Journal articles: 'Healthcare relationships'

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Atilla, E. Asuman, Michelle Steward, Zhaohui Wu, and Janet L. Hartley. "Triadic relationships in healthcare." Business Horizons 61, no. 2 (March 2018): 221–28. http://dx.doi.org/10.1016/j.bushor.2017.11.004.

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Reitz, Randall, Paul D. Simmons, Christine Runyan, Jennifer Hodgson, and Stephanie Carter-Henry. "Multiple role relationships in healthcare education." Families, Systems, & Health 31, no. 1 (2013): 96–107. http://dx.doi.org/10.1037/a0031862.

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Levine, Mary Anne. "Relationships Culturally Sensitive Perinatal Home Healthcare." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 12, no. 5 (September 1994): 67–68. http://dx.doi.org/10.1097/00004045-199409000-00009.

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Brown, Adalsteinn. "Impatience and Intergovernmental Relationships in Healthcare." HealthcarePapers 14, no. 3 (October 30, 2014): 4–5. http://dx.doi.org/10.12927/hcpap.2015.24263.

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Oudshoorn, Abe, Catherine Ward-Griffin, Helene Berman, Cheryl Forchuk, and Blake Poland. "Relationships in healthcare and homelessness: Exploring solidarity." Journal of Social Distress and the Homeless 25, no. 2 (July 2, 2016): 95–102. http://dx.doi.org/10.1080/10530789.2016.1254862.

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Bazzoli, Gloria J., Robert H. Miller, and Lawton R. Bums. "Capitated Contracting Roles and Relationships in Healthcare." Journal of Healthcare Management 45, no. 3 (May 2000): 170–88. http://dx.doi.org/10.1097/00115514-200005000-00008.

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Bartunek, J. M. "Intergroup relationships and quality improvement in healthcare." BMJ Quality & Safety 20, Suppl 1 (March 30, 2011): i62—i66. http://dx.doi.org/10.1136/bmjqs.2010.046169.

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Rawwas, Mohammed Y. A., Basharat Javed, Karthik N. S. Iyer, and Baochun Zhao. "Healthcare marketing." International Journal of Pharmaceutical and Healthcare Marketing 13, no. 4 (November 4, 2019): 469–88. http://dx.doi.org/10.1108/ijphm-10-2018-0057.

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Purpose The purpose of this study was to examine the process of the use of management’s positivity and negativity sources and their mediation on pharmaceutical members’ satisfaction that, in turn, enable a health-care organization to meet its business objectives with more agility. Design/methodology/approach Data were obtained from a survey of 106 pharmaceutical members regarding their relationships with management. Findings The results of LISREL analysis revealed that the use of positivity variables such as reward enhanced each of referent, expert and positive conflict; in addition, referent boosted satisfaction. However, the use of negativity variables such as opportunism enhanced power, but weakened each of referent, expert and legitimate power sources. The use of coercion enhanced power too, but produced dissatisfaction. Further, the prevalence of negative conflict caused dissatisfaction. Originality/value This study also reported major contributions when it examined the effect of the mediation of the use of positivity intrinsic power sources on satisfaction. It found that referent power functioned as a full mediator by dropping the amount of the relationship between the use of reward and satisfaction to zero and as a partial mediator by dropping the amount of the relationship between the use of coercion and satisfaction. In addition, the use of referent power mediated the joint effect of both the use of coercion and reward power sources, triggering a positive effect on satisfaction. Several managerial implications were discussed.

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Kemp, Elyria, Ravi Jillapalli, and Enrique Becerra. "Healthcare branding: developing emotionally based consumer brand relationships." Journal of Services Marketing 28, no. 2 (May 6, 2014): 126–37. http://dx.doi.org/10.1108/jsm-08-2012-0157.

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Purpose – Brands can imbue unique meaning to consumers, and such meaning and personal experience with a brand can create an emotional connection and relationship between the consumer and the brand. Just as many service providers have adopted branding strategies, marketers are branding the health care service experience. Health care is an intimate service experience and emotions play an integral role in health care decision making. The purpose of this paper is to examine how emotional or affect-based consumer brand relationships are developed for health care organizations. Design/methodology/approach – Empirical evidence from both depth interviews and data garnered from 322 surveys were integrated into a conceptual model. The model was tested using structural equation modeling. Findings – Results indicate that trust, referent influence and corporate social responsibility are key variables in establishing affective commitment in consumer brand relationships in a health care context. Once affective commitment is achieved, consumers may come to identify with the health care provider's brand and a self-brand connection is formed. When such a phenomenon takes place, consumers can serve as advocates for the brand by actively promoting it via word-of-mouth. Practical implications – The findings provide insight for marketing managers in developing successful branding strategies for health care organizations. Originality/value – This research examines the advantages of cultivating meaningful brand connections and relationships with consumers in a health care context.

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Pound, Carole. "Reciprocity, resources, and relationships: New discourses in healthcare, personal, and social relationships*." International Journal of Speech-Language Pathology 13, no. 3 (May 12, 2011): 197–206. http://dx.doi.org/10.3109/17549507.2011.530692.

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Ashurst, Adrian. "Developing effective working relationships with external healthcare services." Nursing and Residential Care 22, no. 6 (June 2, 2020): 1–3. http://dx.doi.org/10.12968/nrec.2020.22.6.13.

