A win-win for health care: promoting co-leadership and increasing women’s representation at the top

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Alan T. Belasen ◽  
Anat M. Belasen ◽  
Abigail R. Belasen ◽  
Ariel R. Belasen
Keyword(s):  
Health Care ◽  
Gender Gap ◽  
Health Care Systems ◽  
Quality Care ◽  
Health Care Leadership ◽  
Leadership Model ◽  
Content Type ◽  
Gender Parity ◽  
Senior Health Care ◽  
Senior Health

Purpose This paper aims to contribute to the growing body of research on health-care leadership by demonstrating the value of dyads and triads in strengthening capabilities of health-care settings and providing action pathways to accelerate gender parity in senior health-care positions. Design/methodology/approach The paper reviews the evidence that when single-leadership models are used and women are under-represented in leadership, the health-care industry may miss out on opportunities to increase efficiency and quality of care. Next, the paper describes a co-leadership model with distinct and overlapping roles, which promotes women’s participation and inspires administrative and clinical leaders to collaborate and achieve optimal performance. Findings The dyad as the enabling track for women in health-care leadership creates opportunities for health-care systems to bridge the gender gap in senior positions as well as improve the delivery of cost-effective quality care. Practical implications The inclusive co-leadership model with distinct and overlapping roles is a promising pathway for increasing health-care system efficiency and for promoting women to senior roles by tapping into the leadership skills and expertise that women bring to these roles. Originality/value The current paper demonstrates the dual effects of using co-leadership in senior health-care positions and fixing the gender imbalance. It has significant implications for advancing similar pathways in other industries as a means for accelerating gender parity in senior management.

Health care as a worldwide concern. Insights on the Italian and Indian health care systems and PPPs from a VSA perspective

2014 ◽  
Vol 9 (2) ◽  
pp. 198-220 ◽  
Author(s):  
Marialuisa Saviano ◽  
Ratri Parida ◽  
Francesco Caputo ◽  
Saroj Kumar Datta
Keyword(s):  
Health Care ◽  
Systems Approach ◽  
Health Care Systems ◽  
Theoretical Perspective ◽  
Service Systems ◽  
Potential Contribution ◽  
Care Needs ◽  
Content Type ◽  
Indian Health ◽  
Theoretical Approaches

Purpose – Health is a fundamental populations’ need and an integral part of the socio-economic development of a country. However, it is required to explain the growing role of the private sectors in addressing various health care needs. The purpose of this paper is to analyse potential contribution, criticalities and conditions of success of public-private partnership (PPP) as a strategy to face the complexity of nationally relevant Italian and Indian service systems. Design/methodology/approach – The methodology is built upon the basis of the viable systems approach (VSA) integrated with the fundamental interpretative elements of service science and service-dominant logic to contextualize interpretation to the management of service systems benefitting from recent advances in these research fields. Findings – A VSA-based general framework of reference is built that is useful for analysing any relational context in which different aims and expectations need to be harmonized to make the collaboration effective. On the basis of this framework, first insights on Italian and Indian health care PPPs are proposed, highlighting key elements of analysis and criticalities that may challenge a positive conclusion on health care PPPs. Practical implications – The implications of the study are both theoretical and practical. From a theoretical perspective, the study contributes to the scholarly understanding of complex health care system in Italy as well as in India with particular reference to the public-private collaboration phenomenon. It also suggests theoretical approaches in the form of a generic VSA-based framework as applicable. From a practical perspective, the study stimulates managers to a critical reflection about current health care management approaches which are reflected in the adoption of PPPs solutions. Originality/value – The paper discusses relevant worldwide decision-making challenges, such as the equality in the populations’ access to health service, suggesting managers the way to create conditions of consonance among the diverse stakeholders for a successful health care PPPs.

