Managed Health Care Organizations Research Articles

THE ROLE OF THE EQUIPMENT OF HEALTHCARE INSTITUTIONS IN HUMAN RESOURCES

This paper provides an analysis of the current trend in HR practices and demonstrates added value for the management of healthcare organizations. This is done because of the assessment of the human resource function and explores the value of adding elements of human resource management and compares the risk reduction of its features. The results of this analysis show that, although high functions do not add value, they can also help to identify risks, which allows the development of strategies to reduce the impact of these risks.
 The paper refers to the reasons for the emphasis on added value, the aspect of human resources is due to professionals and the desire to be involved in the earliest stages of the decision-making process. The paper concludes the opposite view that HR professionals would become preoccupied with showing added value, arguing that the strategic importance of HR management reveals itself over time.

Direct Oral Anticoagulants’ Consumption and Expenditure in the COVID-19 Pandemic in Russia and Clinical Practice Guidelines for Their Use

Background: The coronavirus pandemic has led to the creation of clinical guidelines by a large number of professional medical communities. However, the quality and methodology of development of Russian clinical guidelines has been little studied. The continued relevance of studying the use of DOACs (Direct oral anticoagulants) in patients with COVID-19 was the basis for conducting this study. Aim: The objective of this study was to assess DOAC consumption and expenditure in the Russian Federation during the COVID-19 pandemic and to analyze whether it was supported by the domestic evidence base for the use of DOACs in COVID-19 patients through identifying all publicly available Russian-produced CPGs (Clinical practice guidelines) for the treatment of COVID-19 and assessing their quality as the source of recommendations for the use of oral anticoagulants for the prevention of thrombotic complications in COVID-19 patients. We searched Russian databases for CPGs, published between 2020 and 2023. We identified seven relevant documents that met our inclusion criteria. Three authors analyzed Russian clinical guidelines using an AGREE II questionnaire. We calculated DOAC DDD (defined daily dose) consumption according to Russian clinical guidelines and DDD consumption in patients with COVID-19 for the period 2020–2022. Results: Seven clinical CPGs were analyzed with the AGREE II tool. It was revealed that experts gave the highest scores for the sections on scope and purpose (from 62.98% to 100%), and clarity of presentation (from 96.30% to 100%). The lowest scores were given for the sections on stakeholder involvement (33.33% to 64.81%), rigour of development (from 0% to 49.31%), applicability (from 23.61% to 50%), and editorial independence (from 0% to 50%). When comparing the total score, it was found that two clinical guidelines received the highest scores—ROPNIZ (Livzan), and ROPNIZ (Drapkina). The minimum score was registered with the NIIOZMM (Khripun) clinical guideline. No guideline received a total score of more than 70%. According to clinical recommendations, the consumption of apixaban and rivaroxaban is 15 DDD (30-day course of therapy), or 22.5 DDD (45-day course of therapy). Consumption of apixaban in the Russian Federation in 2020 and 2021 corresponds to the indicators presented in clinical recommendations (in 2020—26.59 DDD per patient with COVID-19; in 2021—15.75 DDD per patient with COVID-19), and in 2022—10.67 DDD, which is below the recommended values. In 2020, consumption of rivaroxaban in the Russian Federation was 26.59 which corresponds to data from clinical recommendations; in 2021, consumption decreased to 7.87 DDD; in 2022 it decreased to 5.48 DDD, which is 2.74 times less than recommended. Conclusions: Analysis of seven clinical recommendations revealed that such sections of clinical recommendations as scope, purpose, and clarity of presentation had the highest degree of assessment in accordance with AGREE II. The lowest scores were given for the sections on stakeholder involvement, rigour of development, applicability, and editorial independence. When comparing the total score, it was found that two clinical guidelines received the highest scores—the Russian Society for the Prevention of Non-communicable Diseases (Livzan), and the Russian Society for the Prevention of Non-communicable Diseases (Drapkina). The minimum score was registered with the Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department clinical guideline. No guideline received a total score of more than 70%. During the pandemic, the highest DDD consumption of DOACs was in 2020, which exceeded the DOACs’ recommended DDD by Russian clinical guidelines. DOAC consumption had decreased by 2022. There was a decrease in the consumption of rivaroxaban, with an increase in apixaban’s share in the structure of DOAC consumption during the coronavirus pandemic. Obtained data indicate that in 2021 the apixaban consumption in the Russian Federation corresponded to the recommended DDD in the national guidelines, which indicates the most correct use of apixaban according to Russian GPGs.

