scholarly journals Priorities Determining Future Directions of Sustainable Development in Business Models of the Healthcare Industry—Findings and Framework

2021 ◽  
Vol 13 (11) ◽  
pp. 6507
Author(s):  
Rocio Rodriguez ◽  
Göran Svensson ◽  
David Eriksson

The private healthcare sector was chosen because of the fundamental importance of quality in this sector, the widespread understanding that sustainable development is part of hospital quality standards, and the compelling need for the supply chain components to work together in order to add value to the business models of private healthcare services. This study uses a qualitative methodology, striving to add value to and shed light on the relationship between private hospital communication modes and their stakeholders’ needs and their stakeholders’ expectations of business models in the marketplace and society. This research lists a range of actions and services for assessing the priorities of private hospital communication modes in business models with respect to stakeholder needs and expectations. Furthermore, the study links stakeholder needs and the expectations of business models in private hospitals, with respect to private hospital communication modes with stakeholders, and vice versa. It also provides directions for managers in the healthcare industry to determine the appropriate actions and services for addressing stakeholders’ needs and stakeholders’ expectations of business models in private hospitals considering sustainable development. This research contributes to framing the future direction of sustainable development in business models of the healthcare industry. The paper outlines the assessment of communication modes in relation to economic, social, and environmental performance in the context of sustainable development.

2021 ◽  
Vol 13 (11) ◽  
pp. 6132
Author(s):  
Rocio Rodriguez ◽  
Göran Svensson

The research objective to examine the role of public resource desynchronization on business model sustainability in the private healthcare industry based on the application of a public policy. This study is based on recently reported data on bed occupancy rate and stakeholder insights during the SARS-CoV-2 pandemic in the private healthcare industry in Spain. The findings reveal how desynchronization of a public health policy can undermine business model sustainability in the private healthcare sector. The role of public resource desynchronization in the private healthcare sector is linked to an applied public health policy, which affects the business model sustainability of private hospitals. Private hospitals need to be vigilant regarding the role of public policy on resource desynchronization in the healthcare industry, which can affect the sustainability of their business models. This study contributes to linking the role of resource desynchronization with the application of a public policy in the healthcare industry which can affect the sustainability of private hospitals’ business models.


2016 ◽  
Vol 19 (1) ◽  
pp. 53-63 ◽  
Author(s):  
Marine Erasmus ◽  
Nicola Theron

The Competition Commission (CC) commenced with an enquiry into South Africa’s private healthcare sector at the beginning of 2014, the outcome of which could have far-reaching consequences for the medical industry in South Africa. The panel appointed to consider competition in the private healthcare sector has indicated that they are interested in understanding increased consolidation in the private hospital market and the effect this may have on competitive dynamics. This article considers historical concentration trends in the private hospital market from 2000 to 2012. In addition it also deals with changes in market structure in the medical scheme and administrator markets. These trends provide a complete picture of market structure changes and the implications for relative bargaining power of the various parties. It finds that whereas the market concentration of private hospitals has remained relatively stable since 2004, the market concentration of medical schemes and administrators has increased over this period.


2021 ◽  
Vol 16 (3) ◽  
pp. 235-242
Author(s):  
Kanchana Sajeeva Narangoda ◽  
Estie Kruger ◽  
Marc Tennant

Demand for private sector healthcare services in Sri Lanka is on the rise. This is very evident from the increase in the number of registered private healthcare institutions from 1990 to 2017. [1,2] With the increasing utilization of private sector healthcare services, various qualitative factors,  and service-related issues associated with the healthcare delivery system have become common debates. A major concern, patients have expressed, is about the fees charged by doctors and hospitals. Principle aim of this study was to investigate the perceptions of patients on healthcare pricing within the private healthcare sector in Sri Lanka. The target population of the study was defined as Sri Lankans who have been inpatients in private hospitals within the past year. The focus districts were Colombo, Kandy, and Galle. These 3 districts represented nearly 60% of the total private sector bed capacity. From each district, three main private hospitals were selected. Over 700 patients were invited to participate, 246 surveys were completed, and 215 were retained as 31 had excessive missing and/or unclear data. In all 3 districts the majority of patients were either dissatisfied with or remained neutral (69%) on the hospital fees,(66%) on doctor’s fees,(74%) on the overall price they ended up paying,(76%)  on whether they think the healthcare services they received are value for money. This study did not investigate the reasons or the factors that may affect the satisfaction or dissatisfaction of patients towards the fees they paid Multiple factors can affect patient’s perception on the fees they paid. With negative perception on the above it can be concluded that there is sufficient evidence to challenge private sector healthcare satisfaction level vs price/fees equilibrium in Sri Lanka.


