Resilience of hospital facilities in Singapore’s healthcare industry: a pilot study

Author(s):  
Sui Pheng Low ◽  
Shang Gao ◽  
Gina Qi Er Wong

Purpose Singapore’s health-care infrastructure is suffering from increasing pressure due to population growth and a rapidly ageing population. This paper aims to assess the resilience of hospital facilities in Singapore’s health-care industry. The main attribute of resilience is adaptive capacity, which is also associated with vulnerability. Vulnerability is defined as the system’s susceptibility to threats that cause damage and affect its normal performance, while resilience is defined as the ability to anticipate and the capacity to change before a setback becomes obvious. Design/methodology/approach A questionnaire survey was adopted for the study, with respondents drawn randomly from both the health-care professionals as well as the public. The questionnaire survey results from 83 respondents, consisting of 31 health-care professionals and 52 members of the public, are analysed in this pilot study. Findings Ninety-one per cent of the respondents perceived bed shortage as an indication of vulnerability. The survey results showed that bed shortages, high bed-occupancy and long waiting hours were perceived as indications of vulnerability. The top three vulnerabilities identified were Singapore’s ageing population, the fast-growing population and the increasing trend of chronic diseases in its population. From the results, respondents appeared doubtful about the resilience of Singapore’s public hospitals. On a positive note, Singapore residents are still, relatively speaking, confident of the quality of Singapore’s health-care delivery system, which can be translated as one with relatively strong community resilience. Originality/value In conclusion, it appears fair to say that the public perceive hospital facilities in Singapore’s health-care industry to be reasonably resilient, but expect further improvements to ensure continuous delivery of quality health-care services.

Author(s):  
Alison Berry ◽  
Jeanette Martin

Purpose The purpose of this paper is to explore how large, public companies in the health industry communicatively engage in employer branding on career homepages. Design/methodology/approach An exploratory content analysis of the career homepages (N = 42; 8,500) was conducted to analyze the communication of successful organizations in four realms of the public health-care industry to include Biotech (n =10), Managed Health Care (n = 8), Medical and Equipment Supplies (n = 12) and Pharmaceuticals (n = 12). Findings The analysis revealed the following ten major themes of content: Worldview, Stakeholders, Environment, Excellence, Dedication, Aid, Unity, Advancement, Distinctiveness and Industry/Organization. Additionally, the results revealed that health-care employer branding often communicated about Stakeholders, Industry/Organization and Advancement. Research limitations/implications The results of this study aid researchers in understanding the foundational content of employee branding efforts in the health industry. Practical implications The results assist practitioners in understanding how different health-care industries and organizations engage in employer branding on career homepages. Originality/value The results of this study function to both confirm previous findings related to employer branding and extend research on employer branding into the career homepages of organizations in the health-care industry.


2018 ◽  
Vol 26 (3) ◽  
pp. 450-469 ◽  
Author(s):  
Mehmood Khan ◽  
Mian Ajmal ◽  
Matloub Hussain ◽  
Petri Helo

Purpose This study aims to identify barriers to social sustainability in the health-care industry in the United Arab Emirates. Furthermore, the impact of these dimensions on social sustainability is examined. Design/methodology/approach A comprehensive questionnaire has been developed based on semi-structured interviews with different departments of two tertiary hospitals in the first phase. In the second phase, data are collected from ten public and private hospitals situated in the United Arab Emirates. In the third phase, responses are examined using principal component analysis to identify the five major barriers for social sustainability. A measurement model (confirmatory analysis) is developed to examine the relationship among these dimensions. Finally, a structural model is developed to examine the significance of these dimensions to the notion of social sustainability in health care. Findings The statistical model shows a 61 per cent variance for social sustainability, which is caused by infrastructure, organizational culture, lack of coordination, stakeholder’s disparity and uncertainty, which are positively and highly correlated measurement barriers to social sustainability practices implementation. Research limitations/implications Health-care professionals and stakeholders believe that the elimination of obstacles to social sustainability must be multi-dimensional and not limited to specific practices. Practical implications This study would enable health-care industry to examine the extent of obstruction for social sustainability. Hospital administrators and medical professionals could use this feedback to assess and benchmark their performance against that of other competitive hospitals. Originality/value The contribution of this paper is to advance the understanding of social sustainability in the health-care sector by viewing it from the perspective of the stakeholders and the social exchanges that occur among them.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Attia Aman-Ullah ◽  
Azelin Aziz ◽  
Hadziroh Ibrahim ◽  
Waqas Mehmood ◽  
Yasir Abdullah Abbas

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.


2019 ◽  
Author(s):  
Anat Gesser-Edelsburg ◽  
Nour Abed Elhadi Shahbari ◽  
Ricky Cohen ◽  
Adva Mir Halavi ◽  
Rana Hijazi ◽  
...  