The problem of strategic human resource management in healthcare in Poland

Objective — to study the basic principles of the strategic human resource management in healthcare, to analyze the features of human resource management in healthcare organizations, to analyze the long‑term trends of the human resources in the healthcare in Poland and to propose the recommendations for the implementation of measures for strategic human resources management in healthcare organizations.
 Results. The problems of the long‑term and short‑term tendencies of human resources in the healthcare in Poland are discussed in the article. The age, gender and regional distribution of the human resources in the healthcare are shown and the main factors influenced on the dynamics of these indicators are described. Taking into account different problems in the healthcare in Poland the importance of the strategic human resource management is presented and the general recommendations for health institutions are given.
 Conclusions. Strategic management and analysis of human resources development are crucial in Polish healthcare. Health institutions need strategic plans and performance assessments for medical facilities. The expanded strategic management of medical organizations involves assessing both the external and internal environment, considering macroeconomic changes, regional shifts, market dynamics, mobility, qualifications, motivation of medical personnel, and evaluating the organization’s image among patients and public entities. In strategic human resources analysis, key factors include strategic intentions, forecasting challenges, positioning, and prioritizing human resources management. Given the complex macro environment of medical organizations, it’s crucial to identify the most significant factors, evaluate their potential impact, and formulate response measures within the organization’s strategy.

Innovative Approaches in the Management of Healthcare Organisations

Our study provides a comprehensive view of innovations in the management of healthcare facilities (HCF). It fills the research gap and contributes to discussions on the need to introduce new innovative management tools into the curricula of healthcare managers and professionals. The design of the study is based on answering research questions (RQ) by statistical processing of data from 181 managers of various types of HCF in Slovakia, obtained by questionnaire. We evaluate the use of innovative approaches in the management of healthcare organisations in the application of hard and soft management tools and their relationship to the economic results of these organisations. RQs are aimed at differentiating the application of innovative approaches in management depending on the characteristics of HCF and their managers and depending on the economic results. There is a positive relationship between the use of innovative approaches in management and the economic results of HCF. There are significant differences in the degree of application of innovative approaches between different types of facilities, the leaders in their implementation are university hospitals. The medical education of managers with the additional completed specialised management study has a significant relation to the application of innovative approaches in management.

Hybrid Leadership and Its Relationship to Inclusion in Healthcare

Leadership is critical in managing healthcare organizations to address financial limitations, availability of skilled workforce, globalization, disruptive innovation, new technology, and hyper-competition. This challenging environment has forced many healthcare organizations to change their bureaucratic organizational structure to a more organic one headed by leaders rather than managers. There are many leadership styles to consider for healthcare leaders. However, this research focuses on nine leadership and hybrid leadership styles to determine significant relationships to inclusion in the workplace. We used the VanSimpco Leadership Survey and Chung et al.’s Work Group Inclusion scale to survey 174 healthcare employees. We found that autocratic, autocratic-transformational, democratic-transactional, and laissez-faire leadership styles impacted workplace inclusion uniqueness. Democratic, autocratic-transformational, and autocratic-transactional leadership styles impacted workplace inclusion belongingness. This research is based on Leader-Member Exchange and Optimal Distinction theories.

Stress Management in Healthcare Organizations: The Nigerian Context.

