disussion is about 15 journal articals and 3 nankervis chapter
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10journalarticles.docxTitle
Implementing operations strategy through Lean processes within health care: The example of NHS in the UK
Author
Matthias, Olga (correspondence author)
Subjects
Source
International Journal of Operations and Production Management, 0, 2016, Vol.36(11), pp.1435-1457
Description/Abstract
Purpose The purpose of this paper is to investigate how operations strategy and Lean concepts can be applied within a healthcare organisation and the degree to which both Lean and operations strategy are understood by senior-level National Health Service (NHS) personnel, based on the process of ongoing longitudinal cases studies. Further interviews and data analysis will examine actual performance of Lean capabilities within the NHS. Design/methodology/approach For this explanatory multiple-case study project the authors collected data through semi-structured interviews with executives in the NHS to understand how operations strategies are developed in the NHS and implemented in NHS hospitals. The unit of analysis is the hospital. Multiple (22) interviews took place over 12 months with senior-level personnel responsible for implementing change via operations strategy goals, and incorporating Lean initiatives. In addition, to triangulate data, the authors examined healthcare reports and strategy policy documents from each case hospital. This forms stage 1 of a longitudinal study which will examine the actual performance of Lean within the NHS hospitals across a range of operations parameters and explore links between such capabilities and the role and importance of operations strategy in more detail. Findings The findings lead to the conclusion that operations strategies were not fully developed within the hospitals. In addition, the ongoing data capture shows that "Best practice" was not being disseminated across the NHS, for either patient experience or organisational effectiveness and the role of operations strategy was not fully clear other than as a rather vague "umbrella" term. Despite Lean's attraction for healthcare at a micro-level, significant operational and cultural hurdles must be overcome for the full strategic benefits of Lean to be realised. A much more holistic approach in providing a full service for the whole of the patient journey is needed. Research limitations/implications The sample provides an initial snapshot. A larger number of hospitals and/or further longitudinal research will be needed to deepen understanding of embedding strategic change to improve overall performance. Practical implications Tackling cultural performance and operational issues at a macro-level could help healthcare providers reconcile the perceived conflicting goals of improving patient care (i.e. service delivery) whilst simultaneously reducing costs. The role of explicit operations strategies could be pivotal in designing and implementing such change. Originality/value This research builds on and extends the work of Toussaint and Berry (2013), Seddon and O'Donovan (2010) and Carlborg and Kowalkowski (2013). The authors highlight how some of the apparent contradictions in the requirements of the various stakeholders create operational and strategic tensions. The authors highlight the multi-faceted nature of design and delivery of a multi-touchpoint service within the complexity of a large healthcare provider.
Language
English
Identifier
ISSN: 0144-3577
Title
The Neoliberal Turn in American Health Care
Author
Subjects
Source
International Journal of Health Services, January 2015, Vol.45(1), pp.33-52
Description/Abstract
Leaving millions both uninsured and underinsured, the Affordable Care Act does not create a system of universal health care in the United States. To understand its shortcomings, we have to understand it as part of a historic shift in the political economy of American health care. This “neoliberal turn” began as a reaction against the welfare state as it expanded during the New Deal and post-World War II period. What began as a movement associated with philosophers like Friedrich Hayek ultimately had a powerful impact via the attraction of powerful corporate sponsors and political supporters, and it was to historically transform American health care thought and organization. In health policy circles, for example, it can be seen in a rising emphasis on “moral hazard,” overuse, and cost sharing above a concern with universalism and equity. It was likewise manifested by the corporatization of the health maintenance organization and the rise of the “consumer-driven” health care movement. By the time of the health care reform debate, the influence of corporate “stakeholders” was to prove predominant. These developments, however, must be construed as connected parts of a much larger political transformation, reflected in rising inequality and privatization, occurring both domestically and internationally.
Language
English
Identifier
ISSN: 0020-7314
E-ISSN: 1541-4469
DOI: 10.2190/HS.45.1.d
Title
Implications of Outbound Medical Tourism on Public Health Care Development in Nigeria.(Report)
Author
Subjects
Medical Tourism – Economic Aspects
Health Care Industry – Economic Aspects
Health Care Industry – Laws, Regulations and Rules
Source
European Scientific Journal, Oct 30, 2018, Vol.14(30), p.353(18)
Description/Abstract
Medical tourism is the practice of patients travelling out of their country of origin or residence for the purpose of getting access to medical care services abroad. Outbound medical tourism is a phenomenon in Nigeria thereby contributing to the growth of the health care industry in destination countries. The paper examines the implications of outbound medical tourism on public health care development in Nigeria and reinforces the need for the Federal Government of Nigeria to restructure and reposition the health sector in the country towards effective and efficient health service delivery. The study employs secondary source of data. Public administrators and health care practitioners concerned about transforming Nigeria into a centre of medical tourist attraction may find it suitable to start by examining the issues raised in this study to initiate a good policy framework for the health sector. The study concludes that huge investment in the health sector can drastically reduce outbound medical tourism, make health care services affordable to all Nigerians and utilising foreign exchange to develop other relevant sectors of the Nigerian economy. Keywords: Medical Tourism; Health care; Health financing; Human resources
Language
English
Identifier
ISSN: 1857-7881
DOI: 10.19044/esj.2018.v14n30p353
Source
Cengage Learning, Inc.
Title
Gastrointestinal endoscopy- An emerging soft power in health care
Author
Subjects
natural orifice translumenal endoscopic surgery
Source
Journal of Digestive Endoscopy, 2012, Vol.3(5), p.2-6
Description/Abstract
"Soft power" is a relatively new concept that describes an entity′s ability to influence and alter the behavior of other entities through attraction and co-option, in contrast to hard power which uses incentives and coercion. Assessment of the role of GI GI (Gastrointestinal) Endoscopy in present day′s health care shows it to have the required attractive and influential properties of a soft power. In this article we examine the diagnostic and therapeutic roles that GI endoscopy, as a soft power, has taken over, and the further evolution of this field into a smart power.
