The Critical Health Care Management Domain

2016 ◽  
Author(s):  
Martin Kitchener ◽  
Richard Thomas
Keyword(s):  
Health Care ◽  
Social Movements ◽  
Care Management ◽  
Health Care Management ◽  
The Body ◽  
Management Domain ◽  
Critical Management ◽  
Critical Approaches ◽  
The Impact ◽  
Critical Health Care

While the application of critical approaches has helped to reduce the conservatism and improve the relevance of scholarship in areas of health care studies including those concerned with social movements and the body, the impact of critical work has been less marked in health care management studies. After discussing the causes and implications of this phenomenon, this chapter extends the work of Burawoy (2004) and Delbridge (2010) to develop an articulation of Critical Health Care Management Studies (CHMS) as a necessary and distinctive domain of scholarship. We then review progress in developing CHMS in terms of the four main concerns of critical management enquiry: (a) questioning the taken-for-granted, (b) moving beyond instrumentalism and assumptions of performativity, (c) a concern for reflexivity and meanings in research, and (d) challenging structures of domination. We conclude by discussing barriers to progress and presenting an agenda for the development of the CHMS domain.

Socioeconomic Costs and Health Inequalities from Psoriasis: A Cohort Study

Dermatology ◽  
2019 ◽  
Vol 235 (5) ◽  
pp. 372-379 ◽  
Author(s):  
Simon Francis Thomsen ◽  
Lone Skov ◽  
Rikke Dodge ◽  
Morten Storling Hedegaard ◽  
Jakob Kjellberg
Keyword(s):  
Health Care ◽  
Health Care Costs ◽  
Odds Ratio ◽  
Care Management ◽  
Health Care Management ◽  
Indirect Costs ◽  
National Patient ◽  
Matched Study ◽  
The Impact ◽  
Care Costs

Background: To date, there are no nationwide studies of the social and economic burden of psoriasis to patients in Denmark. Incentives for health care management based on patient-related outcomes and value (IMPROVE) in psoriasis and psoriatic arthritis is a project aimed at assisting movement from activity-based to outcome-based health care management. One of the key objectives in IMPROVE is to describe the disease-associated socioeconomic burden of psoriasis. Methods: A case-matched study of the impact of psoriasis on patients’ income, employment and health care costs in Denmark was performed. The IMPROVE study was a retrospective analysis of patients with a hospital diagnosis of psoriasis identified from the Danish National Patient Registry (NPR). In total, 13,025 psoriasis patients and 25,629 matched controls were identified from the NPR. Data from psoriasis patients and matched controls were compared for social and economic factors including income, employment, health care costs and risk of comorbidities. Results: Psoriasis was associated with increased health care costs (mean annual costs +116% compared to control, p < 0.001), peaking in the year of referral to hospital for psoriasis and sustained thereafter. Both direct and indirect costs were significantly higher for patients with psoriasis than controls (p < 0.001). In the years before and immediately following hospital diagnosis, the rates of employment were lower in psoriasis patients than controls. Comorbidities, including cardiovascular (odds ratio 1.93 [95% CI 1.77–2.09]) and psychiatric conditions (odds ratio 2.61 [95% CI 2.30–2.97]), were more prevalent in patients with psoriasis than controls. Conclusion: In Denmark, psoriasis has a significant impact on health care costs, income and employment, and is associated with a range of comorbidities.

Issues of modernization of health care management in the regions

2017 ◽  
Vol 19 (4) ◽  
pp. 18-24
Author(s):  
M.A. Laktaeva ◽  
◽  
E.A. Laktaeva ◽  
V.G. Ivanov ◽  
◽  
...  
Keyword(s):  
Health Care ◽  
Care Management ◽  
Health Care Management

An Empirical Study on Post-Adoption Behavior of Information Technologies for Health Care Management: A View of Big Five Personality

2014 ◽  
Vol 631-632 ◽  
pp. 1106-1114
Author(s):  
Wen Xing Lu ◽  
Yu Yong Wu ◽  
Chang Yong Liang ◽  
Zuo Zuo Gu ◽  
Yu Zhao ◽  
...  
Keyword(s):  
Health Care ◽  
Empirical Study ◽  
Big Five ◽  
Information Technologies ◽  
Care Management ◽  
Health Care Management ◽  
Hospital Performance ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Big Five Personality

Nowadays, health care management is driven by informationization and information technologies are widely used in various types of hospitals. Doctors and nurses are the direct users of information technologies for health care management (ITHCM), as well as the most critical prerequisites in ITHCM implementation. Their acceptance and use of ITHCM can significantly promote hospital performance and enhance core competitiveness. However, different people have different attitude, values and motivation on ITHCM. These factors not only affect employee’s behavior in ITHCM adoption, but also their continued use behavior of ITHCM. Based on the Big Five personality as well as real-world healthcare situation in China, we investigated the impacting factors of ITHCM continuing use, and built ITHCM Continuing Use Model based on personality. We conducted an empirical study to verify the related hypothesis. The results show that Big Five personality affect the willingness of ITHCM continuing use through perceived ease of use and perceived usefulness.

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