Occupational psychosocial stress can increase the risk of several cardiometabolic diseases. Healthcare workers worldwide experience exceptionally high levels of occupational stress, leading to serious individual, organizational, and societal problems. This narrative review seeks to provide information about the overall consequences of having over-stressed healthcare workers and ascertain how it eventually holds back the advancement of healthcare. In addition, we present a review of the concept, study, and theories related to stress management in order to deeply understand this issue, providing a theoretical perspective of stress management and the subtle concepts of stress, stress management, healthcare structure, and organization in Nigeria. The current literature has shown that Nigerian healthcare workers are more stressed due to long working hours, caregiving responsibilities, and psychological contact with patients. Healthcare workers are more likely to experience stress and burnout than other professions. The level of stress in the healthcare sector has garnered a lot of attention in this regard because of the negative impact of stress on both staff and patients. However, health policies and better working conditions need to be adopted. Collaborative efforts from policymakers, healthcare institutions, and other stakeholders are necessary to prioritize the well-being and productivity of healthcare professionals in the journey toward a more robust and equitable healthcare system.

Italian translation and cultural adaptation of health literate organisation self-assessment tool

Abstract Background The International Working Group Health Promoting Hospitals and Health Literate Healthcare Organizations has developed an English-language self-assessment tool for Organizational Health Literacy of Hospitals, designed to quality managers of healthcare organizations. It aims to diagnose strengths and weaknesses of the organization's health literacy, and our goal is to translate and culturally adapt it for Italy. Methods We have been following the Translation, Review, Adjudication, Pretesting, and Documentation team model for cross-cultural translation of questionnaires. Initially, two separate teams of translators worked independently to translate the tool from English to Italian. Next, the national coordinator organised six meetings to discuss, integrate, and unify the two versions, and any translation difficulties and suggested solutions were reported in the supporting tool that will be sent along with final agreed version of the tool to the International Coordination Centre. Finally, two experts will review the translation for the cultural adaptation. Results Difficulties related to comprehension in translation can arise from ambiguity in word choice, the need for contextual precision, and a lack of cultural appropriateness. The translation of English words that have become part of Italian language (e.g. ‘feedback', ‘stakeholder', ‘management', ‘standard') was also hugely discussed between the teams. Finally, to categorize the information entered into the supporting tool, 50% pertains to adaptation to context, 30% to simplification or clarification, and 20% to non-applicable items. Conclusions Cultural adaptation will improve the translation by reducing ambiguities, providing contextual clarifications, and rephrasing items to make them more appropriate for Italy. The Italian version of the tool will be piloted in local hospitals to support healthcare operators, patients, and the community in better managing the complexities of healthcare organizations. Key messages • Translation of health literacy self-assessment tool for Italian hospitals, aiming to reduce ambiguity and increase appropriateness for local context. • Culturally adapted tool to diagnose organizational health literacy in Italian hospitals will help healthcare organizations deal with complexity of healthcare and improve patient outcomes.

Social-humanitarian aspects of dialogue in the healthcare system

The article presents an overview of the IV Forum “Sociology of Health: Contemporary Healthcare in Dialogue with Everyone” organized by the Research Institute for Healthcare Organization and Medical Management of the Moscow Healthcare Department on November 17, 2022. The article summarizes presentations made by sociologists, heads of medical organizations of Moscow and other Russian regions, academic researchers, and representatives of non-profit organizations. The authors identify four key social and humanistic aspects of dialogue in the healthcare system: value basis, methodology, role of the civil society, and main issues. The Forum focused not only on methodological issues, but also on the applied research, such as projects aimed at smoking cessation, motivating to blood donation, developing psychological support service for cancer patients, etc. The authors emphasize the need for social-humanitarian technologies in the healthcare system for its patient-oriented transformation, including introduction of sociological monitoring.