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Now, more than ever, establishing a good partnership between a home and healthcare service providers is incredibly important. Adrian Ashurst discusses relationship-building strategies and what to do should a health professional need to visit residents during the pandemic

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Willis, Kent, and Colleen Marzilli. "Conceptualizing Narrative Health and Medicine to Develop Cultural Competence to Improve Communication During the COVID-19 Pandemic." Advances in Social Sciences Research Journal 8, no. 1 (January 17, 2021): 32–36. http://dx.doi.org/10.14738/assrj.81.9577.

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Narrative health is a technique that healthcare professionals can use to connect with patients. The events of 2020, including the global severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), have identified that patient care is largely dependent upon relationships within the healthcare environment. Relationships in the healthcare environment are established through a trusting exchange between the patient and provider, and one technique to develop this relationship and trust is through narrative health. Narrative health provides the exchange of information between patient and provider in a discussion-like manner, or narrative health. This strategy promotes cultural competence amongst the healthcare professional team and improves communication between the patient and provider. Narrative health is an important concept for healthcare professionals to understand, and narrative health should be a part of any healthcare professional’s toolbox, especially in vulnerable times like the COVID pandemic. The inclusion of narrative health in practice has the potential to improve patient outcomes and empower healthcare professionals and patients.

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Moreira, Antonio Carrizo, and Pedro Miguel Silva. "The trust-commitment challenge in service quality-loyalty relationships." International Journal of Health Care Quality Assurance 28, no. 3 (April 20, 2015): 253–66. http://dx.doi.org/10.1108/ijhcqa-02-2014-0017.

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Purpose – The purpose of this paper is to develop and empirically test a model to examine service quality, satisfaction, trust and commitment as loyalty antecedents in a private healthcare service. Design/methodology/approach – The approach was tested using structural equation modelling, involving 175 patients from a private Portuguese healthcare unit, using a revised Service Quality Assessment Scale (SQAS) scale for service quality evaluation. Findings – The scale used to evaluate service quality is valid and meaningful. Service quality proved to be a multidimensional construct and relevant to build satisfaction. The path satisfaction→trust→loyalty was validated, whereas the path satisfaction→commitment→loyalty was not statistically supported. Research limitations/implications – The revised SQAS scale showed good internal consistency in healthcare context. Further trust-commitment antecedents must be examined in a private healthcare landscape to generalise the findings. Practical implications – Healthcare quality managers must explore the service quality dimensions to generate satisfaction among their patients. Developing trust generates positive patient attitudes and loyalty. Originality/value – This study explores using the SQAS scale in a private healthcare context. The authors provide further evidence that service quality is an antecedent and different from satisfaction. All the measures used proved to be valid and reliable. Trust and commitment play different roles in their relationship with loyalty.

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Ma, Shaozhuang, Xuehu Xu, Virginia Trigo, and Nelson J. C. Ramalho. "Doctor-patient relationships (DPR) in China." Journal of Health Organization and Management 31, no. 1 (March 20, 2017): 110–24. http://dx.doi.org/10.1108/jhom-09-2016-0165.

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Purpose The purpose of this paper is twofold: first, to develop and test theory on how commitment human resource (HR) practices affect hospital professionals’ job satisfaction that motivates them to generate desirable patient care and subsequently improve doctor-patient relationships (DPR) and second, to examine how commitment HR practices influence hospital managers and clinicians in different ways. Design/methodology/approach Using a cross-sectional survey, the authors collected data from 508 clinicians and hospital managers from 33 tertiary public hospitals in China. Structural equation model was employed to test the relationships of the variables in the study. Findings Commitment HR practices positively affect the job satisfaction of the healthcare professionals surveyed and a positive relationship is perceived between job satisfaction and DPR. Overall, the model shows a reversal on the strongest path linking job satisfaction and DPR whereby managers’ main association operates through extrinsic job satisfaction while for clinicians it occurs through intrinsic satisfaction only. Practical implications DPR might be improved by applying commitment HR practices to increase healthcare professional’s intrinsic and extrinsic satisfaction. In addition, while recognizing the importance of compensation and benefits to address the underpayment issue of Chinese healthcare professionals, empowerment and autonomy in work, and the use of subjects’ expertise and skills may serve as stronger motivators for clinicians rather than hard economic incentives in achieving DPR improvements. Originality/value This study contributes to the small but growing body of research on human resource management (HRM) in the healthcare sector with new evidence supporting the link between commitment HR practice and work attitudes, as well as work attitudes and patient care from the perspective of clinicians and hospital managers. This study represents an initial attempt to examine the associations among commitment HR practices, job satisfaction and DPR in the Chinese healthcare sector. The findings provide evidence to support the value of commitment HR practices in Chinese hospital context, and demonstrate the importance of effective HRM in improving both hospital managers and clinicians’ work attitudes.

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Joseph, Sindhu. "Relationship Quality in Geriatric Healthcare Delivery: A sustainable model." Asia Pacific Journal of Health Management 16, no. 2 (June 27, 2021): 65–74. http://dx.doi.org/10.24083/apjhm.v16i2.675.

