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Managing health care in the digital world: A comparative analysis
This study is based on a comparative analysis using a multiple method approach to examine the implementation of the same electronic medical record system at two different hospitals. Its findings offer insights into the processes of the adoption of innovation and its implementation in a healthcare context. The need to innovate, the decision to innovate, the implementation process and consequently, the results produced are quite distinctive at each study site. This comparative case study reveals that what appears to be the same can be quite different: this can be due to several conditions at the organization, the organizatio...
Source: Health Services Management Research - November 1, 2016 Category: Health Management Authors: Cucciniello, M., Lapsley, I., Nasi, G. Tags: Special Issue articles Source Type: research

'Black sheep in the herd? The role, status and identity of generalist doctors in secondary care
Changing patient demographics raise important challenges for healthcare providers around the world. Medical generalists can help to bridge gaps in existing healthcare provision. Various approaches to medical generalism can be identified, for example, hospitalists in the US and the restructuring of care away from medical disciplines in the Netherlands, which have different implications for training and service provision. Drawing on international debates around the definition and role of generalism, this article explores one manifestation of generalism in the UK to understand how abstract ideas work in practice and some of t...
Source: Health Services Management Research - November 1, 2016 Category: Health Management Authors: Muddiman, E., Bullock, A., Allery, L., MacDonald, J., Webb, K. L., Pugsley, L. Tags: Special Issue articles Source Type: research

Medical innovation and the sustainability of health systems: A historical perspective on technological change in health
We describe key technological achievements along three historical periods – the 1950s, the 1980s and the 2000s – and situate them within their broader political, social, cultural and economic contexts. Our analyses bring forward self-reinforcing dynamics between technology, medical specialization, individualization of disease and the concentration of resources in academic teaching centres. We argue that the way medical innovation has been financed, designed and commercialized since the 1950s has engendered path dependency, which exacerbates the sustainability challenges healthcare systems are now facing. We con...
Source: Health Services Management Research - November 1, 2016 Category: Health Management Authors: Lehoux, P., Roncarolo, F., Rocha Oliveira, R., Pacifico Silva, H. Tags: Special Issue articles Source Type: research

The Canadian healthcare system: It needs enhancement
Although Canadian healthcare is commonly referred to as a single-payer system providing universal coverage for only hospital and physician benefits, it is argued herein that their plan actually functions as a multi-payer model; and, it provides a far lesser breadth of coverage than available among most western European countries. Of concern is that in addition to their mandated plan, only 60% of their residents are covered by private insurance for pharmaceuticals, dental care, and eye services most often paid for as a fringe benefit by their employers. In addition, based on their medical loss ratios (74% for group coverage...
Source: Health Services Management Research - November 1, 2016 Category: Health Management Authors: Weil, T. P. Tags: Special Issue articles Source Type: research

Role of health insurance in enabling universal health coverage in India: A critical review
India has set itself a long-term goal of providing universal health coverage for all its citizens and over the past few decades, significant progress has been achieved by the government, towards meeting this goal. But, due to funding inadequacy, public health infrastructure continues to suffer from perennial shortages, impacting the rural and indigent population segments the most. As a consequence of these shortages, nearly 70% of health spending is borne by households, out-of-pocket sources, and delivered by private health care facilities. This scenario usually leaves the families impoverished and in debt, as private sect...
Source: Health Services Management Research - November 1, 2016 Category: Health Management Authors: Thomas, T. K. Tags: Special Issue articles Source Type: research

Performance implications of public-private partnerships in research hospitals: Lessons from the involvement of a charity
The paper examines the financial and non-financial performance effects of the third sector involvement in public research hospitals. By relying on multiple data sources, the study compares the performance of an Italian public research hospital before and after the establishment of a partnership with a charity institution. The results reveal that the involvement of the charity is beneficial for both care and research activities, thus supporting the research hospital in achieving its twofold mission. Beside the advancement of the literature, the paper offers a successful example of collaboration between public and not-for-pr...
Source: Health Services Management Research - November 1, 2016 Category: Health Management Authors: Catuogno, S., Arena, C., Saggese, S., Sarto, F. Tags: Special Issue articles Source Type: research