The relationship of mushroom management and collective justice in health institutions

ABSTRACT As in every sector, organizational management in the health sector plays an important role in the institution being successful and achieving its goals. Health care is a phenomenon that reminds individuals of the need for collective work. The aim of this study was to determine the relationship between the perceptions of mushroom management and collective justice in healthcare organizations. The sample for the study, using the relational survey model, consisted of 410 healthcare professionals. The “Mushroom Management Scale” and “Collective Justice Scale” were used to collect data. SEM path analysis revealed that there was a significant negative relationship between the mushroom management scale sub-dimensions and collective justice variable. In addition, a significant effect was found between these variables. Based on the demographic data of the participants, mushroom management sub-dimensions and collective justice perceptions of participants differed significantly according to the institution they worked in. It is thought that health institution managers who are transparent, honest and open, especially in information sharing, instead of using mushroom management style, who include employees in decision-making processes, and who adopt a more sharing management style will increase employees' trust in the organization and management as well as their perceptions of collective justice.

Effect of Emotional Intelligence on Employee Caring Behaviour: a Study of Professional Nurses in Tertiary Health Care Institutions in Benue State, Nigeria

This study examined the effect of emotional intelligence on caring behaviour of professional nurses in tertiary health care institutions in Benue State, Nigeria. Specifically the study sought to examine the effects of self-awareness, self-management, social awareness and relationship management on caring behaviour of professional nurses in tertiary health care institutions in Benue State. Anchored on Jean Watson’s Theory of Human Caring, the study adopted the survey design. Population of the study consisted of 586 professional nurses working in the two tertiary healthcare facilities in Benue State (312 from the Federal Medical Centre and 274 from the Benue State University Teaching Hospital). A sample size of 245 was arrived at with the aid of Taro Yamene’s sampling formula. Primary data were gathered through questionnaire. The data were coded and analysed with the aid of SPSS. Hypotheses of the study were tested using regression analysis at 5% level of significance. Findings revealed that self-awareness, self-management, social awareness and relationship management all have significant effect on caring behaviour of professional nurses in tertiary health care institutions in Benue State, Nigeria. The study concludes that there is a significant relationship between emotional intelligence and caring behaviour of professional nurses in tertiary health care institution in Benue State. The study recommends that in order to ensure quality care to patients, management of tertiary healthcare organisations in Benue State should recognize and develop EI abilities in nurses who constantly struggle to show care since EI can be taught and learnt.

Implementation evidence-based in healthcare organizations management and policy

Aim The goal of this paper is to introduce a perspective view of the formation and application of the evidence-based management approach to investigators, managers and policymakers as to how different determinants and managerial-decision processes can be more effectively linked for the salient of healthcare organizations. Methods The author compiled this analysis on the basis of published literature and his experience as a researcher in the healthcare management. The author briefly reviews the evolution of evidence-based management in this article and designs a perspective framework for improving its production and the impact of its application in a broad variety of contexts. Results This paper can inform the global healthcare evidence-based agenda by (1) providing a framework for operational recommendations for the implementation of the healthcare evidence-based, (2) defining evidence-based management guidelines’ recommendations, and (3) enhance methods for adopting and tailoring evidence-based management. Conclusion The use of the presented domains’ guidelines and recommendations will increase the consistency of the characterization of the evidence-based management approach. The author agrees that it is a high priority to establish approaches to monitoring evidence-based management in healthcare organizations. Laterally, this perspective review will help in the implementation of such an approach.

Commentary: A systematic review of informatics competencies: requirements for nurse managers in healthcare organisations.

Commentary: A systematic review of informatics competencies: requirements for nurse managers in healthcare organisations.

A systematic review of informatics competencies: requirements for nurse managers in healthcare organisations.