2019 ◽  
Vol 35 (3) ◽  
pp. 537-550
Author(s):  
Rocío Rodríguez ◽  
Göran Svensson ◽  
Carmen Otero-Neira

Purpose The purpose of this paper is to assess the future direction of sustainable development in the healthcare industry. This study aims to reveal general similarities and specific differences between private hospitals and enabler or hinders of sustainable development. Design/methodology/approach Based on an inductive approach, judgmental sampling was applied to select relevant healthcare organizations. Informants were identified according to their knowledge of their organizations’ sustainability initiatives. Findings In the context the homogeneity that could be expected, the studied hospitals range from having a very strong organizational conviction as to the future direction of sustainable development to a very weak one. There are some general similarities and specific differences between them reported. Research limitations/implications There is no common formula applicable across private hospitals to determine the future direction of their sustainable development. Although hospitals benchmark best practices, others use them only as a general frame of reference. This scenario offers opportunities for further research. Practical implications The economic, social and environmental sustainable development across private hospitals may evolve from general principles or guidelines, but the specific sustainable development at each hospital may well evolve along tailored economic, social and environmental actions. Originality/value Developing a framework considering similarities and differences between the sustainability actions of each hospital in the healthcare industry is important for understanding future directions. This study provides insights into factors that could enable success or constitute hinders of sustainable development. They can also guide the industry toward a common objective which improves the hospitals sustainability actions in the future, also minimizing the effort required.


Author(s):  
Gülay Tamer

Sustainability, which is a multi-dimensional and popular concept today, has three dimensions that almost everyone agrees: environmental, economic and social dimensions. Due to the complex nature of the healthcare industry and the wide range of facilities, operations and activities of a typical healthcare provider, the overall social, economic and environmental impact created by the healthcare industry is enormous and closely related to the sustainable development. As in all other industries, it is also inevitable for the healthcare sector to take sustainability initiatives to the forefront. In this study, how sustainability and sustainable development can be adapted to the healthcare sector is described after definition of the concept is given. Some examples of sustainability understanding and initiatives that healthcare facilities may adopt are addressed and how quality dimensions can be used in this context is explained. And to this end, a research conducted in a hospital to contribute to improve healthcare infrastructure to create socially sustainable healthcare facilities is given as a case study at the end of this study. In the said case study, the researches suggest that evidence based design presents an adequate tool for analyzing existing and future design of healthcare facilities.


Think India ◽  
2014 ◽  
Vol 17 (1) ◽  
pp. 1-7
Author(s):  
Vedantam Leela

Social Responsibility initiatives are the indispensible strategies for governance and this applies equally well in the field of Corporate framework also. In the recent times, the corporate houses other than healthcare industry, evidently demonstrated that strategic balance among social, environmental, and commercial goals can be accomplished. Corporate hospitals contemporary functioning rests on the anarchic assumptions that healthcare industry functions on the notion that what is good for patients or society cannot be good for business. At a time when patients are overexposed to medical procedures and medical treatment is within the reach of affordability of only those who are well insured, there arises a question,is it not essential for corporate hospitals to adopt CSR initiatives. An important corollary question, that also needs to be examined, is whether and for what reasons CSR initiatives must be nurtured by Corporate Hospitals. Drawing up from the existing research studies on CSR in corporate hospitals in Indian scenario i.e., corporate hospitals and healthcare sector, this paper (i) undertakes a thorough examination of the CSR initiatives needs a thorough examination, (ii) examines the implications of modelling of CSR in corporate hospitals so as to create a right balance between their social and economic objectives, (iii) to this extent, the paper hypothesizes that (a) employee costs of corporate hospitals may positively increase due to CSR initiatives, (b) profit maximization i.e. positive increases due to CSR initiatives, and (c) the degree of workforce efficiency positively increases sales turnover due to CSR initiatives.


