Managed Health Care Organizations Research Articles

Mediating Effect of Job Burnout on the Relationship Between Organisational Support and Quiet Quitting in Nurses.

The main purpose of this study was to investigate the potential mediating role of job burnout in the relationship between organisational support and quiet quitting among nurses. Additionally, this study aimed to determine the associations between organisational support, job burnout and quiet quitting. This study was a descriptive, cross-sectional study. This descriptive and cross-sectional study included a total of 383 nurses. The convenience sampling method was used, and the study was conducted in Türkiye. Self-reported measures, which included organisational support, job burnout and the quiet quitting scale, were completed by using an online version of the scale. Statistically significant associations were found between organisational support, job burnout and quiet quitting. Organisational support had a significant negative effect on quiet quitting. Additionally, job burnout had a positive effect on quiet quitting behaviour. Moreover, job burnout partially mediated the relationship between organisational support and quiet quitting. The findings highlight the importance of considering job burnout as a critical factor in mitigating the positive effect of organisational support on quiet quitting. Prioritising the job burnout of healthcare workers plays a significant role in reducing quiet quitting behaviour through organisational support. This study focused on how organisational support and burnout interact with quiet quitting, which is a current issue among nurses, and explained the mediating role of job burnout in the relationship between organisational support and quiet quitting. The main findings of this research provide evidence that organisational support influences quiet quitting behaviour. Similarly, job burnout affects quiet quitting behaviour. Moreover, job burnout plays a mediating role in the relationship between organisational support and quiet quitting behaviour. It has been proven that job burnout is a significant barrier to the impact of organisational support in reducing quiet quitting behaviour. This research will have an impact on the management and strategic planning of healthcare organisations. STROBE reporting method has been followed. No patient or public contribution.

Bridging diversity management and intellectual capital: insights and impacts in healthcare organizations

PurposeThe study examines the relationship between diversity management (DM) and intellectual capital (IC) in healthcare organizations. It aims to understand how embracing diversity across various domains – including cultural, gender and physical ability – enhances strategic value and competitive edge among healthcare institutions. This study is among the first papers to link DM and IC in the healthcare setting.Design/methodology/approachThe two-phased methodological framework began with a bibliometric analysis of previous literature to distil significant variables commonly associated with DM in healthcare. Subsequently, based on the identified variables, the policy and planning documents of 17 Italian healthcare organizations were mapped to assess how well European Commission policies promoting the integration of DM into IC have been adopted, identifying any key oversights.FindingsA significant link exists between effective DM and enhanced IC, particularly in fostering an inclusive organizational culture that values diverse employee backgrounds. This enhancement is evident in the increased recognition of varied cultural perspectives, improved gender diversity in leadership positions and the implementation of comprehensive anti-discrimination policies. Despite these benefits being recognized theoretically, the extent of practical application in healthcare settings varies. Some organizations show robust integration of these principles, while others exhibit significant gaps, especially in the Italian sample analysed.Originality/valueThis research underscores DM’s critical role in strengthening IC, particularly within the healthcare sector, which demands a high level of interpersonal interaction and cultural competence. The study’s insights encourage healthcare organizations to adopt more strategic approaches to DM, ultimately contributing to a more equitable healthcare system.

Performance Management Behaviour Questionnaire (PMCGD) applied to the management of healthcare organisations.

Performance Management Behaviour Questionnaire (PMCGD) applied to the management of healthcare organisations.

MONITORING OF SCIENTIFIC RESEARCH IN THE MOSCOW HEALTHCARE SYSTEM

Monitoring of scientific activity is a process of systematic tracking, analysis and evaluation of the activity and results of scientific research, to identify new directions and trends in research, as well as to assess the growth, level of activity and significance of scientific activity in a particular field of knowledge. This paper summarizes and analyzes statistical data for 2023 on publication and patent activity, personnel, directions and topics of research work of participants in the Scientific Program of the Moscow Healthcare Department for 2023-2025, the functions of which are coordinated by the Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department.

