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1 – 10 of over 56000Irina Farquhar and Alan Sorkin
This study proposes targeted modernization of the Department of Defense (DoD's) Joint Forces Ammunition Logistics information system by implementing the optimized innovative…
Abstract
This study proposes targeted modernization of the Department of Defense (DoD's) Joint Forces Ammunition Logistics information system by implementing the optimized innovative information technology open architecture design and integrating Radio Frequency Identification Device data technologies and real-time optimization and control mechanisms as the critical technology components of the solution. The innovative information technology, which pursues the focused logistics, will be deployed in 36 months at the estimated cost of $568 million in constant dollars. We estimate that the Systems, Applications, Products (SAP)-based enterprise integration solution that the Army currently pursues will cost another $1.5 billion through the year 2014; however, it is unlikely to deliver the intended technical capabilities.
Noor Fadzlina Mohd Fadhil, Say Yen Teoh, Leslie W. Young and Nilmini Wickramasinghe
This study investigated two key aspects: (1) how a hospital bundles limited resources for preventive care performance and (2) how to develop IS capabilities to enhance preventive…
Abstract
Purpose
This study investigated two key aspects: (1) how a hospital bundles limited resources for preventive care performance and (2) how to develop IS capabilities to enhance preventive care performance.
Design/methodology/approach
A case study method was adopted to examine how a hospital integrates its limited resources which leads to the need for resource bundles and an understanding of IS capabilities development to understand how they contribute to the delivery of preventive care in a Malaysian hospital.
Findings
This research proposes a comprehensive framework outlining resource-bundling and IS capabilities development to improve preventive care.
Research limitations/implications
We acknowledge that the problem of transferring and generalizing results has been a common criticism of a single case study. However, our objective was to enhance the reader’s understanding by including compelling, detailed narratives demonstrating how our research results offer practical examples that can be generalized theoretically. The findings also apply to similar-sized public hospitals in Malaysia and other developing countries, facing challenges like resource constraints, HIS adoption levels, healthcare workforce shortages, cultural and linguistic diversity, bureaucratic hurdles, and specific patient demographics and health issues. Further, lessons from this context can be usefully applied to non-healthcare service sector domains.
Practical implications
This study provides a succinct strategy for enhancing preventive care in Malaysian public hospitals, focusing on system integration and alignment with hospital strategy, workforce diversity through recruitment and mentorship, and continuous training for health equity and inclusivity. This approach aims to improve resource efficiency, communication, cultural competence, and healthcare outcomes.
Social implications
Efficiently using limited resources through HIS investment is essential to improve preventive care and reduce chronic diseases, which cause approximately nine million deaths annually in Southeast Asia, according to WHO. This issue has significantly impacted the socioeconomic development of developing countries.
Originality/value
This research refines resource orchestration theory with new mechanisms for resource mobilization, extends IS literature by identifying how strategic bundling forms specialized healthcare IS capabilities, enriches preventive care literature through actionable resource-bundling activities, and adds to HIS literature by advocating for an integrated, preventive care focus from the alignment of HIS design, people and institutional policies to address concerns raised by other research regarding the utilization of HIS in improving the quality of preventive care.
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Rania F. Valeeva and Piet Bracke
Previous research shows differences between women and men in utilization of facilities of health care (FHC) across the general population in a number of countries. In this…
Abstract
Purpose
Previous research shows differences between women and men in utilization of facilities of health care (FHC) across the general population in a number of countries. In this chapter, we focus on the capability to use FHC, because it refers to an individual freedom to choose between alternative FHC directed to restore or to improve own health in situations of health needs. Based on several empirical studies and on the insights of the capability approach, we propose that there are cross-national differences between women and men in the capability to use FHC, and that these differences are due to gender differences in the extent of educational skills, and due to differences in the extensiveness of social security policies across countries. The objective of this study was to question these propositions.
Methodology/approach
We tested the hypotheses using the data from the European Social Survey (in a sample of 38,992 respondents from 22 countries) which we analyzed performing multilevel analyses.
Findings
The findings show that in Central, North, West, and East European countries, women have more capabilities to use FHC than men. They suggest that the low-skilled women in Central, North, and West European countries have higher level of the capability to use FHC than women with more educational skills.
Research limitations/implications
The findings do not specify which particular social program or policy is more effective in enhancing women’s capability to use FHC.
Originality/value
This chapter focuses on women’s freedom or the capability to use FHC.
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Health-care supply chains must focus on efficient deployment of resources for ensuring optimal supply chain performance. With efficient supply chain (SC) performance, health-care…
Abstract
Purpose
Health-care supply chains must focus on efficient deployment of resources for ensuring optimal supply chain performance. With efficient supply chain (SC) performance, health-care entities would be able to address their patients’ requirements with great speed. This is the essence of health-care agility. Hence, the purpose of this paper is to focus on developing health-care agility through human capital, that is, innovative idea generation capabilities and specialised knowledge possessed by the firm employees. Because information technology (IT) capabilities play a dominant role in information exchange crucial to supply chain operations; the study considered the moderating role of three IT capabilities, viz. outside-in, spanning and inside-out IT capabilities on human capital and health-care SC performance association, and on health-care supply chain performance and health-care agility association.
