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Proposition of a Shared and Value-Oriented Work Structure for Hospital-Based Health Technology Assessment and Enterprise Risk Management Processes. Int J Technol Assess Health Care 2019; 35:195-203. [PMID: 31023393 DOI: 10.1017/s0266462319000242] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
BACKGROUND Healthcare organizations have invested efforts on hospital-based health technology assessment (HB-HTA) and enterprise risk management (ERM) processes for novel systems to obtain more accurate data on which to base strategic decisions. This study proposes to analyze how HB-HTA and ERM processes can share personal resources and skills to achieve principles with value-oriented results. METHODS Literature on ERM and HB-HTA and data from interviews with healthcare managers compose the research data sources, which were submitted to a qualitative data analysis. It was oriented to identify the association between ERM and HB-HTA application in hospitals and the common principles between both processes, in addition to proposing the capability to share personal resources between both teams in a matrix. RESULTS The common principles and personal background suggested for HB-HTA and ERM teams allowed the build of a matrix identifying how both teams can work in an integrated manner being more effective and value-oriented. The shared resource matrix reports how each professional (with a specific background) may interact with each activity associated to HB-HTA or ERM implementation guidelines. CONCLUSIONS The identification of common principles and capabilities between ERM and HB-HTA suggested advances with the literature from both research areas. The opportunity to share personal resources also contributes to the implementation of those processes in hospitals with less financial resources, approaching its own management to be more efficient with the care chain.
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da Silva Etges APB, Grenon V, de Souza JS, Kliemann Neto FJ, Felix EA. ERM for Health Care Organizations: An Economic Enterprise Risk Management Innovation Program (E 2RM health care). Value Health Reg Issues 2018; 17:102-108. [PMID: 29772471 DOI: 10.1016/j.vhri.2018.03.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2017] [Revised: 03/02/2018] [Accepted: 03/21/2018] [Indexed: 11/27/2022]
Abstract
BACKGROUND In recent years, health care organizations have looked to enterprise risk management (ERM) for novel systems to obtain more accurate data on which to base risk strategies. OBJECTIVE This study proposes a conceptual ERM framework specifically designed for health care organizations. METHODS We explore how hospitals in the United States and Brazil are structuring and implementing ERM processes within their management structure. This study incorporates interviews with 15 chief risk officers (8 from the United States and 7 from Brazil) with qualitative data analysis using NVivo (QSR International software). RESULTS The interviews confirm that adopting ERM for health care organizations has gained momentum and become a priority, and that the demand for risk economic assessment orientation is common among health care risk managers. CONCLUSION We propose an ERM model for health care (Economic Enterprise Risk Management in Health Care) divided into four maturity levels and complemented by an implementation timeline. The model is accompanied by guidelines to orient the gradual implementation of ERM, including orientation to perform risk economic assessment.
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Affiliation(s)
- Ana Paula Beck da Silva Etges
- National Health Technology Assessment Institute, CNPq, Porto Alegre, Rio Grande do Sul, Brazil; Department of Industrial Engineering, UFRGS, Porto Alegre, Rio Grande do Sul, Brazil; School of Technology, PUCRS, Porto Alegre, Rio Grande do Sul, Brazil.
| | | | | | | | - Elaine Aparecida Felix
- Department of Anesthesiology, School of Medicine, UFRGS, Porto Alegre, Rio Grande do Sul, Brazil
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Kang J, Rhew K, Oh JM, Han N, Lee IH, Je NK, Ji E, Lee E, Yoon JH, Rhie SJ. Satisfaction and expressed needs of pharmaceutical care services and challenges recognized by patients in South Korea. Patient Prefer Adherence 2017; 11:1381-1388. [PMID: 28860721 PMCID: PMC5565375 DOI: 10.2147/ppa.s141562] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
PURPOSE To assess the degree of satisfaction and expressed needs of pharmaceutical care services in patients with chronic diseases and explore the factors related to the needs from patients' perspectives for the further development of pharmaceutical care service models. PATIENTS AND METHODS A cross-sectional survey of 220 patients (mean age ± SD: 61.3±13.1, male:female: 104:116) was conducted. The questionnaire was structured to measure patients' degree of satisfaction and expressed needs using a 5-point Likert scale. Additionally, preferred duration, methods of service delivery, and willingness to pay were surveyed. Responses were analyzed using an ordinal regression method to predict factors that were related to pharmaceutical care services. RESULTS Sixty-seven patients had experienced pharmaceutical care services. Their satisfaction levels were high in all categories; however, there were no significant differences between categories. The levels of expressed needs were similar among categories without significant differences. The preferred delivery method was a face-to-face conversation combined with being provided with written information (53.2%). The preferred duration was ≤10 min (70.5%). About 48% of the patients showed willingness to pay for the service. Education level and region influenced patients' needs. CONCLUSION The satisfaction and needs of pharmaceutical care services was very positive; however, noticing only a third of patients experienced pharmaceutical care services, this may indicate a lack of awareness and less appreciation of pharmacists by patients. Details concerning patients' awareness and the value of pharmaceutical care services require further investigation.
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Affiliation(s)
- JiEun Kang
- Division of Life and Pharmaceutical Sciences Graduate School, Ewha Womans University, Seoul, Republic of Korea
- Department of Pharmacy, National Medical Center, Seoul, Republic of Korea
| | - Kiyon Rhew
- College of Pharmacy, Dongduk Women’s University, Seoul, Republic of Korea
| | - Jung Mi Oh
- College of Pharmacy, Seoul National University, Seoul, Republic of Korea
| | - NaYoung Han
- College of Pharmacy, Seoul National University, Seoul, Republic of Korea
| | - Iyn-Hyang Lee
- College of Pharmacy, Yeungnam University, Gyeongbuk, Republic of Korea
| | - Nam Kyung Je
- College of Pharmacy, Pusan National University, Busan, Republic of Korea
| | - Eunhee Ji
- College of Pharmacy, Gachon University, Incheon, Republic of Korea
| | - Euni Lee
- College of Pharmacy, Seoul National University, Seoul, Republic of Korea
| | - Jeong-Hyun Yoon
- College of Pharmacy, Pusan National University, Busan, Republic of Korea
- Jeong-Hyun Yoon, College of Pharmacy, Pusan National University, 2 Busandaehak-ro, 63 beon-gil, Geumjeong-gu, Busan 46241, Republic of Korea, Tel +82 10 5534 3775, Fax +82 51 513 6754, Email
| | - Sandy Jeong Rhie
- Division of Life and Pharmaceutical Sciences Graduate School, Ewha Womans University, Seoul, Republic of Korea
- Correspondence: Sandy Jeong Rhie, Division of Life and Pharmaceutical Sciences Graduate School and College of Pharmacy, Ewha Womans University, 52 Ewhayeodae-gil, Seodaemun-gu, Seoul 03760, Republic of Korea, Tel +82 10 3371 3882, Fax +82 2 3277 2851, Email
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