BACKGROUND In the new media age, the public searches for information both online and offline. Many studies have examined how the public reads and understands this information but very few investigate how people assess the quality of journalistic articles as opposed to information generated by health professionals. OBJECTIVE The aim of this study was to examine how public health care workers (HCWs) and the general public seek, read, and understand health information and to investigate the criteria by which they assess the quality of journalistic articles. METHODS A Web-based nonprobability sampling questionnaire survey was distributed to Israeli HCWs and members of the public via 3 social media outlets: Facebook, WhatsApp, and Instagram. A total of 979 respondents participated in the online survey via the Qualtrics XM platform. RESULTS The findings indicate that HCWs find academic articles more reliable than do members of the general public (44.4% and 28.4%, respectively, P<.001). Within each group, we found disparities between the places where people search for information and the sources they consider reliable. HCWs consider academic articles to be the most reliable, yet these are not their main information sources. In addition, HCWs often use social networks to search for information (18.2%, P<.001), despite considering them very unreliable (only 2.2% found them reliable, P<.001). The same paradoxes were found among the general public, where 37.5% (P<.001) seek information via social networks yet only 8.4% (P<.001) find them reliable. Out of 6 quality criteria, 4 were important both to HCWs and to the general public. CONCLUSIONS In the new media age where information is accessible to all, the quality of articles about health is of critical importance. It is important that the criteria examined in this research become the norm in health writing for all stakeholders who write about health, whether they are professional journalists or citizen journalists writing in the new media.


2020 ◽  
Vol 11 (4) ◽  
pp. 597-633 ◽  
Author(s):  
V. Vaishnavi ◽  
M. Suresh

Purpose This paper aims to identify, analyze and categorize the major readiness factors for implementing Lean Six Sigma (LSS) in health-care organizations using total interpretive structural modelling technique. The readiness factors are identified would help the managers to recognize the areas that lack and provide importance to the successful implementation of LSS in those areas. The paper further intends to understand the hierarchical interrelationships among the readiness factors identified using dependence and driving power. Design/methodology/approach In total, 16 readiness factors are identified from the literature review and expert opinions are collected from hospitals. The scheduled interview is conducted based on a questionnaire survey in hospitals in the Indian context to identify the relevance of the relations among the readiness factors. The expert opinions are used in the initial reachability matrix and interpretative interaction matrix. Matrix impact cross multiplication applied to classification (MICMAC) analysis uses dependence and driving power to understand the hierarchical relationship among the readiness factors identified. Findings The result indicates that customer-oriented and goal management cultures are the key readiness factors for LSS. The execution technique and training are given according to the current demand of customers and goal change of organization. The manager needs to concentrate more on readiness factors to formulate the execution process of LSS for continuous improvement of the health-care organization. The readiness level helps the manager to identify the target area for LSS execution. Research limitations/implications This research focuses mainly on readiness factors for the implementation of LSS in the health-care industry. Practical implications This study would be useful for researchers and practitioners to understand the readiness factors before starting the implementation process of LSS. Originality/value Many research studies are being done on the success and failure rate of implementation of factors. The present study identifies the readiness factors related to LSS, especially for the health-care industry.


2018 ◽  
Vol 10 (3) ◽  
pp. 296-315 ◽  
Author(s):  
Rocio Rodriguez ◽  
Göran Svensson ◽  
David Eriksson

Purpose The purpose of this study is to compare private and public hospitals’ sustainability actions, as well as to contrast their organizational evolution over time (i.e. past, present and expected future) in the Spanish health-care sector. Sustainability initiatives refer to organizations’ economic, social and environmental actions. Design/methodology/approach This study applies an inductive approach based on judgmental sampling and in-depth interviews of key informants at private and public hospitals in the Spanish health-care sector. Data were gathered from the executive in charge of corporate social responsibility in public hospitals and the directors of communication at private hospitals. Findings Although the private and public hospitals studied are in the same health-care industry and run similar operations, their organizational sustainability initiatives in the past, present and expected future differ. The scope of sustainability initiatives between private and public hospitals is different, compared through time. Who was and who is promoting, as well as who is going to promote sustainability initiatives, also differs between private and public hospitals. Research limitations/implications One limitation of this study is that it was undertaken exclusively in Spanish organizations from one industry, but this is also a benefit, as it enables a comparison and contrast of the evolution between private and public hospitals. Future research could focus on the evolution of organizational sustainability initiatives in other industries and countries. Practical implications The reported comparison of empirical findings between private and public hospitals, as well as the subsequent discussion contrasting these findings, yields various managerial implications in terms of the scope and promotor of sustainable actions. Originality/value This study differs from previous ones by exploring the evolutionary details of the organizational sustainability initiatives through time in both private and public hospitals. This study also makes a contribution by revealing common denominators and differentiators between private and public hospitals that operate in the same health-care industry.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Manu Sharma ◽  
Sudhanshu Joshi