Editorial comments for HSMR
(Source: Health Services Management Research)
Source: Health Services Management Research - November 1, 2016 Category: Health Management Authors: Lindstrom, R. R. Tags: Editorial Source Type: research

Designing health-literate health care organization: A literature review
Health literacy is usually described as a silent epidemic, which is challenging the sustainability of health care systems all over the world. The scientific literature has discussed the drawbacks of marginal health literacy on the functioning of the health care organizations. In particular, limited health literacy has been associated with: poorer ability of patients to comprehend health information, deficient medication adherence, insufficient use of prevention services, higher hospitalization rates, and greater health service utilization. In most of the cases, health literacy has been understood as an individual trait, wh...
Source: Health Services Management Research - August 7, 2016 Category: Health Management Authors: Palumbo, R. Tags: Evidence synthesis/review Source Type: research

A framework for conceptualizing patient loyalty to healthcare organizations
This paper develops a framework with which to conceptualize loyalty to healthcare organizations in terms of relationship marketing, patient satisfaction, provider switching, and retention programs. This conceptual framework can be viewed from the perspective of hospitals and clinics using structural equation modeling with a partial least squares approach (Smart PLS 2.0). Respondents received healthcare services, funded by the government and a university health insurance plan, from both types of organizations. The concept of loyalty differed slightly depended on whether data from the hospital and the clinic were analyzed to...
Source: Health Services Management Research - August 7, 2016 Category: Health Management Authors: Astuti, H. J., Nagase, K. Tags: Primary research Source Type: research

Value and nursing home profitability
Conclusions Nursing homes can offer services to long-term care self-pay residents that are of higher quality and/or have a lower price for than other nursing homes without putting profitability at risk. (Source: Health Services Management Research)
Source: Health Services Management Research - August 7, 2016 Category: Health Management Authors: Clement, J. Tags: Primary research Source Type: research

Application of quantitative techniques in decision making by healthcare managers and administrators in Nigerian public tertiary health institutions
Conclusions Approach to decision making in the Nigerian health sector is still largely experiential and more of a personalised bargaining process. Acknowledgement of the relevance of quantitative techniques by clinical and non-clinically related health managers and administrators as found in this study is hoped to accelerate the adoption of these techniques. It is believed that its application will lead to improved health service delivery and health outcomes. (Source: Health Services Management Research)
Source: Health Services Management Research - August 7, 2016 Category: Health Management Authors: Esan, O. T., Akanbi, C. T., Esan, O., Fajobi, O., Ikenebomeh, P. I. Tags: Primary research Source Type: research

Person-centred care: A qualitative study on first line managers experiences on its implementation
Person-centred care is an up-and-coming care model for reducing fragmentation in healthcare by using the core component partnership between patients and care providers. Therefore, it is important to develop knowledge of the implementation processes. The overall aim of this qualitative study was to describe managers’ experiences of the implementation of person-centred care. This paper provides an example of how person-centred care was implemented in the medical department of a hospital in the western part of Sweden. The study comprised eight interviews with first-line managers, and the data were analysed using qualita...
Source: Health Services Management Research - August 7, 2016 Category: Health Management Authors: Rosengren, K. Tags: Primary research Source Type: research

The neglected issues
(Source: Health Services Management Research)
Source: Health Services Management Research - August 7, 2016 Category: Health Management Tags: Editorial Source Type: research

Thanks to reviewers
(Source: Health Services Management Research)
Source: Health Services Management Research - May 15, 2016 Category: Health Management Tags: Reviewer list Source Type: research

The price of certainty: Benefits and costs of public-private partnerships for healthcare infrastructure and related services
Although the use of public–private partnerships is endorsed by agencies at the national and supranational levels, there is little guidance for decision-makers on what good outcomes look like and the circumstances in which such outcomes are likely to occur. Enhanced understanding of these issues can improve the governance of large-scale contracting in the health sector. Drawing on a narrative review of the available theoretical and empirical research, this paper evaluates: (1) the benefits that public–private partnerships generate compared to alternative mechanisms of delivery; (2) their additional costs; and (3...
Source: Health Services Management Research - May 15, 2016 Category: Health Management Authors: Hellowell, M. Tags: Evidence synthesis/review Source Type: research