scholarly journals Maturity assessment and maturity models in health care: A multivocal literature review

2020 ◽  
Vol 6 ◽  
pp. 205520762091477
Author(s):  
Ayça Kolukısa Tarhan ◽  
Vahid Garousi ◽  
Oktay Turetken ◽  
Mehmet Söylemez ◽  
Sonia Garossi

Background The maturity of practices and infrastructure in the health care domain directly impacts the quality and efficiency of health care services. Therefore, various health care administrations (e.g. from hospital management to the nationwide health authority) need to assess and improve their operational maturity. Objective This study aimed to review and classify studies that propose/use maturity assessment or maturity models (MMs) as a vehicle to achieve operational excellence in the health care domain. Method To achieve this objective, we performed a multivocal literature review (MLR) – a form of systematic review that includes data from the grey literature (e.g. white papers and online documents) in addition to formal, peer-reviewed literature. Results Based on 101 sources, 80 from peer-reviewed literature and 21 from the grey literature, we identified 68 different MMs on, for example, telemedicine, care pathways and digital imaging. We reviewed them with respect to various aspects, including types of research and contribution, list of MMs proposed/used with their subject areas, elements of maturity/capability and application scope or scale. In the synthesis of empirical benefits of using MMs, two were found to be significant: (a) identifying issues and providing guidance for improvement in health care contexts, and (b) improving efficiency, effectiveness, performance and productivity. Conclusion This MLR provides an overview of the landscape and serves as an index to the vast body of knowledge in this area. Our review creates an opportunity to cope with the challenges in obtaining an overview of the state-of-the-art and practice, choosing the most suitable models or developing new models with further specialties.

2019 ◽  
Vol 43 (1/2) ◽  
pp. 2-20
Author(s):  
Elise Catherine Davis ◽  
Terri Menser ◽  
Alondra Cerda Juarez ◽  
Lesley E. Tomaszewski ◽  
Bita A. Kash

Purpose This paper aims to present a literature review of the health workforce, hospital and clinic systems, infrastructure, primary care, regulatory climate, the pharmaceutical industry and community health behavior of the Kenyan health-care system with the purpose of providing a thorough background on the health-care environment in Kenya. Design/methodology/approach A systematic literature review was conducted using Pub Med, searching for “Kenya” in the title of articles published from January 1, 2015 to February 24, 2016; this provided a broad overview of the type of research being conducted in Kenya. Other data provided by governmental agencies and non-governmental agencies was also reviewed to describe the current state of population health in Kenya. Findings An initial review of 615 Pubmed articles included 455 relevant articles. A complete review of these studies was conducted, resulting in a final sample of 389 articles. These articles were categorized into three main subject areas with 14 secondary subject areas (Figure 1). Research limitations/implications The narrow scope of the search parameters set for the systematic review was a necessary limitation to focus on the most relevant literature. The findings of this study provide a thorough background on health care in Kenya to researchers and practitioners. Originality/value This compilation of data specific to Kenya provides a detailed summary of both the country’s health-care services and health status, focusing on potential means of realizing increased quality and length of life.


2017 ◽  
Vol 14 (03) ◽  
pp. 337-354 ◽  
Author(s):  
Katarzyna Kolasa ◽  
Marta Kowalczyk

AbstractThe existence of different forms of out-of-pocket payments (OOPs) for pharmaceuticals across the globe provokes the question whether they can achieve more negative or positive consequences. A systematic literature review was conducted to assess the association between drug cost sharing and health care services utilization, health care costs as well as health outcomes. Studies published in The Cochrane Library, PubMed, Embase were searched with such keywords as: drug, pharmaceutical, cost sharing, out of pocket, co-payments paired with the following: impact, health outcomes, health care costs and utilization. The final review included 18 articles. A total of 11 publications reported the association between drug cost sharing and health care utilization patterns, of which nine found a statistically significant direct relationship. In all 10 publications concerned the association between drug copayments and health care costs. Majority were limited to the impact on the drug budget. Seven studies looked into the link between drug cost sharing and health outcomes, of which five reported statistically significant inverse relationship. There is some evidence for the association between drug copayments, health outcomes and health care services consumption. The optimal system of OOPs’ payments for pharmaceuticals needs to prevent drugs’ overconsumption and mitigate the risks of excessive cost sharing’s burden.


2017 ◽  
Vol 121 (1) ◽  
pp. 5-18 ◽  
Author(s):  
V. Graetz ◽  
B. Rechel ◽  
W. Groot ◽  
M. Norredam ◽  
M. Pavlova

2018 ◽  
Vol 33 (5) ◽  
pp. 539-542 ◽  
Author(s):  
Makayla Bullock ◽  
Jamie Ranse ◽  
Alison Hutton

AbstractBackgroundThere is a growing body of literature relating to mass-gathering events. A common thread amongst this literature, particularly the literature relating to music festivals, is the incidence of patients presenting with substance and/or alcohol intoxication. However, the impact of alcohol and/or drugs on the provision of in-event health care services has not been explored in detail.AimThe goal of this review was to develop an understanding of the impact of alcohol and/or drugs on in-event health care services at mass-gathering events.MethodThis paper used integrative review as a methodology. The articles included in this literature review were sourced by searching databases inclusive of Medline (Ovid; US National Library of Medicine, National Institutes of Health; Bethesda, Maryland USA), Scopus (Elsevier; Amsterdam, Netherlands), PsycINFO (Ovid; American Psychological Association; Washington DC, USA), and Pub Med (National Center for Biotechnology Information, National Institutes of Health; Bethesda, Maryland USA). Identified manuscripts that met the inclusion criteria were thematically analyzed.ResultsIn total, 12 manuscripts met the inclusion criteria for this review. A thematic analysis of these manuscripts identified three main themes: (i) predictive factors, (ii) patient presentation rates, and (iii) levels of care.Conclusion:Substance use and/or intoxication can place a strain on in-event medical services at mass-gathering events. Of the various types of mass-gathering events, music festivals appear to be the most affected by substance use and intoxication.BullockM, RanseJ, HuttonA.Impact of patients presenting with alcohol and/or drug intoxication on in-event health care services at mass-gathering events: an integrative literature review. Prehosp Disaster Med. 2018;33(5):539–542.


