Empirical exploration of brilliance in health care: perceptions of health professionals

2017 ◽  
Vol 41 (3) ◽  
pp. 336 ◽  
Author(s):  
Leila Karimi ◽  
Ann Dadich ◽  
Liz Fulop ◽  
Sandra G. Leggat ◽  
Jiri Rada ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Management Practices ◽  
Health Management ◽  
Care Delivery ◽  
Lessons Learned ◽  
Lexical Analysis ◽  
Professional Perspective

Objective The aim of the present study was to develop a positive organisational scholarship in health care approach to health management, informed by health managers and health professionals’ experiences of brilliance in health care delivery. Methods A sample of postgraduate students with professional and/or management experience within a health service was invited to share their experiences of brilliant health services via online discussions and a survey running on the SurveyMonkey platform. A lexical analysis of student contributions was conducted using the individual as the unit of analysis. Results Using lexical analysis, the examination of themes in the concept map, the relationships between themes and the relationships between concepts identified ‘care’ as the most important concept in recognising brilliance in health care, followed by the concepts of ‘staff’ and ‘patient’. Conclusions The research presents empirical material to support the emergence of an evidence-based health professional perspective of brilliance in health management. The findings support other studies that have drawn on both quantitative and qualitative materials to explore brilliance in health care. Pockets of brilliance have been previously identified as catalysts for changing health care systems. Both quality, seen as driven from the outside, and excellence, driven from within individuals, are necessary to produce brilliance. What is known about the topic? The quest for brilliance in health care is not easy but essential to reinvigorating and energising health professionals to pursue the highest possible standards of health care delivery. What does this paper add? Using an innovative methodology, the present study identified the key drivers that health care professionals believe are vital to moving in the direction of identifying brilliant performance. What are the implications for practitioners? This work presents evidence on the perceptions of leadership and management practices associated with brilliant health management. Lessons learned from exceptionally well-delivered services contain different templates for change than those dealing with failures, errors, misconduct and the resulting negativity.

Are Communities Willing to Transition Into Learning Health Care Communities? A Community-Based Participatory Evaluation of Stakeholders’ Receptivity

2021 ◽  
pp. 104973232199864
Author(s):  
Nabil Natafgi ◽  
Olayinka Ladeji ◽  
Yoon Duk Hong ◽  
Jacqueline Caldwell ◽  
C. Daniel Mullins
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Health Care Professionals ◽  
Care Delivery ◽  
Lessons Learned ◽  
Community Members ◽  
Community Based ◽  
Care Community ◽  
Care Experience ◽  
National Initiative

This article aims to determine receptivity for advancing the Learning Healthcare System (LHS) model to a novel evidence-based health care delivery framework—Learning Health Care Community (LHCC)—in Baltimore, as a model for a national initiative. Using community-based participatory, qualitative approach, we conducted 16 in-depth interviews and 15 focus groups with 94 participants. Two independent coders thematically analyzed the transcripts. Participants included community members (38%), health care professionals (29%), patients (26%), and other stakeholders (7%). The majority considered LHCC to be a viable model for improving the health care experience, outlining certain parameters for success such as the inclusion of home visits, presentation of research evidence, and incorporation of social determinants and patients’ input. Lessons learned and challenges discussed by participants can help health systems and communities explore the LHCC aspiration to align health care delivery with an engaged, empowered, and informed community.

When Clock Time Governs Interaction: How Time Influences Health Professionals’ Intersectoral Collaboration

2018 ◽  
Vol 28 (13) ◽  
pp. 2059-2070 ◽  
Author(s):  
Anne Bendix Andersen ◽  
Kirsten Beedholm ◽  
Raymond Kolbæk ◽  
Kirsten Frederiksen
Keyword(s):  
Health Care ◽  
Elderly Patients ◽  
Health Care Delivery ◽  
Health Professionals ◽  
Health Care Services ◽  
Care Delivery ◽  
Intersectoral Collaboration ◽  
Clock Time ◽  
Care Services ◽  
Patient Pathways

When setting up patient pathways that cross health care sectors, professionals in emergency units strive to fulfill system requirements by creating efficient patient pathways that comply with standards for length of stay. We conducted an ethnographic field study, focusing on health professionals’ collaboration, of 10 elderly patients with chronic illnesses, following them from discharge to their home or other places where they received health care services. We found that clock time not only governed the professionals’ ways of collaborating, but acceleration of patient pathways also became an overall goal in health care delivery. Professionals’ efforts to save time came to represent a “monetary value,” leading to speedier planning of patient pathways and consequent risks of disregarding important issues when treating and caring for elderly patients. We suggest that such issues are significant to the future planning and improvement of patient pathways that involve elderly citizens who are in need of intersectoral health care delivery.

scholarly journals Social Life, Economic Status and Health Care Delivery Practices of the People of Bede Community of Bangladesh: A Case Study

1970 ◽  
Vol 2 (2) ◽  
pp. 48-52
Author(s):  
Mohammad Taleb Hossain ◽  
Md Mosharaf Hossain Miazi ◽  
Abdul Ghani
Keyword(s):  
Health Care ◽  
Social Life ◽  
Management Practices ◽  
Health Management ◽  
Care Delivery ◽  
Smoking Habit ◽  
Living Standard ◽  
Traditional System ◽  
The People