One vital strategy for the success of healthcare organisations currently resides in the capacity of the nurse managers (NMs) to develop informatics competencies in management. The aim of this review was to synthesise the evidence related to the informatics competencies of NMs in healthcare settings. The databases of PubMed, Web of Science, Scopus and Education Resources Information Center were searched. All publications were accepted if they had been published in English and full texts were accessible. The study was carried out using a systematic literature search of work published between January 2000 and December 2021. The Endnote v.17 software was used to facilitate reference management. Quality assessment of publications was carried out independently by two reviewers using the Critical Appraisal Skills Programme guidance. A descriptive summary with data tables was produced to summarise the literature. After screening the search results, 12 studies published between the period 2001 and 2019 met the inclusion criteria. Analysis of the included studies led to the classification of informatics competencies in three main themes: skills related to work with computers (four sub-themes), informatics skills of NMs (three sub-themes) and knowledge of NMs about informatics (five sub-themes). These systematic review results can lead to the identification of informatics competency gaps and recommend and provide solutions to address these gaps and increase competencies for nursing managers.

ОЦЕНКА МЕДИЦИНСКОЙ ДЕЯТЕЛЬНОСТИ НА ПРИМЕРЕ СТАЦИОНАРНОЙ ПОМОЩИ ВЗРОСЛОМУ НАСЕЛЕНИЮ ПО ПРОФИЛЮ «НЕЙРОХИРУРГИЯ»

Relevance. At the present stage of healthcare system development, automated assessment methods are being increasingly applied helping healthcare organization managers to plan and manage medical activities and improve the quality, safety and availability of healthcare. However, statistical and financial and economic indicators do not provide full data on the performance of a medical organization. One of the tools in making managerial decisions is the method of assessing medical activities using an automated technological map. Research purpose. The study aims to assess medical activities of the department of neurosurgery using key performance indicators. Materials and methods. The statistical indicators of activities of the department of neurosurgery were studied for 2020-2022, and the compliance coefficients were determined on the technological map. To assess the activities of this department, the methodology based on the existing regulatory and legal acts that are helpful in developing assessment criteria and creating a technological map were used. The data obtained when creating the technological map and the statistical indicators were used in determining the integral compliance coefficient in an automated mode at the research stages. The algorithm can be used to determine key parameters (staffing, working conditions, equipment and performance indicators), to identify problems and to make adequate management decisions based on the compliance coefficients. Results and discussion. The positive dynamics of the integral compliance coefficients was observed throughout the entire observation period. It was also revealed that the performance degradation in 2021 was due to the ongoing COVID-19 pandemic, and the compliance coefficient achieved the 2020 level only by the end of the study in 2022. Conclusion. The study has confirmed that the technological map based on the balanced indicators including the compliance coefficient is an effective method for assessing medical activities, including planning and making adequate decisions by managers of the department of neurosurgery.

An assessment of organizational well-being, organizational health, and work-related stress: A cross-sectional study of nurses involved with COVID-19 interventions.

Nurses have been affected by stress, developing many related consequences during the health emergency caused by the SARS-CoV-2 (COVID-19) pandemic. It is essential for healthcare organizations to protect their human resources because there is a strong correlation between the health status of healthcare workers and the quality of care provided. The aim of the study was to measure the perception of the organizational health level of the workplace among COVID-19 nurses (i.e. nurses who directly dealt with COVID-19 countermeasures) as an influence on work quality and work-related stress. A cross-sectional study was carried out by administering the Nursing Questionnaire on Organizational Health (QISO) to nurses in contact with COVID-19 patients. The search period ranged between August and September 2021 with nurses who work and/or worked in Lazio. 123 questionnaires were collected. The scores with a value below the recommended level (2,6) are: "Comfort of the working environment" (mean = 2.57; SD = 0.66); "Valorization of skills" (mean = 2.40; SD = 0.62); "Openness to innovation" (mean = 2.46; SD = 0.77); "Satisfaction with top management" (mean = 2.48; SD = 0.81); and the inverse scale "Fatigue" (mean = 2.94; SD = 0.55). Management of healthcare organizations should define action strategies to promote and increase organizational well-being and reduce work-related stress risk factors. Some action strategies that could be used include improving the elements of the work environment to make it more comfortable for workers; strengthening and improving communication; improving the relationship between nurses and senior management; and establishing a team of experts for psychological assistance.