Eldercare in Japan, transnational care labor, and emerging welfare regimes

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Deborah J. Milly
Keyword(s):  
Health Care ◽  
Labor Migration ◽  
Health Care Systems ◽  
Migration Policy ◽  
Welfare States ◽  
Foreign Assistance ◽  
Welfare Regimes ◽  
Public And Private ◽  
Content Type ◽  
Care Labor

PurposeThis article analyzes recent Japanese efforts to recruit care labor from seven Asian countries to identify the relative contributions to migrants and their respective countries' health systems. Besides considering the factors affecting migration from, and benefits to, sending countries, it asks how differences in the role of public and private actors may matter.Design/methodology/approachThe study uses two stages of analysis. The first uses quantitative and qualitative data for seven countries that send care labor migrants to Japan to identify differences in benefits for individual migrants and health care systems in the sending countries. The second stage examines recent initiatives for funding care worker training in Japan to assess the relative impacts of different public-private cooperative arrangements, especially in terms of Vietnam.FindingsIn addition to general migration policy mechanisms provided by the destination country, bilateral relationships and foreign assistance, along with economic, demographic and health care conditions in the origin countries, contribute to the relative benefits of migration. Among countries supplying care labor to Japan, Vietnam is obtaining the most benefits for its health care system in return.Originality/valueResponding to central concerns surrounding care labor migration, the article compares across countries sending care workers to a single country. The comparison highlights a constellation of factors that contribute the greatest benefits. The article identifies how different types of public and private relationships can influence this process. The study provides observations applicable to other welfare states developing care labor migration relationships.

The relationships between obesity-increasing risk factors for public health, environmental impacts, and health expenditures worldwide

2018 ◽  
Vol 29 (1) ◽  
pp. 131-147 ◽  
Author(s):  
Eduardo Botti Abbade
Keyword(s):  
Public Health ◽  
Health Care ◽  
Environmental Impact ◽  
Environmental Impacts ◽  
Health Care Cost ◽  
Health Care Systems ◽  
Health Expenditures ◽  
Health Care Expenditures ◽  
Public Health Care ◽  
Content Type

Purpose The purpose of this paper is to investigate the associations between obesogenic severity, the public health situation, environmental impacts, and health care expenditures in populations worldwide. Design/methodology/approach This ecological study is based on official data available for approximately 140 countries worldwide. This study defines four main variables: obesogenic severity, environmental impact, public health implications (PHI), and health expenditures, all measured through specific indicators. Data were obtained mainly from the WHO, World Bank, and IDF. The indicators were reduced to the main variables through factorial reduction and multiple regression analyses were used to test the main hypotheses. Findings Obesogenic severity strongly and positively affects environmental impacts (β=0.6578; p<0.001), PHI-1 (cardiovascular risk factor) (β=0.3137; p<0.001) and PHI-2 (blood glucose and diabetes diagnoses) (β=0.3170; p<0.001). Additionally, environmental impacts strongly and positively affect PHI-1 (β=0.4978; p<0.001) but not PHI-2. Thus, results suggest that environmental impact, PHI-1, and PHI-2 strongly affect health expenditures (β=0.3154; p<0.001, β=0.5745; p<0.001, and β=−0.4843; p<0.001, respectively), with PHI-2 negatively affecting the health expenditures. Practical implications This study presents evidence that can aid in decision making regarding public and private efforts to better align budgets and resources as well as predict the needs and expenditures of public health care systems. Originality/value This investigation finds that the main variables addressed are strongly associated at the worldwide level. Thus, these analytical procedures can be used to predict public health and health care cost scenarios at the global level.

scholarly journals Case-management for nursing care of patient with stroke: a cross-cultural critical reflective analysis

2016 ◽  
Vol 2 (3) ◽  
pp. 178
Author(s):  
Dimitrios Theofanidis
Keyword(s):  
Health Care ◽  
Case Management ◽  
Health Care Professionals ◽  
Health Care Systems ◽  
Financial Burden ◽  
Quality Care ◽  
Stroke Care ◽  
Discussion Paper ◽  
Health Care Reforms ◽  
The Usa