Author(s):  
Stephen Cantarutti ◽  
Emmanuel M. Pothos

Abstract Background According to recent polling, public trust in the healthcare sector remains low relative to other industries globally. The implications of low healthcare trust permeate throughout the industry in a number of ways, most visibly by discouraging therapy compliance. Methods This study investigated four putative determinants of trust in healthcare-related scenarios: individuals vs. collective groups as communicators of healthcare advice; expert vs. laypeople as providers of healthcare communication; public vs. private healthcare sector; and positive vs. negative information. Two hundred seventy-four participants were recruited via Prolific Academic and were presented with four statements in random order, related to a positive reflection of the public healthcare sector, a negative reflection of the public healthcare sector, a positive reflection of the private healthcare sector and a negative reflection of the private healthcare sector. According to these reflection, participants were repeatedly asked to rate the system on its trustworthiness. Trust outcomes were constructed using a four-dimension framework, consisting of benevolence, reliability, competence and predictability. Results Claims relating to the public sector had a significantly stronger impact on benevolence and reliability than claims relating to the private sector; claims from individuals had a significantly stronger impact on all trust variables than claims from collectives; and claims from laypeople had a significantly greater impact on reliability and competence ratings than claims from experts. Conclusions The findings in this study offer insight into the patterns with which trust decisions are made in healthcare contexts. More importantly, this research offers a novel perspective of how different factors interact to affect the various facets of trust. These results provide a foundation for future study in this evolving area, and offer insights into designing effective communication strategies that cultivate greater levels of individual trust in the healthcare sector.


Author(s):  
Ching Siang Tan ◽  
Saim Lokman ◽  
Yao Rao ◽  
Szu Hua Kok ◽  
Long Chiau Ming

AbstractOver the last year, the dangerous severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread rapidly around the world. Malaysia has not been excluded from this COVID-19 pandemic. The resurgence of COVID-19 cases has overwhelmed the public healthcare system and overloaded the healthcare resources. Ministry of Health (MOH) Malaysia has adopted an Emergency Ordinance (EO) to instruct private hospitals to receive both COVID-19 and non-COVID-19 patients to reduce the strain on public facilities. The treatment of COVID-19 patients at private hospitals could help to boost the bed and critical care occupancy. However, with the absence of insurance coverage because COVID-19 is categorised as pandemic-related diseases, there are some challenges and opportunities posed by the treatment fees management. Another major issue in the collaboration between public and private hospitals is the willingness of private medical consultants to participate in the management of COVID-19 patients, because medical consultants in private hospitals in Malaysia are not hospital employees, but what are termed “private contractors” who provide patient care services to the hospitals. Other collaborative measures with private healthcare providers, e.g. tele-conferencing by private medical clinics to monitor COVID-19 patients and the rollout of national vaccination programme. The public and private healthcare partnership must be enhanced, and continue to find effective ways to collaborate further to combat the pandemic. The MOH, private healthcare sectors and insurance providers need to have a synergistic COVID-19 treatment plans to ensure public as well as insurance policy holders have equal opportunities for COVID-19 screening tests, vaccinations and treatment.


2015 ◽  
Vol 4 (1) ◽  
pp. 4-24 ◽  
Author(s):  
Julia Selberherr

Purpose – Sustainable buildings bear enormous potential benefits for clients, service providers, and our society. To release this potential a change in business models is required. The purpose of this paper is to develop a new business model with the objective of proactively contributing to sustainable development on the societal level and thereby improving the economic position of the service providers in the construction sector. Design/methodology/approach – The modeling process comprises two steps, the formal structuring and the contextual configuration. In the formal structuring systems theory is used and two levels are analytically separated. The outside view concerns the business model’s interaction with the environment and its impact on sustainability. The inside view focusses on efficient value creation for securing sustainability. The logically deductively developed business model is subsequently theory-led substantiated with Giddens’ structuration theory. Findings – The relevant mechanisms for the development of a new service offer, which creates a perceivable surplus value to the client and contributes to sustainable development on the societal level, are identified. The requirements for an efficient value creation process with the objective of optimizing the service providers’ competitive position are outlined. Research limitations/implications – The model is developed logically deductively based on literature and embedded in a theoretical framework. It has not yet been empirically tested. Practical implications – Guidelines for the practical implementation of more sustainable business models for the provision of life cycle service offers are developed. Social implications – The construction industry’s impact requires it to contribute proactively to a more sustainable development of the society. Originality/value – This paper analyzes the role for the players in the construction sector in proactively contributing to sustainable development on the societal level. One feasible strategy is proposed with a new business model, which aims at cooperatively optimizing buildings and infrastructures and taking the responsibility for the operating phase via guarantees.


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