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Journal of Health Organization and Management

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https://www.readbyqxmd.com/read/29187084/do-different-approaches-to-clinical-governance-development-and-implementation-make-a-difference-findings-from-ireland-and-new-zealand
#1
Robin Gauld, Simon Horsburgh, Maureen Alice Flynn, Deirdre Carey, Philip Crowley
Purpose Clinical governance (CG) is an important foundation for a high-performing health care system, with many countries supporting its development. CG policy may be developed and implemented nationally, or devolved to a local level, with implications for the overall approach to implementation and policy uptake. However, it is not known whether one of these two approaches is more effective. The purpose of this paper is to probe this question. Its setting is Ireland and New Zealand, two broadly comparable countries with similar CG policies...
October 9, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29187083/overcoming-counter-knowledge-through-telemedicine-communication-technologies
#2
Jorge Cegarra-Sanchez, Juan-Gabriel Cegarra-Navarro, Anthony Wensley, Jose Diaz Manzano
Purpose Knowledge acquired from sources of unverified information such as gossip, partial truths or lies, in this paper it is termed as "counter-knowledge." The purpose of this paper is to explore this topic through an exploration of the links between a Hospital-in-the-Home Units (HHUs) learning process (LP), counter-knowledge, and the utilization of communication technologies. The following two questions are addressed: Does the reduction of counter-knowledge result in the utilization of communication technologies? Does the development of counter-knowledge hinder the LP? Design/methodology/approach This paper examines the relevance of communication technologies to the exploration and exploitation of knowledge for 252 patients of a (HHU) within a Spanish regional hospital...
October 9, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29187082/lean-leadership-attributes-a-systematic-review-of-the-literature
#3
Kjeld Harald Aij, Maurits Teunissen
Purpose Emphasis on quality and reducing costs has led many health-care organizations to reconfigure their management, process, and quality control infrastructures. Many are lean, a management philosophy with roots in manufacturing industries that emphasizes elimination of waste. Successful lean implementation requires systemic change and strong leadership. Despite the importance of leadership to successful lean implementation, few researchers have probed the question of ideal leadership attributes to achieve lean thinking in health care...
October 9, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29187081/medical-directors-perspectives-on-strengthening-hospital-quality-and-safety
#4
Rachel Canaway, Marie Bismark, David Dunt, Margaret Kelaher
Purpose The purpose of this paper is to understand the concerns and factors that impact on hospital quality and safety, particularly related to use of performance data, within a setting of devolved governance. Design/methodology/approach This qualitative study used thematic analysis of interviews with public hospital medical directors. For additional context, findings were framed by themes from a review of hospital safety and quality in the same jurisdiction. Findings Varying approaches and levels of complexity were described about what and how performance data are reviewed, prioritised, and quality improvements implemented...
October 9, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29187080/-strange-animals-hybrid-organisations-in-health-care
#5
Martin Powell, Michele Castelli
Purpose The purpose of this paper is to critically explore hybrid organisations in health care. It examines the broad literature on hybrids focusing on issues of perspective, definition, sub-type and level. It then presents the results of the literature review of hybrid health care organisations, exploring which organisations have been viewed as hybrids, and then examining studies in more detail with respect to the research questions. Design/methodology/approach It critically explores the literature on hybrid organisations in health care through a structured search...
October 9, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29034828/professional-expertise-amongst-speech-language-therapists-willing-to-share
#6
Bianca N Jackson, Suzanne Carolyn Purdy, Helena Cooper-Thomas
Purpose The current healthcare environment provides several challenges to the existing roles of healthcare professionals. The value of the professional expert is also under scrutiny. The purpose of this paper is to generate a construction of professional expertise amongst practitioners in the current healthcare environment. It used the speech-language therapy community in New Zealand (NZ) as an example. Design/methodology/approach Speech-language therapists currently practicing in NZ completed an online survey including qualitative and quantitative components...
September 18, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29034827/dealing-with-a-changing-work-environment-hospital-job-type-contingencies
#7
Jasmijn van Harten, Eva Knies, Peter Leisink
Purpose The purpose of this paper is twofold: first, to examine whether workers in various hospital job groups differ in their perceptions of the provision of managerial support, and of their up-to-date expertise (UDE), willingness to change (WTC) and employment opportunities (EO). Second, to examine whether and how the relationships between managerial support, workers' UDE, WTC and their EO are moderated by hospital job type. Design/methodology/approach Survey data were collected from 1,764 employees of three Dutch hospitals...
