“It’s Not Just the Right Thing . . . It’s a Survival Tactic”: Disentangling Leaders’ Motivations and Worries on Social Care

2021 ◽  
pp. 107755872110576
Author(s):  
Taressa K. Fraze ◽  
Laura B. Beidler ◽  
Lucy A. Savitz
Keyword(s):  
Health Care ◽  
Health Care Organizations ◽  
Social Care ◽  
Business Case ◽  
Social Conditions ◽  
Economic Insecurity ◽  
Structured Interviews ◽  
Health Care Administrators ◽  
Policy Makers ◽  
The Right

Health care organizations face growing pressure to improve their patients’ social conditions, such as housing, food, and economic insecurity. Little is known about the motivations and concerns of health care organizations when implementing activities aimed at improving patients’ social conditions. We used semi-structured interviews with 29 health care organizations to explore their motivations and tensions around social care. Administrators described an interwoven set of motivations for delivering social care: (a) doing the right thing for their patients, (b) improving health outcomes, and (c) making the business case. Administrators expressed tensions around the optimal role for health care in social care including uncertainty around (a) who should be responsible, (b) whether health care has the needed capacity/skills, and (c) sustainability of social care activities. Health care administrators could use guidance and support from policy makers on how to effectively prioritize social care activities, partner with other sectors, and build the needed workforce.

Imprecise DEA framework for evaluating health-care performance of districts

Kybernetes ◽  
2017 ◽  
Vol 46 (4) ◽  
pp. 706-727 ◽  
Author(s):  
E. Ertugrul Karsak ◽  
Melis Almula Karadayi
Keyword(s):  
Health Care ◽  
Performance Evaluation ◽  
Health Care Organizations ◽  
Health Sector ◽  
Evaluation Methodology ◽  
Policy Makers ◽  
Content Type ◽  
Relative Evaluation ◽  
Health Care Performance ◽  
Care Performance

Purpose This paper aims to address performance measurement in the health-care sector, which gains increasing importance for most countries because growing health expenditures and increased quality and competition in the health sector require hospitals to use their resources efficiently. Health policy-makers and health-care managers stress the need for developing a robust performance evaluation methodology for health-care organizations. Design/methodology/approach This paper presents an imprecise data envelopment analysis (DEA) framework for evaluating the health-care performance of 26 districts in Istanbul, a metropolis with nearly 15 million inhabitants. The proposed methodology takes into account both quantitative and qualitative data represented as linguistic variables for performance evaluation. Moreover, this study reckons that weight flexibility in DEA assessments can lead to unrealistic weighting schemes for some inputs and outputs, which are likely to result in overstated efficiency scores for a number of decision-making units (in here, districts). To overcome this problem, a weight restricted imprecise DEA model that constrains weight flexibility in DEA is proposed. Findings The proposed imprecise DEA approach sets forth a more realistic decision methodology for evaluating the relative health-care performance and also enables to determine the best district in terms of health-care performance in Istanbul. Originality/value This paper includes the quality dimension, which has been overlooked in previous studies, into the health-care performance evaluation of districts. Moreover, it circumvents unrealistic weight flexibility which may distort the relative evaluation of health-care performance.

scholarly journals Whole Person, Whole Journey: Developing a Person-Centred Regional Dementia Strategy

2020 ◽  
pp. 1-15
Author(s):  
Paul Stolee ◽  
Jessica Ashbourne ◽  
Jacobi Elliott ◽  
Sarah Main ◽  
Nicole Holland ◽  
...  
Keyword(s):  
Health Care ◽  
Priority Setting ◽  
Health Authority ◽  
Partner Support ◽  
Regional Health ◽  
Health Care Administrators ◽  
Policy Makers ◽  
Care Partners ◽  
Whole Person ◽  
Care Support

ABSTRACT We present the development of a regional dementia strategy in Southwestern Ontario, Canada. We worked with stakeholders in a regional health authority to develop a dementia strategy. We conducted interviews with persons with dementia and their care partners (n = 26) and health care administrators and policy makers (n = 33); and administered a priority-setting survey (n = 64). Both participant groups identified provider compassion, professionalism, and care in the early stages of dementia as system strengths. Both groups also highlighted a need for more integration and coordination, a need for more person-centred care, support for care partners, and more flexibility in the provision and receipt of services. The highest-ranked priorities were improving care partner support, improving access to care, and improving system-wide quality. We integrate these strengths, needs, and priorities in a strategic framework, “Whole Person, Whole Journey”. Organizations developing a dementia strategy may use this framework as a springboard for their own work.

