An Analysis of the Effects of Human Resources Management on Healthcare Innovation in Hospital: A Scoping Review

In many health care systems around the world, increasing attention is focused on Human Resource Management (HRM). HRM is currently manifested as a key element of successful innovation because the human element is involved in the entire innovation process. Innovation is important in terms of public services, for example service innovation using information technology so as to increase efficiency and effectiveness in providing services. This study aims to analyze the effect of HRM on health service innovation in hospitals. This research method is a scoping review. The results of the research are from the literature search that discusses the effect of HRM on innovation in health services in hospitals. The types of innovations supported by HRM are HRM Practices, Knowledge Management, Humble Leadership, Green HRM, Crisis Management Theory, Clinical Directorates Model, and E-Medical services, E-Nursing services, and E-Adminstrative Services.

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Preventing and managing antimicrobial resistance in the African region: A scoping review protocol

PLoS ONE ◽

10.1371/journal.pone.0254737 ◽

2021 ◽

Vol 16 (7) ◽

pp. e0254737

Author(s):

Chinwe Juliana Iwu-Jaja ◽

Anelisa Jaca ◽

Ishmael Festus Jaja ◽

Portia Jordan ◽

Phelele Bhengu ◽

...

Keyword(s):

Antimicrobial Resistance ◽

Infectious Diseases ◽

Scoping Review ◽

Health Care Systems ◽

Grey Literature ◽

Antibiotic Consumption ◽

Morbidity And Mortality ◽

High Morbidity ◽

African Region ◽

Care Systems

Introduction Antimicrobial resistance (AMR) constitutes a significant threat to global health and food security, typically associated with high morbidity and mortality rate. The high burden of infectious diseases coupled with the weak health systems in most countries of Africa magnifies the risk of increasing AMR and its consequences thereof. This scoping review will be aimed at mapping the evidence on interventions used to prevent and manage antimicrobial resistance in Africa, guided by the “One Health” concept. Methods We will consider interventions targeting multiple sectors such as health care systems, the agricultural and veterinary sectors. The outcomes to be considered include reduction of AMR decreased morbidity and mortality due to infectious diseases, increased awareness for rational use of antimicrobials and reduced antibiotic consumption. We will include all types of studies regardless of study designs conducted within the context of the WHO African region. Studies will be excluded if they are not conducted in Africa and if they are literature reviews, only describing the concept of AMR without mentioning interventions. We will include studies identified through a comprehensive search of peer-reviewed and grey literature databases. In addition, we will search the reference lists of included studies and relevant reviews. Finally, we plan to do a citation search for included studies. Findings of this review will be narratively synthesized.

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Problems and Barriers related to the Use of Digital Health Applications: A Scoping Review Protocol (Preprint)

10.2196/preprints.32702 ◽

2021 ◽

Author(s):

Godwin Denk Giebel ◽

Christian Speckemeier ◽

Carina Abels ◽

Kirstin Börchers ◽

Jürgen Wasem ◽

...

Keyword(s):

Scoping Review ◽

Digital Health ◽

Health Care Systems ◽

Grey Literature ◽

Screening Process ◽

Care Systems ◽

Research Findings ◽

Review Protocol ◽

Definition Of ◽

Health Applications

BACKGROUND Usage of digital health applications (DHA) is increasing internationally. More and more regulatory bodies develop regulations and guidelines to enable an evidence-based and safe use. In Germany, DHA fulfilling predefined criteria (Digitale Gesundheitsanwendungen (="DiGA")) can be prescribed and are reimbursable by the German statutory health insurance scheme. Due to the increasing distribution of DHA problems and barriers should receive special attention. OBJECTIVE This study aims to identify relevant problems and barriers related to the use of DHA fulfilling the criteria of DiGA. The research done in this area will be mapped and research findings will be summarized. METHODS Conduct of the scoping review will follow published methodological frameworks and PRISMA-Scr criteria. Electronic databases (MEDLINE, EMBASE, and PsycINFO), reference lists of relevant articles and grey literature sources will be searched. Two reviewers will assess eligibility of articles by a two-stage (title/abstract and full-text) screening process. Only problems and barriers related to DHA fulfilling the criteria of DiGA are included for this research. RESULTS This scoping review serves to give an overview about the available evidence and to identify research gaps with regards to problems and barriers related to DiGA. Results are planned to be submitted to an indexed, peer-reviewed journal in the fourth quarter of 2021. CONCLUSIONS This is the first review identifying problems and barriers specifically to the use of the German definition of DiGA. Nevertheless, our findings can presumably be applied to other contexts and health care systems as well.