HEALTH SCHOOLS - MOSCOW EXPERIENCE IN IMPLEMENTING A HEALTH EDUCATION PROJECT

A unique "Health School" project has been implemented in Moscow to teach older people knowledge about health, prevention of chronic non-communicable diseases, injuries and poisonings. The project was based on the integrative interaction of the Department of Health and the Department of Labor and Social Protection of Moscow. The leading role in the implementation of the project was played by employees of the Research Institute of Healthcare Organization and Medical Management of the Moscow Department of Health. The "Health School" project was successfully implemented in 2023 and its implementation continues in 2024. Training older people in the basics of health conservation has proven its relevance and effectiveness. A promising area of development could be the "Evidence-Based Happy Longevity" Platform, a knowledge base on active longevity issues and "best practices" in this area.

The role of chief medical officers in the Italian context: managers or clinicians?

PurposeDespite the advent of New Public Management theories over three decades ago, doubts persist regarding the practical implementation of these principles in the public health-care context. Challenges arise particularly from the type of system where this phenomenon is analyzed. In the Italian context, for instance, it can be arduous to define universally applicable organizational behaviors, given the interregional disparity that characterizes such a system. Furthermore, the professional identity of clinician-managers influences the perception of what “being a manager” means. This paper, thus, using the Italian context as a reference, aims to delineate what is the perception of Italian public hospitals clinician-middle-managers in terms of their responsibilities and tasks.Design/methodology/approachA survey-questionnaire was distributed to 6,011 Chief Medical Officers (CMOs) in Italian public hospitals, representing 100% of such role holders in the country. With a response rate of 16.7%, 1,005 responses were obtained. The questionnaire assessed CMOs' attitudes toward specific activities relevant to clinician-management, ranked from most to least important. Activities were derived from literature and categorized to discern management styles. Subgroups based on geographical location and professional orientation were also identified to isolate regional effects and professional identity influences.FindingsResults suggested that activities associated with a collaborative approach are perceived as most important. Furthermore, it clearly emerges the difference based on professional orientation of CMOs. However, it could not be appreciated the same level of difference basing the analysis on regional disparities.Originality/valueThe interest in the role of middle management in healthcare organizations has increased over the years. Nevertheless, currently the authors believe that not many studies are focused on defining what “being a manager” means for clinician-managers themselves, rather than explaining what clinician-managers shall do.

The contribution of information and communication technologies on performance management and measurement in healthcare: a systematic review of the literature

PurposeThis article aims to provide the current state of the art of the literature on the contribution of information and communication technologies (ICTs) on the measurement and management of performance in the healthcare sector. In particular, the work aims to identify current and emerging ICTs and how these relate to the performance measurement and management (PMM) cycle of healthcare organizations.Design/methodology/approachTo address the research objective, we adopted a systematic literature review. In particular, we used the preferred reporting items for systematic reviews and meta-analysis (PRISMA) methodology to select articles related to the investigated topic. Based on an initial screening of 560 items retrieved from Scopus and ISI Web of Knowledge, we identified and analyzed 58 articles dealing with ICTs and PMM in the healthcare sector. The last update of the dataset refers to February 2024.FindingsAlthough we attempted to address a relevant topic for both research and practice, we noticed that a relatively small sample of articles directly addressed it. Through this literature review, in addition to providing descriptive statistics of research on ICTs and PMM in healthcare, we identified six theoretical clusters of scientific streams focusing on the topic and eleven categories of ICTs effectively tackled by the literature. We then provided a holistic framework to link technologies to the different PMM phases and functions.Practical implicationsNowadays, the availability of ICTs to support healthcare organizations’ processes and services is extensive. In this context, managers at various organizational levels need to understand and evaluate how each ICT can support different activities to benefit most from their adoption. The findings of this study can offer valuable insights to top and line managers of healthcare organizations for planning their investments in both existing and emerging ICTs to support the various stages of development and functions of PMM.Originality/valueMost of the current literature focusing on ICTs in the healthcare sector refers to the contribution that technology provides to clinical processes and services, devoting limited attention to the impact of ICTs on administrative processes, such as PMM. To the best of the authors’ knowledge, this represents the first literature review on the contribution of ICTs to PMM in the healthcare sector. The review, differently from other research focused on specific ICTs and/or specific PMM functions, provides a holistic perspective to understand how these technologies may support healthcare organizations and systems in measuring and managing their performance.

