Towards systematic reviews that inform health care management and policy-making

2005 ◽  
Vol 10 (1_suppl) ◽  
pp. 35-48 ◽  
Author(s):  
John Lavis ◽  
Huw Davies ◽  
Andy Oxman ◽  
Jean-Louis Denis ◽  
Karen Golden-Biddle ◽  
...  
Keyword(s):  
Health Care ◽  
Systematic Reviews ◽  
Policy Making ◽  
Care Management ◽  
Contextual Factors ◽  
Health Care Management ◽  
Health Care Managers ◽  
Executive Summary ◽  
Policy Makers ◽  
Care Managers

Objectives To identify ways to improve the usefulness of systematic reviews for health care managers and policy-makers that could then be evaluated prospectively. Methods We systematically reviewed studies of decision-making by health care managers and policy-makers, conducted interviews with a purposive sample of them in Canada and the United Kingdom (n=29), and reviewed the websites of research funders, producers/purveyors of research, and journals that include them among their target audiences (n=45). Results Our systematic review identified that factors such as interactions between researchers and health care policy-makers and timing/timeliness appear to increase the prospects for research use among policy-makers. Our interviews with health care managers and policy-makers suggest that they would benefit from having information that is relevant for decisions highlighted for them (e.g. contextual factors that affect a review's local applicability and information about the benefits, harms/risks and costs of interventions) and having reviews presented in a way that allows for rapid scanning for relevance and then graded entry (such as one page of take-home messages, a three-page executive summary and a 25-page report). Managers and policy-makers have mixed views about the helpfulness of recommendations. Our analysis of websites found that contextual factors were rarely highlighted, recommendations were often provided and graded entry formats were rarely used. Conclusions Researchers could help to ensure that the future flow of systematic reviews will better inform health care management and policy-making by involving health care managers and policy-makers in their production and better highlighting information that is relevant for decisions. Research funders could help to ensure that the global stock of systematic reviews will better inform health care management and policy-making by supporting and evaluating local adaptation processes such as developing and making available online more user-friendly ‘front ends’ for potentially relevant systematic reviews.

scholarly journals Enhancing the uptake of systematic reviews of effects: what is the best format for health care managers and policy-makers? A mixed-methods study

2018 ◽  
Vol 13 (1) ◽  
Author(s):  
Christine Marquez ◽  
Alekhya Mascarenhas Johnson ◽  
Sabrina Jassemi ◽  
Jamie Park ◽  
Julia E. Moore ◽  
...  
Keyword(s):  
Health Care ◽  
Mixed Methods ◽  
Systematic Reviews ◽  
Mixed Methods Study ◽  
Health Care Managers ◽  
Policy Makers ◽  
Care Managers

scholarly journals A framework to provide clarity in the use of predictive technologies in health care management

2007 ◽  
Vol 31 (1) ◽  
pp. 73
Author(s):  
Christopher A Bain ◽  
Leon K Au
Keyword(s):  
Health Care ◽  
Care Management ◽  
Health Care Management ◽  
Strong Support ◽  
Mutual Benefit ◽  
Health Care Managers ◽  
Low Level ◽  
Care Managers ◽  
Tools And Techniques ◽  
Insight Into

This paper reports on a survey of health care managers and other stakeholders which assesses the need for a framework regarding predictive technologies in health care management. In the context of this paper, predictive technologies are defined as those that enable an insight into, or measurement of, events yet to occur. A framework could include the ability to classify the problems confronting managers, and the range of possible tools and techniques that could be used to address those problems. This could be of mutual benefit to health care managers, technologists and modellers. The survey was intended to clarify the level of interest in such a framework, and also the possible dimensions that it ought to contain. Our results indicate that there is strong support for a proposed framework, with 97% of respondents indicating that a framework would be possibly or very useful. The results also show a low level of background knowledge in relation to existing tools, techniques and technologies. The draft framework is also presented. It includes dimensions relating to problem and tool definitions, scenarios to be investigated and the findings of those investigations.

scholarly journals Building upon Our Values: Health Care's Promises to its Patients and Communities

2002 ◽  
Vol 39 (3) ◽  
pp. 201-206 ◽  
Author(s):  
Gail L. Warden
Keyword(s):  
Health Care ◽  
Care Management ◽  
Health Care Management ◽  
Health Care Environment ◽  
Health Care Managers ◽  
Care Environment ◽  
Care Managers

Originally presented as an endowed lecture, this paper outlines the values that have always driven health care management and how those values can be used to confront today's challenges. The challenges are discussed in a way that clearly calls for promises to build upon the values that will improve the health care environment and the obligations that health care managers have to fulfill those promises.

scholarly journals Barriers and facilitators to uptake of systematic reviews by policy makers and health care managers: a scoping review

2015 ◽  
Vol 11 (1) ◽  
Author(s):  
Andrea C. Tricco ◽  
Roberta Cardoso ◽  
Sonia M. Thomas ◽  
Sanober Motiwala ◽  
Shannon Sullivan ◽  
...  
Keyword(s):  
Health Care ◽  
Systematic Reviews ◽  
Scoping Review ◽  
Barriers And Facilitators ◽  
Health Care Managers ◽  
Policy Makers ◽  
Care Managers

scholarly journals The strategy of casemix

1995 ◽  
Vol 18 (4) ◽  
pp. 105
Author(s):  
John Dowling
Keyword(s):  
Health Care ◽  
Care Management ◽  
Health Care Management ◽  
Process Innovation ◽  
The Political ◽  
Political Debate ◽  
Health Care Managers ◽  
Australian Health ◽  
Care Managers

