The organizational and environmental characteristics associated with hospitals’ use of intensivists
Background
As large numbers of coronavirus disease 2019 (COVID-19) patients were admitted to intensive care units (ICUs) in 2020 and 2021, the United States faced a shortage of critical care providers. Intensivists are physicians specializing in providing care in the ICU. Although studies have explored the clinical and financial benefits associated with the use of intensivists, little is known about the organizational and market factors associated with a hospital administrator’s strategic decision to use intensivists.
Purpose
The aim of this study was to use the resource dependence theory to better understand ...
Source: Health Care Management Review - June 2, 2022 Category: American Health Tags: Features Source Type: research
Interplay of clear, demanding, and important goals on project performance in community–academic health partnerships
Conclusion
In CAHP projects, high goal importance offsets the negative effect of goal stress on project performance, indicating that workers who perceive the project goals as important can manage the stress associated with demanding goals better.
Practice Implications
To achieve high project performance in CAHPs, organizational and project leaders should (a) set clear project goals, (b) facilitate project workers in dealing with stress resulting from overly demanding goals, and (c) emphasize the importance of the project goals, especially when goal stress is high. (Source: Health Care Management Review)
Source: Health Care Management Review - June 2, 2022 Category: American Health Tags: Features Source Type: research
The effect of participation in accountable care organization on electronic health information exchange practices in U.S. hospitals
Background
Accountable care organizations (ACOs) are a recent incentive program that are designed to address inefficiencies in the U.S. health care sector. To meet their design objectives, ACO participants must engage in greater electronic health information exchange (HIE) practices both internally and externally with care participants, such as patients and other providers.
Purpose
The aim of this study was to examine the relationship between hospital participation in ACOs and electronic HIE practices with different participants of care and how these practices vary differentially across market types.
Approach...
Source: Health Care Management Review - June 2, 2022 Category: American Health Tags: Features Source Type: research
Environmental and organizational correlates and motivations for provider-sponsored health plan ownership in the post-reform era
Conclusions
Both market and organizational factors are important considerations for hospitals contemplating PSHP ownership, and motivations for ownership cover a broad range of financial, competitive, strategic, and mission-based goals.
Practice Implications
Hospitals considering PSHP ownership must carefully evaluate their competitive landscapes and organizational resources to ensure optimal conditions for this strategy. PSHP ownership has high start-up costs and requires a long-term organizational commitment. (Source: Health Care Management Review)
Source: Health Care Management Review - June 2, 2022 Category: American Health Tags: Features Source Type: research
A double-edged sword: The effects of social network ties on job satisfaction in primary care organizations
We examined this relationship for both instrumental and expressive ties.
Results
Individuals who were more central in the expressive network were less satisfied in their job, b = −0.40 (0.19), p (Source: Health Care Management Review)
Source: Health Care Management Review - June 2, 2022 Category: American Health Tags: Features Source Type: research
Living Short: New Realities, New Research
No abstract available (Source: Health Care Management Review)
Source: Health Care Management Review - June 2, 2022 Category: American Health Tags: Department: Editorial Source Type: research
Antecedents of geographical expansion: The case of federally qualified health centers
Conclusion
Findings of this study indicate that competition, especially between peer FQHCs, is significantly associated with FQHC expansion.
Practice Implications
This result suggests that FQHC managers and policymakers may closely monitor cost, access, and quality implications of competition and FQHC expansion. (Source: Health Care Management Review)
Source: Health Care Management Review - March 16, 2022 Category: American Health Tags: Online Only Source Type: research
Enhancing the value to users of machine learning-based clinical decision support tools: A framework for iterative, collaborative development and implementation
Conclusion
Health care organizations that anticipate iterative collaboration to be an integral aspect of their ML-based CDS tools’ development and implementation process may have more success in deploying ML-based CDS tools that assist end users in their work than organizations that expect a traditional technology innovation process.
Practice Implications
Managers developing and implementing ML-based CDS tools should frame the work as a collaborative learning opportunity for both users and the technology itself and should solicit constructive feedback from users on potential changes to the technology, in addit...