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Objective: This study is undertaken to examine geriatric relationship quality in healthcare delivery in Kerala. Drawing the hypothetical relationship, a model for elderly geriatric healthcare delivery to be developed. Methods: A Structural Equation Modelling technique, based on a positivist approach, was employed to analyse the association between relationship quality and geriatric healthcare delivery. The data was collected from 405 elderly people in Kerala between June 2020 and November 2020. Results: A consistent empirical model of predictive relationships between the hypothesized variables was found, and a geriatric relationship quality healthcare model was developed. Service quality has emerged as a significant determinant of relationship quality. Even though patient centricity is not hypothetically related to relationship quality, it is a significant determinant of service quality. Conclusion: Geriatric healthcare management must consider relationship quality as a prominent factor while evaluating the quality of healthcare delivery as it is the outcome of all the structural and procedural aspects.

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Huang, Kun, and Uday Desai. "Healthcare Organizational Learning and Changes in Network Relationships (WITHDRAWN)." Academy of Management Proceedings 2016, no. 1 (January 2016): 13430. http://dx.doi.org/10.5465/ambpp.2016.13430abstract.

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Sreeramoju, Pranavi V., and Robert C. Connally. "Healthcare Personnel Relationships Related to Coordination of Catheter Care." Infection Control & Hospital Epidemiology 39, no. 2 (January 14, 2018): 248–50. http://dx.doi.org/10.1017/ice.2017.294.

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Thorpe, Darrell P. "PRACTITIONER APPLICATION: Capitated Contracting Roles and Relationships in Healthcare." Journal of Healthcare Management 45, no. 3 (May 2000): 187–88. http://dx.doi.org/10.1097/00115514-200005000-00009.

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Kim, Hee Kyung, and Chang Won Lee. "Relationships among Healthcare Digitalization, Social Capital, and Supply Chain Performance in the Healthcare Manufacturing Industry." International Journal of Environmental Research and Public Health 18, no. 4 (February 3, 2021): 1417. http://dx.doi.org/10.3390/ijerph18041417.

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Due to the impact of coronavirus disease 2019 (COVID-19), automation and artificial intelligence (AI) have attracted renewed interest in multiple industrial fields. Global manufacturing bases were affected strongly by workforce shortages associated with the spread of COVID-19, and are working to increase productivity by embracing digital manufacturing technologies that take advantage of artificial intelligence and the Internet of Things (IoT) that offer the promise of improved connectivity among supply chains. This trend can increase and smooth the flow of social capital, which is a potential resource in supply chains and can affect supply chain performance in healthcare industry. However, such an issue has not been properly recognized as the best practice in healthcare industry. Thus, this study investigates empirically the relationship between digitalization and supply chain performance in healthcare manufacturing companies based on previous research that proposed a role for social capital. We surveyed the staff of domestic small and medium-sized healthcare manufacturing companies in South Korea currently operating or planning to deploy digital manufacturing technologies. Online and email surveys were utilized to collect the data. Invalid responses were excluded and the remaining 130 responses were analyzed using a structural equation model in SPSS with the AMOS module. We found that digitalization has a positive effect on the formation of social capital, which in turn has a positive effect on supply chain performance. The direct effect of digitalization on supply chain performance is small, and relatively large portions are mediated and influenced by social capital. The establishment of strategic relationships in the healthcare manufacturing industry is significant, as supply chain networks and production processes can influence the intended use of factory output. Companies should, therefore, secure timely and accurate information to manage the flow of products and services. The formation of social capital in the supply chain can help visualize entire supply chains and has a positive effect on real-time information-sharing among key elements of those chains.

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Luu, Tuan Trong, and Nikola Djurkovic. "Paternalistic leadership and idiosyncratic deals in a healthcare context." Management Decision 57, no. 3 (March 11, 2019): 621–48. http://dx.doi.org/10.1108/md-06-2017-0595.

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PurposeReflecting a behavioral orientation specific to leaders in Confucian-based cultures, paternalistic leadership appears relevant to the Vietnamese business context. Taking healthcare organizations in Vietnam as a source of data collection, the purpose of this paper is to seek an insight into the relationship between paternalistic leadership and idiosyncratic deals (i-deals) among clinical members.Design/methodology/approachThe data were harvested from 1,182 clinical employees and 168 direct supervisors from 19 hospitals in Ho Chi Minh City, Vietnam.FindingsThe data analysis revealed that authoritarian leadership behaviors displayed a weak negative link with employees’ i-deals, while the benevolence and morality dimensions of paternalistic leadership exhibited positive relationships with i-deals. The research results also provide evidence for the roles of organizational identification and role breadth self-efficacy (RBSE) in mediating the relationships between paternalistic leadership dimensions and i-deals. The current study also verified the utility of employees’ flexible role identity as an enhancer of both the relationship between organizational identification and i-deals, as well as of the relationship between RBSE and i-deals.Originality/valueThis study extends the leadership literature by unveiling the role of paternalistic leadership in fostering i-deals among clinicians through organizational identification and RBSE as dual mediation paths as well as flexible role identity as a moderator of the relationship between both organizational identification and RBSE and i-deals.

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Price, Amy, Tamoghna Biswas, and Rakesh Biswas. "Person-centered healthcare in the information age: Experiences from a user driven healthcare network." European Journal for Person Centered Healthcare 1, no. 2 (November 18, 2013): 385. http://dx.doi.org/10.5750/ejpch.v1i2.766.

