Journal of Health Organization and Management最新文献

Purpose: The significance of organizational culture (OC) pervades all workplaces, extending even to health systems. While numerous studies have examined the perceptions of OC among nurses and physicians, there is a notable gap in understanding the perspectives of non-patient-facing health system employees. This study aims to fill this void by investigating the perceptions and drivers of OC among non-patient-facing personnel within health systems.

Design/methodology/approach: This study employed a mixed-methods approach, starting with a 31-question survey disseminated to health system employees through trade organizations to capture diverse perspectives on OC. Subsequently, employees were invited to participate in semi-structured interviews. A total of 23 interviews were conducted to explore the underlying factors shaping employees' perceptions of OC.

Findings: A total of 67 surveys were completed, with 61 used in the analysis. The results revealed a predominantly positive outlook, highlighting the significance of supportive leadership and involvement in decision-making processes. The qualitative analysis identified four key themes: effective communication and transparency, coordinated teamwork, supportive leadership and the impact of external factors like the coronavirus disease 2019 (COVID-19) pandemic.

Practical implications: Effective leadership should prioritize open communication, employee autonomy and involvement in decision-making. These strategies foster a culture of trust, accountability and engagement, enhancing employee morale and job satisfaction while promoting a collaborative and innovative work environment conducive to long-term success and growth.

Originality/value: This research examines the often-overlooked perspectives of non-patient-facing health system staff, providing valuable insights and strategies for leaders to improve OC and create a more positive, inclusive and supportive work environment.

Purpose: The study was designed to investigate the moderating role of employee motivation as a mediator of psychological ownership in the relationship between nurses' perception of participatory leadership and their organizational learning behaviors.

Design/methodology/approach: The study included 476 nurses working in a training and research hospital in the east of Turkey. This study, prepared in accordance with the Strobe checklist, was designed as a cross-sectional descriptive study. Data were collected using a demographic information form, a participative leadership scale, an organizational learning scale, a psychological ownership scale and a motivation scale. Correlation analyses and mediator model tests were performed to examine the relationship between these variables.

Findings: As a result, it was found that nurses' perceptions of participative leadership positively and significantly affected organizational learning (r = 0.74; p < 0.01), participative leadership positively affected psychological ownership (r = 0.29; p < 0.01) and nurses' psychological ownership positively and significantly affected organizational learning (r = 0.41; p < 0.01). In addition, it was found that nurses' psychological ownership had a mediating role in the effect of participatory leadership perceptions on organizational learning (CI [0.030, 0.089]) and nurse motivation had a moderating role between psychological ownership and organizational learning (β = 0.168, 95% CI [0.064, 0.271]).

Originality/value: The study's findings have practical implications for the Turkish health system and healthcare administrators. Administrators can significantly enhance organizational learning by implementing participative leadership training and fostering a sense of ownership among nurses. Empowering nurses to take charge of their learning and emphasizing the role of motivation can further drive organizational growth.

Purpose: Healthcare is a service industry where fulfilling the needs of patients (customers) is challenging. Various factors, including cost, system complexity, staffing behaviours and technological advances, play vital roles. Drawing upon social exchange theory, this study seeks to determine how paternalistic leadership (authoritarianism, benevolence and morality) influences employee service innovative behaviour and counterproductive work behaviour via perceived supervisor support in the healthcare sector. Additionally, the study investigates the role of the public service motivation of individuals as a moderating factor in this relationship.

Design/methodology/approach: A pilot study and a main study were conducted to test the hypotheses. We collected data from healthcare professionals in Pakistan's large public, private and semi-government hospitals. We applied bootstrapping with 5,000 replications and structural equation modelling to analyse the data.

Findings: Results indicate that authoritarianism was negatively associated with service innovative behaviour, whereas benevolent and moral behaviours were positively associated with service innovative behaviour via perceived supervisor support (mediation). Our findings shed light on the moderating role of public service motivation.

Originality/value: This empirical quantitative study has several theoretical and practical implications. Findings of our study provide evidence that a paternalistic leadership style can influence both positive (service innovative behaviour) and negative (counterproductive working behaviour) working behaviours simultaneously via perceived supervisor support at an individual level in the service (healthcare) industry. This study also highlights the moderating role of public service motivation as an individual motivation factor.

Purpose: This study aims to build a typology of patient-driven health services innovation (PDHSI) and propose their relationships with healthcare quality.

Design/methodology/approach: Guided by value co-creation theory (VCC), this study adopted in-depth interviews and focus groups to collect qualitative data in Taiwan's health services sector. The collected data were analyzed using manual thematic analysis, following the standard procedures for transcribing, encoding and identifying themes. This approach allowed for a comprehensive identification of unique types of PDHSI.

Findings: This study found four types of PDHSI. They are Human-Computer Interaction Mode (HCIM), Online Social Network Mode (OSNM), Co-created Decision-Making Mode (CDM) and Channel Complementarity Mode (CCM). This study defines these typologies and explains their fundamental properties, key outcomes and important determinants. Finally, through qualitative analysis, four propositions on the relationship between health services innovation and health service quality are put forward.

Practical implications: By constructing a patient-driven typology of health services innovation, this study helps medical institutions understand the strategic behavior of the doctor-patient relationship, to improve the quality of medical service and contribute to patient education and consulting practice.

