Studying Medical Records Management in the Public Healthcare Sector of South Africa Using Multi-Method

2022 ◽  
pp. 114-134
Author(s):  
Ngoako Solomon Marutha
Keyword(s):  
System Analysis ◽  
Social Science Research ◽  
Science Research ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
Record Management ◽  
Records Management ◽  
Mixed Method Research ◽  
The Public ◽  
Public Healthcare Sector

This chapter reflects on the lesson learnt from the application of multi-methods in a quantitative study that was conducted to study patient record management in the public healthcare sector. In this study, a questionnaire was the main data collection tool, which was supported by interviews, observations, and document/system analysis data. In conducting the study, triangulation of multi-methods data was performed at different stages of the study. Currently there is no clear framework in social science research about the application of multi-method, mono-method, and mixed method research, which the study intends to clear. The study revealed that quantitative data need to be augmented with some narrative/qualitative data to make an empirical conclusion and recommendations because alone, it may not be completely reliable. Triangulation of multi-methods eliminates bias and closes some gaps where data leave some questions unanswered. The study provides a framework to guide on research method based on methods ingredients.

Studying Medical Records Management in the Public Healthcare Sector of South Africa Using Multi-Method

2020 ◽  
pp. 404-424
Author(s):  
Ngoako Solomon Marutha
Keyword(s):  
System Analysis ◽  
Social Science Research ◽  
Science Research ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
Record Management ◽  
Records Management ◽  
Mixed Method Research ◽  
The Public ◽  
Public Healthcare Sector

This chapter reflects on the lesson learnt from the application of multi-methods in a quantitative study that was conducted to study patient record management in the public healthcare sector. In this study, a questionnaire was the main data collection tool, which was supported by interviews, observations, and document/system analysis data. In conducting the study, triangulation of multi-methods data was performed at different stages of the study. Currently there is no clear framework in social science research about the application of multi-method, mono-method, and mixed method research, which the study intends to clear. The study revealed that quantitative data need to be augmented with some narrative/qualitative data to make an empirical conclusion and recommendations because alone, it may not be completely reliable. Triangulation of multi-methods eliminates bias and closes some gaps where data leave some questions unanswered. The study provides a framework to guide on research method based on methods ingredients.

scholarly journals How healthcare structures and communication delivery influence trust: a parallel-group randomized controlled trial

2021 ◽  
Author(s):  
Stephen Cantarutti ◽  
Emmanuel M. Pothos
Keyword(s):  
Controlled Trial ◽  
Random Order ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
The Public ◽  
Private Healthcare ◽  
Public Healthcare Sector ◽  
Parallel Group ◽  
Therapy Compliance ◽  
Study Offer

Abstract Background According to recent polling, public trust in the healthcare sector remains low relative to other industries globally. The implications of low healthcare trust permeate throughout the industry in a number of ways, most visibly by discouraging therapy compliance. Methods This study investigated four putative determinants of trust in healthcare-related scenarios: individuals vs. collective groups as communicators of healthcare advice; expert vs. laypeople as providers of healthcare communication; public vs. private healthcare sector; and positive vs. negative information. Two hundred seventy-four participants were recruited via Prolific Academic and were presented with four statements in random order, related to a positive reflection of the public healthcare sector, a negative reflection of the public healthcare sector, a positive reflection of the private healthcare sector and a negative reflection of the private healthcare sector. According to these reflection, participants were repeatedly asked to rate the system on its trustworthiness. Trust outcomes were constructed using a four-dimension framework, consisting of benevolence, reliability, competence and predictability. Results Claims relating to the public sector had a significantly stronger impact on benevolence and reliability than claims relating to the private sector; claims from individuals had a significantly stronger impact on all trust variables than claims from collectives; and claims from laypeople had a significantly greater impact on reliability and competence ratings than claims from experts. Conclusions The findings in this study offer insight into the patterns with which trust decisions are made in healthcare contexts. More importantly, this research offers a novel perspective of how different factors interact to affect the various facets of trust. These results provide a foundation for future study in this evolving area, and offer insights into designing effective communication strategies that cultivate greater levels of individual trust in the healthcare sector.

