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Journal of Health Organization and Management

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https://www.readbyqxmd.com/read/30299225/darzi-clinical-leadership-fellows-an-activity-theory-perspective
#1
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://www.readbyqxmd.com/read/30299224/discursive-practice-lean-thinking-nurses-responsibilities-and-the-cost-to-care
#2
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://www.readbyqxmd.com/read/30299223/team-based-communication-and-the-healthcare-communication-space
#3
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://www.readbyqxmd.com/read/30299222/what-s-the-fuss-gender-and-academic-leadership
#4
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://www.readbyqxmd.com/read/30299221/new-ways-to-get-policy-into-practice
#5
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://www.readbyqxmd.com/read/30175682/integrated-care-mobilising-professional-identity
#6
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://www.readbyqxmd.com/read/30175681/caveats-for-high-reliability-in-healthcare
#7
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://www.readbyqxmd.com/read/30175680/dynamics-of-distributed-leadership-during-a-hospital-merger
#8
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://www.readbyqxmd.com/read/30175679/determinants-of-good-and-poor-quality-as-perceived-by-us-health-care-managers
#9
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://www.readbyqxmd.com/read/30175678/implementation-of-a-comprehensive-program-to-improve-coordination-of-care-in-an-urban-academic-health-care-system
#10
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
https://www.readbyqxmd.com/read/30175677/multi-professional-teamwork-in-human-services
#11
Ulrica Nylén
Purpose This paper investigates the prospects and difficulties of multi-professional teamwork in human services from a professional identity perspective. The purpose of this paper is to explore the mutual interplay between professional identity formation and team activities. Design/methodology/approach This is a process study of two cases of multi-professional teamwork in family care. Data were collected through in-depth interviews with team members and managers. The analysis follows a stepwise approach alternating between the individual and team levels...
August 20, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/30175676/inter-occupational-cooperation-and-boundary-work-in-the-hospital-setting
#12
Anna Cregård
Purpose The purpose of this paper is to add a little piece to the research on boundary work and inter-occupational cooperation by addressing two questions: how do actors perform boundary work in an inter-occupational cooperation project that seeks to improve the personnel health work in a hospital setting? What impact does the boundary work have on such cooperation in the personnel health project? Design/methodology/approach The study is based on individual, in-depth interviews and participative observations of focus group discussions conducted at a regional municipal organization in Sweden...
August 20, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29969353/no-one-can-whistle-a-symphony-how-hospitals-design-for-daily-cross-boundary-collaboration
#13
Thim Prætorius, Peter Hasle, Anders Paarup Nielsen
Purpose The purpose of this paper is to investigate how and with which mechanisms health care professionals in practice design for collaboration to solve collective hospital tasks, which cross occupational and departmental boundaries. Design/methodology/approach An in-depth multiple-case study of five departments across four hospitals facing fast to slow response task requirements was carried out using interviews and observations. The selected cases were revealing as the departments had designed and formalized their daily hospital operations differently to solve collaboration and performance issues...
June 18, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29969352/from-one-sized-to-over-individualized-service-logic-s-value-creation
#14
Erik Masao Eriksson, Lars Nordgren
Purpose There is a current trend in healthcare management away from produced and standardized one-size-fits-all processes toward co-created and individualized services. The purpose of this paper is to increase understanding of the value concept in healthcare organization and management by recognizing different levels of value (private, group and public) and the interconnectedness among these levels. Design/methodology/approach The paper uses social constructionism as a lens to problematize the individualization of service logic's value concept...
June 18, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29969351/funding-profiles-of-multisector-health-care-alliances-and-their-positioning-for-sustainability
#15
Larry Hearld, Jeffrey A Alexander, Laura J Wolf, Yunfeng Shi
Purpose The purpose of this paper is to examine the relationship between different aspects of alliance funding profiles (e.g. range of sources, dependence on specific sources) and participant' perceptions of how well the organization is positioned for the future. Design/methodology/approach A mixed method study in the context of eight alliances participating in the Robert Wood Johnson Foundation's Aligning Forces for Quality program. Data collection approaches included surveys of alliance participants and semi-structured interviews with alliance leaders...
June 18, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29969350/post-surgery-length-of-stay-using-multi-criteria-decision-making-tool
#16
Sandra C Buttigieg, Dorothy Gauci, Frank Bezzina, Prasanta K Dey
Purpose Length of stay (LOS) in hospital after surgery varies for each patient depending on surgeon's decision that considers criticality of the surgery, patient's conditions before and after surgery, expected time to recovery and experience of the surgeon involved. Decision on patients' LOS at hospital post-surgery affects overall healthcare performance as it affects both cost and quality of care. The purpose of this paper is to develop a model for deriving the most appropriate LOS after surgical interventions...
June 18, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29969349/digital-displacements-in-patient-professional-relations
#17
Anja Svejgaard Pors
Purpose The purpose of this paper is to examine the relational consequences of electronic patient records based on co-produced data from pregnant women's IT supported self-reporting. The analysis unfolds how the clinical encounter between patient and professional is reconfigured in the digitized society. Design/methodology/approach The paper provides a grounded theory analysis based on observations and interviews in an antenatal care unit. The study draws on empirical material generated through observations of the clinical encounters between pregnant women and midwifes, interviews with managers and midwifes, field notes and policy documents...
June 18, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29969348/the-persistent-problem-of-integrated-care-in-english-nhs-hospitals
#18
Jonathan Erskine, Michele Castelli, David Hunter, Amritpal Hungin
Purpose The purpose of this paper is to determine whether some aspects of the distinctive Mayo Clinic care model could be translated into English National Health Service (NHS) hospital settings, to overcome the fragmented and episodic nature of non-emergency patient care. Design/methodology/approach The authors used a rapid review to assess the literature on integrated clinical care in hospital settings and critical analysis of links between Mayo Clinic's care model and the organisation's performance and associated patient outcomes...
June 18, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29969347/impacts-of-continuous-quality-improvement-in-aboriginal-and-torres-strait-islander-primary-health-care-in-australia
#19
Beverly Sibthorpe, Karen Gardner, Mier Chan, Michelle Dowden, Ginny Sargent, Dan McAullay
Purpose Continuous quality improvement (CQI) programmes have been taken up widely by indigenous primary health care services in Australia, but as yet there has not been a systematic assessment of their focus and achievements. A scoping review of the literature from studies of CQI in indigenous primary health care services was undertaken to explore impacts on service systems, care and client outcomes with the aim of providing guidance on future evaluation efforts. The paper aims to discuss these issues, Design/methodology/approach Searches were conducted in MEDLINE, CINAHL and the Cochrane Database of Systematic Reviews to December 2016 and handsearching of key websites and publications...
June 18, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29771210/variables-affecting-hospital-length-of-stay-a-scoping-review
#20
REVIEW
Sandra C Buttigieg, Lorraine Abela, Adriana Pace
Purpose Tertiary hospitals have registered an incremental rise in expenditure mostly because of the increasing demands by ageing populations. Reducing the length of stay (LOS) of patients within tertiary hospitals is one of the strategies, which has been used in the last decades to ensure health care systems' sustainability. Furthermore, LOS is one of the key performance indicators, which is widely used to assess hospital efficiency. Hence, it is crucial that policy makers use evidence-based practices in health care to aim for optimal LOS...
May 21, 2018: Journal of Health Organization and Management
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