scholarly journals Beyond technology acceptance to effective technology use: a parsimonious and actionable model

2015 ◽  
Vol 22 (3) ◽  
pp. 718-729 ◽  
Author(s):  
Patricia J Holahan ◽  
Blake J Lesselroth ◽  
Kathleen Adams ◽  
Kai Wang ◽  
Victoria Church
Keyword(s):  
Health Care ◽  
Technology Use ◽  
Work Values ◽  
Primary Care Providers ◽  
Outcome Variable ◽  
Care Organization ◽  
Implementation Climate ◽  
Differential Effects ◽  
Effective Technology

Abstract Objective To develop and test a parsimonious and actionable model of effective technology use (ETU). Design Cross-sectional survey of primary care providers (n = 53) in a large integrated health care organization that recently implemented new medication reconciliation technology. Methods Surveys assessed 5 technology-related perceptions (compatibility with work values, implementation climate, compatibility with work processes, perceived usefulness, and ease of use) and 1 outcome variable, ETU. ETU was measured as both consistency and quality of technology use. Results Compatibility with work values and implementation climate were found to have differential effects on consistency and quality of use. When implementation climate was strong, consistency of technology use was high. However, quality of technology use was high only when implementation climate was strong and values compatibility was high. This is an important finding and highlights the importance of users’ workplace values as a key determinant of quality of use. Conclusions To extend our effectiveness in implementing new health care information technology, we need parsimonious models that include actionable determinants of ETU and account for the differential effects of these determinants on the multiple dimensions of ETU.

A strategic and good governance perspective on handling patient complaints

2018 ◽  
Vol 31 (8) ◽  
pp. 923-934
Author(s):  
Sanna Pauliina Ryynänen ◽  
Risto Harisalo
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Good Governance ◽  
Care Organization ◽  
Content Type ◽  
Patient Complaints ◽  
Care Processes ◽  
Patient’S Rights ◽  
Strategic Goals

Purpose The patient complaint is one of the main procedures of exercising patient’s rights in the Finnish health care system. Such complaints typically concern the quality of care and/or patient safety. The purpose of this paper is to examine the types of patient complaints received by a specialized medical care organization and the kinds of responses given by the organization’s personnel. The organization’s strategy and good governance principles provide the framework for understanding the organization’s action. Design/methodology/approach This study’s data comprise patient complaints and the responses from personnel of a specialized medical care organization from the start of 2012 to the end of January 2014. The data were analyzed through qualitative data analysis. Findings The results show many unwanted grievances, but also reveal the procedures employed to improve health care processes. The results are related to patients’ care experiences, provision of information, personnel’s professional skills and the approach to patient complaints handling. The integrative result of the analysis was to find consensus between the patients’ expectations and personnel’s evaluation of patients’ needs. Originality/value Few prior studies have examined patient complaints related to both strategy and good governance. Patient complaints were found to have several confluences with an organization’s strategic goals, objectives and good governance principles. The study recommends further research on personnel procedures for patient complaints handling, with a view to influencing strategic planning and implementation of strategies of organizations.

The relationship between primary health care organization and quality of diabetes care

2009 ◽  
Vol 15 (4) ◽  
pp. 212-218 ◽  
Author(s):  
Mark Spigt ◽  
Caroline Stefens ◽  
Danique Passage ◽  
Ludovic Van Amelsvoort ◽  
Paul Zwietering
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Diabetes Care ◽  
Health Care Organization ◽  
Care Organization ◽  
Primary Health ◽  
Quality Of Diabetes Care ◽  
The Relationship

Inclusion Is Important . . . But How Do I Include? Examining the Effects of Leader Engagement on Inclusion, Innovation, Job Satisfaction, and Perceived Quality of Care in a Diverse Nonprofit Health Care Organization

2019 ◽  
Vol 48 (4) ◽  
pp. 716-737 ◽  
Author(s):  
Kim C. Brimhall
Keyword(s):  
Job Satisfaction ◽  
Health Care ◽  
Quality Of Care ◽  
Health Care Organization ◽  
Perceived Quality ◽  
Care Organization ◽  
Employee Job Satisfaction ◽  
Perceived Quality Of Care ◽  
Nonprofit Leaders