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Person-centered healthcare is central to the practice of compassionate medicine. The practice of person-centered healthcare occurs when intuitive and organizational thinking is engaged harmoniously, rather than in competition. Present healthcare systems relegate core providers and patients to 10-minute appointments for the purpose of meeting budgetary or patient access targets. It is unrealistic to expect such a system to be sufficient to share values and expertise. Often, important questions are left to those without the experience or expertise to answer. Person-centered healthcare can empower people to escape from fragmented medical care and displaced knowledge. The roles of patient and doctor can better serve medicine by asking all to go beyond their assigned roles to communicate and form relationships. These working partnerships will respect individual and role-based values, strengths and weaknesses. Being a patient is a condition or state somewhere between death and life that it is common to all. The patient is not an entity, but a person. Providing medical care is a profession, it is what physicians do, not who they are. Without cooperation between doctor and patient, medical intervention loses power and effectiveness. The consultation may be temporarily seized by social force and dominance, but it is maintained by respect and relationship. Respect is earned and negotiated by listening, observing and then acting in the best interests of others. This requires sensitive negotiation and the desire to build the bridges in medicine between knowledge and need. Great negotiators make it their business to know the strengths, values, needs and limitations of others. Power is intrinsically bound to what we value. What we value is what we will invest in. Let us assess the conditions we have to work with, reason together and build respect, access and relationships in healthcare.

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SHAPIRO, ROBYN S., KRISTEN A. TYM, JEFFREY L. GUDMUNDSON, ARTHUR R. DERSE, and JOHN P. KLEIN. "Managed Care: Effects on the Physician-Patient Relationship." Cambridge Quarterly of Healthcare Ethics 9, no. 1 (January 2000): 71–81. http://dx.doi.org/10.1017/s0963180100901075.

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Over the past several years, healthcare has been profoundly altered by the growth of managed care. Because managed care integrates the financing and delivery of healthcare services, it dramatically alters the roles and relationships among providers, payers, and patients. While analysis of this change has focused on whether and how managed care can control costs, an increasingly important concern among healthcare providers and recipients is the impact of managed care on the physician–patient relationship. The literature includes a number of theoretical articles and anecdotal accounts of managed care's impact on the doctor–patient relationship, but little data have been collected and analyzed. We designed a survey for distribution to Wisconsin physicians to analyze the prevalence and types of managed care arrangements in the state, and the impact of these arrangements on physicians and their relationships with patients.

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Kim, Sukwon. "Relationships between Levels of Patient Satisfaction and Various External Factors in the Healthcare Industry: Part 3." International Journal of Innovative Research in Computer Science & Technology 6, no. 5 (September 2018): 99–101. http://dx.doi.org/10.21276/ijircst.2018.6.5.2.

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Kokanuch, Anchalee, and Khwanruedee Tuntrabundit. "Knowledge sharing capability in healthcare organizations." Journal of Asia Business Studies 11, no. 2 (May 2, 2017): 135–51. http://dx.doi.org/10.1108/jabs-10-2015-0183.

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Purpose The purpose of this study is to examine the effect of organizational culture and stakeholders’ expectations on the relationship between organizational factors and organizations’ knowledge-sharing capability. Design/methodology/approach The data were collected from public and private hospital administrators in Thailand via a questionnaire. To test the hypotheses, the data were analyzed using regression analysis. Findings The results reveal that organizational culture has a positive effect on the relationship between organizational climate and knowledge integration, while stakeholders’ expectations have positive effects on the relationships between organizational climate and interchanging knowledge. Research limitations/implications The present study focuses on knowledge sharing at an organizational level; future studies should examine knowledge sharing at both the organizational and individual levels. Practical implications This paper focuses on the effect of organizational factors on knowledge-sharing capability in hospitals. Executives should support the organizational climate and collaborative organizational culture for promoting knowledge integration in an organization. Furthermore, interchanging knowledge and organizational climate could be emphasized by the expectations of stakeholders. Originality/value Design of organizational climate, organizational culture, and expectations of stakeholders contribute to knowledge sharing at an organizational level.

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Manning-Walsh, Juanita. "Relationship-Centered Care: The Expanding Cup Model." International Journal of Human Caring 8, no. 2 (March 2004): 27–32. http://dx.doi.org/10.20467/1091-5710.8.2.27.

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Relationships are at the core of human needs. However, despite nursing’s long history of emphasizing caring in relationships, the focus of healthcare delivery and education, defined largely by the biomedical model, has been on illness, curing, and healthcare financing. This conceptual framework is an interdisciplinary model developed to provide a guide for healthcare practitioners and educators in both practice and curricular development. It will appeal to those of many disciplines who want to infuse curricula or organizations with a new sense of meaning and spirit. RCC: the expanding cup model provides new insights and opportunities for intervention and research within the context of relationships.

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Nolan, Steve. "Healthcare Chaplains Responding to Change: Embracing Outcomes or Reaffirming Relationships?" Health and Social Care Chaplaincy 3, no. 2 (May 12, 2015): 93–109. http://dx.doi.org/10.1558/hscc.v3i2.27068.

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Gittell, Jody Hoffer, Marjorie Godfrey, and Jill Thistlethwaite. "Interprofessional collaborative practice and relational coordination: Improving healthcare through relationships." Journal of Interprofessional Care 27, no. 3 (October 19, 2012): 210–13. http://dx.doi.org/10.3109/13561820.2012.730564.

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Romiti, Anna, Mario Del Vecchio, and Maddalena Grazzini. "Models for governing relationships in healthcare organizations: Some empirical evidence." Health Services Management Research 31, no. 2 (March 16, 2018): 85–96. http://dx.doi.org/10.1177/0951484818762014.