Nudge Management in Healthcare Organizations: Causes and Motives

Background: A nudge can cause favorable behavioral changes in line with organizational goals and even increase productivity, satisfaction with, and trust in healthcare organizations. Nurses must make sound and fast decisions to meet patient needs and perform the necessary interventions as they have limited time to stop and logically analyze what actions they must take. Besides, sometimes people make decisions that are not bad for them, but they need to receive help to make better choices. Hence, nudging strategies can help them to make more effective decisions. To this end, the present study aimed to identify the reasons for using nudges in healthcare organizations. Methods: Following interpretive philosophy and a qualitative approach, the present study sought to identify the reasons for using nudges. This study was conducted using a grounded theory approach based on Colaizzi’s seven-step data analysis method. The research population included nurses working in private and public hospitals in Kerman. The participants were 15 nurses who were selected through purposive sampling until the data were saturated. Results: Data analysis showed people tend to use nudges for individual reasons such as minimizing mistakes at work, reducing stress, valuable changes, decreasing the risk of criticism, reducing the halo effect and stereotyping errors, preserving the personality, not losing freedom, cognitive limitations, increasing the probability of accepting the message, and maintaining relationships; managerial reasons such as flexible and gradual nature of nudges, risk management, extra-role behaviors, safety, the elimination of unnecessary formalities, ease of use, cost-effectiveness, and behavior management; and finally organizational reasons such as increasing productivity, creating a favorable climate, promoting a culture of criticism, win-win strategy, increasing trust in the organization, and risk management tools. Conclusion:The data in this study revealed that staff in healthcare organizations tend to use nudges for individual, managerial, and organizational reasons. An awareness of these reasons helps healthcare organizations to use nudging strategies in emergencies and in a limited period to change employees’ behavior in line with organizational goals and policies.

A framework for evaluating health communication aimed at breast and cervical cancer screening adherence: A pilot study on websites of Italian local health organizations

ABSTRACT This paper proposes a framework (OSEC-p model) for the evaluation of health communication, through websites, aimed at breast and cervical cancer screening adherence. For identification of the set of indicators of the model, content analysis of websites was adopted with coding based on both data-driven and theoretically-driven approaches. The proposed model comprises factors on multiple levels (macro-items, items, and micro-items), referring to the strategic orientation aimed at prevention, the organizational structure, corporate tools and stakeholder engagement, content on screening initiatives, compliance with communication principles, and website ergonomics. A pilot study on a sample of websites of Italian local health organizations confirms the applicability of the model and the usefulness of results and indications it offers. The OSEC-p can be considered the first step in a line of research not yet been investigated in the academic field, and aims to be a guideline for managers of healthcare organizations as it allows evaluation (and improvement) of communication via websites aimed at adhering to cancer prevention programs.

Perceptions of Moscow population about healthy nutrition and food consumption in households

Background. Nutrition is one of the most important determinants for the population health. Increasing the population commitment to a healthy lifestyle, in particular healthy nutrition, is an important state task, which includes an integrated approach: educational policy, creation of an economic, legislative and material base. Monitoring is necessary to determine the necessary areas of work and evaluate their effectiveness.
 Subject. Perceptions of Moscow population about capital about healthy eating and eating behavior. Objective. To identify the specifics of the Moscow population's perception of healthy eating and appropriate behavior, with comparison to the healthy eating norms. Methods. Authors used statistical data by Rosstat on the consumption of basic food products and telephone survey of the Moscow population, conducted by the Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department (2021). 474 people were interviewed, representing the population by age and sex. Results. The majority of Muscovites (59%) consider healthy eating as abiding by nutritional principles. 22% of respondents told about the need to exclude/reduce certain foods and dishes (fatty, sweet, fried food) in their diet. 26% of respondents associate vegetables with a healthy diet, 17% named fruits, 7% mentioned meat. The study revealed insufficient consumption of 1) vegetables and melons is detected: 102.9 kg/year/person vs the recommended 140 kg/year/person; 2) fruits and berries: 80.6 kg/year/person vs the recommended 100 kg/year/person. In turn, the consumption of sugar and confectionery products is excessive: 22.1 kg/year/person vs the recommended 8 kg/year/person. Consumption of meat and processed meat is also excessive, mainly due to industrial meat products. The study correlated statistical and survey data and found a few intersecting points.
 Conclusion. In general, the population has notions of a healthy diet, but it needs to be supplemented, adjusted and systematized. In particular, eating habits of specific foods prove the need to strengthen preventive work in this area.

