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Journal of Health Organization and Management

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https://www.readbyqxmd.com/read/27834606/the-missing-link-to-patient-engagement-in-italy
#1
Rocco Palumbo, Carmela Annarumma, Paola Adinolfi, Marco Musella
Purpose The purpose of this paper is to discuss the changing patterns of users' behavior in the health care service system. Although patient engagement and health services' co-production are understood as essential ingredients in the recipe for sustainable health systems, some determinants to patient involvement are still widely neglected by both policy makers and health care professionals. Among others, inadequate health literacy performs as a significant barrier to patient empowerment. Design/methodology/approach A survey aimed at objectively measuring health literacy-related skills was administered to a random sample of 600 Italian patients...
November 21, 2016: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/27834605/the-impact-of-accreditation-on-healthcare-quality-improvement-a-qualitative-case-study
#2
Sara Melo
Purpose Research on accreditation has mostly focused on assessing its impact using large scale quantitative studies, yet little is known on how quality is improved in practice through an accreditation process. Using a case study of an acute teaching hospital in Portugal, the purpose of this paper is to explore the dynamics through which accreditation can lead to an improvement in the quality of healthcare services provided. Design/methodology/approach Data for the case study was collected through 46 in-depth semi-structured interviews with 49 clinical and non-clinical members of staff...
November 21, 2016: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/27834604/stress-among-public-middle-managers-dealing-with-reforms
#3
David Giauque
Purpose The purpose of this paper is to identify social and organizational antecedents of stress. This paper also investigates whether attitudes toward organizational changes and reforms might explain stress perception (SP) and mediate the relationships between social and organizational job characteristics and SP. Design/methodology/approach A quantitative approach is used to identify the relationships between the research variables. The investigated population is composed of middle managers working in Swiss public hospitals ( n=720), which are currently being confronted by major reforms...
November 21, 2016: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/27834603/understanding-human-resource-management-practices-in-botswana-s-public-health-sector
#4
Onalenna Stannie Seitio-Kgokgwe, Robin Gauld, Philip C Hill, Pauline Barnett
Purpose The purpose of this paper is to assess the management of the public sector health workforce in Botswana. Using institutional frameworks it aims to document and analyse human resource management (HRM) practices, and make recommendations to improve employee and health system outcomes. Design/methodology/approach The paper draws from a large study that used a mixed methods approach to assess performance of Botswana's Ministry of Health (MOH). It uses data collected through document analysis and in-depth interviews of 54 key informants comprising policy makers, senior staff of the MOH and its stakeholder organizations...
November 21, 2016: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/27834602/from-boundaries-to-boundary-work-middle-managers-creating-inter-organizational-change
#5
Lieke Oldenhof, Annemiek Stoopendaal, Kim Putters
Purpose In healthcare, organizational boundaries are often viewed as barriers to change. The purpose of this paper is to show how middle managers create inter-organizational change by doing boundary work: the dual act of redrawing boundaries and coordinating work in new ways. Design/methodology/approach Theoretically, the paper draws on the concept of boundary work from Science and Technology Studies. Empirically, the paper is based on an ethnographic investigation of middle managers that participate in a Dutch reform program across health, social care, and housing...
November 21, 2016: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/27834601/understanding-healthcare-innovation-systems-the-stockholm-region-case
#6
Lisa-Marie Larisch, Isis Amer-Wåhlin, Patrik Hidefjäll
Purpose There is an increasing interest in understanding how innovation processes can address current challenges in healthcare. The purpose of this paper is to analyze the wider socio-economic context and conditions for such innovation processes in the Stockholm region, using the functional dynamics approach to innovation systems (ISs). Design/methodology/approach The analysis is based on triangulation using data from 16 in-depth interviews, two workshops, and additional documents. Using the functional dynamics approach, critical structural and functional components of the healthcare IS were analyzed...
November 21, 2016: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/27834600/challenges-and-opportunities-for-disinvestment-in-australia
#7
Rebecca Trowman Day, Richard Norman, Suzanne Robinson
Purpose Worldwide, there is significant growth in the cost of (and demand for) healthcare, which often clashes with a requirement to contain expenditure. This duality leads to an increasing need for a systematic approach to disinvestment in health technologies. The purpose of this paper is to consider the challenges and opportunities for disinvestment policy decisions in Australia. It discusses the implementation of the Choosing Wisely campaign and the need for rigorous evaluation of such campaigns in the Australian healthcare system...
