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1 – 10 of over 24000
Article
Publication date: 27 October 2020

Per Svejvig and Bjarne Rerup Schlichter

This paper reports on an action research study based optimization project related to healthcare IT implemented on the Faroe Islands. The aims were to study what…

Abstract

Purpose

This paper reports on an action research study based optimization project related to healthcare IT implemented on the Faroe Islands. The aims were to study what constitutes value in the public healthcare setting by applying and activating existing resources in the organization, hence answering the overall research question: How can a resource-based view (RBV) improve benefits management (BM) practices?

Design/methodology/approach

By applying a RBV to findings from an action research study of an optimization project of an integrated health information system (HIS), a framework of capabilities needed in a public HIS setting to create value was developed.

Findings

The theoretical contribution is a framework explaining how BM practices and, hence, value can be interrelated in a public healthcare IT system.

Research limitations/implications

The study shows the need for academic IT professionals to structure and facilitate value generation, especially in the form of creating an innovative and learning environment in the form of an action research based project.

Practical implications

This study suggests which actors should be motivated and developed in order to ensure value in healthcare IT projects. Having value creation in mind, the model could have potentially broad applicability in a variety of healthcare IT settings.

Social implications

The findings leads to better usage of public healthcare resources.

Originality/value

The present research studies real problems in a real setting, thus providing distinct ideas on how to improve public value creation by direct engagement of researchers.

Details

International Journal of Managing Projects in Business, vol. 14 no. 1
Type: Research Article
ISSN: 1753-8378

Keywords

Article
Publication date: 3 October 2016

D. Ramadevi, Angappa Gunasekaran, Matthew Roy, Bharatendra K. Rai and S.A. Senthilkumar

The purpose of this paper is to develop a framework for the improvement of healthcare services through an effective human resource management system. The case study…

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Abstract

Purpose

The purpose of this paper is to develop a framework for the improvement of healthcare services through an effective human resource management system. The case study highlights a need to analyze human resource management processes that exist in healthcare sector and suggests better ways to achieve higher levels of patient satisfaction.

Design/methodology/approach

The methodology consists of first developing a conceptual framework for human resource management in healthcare industry. The proposed framework comprises of three parts: inputs which include determining employee competencies, HR planning, job analysis, recruitment, selection, compensation benefits, pay/rewards, labor and employee relations; processes (training and development) focus on healthcare systems; and outputs which include quality, cost, technology, and responsiveness leading to patient satisfaction. Then, the framework has been studied with help of a case study conducted in a hospital in India.

Findings

The most important skill required for healthcare workforce to deliver high-quality care to patients is the human resource development. By appropriate workforce development, healthcare organizations can provide high-quality services to patients. Finally, it derives a set of conclusions from the case study research. Further research would be needed to validate the framework through empirical data.

Originality/value

This research is a new attempt as there is a limited research done earlier on the framework of human resource management in healthcare system and services. It is designed to facilitate training and development at both the individual and at organizational levels, advocating a balance between “healthcare employee” and “healthcare system.”

Details

Industrial and Commercial Training, vol. 48 no. 8
Type: Research Article
ISSN: 0019-7858

Keywords

Article
Publication date: 1 September 2006

Charles R. Gowen, Kathleen L. McFadden and William J. Tallon

Healthcare organizations have addressed current error issues by adopting quality programs, which usually include strategic human resource management (HRM). However, little…

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Abstract

Purpose

Healthcare organizations have addressed current error issues by adopting quality programs, which usually include strategic human resource management (HRM). However, little research has focused on the determinants of successful quality programs at healthcare organizations. The purpose of this paper is to examine the centrality of strategic HRM for addressing healthcare errors, error reduction barriers, quality management processes and practices, quality program results, and competitive advantage.

Design/methodology/approach

The methodology of this study involves the analysis of questionnaire data from the quality and/or risk directors of 587 US hospitals by factor analysis and regression analysis.

Findings

The findings focus on highly statistically significant relationships of strategic HRM with antecedent healthcare error sources, error reduction barriers, and quality management processes and practices, as well as the strategic HRM consequences of perceived quality program results and sustainable competitive advantage.

Research limitations/implications

The limitations of perceptual data and common method variance are checked. Future research could investigate international effects.

Practical implications

The practical implications are that hospital errors can be successfully addressed with effective strategic HRM, quality management processes, and quality management practices.

Originality/value

The original contribution of this paper is the centrality of strategic HRM as a determinant of successful quality programs at healthcare organizations.

Details

Journal of Management Development, vol. 25 no. 8
Type: Research Article
ISSN: 0262-1711

Keywords

Abstract

Details

Developing and Engaging Clinical Leaders in the “New Normal” of Hospitals
Type: Book
ISBN: 978-1-80382-934-0

Open Access
Article
Publication date: 16 October 2017

Ashish Malik, Brendan Boyle and Rebecca Mitchell

The purpose of this paper is to examine innovation in the resource-constrained context of India’s healthcare industry. It is argued that the process of innovation in…

5514

Abstract

Purpose

The purpose of this paper is to examine innovation in the resource-constrained context of India’s healthcare industry. It is argued that the process of innovation in addressing healthcare management challenges in such a context occurs through organisational ambidexterity and that human resource management (HRM) plays an important role.