Health of Newcomers

2017 ◽  
Author(s):  
Patricia Illingworth ◽  
Wendy E. Parmet
Keyword(s):  
Health Care ◽  
Global Climate ◽  
Health Care Systems ◽  
Vital Role ◽  
Health Policies ◽  
Global Public Good ◽  
Policy Makers ◽  
Native Populations ◽  
Care Systems ◽  
The Right

Immigration and health are two of the most contentious issues facing policy makers today. Policies that relate to both issues—to the health of newcomers—often reflect misimpressions about immigrants, their health, and their impact on health care systems. Although immigrants are typically younger and healthier than natives, and many newcomers play a vital role in providing care in their new lands, natives are often reluctant to extend basic health care to immigrants. Likewise, many nations turn against immigrants when epidemics strike, falsely believing that native populations can be kept well by keeping immigrants out. This book demonstrates how such reactions thwart attempts to create efficient and effective health policies and efforts to promote public health. The book argues that because health is a global public good and people benefit from the health of neighbor and stranger alike, it is in everyone’s interest to ensure the health of all. Reviewing issues as diverse as medical repatriation, epidemic controls, the right to health, the medical brain drain, organ tourism, and global climate change, the book shows why solidarity between natives and newcomers is ethically required and in the service of health for all.

scholarly journals Characteristics of successful changes in health care organizations: an interview study with physicians, registered nurses and assistant nurses

2020 ◽  
Author(s):  
Per Nilsen ◽  
Ida Seing ◽  
Carin Ericsson ◽  
Sarah A. Birken ◽  
Kristina Schildmeijer
Keyword(s):  
Health Care ◽  
Registered Nurses ◽  
Health Care Professionals ◽  
Health Care Organizations ◽  
Organizational Changes ◽  
Structured Interviews ◽  
Disease Patterns ◽  
Swedish Health Care ◽  
Assistant Nurses ◽  
Ageing Populations

Abstract Background: Health care organizations are constantly changing as a result of technological advancements, ageing populations, changing disease patterns, new discoveries for the treatment of diseases and political reforms and policy initiatives. Changes can be challenging because they contradict humans’ basic need for a stable environment. The present study poses the question: what characterizes successful organizational changes in health care? The aim was to investigate the characteristics of changes of relevance for the work of health care professionals that they deemed successful.Methods: The study was based on semi-structured interviews with 30 health care professionals: 11 physicians, 12 registered nurses and seven assistant nurses employed in the Swedish health care system. An inductive approach was applied using questions based on the existing literature on organizational change and change responses. The questions concerned the interviewees’ experiences and perceptions of any changes that they considered to have affected their work, regardless of whether these changes were “objectively” large or small changes. The interviewees’ responses were analysed using directed content analysis.Results: The analysis yielded three categories concerning characteristics of successful changes: having the opportunity to influence the change; being prepared for the change; valuing the change. The interviewees emphasized the importance of having the opportunity to influence the organizational changes that are implemented. Changes that were initiated by the professionals themselves were considered the easiest and were rarely resisted. Changes that were clearly communicated to allow for preparation increased the chances for success. The interviewees did not support organizational changes that were perceived to be implemented unexpectedly and/or without prior communication. They conveyed that it was important for them to understand the need for and benefits of organizational changes. They particularly valued and perceived as successful organizational changes with a patient focus, with clear benefits to patients.Conclusions: Organizational changes in health care are more likely to succeed when health care professionals have the opportunity to influence the change, feel prepared for the change and recognize the value of the change, including perceiving the benefit of the change for patients.

scholarly journals La consolidación del Estado evaluador a través de políticas de rendición de cuentas: Trayectoria, producción y tensiones en el sistema educativo

