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Article
Publication date: 21 March 2016

Renu Agarwal, Roy Green, Neeru Agarwal and Krithika Randhawa

The purpose of this paper is to investigate the quality of management practices of public hospitals in the Australian healthcare system, specifically those in the state-managed…

9199

Abstract

Purpose

The purpose of this paper is to investigate the quality of management practices of public hospitals in the Australian healthcare system, specifically those in the state-managed health systems of Queensland and New South Wales (NSW). Further, the authors assess the management practices of Queensland and NSW public hospitals jointly and globally benchmark against those in the health systems of seven other countries, namely, USA, UK, Sweden, France, Germany, Italy and Canada.

Design/methodology/approach

In this study, the authors adapt the unique and globally deployed Bloom et al. (2009) survey instrument that uses a “double blind, double scored” methodology and an interview-based scoring grid to measure and internationally benchmark the management practices in Queensland and NSW public hospitals based on 21 management dimensions across four broad areas of management – operations, performance monitoring, targets and people management.

Findings

The findings reveal the areas of strength and potential areas of improvement in the Queensland and NSW Health hospital management practices when compared with public hospitals in seven countries, namely, USA, UK, Sweden, France, Germany, Italy and Canada. Together, Queensland and NSW Health hospitals perform best in operations management followed by performance monitoring. While target management presents scope for improvement, people management is the sphere where these Australian hospitals lag the most.

Practical implications

This paper is of interest to both hospital administrators and health care policy-makers aiming to lift management quality at the hospital level as well as at the institutional level, as a vehicle to consistently deliver sustainable high-quality health services.

Originality/value

This study provides the first internationally comparable robust measure of management capability in Australian public hospitals, where hospitals are run independently by the state-run healthcare systems. Additionally, this research study contributes to the empirical evidence base on the quality of management practices in the Australian public healthcare systems of Queensland and NSW.

Details

Journal of Health Organization and Management, vol. 30 no. 1
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 5 August 2014

Kiran Sandhu

How were health-based perceptions influenced by dominant public health theories in the historical past to present times and what impact did it have on waste management behaviours…

1004

Abstract

Purpose

How were health-based perceptions influenced by dominant public health theories in the historical past to present times and what impact did it have on waste management behaviours? Taking public health as the single most important driver of waste management responses from historic to the contemporary times, the purpose of this paper is to evaluate the waste management practices through the lens of the leading public health constructs and their impacts on the adaptive practices of waste management. The research paper seeks to analyze the historical journey of waste management responses using the theoretical constructs of the Health Belief Model (HBM).

Design/methodology/approach

The purpose of the research is achieved by conducting an extensive review into the available secondary source-based historic literature on waste. The paper uses qualitative method of research and applies content and text analysis to present the review of literature and establish patterns and co-relations between public health theories, health perceptions and waste behaviours. The HBM is applied in a modified format to evaluate the patterns of waste-based health perceptions and their impacts on adaptive waste management responses.

Findings

Based upon a comprehensive review of literature pertaining to the historical aspect of waste management and public health constructs, the paper presents the link between the dominant public health theories, their impacts on waste-based health perceptions and waste management responses through the course of history. The analysis also reveals that while new approaches have been developed and adapted based upon the dominant public health theories, the age old practices and behaviours have not entirely faded away and rather continue to operate till date.

Research limitations/implications

The research being under the preview of historical investigation, depends purely upon secondary review of literature to gather such information that shall lead to making an evaluation of health perceptions. As such the limitation of data itself for a thorough analysis is acknowledged. Also since the research setting uses the global context, the literature search found more information from the historic context of the western societies and less from other parts of the world and generalizations are therefore based on this literature.

Originality/value

The paper presents a linkage between public health theories, perceptions and waste behaviours with application of the HBM and in doing so it makes a contribution towards understanding the historical journey of waste management responses. In the author's best knowledge the HBM has not been applied in environmental history research of this nature. The application of the HBM, while it has been done in the historical context herein, but it can be visualized that this model holds strength to make an application in contemporary settings to arrive at appropriate waste management policies and strategies.