September 18, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29034826/voice-of-the-clinician-the-case-of-an-australian-health-system
#8
Mark J Lock, Amber L Stephenson, Jill Branford, Jonathan Roche, Marissa S Edwards, Kathleen Ryan
Purpose The Voice of the Clinician project commenced during an era when practitioner burnout, dissatisfaction, and turnover became an increasingly global health workforce concern. One key problem is clinical staff not being empowered to voice their concerns to decision-makers, as was found in this case study of an Australian public health organization. The following research question informed the present study: What is a better committee system for clinician engagement in decision-making processes? The paper aims to discuss this issue...
September 18, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29034825/a-tale-of-four-practices
#9
Michelle Miller-Day, Janelle Applequist, Keri Zabokrtsky, Alexandra Dalton, Katherine Kellom, Robert Gabbay, Peter F Cronholm
Purpose The Patient-Centered Medical Home (PCMH) has become a dominant model of primary care re-design. This transformation presents a challenge to many care delivery organizations. The purpose of this paper is to describe attributes shaping successful and unsuccessful practice transformation within four medical practice groups. Design/methodology/approach As part of a larger study of 25 practices transitioning into a PCMH, the current study focused on diabetes care and identified high- and low-improvement medical practices in terms of quantitative patient measures of glycosylated hemoglobin and qualitative assessments of practice performance...
September 18, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28933678/medicine-madness-and-murderers-the-context-of-english-forensic-psychiatric-hospitals
#10
Ruth McDonald, Vivek Furtado, Birgit Völlm
Purpose The purpose of this paper is to add to the understanding of context by shedding light on the relationship between context and organisational actors' abilities to resolve ongoing challenges. Design/methodology/approach The authors used qualitative data collection (interviews and focus groups with staff and site visits to English forensic psychiatry hospitals) and the analysis was informed by Lefebvre's writings on space. Findings Responses to ongoing challenges were both constrained and facilitated by the context, which was negotiated and co-produced by the actors involved...
August 21, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28933677/exploring-health-work-a-critical-action-perspective
#11
John Hassard, Paula Hyde, Julie Wolfram Cox, Edward Granter, Leo McCann
Purpose The purpose of this paper is to describe a hybrid approach to the research developed during a multi-researcher, ethnographic study of NHS management in the UK. Design/methodology/approach This methodological paper elaborates a hybrid approach to the sociological analysis - the critical-action theory - and indicates how it can contribute to the critical health management studies. Findings After exploring the various theoretical, methodological and philosophical options available, the paper discusses the main research issues that influenced the development of this perspective and the process by which the critical-action perspective was applied to the studies of managerial work in four health service sectors - acute hospitals, ambulance services, community services and mental healthcare...
August 21, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28933676/bringing-humanity-into-view-action-research-with-qatar-s-ambulance-service
#12
Gill Coleman, Liz Wiggins
Purpose The purpose of this paper is to argue for the widening of attention in healthcare improvement efforts, to include an awareness of the humanity of people who work in the sector and an appreciation of the part human connection plays in engagement around good quality work. Theoretical frameworks and research approaches which draw on action-based, interpretive and systemic thinking are proposed, as a complement to current practices. Design/methodology/approach The paper describes the early stages of an action research (AR) project, which used the appreciative inquiry "4D" framework to conduct participative inquiry in Hamad Medical Corporation's ambulance service in Qatar, in which staff became co-researchers...
August 21, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28933675/using-the-concept-of-hubots-to-understand-the-work-entailed-in-using-digital-technologies-in-healthcare
#13
Catherine Pope, Joanne Turnbull
Purpose The purpose of this paper is to explore the human work entailed in the deployment of digital health care technology. It draws on imagined configurations of computers and machines in fiction and social science to think about the relationship between technology and people, and why this makes implementation of digital technology so difficult. The term hubots is employed as a metaphorical device to examine how machines and humans come together to do the work of healthcare. Design/methodology/approach This paper uses the fictional depiction of hubots to reconceptualise the deployment of a particular technology - a computer decision support system (CDSS) used in emergency and urgent care services...