Design/methodology/approach
Because the constructs used in the study mainly deals with issues specifically related to hospitals and their associated supply chains, the study collected perceptual responses from senior hospital managers. Perceptual responses were received through face-to-face interviews with 212 hospital managers working in different hospitals. The collected responses were analysed using confirmatory factor analysis and structural equation modelling.
Findings
Findings suggests positive influences of human capital on health-care SC performance and health-care agility. Furthermore, health-care SC performance was also found to result in enhanced health-care agility. The study further revealed positive moderation of outside-in, spanning and inside-out IT capabilities on human capital and health-care SC performance association and on health-care SC performance and health-care agility association.
Originality/value
The study addressed the importance of human capital in providing faster services to patients (i.e. agility) in health-care supply chains through improved SC performance. Furthermore, the study addressed the importance of different IT capabilities that enhance the importance of human capital in providing efficient and faster services through efficient SC performance.
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Mona Jami Pour and Seyed Mohammadbagher Jafari
The advent of new technologies and change of patients’ behavioral patterns have triggered the provision of medical services through social media. Although the intersection between…
Abstract
Purpose
The advent of new technologies and change of patients’ behavioral patterns have triggered the provision of medical services through social media. Although the intersection between social media and health has received considerable research attention, there is little research on how health institutions implement social media strategy; thus a roadmap is required to navigate these technological initiatives. So, the purpose of this paper is to overcome this challenge by developing the Health 2.0 maturity model in the healthcare field.
Design/methodology/approach
To obtain this aim, the mixed method was applied in this research. In the first step, qualitative research method was used. In this step, along with comprehensive literature review, semi-structured interviews were conducted with the healthcare professionals to find the practices and capabilities of Health 2.0. In the second step, the proposed key dimensions (KD) were assessed and prioritized based on the views of the healthcare professionals using the quantitative survey method. Finally, by considering the architecture of Health 2.0 maturity model, the KDs were assigned to maturity levels based on their priority of implementation using a focus group.
Findings
The proposed maturity model is composed of six KDs and five maturity levels based on the Capability Maturity Model Integration architecture. The KDs, as well as their implementation order and weights in the proposed maturity model are presented as a roadmap for applying Health 2.0 effectively.
Practical implications
Employing the Health 2.0 maturity model enables health institutions to assess the current social media capabilities and guide them to select appropriate strategies for progress. Due to the descriptive nature of the proposed model, it allows managers to conduct process-based assessments regarding health 2.0 implementation.
Originality/value
Health 2.0 has been a recurring theme on the agenda of healthcare institutions, but no sensitive tool is available to measure its growth processes. This paper explores the much ignored but critically important subject of Health 2.0 maturity model and its implementation roadmap. The main contribution of this paper is to introduce an integrated roadmap containing the most important capabilities of Health 2.0. The proposed model is both descriptive and prescriptive in nature, and has a significant theoretical contribution to healthcare studies. This paper provides a mechanism to benchmark Health 2.0 efforts and to develop a progressive strategy that would improve its activities.
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Ruben Loureiro, João J. Ferreira and Jorge Simões
Dynamic capabilities (DCs) need renewing to respond to changes emerging in the environment, and organizations must build up their capacities to sustain good performance levels…
Abstract
Purpose
Dynamic capabilities (DCs) need renewing to respond to changes emerging in the environment, and organizations must build up their capacities to sustain good performance levels. This study aims to identifying and characterizing the DCs existing in public health sector organizations by surveying the DC-related areas in health organizations, contributing to broader and more systematized knowledge in this field.
Design/methodology/approach
The authors sent a questionnaire to 245 professionals with leadership and management positions in healthcare organizations in this study. The authors used multivariate methods to validate the variables used to measure the DCs.
Findings
In addition to highlighting the impact of DCs on public health organizations' performance, the study’s results allowed the authors to identify hidden capacities in the organizations of this sector, which only emerge when resource management difficulties occur. These changes and difficulties may interact with users and/or professionals' needs and make organizational management a particular challenge aggravated by quick responses to ensure the organization's survival.
Originality/value
This study contributes to the literature's call for a deeper understanding of the role of DCs and contribute to a greater practical understanding of how these capabilities influence the performance of such organizations.
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Frances M Wu, Thomas G. Rundall, Stephen M. Shortell and Joan R Bloom
The purpose of this paper is to describe the current landscape of health information technology (HIT) in early accountable care organizations (ACOs), the different strategies ACOs…
Abstract
Purpose
The purpose of this paper is to describe the current landscape of health information technology (HIT) in early accountable care organizations (ACOs), the different strategies ACOs are using to develop HIT-based capabilities, and how ACOs are using these capabilities within their care management processes to advance health outcomes for their patient population.
