Insights for implementing change in healthcare

2020 ◽  
Vol 26 (1) ◽  
pp. 20-26
Author(s):  
Joanna DaCosta
Keyword(s):  
Organisational Change ◽  
Healthcare Services ◽  
Healthcare Systems ◽  
Organisational Culture ◽  
Healthcare Management ◽  
Planned Change ◽  
Workplace Culture ◽  
Successful Implementation ◽  
Management Skills ◽  
Implementing Change

Healthcare systems are complex; this is reflected in their diverse structures, cultures and services. Organisational culture is an important aspect to consider when planning any intervention changes. Working in and with teams that include members from different professional and organisational backgrounds, and successfully managing these potential tensions, can be challenging. This article reviews the elements required to instigate organisational change when planning an intervention and the possible barriers preventing doctors from full engagement in these projects. It discusses the model of ‘planned change’, which was first described by Lewin in 1947, and its evolution through recent decades as a framework for organisational change. It also emphasises the importance of workplace culture in the successful implementation of change within healthcare services and argues that a stronger emphasis on management skills is needed in doctor training. Doctors are an underused resource in healthcare management and should be encouraged to take a more proactive role.

India’s rural healthcare systems: structural modeling

2018 ◽  
Vol 31 (7) ◽  
pp. 757-774 ◽  
Author(s):  
Dinesh Kumar
Keyword(s):  
Structural Model ◽  
Healthcare Services ◽  
Healthcare Systems ◽  
Climatic Conditions ◽  
Healthcare Management ◽  
Driving Factors ◽  
Rural Healthcare ◽  
Content Type ◽  
Rural Health Center ◽  
Interpretive Structural Model

Purpose The purpose of this paper is to identify factors related to rural healthcare services and establish a hierarchical model for the effective rural healthcare management in India. Design/methodology/approach A questionnaire survey identified and correlated numerous factors related to the Uttarakhand rural healthcare systems. Experts opinion were translated into a reachability matrix and an interpretive structural model. A fuzzy matriced impacts croises-multiplication applique and classment (FMICMAC) analysis arranged the factors as hierarchical stages using their driving power. Findings The interpretive structural and FMICMAC hierarchical models suggest four key driving factors: diseases, climatic conditions, population growth and political pressure. Practical implications Despite numerous issues, rural healthcare services can be improved by considering key driving factors that could be used as a prediction tool for policy makers. Originality/value Results demonstrate that population control, coordinating services with local bodies and rural health center annual maintenance can be game changers toward better healthcare services.

scholarly journals Multi-objective Chaotic Butterfly Optimization with Deep Neural Network based Sustainable Healthcare Management Systems

2021 ◽  
pp. 39-48
Author(s):  
Abedallah Zaid Abualkishik ◽  
◽  
◽  
Ali A. Alwan
Keyword(s):  
Neural Network ◽  
Deep Neural Network ◽  
Simulation Analysis ◽  
Fitness Function ◽  
Healthcare Services ◽  
Healthcare Systems ◽  
Healthcare Management ◽  
Management Systems ◽  
Multi Objective ◽  
Healthcare Data

Sustainable healthcare systems are developed to priorities healthcare services involving difficult decision-making processes. Besides, wearables, internet of things (IoT), and cloud computing (CC) concepts are involved in the design of sustainable healthcare systems. In this study, a new Multi-objective Chaotic Butterfly Optimization with Deep Neural Network (MOCBOA-DNN) is presented for sustainable healthcare management systems. The goal of the MOCBOA-DNN technique aims to cluster the healthcare IoT devices and diagnose the disease using the collected healthcare data. The MOCBOA technique is derived to perform clustering process and also to tune the hyperparameters of the DNN model. Primarily, the clustering of IoT healthcare devices takes place using a fitness function to select an optimal set of cluster heads (CHs) and organize clusters. Followed by, the collected healthcare data are sent to the cloud server for further processing. Furthermore, the DNN model is used to investigate the healthcare data and thereby determine the presence of disease or not. In order to ensure the betterment of the MOCBOA-DNN technique, an extensive simulation analysis take place. The experimental results portrayed the supremacy of the MOCBOA-DNN technique over the other existing techniques interms of diverse evaluation parameters.