November 21, 2016: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/27700478/integrating-research-clinical-care-and-education-in-academic-health-science-centers
#8
Gillian King, Nicole Thomson, Mitchell Rothstein, Shauna Kingsnorth, Kathryn Parker
Purpose One of the major issues faced by academic health science centers (AHSCs) is the need for mechanisms to foster the integration of research, clinical, and educational activities to achieve the vision of evidence-informed decision making (EIDM) and optimal client care. The paper aims to discuss this issue. Design/methodology/approach This paper synthesizes literature on organizational learning and collaboration, evidence-informed organizational decision making, and learning-based organizations to derive insights concerning the nature of effective workplace learning in AHSCs...
October 10, 2016: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/27700477/building-a-learning-health-system-using-clinical-registers-a-non-technical-introduction
#9
John Ovretveit, Eugene Nelson, Brent James
Purpose The purpose of this paper is to describe how clinical registers were designed and used to serve multiple purposes in three health systems, in order to contribute practical experience for building learning healthcare systems. Design/methodology/approach Case description and comparison of the development and use of clinical registries, drawing on participants' experience and published and unpublished research. Findings Clinical registers and new software systems enable fact-based decisions by patients, clinicians, and managers about better care, as well as new and more economical research...
October 10, 2016: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/27700476/building-a-system-wide-approach-to-community-relationships-with-the-findings-of-a-scoping-review-in-health-and-social-care
#10
Paul Grimshaw, Linda McGowan, Elaine McNichol
Purpose For leadership and management of Western health systems, good quality relationships are a fundamental cornerstone of organising health and social care (H&SC) delivery, delivering benefits across organisations and communities. The purpose of this paper is to explore the extant management, H&SC literature, grounded in older people care, reveal behaviours, processes and practices that if readily identified across a context will support healthy relationships across the "whole system" of stakeholders. Design/methodology/approach An academic/practitioner group designed and guided a scoping literature review of the H&SC and broader management literature to identify and extract important behaviours, processes and practices underlying the support of high-quality relationships...
October 10, 2016: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/27700475/leadership-and-management-in-uk-medical-school-curricula
#11
Richard Jefferies, Ibrahim H N Sheriff, Jacob H Matthews, Olivia Jagger, Sarah Curtis, Peter Lees, Peter C Spurgeon, Daniel Mark Fountain
Purpose Although medical leadership and management (MLM) is increasingly being recognised as important to improving healthcare outcomes, little is understood about current training of medical students in MLM skills and behaviours in the UK. The paper aims to discuss these issues. Design/methodology/approach This qualitative study used validated structured interviews with expert faculty members from medical schools across the UK to ascertain MLM framework integration, teaching methods employed, evaluation methods and barriers to improvement...
October 10, 2016: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/27700474/assessing-the-relationship-between-patient-satisfaction-and-clinical-quality-in-an-ambulatory-setting
#12
Tawnya Bosko, Kathryn Wilson
Purpose The purpose of this paper is to assess the relationship between patient satisfaction and a variety of clinical quality measures in an ambulatory setting to determine if there is significant overlap between patient satisfaction and clinical quality or if they are separate domains of overall physician quality. Assessing this relationship will help to determine whether there is congruence between different types of clinical quality performance and patient satisfaction and therefore provide insight to appropriate financial structures for physicians...
October 10, 2016: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/27700473/social-networks-in-health-care-teams-evidence-from-the-united-states
#13
Lusine Poghosyan, Robert J Lucero, Ashley R Knutson, Mark W Friedberg, Hermine Poghosyan
Purpose The purpose of this paper is to synthesize existing evidence regarding health care team networks, including their formation and association with outcomes in various health care settings. Design/methodology/approach Network theory informed this review. A literature search was conducted in major databases for studies that used social network analysis methods to study health care teams in the USA between 2000 and 2014. Retrieved studies were reviewed against inclusion and exclusion criteria. Findings Overall, 25 studies were included in this review...
October 10, 2016: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/27700472/continuous-quality-improvement-in-a-maltese-hospital-using-logical-framework-analysis
#14
Sandra C Buttigieg, Dorothy Gauci, Prasanta Dey
Purpose The purpose of this paper is to present the application of logical framework analysis (LFA) for implementing continuous quality improvement (CQI) across multiple settings in a tertiary care hospital. Design/methodology/approach This study adopts a multiple case study approach. LFA is implemented within three diverse settings, namely, intensive care unit, surgical ward, and acute in-patient psychiatric ward. First, problem trees are developed in order to determine the root causes of quality issues, specific to the three settings...