Details

Management of Environmental Quality: An International Journal, vol. 25 no. 5
Type: Research Article
ISSN: 1477-7835

Keywords

Article
Publication date: 21 August 2009

Jiaxiang Hu, Amy Z. Zeng and Lindu Zhao

The purpose of this paper is to study the managing of emergencies pertinent to public health which is critical to the well‐being of a society; as such, the management mechanisms…

2055

Abstract

Purpose

The purpose of this paper is to study the managing of emergencies pertinent to public health which is critical to the well‐being of a society; as such, the management mechanisms employed should be of great interest and significance for research.

Design/methodology/approach

This paper first relies on extensive literature to describe the mechanism used in the USA from three aspects – organizational structure, management system, and logistics network. For the purpose of comparison, the Chinese version of the mechanism is presented from the same three aspects. The two management systems are then compared both qualitatively and quantitatively.

Findings

Deficient areas in Chinese publichealth management mechanism as well as challenging issues associated with supply chain design and coordination for emergency supplies in the context of large‐scale public health emergencies with low frequency but catastrophic impacts are found. Specifically, the following three important research problems are revealed from the comparative study: how to establish an efficient organizational structure that incorporates all the relevant entities in publichealth emergency management? How to establish an information system for emergency management that integrates disease surveillance, control, and prevention? How to design an efficient and cost‐effective logistics network to ensure prompt and sufficient delivery of emergency supplies?

Originality/value

To date, this research has been the first of its kind that compares two countries' emergency management systems in the context of public health management.

Details

Industrial Management & Data Systems, vol. 109 no. 7
Type: Research Article
ISSN: 0263-5577

Keywords

Article
Publication date: 3 November 2023

Xubu Ma, Yafan Xiang, Chunxiu Qin, Huigang Liang and Dongsu Liu

With the worldwide open government data (OGD) movement and frequent public health emergencies in recent years, academic research on OGD for public health emergencies has been…

Abstract

Purpose

With the worldwide open government data (OGD) movement and frequent public health emergencies in recent years, academic research on OGD for public health emergencies has been growing. However, it is not fully understood how to promote OGD on public health emergencies. Therefore, this paper aims to explore the factors that influence OGD on public health emergencies.

Design/methodology/approach

The technology–organization–environment framework is applied to explore factors that influence OGD during COVID-19. It is argued that the effects of four key factors – technical capacity, organizational readiness, social attention and top-down pressure – are contingent on the severity of the pandemic. A unique data set was created by combining multiple data sources which include archival government data, a survey of 1,034 Chinese respondents during the COVID-19 outbreak and official COVID-19 reports.

Findings

The data analysis indicates that the four factors positively affect OGD, and pandemic severity strengthens the effects of technical capacity, organizational readiness and social attention on OGD.

Originality/value

This study provides theoretical insights regarding how to improve OGD during public health emergencies, which can guide government efforts in sharing data with the public when dealing with outbreak in the future.

Details

The Electronic Library , vol. 42 no. 1
Type: Research Article
ISSN: 0264-0473

Keywords

Open Access
Article
Publication date: 31 January 2023

Guido Noto, Anna Prenestini, Federico Cosenz and Gustavo Barresi

Public health strategies and activities are intrinsically complex. According to the literature, this “wickedness” depends on the different interests and expectations of the…

1261

Abstract

Purpose

Public health strategies and activities are intrinsically complex. According to the literature, this “wickedness” depends on the different interests and expectations of the stakeholders and the community, the fragmented governance of the related services and the challenges in measuring and assessing public health outcomes. Existent performance measures and management systems for public health are not designed to cope with wickedness since they are mainly focused on inputs and outputs, neglecting broader outcomes because of their long-term impact and the poor accountability of results. This research aims to tackle this shortfall by adopting a dynamic performance management (DPM) approach.

Design/methodology/approach

This research explores the case of the vaccination campaign of a Regional Health System. Through the analysis of an illustrative case study, the research discusses both opportunities and limits of the proposed approach.

Findings

This research highlights that DPM supports performance management (PM) in wicked contexts, thanks to the adoption of a system-wide perspective and the possibility of using simulation to experiment with alternative strategies and benchmarking performance results with simulated trends.

Originality/value

This article tackles a gap related to the management of wicked problems both from a theory and a practical perspective. In particular, this research suggests the adoption of DPM as an approach that may support policymakers in tackling social pluralism, institutional complexity and scientific uncertainty all at once.

