Journal of Health Organization and Management最新文献

Purpose: Healthcare information systems (HISs) can support both clinical and managerial decisions, enhancing performance and creating value for patients and healthcare professionals. The study aims to explore how digital HISs influence managerial decision-making by transforming performance management (PM) systems and, in turn, operational activities.

Design/methodology/approach: Action research was conducted to assess the change process undertaken by an Italian public healthcare organization that implemented a digital HIS to replace paper registries and improve the operating theatre's performance. The action research lasted approximately 15 months. Data were collected in close collaboration with clinical and administrative staff. A digital performance dashboard was developed to support performance monitoring. The study builds on Lapsley and Pettigrew's (1994) organizational change model to analyse how PM and operational activities evolved and to identify key influencing factors.

Findings: Despite initial enthusiasm, the hospital PM system remained focused on volume-based metrics, without integrating the dashboard indicators. Operational activities showed limited change, reflecting a decline in healthcare professionals' perceived usefulness of the digital tool. Contributing factors to this stagnation were discontinuity in leadership commitment, an unclear change agenda, lack of alignment between strategic and operational levels and an unsupportive organizational culture.

Originality/value: The study highlights that digital HISs hold significant informational potential to transform managerial decision-making. However, their realization depends on critical factors that, when effectively addressed, can enable the transformation of PM systems and operational activities. These factors are essential in creating value for all stakeholders involved, including patients.

Purpose: Digital transformation (DT) is a significant process for advancing operational productivity and service delivery across various sectors, including healthcare. Hence, this research aims to identify critical success factors (CSFs) based on the technological, organizational and environmental framework for implementing DT in healthcare.

Design/methodology/approach: The study used multiple methods to identify CSFs. Factors for DT adoption in hospitals were identified through a literature review and expert opinions. Two questionnaires were used for interpretive structural modelling (ISM) and decision-making trial and evaluation laboratory techniques (DEMATEL) to evaluate these factors through interviews with 13 healthcare experts in India, having 5 years of experience in supply chain, administration and operations.

Findings: The ISM analysis revealed a four-level hierarchical structure of 11 interconnected factors. The results revealed that leadership commitment and public-private partnerships emerged as key DT drivers. DEMATEL analysis showed that change management and organizational behaviour were influential factors.

Research limitations/implications: A primary limitation of this study is that the findings are based on the Indian healthcare context, which may limit their applicability to global healthcare settings.

Practical implications: Healthcare managers can utilize the identified CSFs as a strategic guide to prioritize digital initiatives that enhance operational efficiency and align with broader sustainability objectives, thereby ensuring responsible and future-ready transformation strategies.

Originality/value: The study brings novelty by pinpointing the CSFs that drive effective DT in Indian hospitals.

Purpose: This study examined the institutional and operational dimensions of demand management in Gauteng public hospitals, South Africa. It evaluated compliance with supply chain management (SCM) policies, identified barriers to procurement planning and analysed variations across hospital categories.

Design/methodology/approach: A cross-sectional survey was conducted among 235 senior SCM practitioners across 47 hospitals. Descriptive statistics, correlation, regression, ANOVA and mediation analyses were employed to test six hypotheses derived from Institutional Theory, Street-Level Bureaucracy and Winter's Integrated Implementation Model.

Findings: Compliance with relevant legislation (PFMA and PPPFA) and constitutional requirements was uniformly high, reflecting isomorphic behaviour within a rule-dense regulatory environment. However, capability-intensive practices varied: specification quality and stakeholder engagement were positively associated with compliance, while digital integration strongly predicted demand-management effectiveness and procurement performance. Although compliance improved planning quality, it did not directly influence throughput. Operational challenges, including budget constraints, skills shortages and structural fragmentation, weakened the impact of digital integration. Modest differences across hospital tiers indicated that tertiary hospitals outperformed primary hospitals in role-player effectiveness.

Research limitations/implications: The study's focus on Gauteng limits generalisability, and its cross-sectional design does not capture longitudinal or post-COVID reforms.

Practical implications: Reforms should prioritise decentralised procurement authority, digital tools adoption, strengthened SCM capacity and integrated planning to improve efficiency and medicine availability.

Originality/value: This study presents one of the first empirical assessments of hospital-level demand management in South Africa. It contributes to global SCM scholarship by linking institutional structures, operational practices and compliance in low- and middle-income country contexts.