Differentiating between average and high-performing public healthcare managers: implications for public sector talent management

2020 ◽  
Vol 44 (3) ◽  
pp. 434
Author(s):  
Sandra G. Leggat ◽  
Zhanming Liang ◽  
Peter F. Howard
Keyword(s):  
Public Sector ◽  
Health Service ◽  
Health Services ◽  
Talent Management ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
High Performing ◽  
The Public ◽  
Public Healthcare Sector ◽  
Service Managers

ObjectiveEnsuring sufficient qualified and experienced managers is difficult for public sector healthcare organisations in Australia, with a limited labour market and competition with the private sector for talented staff. Although both competency-based management and talent management have received empirical support in association with individual and organisational performance, there have been few studies exploring these concepts in the public healthcare sector. This study addresses this gap by exploring the perceived differences in demonstration of core competencies between average and higher-performing managers in public sector healthcare organisations. MethodsMixed methods were used to define and measure a set of competencies for health service managers. In addition, supervisors of managers were asked to identify the differences in competence between the average and high-performing managers reporting to them. ResultsSupervisors could clearly distinguish between average and higher-performing managers and identified related competencies. ConclusionsThe consistent pattern of competence among community health and hospital public sector managers demonstrated by this study could be used to develop a strategic approach to talent management for the public healthcare sector in Australia. What is known about this topic?Although there are validated competency frameworks for health service managers, they are rarely used in practice in Australia. What does this paper add?This paper illustrates the perceived differences in competencies between top and average health services managers using a validated framework. What are the implications for practitioners?The public health sector could work together to provide a more effective and efficient approach to talent management for public hospitals and community health services.

Horizon scanning of new and emerging medical technology in Australia: Its relevance to Medical Services Advisory Committee health technology assessments and public funding

2009 ◽  
Vol 25 (03) ◽  
pp. 374-382 ◽  
Author(s):  
Sue P. O'Malley ◽  
Ernest Jordan
Keyword(s):  
Emerging Technologies ◽  
Public Funding ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
The Public ◽  
Private Healthcare ◽  
Medical Technologies ◽  
Horizon Scanning ◽  
Public Healthcare Sector ◽  
The Subject

Objectives:In 1998, a formal process using full health technology assessments (HTAs) was implemented to determine the suitability for public subsidy of new and emerging medical technologies in the Australian private healthcare sector. This process is overseen by the Medical Services Advisory Committee (MSAC). In 2004, horizon scanning was introduced in Australia with the stated objective of identifying new and emerging medical technologies into the public healthcare sector, with consideration to the publicly subsidized private healthcare sector. How well horizon scanning works in identifying new and emerging technologies suitable for government subsidized funding in the private healthcare sector is examined in this study.Methods:A descriptive evaluation of the impact of horizon scanning as an early alert and awareness system identifying new and emerging technologies before these technologies are submitted to MSAC for a full HTA. All MSAC HTAs commenced after the introduction of horizon scanning in 2004 were cross-checked with the list of Prioritizing Summaries or Horizon Scanning Reports to determine whether a prior Prioritizing Summary or Horizon Scanning Report had been carried out.Results:Of the forty-three technologies that were the subject of a full MSAC HTAs in the time period examined, only eleven had been the subject of either a Prioritizing Summary or Horizon Scanning Report. As a result of a full MSAC HTA, twelve of the technologies that were not the subject of a Prioritizing Summary or Horizon Scanning Report were given positive recommendations for public funding.Conclusions:Horizon scanning was set up to scan the introduction of new and emerging medical technologies into the public healthcare sector, with consideration to the publicly subsidized private healthcare sector. Based on the number of new and emerging technologies that have been the subject of a full MSAC HTA without first being subjected to either a Prioritizing Summary or Horizon Scanning Report, horizon scanning in Australia does not function as an “early alert and awareness system” for funding in the publicly subsidized private healthcare sector in Australia.

Reputation and Legitimacy

2013 ◽  
Vol 3 (2) ◽  
pp. 1-17 ◽  
Author(s):  
Päivikki Kuoppakangas ◽  
Kati Suomi ◽  
Khim Horton
Keyword(s):  
Organisational Change ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
Management Of Change ◽  
The Public ◽  
The Core ◽  
Public Healthcare Sector ◽  
Institutional Process ◽  
Dilemma Management

The aim of this study is to map the principal reputation risks and threats to legitimacy in the processes of organisational change among the three cases in question. The key focus is on the core aims and dilemmas associated with transformation into a municipal enterprise form. According to the results, isomorphic forces affect the institutional process in enhancing and diminishing the isomorphism, and in simultaneously creating dilemmas that pose a risk to the organisation’s reputation and threaten its legitimacy. The findings further highlight the need to investigate strategic dilemma management as a tool for controlling reputation risks and legitimacy in the management of change in the public-healthcare sector.

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