2017 ◽  
Vol 25 ◽  
pp. 89 ◽  
Author(s):  
Lluís Parcerisa ◽  
Alejandra Falabella
Keyword(s):  
Quality Assurance ◽  
Policy Process ◽  
Interesting Case ◽  
Adoption Process ◽  
Window Of Opportunity ◽  
Structured Interviews ◽  
Policy Makers ◽  
Deliberation Process ◽  
El Sistema ◽  
The Right

Chile is a particularly interesting case to study the introduction of accountability policies. During the 2000s decade, Chile intensified these measures to try to address the failures of a highly deregulated school market system. This article examines the adoption process of accountability policies and the consolidation of the Evaluative State through the construction of the National System of Quality Assurance of Education during the period 2006-2011. Theoretically, the article is based on the “politics and semiotics of policy adoption” approach. Methodologically, it examines documents associated with the policy (official speeches, laws, parliamentary discussions, reports, governmental documents), and draws on 27 semi-structured interviews with those involved in the production of the policy (policy-makers, Ministry officials, parliamentarians, advisers and technicians). The article examines the development of the policy process, the factors that opened a “window of opportunity” to consolidate the accountability model, the discursive disputes that emerged during the deliberation process, and the emergence of accountability policies as a policy approach that seduced both the right and the center-left. 

scholarly journals Jurisdiction of Mental Health Tribunals to Provide Positive Remedies: Application, Challenges, and Prospects

2012 ◽  
Vol 57 (2) ◽  
pp. 267-298
Author(s):  
Joaquin Zuckerberg
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Civil Rights ◽  
Mentally Ill ◽  
Policy Makers ◽  
Adequate Care ◽  
Mental Health Legislation ◽  
The Right ◽  
Health Legislation ◽  
State Interference

Modern mental health legislation protects the civil rights of the mentally ill by limiting the scope of permissible state interference with an individual’s autonomy. It also generally sets up mental health tribunals in charge of reviewing compliance with parts of the legislation. However, the legislation does not generally address the right to adequate mental health care. The latter (or its lack thereof) has increasingly become a source of debate among scholars and policy makers. The right to adequate care is increasingly being seen as the sine qua non of the civil rights of the mentally ill. This article explores recent Canadian jurisprudence dealing with the power of administrative tribunals to address constitutional and quasi-constitutional claims, and questions whether such power could give rise to a claim for adequate health care before mental health tribunals. It argues that, subject to some limited circumstances where mental tribunals have been given certain discretion to factor adequate care into their decisions, the recent Canadian jurisprudence does not significantly modify the limited remedies available before mental health tribunals.

Professional and Managerial Language in Hybrid Industry-Research Organizations and within the Hybrid Clinician Manager Role

2012 ◽  
pp. 141-158
Author(s):  
Louise Kippist ◽  
Kathryn J. Hayes ◽  
Janna-Anneke Fitzgerald
Keyword(s):  
Health Care ◽  
Professional Identity ◽  
Health Care Organizations ◽  
Occupational Culture ◽  
Structured Interviews ◽  
Australian Health ◽  
Industry Research ◽  
Research Organizations ◽  
Manager Role ◽  
Language Norms

Interactions between professionals and managers are vital to medical and commercialization outcomes. This chapter considers how boundaries between professionals and managers are expressed through language in two contexts: between researchers and managers in temporary Australian hybrid industry-research organizations and within the same individual performing a hybrid clinician-manager role in Australian health care organizations. Semi-structured interviews of twenty scientists, engineers, and managers, focusing on their experiences, and perceptions of occupational culture, revealed that language norms contributed to knowledge creation, and played a role in maintaining a hierarchy among research institutions. Semi-structured interviews of twenty doctors and managers, focusing on their perception and experience of the hybrid clinician manager’s role within health care organizations, revealed that professional identity influenced language norms used by doctors and managers and contributed to the tensions experienced in their interactions. Distinctive patterns of argumentation and language were identified as typical of commercial and research occupations and were also distinctive in doctors working in hybrid clinician manager’s roles. The scientists, engineers, and managers working in hybrid industry-research organizations and the doctors and managers working in health care organizations reported frustration and reduced effectiveness of argumentation due to different norms for dissent.