scholarly journals Use of symptom checkers for COVID-19-related symptoms among university students: a qualitative study

2021 ◽  
pp. bmjinnov-2020-000498
Author(s):  
Stephanie Aboueid ◽  
Samantha B Meyer ◽  
James R Wallace ◽  
Shreya Mahajan ◽  
Teeyaa Nur ◽  
...  
Keyword(s):  
Young Adults ◽  
Qualitative Study ◽  
Thematic Analysis ◽  
Health Professionals ◽  
Qualitative Interviews ◽  
Healthcare Services ◽  
Healthcare Systems ◽  
Positive Experience ◽  
Perceived Credibility ◽  
Inductive Thematic Analysis

ObjectiveSymptom checkers are potentially beneficial tools during pandemics. To increase the use of the platform, perspectives of end users must be gathered. Our objectives were to understand the perspectives and experiences of young adults related to the use of symptom checkers for assessing COVID-19-related symptoms and to identify areas for improvement.MethodsWe conducted semistructured qualitative interviews with 22 young adults (18–34 years of age) at a university in Ontario, Canada. Interviews were audio-recorded, transcribed, and analysed using inductive thematic analysis.ResultsWe identified six main themes related to the decision of using a symptom checker for COVID-19 symptoms: (1) presence of symptoms or a combination of symptoms, (2) knowledge about COVID-19 symptoms, (3) fear of seeking in-person healthcare services, (4) awareness about symptom checkers, (5) paranoia and (6) curiosity. Participants who used symptom checkers shared by governmental entities reported an overall positive experience. Individuals who used non-credible sources reported suboptimal experiences due to lack of perceived credibility. Five main areas for improvement were identified: (1) information about the creators of the platform, (2) explanation of symptoms, (3) personalised experience, (4) language options, and (5) option to get tested.ConclusionsThis study suggests an increased acceptance of symptom checkers due to the perceived risks of infection associated with seeking in-person healthcare services. Symptom checkers have the potential to reduce the burden on healthcare systems and health professionals, especially during pandemics; however, these platforms could be improved to increase use.

Healthcare Management During a Pandemic: The Other Side of the Coin for the Treatment of Covid-19 Infection

2021 ◽  
Vol 21 ◽  
Author(s):  
Danila De Vito ◽  
Antonio Fusco ◽  
Caterina Benincasa ◽  
Luca Laghi ◽  
Francesco M. Ceruso
Keyword(s):  
Healthcare Systems ◽  
Healthcare Management ◽  
World Health ◽  
Industrialized Countries ◽  
Negative Effects ◽  
Positive Effects ◽  
Worldwide Population ◽  
Related Risk ◽  
The Social ◽  
Health Organization

Background: World Health Organization (WHO) has increasingly improved the guidelines to tackle the spread of Coronavirus Disease 2019 (COVID-19) among the worldwide population. In this context, each country has introduced specific social, healthcare, political and macroeconomic measures to face COVID pandemic locally. Objective: The general aim of this comparative overview is to highlight the most significant effects of COVID-19 pandemic on the main healthcare systems. Also, we critically analyzed the macroeconomic variables and the most promising solutions to improve both healthcare system and its related risk management, taking into specific consideration the most industrialized countries. Method: The main strategy has been built on a renewed concept of the hospital, rebuilding the old concepts of “triage” and “intensive care”. Recently, COVID-19 hospitals have allowed to cater the patients affected by COVID-19. Moreover, the reshaping of several healthcare policies and requirements has led to several positive effects, such as the recruitment of a huge number of human resources in the healthcare systems. Nevertheless, several negative effects have also impacted the communities mostly subjected to infections. Conclusion: Undoubtedly, the national healthcare systems have somehow addressed the people’s needs, trying not to neglect the social, healthcare, economic and political aspects. In our overview, we have reported how the different actions taken in the last months, have resulted in different outcomes.

