Lessons learned from the pandemic: expanding the collaboration between clinical and logistics activities in a hospital
The objective of this research is to understand how these changes took place, what collaboration mechanisms were developed with clinical authorities and, to what extent, logistics and clinical care activities should be decoupled to maximize each area's contribution?The case study is selected to investigate practices implemented during the COVID-19 pandemic in hospitals in Canada. The pandemic presented an opportunity to contrast practices implemented in response to this crisis with those historically used in this environment.The strategy of decoupling logistical tasks of an operational nature from clinical activities is we...
Source: Journal of Health, Organisation and Management - March 25, 2024 Category: Health Management Authors: Martin Beaulieu Jacques Roy Denis Ch ênevert Claudia Rebolledo Sylvain Landry Source Type: research

Impact of the initial COVID-19 response in the UK on speech and language therapy services: a  nationwide survey of practice
This study aimed to examine the impact of the UK’s COVID-19 response on speech and language therapy services.An online survey of the practice of speech and language therapists (SLTs) in the UK was undertaken. This explored SLTs’ perceptions of the demand for their services at a time when COVID-19 restrictions had been lifted, compared with before the onset of the pandemic. The analysis was completed using descriptive statistics and content analysis.Respondents were mostly employed by the UK’s National Health Service (NHS) or the private sector. Many participants reported that demands on their service had increased co...
Source: Journal of Health, Organisation and Management - March 25, 2024 Category: Health Management Authors: Katie Chadd Sophie Chalmers Kate Harrall Amelia Heelan Amit Kulkarni Sarah Lambert Kathryn Moyse Gemma Clunie Source Type: research

Reconsidering performance management to support innovative changes in health care services
Anell Anders Journal of Health Organization and Management, Vol. 38, No. 9, pp.125-142 A large number of studies indicate that coercive forms of organizational control and performance management in health care services often backfire and initiate dysfunctional consequences. The purpose of this article is to discuss new approaches to performance management in health care services when the purpose is to support innovative changes in the delivery of services.The article represents cross-boundary work as the theoretical and empirical material used to discuss and reconsider performance management comes from several relevant re...
Source: Journal of Health, Organisation and Management - March 22, 2024 Category: Health Management Authors: Anell Anders Source Type: research

Enabling successful change in  a high-demand working environment: a case study in a health care organization
Enabling successful change in a high-demand working environment: a case study in a health care organization Emma Clarke, Katharina Näswall, Jennifer Wong, Fleur Pawsey, Sanna Malinen Journal of Health Organization and Management, Vol. ahead-of-print, No. ahead-of-print, pp.- The anticipation of organizational change and the transition process often creates uncertainty for employees and can lead to stress and anxiety. It is therefore essential for all organizations, especially those that operate in high-demand working environments, to support the well-being of staff throughout the change process.Research on how employe...
Source: Journal of Health, Organisation and Management - March 21, 2024 Category: Health Management Authors: Emma Clarke Katharina N äswall Jennifer Wong Fleur Pawsey Sanna Malinen Source Type: research

Vertical policy coordination of COVID-19 testing in Sweden: an  analysis of policy-specific demands and institutional barriers
Vertical policy coordination of COVID-19 testing in Sweden: an analysis of policy-specific demands and institutional barriers Anna Hallberg, Ulrika Winblad, Mio Fredriksson Journal of Health Organization and Management, Vol. 38, No. 9, pp.106-124 The build-up of large-scale COVID-19 testing required an unprecedented effort of coordination within decentralized healthcare systems around the world. The aim of the study was to elucidate the challenges of vertical policy coordination between non-political actors at the national and regional levels regarding this policy issue, using Sweden as our case.Interviews with key actors...
Source: Journal of Health, Organisation and Management - March 11, 2024 Category: Health Management Authors: Anna Hallberg Ulrika Winblad Mio Fredriksson Source Type: research

Managing under austerity: a  qualitative study of management–union relations during attempts to cut labour costs in three South African public hospitals
Managing under austerity: a qualitative study of management–union relations during attempts to cut labour costs in three South African public hospitals Thanduxolo Elford Fana, Jane Goudge Journal of Health Organization and Management, Vol. 38, No. 9, pp.89-105 In this paper, the authors examine the strategies used to reduce labour costs in three public hospitals in South Africa, which were effective and why. In the democratic era, after the revelations of large-scale corruption, the authors ask whether their case studies provide lessons for how public service institutions might re-make themselves, under circumstances o...
Source: Journal of Health, Organisation and Management - March 5, 2024 Category: Health Management Authors: Thanduxolo Elford Fana Jane Goudge Source Type: research

Determinants of mobile health (M-Health) application adoption, usage and discontinuity among corporate workers diagnosed with hypertension and diabetes
This study examined the determinants of mobile health (M-Health) application, adoption, usage and discontinuation among corporate workers diagnosed with hypertension and diabetes in Ghana.The diffusion innovation and reasoned action theories were employed using an exploratory design. Three hundred corporate workers diagnosed with diabetes and hypertension from three health facilities for the past six months were sampled for the study using a multi-stage sampling technique and administered questionnaires. Descriptive statistics and logistic regression tools were employed in the analysis of data.The study found a significant...
Source: Journal of Health, Organisation and Management - March 4, 2024 Category: Health Management Authors: Gabriel Kojovi Liashiedzi Florence Elorm Eto Roger Ayimbillah Atinga Patience Aseweh Abor Source Type: research