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Recently, most European countries have undergone integration processes through mergers and strategic alliances between healthcare organizations. The present paper examined three cases within the Italian National Health Service in order to determine how different organizations, within differing institutional contexts, govern an healthcare integration process. Furthermore, we explored the possibility that the governance mode, usually seen as alternatives (i.e., merger or alliance), could be considered as a separate step in the development of a more suitable integration process. Multiple case studies were used to compare different integration approaches. Specifically, three cases were considered, of which two were characterized by collaborative processes and the other by a merger. Semi-structured interviews were conducted with managers involved in the processes. Each case presents different governing modes, structures, and mechanisms for achieving integration. The role played by the institutional context also led to different results with unique advantages and disadvantages. Three main conclusions are discussed: (a) Alliances and mergers can be interpreted as different steps in a path leading to a better integration; (b) The alignment between institutional/political time horizon and the time needed for the organizations to achieve an integration process lead to a better integration; (c) Trust plays an important role in integration process operating at different levels that of institutional and organizational level and that built between people.

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Holm, Craig E., and Louis D. Glaser. "Restructuring Employment Relationships Between Healthcare Organizations and Primary Care Physicians." Journal of Healthcare Management 45, no. 4 (July 2000): 218–21. http://dx.doi.org/10.1097/00115514-200007000-00003.

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Matinheikki, Juri, Katri Kauppi, Erik M. Van Raaij, and Alistair Brandon-Jones. "Value-based Procurement and Agency Problems in Triadic Healthcare Relationships." Academy of Management Proceedings 2021, no. 1 (August 2021): 13115. http://dx.doi.org/10.5465/ambpp.2021.13115abstract.

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Tsui, Jennifer, Jenna Howard, William L. Miller, Denalee M. O'Malley, Shawna V. Hudson, Ellen Rubinstein, Alicja Bator, and Benjamin F. Crabtree. "Opportunities for improving cancer care management through primary care-oncology relationships." Journal of Clinical Oncology 36, no. 30_suppl (October 20, 2018): 80. http://dx.doi.org/10.1200/jco.2018.36.30_suppl.80.

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80 Background: Improvements in the management of care transitions between primary care and oncology are critical for achieving optimal care quality and outcomes for cancer patients and survivors. We examine relationships between innovative PC practices and oncologists to inform and strengthen PC-oncology interfaces in diverse healthcare settings. Methods: Comparative case studies of 14 innovative PC practices throughout the United States examined strategies for providing cancer survivorship care. Field researchers observed each practice for 10-12 days, recording fieldnotes and conducting key informant and formal, semi-structured interviews with clinicians and staff. We extracted all data related to PC-oncology relationships and then collaboratively identified patterns to characterize these relationships through an inductive “immersion/crystallization” analysis process. Results: Nine of the 14 practices discussed either formal or informal PC-oncology relationships. Nearly all practices with existing formal PC-oncology relationships were embedded within healthcare systems. Private, independent practices had more informal relationships between individual PC physicians and specific oncologists. Practices with formal relationships noted ease of communication and transfer of patient information, timeliness in patient referrals, and direct access to oncologists; while practices with informal relationships noted the benefits of having close engagement with specific oncologists. Regardless of relationship type, remaining challenges include lack of clarity about roles during cancer treatment and beyond. Conclusions: With the rapid transformation of U.S. healthcare towards system ownership of primary care practices, efforts are needed to integrate the strengths of both formal and informal PC-oncology relationships to improve care for cancer patients and survivors.

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Bellio, Elena, and Luca Buccoliero. "Main factors affecting perceived quality in healthcare: a patient perspective approach." TQM Journal 33, no. 7 (July 20, 2021): 176–92. http://dx.doi.org/10.1108/tqm-11-2020-0274.

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PurposeDelivering patient-centered healthcare is now seen as one of the basic requirements of good quality care. In this research, the impact of the perceived quality of three experiential dimensions (Physical Environment, Empowerment and Dignity and Patient–Doctor Relationship) on patient's Experiential Satisfaction is assessed.Design/methodology/approach259 structured interviews were performed with patients in private and public hospitals across Italy. The research methodology is based in testing mediation and moderation effects of the selected variables.FindingsThe study shows that: perceived quality of Physical Environment has a positive impact on patient's Experiential Satisfaction; perceived quality of Empowerment and Dignity and perceived quality of Patient–Doctor Relationship mediate this relationship reinforcing the role of Physical Environment on Experiential Satisfaction; educational level is a moderator in the relationship between perceived quality of Patient–Doctor Relationship and overall Satisfaction: more educated patients pay more attention to relational items. Subjective Health Frailty is a moderator in all the tested relationships with Experiential Satisfaction: patients who perceive their health as frail are more reactive to the quality of the above-mentioned variables.Originality/valuePhysical Environment items are enablers of both Empowerment and Dignity and Patient–Doctor Relationship and these variables must be addressed all together in order to improve the value proposition provided to patients. Designing a hospital, beyond technical requirements that modern medicine demands and functional relationships between different medical departments, means dealing with issues like the anxiety of the patient, the stressful working environment for the hospital staff and the need to build a sustainable and healing building.

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Maarse, Hans, Patrick Jeurissen, and Dirk Ruwaard. "Results of the market-oriented reform in the Netherlands: a review." Health Economics, Policy and Law 11, no. 2 (August 17, 2015): 161–78. http://dx.doi.org/10.1017/s1744133115000353.