Details

International Journal of Public Sector Management, vol. 36 no. 2
Type: Research Article
ISSN: 0951-3558

Keywords

Article
Publication date: 16 August 2021

Edward Nartey, Francis Kweku Aboagye-Otchere and Samuel Nana Yaw Simpson

The purpose of this paper is to first, determine the implications of management control system (MCS) information characteristics for controlling the COVID-19 pandemic through four…

1034

Abstract

Purpose

The purpose of this paper is to first, determine the implications of management control system (MCS) information characteristics for controlling the COVID-19 pandemic through four performance indicators (quality, speed of delivery, availability and cost-effectiveness) of the public health supply chain and second, the mediating effect of four dimensions (broad scope, timeliness, integration and aggregation) of the MCS on external integration, internal integration, customer integration and operational performance of public health institutions in Ghana.

Design/methodology/approach

Using covariance-based structural equations modelling and based on contingency theory, a hypothesized model was developed and tested. The sample involves a survey of 214 public health institutions in Ghana.

Findings

Both external and internal integration were found to have a significant positive effect on MCS information and, in turn, on the supply chain operational performance of public health institutions. Also, customer integration has a significant positive impact on the four dimensions with a corresponding impact on supply chain operational performance.

Practical implications

The paper provides practitioners and policymakers with the usefulness of the contingency paradigm in enhancing the supply chain network of public health institutions during epidemics, hence, the need to adopt and develop the contingency approach in designing MCS within the public health sector. Effective public health management through a collaborative process between stakeholders (suppliers, customers and personnel) will mitigate stockouts of medical supplies and systematic disruptions in the public health supply chain.

Originality/value

The MCSs – supply chain integration interaction on organizational performance is one of the areas that has received very little attention in the literature particularly in service-oriented organizations. In this regard, this paper represents one of the few studies in Africa that examines performance implications of MCS – supply chain nexus with respect to public health emergencies service-orientec organizations. The paper contributes to the literature by providing invaluable insights into the usefulness of the MCS in enhancing the supply chain performance of public health emergencies.

Article
Publication date: 18 September 2017

Jingjing Xiong, Zhen He, Yujia Deng, Min Zhang and Zehong Zhang

To face profound changes from decreasing funding, growing patient expectations and increasing competition in the health-care market, public hospitals began to implement effective…

1159

Abstract

Purpose

To face profound changes from decreasing funding, growing patient expectations and increasing competition in the health-care market, public hospitals began to implement effective quality management (QM) practices following manufacturing and other service industries. However, there was little knowledge relevant to the impact of QM practices on the performance of public hospitals. The study aims to shed some further light on this issue.

Design/methodology/approach

The paper extends the previous empirical research to the health-care sectors and suggests the research framework of QM practice-performance relationships in public hospitals. For validation purposes, a cross-sectional survey involving 204 quality managers and directors of large public hospitals was carried out between April and October 2013 in Zhejiang Province, China. Structural equation modeling was used to test the hypothesized relationship between QM practices and hospital performance.

Findings

Empirical results support that the implementation of QM practices can bring many benefits to sample hospitals. The dimensions of employee relations and process management are directly related to the health-care and non-health-care performance of public hospitals.

Originality/value

It explores the relationship between QM practices and hospital performance based on empirical results from Chinese public hospitals, whereas few studies have been conducted within the context of public health-care sectors in developing countries. The empirical results could enhance hospital managers’ understanding of the nature of QM practice-performance relationship and help mangers re-allocate more resources to those elements of the QM systems that have the most significant impact on hospital performance.

Details

International Journal of Quality and Service Sciences, vol. 9 no. 3/4
Type: Research Article
ISSN: 1756-669X

Keywords

Open Access
Article
Publication date: 5 December 2022

Hanna Komulainen, Satu Nätti, Saila Saraniemi and Pauliina Ulkuniemi

Recent literature within public service logic has called for more explicit conceptualisation of customer value in public services. This study aims to fill this gap by examining…

1748

Abstract

Purpose

Recent literature within public service logic has called for more explicit conceptualisation of customer value in public services. This study aims to fill this gap by examining how the customer value approach can be applied in the management of public health care services.

Design/methodology/approach

This study is a qualitative case study of management of public health care services in Finland. The authors interviewed 17 regional health care service developers and analyzed the interview data using thematic analysis.

Findings

The study suggests five propositions for applying customer value approach from the marketing literature in public health care service management. The study enables a deeper understanding of customer value creation in this context and improvement of public health care services.