Factors associated with the non-retention of health sector employees recruited in Iran: a survival analysis

BackgroundHealth staff are an essential component of the health system and a significant factor in improving health outcomes. As a result, without a suitable number of trained and supported workforces, health-related goals will not be achieved. As a result, one of the most significant tasks of the government and healthcare human resource management in healthcare organizations is focusing on development and maintenance of personnel.MethodThis study was a longitudinal and historical cohort study. Data was collected on the 40 medical universities and healthcare organizations under the jurisdiction of Iran Ministry of Health and Medical Education from 2008 to 2018 from the human resources database. In this study the COX regression and survival analysis was used to assess the factors of staff maintenance, retention rate, and the risk of turnover.Result46,939 health workforces were included in the study, of which 13,328 (28.4%) were men and 33,611 (71.6%) were women. Based on the finding of cox regression model, the retention of staff were statistically different between male and female. Employees whose current work place and birthplace were similar had a significantly higher probability of retention. Accordingly, the cox regression result showed, the risk of employee turnover for single personnel was higher than the married ones.Conclusionan applicable policy for increasing maintenance among workforce recruitment, could be considering the native born professionals instead of non-natives born which reduce the costs of employee turnover, including re-hiring, initial and on-the-job training, housing, and other extra living expenses away from home and family.

Cost Management of Healthcare Organizations for Financial Sustainability

Cost Management of Healthcare Organizations for Financial Sustainability

Lean thinking and risk management in healthcare organizations: a systematic literature review and research agenda

PurposeHealthcare organizations have been facing challenges due to high costs and low efficiency in health services. The growth of costs and losses caused by avoidable mistakes lead to the search for solutions, and Health Lean Management appears as a potential solution to help in solving service quality problems, as well as reducing risks. This study aims to analyse the state of the art in the literature centred on the Lean approach in the context of risk management in healthcare organizations, and to identify new research opportunities, highlighting possible lines of future research.Design/methodology/approachFollowing a systematic literature review approach, 51 papers were considered relevant for this research, and reviewed to explore the development of literature in this area.FindingsBased on the results, five main research streams were identified: (1) risk management oriented towards patient safety; (2) risk management oriented towards employee safety; (3) importance of attitudes and behaviours in risk reduction projects; (4) Lean tools used in healthcare risk management and (5) Integration of approaches. Moreover, several shortcomings were identified in literature.Originality/valueIdentified shortcomings represent significant opportunities for further research development.

The Use Of Big Data Analytics In Healthcare Organization Management

Introduction. The potential of using big data analytics in the management system of healthcare organizations is of interest to healthcare managers, with a notable emphasis from the research community on the correlation between the incorporation of big data analytics and its advantages for healthcare organizations, particularly in terms of resource allocation and operational efficiency. The purpose of the study was to summarize scientific data characterizing the potential of big data analytics on healthcare organizations' management practices. Materials and Methods. A comprehensive search was conducted across PubMed, eLibrary, CyberLeninka and ScienceDirect databases, as well as the World Health Organization datasets, covering the use of big data analytics in healthcare. In this study, keyword and phrase searching on the following requests was performed: ”big data in healthcare organization management”, “big data analytics in healthcare”, “big data”, “analytics”, “management”, “healthcare”. Results. The study involved an in-depth analysis and consolidation of both general and specific aspects of the potential of big data analytics in the management practices of healthcare organizations. The benefits of big data analytics implementation in personnel management, as well as its efficiency in prognosing the number of referrals to emergency departments and tracking the prescription and intake of medications, were identified.

Translation and cultural adaptation of the HFMEA into European Portuguese

ABSTRACT Introduction Health organizations are faced with daily challenges, requiring them to provide a quality service, ensuring effectiveness and efficiency. Risk management is one of the conditioning factors to achieve this purpose, ensuring preventive actions for all processes, promoting the identification of risk to the mitigation of its consequences for the patient, professionals, or organization. Patient safety is a priority and healthcare organizations should be concerned with the implementation of methodologies and tools to promote risk management, such as Healthcare Failure Mode and Effects Analysis (HFMEA). HFMEA has a high potential for risk management in healthcare organizations, with a proactive, prospective, and continuous approach to improvement. Objective Translation and adaptation of the HFMEA instrument into European Portuguese. Materials and methods A methodological study was carried out based on the proposal presented by Beaton and followed the recommendations of the International Test Commission and World Health Organization. Results The HFMEA 2021 was linguistically translated and culturally adapted to the new context ensuring reliability, content validity was assured by a group of experts, which ensured semantic, idiomatic, experimental, and conceptual equivalence between the original instrument and the translation. Conclusions HFMEA 2021 was successfully translated and adapted to European Portuguese, allowing its application.