Nonprofit leaders and managers are recognizing the benefits of creating inclusive organizations in which everyone feels valued and appreciated, yet little is known about how leaders can foster workplace inclusion. This study examined the relationships among leader engagement, inclusion, innovation, job satisfaction, and perceived quality of care in a diverse nonprofit health care organization. Data were collected at three points in 6-month intervals from a U.S. nonprofit hospital. Multilevel path analysis indicated significant direct associations between leader engagement, inclusion, and innovation. Innovation was directly linked to improved job satisfaction and perceived quality of care. Significant indirect effects were found from leader engagement to increased job satisfaction and perceived quality of care through increased climates for inclusion and innovation. Findings suggest that nonprofit leaders who engage others in critical organizational processes can help foster an inclusive climate that leads to increased innovation, employee job satisfaction, and perceived quality of care.

THE IMPACT OF PREFORMANCE EVALUATION PROCESS ON HEALTHCARE EMPLOYEES AS A FACTOR FOR MOTIVATION AND QUALITY OF THEIR WORK

2018 ◽  
Vol 28 (5) ◽  
pp. 1483-1487
Author(s):  
Mila Georgievska-Cvetanovska ◽  
Predrag Trpeski
Keyword(s):  
Health Care ◽  
Performance Evaluation ◽  
Healthcare Workers ◽  
Evaluation Process ◽  
Quality System ◽  
Care Organization ◽  
Healthcare Organizations ◽  
Quality Performance ◽  
Healthcare Employees

The performance evaluation process is used to conduct an objective assessment of the performance and the effectiveness of the employees, the compliance with the organizational values and hierarchy and the achevement of the standards of the organization. The employee performance evaluation is an exceptionally important segment in healthcare organizations. The managers (directors) of the healthcare organizations have to recognize the employees that efficiently complete their tasks, detect the need and the type of training necessary to improve their performance and adequately reward the most prominent employees. Taking into account the relevance of the topic, the subject of research in this papers is precisely the analysis of the performance appraisal of the employees, as a process that should help obtaining a clear picture of how successfully the tasks of a given position are performed and how much they contribute to achieving the strategic goals of the organization. Hence arisesthe problem of this research, which is the absence of a quality system for evaluation and assessment of the performance of the healthcare workers. Two research goals have been pursued, both scientific and practical. The scientific goal of the research is to provide quality performance evaluation of the healthcare workers, which leads to faster development of the organization and sustainable efficiency of the market, whereas the practical goal of the research is to utilize the obtained results in the creation of an efficient system for evaluating the performance of the healthcare workers who will integrate the quality work standards, thereby improving the motivation and the quality of work. The relevance of the topic will be explored and proven by defining a hypothesis that reads: If a health care organization adopts a quality system for evaluating the work of its healthcare workers, then the healthcare employees will strengthen their skills which will lead to increased motivation and work quality. To prove the hypothesis, an empirical research was conducted using a standardized instrument, i.e. a questionnaire containing 10 statements and a Likert scale: strongly agree, partly agree and disagree. The questionnaires contained closed-ended questions whereby the respondents could choose one of the answers offered. The survey was conducted in 2 private healthcare organizations in December 2017. The representative sample includes 73 doctors and 27 nurses/orderlies. In the process of analyzing the findings of the research, a deductive method, comparison method and a method of objectivity and relevance were applied. In the conclusion of the papers, on the basis of the obtained results, guidelines will be proposed for improvement and implementation of a quality performance evaluation system in the private and public health care.