This study was conducted to observe the socio-economical status, living standard and health management practices of the people of the Bede community of Bangladesh. Bedes living in the Savar area of Dhaka district was selected for a case study. To conduct the study, data were obtained through a questionnairebased survey of 700 respondents about their social and economical status, professional practices, standard of living and literacy status, health management and treatment methods used. It has been observed that these mostly nomadic people of the Bede community have a weak socio-economic condition, large family size {(9-16 member family (58.22%); 17-24 member family (22.20%)}, intense smoking habit and a low level of literacy (80.00% people are illiterate). They practice ethno-medicine and snake-charming as their main professional business to earn a living. In offering health care services to people, they use medicaments prepared from various plant and animal parts and minerals and apply various ethno-treatment techniques, like spiritual, physical, mystical and psychological techniques to treat various ailments. Although they practice their age-old traditional system of medicine as their profession to treat others, they have been found to depend largely on Allopathic, Homeopathic and modern Traditional medicines for treating their own illness, particularly when they suffer from  diarrhoea, dysentery, small pox, orthopedic problems, and even snake-bite, which is supposed to be their own specialty. Bedes live below the poverty line.  Key words: Bede community; Social life; Health practices; Economic statusDOI: 10.3329/sjps.v2i2.5823Stamford Journal of Pharmaceutical Sciences Vol.2(2) 2009: 42-47

Five focus strategies to organize health care delivery

2016 ◽  
Vol 29 (2) ◽  
pp. 177-191 ◽  
Author(s):  
Antti Peltokorpi ◽  
Miika Linna ◽  
Tomi Malmström ◽  
Paulus Torkki ◽  
Paul Martin Lillrank
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Management Practices ◽  
Care Delivery ◽  
System Level ◽  
Content Type ◽  
Requisite Variety ◽  
Care Outcomes ◽  
Definition Of ◽  
Focus Strategies

Purpose – The focused factory is one of the concepts that decision-makers have adopted for improving health care delivery. However, disorganized definitions of focus have led to findings that cannot be utilized systematically. The purpose of this paper is to discuss strategic options to focus health care operations. Design/methodology/approach – First the literature on focus in health care is reviewed revealing conceptual challenges. Second, a definition of focus in terms of demand and requisite variety is defined, and the mechanisms of focus are explicated. A classification of five focus strategies that follow the original idea to reduce variety in products and markets is presented. Finally, the paper examines managerial possibilities linked to the focus strategies. Findings – The paper proposes a framework of five customer-oriented focus strategies which aim at reducing variety in different characteristics of care pathways: population; urgency and severity; illnesses and symptoms; care practices and processes; and care outcomes. Research limitations/implications – Empirical research is needed to evaluate the costs and benefits of the five strategies and about system-level effects of focused units on competition and coordination. Practical implications – Focus is an enabling condition that needs to be exploited using specific demand and supply management practices. It is essential to understand how focus mechanisms differ between strategies, and to select focus that fits with organization’s strategy and key performance indicators. Originality/value – Compared to previous more resource-oriented approaches, this study provides theoretically solid and practically relevant customer-oriented framework for focusing in health care.

scholarly journals The Internet of Things: Impact and Implications for Health Care Delivery (Preprint)

2020 ◽  
Author(s):  
Jaimon T Kelly ◽  
Katrina L Campbell ◽  
Enying Gong ◽  
Paul Scuffham
Keyword(s):  
Health Care ◽  
Internet Of Things ◽  
Data Storage ◽  
Health Care Delivery ◽  
Health Care Professionals ◽  
Care Delivery ◽  
Policy Support ◽  
The Internet ◽  
Public Health Services ◽  
The Internet Of Things

UNSTRUCTURED The Internet of Things (IoT) is a system of wireless, interrelated, and connected digital devices that can collect, send, and store data over a network without requiring human-to-human or human-to-computer interaction. The IoT promises many benefits to streamlining and enhancing health care delivery to proactively predict health issues and diagnose, treat, and monitor patients both in and out of the hospital. Worldwide, government leaders and decision makers are implementing policies to deliver health care services using technology and more so in response to the novel COVID-19 pandemic. It is now becoming increasingly important to understand how established and emerging IoT technologies can support health systems to deliver safe and effective care. The aim of this viewpoint paper is to provide an overview of the current IoT technology in health care, outline how IoT devices are improving health service delivery, and outline how IoT technology can affect and disrupt global health care in the next decade. The potential of IoT-based health care is expanded upon to theorize how IoT can improve the accessibility of preventative public health services and transition our current secondary and tertiary health care to be a more proactive, continuous, and coordinated system. Finally, this paper will deal with the potential issues that IoT-based health care generates, barriers to market adoption from health care professionals and patients alike, confidence and acceptability, privacy and security, interoperability, standardization and remuneration, data storage, and control and ownership. Corresponding enablers of IoT in current health care will rely on policy support, cybersecurity-focused guidelines, careful strategic planning, and transparent policies within health care organizations. IoT-based health care has great potential to improve the efficiency of the health system and improve population health.

A new model of online health care delivery science education for mid-career health care professionals

Healthcare ◽  
2019 ◽  
Vol 7 (4) ◽  
Author(s):  
Adrienne Faerber ◽  
Alice Andrews ◽  
Ano Lobb ◽  
Eric Wadsworth ◽  
Katherine Milligan ◽  
...  
Keyword(s):  
Health Care ◽  
Science Education ◽  
Health Care Delivery ◽  
Health Care Professionals ◽  
Care Delivery ◽  
New Model
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