Patient versus person centeredness: embracing different perspectives

PurposeThe aim of this study is twofold: (1) to gain insight into the different perspectives on the relationship between patient and person centeredness and (2) to learn more about the differences between non-academic and academic stakeholders in the healthcare system.Design/methodology/approachThis mixed-methods study includes a scoping review on person and patient centeredness and in-depth interviews with patients, caregivers, staff and management of healthcare organizations. The data were analyzed by following the six phases of Braun and Clarke.FindingsThe analysis of the data showed four different perspectives on patient versus person centeredness: (1) they are synonyms; (2) one term is favorite; (3) they should be in balance; and (4) person centeredness is the surplus on top of patient centeredness.Research limitations/implicationsThere are different perspectives on patient versus person centeredness. Perspectives differ between people and can change over time. Some people feel like a patient all the time, other people feel like a person all the time, and some feel like a patient at one point in time and as a person at another point in time.Practical implicationsThese different perspectives can have important implications for the so-called moments of truth. In their role as patients, people value functional encounters and in their identity as people they value meaningful encounters with caregivers.Originality/valueBy unraveling these different perspectives, novel insights were found in the different perspectives people can take.

Mental health management in healthcare organizations: Challenges and strategies - a review

This research delves into the nuanced realm of mental health management within healthcare organizations, addressing challenges and unveiling transformative strategies. The study underscores the critical importance of integrating mental health into broader healthcare policies by examining the multifaceted role of training, education, technology, and interdisciplinary collaboration. Successful training initiatives empower healthcare professionals, reduce stigma, and enhance collaboration, contributing to a mental health-literate workforce. Technology, including telehealth and innovative solutions, acts as a catalyst, overcoming barriers and ushering in a new era of accessibility. Interdisciplinary collaboration fosters holistic care, while the future direction involves comprehensive research, policy integration, and technological innovation. In conclusion, a proactive and inclusive approach is crucial for shaping a healthcare ecosystem where mental health thrives and is central to holistic patient care. Keywords: Mental Health Management, Healthcare Organizations, Training and Education, Policy Integration.

Disruptive Innovation in China’s Primary Healthcare Market: A Case Study of a Startup to Challenge Incumbent and Business Growth Sustainability

This article examines primary healthcare reform in mainland China through a private-public partnership approach from a novel angle using disruptive innovation theory. The research is the first of its kind to apply Christensen’s disruptive innovation theory to the primary healthcare industry in China. A qualitative single case study was designed to focus on the GBA Healthcare Group Limited (“GBAH”). The disruptive innovation theory was framed under the 3H framework, hence offering managers of healthcare organizations a new holistic management framework for applying disruptive innovation theory in their business initiatives. It is also suggested that due to the highly regulated nature of the healthcare services industry, private organizations should actively engage with the relevant government organizations as core stakeholders in their strategic planning.

Enhancing the Performance of Healthcare Organizations: An Applied Analysis of Digital Technologies and Sustainability

Over the last two decades, scholars attempted to implement models to evaluate the effectiveness of digital technologies management in healthcare organizations balanced by its compliance with sustainability. However, a managerial framework for assessing digital technologies’ contribution to healthcare organizations’ performance is still lacking. Evidence-based research on digital and mobile technologies applied in the daily life environments of people over 65 in Italy has been implemented. Results were investigated by a) SWOT analysis and b) identifying the key performance indicators to evaluate the performance of healthcare organizations by following the implementation of digital technologies in healthcare processes in a sustainable perspective. The analysis reveals that some weaknesses can be overcome (e.g., the availability of GPs to be involved in the enrollment of the patients) while others cannot (e.g., systematic limitations of digital methodologies). At the same time, some threats can be tackled (e.g., users’ and operators’ difficulty adapting to technological developments) while others can only approximately be solved. Evidenced key performance indicators can be leveraged to carry out standardized assessments related to the digital practices implemented by healthcare organizations to achieve a fully developed sustainable relational ecosystem and generate a more efficient and effective healthcare organization system.