While the political debate rages over whether casemix brings economic benefitsfor Australian health care, managers are observing a pragmatic change to theirbusiness and some are using casemix to understand and manage their businessbetter. Casemix is a useful tool in this environment of increasing managementaccountability and process re-engineering.This article reviews casemix from a process innovation perspective; commentson its real use for strategic health care management; and suggests a simple matrixused by St John of God hospitals throughout Australia to implement and measureprogress towards quality casemix-managed hospitals. The management motivationfor this matrix was to promote hospital resourcing decisions supplemented bycasemix information.

scholarly journals Analyzing U.S. nurse turnover: Are nurses leaving their jobs or the profession itself?

2015 ◽  
Vol 4 (4) ◽  
pp. 48 ◽  
Author(s):  
Olena Mazurenko ◽  
Gouri Gupte ◽  
Guogen Shan
Keyword(s):  
Health Care ◽  
Registered Nurses ◽  
Quality Care ◽  
The United States ◽  
National Sample ◽  
Sample Survey ◽  
P Value ◽  
Health Care Managers ◽  
Policy Makers ◽  
Care Managers

Objective: To examine and compare factors associated with making the decision to vacate a job (organizational turnover) versus leaving the profession (professional turnover) among registered nurses (RN) in the United States (U.S.).Methods: Nationally representative data from the 2008 National Sample Survey of Registered Nurses was used. The sample consisted of 8,796 RNs who held an active RN license as of March 10, 2008, but changed a place of work or left the profession entirely. The analysis has been performed using SAS, version 9.3.Results: The results of binary logistic regression revealed that RNs who reported work-related disability (OR = 14.51; p-value: < .001), illness (OR = 3.32; p-value: < .001), experienced high physical demands (OR = 1.57; p-value: < .001) or burnout (OR = 1.39; p-value: < .001), were unsatisfied with their schedule (OR = 2.16; p-value: < .001), or staffing arrangements (OR = 1.41; p-value: < .001) were more likely to leave the profession. Whereas RNs who reported high levels of stress (OR = 0.59; p-value: < .001) were unsatisfied with the organization’s leadership (OR = 0.22; p-value: < .001), unsatisfied with their opportunity to advance their career (OR = 0.56; p-value: < .001), or were not adequately compensated (OR = 0.63; p-value: < .001), were more likely to leave the organization.Conclusions: Policy makers and health care managers should be aware of the different factors that are associated with RNs’ decision to leave the profession or an organization. Health care managers involved in the development of nurse retention strategies should address organizational leadership and consider development of comprehensive career development programs. Policy makers should consider allocating additional resources to ensure that RN workforce is of adequate size, is qualified, and is able to provide high quality care in the U.S..

scholarly journals Editorial Comments/ Redaksionele Kommentaar

2007 ◽  
Vol 12 (2) ◽  
Author(s):  
Christiaan B Brink
Keyword(s):  
Health Care ◽  
Health Professionals ◽  
Full Text ◽  
Policy Making ◽  
Care Management ◽  
Current Issue ◽  
Health Care Management ◽  
Health Care Economics ◽  
Wide Audience

The current issue of Health SA Gesondheid will interest a wide audience of scientists and health professionals working in the areas of health care management, health care economics, policy making, nursing, psychology, sociology, ethics and education. Opsomming Hierdie uitgawe van Health SA Gesondheid sal ‘n wye gehoor van wetenskaplikes en professionele gesondheidswerkers, wat werksaam is in die velde van gesondheidsorgbestuur, gesondheidsorgekonomie, beleidmaking, verpleegkunde, sielkunde, sosiologie en opvoedkunde, interesseer. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

scholarly journals Health-care management and the culture of assessment: An urgent liaison?

2005 ◽  
Vol 21 (3) ◽  
pp. 420-422 ◽  
Author(s):  
Alicia Granados
Keyword(s):  
Health Care ◽  
Care Management ◽  
Health Care Policy ◽  
Health Care Management ◽  
Health Care Expenditures ◽  
Process Reengineering ◽  
Policy Makers ◽  
Cost Cutting ◽  
Culture Of Assessment ◽  
The Relationship

Effectiveness in health-care management has been defined as the relationship between what a manager achieves in terms of performance and what he or she is expected to achieve; that is, effectiveness is the extent to and means by which an organization carries out its defined functions (6). The implicit, albeit core functions of hospitals and primary care centers in providing patient access, professional and center responsiveness, effective and safe services, and improved health outcomes, have increasingly been blurred by other more explicit objectives, such as cost-containment and process reengineering. Indiscriminate cost-cutting and “reengineering mania” have become popular among health-care policy-makers all over the world. Such strategies have even been adopted by countries (including Spain) whose health-care expenditures have for decades ranked below the European average (9). However, the effects of these widespread trends have never been properly assessed. They seem to impose a common threat on professional job satisfaction, and in Europe, there are more impatient patients on the waiting list than ever (8)

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