Does the healthcare decentralization provide better public health security capacity and health services satisfaction? An  analysis of OECD countries
This study investigates the effect of health system decentralization in Organization for Economic Co-operation and Development (OECD) countries on public health security capacity and health service satisfaction.Multiple linear regression analyses were employed for variables related to the level of health security capacity and satisfaction with the healthcare system while controlling for all socio-demographic variables from the European Social Survey, including over 44,000 respondents from 25 OECD countries. The Health Systems in Transition series of countries were used for assessing the decentralization level.The result of...
Source: Journal of Health, Organisation and Management - March 4, 2024 Category: Health Management Authors: Veli Durmu ş Source Type: research

Contingency and paradoxes in  management practices—development plan as a case
This study applies a qualitative research design using a case study method. The material consists of public documents, observations and single interviews, covering the process of constructing a development plan at the clinical level. The findings suggest that the development plan was shaped through a multilevel translation process consisting of different contending rationalities. At the clinical level, the management had difficulties in legitimizing the process. The underlying tension between top-down and bottom-up steering challenged involvement and made it difficult to manage the contingency of decisions. The findings ar...
Source: Journal of Health, Organisation and Management - February 29, 2024 Category: Health Management Authors: Erlend Vik Lisa Hansson Source Type: research

Hospital doctor turnover and  retention: a systematic review and new research pathway
Hospital doctor turnover and retention: a systematic review and new research pathway Siva Shaangari Seathu Raman, Anthony McDonnell, Matthias Beck Journal of Health Organization and Management, Vol. 38, No. 9, pp.45-71 Society is critically dependent on an adequate supply of hospital doctors to ensure optimal health care. Voluntary turnover amongst hospital doctors is, however, an increasing problem for hospitals. The aim of this study was to systematically review the extant academic literature to obtain a comprehensive understanding of the current knowledge base on hospital doctor turnover and retention. In addition to t...
Source: Journal of Health, Organisation and Management - February 27, 2024 Category: Health Management Authors: Siva Shaangari Seathu Raman Anthony McDonnell Matthias Beck Source Type: research

Trust in embedding co-design for  innovation and change: considering the role of senior leaders and managers
This article explores the role of leaders and mangers in developing and enhancing a culture of trust in their organizations to enable co-design, with the potential to drive innovation and change in healthcare.Using social science analyses, the authors argue that current co-design literature has limited focus on interactions between senior leaders and managers, and healthcare staff and service users in supporting co-designed innovation and change. The authors draw on social and health science studies of trust to highlight how the value-based co-design process needs to be supported and enhanced. We outline what co-design in...
Source: Journal of Health, Organisation and Management - February 21, 2024 Category: Health Management Authors: Tina Bedenik Claudine Kearney Éidín Ní Shé Source Type: research

Finnish experts' perceptions of digital healthcare forms in 2035 and the anticipated healthcare workforce impacts: a Delphi study
Liisa Lee, Mira Hammarén, Outi Kanste Journal of Health Organization and Management, Vol. ahead-of-print, No. ahead-of-print, pp.- To explore Finnish experts' perceptions of the forms of digital healthcare that are anticipated to be the most utilised in healthcare in the medium-term future (year 2035) and anticipated healthcare workforce impacts those forms will have.A total of 17 experts representing relevant interest groups participated in a biphasic online Delphi study. The results for each round were analysed using descriptive statistical methods and inductive content analysis.The forms of digital healthcare that the...
Source: Journal of Health, Organisation and Management - February 20, 2024 Category: Health Management Authors: Liisa Lee Mira Hammar én Outi Kanste Source Type: research

Co-development of client involvement in health and social care services: examining modes of interaction
We examined how health and social care professionals, together with clients and managers, co-develop their conceptions of client involvement and search for practical ways in which to implement these in organizational service processes.The empirical case of this study was a developmental intervention, the client involvement workshop, conducted in a Finnish municipal social and welfare center. The cultural-historical activity theory (CHAT) framework was used to analyze the development of client involvement ideas and the modes of interaction during the intervention.Analysis of the collective discussion revealed that the conce...
Source: Journal of Health, Organisation and Management - February 12, 2024 Category: Health Management Authors: Anna-Leena Kurki Elina Weiste Hanna Toiviainen Sari K äpykangas Hilkka Ylisassi Source Type: research

The role of open innovation in  addressing resource constraints in healthcare: a systematic literature review
This article is the first one to systematically describe the value of open innovation in healthcare. The authors challenge the positivist approach in value presented by value-based healthcare. The authors show how openness contributes to addressing the resource crisis by involving new stakeholders and resources in the care delivery process. (Source: Journal of Health, Organisation and Management)
Source: Journal of Health, Organisation and Management - January 25, 2024 Category: Health Management Authors: Veronika Šlapáková Losová Ond řej Dvouletý Source Type: research

From hospital-centered care to  home-centered care of older people: propositions for research and development
From hospital-centered care to home-centered care of older people: propositions for research and development Bonnie Poksinska, Malin Wiger Journal of Health Organization and Management, Vol. 38, No. 9, pp.1-18 Providing high-quality and cost-efficient care of older people is an important development priority for many health and social care systems in the world. This paper suggests a shift from acute, episodic and reactive hospital-centered care toward longitudinal, person-centered and proactive home-centered care. The purpose of this paper is to contribute to the knowledge of a comprehensive development strategy for desig...
Source: Journal of Health, Organisation and Management - January 24, 2024 Category: Health Management Authors: Bonnie Poksinska Malin Wiger Source Type: research