2019 ◽  
Vol 12 (1) ◽  
pp. 205 ◽  
Author(s):  
Prattana Punnakitikashem ◽  
Philip Hallinger

In response to the United Nations’ (UN) Sustainable Development Goals (SDGs), health care organizations throughout the world have adopted management initiatives designed to increase their sustainability. This review of research used bibliometric methods to analyze a dataset comprised of 477 documents extracted from the Scopus database. The review sought to document research on sustainable healthcare management (SHM) that has accumulated over the past 25 years. Results indicated that the intellectual structure of this body of knowledge is comprised of three schools of thought: (1) sustainable change in health care services, (2) innovations in managing health care operations, and (3) prioritizing and allocating resources for sustainability. The review also highlighted the recent topical focus of research in this literature. Key topics were linked to organization and management of health care services, quality of patient care, and sustainability of health care delivery.


2021 ◽  
Author(s):  
Mohammad Marie ◽  
Maher Battat

Abstract Accessing health care services system is a fundamental right for all people worldwide. The WHO has defined the obstruction of the availability, access, and delivery of therapeutic and/or preventive health services as a form of health attack. The Palestinian Authority faces significant challenges to ensure the sustainability of the delivery of its health services systems. The blockade of the Gaza Strip and the presence of Israeli settlements in oPt and the Separation Wall around Jerusalem all these obstacles affect the patient’s right to access health care services. Palestinian Patients need permit applications from Israeli authorities that require usually 7- 10 days depending on the case condition and the appointment from the target hospital in which the permit may be approved or denied or delayed. It has become a complex process due to the need to cross barriers or border crossings and restrictions on the movement of Palestinian patients and ambulances imposed by the Israeli government. Therefore, barriers policy to accessing health care services are a serious and permanent condition that can lead to a very stressful atmosphere and result in developing mental problems. This paper aims to provide an overview of the literature and established studies on mental health consequences related to access limitations policy to health care services system in Palestine.Method: PubMedand Google Scholar were used to search for materials for the literature review study. The Data in this literature review wascollected by searching in electronic databases such as PubMed and Google Scholar. The keywords used in the searching process are Mental Health AND consequences AND limited access OR Access Limitations AND health care services OR health care AND barrier AND Gaza strip OR West Bank AND Palestine. full-text articles critically appraised were included while the duplicated papers were extracted.The papers in this review follow the IMRAD style (Introduction, method, results, and discussion section).Result: More than 25 related materials founded including review studies, 3 WHO reports, and 2 Palestinian government statistical reports.Conclusion:Evidences from this review show that there is a necessity to maintain justice and equality among the Palestinian population and their right to freedom. Limited access to health-care services for Palestinian patients living in Gaza Strip, West Bank ,andEast Jerusalem affect negatively the patient’s quality of life and mental health mainly due to the Israeli Separation Wall besides road closures.


2021 ◽  
Author(s):  
Mohammad Marie ◽  
Maher Battat

Abstract Accessing health care services is a fundamental right for all people worldwide. The WHO has defined the obstruction of the availability, access, and delivery of therapeutic and/or preventive health services as a form of health attack. The Palestinian Authority faces significant challenges to ensure the sustainability of the delivery of its health services. The blockade of the Gaza Strip and the presence of Israeli settlements in oPt and the Separation Wall around Jerusalem all these obstacles affect the patient’s right to access health care services. Palestinian Patients need permit applications from Israeli authorities that require usually 7- 10 days depending on the case condition and the appointment from the target hospital in which the permit may be approved or denied or delayed. It has become a complex process due to the need to cross barriers or border crossings and restrictions on the movement of Palestinian patients and ambulances imposed by the Israeli government. Therefore, barriers to accessing health care services are a serious and permanent condition that can lead to a very stressful atmosphere and result in developing mental problems. This paper aims to provide an overview of the literature and established studies on mental health consequences related to access limitations to health care services in Palestine.Method: PubMedand Google Scholar were used to search for materials for the literature review study. The Data in this literature review was collected by searching in electronic databases such as PubMed and Google Scholar. The keywords used in the searching process are Mental Health AND consequences AND limited access OR Access Limitations AND health care services OR health care AND barrier AND Gaza strip OR West Bank AND Palestine. full-text articles critically appraised were included while the duplicated papers were extracted. The papers in this review follow the IMRAD style (Introduction, method, results, and discussion section).Result: More than 25 related materials founded including review studies, 3 WHO reports, and 2 Palestinian government statistical reports.Conclusion: Evidences from this review show that there is a necessity to maintain justice and equality among the Palestinian population and their right to freedom. Limited access to health-care services for Palestinian patients living in Gaza Strip, West Bank ,and East Jerusalem affect negatively the patient’s quality of life and mental health mainly due to the Israeli Separation Wall besides road closures.


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