Potentially modifiable influences on cancer family history-taking among primary care physicians in Vermont and Massachusetts

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 6067-6067
Author(s):  
B. S. Flynn ◽  
M. E. Wood ◽  
G. S. Dana ◽  
T. Ashikaga
Keyword(s):  
Primary Care ◽  
Family History ◽  
High Risk ◽  
Primary Care Physicians ◽  
Primary Care Providers ◽  
Outcome Variable ◽  
History Taking ◽  
Cancer Family ◽  
Cancer Family History

6067 Background. Taking a complete family history is key in identifying individuals at increased risk for cancer. The objectives of this study were to test hypothesized relationships between potentially modifiable factors and family history-taking by primary care physicians. Methods. Primary care physicians (family medicine, internal medicine, gynecology) were surveyed by mail in Vermont, urban and suburban Boston (n=880) using comprehensive rosters from employers or state-wide networks, with a response rate of 70%. Measures of family history-taking quality and factors that may influence this behavior were developed systematically and validated using factor analysis methods. The primary outcome variable was either extent of history-taking or age of cancer diagnoses. These dependent variables were regressed on scales measuring physician perceptions of the advantages and disadvantages of history-taking, confidence in taking cancer family histories, supportive resources, and knowledge of management for patients at high risk for breast and colon cancer; relevant factors controlled in these multiple regressions included type and location of practice. Results. Most physician perception factors hypothesized to influence quality of history taking were found to be significantly associated in the analysis. The strongest predictor of extent of family history-taking was perceived disadvantages of taking a cancer family history (p<.001). Reports of supportive resources ((p<.01); perceived advantages (p=.02); and confidence (p=.02) were also associated with this behavior. Gathering age of cancer diagnoses was significantly associated with perceived advantages, supportive resources and confidence (all p<.0001). Knowledge of high risk management was not associated with quality of family history-taking in either analysis. Conclusions. Potentially modifiable resource and perception factors were significantly associated with quality of family history in a large and diverse sample of primary care physicians. Improving family history quality for identification of high risk individuals among primary care providers will need to address multiple factors. No significant financial relationships to disclose.

scholarly journals Associations Between Mobile Health Technology use and Self-rated Quality of Life: A Cross-sectional Study on Older Adults with Cognitive Impairment

2021 ◽  
Vol 7 ◽  
pp. 233372142110189
Author(s):  
Line Christiansen ◽  
Johan Sanmartin Berglund ◽  
Peter Anderberg ◽  
Selim Cellek ◽  
Jufen Zhang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Cognitive Impairment ◽  
Mobile Health ◽  
Technology Use ◽  
Technical Skills ◽  
Outcome Variable ◽  
Cross Sectional ◽  
Mhealth Technology

Background: Quality of life (QoL) is affected even at early stages in older adults with cognitive impairment. The use of mobile health (mHealth) technology can offer support in daily life and improve the physical and mental health of older adults. However, a clarification of how mHealth technology can be used to support the QoL of older adults with cognitive impairment is needed. Objective: To investigate factors affecting mHealth technology use in relation to self-rated QoL among older adults with cognitive impairment. Methods: A cross-sectional research design was used to analyse mHealth technology use and QoL in 1,082 older participants. Baseline data were used from a multi-centered randomized controlled trial including QoL, measured by the Quality of Life in Alzheimer’s Disease (QoL-AD) Scale, as the outcome variable. Data were analyzed using logistic regression models. Results: Having moderately or high technical skills in using mHealth technology and using the internet via mHealth technology on a daily or weekly basis was associated with good to excellent QoL in older adults with cognitive impairment. Conclusions: The variation in technical skills and internet use among the participants can be interpreted as an obstacle for mHealth technology to support QoL.

Measuring the Customer-Perceived Service Quality in Health Care Organization: A Case Study

2012 ◽  
Vol 14 (1) ◽  
pp. 27-41 ◽  
Author(s):  
Sunil C. D’Souza ◽  
A.H. Sequeira
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Service Quality ◽  
Health Care Organizations ◽  
Health Care Organization ◽  
Services Marketing ◽  
Care Organization ◽  
Nursing Quality

