Accumulation, Autonomy, and Expectations: Three Essays on the Impact of U.S. Health Care Industry Consolidation

2018 ◽  
Keyword(s):  
Health Care ◽  
Health Care Industry ◽  
Care Industry ◽  
Industry Consolidation ◽  
The Impact

The impact of DRGs on the health care industry

1987 ◽  
Vol 12 (3) ◽  
pp. 61-74 ◽  
Author(s):  
Warren Balinsky ◽  
Jodi L. Starkman
Keyword(s):  
Health Care ◽  
Health Care Industry ◽  
Care Industry ◽  
The Impact

The impact of job security, job satisfaction and job embeddedness on employee retention: an empirical investigation of Pakistan’s health-care industry

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Attia Aman-Ullah ◽  
Azelin Aziz ◽  
Hadziroh Ibrahim ◽  
Waqas Mehmood ◽  
Yasir Abdullah Abbas
Keyword(s):  
Job Satisfaction ◽  
Health Care ◽  
Employee Retention ◽  
Health Care Industry ◽  
Job Security ◽  
Job Embeddedness ◽  
Public Hospitals ◽  
Content Type ◽  
Care Industry ◽  
The Impact

Purpose The purpose of this study is to determine the impact of job security on doctors’ retention, with job satisfaction and job embeddedness as the mediators. In doing so, the authors seek to contribute to the existing literature by providing additional empirical evidence on the links between job security, job satisfaction, job embeddedness and employee retention by using social exchange theory. Design/methodology/approach An empirical study was conducted on doctors working in public hospitals in Pakistan. Data from selected public hospitals were collected using semi-structured questionnaires. The simple random sampling method was applied for participant selection and partial least squares-structural equation modelling was used for data analysis purposes. Findings The findings confirmed the direct and mediation relationships. Thus, all of this study’s hypotheses are supported. The results indicate that job security can improve doctors’ retention. Further, job satisfaction and job embeddedness play crucial roles in mediating the direct relationship. Originality/value This study elaborates job security in health-care sector of Pakistan and also provides empirical evidence of the antecedents and mediators of doctors’ intention to continue working in the health-care industry.

scholarly journals Impacts of Health Care Industry Consolidation in Pittsburgh, Pennsylvania: A Qualitative Study

2020 ◽  
Vol 57 ◽  
pp. 004695802097624
Author(s):  
Claire E. O’Hanlon
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Access To Care ◽  
Health Care System ◽  
Health Care Industry ◽  
Health Care Facilities ◽  
Negative Consequences ◽  
Care Industry ◽  
Industry Consolidation ◽  
Care System

While most studies of health care industry consolidation focus on impacts on prices or quality, these are not its only potential impacts. This exploratory qualitative study describes industry and community stakeholder perceptions of the impacts of cumulative hospital, practice, and insurance mergers, acquisitions, and affiliations in Pittsburgh, Pennsylvania. Since the 1980s, Pittsburgh’s health care landscape has been transformed and is now dominated by competition between 2 integrated payer-provider networks, health care system UPMC (and its insurance arm UPMC Health Plan) and insurer Highmark (and its health care system Allegheny Health Network). Semi-structured interviews with 20 boundary-spanning stakeholders revealed a mix of perceived impacts of consolidation: some positive, some neutral or ambiguous, and some negative. Stakeholders perceived consolidation’s positive impacts on long-term viability of health care facilities and their ability to adopt new care models, enhanced competition in health insurance, creation of foundations, and pioneering medical research and innovation. Stakeholders also believed that consolidation changed geographic access to care, physician referral behaviors, how educated patients were about their health care, the health care advertising environment, and economies of surrounding neighborhoods. Interviewees noted that consolidation raised questions about what the responsibilities of non-profit organizations are to their communities. However, stakeholders also reported their perceptions of negative outcomes, including ways in which consolidation had potentially reduced patient access to care, accountability and transparency, systems’ willingness to collaborate, and physician autonomy. As trends toward consolidation are not slowing, there will be many opportunities to experiment with policy levers to mitigate its potentially negative consequences.

An investigation of healthcare supply chain management and patient responsiveness

2018 ◽  
Vol 12 (3) ◽  
pp. 325-347 ◽  
Author(s):  
Abdussamet Polater ◽  
Osman Demirdogen
Keyword(s):  
Health Care ◽  
Demand Forecasting ◽  
Health Care Industry ◽  
Public Hospitals ◽  
Content Type ◽  
Care Industry ◽  
Supplier Performance ◽  
Patient Responsiveness ◽  
The Right ◽  
The Impact

Purpose This study aims to focus on the impact of supply chain (SC) integration, demand forecasting and supplier performance on patient responsiveness at public hospitals through the mediating role of SC flexibility. Design/methodology/approach To measure the above stated correlation, a Likert scale with five points and 23 items was used and structural equation modeling was applied. The scale was applied to public hospitals. Statistical software programs (SPSS 18 and LISREL 8.8) were used to analyze the data. The analysis of reported statistics is based on a sample of 129 logistics and SC specialists at public hospitals in the cities representing different regions of Turkey. Findings The research hypotheses are supported as a result of the analysis. The research reveals that SC flexibility has a mediation effect between SC integration, demand forecasting, supplier performance and patient responsiveness. Practical implications The increasing number of population, geopolitical position, migration waves, man-made and natural disasters lead Turkish health-care industry to have effective SC plans to satisfy the patients’ needs successfully and reduce the effects of these fatal events. In this sense, SC flexibility is an important factor for health-care industry in responding changing patient demands. At this juncture, the main point is to bring required resources together in the right place and at the right time. Otherwise, health-care institutions cannot serve the affected people because of the non-availability of supply. To achieve it, public health-care institutions should give more importance to the SC principles. Originality/value Success in SC flexibility in health care can directly affect patient welfare. Thus, focusing on the patient responsiveness is an important aim of the health-care industry. However, it was determined that less attention has been given to understanding patient satisfaction as a result of SC operations. The results indicate that patient responsiveness improvement should be included into strategic plans, and SC efforts should be used as a means of satisfying patient needs quickly. To the best of our knowledge, this is the first study investigating the mentioned relationships at public hospitals. Findings of this paper will have a significant contribution for researchers and health-care professionals in understanding the impact of SC to patient responsiveness.

The impact of information technology on a section of the Australian health care industry

2001 ◽  
Vol 8 (2) ◽  
pp. 108-120 ◽  
Author(s):  
Stuart Orr ◽  
Amrik S. Sohal ◽  
Katherine Gray ◽  
Jennine Harbrow ◽  
David Harrison ◽  
...  
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Health Care Industry ◽  
Australian Health ◽  
Care Industry ◽  
The Impact

scholarly journals The impact of regional competition on the health care industry

2018 ◽  
Vol 50 (48) ◽  
pp. 5135-5141 ◽  
Author(s):  
Dakshina G. De Silva ◽  
Hojin Jung ◽  
Georgia Kosmopoulou
Keyword(s):  
Health Care ◽  
Health Care Industry ◽  
Care Industry ◽  
Regional Competition ◽  
The Impact
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