Design/methodology/approach
Mixed methods study pairing data from a cross-sectional National Survey of ACOs with in-depth, semi-structured interviews with leaders from 11 ACOs (both completed in 2013).
Findings
Early ACOs vary widely in their electronic health record, data integration, and analytic capabilities. The most common HIT capability was drug-drug and drug-allergy interaction checks, with 53.2 percent of respondents reporting that the ACO possessed the capability to a high degree. Outpatient and inpatient data integration was the least common HIT capability (8.1 percent). In the interviews, ACO leaders commented on different HIT development strategies to gain a more comprehensive picture of patient needs and service utilization. ACOs realize the necessity for robust data analytics, and are exploring a variety of approaches to achieve it.
Research limitations/implications
Data are self-reported. The qualitative portion was based on interviews with 11 ACOs, limiting generalizability to the universe of ACOs but allowing for a range of responses.
Practical implications
ACOs are challenged with the development of sophisticated HIT infrastructure. They may benefit from targeted assistance and incentives to implement health information exchanges with other providers to promote more coordinated care management for their patient population.
Originality/value
Using new empirical data, this study increases understanding of the extent of ACOs’ current and developing HIT capabilities to support ongoing care management.
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Clio Berry, Mark Hayward and Andy Porter
A tool was created to evaluate the socially inclusive practice of mental health teams. The tool was based on the 2007 Department of Health best practice guide for the workforce…
Abstract
A tool was created to evaluate the socially inclusive practice of mental health teams. The tool was based on the 2007 Department of Health best practice guide for the workforce, Capabilities for Inclusive Practice (CfIP), itself based on The 10 Essential Shared Capabilities (Hope, 2004). The tool comprised three parts, a team questionnaire, a service user questionnaire, and a Care Programme Approach (CPA) care plan documentation analysis (see previous paper on pp31‐41). This paper focuses on piloting the tool with mental health teams within Sussex Partnership NHS Foundation Trust as a means of showcasing the evaluation tool. Detailed findings are reported from one assertive outreach team (AOT). The findings suggest that although the team professed limited knowledge of CfIP, they endorsed all capabilities in their practice, although a low response rate limits the extent to which the current findings are generalisable. The triangulation of data provided by the tool facilitates an exploration of the variance of capabilities across team, service user, and care planning perspectives, meaning that specific areas for the improvement of the delivery of inclusive practice can be easily identified.
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Christalla Pithara, Michalinos Zembylas and Mamas Theodorou
This paper aims to discuss factors affecting temporary migrants' ability to access and make effective use of public and private healthcare services in the Republic of Cyprus…
Abstract
Purpose
This paper aims to discuss factors affecting temporary migrants' ability to access and make effective use of public and private healthcare services in the Republic of Cyprus (hereafter referred to as Cyprus). These factors are raised in the context of a larger study focusing on the healthcare needs of temporary migrants from non‐EU countries living and working in Cyprus.
Design/methodology/approach
Semi‐structured interviews with 13 domestic workers and 17 students from Sri Lanka, Pakistan, Bangladesh, India and the Philippines explored migrants' experiences with accessing and utilizing healthcare services in Cyprus. The theoretical framework utilized is grounded in the health capability approach which focuses on individuals' confidence and ability to be effective in achieving optimal health.
Findings
The study highlights issues concerning the accessibility and acceptability of healthcare services which emerge as the result of both the organisation and delivery of healthcare services and social, political and economic structures.
Research limitations/implications
The implications of this study are relevant in the current debate taking place at the EU level about the opportunities and challenges of temporary migration. Specifically, it is argued that governments and societies should promote individual freedoms and opportunities that empower people to lead the lives they want to live.
Originality/value
Temporary migrants form a group whose experiences and needs have not been as extensively investigated as those of other migrant groups, particularly in Cyprus. The capability approach allows for assessing both policy and health systems taking into consideration equity and the impact of multi‐sectoral influences on health.
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Christopher G. Worley and Philip H. Mirvis
This chapter examines the case studies in this volume with a focus on concepts and methods used in the study of multi-organization networks and partnerships, motivations to join…
Abstract
Purpose
This chapter examines the case studies in this volume with a focus on concepts and methods used in the study of multi-organization networks and partnerships, motivations to join in multi-party collaboration, how multi-organization collaborations organized and managed, what kinds of value are created by collaborations, and the role of leadership therein.
Design/methodology/approach
A comparative look at four vertical networks (in health care and education); two “issue” networks/partnerships (sustainable seafood and water use); and the roles of government in collaboration in horizontal, vertical, and issue-based arrangements.
Findings
The chapter describes “lessons” learned about building both sustainability and collaborative capabilities in and across partnering organizations and about improving partnership structures, processes, and results.
Originality/value
The chapter sums and synthesizes the volume’s contributions.
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