October 10, 2016: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/27681030/comparing-the-implementation-consequences-of-the-immunisation-and-emergency-department-health-targets-in-new-zealand
#15
Tim Tenbensel, Linda Chalmers, Esther Willing
Purpose Over the last decade there has been considerable debate about the merits of targets as a policy instrument. The purpose of this paper is to examine the implementation of two health targets that were cornerstones of New Zealand health policy between 2009 and 2012: immunisation rates for two-year-olds, and time to treatment, discharge or admission in hospital emergency departments. Design/methodology/approach For each policy target, the authors selected four case-study districts and conducted two waves of key-informant interviews (113 in total) with clinical and management staff involved in target implementation...
September 19, 2016: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/27681029/key-success-factors-behind-electronic-medical-record-adoption-in-thailand
#16
Kanida Narattharaksa, Mark Speece, Charles Newton, Damrongsak Bulyalert
Purpose The purpose of this paper is to investigate the elements that health care personnel in Thailand believe are necessary for successful adoption of electronic medical record (EMR) systems. Design/methodology/approach Initial qualitative in-depth interviews with physicians to adapt key elements from the literature to the Thai context. The 12 elements identified included things related to managing the implementation and to IT expertise. The nationwide survey was supported by the Ministry of Public Health and returned 1,069 usable questionnaires (response rate 42 percent) from a range of medical personnel...
September 19, 2016: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/27681028/grassroots-inter-professional-networks-the-case-of-organizing-care-for-older-cancer-patients
#17
Fatou Farima Bagayogo, Annick Lepage, Jean-Louis Denis, Lise Lamothe, Liette Lapointe, Isabelle Vedel
Purpose The purpose of this paper of inter-professional networks is to analyze the evolution of relationships between professional groups enacting new forms of collaboration to address clinical imperatives. Design/methodology/approach This paper uses a case study based on semi-structured interviews with physicians and nurses, document analysis and informal discussions. Findings This study documents how two inter-professional networks were developed through professional agency. The findings show that the means by which networks are developed influence the form of collaboration therein...
September 19, 2016: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/27681027/developing-an-evaluation-framework-for-clinical-redesign-programs-lessons-learnt
#18
Premaratne Samaranayake, Ann Dadich, Anneke Fitzgerald, Kathryn Zeitz
Purpose The purpose of this paper is to present lessons learnt through the development of an evaluation framework for a clinical redesign programme - the aim of which was to improve the patient journey through improved discharge practices within an Australian public hospital. Design/methodology/approach The development of the evaluation framework involved three stages - namely, the analysis of secondary data relating to the discharge planning pathway; the analysis of primary data including field-notes and interview transcripts on hospital processes; and the triangulation of these data sets to devise the framework...
September 19, 2016: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/27681026/process-redesign-for-time-based-emergency-admission-targets
#19
Sandra G Leggat, Richard Gough, Timothy Bartram, Pauline Stanton, Greg J Bamber, Ruth Ballardie, Amrik Sohal
Purpose Hospitals have used process redesign to increase the efficiency of the emergency department (ED) to cope with increasing demand. While there are published studies suggesting a positive outcome, recent reviews have reported that it is difficult to conclude that these approaches are effective as a result of substandard research methodology. The purpose of this paper is to explore the perceptions of hospital staff on the impact of a process redesign initiative on quality of care. Design/methodology/approach A retrospective qualitative case study examining a Lean Six Sigma (LSS) initiative in a large metropolitan hospital from 2009 to 2010...
September 19, 2016: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/27681025/alignment-of-governance-and-senior-executive-perceptions-of-culture
#20
Evelyn Suk Yi Looi, Richard Greatbanks, André M Everett
Purpose The purpose of this paper is to examine the alignment of perceived organizational culture between Health Board chairs and Board members with that of their respective senior executive teams. It compares the degree of alignment between these two groups, and analyses them against District Health Board (DHB) performance using the New Zealand Ministry of Health's national measure "shorter stays in Emergency Departments." Design/methodology/approach Primary survey data were collected across eight DHBs using a modified version of the Organizational Culture Assessment Instrument and utilizes a sample of both higher and lower performing DHBs as defined by the "shorter stays" measure...
September 19, 2016: Journal of Health Organization and Management
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