Optimizing health system volume flexibility: key determinants and strategies during the COVID-19 crisis.

IF 2.2 4区医学 Q3 HEALTH POLICY & SERVICES Journal of Health Organization and Management Pub Date : 2025-10-13 DOI:10.1108/JHOM-08-2023-0249

Seongwon Choi, Thomas Powers

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Abstract

Purpose: The need to match highly variable demand for healthcare services with existing capacity has been a significant health system challenge experienced by the COVID-19 pandemic. Despite mounting research on various COVID-19 responses in the recent literature, there has not been a structured review examining key determinants of health system volume flexibility. The focus of the present research is to review recent literature based on a conceptual framework developed based on the volume flexibility literature on COVID-19. The review also provides a meaningful way to guide practice and future research in the area.

Design/methodology/approach: A literature review was performed guided by the theoretical frameworks developed in the previous volume of flexibility literature. Selected research papers were reviewed and analyzed to identify key determinants of health system volume flexibility.

Findings: Seven determinants of health system volume flexibility under three domains (demand management, capacity management, and performance) included demand management strategies, integration, capacity management strategies, workforce management, technology, quality of disease outcomes, and health system knowledge.

Originality/value: The research provides both health systems researchers as well as practitioners with a foundational conceptual framework and knowledge related to health system volume flexibility. In addition, this research identifies future research areas to expand knowledge relevant to health system volume flexibility.

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优化卫生系统容量灵活性：COVID-19危机期间的关键决定因素和战略。

目的：将高度可变的医疗服务需求与现有能力相匹配，是2019冠状病毒病大流行期间卫生系统面临的一项重大挑战。尽管最近的文献中对各种COVID-19应对措施进行了越来越多的研究，但尚未对卫生系统容量灵活性的关键决定因素进行结构化审查。本研究的重点是基于基于COVID-19的体积灵活性文献开发的概念框架来回顾最近的文献。本文也为指导该领域的实践和未来的研究提供了有意义的途径。设计/方法论/方法：在前一卷灵活性文献中发展的理论框架的指导下进行了文献综述。对选定的研究论文进行了审查和分析，以确定卫生系统体积灵活性的关键决定因素。研究结果：在三个领域（需求管理、能力管理和绩效）下，卫生系统容量灵活性的七个决定因素包括需求管理策略、整合、能力管理策略、劳动力管理、技术、疾病结局质量和卫生系统知识。原创性/价值：该研究为卫生系统研究人员和从业人员提供了与卫生系统体积灵活性相关的基本概念框架和知识。此外，本研究确定了未来的研究领域，以扩大与卫生系统体积灵活性相关的知识。

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来源期刊

Journal of Health Organization and Management HEALTH POLICY & SERVICES-

CiteScore

3.20

自引率

7.10%

发文量

期刊介绍： ■International health and international organizations ■Organisational behaviour, governance, management and leadership ■The inter-relationship of health and public sector services ■Theories and practices of management and leadership in health and related organizations ■Emotion in health care organizations ■Management education and training ■Industrial relations and human resource theory and management. As the demands on the health care industry both polarize and intensify, effective management of financial and human resources, the restructuring of organizations and the handling of market forces are increasingly important areas for the industry to address.