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Assessing health systems’ preparedness for providing care for refugees, asylum seekers and migrants: a scoping review

European Journal of Public Health ◽

10.1093/eurpub/ckaa135 ◽

2020 ◽

Vol 30 (6) ◽

pp. 1157-1163

Author(s):

Ewa Kocot ◽

Anna Szetela

Keyword(s):

Health Care ◽

Scoping Review ◽

Asylum Seekers ◽

Health Care Systems ◽

Legal Aspects ◽

Validity And Reliability ◽

Care Systems ◽

System Requirements ◽

Health Care Usage ◽

Special Health

Abstract Background Health care systems and care professionals often face the challenge of providing adequate health care for migrant groups. The objective of this study is to answer the question of whether and how meeting the special health system requirements regarding refugees (R), asylum seekers (AS) and migrants (M) (RASM) is checked and evaluated. Methods A scoping review was used as a methodology of the research, with four electronic databases, websites of relevant organizations and European projects searched, using a strictly defined search strategy. Finally, 66 studies were included in the analysis. Results The included studies presented assessment of different types, aspects and facilities of health care, as well as various methods of analysis. In the vast majority of the studies (n = 52, 78%) interviews or questionnaires were used to collect data. The studies were mostly declared to be qualitative. The main issues assessed in the studies can be categorized into three groups: (i) legal aspects, (ii) before receiving health care and (iii) during health care usage. Conclusions RASM inflow is a big challenge for health care system in many countries. The first step to guarantee adequate health care for RASM is assessing how the system is functioning. This makes it possible to find gaps, indicate the directions of activities needed and monitor progress. Further work on the development of a comprehensive tool, checked in terms of validity and reliability assessment, and enabling examination of many aspects of health care for RASM should be carried out.

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Safe Care for Pediatric Patients: A Scoping Review Across Multiple Health Care Settings

Clinical Pediatrics ◽

10.1177/0009922817691820 ◽

2017 ◽

Vol 57 (1) ◽

pp. 62-75 ◽

Cited By ~ 6

Author(s):

Antonia Stang ◽

Denise Thomson ◽

Lisa Hartling ◽

Jocelyn Shulhan ◽

Megan Nuspl ◽

...

Keyword(s):

Health Care ◽

Patient Safety ◽

Scoping Review ◽

Health Care Systems ◽

Health Care Settings ◽

Safety Concerns ◽

Safety Research ◽

Safety Interventions ◽

Care Systems ◽

Analytic Models

Children are particularly vulnerable to patient safety concerns due to pediatric-specific and general health care challenges. This scoping review identifies and describes the vulnerabilities of those aged 0 to 18 years to iatrogenic harm in various health care settings. Six databases were searched from 1991 to 2012. Primary studies were categorized using predetermined groupings. Categories were tallied and descriptive statistics were employed. A total of 388 primary studies exploring interventions that improved patient safety, deficiencies, or errors leading to safety concerns were included. The most common issues were medication (189 studies, 48.7%) and general medical (81 studies, 20.9%) errors. Sixty studies (15.5%) evaluated or described patient safety interventions, 206 studies (53.1%) addressed health care systems and technologies, 17 studies (4.4%) addressed caregiver perspectives and 20 studies (5.2%) discussed analytic models for patient safety. Further work is needed to ensure consistency of definitions in patient safety research to facilitate comparison and collation of results.

