer an evidence-based framework for guiding change. We report findings from a formative evaluation of the NHS Change Model and make recommendations for those developing the Model and its users. METHODS: The evaluation involved 28 interviews with managers and clinicians making use of the Change Model in relation to a variety of projects...
August 2013: Health Services Management Research
https://www.readbyqxmd.com/read/25595002/dynamics-of-ambulatory-surgery-centers-and-hospitals-market-entry
#16
Michael Housman, Mona Al-Amin
In this article, we investigate the diversity of healthcare delivery organizations by comparing the market determinants of hospitals entry rates with those of ambulatory surgery centers (ASCs). Unlike hospitals, ASCs is one of the growing populations of specialized healthcare delivery organizations. There are reasons to believe that firm entry patterns differ within growing organizational populations since these markets are characterized by different levels of organizational legitimacy, technological uncertainty, and information asymmetry...
August 2013: Health Services Management Research
https://www.readbyqxmd.com/read/25595001/comparing-the-content-of-leadership-theories-and-managers-shared-perceptions-of-effective-leadership-a-q-method-study-of-trainee-managers-in-the-english-nhs
#17
COMPARATIVE STUDY
Tim Freeman
Health service managers face potential conflicts between corporate and professional agendas, a tension sharpened for trainees by their junior status and relative inexperience. While academic leadership theory forms an integral part of contemporary management development programmes, relatively little is known of trainees' patterned subjectivities in relation to leadership theories. The objective of this study was to explore such subjectivities within a cohort of trainees on the National Health Service Graduate Management Training Scheme (NHS GMTS), a 'fast-track' programme which prepares graduate entrants for director-level health service management posts...
August 2013: Health Services Management Research
https://www.readbyqxmd.com/read/25595000/ehma-briefing-knowledge-mobilization-in-european-union-funded-projects-%C3%A2-the-dialogue-model
#18
Paul Giepmans
No abstract text is available yet for this article.
February 2013: Health Services Management Research
https://www.readbyqxmd.com/read/25594999/leadership-and-transformational-change-in-healthcare-organisations-a-qualitative-analysis-of-the-north-east-transformation-system
#19
Jonathan Erskine, David J Hunter, Adrian Small, Chris Hicks, Tom McGovern, Ed Lugsden, Paula Whitty, Nick Steen, Martin Paul Eccles
The research project 'An Evaluation of Transformational Change in NHS North East' examines the progress and success of National Health Service (NHS) organisations in north east England in implementing and embedding the North East Transformation System (NETS), a region-wide programme to improve healthcare quality and safety, and to reduce waste, using a combination of Vision, Compact, and Lean-based Method. This paper concentrates on findings concerning the role of leadership in enabling tranformational change, based on semi-structured interviews with a mix of senior NHS managers and quality improvement staff in 14 study sites...
February 2013: Health Services Management Research
https://www.readbyqxmd.com/read/25594998/the-balance-of-care-approach-to-health-and-social-care-planning-lessons-from-a-systematic-literature-review
#20
REVIEW
Sue Tucker, Christian Brand, Mark Wilberforce, David Challis
The strategic allocation of resources is one the most difficult tasks facing health and social care decision makers, with multiple organisations delivering complex services to heterogeneous populations. The enduring appeal of the balance of care approach, a systematic framework for exploring the potential costs and consequences of changing the mix of community and institutional services in a defined geographical area, is thus unsurprising. However, no attempt has previously been made to synthesise or appraise the methodological approaches employed and lessons to inform future applications may go unheard...
February 2013: Health Services Management Research
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