Industrial and tourism perspectives on open innovation

2019 ◽  
Vol 32 (5) ◽  
pp. 517-532
Author(s):  
Patricia P. Iglesias-Sánchez ◽  
Carmen Jambrino-Maldonado ◽  
Carlos de las Heras-Pedrosa
Keyword(s):  
Open Innovation ◽  
Innovation Management ◽  
Organisational Change ◽  
Successful Implementation ◽  
Improve Performance ◽  
Content Type ◽  
Food Industries ◽  
Collective Effort ◽  
Two Sectors ◽  
Practical Implications

Purpose Open innovation (OI) involves the alignment of the organisation’s strategy and resources. Notably, companies will not adopt this emerging paradigm without a guarantee of better results. Therefore, the purpose of this paper is to identify which combination of entrepreneurial managerial approaches makes it possible for companies to improve performance. Design/methodology/approach This study involves a survey questionnaire, 147 enterprises and regression analysis on the survey data to identify to what extent strategic and management orientations affect innovation performance (IP), as well as an analysis focusing on the results of two sectors (i.e. tourism and agri-food industries). Findings The main findings show a direct effect amongst the level of innovation, external openness and open innovation management (OIM), and IP. However, although there are no differences in the perception and orientation of OIM and the results across the two sectors, the influence of the variable firm size has been supported. Finally, the collective effort required by companies to ensure the successful implementation of OI processes and achieve high IP is outstanding. Practical implications This paper discusses the significance of these findings, highlighting the main practical implications for researchers and companies – especially the need to assimilate the organisational change involved in the challenge of OI. Originality/value This study combines the sectors industry and services, emphasises OIM and reinforces the literature in the field of IP.

scholarly journals Innovation in healthcare services: notes on the limits of field research

2016 ◽  
Vol 32 (suppl 2) ◽  
Author(s):  
Laís Silveira Costa
Keyword(s):  
Population Aging ◽  
Field Research ◽  
Healthcare Services ◽  
Healthcare Systems ◽  
Public Healthcare ◽  
Social Changes ◽  
Public And Private ◽  
Disease Characteristics ◽  
Health And Disease ◽  
Current Article

Abstract: The contemporary context of population aging, itsthe population's different health and disease characteristics, and the growing incorporation of technologies by healthcare systems have highlighted the need to adjust the healthcare structure as a whole. The defense of a democratic and sustainable system reveals the importance of understanding how changes in healthcare take place. The current article aims to contribute to the understanding of innovation in healthcare services. The study's results indicate that the existence of certain knowledge gaps means that public policies tend to overlook a whole rangeseries of innovations normally associated with social changes, with a consequentwith an impact on human development, social cohesion, equality, and equity, allcentral issues that are central toin the field of collective public healthcare field. The article concludes that the lack of a mature theoretical framework negatively impacts the formulation of such policies, further aggravated in Brazil by growing differences in quality and access between population segments that depend on the public and private healthcare systems.

Construction safety case (MAP) – a strategy for successful implementation

2018 ◽  
Vol 58 (2) ◽  
pp. 601
Author(s):  
Roberta Selleck
Keyword(s):  
Oil And Gas ◽  
Organisational Change ◽  
Field Work ◽  
Construction Safety ◽  
Near Miss ◽  
Successful Implementation ◽  
Operations And Maintenance ◽  
Safety Case ◽  
Operating Limits ◽  
Safety Cases