Design/methodology/approach

A qualitative research methodology is applied to explore the role of HR practices in facilitating contextual ambidexterity and subsequent innovations in healthcare in India. The unit of analysis is the “case” of healthcare providers in India and in-depth interview and documentary data in two case sites are analysed to reveal the role of HRM in facilitating contextual ambidexterity and innovation. Data analysis was undertaken first at a within-case and then at a cross-case analysis level using interpretive manual coding based on how the data explained the role of HRM in delivering innovative outcomes and supporting organisational ambidexterity.

Findings

The authors found evidence of the use of sets of high-involvement HRM practices for exploration of new ideas and efficiency-driven HRM practices for creating contextual ambidexterity in the case organisations. Further, managerial/leadership style was found to play an important role in creating cultures of trust, openness, risk-taking and employee empowerment, supported by an appropriate mix of intrinsic and extrinsic rewards. Finally, training was also reported as being central to creating an ambidextrous context for delivering on various innovations in these healthcare providers.

Originality/value

This study represents an exploration of innovation in the context of India’s healthcare sector through intersecting literatures of ambidexterity, innovation and HRM practices. In light of the emerging economy research context, an important empirical contribution is palpable. Moreover, through a study design which included collecting data from multiple informants on the role of human resources in facilitating innovative outcomes, the authors reveal the role of HR-related initiatives, beyond formal HR practices in creating contextual ambidexterity. This study also reveals the degree to which contextual idiosyncrasies enhance our understanding of the role of HR in facilitating innovation in emerging economies.

Details

Personnel Review, vol. 46 no. 7
Type: Research Article
ISSN: 0048-3486

Keywords

Article
Publication date: 24 June 2019

Oti Amankwah, Weng-Wai Choong and Abdul Hakim Mohammed

Facilities management (FM) professionals state that adopting FM will positively support core service delivery and ensure customer satisfaction. Evidences of such claim are…

Abstract

Purpose

Facilities management (FM) professionals state that adopting FM will positively support core service delivery and ensure customer satisfaction. Evidences of such claim are important as it will enhance the rationale for institutionalising prudent FM service quality in hospitals in Ghana. This paper aims to assess the mediating effect of healthcare FM service quality on patients’ satisfaction and overall healthcare delivery.

Design/methodology/approach

This is a cross-sectional study involving adult patients at the Physician outpatient departments and Polyclinics of Komfo Anokye, Tamale and Cape Coast Teaching hospitals in Ghana. A questionnaire survey using a well-structured five-point likert scale based on the SERVQUAL dimensions and Healthcare core service dimensions rooted in the FM framework was used to collect data from 660 patients. Smart PLS was used to analyse the data of 622 valid questionnaires.

Findings

The study results revealed that FM service quality mediates the relationship between patients’ satisfaction and three of the constructs under core healthcare delivery. That is, (the quality of healthcare delivery, the quality of healthcare personnel and the adequacy of healthcare resources) – surprisingly, the fourth construct (the quality of administration process) was not supported.

Originality/value

There is no or at best very limited studies on the contribution of healthcare FM on patients satisfaction of core healthcare delivery in Ghana. Therefore, this study will enrich and contribute to knowledge in healthcare FM in general and that of a developing African country in particular.

Details

Journal of Facilities Management , vol. 17 no. 3
Type: Research Article
ISSN: 1472-5967

Keywords

Article
Publication date: 9 November 2012

Jussi Myllärniemi, Harri Laihonen, Henri Karppinen and Kaisa Seppänen

The purpose of the study is to develop understanding about the role of information and knowledge in healthcare processes and thereby create a basis for practices that

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Abstract

Purpose

The purpose of the study is to develop understanding about the role of information and knowledge in healthcare processes and thereby create a basis for practices that would better support the actual service provision. This paper seeks to model and analyze the service processes of two case settings: laboratory and radiology units of a Finnish regional healthcare system.

Design/methodology/approach

The main actors, their knowledge needs, current knowledge practices and bottlenecks in knowledge flows were recognized. The paper combines conceptual analysis and empirical findings. The empirical data were collected in the autumn of 2010 and consist of 32 thematic interviews in two units of a healthcare organization in Finland. The themes of the interviews are related to current knowledge practices and processes.

Findings

The paper exemplifies an approach that provides a systematic basis for analyzing different aspects of knowledge management in healthcare processes. The approach provides valuable insights for analyzing knowledge‐based foundations of health services and it is expected that this analysis helps elaborate the practical knowledge processes of healthcare organizations.

Originality/value

The paper approaches health information management from the viewpoint of knowledge management discourse and highlights the importance of knowledge‐based value creation. Instead of mere information transfer or delivery the paper emphasizes the knowledge‐in‐use perspective. Despite the essential role of knowledge assets, the development efforts have mainly concentrated on solving local problems with context specific technical solutions.