Purpose This paper aims to identify barriers toward the adoption of blockchain (BC) technology in Indian health-care industry and also examines the significant issues of BC applications in health-care industry. Design/methodology/approach The barriers of the study are identified by two phases including the review of literature and semistructured interviews with hospital staff and administration operating in India. The experts (N = 15) are being taken from top-level management, IT experts and patients from the hospitals. The study implemented integrated total interpretative structural modeling-FUZZY-Cross-impact matrix multiplication applied to classification (TISM-FUZZY-MICMAC) methods for identifying the interrelationship among the barriers. Findings A total of 15 barriers have been determined in the Indian health-care industry through discussion with the selected experts. TISM is applied to develop multilevel structure for BC barriers. Further, FUZZY-MICMAC has been used to compute driving and dependent barriers. The findings suggest that low awareness related to legal issues and low support from high level of management have maximum driving power. Research limitations/implications The present study applies multicriterion approach to identify the limited barriers in BC adoption in health care. Future studies may develop the relationship and mark down the steps for implementation of BC in health-care setting of a developing economy. Empirical study can be conducted to verify the results along with selected case studies. Practical implications The present study identifies the BC adoption barriers in health-care industry. The study examines the pertinent issues in context to major support required, bottlenecks in adoption, key benefits of adoption planning and activities. The technology adoption practices are expected to provide applications such as distributed, secured medical and clinical data and patient centric systems that will enhance the efficiency of the health-care industry. Originality/value The study is among few primary studies that identify and analyze the BC adoption in health-care industry.


2009 ◽  
Vol 15 (1_suppl) ◽  
pp. 30-35 ◽  
Author(s):  
Eric Holmen

The vast mobile network created by high adoption rates and increasing familiarity with mobile device capabilities worldwide has potential for far more than the commercial operations to which it is currently relegated. This will be the next wave of mobile: the social and socially conscious dimension of an already broad medium. Mobile's potential is virtually limitless, and the advantages unique to it align well with the demands of the health care industry. The accuracy and speed provided by the medium are particularly valuable to health care professionals and their patients. The emerging social aspect of mobile is being tapped for myriad health-related uses, including smoking cessation and the treatment of eating disorders. Moreover, the ubiquity of the mobile device is advancing public health initiatives across the globe. This article endeavors to describe the state of the mobile medium and what effects it can have on both the health care industry and public health. It also discusses the particular effect the social aspect of mobile technology is having on certain health initiatives and cites specific examples of the synergy between mobile communication and health-related programs. This article concludes by looking toward the future of mobile health projects.


2015 ◽  
Vol 41 (10) ◽  
pp. 1059-1076 ◽  
Author(s):  
Jeffery Scott Bredthauer ◽  
Brian C. Payne ◽  
Jiri Tresl ◽  
Gordon V. Karels

Purpose – The purpose of this paper is to investigate the absolute and risk-adjusted stock return performance of the US health care industry conditional upon the presidential administration’s political party and the Federal Reserve’s monetary policy stance. It evaluates this return behavior across the 60-year time period from 1954 to 2013, and sub-divides this entire period into the pre-Medicare period (1954-1964), Medicare period (1965-1984), and Medicare-plus-high-health-care-inflation period (1985-2013). Design/methodology/approach – The study uses monthly returns to the health care industry and overall market, characterizing each sample month as either having a Republican or Democratic president and either a contractionary or expansionary monetary policy regime determined by whether the Federal Reserve is increasing or decreasing interest rates, respectively. It incorporates univariate and multivariate analysis to quantify the return behavior of both the health care industry and the overall market during the entire period and all three sub-periods. Additionally, it utilizes a common four-factor multivariate regression model and associated hypothesis testing to characterize risk-adjusted excess returns (i.e. α) to the health care industry during the entire period and all three sub-periods. Findings – The health care industry has earned robust, positive risk-adjusted returns with the magnitude of the returns sensitive to the political party of the administration and the monetary policy regime. The authors find that prior to 1965 (1954-1964), when the president was a Republican, during times of monetary contraction, health care earned an excess risk-adjusted return. There was no association between Democratic administrations and excess health care returns prior to 1965. In contrast, the authors find that after 1965 this relationship changes. The authors find that returns to health care were positive for Republicans during times of monetary expansion and positive for Democrats during monetary contraction. The authors also find this relationship has become more pronounced after 1984. Originality/value – The study extends prior literature, which has shown that the health care industry is a priced factor in the US stock market and that it provides significant risk-adjusted returns in the recent past. Uniquely, this study shows that the excess returns to health care vary considerably over the past 60 years, and that these excess returns are quite sensitive to political policy, proxied by the presidential administration party, and monetary policy, as measured using Fed discount rate changes. These findings have implications for management and shareholders of highly regulated and subsidized industries and firms.


Author(s):  
Reima Suomi ◽  
Jarmo Tahkapaa

In this chapter we bind together three elements: governance structures, the health care industry and modern information and communication technology (ICT). Our hypothesis is that modern ICT has even more than before made the concept and operation of the governance structures important. ICT supports some governance structures in health care better than others, and ICT itself needs governing. Our research question also is: which kinds of governance structures in health care are supported and needed by modern ICT? Our chapter should be of primary interest for Health Care professionals. They should be given a new, partly revolutionary point of view to their own industry. For parties discussing governance structure issues in Health Care, the chapter should give a lot of support for argumentation and thinking. The models and conclusions should be extendable to other industries too. For academic researchers in Governance Structure and IT issues, the chapter should contain an interesting industry case.


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