Identifier
ISSN: 0976-5042
DOI: 10.4103/0976-5042.95022
Title
ENHANCING THE VALUE OF HEALTH CARE SERVICES AT A REGIONAL LEVEL
Author
Subjects
Source
Review of Urban & Regional Development Studies, Mar 2017, Vol.29(1), pp.46-62
Description/Abstract
The presence of a quality health care service (HCS) industry in a region can contribute significantly to the attraction of new industries, retain the existing ones, and contribute to the overall social and economic prosperity of the region. However, when conducting an economic impact assessment it is not always clear how the value of the HCS industry can be increased at a regional level. The HCS industry is often one of the largest industries in a region in terms of creating employment and generating income, but unless it creates linkages with other industries, its contribution to the prosperity of the region will be limited. This paper suggests a methodology for economic impact assessment aimed at increasing the benefits of HCS at a regional level. Using a case study of the Fitzroy Statistical Division, a non-metropolitan region in Queensland, Australia, the regional economic impact is assessed using input-output analysis. In each region, the key sectors need to be encouraged to enhance connections with the HCS industry in order to enhance the value of HCS in the region.
Language
English
Identifier
ISSN: 09170553
DOI: 10.1111/rurd.12058
Title
The University Clinic as an Innovative Form of the Health Care Development
Author
Subjects
Source
Bìznes Inform, 01 November 2017, Vol.11(478), pp.146-152
Description/Abstract
The article proposes implementation of an innovative model of health care by creation of modern university clinics providing competitive advantages at the expense of effective introduction in medical practice of scientific developments and preparation of highly qualified personnel who would unite scientific knowledge and experience of practical activity. It has been substantiated that implementation of the «University clinic» project would allow to resolve contradictions of interests between different actors in the health care as a result of creation of the new system of their interaction: medical science and education, medical practice, patient, the State. Studying activities of foreign clinics allowed the author to conclude: a combination of clinical, scientific and educational activities of university clinic provides high quality medical care to the population and educational process in accordance with international standards. On the basis of analyzing and systematizing the international experience of investment in health infrastructure with the use of the public-private partnership mechanism, three models have been allocated and their ranking is presented in descending order of efficiency – the providing, the specialized, and the integrated. Expediency of introduction of both the providing and the specialized models has been substantiated, allowing to provide development of university clinics with attraction of resources and competencies of private investors and to satisfy demand of the population in offering the high-tech medical care.
Language
English
Identifier
ISSN: 2222-4459
E-ISSN: 2311-116X
Source
Directory of Open Access Journals (DOAJ)
health care on demand: four telehealth priorities for 2016
Author
Subjects
Telecommunications Systems & Internet Communications
Source
Healthcare Financial Management, Jan 2016, Vol.70(1), pp.42-51
Description/Abstract
Consumerism, disruption, innovation, retail, transformation, big data -- a new set of words is dominating the healthcare lexicon. The vocabulary reflects the fact that smartphone-connected consumers have catapulted health care into the Internet-based, on-demand economy. Technology-driven companies typically answer consumer demand in such economies with the immediate provisioning of goods and services. In health care, telehealth and other virtual offerings are ramping up in new markets with new capabilities. These offerings are starting to displace a significant portion of low-intensity healthcare services that historically have been provided in person. Telehealth most frequently provides basic diagnoses, suggested therapies, and ongoing monitoring when physical examination is not warranted. In support of these services, "store and forward" technologies transmit photos, digital scans, and videos to clinicians located anywhere Internet access is available. For healthcare providers managing a population's health under a risk-based arrangement, telehealth services can reduce costs and enhance quality and customer satisfaction.
Language
English
Identifier
ISSN: 07350732
Title
The development of rural primary health care in China’s health system reform
Author
Subjects
Source
Journal of Asian Public Policy, 16 February 2015, p.1-14
Description/Abstract
Publisher
Routledge
Language
English
Identifier
ISSN: 1751-6234
E-ISSN: 1751-6242
DOI: 10.1080/17516234.2015.1008195
Title
Roadside attraction.(Legacy ER designed by 5G Studio Collaborative)(Building Types Study / Health Care)
Author
Subjects
Emergency Medical Facilities -- Design And Construction
Architectural Services -- Works
Source
Architectural Record, May, 2014, Vol.202(5), p.132(3)
Language
English
Identifier
ISSN: 0003-858X
Source
Cengage Learning, Inc.
Title
Coming Out to Health Care Providers in Puerto Rico: Opportunities for Prevention and Engagement in Care
Author
Subjects
Health Care Provider Disclosure
Source
International Journal of Sexual Health, 01 October 2016, Vol.28(4), p.318-324
Description/Abstract
Disclosure of same-sex attraction to healthcare providers (HCPs) by MSM is critical because it may promote appropriate health care. We describe factors influencing disclosure of same-sex attraction to HCPs by 302 MSM ages 18 to 73 years who participated in the Puerto Rico National HIV Behavioral Surveillance study. Over 50% had disclosed same-sex attraction to HCPs, and those who had disclosed were significantly older and more likely to be aware of their sexual partners' HIV status compared to MSM who had not disclosed. Non-disclosure of same-sex attraction to HCPs by MSM in Puerto Rico may be associated with missed opportunities for appropriate healthcare.
Publisher
Routledge
Language
English
Identifier
ISSN: 1931-7611
E-ISSN: 1931-762X
DOI: 10.1080/19317611.2016.1228728