In today’s highly competitive environment, health care organizations are increasingly realizing the need to focus on service quality as a measure to improve their competitive position. While there has been a plethora of conceptual and empirical research regarding the many complexities involved in services marketing, few endeavours have been directed towards integrating the customer’s assessment into models to improve overall service quality. This article examines service quality through a case study of a health care organization in Mangalore, Karnataka, India with a tertiary health provision. The population consisted of patients aged 18–65 years and 45 patients were considered through a purposive sampling technique. The study basically started off using the grounded theory for patient of service quality and this exploration was enabled to formulate a hypothesis; to test the specific hypothesis, the descriptive approach was used. The grounded theory indentified service quality dimensions through open coding, axial coding and selective coding. The analysis was done for the assessment of overall service quality by ‘doctors’, ‘quality of care,’ ‘nursing quality of care’ and ‘operative quality of care’ and the proportion of statistically significant variance. The service quality in which operative quality of care yielded 79 per cent; doctor quality of care yielded 45.6 per cent; and nursing quality of care yielded 63.8 per cent of explanatory power.The results also indicated there is need to improve doctors’ care in the case of this organization. Service attributes related to this dimension requires management attention to improve the doctors’ care of quality. The article concludes by highlighting the dearth in services marketing research for service quality measurement through patient perspective in health care organizations.

scholarly journals The Quality and Safety of Health Care Services

2019 ◽  
Vol 27 (2) ◽  
pp. 100-104
Author(s):  
Małgorzata Nadziakiewicz ◽  
Alina Mikolajczyk
Keyword(s):  
Health Care ◽  
Quality Indicators ◽  
Health Care Services ◽  
Health Care Organization ◽  
Assessment System ◽  
Care Organization ◽  
Quality And Safety ◽  
Care Services ◽  
Organization Quality

Abstract This article presents the quality, safety and assessment system as the important tools to supervise the health care organization. Quality is the sum of the properties and characteristics of a product, process or service that is appropriate to meet the complex requirements. In the case of health care is difficult to valuate quality, the universal indicators become useful tool. The development of quality indicators requires collecting of data and their proper processing. The high quality of medical services requires continuous improvement and adaptation to patients’ needs. The quality indicators, for example, refer directly to the effects of therapy and are used to measure the success or failure of the applied therapeutic methods. Measuring the results of activities indicates only the level of quality of the services provided. The data helps to analyze information and improve the quality and safety of health care services.

scholarly journals How can leadership influence the quality of care in a health-care organization?

2020 ◽  
Vol 7 (1) ◽  
pp. 19-22
Author(s):  
Li-Yuan Xing ◽  
Jing-Hui Song ◽  
Fan Yan
Keyword(s):  
Health Care ◽  
Organizational Culture ◽  
Quality Of Care ◽  
Work Environment ◽  
Effective Leadership ◽  
Health Care Organization ◽  
Care Organization ◽  
Leadership Influence

AbstractObjectiveThis study focuses on how leadership could influence the quality of care in a health-care organization.MethodsThe concept of leadership and quality are analyzed. In addition, issues concerning how leadership can influence quality of care through the effect on the organizational culture and the engagement of both nurses and patients are discussed.ResultsLeadership is the pivotal factor in the improvement of quality through the effect on the organizational culture and the engagement of both nurses and patients.ConclusionsLeadership can influence the quality of care directly and indirectly. The organization and the leaders should know the importance of effective leadership to a better work environment, facilitate the implementation of the new mode of nursing, and provide best services to the patients.

Benchmarking of the Maintenance Service in Health Care Organizations

2017 ◽  
pp. 1-25
Author(s):  
María Carmen Carnero
Keyword(s):  
Health Care ◽  
Health Care Organizations ◽  
Health Care Organization ◽  
Care Quality ◽  
Care Staff ◽  
Care Organization ◽  
Analytic Hierarchy ◽  
Maintenance Service ◽  
Hierarchy Process

The support services of health care organizations, such as maintenance, have not traditionally been considered important from the perspective of care quality. Nevertheless, the degree of excellence in maintenance significantly influences availability, maintenance costs and safety of facilities, medical equipment, patients and care staff. Thus, it would be of great importance for health care organizations to apply benchmarking to their maintenance processes, as do other processing companies, in order to determine the quality of maintenance provided, and compare it to other, similar, organizations. This would also allow all the continuous improvement processes to be controlled, and actions for radical improvement to be carried out by comparing performance with that of companies in other sectors. This chapter describes a multicriteria model integrating a fuzzy Analytic Hierarchy Process with utility theory to obtain a valuation for the Maintenance Service of a Health Care Organization over time.

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