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Perceptions and Understandings of Frailty Language: A Scoping Review

Innovation in Aging ◽

10.1093/geroni/igaa057.572 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 177-177

Author(s):

Mariko Sakamoto ◽

Pamela Durepos ◽

Kyla Alsbury ◽

Patricia Hewston ◽

Alyson Takaoka ◽

...

Keyword(s):

Older Adults ◽

Health Care ◽

Scoping Review ◽

Health Care Professionals ◽

Health Care Systems ◽

Community Dwelling ◽

Critical Examination ◽

Primary Research ◽

Care Systems ◽

Research Studies

Abstract Diagnosing and responding to frailty in older adult populations is of growing interest for health care professionals, researchers and policymakers. Preventing frailty has the potential to improve health outcomes for older adults, which in turn has significant implications for health care systems. However, little is known about how older people understand and perceive the term “frailty”, and what it means for them to be designated as frail. To address this concern, a scoping review was undertaken to map the breadth of primary research studies that focus on community-dwelling older adults’ perceptions and understanding of frailty language, as well as explore the potential implications of being classified as frail. Searches were conducted in MEDLINE, Ageline, PsychInfo, CINAHL and EMBASE databases for articles published between January 1994 and February 2019. 4639 articles were screened and ten articles met the inclusion criteria, detailing eight primary research studies. Using content analysis, three core themes were identified across the included studies. These themes included: 1) understanding frailty as a multi-dimensional concept and inevitable consequence of aging, 2) perceiving frailty as a generalizing and harmful label; and 3) resisting and responding to frailty. Recommendations stemming from this review include the need for health care professionals to use person-centered language with older adults, discuss the term frailty with caution, and be aware of the potential consequences of labeling a person as frail. Importantly, this review demonstrates that for frailty interventions to be successful and meaningful for older adults, ongoing and critical examination of frailty language is necessary.

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Retos de la Investigación en Sistemas y Servicios de Salud

Ciencia e Innovación en Salud ◽

10.17081/innosa.2.1.73 ◽

2014 ◽

Author(s):

Nelcy Martinez Trujillo

Keyword(s):

Health Care ◽

Decision Making ◽

Health Care Systems ◽

Healthcare Systems ◽

Scientific Field ◽

Decision Making Process ◽

Efficiency And Effectiveness ◽

Toma De Decisiones ◽

Care Systems

La investigación en sistemas y servicios de salud tiene como principales objetivos contribuir a la toma de decisiones y a la definición de políticas para mejorar la eficiencia y la efectividad de los sistemas de salud. Se realizó una revisión bibliográfica y documental con el objetivo de exponer algunos de los retos que enfrenta este campo investigativo para cumplir con sus propósitos. Además, se analizaron algunas propuestas para vencer estos retos. La asunción de la investigación en sistemas y servicios de salud como un campo científico esencial en todos los sistemas de salud, el desarrollo de capacidades para su realización y la constitución de una comunidad científica son algunas de las propuestas que pueden incidir de manera positiva en el alcance de las metas para mejorar los sistemas de salud.ABSTRACTThe research in health care systems and services aims to add to the improvement of such and to add in the decision making process its efficiency and effectiveness. A bibliographical and documentary review with the objective of exposing some of the challenges faced in this area of research was made. With the assumption of healthcare systems and services as a scientific field, essential in Healthcare Systems, the developments of its potential realization and its interactivity with the scientif community are some of the proposals which could avail a reach of the objectives to improve Healthcare Systems.

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EXPLORING OLDER ADULTS’ EXPERIENCES IN CARE TRANSITIONS

Innovation in Aging ◽

10.1093/geroni/igz038.3500 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S965-S965

Author(s):

Flora Vieira Zamora ◽

Michelle Silver ◽

Whitney Berta ◽

Michelle Nelson ◽

Angela Hamilton

Keyword(s):