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AbstractThe market-oriented reform in the Dutch health care system is now in its 10th year. This article offers a concise overview of some of its effects thus far on health insurance, healthcare purchasing and healthcare provision. Furthermore, attention is given to its impact on healthcare expenditures, power and trust relationships as well as the relationship between the Minister of Health and the Dutch Healthcare Authority. The reform triggered various alterations in Dutch health care some occurring quickly (e.g. health insurance), others taking longer (e.g. purchasing). These developments suggest a process of gradual transformation. The reform has instigated controversy which is increasingly framed as a power conflict between insurers and providers. Weakened consumer trust in insurers threatens the legitimacy of the reform. The relationship between Minister and Healthcare Authority appears to be more intimate than the formal independent status of this regulatory agency would suggest.

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Moretta Tartaglione, Andrea, Ylenia Cavacece, Fabio Cassia, and Giuseppe Russo. "The excellence of patient-centered healthcare." TQM Journal 30, no. 2 (March 5, 2018): 153–67. http://dx.doi.org/10.1108/tqm-11-2017-0138.

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Purpose Nowadays, international healthcare agendas are focused on patient centeredness. Policies are aimed at improving patient’s satisfaction by enhancing patient empowerment and value co-creation. However, a comprehensive model addressing the relationships between these constructs has not so far been developed. The purpose of this paper is to develop and test a model which explains the effects of patient empowerment and value co-creation on patients’ satisfaction with the quality of the services they experience. Design/methodology/approach The links between patient satisfaction, empowerment and value co-creation are theoretically outlined via an in-depth literature review. The resulting model is tested through a survey administered to 186 chronically ill patients. The results are analyzed through covariance-based structural equation modeling. Findings The results show that patient empowerment positively influences value co-creation which, in turn, is positively related to patient satisfaction. In addition, the analysis reveals that patient empowerment has no direct effects on satisfaction. Research limitations/implications Although the cross-sectional design made it possible to clearly estimate the relationships among variables, it overlooked the longitudinal dimensions of co-creation processes. Practical implications The study provides practitioners with suggestions to design patient-centered healthcare services by leveraging on patient knowledge, participation, responsibility in care and involvement in the value-creation process. Originality/value Over the last decade, healthcare management literature has shifted its focus from healthcare organizations to patients. The number of contributions about patient satisfaction, empowerment and value co-creation exponentially increased. However, these dimensions are often studied separately. This work advances available knowledge by clarifying and testing the relationships between these three constructs.

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Werhane, Patricia H., and Mary V. Rorty. "Organization Ethics in Healthcare." Cambridge Quarterly of Healthcare Ethics 9, no. 2 (April 2000): 145–46. http://dx.doi.org/10.1017/s0963180100902019.

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Bioethics, clinical ethics, and professional ethics are mature, well-developed fields of applied ethics that focus on medical research, patient autonomy and patient care, patient–healthcare professional relationships, and issues that arise in clinical and other medical settings. However, despite these developments, little attention has been paid to the organizational aspects of healthcare in these fields. This is surprising, because in the last 30 years healthcare has become more and more institutionalized in provider, management, and insurer organizations. Despite JCAHO's preoccupation with organizational ethics during the last decade, the philosophical underpinnings of their requirements have been less explored in the literature. Clinical ethics remains preoccupied with clinical patient care and professional ethics with individual professional guidelines; even the American College of Healthcare Executives focuses primarily on healthcare managers, not on healthcare organizations.

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Srivastava, Shefali, and Gyan Prakash. "Enhancing Modularity in Healthcare Services Through Integration." Asia-Pacific Journal of Management Research and Innovation 15, no. 3 (September 2019): 97–110. http://dx.doi.org/10.1177/2319510x19883077.

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The objective of this article is to identify and validate the theoretical relationships between facilitators of modular architecture in healthcare service delivery context. The relationships among heterogeneity in healthcare services, coordinated care pathways, organisational orientation, integrated supply chain performance and modularity in health service delivery were explored. A structural model was developed based on a literature review. A 35-item questionnaire was circulated among service providers in the healthcare system all over India. A cross-sectional research design was used to assess the framework of research. The random sampling method was adopted to collect data. A total of 127 valid responses were received. Data analysis was performed using partial least square structural equation modelling (PLS-SEM).Results reveal that modular architecture can be achieved by building an environment which has coordinated and integrated efforts of service providers incorporated with enhanced organisational orientation. The study added insights to the theory of modular systems. The authors recognise that modularity helps in enhancing the patient-centric orientation. The findings provide potentially important information to health service managers and providers, enabling them to understand the requisites of modular architecture. This is the first study exploring the relationships between facilitators of modularity in healthcare services. The study complements literature on service modularity with reference to specialised care unit of maternity services.

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Trinchero, Elisabetta, Ben Farr-Wharton, and Yvonne Brunetto. "A social exchange perspective for achieving safety culture in healthcare organizations." International Journal of Public Sector Management 32, no. 2 (March 4, 2019): 142–56. http://dx.doi.org/10.1108/ijpsm-06-2017-0168.