Introduction: Stroke remains a heavy financial burden on health care systems around the world. Yet, health care reforms have called for sophisticated management systems in order to provide high-quality care on equal terms for the entire population within a cost-conscious environment. Aim: The main aim of this discussion paper is to define and reflect cross-culturally on the merits of the Case-Management (CM) approach for contemporary stroke care delivery.Methods: Critical reflective analysis was used for this paper’s needs, whereby readers are gradually introduced to skills of critical and reflective thinking. This can then be applied into a clinical context which may assist nurses to achieve a better understanding of their professional role within the complexities of contemporary health care delivery.Discussion: An overview for stroke care differences between Greece and USA is provided using the following critical analysis components: Situation, Experience evaluated, Personal Reflections and Opportunities for Change.Conclusions: CM in the USA aims to meet the urgent challenges of stroke care. CMs are health care professionals whose role is to serve as client advocates and to coordinate services whilst assuring financial and gate keeping functions as required. As these services are currently unavailable in Greece, despite adverse financial circumstances, efforts should be made to introduce a culturally adopted CM initiative for stroke care.

Transformational Executive Health-Care Leadership: What Makes a Good and Great Health-Care Leader?

2021 ◽  
Vol 27 (2) ◽  
pp. 78-82
Author(s):  
Cyrus Batheja
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Care Organization ◽  
Health Care Leadership ◽  
Health Care Leaders ◽  
Provider Experiences ◽  
Care Systems ◽  
Great Health ◽  
Personal Accounts ◽  
Improve Patient

Health-care leaders work at the highest levels of organizations and face unique challenges in today's health-care systems. This article reports the lived experiences of an executive nurse to better understand their leadership journey and leadership shadow, exploring their professional development of health-care leadership while navigating change and conflict by interpreting critical turning points in their career and triangulating data to identify and analyze central themes. Offering a real-world perspective, the article uses personal reflection aligned to professional inquiry, workplace observations, document reviews, and personal accounts to focus on executive nursing and the construction of a social movement from within a large managed care organization. The purpose of this evaluation is to create deeper understandings of ways in which to improve patient and provider experiences, reduce system waste, and improve population health. The theme of transformational leadership emerged, and new insights were created to inform future thinking.

The making and sustaining of leaders in health care

2019 ◽  
Vol 33 (2) ◽  
pp. 241-262 ◽  
Author(s):  
Terry J. Boyle ◽  
Kieran Mervyn
Keyword(s):  
Health Care ◽  
Community Health ◽  
Health Care Services ◽  
Health Care Systems ◽  
Structured Interviews ◽  
Healthcare Provision ◽  
Triple Aim ◽  
Content Type ◽  
Care Services ◽  
Care Systems

Purpose Many nations are focussing on health care’s Triple Aim (quality, overall community health and reduced cost) with only moderate success. Traditional leadership learning programmes have been based on a taught curriculum, but the purpose of this paper is to demonstrate more modern approaches through procedures and tools. Design/methodology/approach This study evolved from grounded and activity theory foundations (using semi-structured interviews with ten senior healthcare executives and qualitative analysis) which describe obstructions to progress. The study began with the premise that quality and affordable health care are dependent upon collaborative innovation. The growth of new leaders goes from skills to procedures and tools, and from training to development. Findings This paper makes “frugal innovation” recommendations which while not costly in a financial sense, do have practical and social implications relating to the Triple Aim. The research also revealed largely externally driven health care systems under duress suffering from leadership shortages. Research limitations/implications The study centred primarily on one Canadian community health care services’ organisation. Since healthcare provision is place-based (contextual), the findings may not be universally applicable, maybe not even to an adjacent community. Practical implications The paper dismisses outdated views of the synonymity of leadership and management, while encouraging clinicians to assume leadership roles. Originality/value This paper demonstrates how health care leadership can be developed and sustained.

scholarly journals A Bayesian joint model for zero‐inflated integers and left‐truncated event times with a time‐varying association: Applications to senior health care