Originality/value

This study contributes to the public management research in general and public service logic research in particular by suggesting what constitutes customer value in public health care services.

Details

International Journal of Public Sector Management, vol. 36 no. 1
Type: Research Article
ISSN: 0951-3558

Keywords

Article
Publication date: 11 October 2021

Nuzaihan Aras Agus Salim, Naziah Muhamad Salleh, Mastura Jaafar, Mohd Zailan Sulieman, Norhidayah Md Ulang and Andrew Ebekozien

Frequent fire incidences in various hospitals across the globe with devastating effects on humans and other resources have multiplied. Stakeholders in the health-care sector are…

Abstract

Purpose

Frequent fire incidences in various hospitals across the globe with devastating effects on humans and other resources have multiplied. Stakeholders in the health-care sector are worried because of the yearly fire outbreak increase. However, fire safety management has been proved as a successful platform to mitigate fire in health-care facilities. How far regarding public health-care facilities is yet to receive in-depth studies in Malaysia. This paper aims to investigate the issues associated with fire safety management and proffers possible solutions to improve safety in public health-care facilities from the operators’ perception.

Design/methodology/approach

The objectives were achieved through a combination of case studies of five selected Malaysia’s public hospitals and a qualitative approach. Thematic analysis with the assistance of MAXQDA (software program designed for computer-assisted qualitative and mixed methods data) 2018, a type of qualitative data analysis software was used to analyse the collated data which emerged from the knowledgeable participants.

Findings

Lax implementation of safety policy, inadequate water pressure, poor maintenance, inadequate communication system, amongst others, emerged as the issues. Findings proffer five main measures to possibly improve fire safety management in public health-care buildings. This includes a feasible institutional framework, improve the emergency response team, improve the occupational health and safety system and others.

Research limitations/implications

This paper is limited to exploring the issues associated with fire safety management and proffer possible solutions to improve safety in public health-care facilities from the operators’ perception. Future research is needed to engage useful information in advancing fire safety management in public hospital buildings and possibly developing a qualitative model using a generic fire response model. Also, to investigate the level of compliance with the requirements of a fire safety management plan and possibly develop a well-detailed fire safety plan in Malaysia’s public health-care buildings.

Practical implications

As part of the paper implications, the paper concludes that improved fire protection systems via modern technologies and training of key staff members in accident response and recovery during fire emergencies should be encouraged. This can be achieved through the enforcement and implementation of a fire safety management plan. Thus, this study is encouraging the implementation and sustainability of a fire safety management plan for health-care buildings across Malaysia.

Originality/value

To the best of this paper’s knowledge, this is possibly the first comprehensive paper on fire safety management in public health-care facilities that engaged operators in Malaysia. Moreover, this paper proffers feasible policy solutions to improve the fire safety management plan in public health-care buildings.

Details

Journal of Facilities Management , vol. 21 no. 1
Type: Research Article
ISSN: 1472-5967

Keywords

Article
Publication date: 3 October 2016

Mindaugas Stankunas, Katarzyna Czabanowska, Mark Avery, Ramune Kalediene and Suzanne Marie Babich

Strengthening management capacity within the health care sector could have a significant impact on population health. However, many training programs in this area are still…

Abstract

Purpose

Strengthening management capacity within the health care sector could have a significant impact on population health. However, many training programs in this area are still delivered using a classic lecture-based approach. The purpose of this paper is to evaluate and better understand the feasibility of using a problem-based learning (PBL) approach in health services management training programs.

Design/methodology/approach

A PBL teaching approach (based on the Maastricht University model) was tested with second-year postgraduate students from the Master in Public Health Management program at the Lithuanian University of Health Sciences. Students’ opinions about PBL were investigated using a questionnaire with eight open-ended questions. Thematic content analysis was chosen to reflect the search for patterns across the data.

Findings

Respondents stated that the main advantage of PBL was that it was a more interesting and effective way of learning: “It is easier to remember, when you study by yourself and discuss with all peers”. In addition, it was mentioned that PBL initiated a rapid exchange of ideas and sharing of personal experience. Students stressed that PBL was a good tool for developing other skills as well, such as “public speaking, communication, logic thinking”. All students recommended delivering all other courses in the health services management program using PBL methodologies.

Originality/value

Findings from our study suggest that PBL may be an effective approach to teaching health services management. Potential problems in implementation are noted.

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