Purpose: This study aims to investigate how healthcare organizations enact and sustain resilience amid persistent disruptions such as pandemics, regulatory changes and resource shortages. It applies dynamic capabilities theory (DCT) to clarify the mechanisms that enable organizations to sustain essential services in complex and resource-constrained environments.

Design/methodology/approach: A qualitative design was employed, using the healthcare organization as the unit of analysis. Data were collected through 30 semi-structured interviews with healthcare professionals and 15 patient interviews across primary, secondary and tertiary facilities in India. Thematic analysis combined inductive coding of first-order concepts with deductive alignment to DCT dimensions. Peer debriefing enhanced the reliability of interpretation.

Findings: The analysis identified three dynamic capabilities - sensing, seizing and reconfiguring - as core antecedents of organizational resilience. Practices such as environmental scanning, strategic planning and change management emerged as microfoundations that highlighted how deliberate managerial choices shape resilience. These capabilities enabled organizations to anticipate disruptions, mobilize resources and adapt workflows to maintain continuity of care.

Research limitations/implications: The qualitative design and single-country context limit generalizability. Future studies should validate the findings through larger cross-national samples. Despite these limitations, this study provides healthcare leaders with actionable strategies to enact and sustain organizational resilience. Organizations that sustain essential services during crises enhance public trust and protect vulnerable populations.

Originality/value: This study extends DCT into the underexplored healthcare domain and provides empirical grounding through multi-stakeholder perspectives. A dual-lens account - integrating professional and patient views - shows how resilience is both enacted within organizations and experienced in care delivery. The identification of novel microfoundations enriches theoretical understanding and offers practical strategies for healthcare leaders.

Purpose: The purpose of this study is to investigate the concept of accreditation in terms of Accreditation Bodies in Health (ABIH) through a bibliometric analysis.

Design/methodology/approach: Co-citation, co-occurrence and co-authorship analyses were performed on 465 academic publications selected from the Web of Science database focusing on health accreditation bodies. The analyses were conducted using R-based Bibliometrix software, Python and Microsoft Excel.

Findings: The co-citation analysis identified seven themes: "Prevention of Clinical Errors and Patient Safety: Guidelines for Accreditation Bodies," "Accreditation and Multidimensional Impacts on Healthcare Quality," "Multidimensional Assessment of Hospital Quality in the United States: Standardization, Regulation, and Accreditation," "Quality Assessment in Health Care: Theoretical Foundations and Personnel Management," "The Complex Dynamics of Accreditation in Health Care: Analyzing Quality, Cost, and Performance," "Quality and Performance Measurement in Health Care," and "Accreditation and Pain Management." Co-occurrence analyses revealed themes such as "Clinical Safety and Child Health," "Beliefs and Ethical Issues," "Patient Safety and System Errors," "Guidelines and Risk Management," "Quality and Performance Management," and "Clinical Practice and Health Services."

Practical implications: The findings highlight the complexity of thematic categories and key issues in the literature on the contribution of accreditation bodies to the accreditation process in healthcare, which can inform policymakers and practitioners.

Originality/value: This study provides a comprehensive bibliometric analysis of accreditation bodies in health, offering valuable insights into thematic clusters and contributing to the existing body of knowledge on healthcare accreditation.

Purpose: This study aims to examine the sequential mediating roles of job stress (WS) and work-family conflict (WFC) in the relationship between compulsory citizenship behaviour (CCB) and citizenship fatigue (CF) among healthcare workers in Turkish public hospitals, grounded in Conservation of Resources (COR) theory and the job demands-resources (JD-R) model.

Design/methodology/approach: A cross-sectional design was employed with 483 healthcare workers (67.7% female), including nurses, physicians, and administrative staff. Validated Turkish scales measured CCB, CF, WS and WFC. Data were analysed using correlation analysis, structural equation modelling (SEM) and Hayes' PROCESS macro (Model 6, 5,000 bootstrap samples).

Findings: CCB was positively associated with CF (β = 0.43, p < 0.001). Job stress and WFC sequentially mediated this relationship (total indirect effect β = 0.18, SE = 0.03, LLCI = 0.13 and ULCI = 0.25 95%). Results align with COR theory, demonstrating that CCB depletes resources, escalating stress and WFC, ultimately leading to CF.

Originality/value: This study advances the literature by empirically testing a novel serial mediation model in healthcare, highlighting how CCB's effects extend beyond the workplace into family life. It underscores the need for organisational interventions to mitigate compulsory demands and support work-life balance.

