Role of Bottom-Up Decision Processes in Improving the Quality of Health Care Delivery: A Contingency Perspective

2015 ◽  
Vol 25 (3) ◽  
pp. 458-476 ◽  
Author(s):  
Claire Senot ◽  
Aravind Chandrasekaran ◽  
Peter T. Ward
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Quality Of Health Care ◽  
Care Delivery ◽  
Decision Processes ◽  
Bottom Up ◽  
Contingency Perspective

scholarly journals The impact of the use of health information and communication technology on health care delivery in Manitoba, Canada

2014 ◽  
Vol 3 (6) ◽  
pp. 8 ◽  
Author(s):  
Israel R Kabashiki ◽  
Ngozi I Moneke
Keyword(s):  
Health Care ◽  
Health Information ◽  
Information And Communication Technology ◽  
Health Care Delivery ◽  
Communication Technology ◽  
Quality Of Health Care ◽  
Care Delivery ◽  
Wait Times ◽  
Information And Communication

Background: Health Information and Communication Technology (HICT) has the potential to reduce patient wait time and improves patient satisfaction. The Long wait times for patients to receive medical services are a big issue in Canada. The Canadian government has invested in Information and Communication Technology (ICT) to shorten patient referral wait times for medical services. Little was known about the association between ICT investments and the quality of health care delivery, and particularly between the use of ICT and referral wait times in the Manitoba Health System (MHS). Methods: The purpose of this quantitative correlational study was to determine if a relationship existed between the use of HICT and the quality of health care delivery in the MHS. The quality of health care delivery was measured in terms of referral wait time, health information sharing effectiveness, physicians’ satisfaction, and patients’ satisfaction. Conclusion: Findings indicated the absence of a significant association between HICT use and referral wait times. Significant correlations were found to exist between (1) HICT use and health information sharing effectiveness, (2) HICT use and physician’s satisfaction, and (3) HICT use and patient’s satisfaction. Four recommendations emerged from this study: First, patient satisfaction should be used as an indicator of the quality of health care delivery. Second, health knowledge repository and expert systems should be integrated into health ICT systems to minimize unnecessary referrals. Third, a mixed health system should be implemented to shorten wait times. Fourth, the portability of the Canadian Medicare should be enhanced to allow Manitobans in particular and Canadians in general to seek medical services abroad. This study was intended to contribute to the existing body of knowledge associated with ICT investments’ outcomes and health care delivery in the MHS.  

scholarly journals Changes in Quality of Health Care Delivery after Vertical Integration

2014 ◽  
Vol 50 (4) ◽  
pp. 1043-1068 ◽  
Author(s):  
Caroline S. Carlin ◽  
Bryan Dowd ◽  
Roger Feldman
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Vertical Integration ◽  
Quality Of Health Care ◽  
Care Delivery

Implications of Negligent Selection and Retention of Physicians in the Age of ERISA

1995 ◽  
Vol 21 (4) ◽  
pp. 383-418
Author(s):  
Torin A. Dorros ◽  
T. Howard Stone
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care Providers ◽  
Health Care Delivery ◽  
Quality Of Health Care ◽  
Care Delivery ◽  
The United States ◽  
Care Providers ◽  
Insurance Reform

Enormous and fundamental changes are currently taking place in health care delivery. These changes include the consolidation of health care providers—from hospitals, physicians, and insurance companies, to medical supply businesses, managed care networks, and other health care providers—and numerous health care and insurance reform efforts by government at all levels. These changes pose significant implications for the delivery of health care in the United States, and will impact the manner, cost, and accessibility of health care delivery. These changes will almost certainly affect the quality of health care services as well. The quality of health care in the United States has for many years been a central concern of government, industry, health care providers, payors, and consumers. Quality in health care is essential to overall national health, the guarantor of a productive and healthy populace, and an important indicator of United States social and technological preeminence.

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