Source: Health Care Management Review - March 16, 2022 Category: American Health Tags: Online Only Source Type: research
Factors associated with difficulty in adapting and intent to leave among new graduate nurses in South Korea
Background
New graduate nurses experience difficulty in adapting to a new environment, which affects intent to leave. However, data on the factors contributing to difficulty in adapting and intent to leave among new graduate nurses are insufficient.
Purpose
The aim of the study was to explore and compare factors associated with difficulty in adapting and the intent to leave among new graduate nurses in South Korea.
Methodology
This cross-sectional study used secondary data analysis. Primary data were obtained from the 2015–2016 Korean National Graduates Occupational Mobility Survey. Descriptive statisti...
Source: Health Care Management Review - March 16, 2022 Category: American Health Tags: Features Source Type: research
Health care professionals’ motivation, their behaviors, and the quality of hospital care: A mixed-methods systematic review
Background
Health care professionals’ work motivation is assumed to be crucial for the quality of hospital care, but it is unclear which type of motivation ought to be stimulated to improve quality. Motivation and similar concepts are aligned along a motivational continuum that ranges from (intrinsic) autonomous motivation to (extrinsic) controlled motivation to provide a framework for this mixed-methods systematic review.
Purpose
This mixed-methods systematic review aims to link various types of health care professionals’ motivation directly and through their work-related behaviors to quality of care.
Me...
Source: Health Care Management Review - March 16, 2022 Category: American Health Tags: Features Source Type: research
A text mining study of topics and trends in health care management journals: 1998–2018
Conclusion
There was a close association of journals and research topics, and research topics evolved with changes in the health care environment.
Practice Implications
As scholars develop research agendas, focus should be on topics important to health care management practitioners for better informed decision-making. (Source: Health Care Management Review)
Source: Health Care Management Review - March 16, 2022 Category: American Health Tags: Features Source Type: research
Disruptive behavior in a high-power distance culture and a three-dimensional framework for curbing it
Background
Disruptive behavior can harm high-quality care and is prevalent in many Western public health systems despite increasing spotlight on it. Comparatively less knowledge about it is available in Asia, a region commonly associated with high-power distance, which may limit its effectiveness in addressing disruptive behavior.
Purpose
The aim of this study was to develop a comprehensive framework for tackling disruptive behavior among health care professionals in a public health system.
Methodology
A nationwide cross-sectional study relying on the Nurse–Physician Relationship Survey was conducted in...
Source: Health Care Management Review - March 16, 2022 Category: American Health Tags: Features Source Type: research
Managing intergroup silos to improve patient flow
Conclusion
Silos, though an unavoidable feature of organizational life, can be managed and mitigated. However, a key challenge in redefining groups is that the easiest place to draw boundaries from a social identity perspective may not be the best place from one of system design. Narrowly defined groups forge strong identities more easily, but broader groups facilitate coordination of care by minimizing the number of boundaries patients must traverse.
Practice Implications
A thoughtfully designed combination of strategies may help to improve intergroup relations and their impact on flow. It may be ideal to foste...
Source: Health Care Management Review - March 16, 2022 Category: American Health Tags: Features Source Type: research
Reducing burnout among nurses: The role of high-involvement work practices and colleague support
Conclusion
The study identifies the universality of high-involvement work practices in alleviating nurses’ burnout and highlights the important role of psychological empowerment as an explanatory variable. In addition, colleague support is an important yet independent predictor of nurses’ burnout.
Practical Implications
This study identifies a strategy that can be adopted by hospital managers to help protect against nurse burnout while offering insights into the underlying process involved. (Source: Health Care Management Review)
Source: Health Care Management Review - March 16, 2022 Category: American Health Tags: Features Source Type: research
Practices to support relational coordination in care transitions: Observations from the VA rural Transitions Nurse Program
Background
Ensuring safe transitions of care around hospital discharge requires effective relationships and communication between health care teams. Relational coordination (RC) is a process of communicating and relating for the purpose of task integration that predicts desirable outcomes for patients and providers. RC can be measured using a validated survey.
Purpose
The aim of the study was to demonstrate the application of RC practices within the rural Transitions Nurse Program (TNP), a nationwide transitions of care intervention for Veterans, and assess relationships and mechanisms for developing RC in teams...
Source: Health Care Management Review - March 16, 2022 Category: American Health Tags: Features Source Type: research