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PurposeUsing social exchange theory (SET) and Cooper’s (2000) model, the purpose of this paper is to operationalise a comprehensive model of safety culture and tests whether SET factors (supervisor-employee relationships and engagement) predict safety culture in a causal chain.Design/methodology/approachThe model was tested using surveys from 648 healthcare staff in an Italian acute care hospital and analysed using structural equation modelling.FindingsSafety behaviours of clinical staff can be explained by the quality of the supervisor-employee relationship, their engagement, their feelings about safety and the quality of organisational support.Practical implicationsThe model provides a roadmap for strategically embedding effective safe behaviours. Management needs to improve healthcare staff’s workplace relationships to enhance engagement and to shape beliefs about safety practices.Originality/valueThe contribution of this paper is that it has empirically developed and tested a comprehensive model of safety culture that identifies a causal chain for healthcare managers to follow so as to embed an effective safety culture.

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Peeters, Evelyn J. H. "Quality Pastoral Relationships in Healthcare Settings: Guidelines for Codes of Ethics." Journal of Pastoral Care & Counseling: Advancing theory and professional practice through scholarly and reflective publications 74, no. 1 (March 2020): 42–52. http://dx.doi.org/10.1177/1542305019897555.

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“Pastoral caregiver–patient relationships” sections in ethical codes commonly provide a list of principles, proscriptions and prescriptions, with a focus on boundaries to safeguard the professional character of pastoral relationships and avert their harmful potential. The article promotes this code section’s coherency and comprehensiveness by respectively (i) drawing a framework in the context of which ethical guidance can be orderly presented, and (ii) focusing on the inter-personal core of pastoral relationships and their healing potential.

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Pate, Christopher L., and Joyce E. Turner-Ferrier. "Exploring Linkages between Quality, E-Health and Healthcare Education." International Journal of Healthcare Delivery Reform Initiatives 2, no. 4 (October 2010): 66–81. http://dx.doi.org/10.4018/978-1-61692-843-8.ch013.

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This chapter explores the concept of e-health as it relates to healthcare delivery, healthcare quality and education. Although the concept of e-health is emerging and lacks clear definition, a body of literature in healthcare policy and organization has focused on many of themes and ideas that are relevant to the study of e-health. This chapter introduces several frameworks and concepts that are essential for an inquiry into the relationships between e-health and quality-related outcomes in healthcare and educational settings. This chapter addresses these relationships by discussing and defining the concept of e-health, discussing central linkages between e-health and quality-related healthcare outcomes, and highlighting key themes between health education, technology and quality.

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Sow, Mouhamadou, Jeanie Murphy, and Rosa Osuoha. "The Relationship between Leadership Style, Organizational Culture, and Job Satisfaction in the U.S. Healthcare Industry." Management and Economics Research Journal 03 (2017): 1. http://dx.doi.org/10.18639/merj.2017.03.403737.

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The purpose of this quantitative, correlational study, based on the theoretical framework of transformational leadership, was to examine the relationships between leadership style, organizational culture, and job satisfaction in the U.S. healthcare industry. The study addressed a problem faced by U.S. healthcare leaders, who are currently unaware as to how transformational leadership and organizational culture can impact job satisfaction in an industry with high burnout and low satisfaction levels. The following research questions were posed: (1) Is there a statistically significant relationship between transformational leadership and job satisfaction in the U.S. healthcare industry? (2) Is there a statistically significant relationship between organizational culture and job satisfaction in the U.S. healthcare industry? (3) Is the relationship between transformational leadership and job satisfaction in the U.S. healthcare industry mediated by organizational culture? Data to answer the research questions were collected through simple random sampling processes that resulted in a sample of 111 American healthcare employees and analyzed with Stata software. The main finding of the study was that an apparent effect of transformational leadership on job satisfaction disappeared when organizational culture variables were taken into consideration. The results suggest that healthcare organizations should attempt to move away from externally focused cultures in order to increase job satisfaction. Such a move could improve social outcomes by improving the quality of work for millions of stressed American healthcare employees.

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Jacob, SC, J. Manalel, and MC Minimol. "Service quality in the healthcare sector: do human resource management practices matter?" British Journal of Healthcare Management 26, no. 2 (February 2, 2020): 1–9. http://dx.doi.org/10.12968/bjhc.2019.0009.

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Background/aims Service quality in hospitals is determined by the quality of staff interactions with patients. Human resource (HR) management practices play a significant role in the recruitment and retention of high calibre hospital staff. This study aimed to investigate how HR management practices affect employees' performance-related outcomes, such as their commitment to delivering a good standard of care and their perceptions of the quality of service that their hospital provides. Methods An integrated causal model was designed and tested by surveying the staff of hospitals in India. A total of 1236 usable response sets were analysed through structural equation modelling to test the relationships between HR management practices and employee performance-related outcomes. Results All but two of the relationships described by the model were found to be significant. The relationship between employees' commitment to their organisation and their perceptions of the service's quality and the relationship between HR management practices and employee commitment to delivering good service quality were found to be non-significant. Conclusion The integrated causal model could help healthcare managers to identify and strategically plan HR management practices to target desired employee performance-related outcomes in the hospital sector.

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Poulose, Shobitha, and N. Sudarsan. "Assessing the influence of work-life balance dimensions among nurses in the healthcare sector." Journal of Management Development 36, no. 3 (April 10, 2017): 427–37. http://dx.doi.org/10.1108/jmd-12-2015-0188.