Originality/value: This study contributes to the theoretical understanding of PDHSI by identifying and categorizing the types of such innovations. It provides a comprehensive typology that is useful for both academic research and practical application in healthcare management. This typology offers new insights into the roles of patients in co-creating healthcare services, addressing a gap in the existing literature regarding PDHSI and supporting the development of patient-centered approaches to healthcare.

Purpose: This systematic literature review aims to provide a comprehensive and structured synthesis of the existing knowledge about chatbots in healthcare from both a theoretical and methodological perspective.

Design/methodology/approach: To this end, a systematic literature review was conducted with 89 articles selected through a SPAR-4-SLR systematic procedure. The document for this systematic review was collected from Scopus database. The VoSviewer software facilitates the analysis of keyword co-occurrence to form the fundamental structure of the subject field.

Findings: In addition, this study proposes a future research agenda revolving around three main themes such as (1) telemedicine, (2) mental health and (3) medical information.

Originality/value: This study underscores the significance, implications and predictors of chatbot usage in healthcare services. It is concluded that adopting the proposed future direction and further research on chatbots in healthcare will help to refine chatbot systems to better meet the needs of patients.

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.

Purpose: The purpose of this study is to investigate how mentors can convince young, certified, inexperienced employees to remain in a healthcare organisation, and how mentors address "stay or quit" when mentees' lived experiences reveal feelings of insufficiency as crisis in their daily work. We explore how turnover is affected by the mentors' and mentees' discussions within the manager's domain.

Design/methodology/approach: Within the framework of crisis management, the study employs qualitative content analysis of 21 interview responses from mentors, mentees and managers. The analysis includes mentees' answers, which are analysed in terms of "weak signals" based on lived experiences and mentors' and managers' answers in terms of different capabilities to increase mentees' wish to remain in the organisation.

Findings: The results show that the deep relationship between the mentee and the mentor is crucial. It is possible for the mentor to detect weak signals from the mentee's thoughts, doubts and lived experiences. The study extends the understanding of a more subtle mechanism the mentor uses in the close relation to the mentee, alongside the manager. The findings confirm those of previous research concerning improved job satisfaction and self-improvement in the profession.

Practical implications: The findings explain why mentors, as necessary organisational resources, can contribute more successfully than managers to keeping young employees.

Originality/value: The study links the crucial relational mentorship to increased willingness to remain in an organisation among young mentees without career support.

Purpose: This paper explores the significance of work-based learning in the context of leadership development, organizational growth and the promising economic success in Tennessee organizations. It aims to investigate the practical implications of work-based learning, focusing on its role in enhancing leadership capabilities, fostering innovation and contributing to a prosperous economic future.

Design/methodology/approach: The research employs a systematic literature review to examine existing studies on work-based learning, leadership development, organizational growth and economic success in Tennessee. It also involves data collection from various sources, including government agencies, colleges and organizations in the state. The collected data are rigorously verified and cross-referenced to ensure reliability and relevance.

Findings: The findings emphasize the transformative potential of work-based learning initiatives in Tennessee. They reveal that work-based learning programs are vital in developing influential leaders, fostering a culture of learning and innovation and contributing to economic competitiveness. The research also highlights the interconnectedness of leadership development, organizational growth and economic success, emphasizing the critical role of work-based learning in driving positive outcomes in all these dimensions.

Originality/value: This research contributes to the existing body of knowledge by emphasizing the practical applicability of work-based learning findings. It provides insights into the unique context of Tennessee organizations and their motivations, challenges and opportunities related to work-based learning. The research also outlines recommendations and future research directions to bridge the gap between theory and practice, enhancing the impact of work-based learning initiatives in Tennessee and beyond. The insights gained can assist other states and industries in developing effective work-based learning programs tailored to their specific economic needs and industry demands, fostering broader economic prosperity.

Purpose: Medical institutions face management challenges from intense competition and an unclear link between patient-centredness and profitability. This study examined the association between efficiency and patient-centredness in general hospitals and identified management strategies to optimise both.

Design/methodology/approach: Data from the 2021 patient experience evaluation by the Health Insurance Review and Assessment Service and financial statements from the Korea Health Industry Development Institute for general hospitals in South Korea were used. Efficiency scores and patient-centredness were determined for 256 general hospitals using data envelopment analysis (DEA), and their relationships were analysed through matrix analysis. The Kruskal-Wallis and Mann-Whitney tests assessed group differences identified through matrix analysis.

Findings: Efficiency and patient-centredness can be improved concurrently. Hospitals in the highest efficiency group reported significantly higher average inpatient revenue per 100 beds (179.67) and net profit (158.84) than those in lower-performing groups (p < 0.001). Optimal management of hospital beds and specialised diagnostic equipment per 100 beds was associated with higher efficiency scores, while a greater number of doctors and nurses positively influenced patient-centredness metrics. Therefore, general hospitals should invest in personnel and resources to enhance efficiency and patient-centredness, achieving optimal financial and operational outcomes.

Originality/value: This study combines DEA and matrix analysis to explore the link between hospital efficiency and patient-centredness, using recent data on patient experience and financials from South Korean hospitals. It identifies strategies to enhance both dimensions.