Development of the Cardiovascular Assessment Screening Program (CASP) using the qualitative findings of a mixed methods study and applying the TDF to address the barriers of and facilitators to comprehensive screening for cardiovascular disease

BackgroundThere is inconsistent utilisation of clinical practice guidelines (CPGs) for cardiovascular disease (CVD) screening and management by healthcare professionals to identify CVD risk factors early and to intervene using current recommendations. This manuscript reports on the first phase of an exploratory sequential mixed methods study describing the integration of the qualitative study findings with the Theoretical Domains Framework (TDF) that led to the development of the Cardiovascular Assessment Screening Program (CASP). The main objective of the qualitative study was to inform the development of CASP.MethodsFocus groups (5) and interviews (10) were conducted in rural and urban settings in one Canadian province with target health professionals, managers in health care organizations, and the public to obtain different perspectives to inform the CASP intervention. Three focus groups were held with nurse practitioners and two with members of the public; individual interviews were conducted with target groups as well. Application of the TDF provided a comprehensive approach to determine the main factors influencing clinician behaviour, to assess the implementation process, and to support intervention design. Behaviour change techniques, modes of delivery, and intervention components were selected for the development of the CASP.ResultsThemes identified such lack of knowledge about comprehensive screening, ambiguity around responsibility for screening, lack of time and commitment to screening were addressed in the components of the CASP intervention that were developed, including a website, education module, decision tools, and a toolkit.ConclusionCASP is a theory-informed intervention developed through the integration of the findings from the focus groups and interviews with selected TDF domains, behaviour change techniques, and modes of delivery available in the local context that may be a useful approach for knowledge translation of evidence into practice.

The capacity to implement Lean Management in the healthcare system in Poland - results of a public consultation.

Lean healthcare management is an innovative approach to process management in healthcare organizations. Despite that the Lean principles have been increasingly recognized worldwide as a tool to boost organizational performance, improve the quality of care and curb waste, the Lean methodology can be difficult to implement in some countries. This study seeks to identify the facilitators of and barriers to the implementation of Lean in the healthcare system in Poland. A public consultation was held among 318 representatives of stakeholder groups in the healthcare system in Poland. Data was collected using validated self-administered questionnaires. Statistical analysis was performed using the IBM SPSS Statistics 25 software. The study revealed that a large share of respondents believed that the awareness of the existing organizational deficiencies in work practices among stakeholders can greatly facilitate the implementation of Lean in the healthcare system in Poland (50.9%, p < 0.05). The main barriers to the deployment of Lean include lack of awareness of the Lean methodology and its benefits (76.1%, p < 0.001); insufficient institutional support (43.7%), and lack of funding for Lean solutions (32.4%). Gaps in the medical curricula and education programs for healthcare professionals concerning the latest process management solutions in healthcare should be addressed in order to raise awareness of the benefits of cooperation with and the active involvement of Lean experts in applying "lean" ideas to improve the organizational performance in healthcare. It is also necessary for policy makers to be aware of the benefits of contemporary process management in healthcare and to support its implementation. Med Pr. 2023;74(1):1-8.