The Critical Control Management (CCM) methodology has emerged in the construction and mining industries as a ‘safety case’ to manage personal safety risks associated with high-risk activities. The construction-based Major Accident Prevention (MAP) program has been implemented on oil and gas projects since early 2016 and has been tested in greenfields, brownfields, operations and maintenance, and hook-up and commissioning environments. Since implementing the MAP program, a reduction in high potential ‘near miss’ events and a reduction of all injuries has been observed. Within the Clough organisation, four projects that are near completion have zero injuries. MAP works by providing the specific standards (rules), in a similar manner to ‘operating limits’ used in process control systems, to ensure critical control integrity. Through these specific standards, MAP eliminates substandard field work practices becoming normalised and MAP empowers field supervisors and even line employees to ‘stop work’ when critical control standards are not met in the field. Based on widely accepted organisational change principles, a framework for successfully implementing CCM has been developed. The framework is critical to successfully implementing and executing construction safety cases in a proactive manner. This paper explores what comprises CCM and the key attributes contributing to successful implementation.

scholarly journals Hospital at Home: An Evolving Model for Comprehensive Healthcare

2021 ◽  
Author(s):  
Henil Y. Patel ◽  
Daniel J. West
Keyword(s):  
Healthcare Services ◽  
The United States ◽  
Healthcare Management ◽  
Point Of View ◽  
Generation Model ◽  
Model Of Care ◽  
Treatment Protocols ◽  
Hospital At Home ◽  
The Impact ◽  
At Home

ABSTRACT Hospital at Home (HaH) is a sustainable, innovative, and next-generation model of healthcare. From the healthcare management point of view, this model provides cost benefits and quality improvement, and from the physicians' point of view, it helps in providing patient-centered medical care and keeps patients away from hospital admission and its complications. The HaH model was first introduced at John Hopkins in the United States in 1995, which showed very promising results in context to the length of stay, readmission rates, patient satisfaction, and hospital-acquired infections. The HaH model of care provides acute critical care to patients at home and reduces unnecessary hospitalization and related complications. The identified patients for this model of care are elderly patients with chronic conditions and multiple comorbidities. The emergence of technology in today's world and the impact of coronavirus disease 2019 (COVID-19) have increased the demand for the HaH model of care. Although there are many benefits and advantages, the HaH model of care has significant barriers and limitations, such as reimbursement for payment, physician and patient resistance, patient safety, and lack of quantifying research data to support the use of this model. Specific training for the physician, nursing, and other members of the HaH multidisciplinary team is necessary for HaH treatment protocols, along with patient and family caregiver education for those who elect the HaH model of care. HaH is the future of comprehensive healthcare services and helps in achieving the triple aim of access to healthcare, improved quality of care, and reduced cost for healthcare.

What Really Matters to Change Recipients: Dimensions of Supervisors’ Change Communication

2017 ◽  
Vol 13 (3-4) ◽  
pp. 81-88
Author(s):  
Sevda Helpap ◽  
Heike Schinnenburg
Keyword(s):  
Cultural Context ◽  
Emotional Responses ◽  
Organisational Change ◽  
Successful Implementation ◽  
Work Experiences ◽  
Group Discussions ◽  
Change Communication ◽  
Key Dimensions ◽  
Actual Participation

While the importance of supervisors’ communication for the successful implementation of organisational change is often emphasised, evidence regarding the actual dimensions of change communication and the reaction of change recipients is scarce. As communication is highly context and culture specific, this study included participants from Germany and India. To meet these research aims, we conducted focus group discussions (FGD) with overall 50 graduate students with work experiences from Germany and India. We identified key dimensions of informative, empathic and participatory change communication that are of high importance for change recipients. The German and Indian participants had similar expectations regarding the informative and empathic dimensions of change communication. However, interestingly, their assessment of the actual participation differed substantially, with consequences for their emotional responses. The findings emphasise the crucial role of supervisors’ communication for employees’ emotions in times of change. Supervisors thereby need to consider the diverse dimensions of their communication and stimulate employees’ expectations regarding information, empathy and participation with different communicative activities and approaches. This study provides important insights into organisational change communication by analysing its key dimensions, linking it to employees’ emotions and considering the cultural context.

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