2020 ◽  
Vol 40 (1) ◽  
pp. 147-166
Author(s):  
Xavier Piulachs ◽  
Eleni‐Rosalina Andrinopoulou ◽  
Montserrat Guillén ◽  
Dimitris Rizopoulos
Keyword(s):  
Health Care ◽  
Joint Model ◽  
Time Varying ◽  
Event Times ◽  
Bayesian Joint Model ◽  
Senior Health Care ◽  
Senior Health

Coordination between hospitals and insurers in developing economies: an interpretive structural modeling approach

2020 ◽  
Vol 14 (3) ◽  
pp. 471-490
Author(s):  
Manimay Dev ◽  
Dinesh Kumar ◽  
Dharmendra Patel
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Urban Areas ◽  
Developing Economies ◽  
Health Care Systems ◽  
Healthcare Providers ◽  
Structural Modeling ◽  
Insurance Companies ◽  
Interpretive Structural Modeling ◽  
Content Type

Purpose The purpose of this paper is to identify the factors that influence hospitals’ selection by health-care insurers in India and to establish a hierarchical model representing the relationship among different factors and their influence on the entire scenario. Design/methodology/approach A survey with a set of questionnaires was conducted with different health-care insurer executives of reputed health insurance companies. The data has been gathered by using a five-point Likert scale. Their opinions were converted into a reachability matrix and an interpretive structural modeling was constructed. The final results obtained were verified by using fuzzy Matriced Impacts Croises-Multiplication Applique and Classement analysis. Findings The results suggested three key driving factors, National Accreditation Board for Hospitals & Healthcare Providers accreditation of the hospital, purchasing power of people in the region and national and international recognition of the hospital among the eleven factors selected for the study. Research limitations/implications The research mainly focuses on the health insurance benefits provided by privately owned insurance companies and do not comment on any government’s mass health insurance scheme. Practical implications With a small proportion of people under the umbrella of health insurance in India, these factors will assist and expedite insurer’s effort to penetrate deep into rural and urban areas enhancing availability and escalating affordability. Originality/value This paper presents key factors responsible for better coordination between health-care systems and insurance companies.

Segmenting the Senior Health Care Market

1996 ◽  
Vol 13 (4) ◽  
pp. 63-77 ◽  
Author(s):  
Sukgoo Pak ◽  
Louis G Pol
Keyword(s):  
Health Care ◽  
Health Care Market ◽  
Senior Health Care ◽  
Senior Health

Quality improvement in large healthcare organizations

2016 ◽  
Vol 30 (1) ◽  
pp. 133-153 ◽  
Author(s):  
Elisabet Höög ◽  
Jack Lysholm ◽  
Rickard Garvare ◽  
Lars Weinehall ◽  
Monica Elisabeth Nyström
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Health Care Quality ◽  
Health Care Systems ◽  
Care Quality ◽  
Care Organization ◽  
Longitudinal Case Study ◽  
Systematic Analysis ◽  
Content Type

Purpose – The purpose of this paper is to investigate the obstacles and challenges associated with organizational monitoring and follow-up (M & F) processes related to health care quality improvement (QI) and development. Design/methodology/approach – A longitudinal case study of a large health care organization during a system-wide QI intervention. Content analysis was conducted of repeated interviews with key actors and archival data collected over a period of four years. Findings – The demand for improved M & F strategies, and what and how to monitor were described by the respondents. Obstacles and challenges for achieving M & F strategies that enables system-wide and coherent development were found in three areas: monitoring, processing, and feedback and communication. Also overarching challenges were found. Practical implications – A model of important aspects of M & F systems is presented that can be used for analysis and planning and contribute to shared cognition of such systems. Approaches for systematic analysis and follow-up of identified problems have to be developed and fully incorporated in the organization’s measurement systems. A systematic M & F needs analytic and process-oriented competence, and this study highlights the potential in an organizational function with capacity and mandate for such tasks. Originality/value – Most health care systems are flooded with a vast amount of registers, records, and measurements. A key issue is how such data can be processed and refined to reflect the needs and the development process of the health care system and how rich data can be used for improvement purposes. This study presents key organizational actor’s view on important factors to consider when building a coherent organizational M & F strategy.

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