Purpose: Workplace violence (WPV) negatively affects the well-being of healthcare workers (HCWs) and the healthcare system. This study explores how sociodemographic factors impact WPV prevalence, its effect on the quality of care, and possible solutions to decrease WPV in Jordanian hospitals.

Design/methodology/approach: This study employs a retrospective cross-sectional design, using a web-based survey of 651 HCWs. The data were analyzed using descriptive statistics, logistic regression, an independent sample t-test, and path analysis.

Findings: Around 651 HCWs participated in this study, and only 316 revealed they experienced WPV. Multivariate logistic regression analysis confirmed the significance of occupation, sector, and education level in influencing WPV. The result revealed a significant reduction in the quality of care of HCWs exposed to WPV. HCWs shared valuable recommendations to decrease WPV in their workplace. The recommendations were categorized under seven main areas: cultural issues, legal and legislative, administrative measures, internal organization arrangement, quality of health care services, physical working environment, and finally, training and awareness.

Practical implications: Hospital management and policymakers should consider factors like local culture, legal and administrative measures, policies, healthcare quality, work environment, and community awareness when addressing WPV. Moreover, healthcare workers can offer valuable recommendations to reduce WPV prevalence and impact in healthcare settings.

Originality/value: This is a unique study that explores the relationship between WPV and quality of care in Jordanian hospitals. It considers sociodemographic and occupational characteristics as contributing factors to WPV in hospitals and seeks realistic solutions from the victims' perceptions.

Purpose: The purpose of this study is to assess the factors influencing the development of effective network governance models in healthcare systems. It addresses a research gap by examining the simultaneous impact of trust, commitment, opportunistic behavior, information sharing and knowledge sharing. Through an extensive literature review, the study formulates hypotheses to explore the interrelationships between these factors, aiming to enhance inter-organizational collaborations for high-quality and integrated healthcare services.

Design/methodology/approach: The study employed the partial least squares structural equation modeling (PLS-SEM) statistical method to investigate these hypotheses. Data were collected through a standardized questionnaire administered to 194 participants from a collaborative network in the medical diagnostic laboratories field and a medical equipment supply network.

Findings: While previous studies have examined these factors individually, this study offers a simultaneous examination, revealing that information sharing and commitment have the most significant direct influence on network governance. Furthermore, opportunistic behavior was found to strongly undermine trust within networks.

Practical implications: By addressing the research gap and providing empirical evidence, this study delivers valuable insights for healthcare practitioners, policymakers and researchers, enabling them to develop and implement effective network governance models that enhance inter-organizational collaborations in healthcare systems. These findings contribute to the advancement of knowledge in the field and have the potential to improve healthcare service delivery and patient outcomes.

Originality/value: This is the first paper that comprehensively assess the simultaneous impact of factors that shape the design of appropriate network governance models in healthcare systems.

Purpose: In recent years, the migration of healthcare professionals from developing countries to developed countries has accelerated. Türkiye is one of the countries negatively affected by the migration of healthcare professionals. This study aims to test the mediating effect of perceived organizational support (POS) on the impact of organizational sacralization (OS) on work engagement (WE) and turnover intention (TI) in a sample of healthcare professionals in Türkiye.

Design/methodology/approach: The study used a quantitative method. In line with its purpose, a cross-sectional study was conducted among 490 healthcare professionals.

Findings: According to the findings, OS has a significant effect on WE (ß; 0.684, p < 0.01), TI (ß; -0.760, p < 0.01) and POS (ß; 0.760 p < 0.01). In addition, POS does not statistically affect TI. However, POS mediates the relationship between OS and WE (ßWE = 0.684, ßWE = 0.298; p < 0.001). Lastly, the mediator role of POS in relation to OS and TI has also been tested and the analysis results show that there is no significant effect.

Originality/value: In recent years, the effect of POS on WE and TI has been investigated. In some of these studies, it is seen that POS does not affect TI. Among the findings of this study, it was concluded that POS does not affect TI in a sample of healthcare professionals in Turkiye. However, it was concluded that OS, a new concept in the literature and about which very few studies have been conducted, decreases TI instead of POS in this study. This study offers an original and significant contribution to the limited body of literature by demonstrating that supporting employees at a level that exceeds organizational boundaries through OS can reduce employees' TIs.