Contribution of the Research Institute of Healthcare Organization and Medical Management to the development of Moscow healthcare (1994–2024)

The article highlights the development path of the Research Institute for Healthcare Organization and Medical Manage­ment of the Moscow Department of Healthcare (1994–2024). Three periods of the institute's activity can be distinguished: ecological, transitional and modern. The main areas of research in the first period were the analysis of the Moscow environment and determination of the level of environmentally related morbidity, development of new diagnostic tools (polymerase chain reaction and troponin test sys­tem), vector-directed therapy of malignant neoplasms, and the use of natural statins to inhibit oncogenesis. At the beginning of the radi­cal reconstruction of medicine initiated by the Mayor of Moscow S. S. Sobyanin, the institute was reoriented to solving analytical prob­lems of healthcare organization. In the modern period, the institute's employees are engaged in research of the best public health prac­tices. The institute has implemented a comprehensive support system for Moscow scientists — search for ideas, access to knowledge bases, etc. The statistics department forms a comprehensive picture of the health status and medical care of the population of Moscow. Organizational and methodological departments have become actual «headquarters» for the main freelance specialists of the Health De­partment of Moscow. The Center for Sociological Research carries out systematic work on assessing the feedback of specialists and the public to the events held by the department. Congress and exhibition activities of medical organizations are supported, promoted and analyzed by the relevant department of the institute. Active work is carried out with the population to promote a healthy lifestyle, knowl­edge of first aid, etc. The Institute has come a long way and has become a major research, scientific and practical center of Moscow healthcare.

Operational disruption in healthcare associated with software functionality issue due to software security patching: a case report.

Despite many benefits, the extensive deployment of Health Information Technology (HIT) systems by healthcare organizations has encountered many challenges, particularly in the field of telemetry concerning patient monitoring and its operational workflow. These challenges can add more layers of complexity when an unplanned software security patching is performed, affecting patient monitoring and causing disruption in daily clinical operations. This study is a reflection on what happened associated with software security patching and why it happened through the lens of an incident report to develop potential preventive and corrective strategies using qualitative analyses-inductive and deductive approaches. There is a need for such analyses to identify the underlying mechanism behind such issues since very limited research has been conducted on the study of software patching. The incident was classified as a "software functionality" issue, and the consequence was an "incident with a noticeable consequence but no patient harm", and the contributing factor was a software update, i.e., software security patching. This report describes how insufficient planning of software patching, lack of training for healthcare professionals, contingency planning on unplanned system disruption, and HIT system configuration can compromise healthcare quality and cause risks to patient safety. We propose 15 preventive and corrective strategies grouped under four key areas based on the system approach and social-technical aspects of the patching process. The key areas are (i) preparing, developing, and deploying patches; (ii) training the frontline operators; (iii) ensuring contingency planning; and (iv) establishing configuration and communication between systems. These strategies are expected to minimize the risk of HIT-related incidents, enhance software security patch management in healthcare organizations, and improve patient safety. However, further discussion should be continued about general HIT problems connected to software security patching.

The Role of Strategic Human Resources Management in Healthcare Organizations – The Challenges We Face Today

The Role of Strategic Human Resources Management in Healthcare Organizations – The Challenges We Face Today

Exploring the impact of dynamic capabilities on entrepreneurial orientation in healthcare organizations: Findings from symmetric and asymmetric modeling

This work considers strategic flexibility (SF), structural flexibility (SX) and information acquisition (IA) as dynamic capabilities that promote entrepreneurial orientation in the health sector. Based on a quantitative survey carried out with managers of healthcare organizations in France, we demonstrate that IA positively impacts EO and that SF mediates the IA–EO relationship. The findings also indicate that SX moderates the effect of SF on EO. Our research has relevant theoretical implications because it extends the entrepreneurship literature through a novel focus on EO determinants in the healthcare sector. Practical implications for managers and decision-makers are also noted. The findings offer insights to healthcare care managers that will allow them to review the management method to fully involve and engage teams and to be more entrepreneurial.