August 21, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28933674/critical-healthcare-management-studies-green-shoots
#14
Martin Kitchener, Aoife M McDermott, Simon Cooper
Purpose While critical approaches have enriched research in proximate fields, their impact has been less marked in studies of healthcare management. In response, the 2016 Organizational Behaviour in Health Care Conference hosted its first-ever session dedicated to the emergent field of critical healthcare management studies (CHMSs). The purpose of this paper is to present five papers selected from that conference. Design/methodology/approach In this introductory paper, the authors frame the contributions as "green shoots" in a field of CHMS which contains four main furrows of activity: questioning the taken-for-granted; moving beyond instrumentalism; reflexivity and meanings in research; and challenging structures of domination (Kitchener and Thomas, 2016)...
August 21, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28933673/making-history-critical
#15
Mark Learmonth
Purpose The purpose of this paper is to explore a possible discursive history of National Health Service (NHS) "management" (with management, for reasons that will become evident, very much in scare quotes). Such a history is offered as a complement, as well as a counterpoint, to the more traditional approaches that have already been taken to the history of the issue. Design/methodology/approach Document analysis and interviews with UK NHS trust chief executives. Findings After explicating the assumptions of the method it suggests, through a range of empirical sources that the NHS has undergone an era of administration, an era of management and an era of leadership...
August 21, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28877625/bricks-and-mortar-and-patient-safety-culture
#16
Susan Brandis, Stephanie Schleimer, John Rice
Purpose Building a new hospital requires a major investment in capital infrastructure. The purpose of this paper is to investigate the impact of bricks-and-mortar on patient safety culture before and two years after the move of a large tertiary hospital to a greenfield site. The difference in patient safety perceptions between clinical and non-clinical staff is also explored. Design/methodology/approach This research uses data collected from the same workforce across two time periods (2013 and 2015) in a large Australian healthcare service...
June 19, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28877624/work-motivation-among-healthcare-professionals
#17
Sofia Kjellström, Gunilla Avby, Kristina Areskoug-Josefsson, Boel Andersson Gäre, Monica Andersson Bäck
Purpose The purpose of this paper is to explore work motivation among professionals at well-functioning primary healthcare centers subject to a national healthcare reform which include financial incentives. Design/methodology/approach Five primary healthcare centers in Sweden were purposively selected for being well-operated and representing public/private and small/large units. In total, 43 interviews were completed with different medical professions and qualitative deductive content analysis was conducted...
June 19, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28877623/management-challenges-in-british-columbia-s-healthcare-system
#18
Howard Peter Greenwald
Purpose The purpose of this paper is to identify the operational and management challenges in a globally budgeted, regionalized healthcare system and their implications for public service. Design/methodology/approach Concentrating on British Columbia's regional health authorities (RHAs) and hospitals, this study utilized data from interviews of key informants, documents (histories, legislation, agreements between RHAs and provincial government, and RHA organizational charts), news reports, and participant observation at board meetings...
June 19, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28877622/are-we-nearly-there-yet-a-study-of-the-english-national-health-service-as-professional-bureaucracies
#19
Helen Dickinson, Iain Snelling, Chris Ham, Peter C Spurgeon
Purpose The purpose of this paper is to explore issues of medical engagement in the management and leadership of health services in the English National Health Service (NHS). The literature suggests that this is an important component of high performing health systems, although the NHS has traditionally struggled to engage doctors and has been characterised as a professional bureaucracy. This study explored the ways in which health care organisations structure and operate medical leadership processes to assess the degree to which professional bureaucracies still exist in the English NHS...
June 19, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28877621/emerging-hybridity-comparing-uk-healthcare-regulatory-arrangements
#20
Joy Furnival, Kieran Walshe, Ruth Boaden
Purpose Healthcare regulation is one means to address quality challenges in healthcare systems and is carried out using compliance, deterrence and/or improvement approaches. The four countries of the UK provide an opportunity to explore and compare different regulatory architecture and models. The purpose of this paper is to understand emerging regulatory models and associated tensions. Design/methodology/approach This paper uses qualitative methods to compare the regulatory architecture and models. Data were collected from documents, including board papers, inspection guidelines and from 48 interviewees representing a cross-section of roles from six organisational regulatory agencies...
June 19, 2017: Journal of Health Organization and Management
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