Klinkende meerstemmige verhalen

KWALON ◽  
2013 ◽  
Vol 18 (3) ◽  
Author(s):  
Monique Bussmann ◽  
Chris Kuiper ◽  
Alexander Maas
Keyword(s):  
Health Care ◽  
Data Collection ◽  
Health Care Professionals ◽  
Health Care Organizations ◽  
Elderly Care ◽  
Second Phase ◽  
Music Listening ◽  
Policy Makers ◽  
Narrative Methodology ◽  
The Government

Sounding polyphonic stories: what can be learned about the HR policy of elderly care organizations? Sounding polyphonic stories: what can be learned about the HR policy of elderly care organizations? In the Netherlands, future staffing of elderly care will demand a big effort and a lot of creativity of health care organizations and the government. In this study an unconventional qualitative, narrative methodology is applied to throw a new light on the significance having a job and working in elderly care has for health care professionals and to use this as a source of inspiration for labour market policy makers. The methodology is rather unconventional because it not only focuses on the lingual content of the stories, but also includes other significant aspects of storytelling (e.g., voice and sound). Therefore musical work forms (e.g., music listening and singing) are used additionally.In the first phase of data collection stories of care professionals about the intertwining of their lifeline and career have been collected. In the second phase HR professionals listened to the stories told by the care professionals and used them as a source of inspiration for HR policy innovation. This article treats the theoretical domains underlying this study and the methodology of the first stage of data collection, the storytelling phase. Later on the methodology of the listening phase and the analysis methods will be described.

scholarly journals External institutional strategies for health care organizations as a quality strategy

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
E Berger ◽  
O Groene ◽  
C Shaw
Keyword(s):  
Health Care ◽  
Cost Effectiveness ◽  
Health Care Organizations ◽  
Healthcare Providers ◽  
Implementation Strategies ◽  
Policy Makers ◽  
External Assessment ◽  
Institutional Strategies ◽  
Assessment Strategies

Abstract Accreditation, certification and supervision are quality strategies that intend to encourage the compliance of health care organizations with published standards through external assessment. The idea is that health care organizations will increase compliance with standards in advance of a planned external inspection. Despite several common characteristics of the three strategies, their origins and initial objectives differ. This presentation aims to disambiguate these concepts, inform on their utilization in European countries and discuss the evidence on their effectiveness, cost-effectiveness and implementation. External assessment strategies have been widely implemented in Europe. Most countries make use of several strategies, including basic supervision as part of the licensing process for healthcare providers, coupled with certification or accreditation strategies to ensure and improve the quality of care. The scope of these strategies and their regulation differs substantially between countries. Despite this widespread uptake, there is little robust evidence to support their effectiveness and there is a complete absence of evidence on cost-effectiveness. Furthermore, due to the broad purpose range of external assessments and the lack of consensus in the use of terminology, implementation strategies are sparse or missing. However, this presentation highlights several facilitators and barriers that may affect the implementation of external assessment strategies in health care organizations as well as relevant insights for policy-makers.

scholarly journals Child care and health rights: perspectives of adolescent mothers

2015 ◽  
Vol 49 (5) ◽  
pp. 733-740 ◽  
Author(s):  
Jaqueline Silva Santos ◽  
Raquel Dully Andrade ◽  
Juliana Coelho Pina ◽  
Maria de La Ó Ramallo Veríssimo ◽  
Anna Maria Chiesa ◽  
...  
Keyword(s):  
Health Care ◽  
Child Health ◽  
Adolescent Mothers ◽  
Right To Health ◽  
Fundamental Rights ◽  
Child Health Care ◽  
Child Advocacy ◽  
Structured Interviews ◽  
Right To Health Care ◽  
The Right

AbstractOBJECTIVETo analyze child health care and the defense of their rights from the perspective of adolescent mothers.METHODSAn exploratory study with qualitative thematic analysis of data, based on conceptual aspects of care and the right to health, from semi-structured interviews with 20 adolescent mothers ascribed by Family Health teams.RESULTSMaternal reports indicate that child health care requires responsibility and protection, with health practices that promote child advocacy. Gaps in assistance which preclude the full guarantee of the right to child health care were also highlighted.CONCLUSIONThe right to health care assumed different meanings, and the forms to guarantee them were linked to individual behavior in detriment to broader actions that consider health as a social product, connected to the guarantee of other fundamental rights.

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