Older Adults ◽

Rural Communities ◽

Scoping Review ◽

Social Connectedness ◽

Health Care Systems ◽

Care Transitions ◽

Small Communities ◽

Levels Of Care ◽

Care Integration ◽

Care Systems

Abstract Older adults are Canada’s largest growing demographic. Later adulthood is frequently accompanied by increased comorbidities, resulting in more people living with chronic conditions for longer portions of their lives and requiring care across multiple settings. These individuals are also the most susceptible to challenges within health care systems, especially during vulnerable times such as care transitions, which can be challenging due to issues of care integration and coordination. A scoping review was conducted to explore the experiences of older adults transitioning through various levels of care. The main themes found included personal realizations, social connectedness, importance of navigating the system and recommendations for the future. During care transitions, older adults must carefully consider their personal circumstances and limitations and often accept a new baseline, thus, adapting their lives and activities to match possible limitations. Older adults indicate the need for strong social networks, accessible and available services, as well as effective communication, information, education and engagement during care transitions. Issues with care transitions can be exacerbated in smaller communities, where resources and services may be limited. As such, this scoping review is the foundation for an ongoing systematic review which aims to summarize what is known about care transitions for older adults living in small and rural communities. By better understanding the different interacting factors that might influence care transitions for older adults living in small communities, important and sustainable changes can be identified and implemented to ensure that care transitions for older adults are safe, positive and empowering.

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A scoping review on family medicine in sub-Saharan Africa: practice, positioning and impact in African health care systems

Human Resources for Health ◽

10.1186/s12960-020-0455-4 ◽

2020 ◽

Vol 18 (1) ◽

Cited By ~ 1

Author(s):

Maaike Flinkenflögel ◽

Vincent Sethlare ◽

Vincent Kalumire Cubaka ◽

Mpundu Makasa ◽

Abraham Guyse ◽

...

Keyword(s):

Health Care ◽

Family Medicine ◽

Scoping Review ◽

Health Care Systems ◽

Sub Saharan Africa ◽

African Health ◽

Care Systems ◽

Sub Saharan

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Rural Otolaryngology Care Disparities: A Scoping Review

Otolaryngology ◽

10.1177/01945998211068822 ◽

2022 ◽

pp. 019459982110688

Author(s):

Matthew J. Urban ◽

Aoi Shimomura ◽

Swapnil Shah ◽

Tasher Losenegger ◽

Jennifer Westrick ◽

...

Keyword(s):

Study Design ◽

Scoping Review ◽

English Language ◽

Literature Search ◽

Health Care Systems ◽

Disease Incidence ◽

Endocrine Surgery ◽

Cochrane Central Register ◽

Scoping Reviews ◽

Care Systems

Objective To broadly synthesize the literature regarding rural health disparities in otolaryngology, categorize findings, and identify research gaps to stimulate future work. Study Design Scoping review. Data Sources A comprehensive literature search was performed in the following databases: PubMed/MEDLINE, Scopus, Cochrane Central Register of Controlled Trials, Google Scholar, and CINAHL. Review Methods The methods were developed in concordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist. Peer-reviewed, English-language, US-based studies examining a rural disparity in otolaryngology-related disease incidence, prevalence, diagnosis, treatment, or outcome were included. Descriptive studies, commentaries, reviews, and letters to the editor were excluded. Studies published prior to 1980 were excluded. Results The literature search resulted in 1536 unique abstracts and yielded 79 studies that met final criteria for inclusion. Seventy-five percent were published after 2010. The distribution of literature was as follows: otology (34.2%), head and neck cancer (20.3%), endocrine surgery (13.9%), rhinology and allergy (8.9%), trauma (5.1%), laryngology (3.8%), other pediatrics (2.5%), and adult sleep (1.3%). Studies on otolaryngology health care systems also accounted for 10.1%. The most common topics studied were practice patterns (41%) and epidemiology (27%), while the Southeast (47%) was the most common US region represented, and database study (42%) was the most common study design. Conclusion Overall, there was low-quality evidence with large gaps in the literature in all subspecialties, most notably facial plastic surgery, laryngology, adult sleep, and pediatrics. Importantly, there were few studies on intervention and zero studies on resident exposure to rural populations, which will be critical to making rural otolaryngology care more equitable in the future.

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