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Purpose The purpose of this paper is to investigate the influence of work-related factors, namely work overload and work support on work-life balance (WLB) dimensions and its significant impact on work satisfaction particularly among South Indian nurses in the healthcare sector. Design/methodology/approach The study was carried out in the healthcare sector comprising of 182 nurses employed in various hospitals located in southern parts of India through a structured questionnaire. The study adopted Barron and Kenny’s mediated regression analysis. Findings Work satisfaction showed a significant negative relationship with work overload and a positive relationship with work support. WLB dimensions, namely work to personal life strains, personal life to work strains, work to personal life gains (WPLG) and personal life to work gains mediated the relationships between work support and work satisfaction. However, WPLG mediated the relationships between work overload and work satisfaction. Practical implications The present investigation directed toward the importance of work-personal life balance experienced by the nurses in the healthcare sector imperatively influence both work and personal life domains and the study suggests that support from the organization, superiors and peers can go a long way in helping the incumbents to attain improved organizational outcomes. Originality/value This study focuses on investigating the mediating role of WLB dimensions in the relationship between organizational-related factors and work satisfaction among nurses in the healthcare sector in South India.

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Halpert, Albena, and Ellen Godena. "Irritable bowel syndrome patients' perspectives on their relationships with healthcare providers." Scandinavian Journal of Gastroenterology 46, no. 7-8 (May 11, 2011): 823–30. http://dx.doi.org/10.3109/00365521.2011.574729.

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Migowski, Sérgio Almeida, Iuri Gavronski, Cláudia de Souza Libânio, Eliana Rustick Migowski, and Francisco Dias Duarte. "Efficiency Losses in Healthcare Organizations Caused by Lack of Interpersonal Relationships." Revista de Administração Contemporânea 23, no. 2 (March 2019): 207–27. http://dx.doi.org/10.1590/1982-7849rac2019170396.

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Abstract Despite all quality management and integration literature prescriptions to implement strategies for a better organizational performance, healthcare organizations support a model that is inefficient, expensive, and unsustainable over time. This work aims to examine the interpersonal relationships in three large hospitals located in Southern Brazil and its relation with organizational efficiency. Through a qualitative and explanatory research, semi-structured interviews were applied to 32 professionals, in addition to a document analysis. The data analysis shows that integration occurs at the formal leadership level only in one of the organizations and does not involve the medical and operational professionals. Quality management seems not to be fully incorporated into care routines, and are related to efficiency losses. This scenario is probably related to the lack of integration among the professionals and the consolidation of trust, leadership, and communication.

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Matharu, K. "Using Indigenous Australian drama to break cultural barriers in healthcare relationships." Medical Humanities 35, no. 1 (May 29, 2009): 47–53. http://dx.doi.org/10.1136/jmh.2008.000364.

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HYDeN, LARS-CHRISTER, and CHRISTINA BAGGENS. "Joint working relationships: Children, parents and child healthcare nurses at work." Communication Medicine 1, no. 1 (April 29, 2004): 71–83. http://dx.doi.org/10.1515/come.2004.007.

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Velikova, Marina, Josien Terwisscha van Scheltinga, Peter J. F. Lucas, and Marc Spaanderman. "Exploiting causal functional relationships in Bayesian network modelling for personalised healthcare." International Journal of Approximate Reasoning 55, no. 1 (January 2014): 59–73. http://dx.doi.org/10.1016/j.ijar.2013.03.016.

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Nov, Oded, Yindalon Aphinyanaphongs, Yvonne W. Lui, Devin Mann, Maurizio Porfiri, Mark Riedl, John-Ross Rizzo, and Batia Wiesenfeld. "The transformation of patient-clinician relationships with AI-based medical advice." Communications of the ACM 64, no. 3 (March 2021): 46–48. http://dx.doi.org/10.1145/3417518.

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Wang, Lidong, and Cheryl Ann Alexander. "Big Data Analytics in Healthcare Systems." International Journal of Mathematical, Engineering and Management Sciences 4, no. 1 (February 1, 2019): 17–26. http://dx.doi.org/10.33889/ijmems.2019.4.1-002.

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Big Data analytics can improve patient outcomes, advance and personalize care, improve provider relationships with patients, and reduce medical spending. This paper introduces healthcare data, big data in healthcare systems, and applications and advantages of Big Data analytics in healthcare. We also present the technological progress of big data in healthcare, such as cloud computing and stream processing. Challenges of Big Data analytics in healthcare systems are also discussed.

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Horne, S. T., I. Gurney, J. E. Smith, and R. Sullivan. "Medical Civil–Military Relationships: A Feasibility Study of a United Kingdom Deployment in South Sudan." Disaster Medicine and Public Health Preparedness 14, no. 5 (August 22, 2019): 568–76. http://dx.doi.org/10.1017/dmp.2019.76.

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ABSTRACTObjectives:Civil–military relationships are necessary in humanitarian emergencies but, if poorly managed, may be detrimental to the efforts of humanitarian organizations. Awareness of guidelines and understanding of risks relating to the relationship among deployed military personnel have not been evaluated.Methods:Fifty-five military and 12 humanitarian healthcare workers in South Sudan completed questionnaires covering experience, training and role, agreement with statements about the deployment, and free text comments.Results:Both cohorts were equally aware of current guidance. Eight themes defined the relationship. There was disagreement about the benefit to the South Sudanese people of the military deployment, and whether military service was compatible with beneficial health impacts. Two key obstacles to the relationship and 3 areas the relationship could be developed were identified.Conclusion:This study shows that United Kingdom military personnel are effectively trained and understand the constraints on the civil–military relationship. Seven themes in common between the groups describe the relationship. Current guidance could be adapted to allow a different relationship for healthcare workers.

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Journal articles on the topic 'Healthcare relationships'

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