Article
Publication date: 12 November 2020

Fabio Fiano, Marco Sorrentino, Francesco Caputo and Margherita Smarra

With the aim to enrich the ongoing debate about healthcare management, the paper has a twofold intent: [1] to emphasise the interpretative contribution that intellectual…

Abstract

Purpose

With the aim to enrich the ongoing debate about healthcare management, the paper has a twofold intent: [1] to emphasise the interpretative contribution that intellectual capital can provide to a better understanding of the relevant role of patients in the healthcare sector and [2] to investigate the relationships between the three main dimensions of intellectual capital – human capital, relational capital and structural capital – and patient satisfaction in the healthcare sector.

Design/methodology/approach

The intellectual capital framework is contextualised in the healthcare sector, and the relationships among patient evaluations of human capital, relational capital and structural capital and patient satisfaction are tested via structural equation modelling (SEM) using primary data collected with reference to a sample of 561 Italian patients involved in post survey treatments in three Italian hospitals.

Findings

The role of intellectual capital in supporting a better understanding of processes and dynamics of patient satisfaction in the healthcare sector is underlined. The empirical research provides possible guidelines for recovery patients centrality in healthcare management.

Originality/value

The paper shows how an intellectual capital framework can support a better understanding and management of dynamics and processes through which patient centrality and satisfaction in healthcare management can be enforced.

Details

Journal of Intellectual Capital, vol. 23 no. 3
Type: Research Article
ISSN: 1469-1930

Keywords

Book part
Publication date: 26 August 2010

Patrick A. Palmieri, Lori T. Peterson, Bryan J. Pesta, Michel A. Flit and David M. Saettone

Through a number of comprehensive reviews, the Institute of Medicine (IOM) has recommended that healthcare organizations develop safety cultures to align delivery system…

Abstract

Through a number of comprehensive reviews, the Institute of Medicine (IOM) has recommended that healthcare organizations develop safety cultures to align delivery system processes with the workforce requirements to improve patient outcomes. Until health systems can provide safer care environments, patients remain at risk for suboptimal care and adverse outcomes. Health science researchers have begun to explore how safety cultures might act as an essential system feature to improve organizational outcomes. Since safety cultures are established through modification in employee safety perspective and work behavior, human resource (HR) professionals need to contribute to this developing organizational domain. The IOM indicates individual employee behaviors cumulatively provide the primary antecedent for organizational safety and quality outcomes. Yet, many safety culture scholars indicate the concept is neither theoretically defined nor consistently applied and researched as the terms safety culture, safety climate, and safety attitude are interchangeably used to represent the same concept. As such, this paper examines the intersection of organizational culture and healthcare safety by analyzing the theoretical underpinnings of safety culture, exploring the constructs for measurement, and assessing the current state of safety culture research. Safety culture draws from the theoretical perspectives of sociology (represented by normal accident theory), organizational psychology (represented by high reliability theory), and human factors (represented by the aviation framework). By understanding not only the origins but also the empirical safety culture research and the associated intervention initiatives, healthcare professionals can design appropriate HR strategies to address the system characteristics that adversely affect patient outcomes. Increased emphasis on human resource management research is particularly important to the development of safety cultures. This paper contributes to the existing healthcare literature by providing the first comprehensive critical analysis of the theory, research, and practice that comprise contemporary safety culture science.

Details

Strategic Human Resource Management in Health Care
Type: Book
ISBN: 978-1-84950-948-0

Article
Publication date: 8 July 2014

Bryan McIntosh, Bruce Sheppy and Ivan Cohen

There has been considerable interest in the implementation of practices imported from manufacturing into healthcare as a solution to rising healthcare spending and…

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Abstract

Purpose

There has been considerable interest in the implementation of practices imported from manufacturing into healthcare as a solution to rising healthcare spending and disappointing patient safety indicators. One approach that has attracted particular interest is Lean management and the purpose of this paper is to engage with this topic.

Design/methodology/approach

Secondary research.

Findings

Despite widespread enthusiasm about the potential of Lean management processes, evidence about its contribution to higher organisational performance remains inconsistent.

Research limitations/implications

This paper engages with the major Lean concepts of operations management and human resource management, including just-in-time, total quality management, total productive maintenance and does not engage in-depth with concepts related to employee empowerment, and training.

Practical implications

This paper contributes to the organisational management literature in healthcare by showing that although Lean management seems to have the potential to improve organisational performance it is far from a panacea against under performing hospitals.

Social implications

It informs policy making by suggesting that a progressive managerial philosophy has a stronger impact on healthcare performance than the adoption of practices from any particular managerial approach.

Originality/value

This paper provides a critical evaluation of the impact of Lean practices in informing healthcare policy. The paper contributes to the organisational management literature in healthcare by showing that even though Lean management in healthcare appears to have the potential to improve organisational performance; there remain problems with its application.

Details

International Journal of Health Care Quality Assurance, vol. 27 no. 6
Type: Research Article
ISSN: 0952-6862

Keywords

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