1
|
Kriegel J, Rissbacher C. Digitaler Reifegrad der Krankenhausversorgung –
Ausgangssituation und Handlungsoptionen für eine forcierte digitale
Transformation in österreichischen
Krankenhäusern. GESUNDHEITSÖKONOMIE & QUALITÄTSMANAGEMENT 2022. [DOI: 10.1055/a-1951-8197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Zusammenfassung
Zielsetzung Die stationäre Patientenversorgung in
österreichischen Krankenhäusern wird bestimmt durch
arbeitsteilige, interdisziplinäre und komplexe Leistungsprozesse, die
durch eine Vielzahl an unterschiedlichen Fachdisziplinen und Abteilungen
erbracht werden. Die wissensbasierten Gesundheitsdienstleistungen werden dabei
durch einen Mix aus Arbeitsleistungen sowie Hard- und Software-Einsatz
dominiert. Aufgrund der verstärkten branchenübergreifenden
Digitalisierung von Leistungsprozessen stellt sich die Frage: Wie sollte die
Digitalisierung zur Verbesserung der zukünftigen Wertschöpfung
und Ressourcennutzung in österreichischen Krankenhäusern aus
Sicht der Entscheidungs- und Führungsverantwortlichen (Kollegiale
Führung) ausgestaltet und weiterentwickelt werden?
Methodik Mittels einer semi-strukturierten Literaturrecherche sowie einer
Online-Umfrage unter Entscheidungs- und Führungsverantwortlichen
(Kollegiale Führung) in österreichischen Krankenhäusern
(N=374; n=49, rr=13,1%) wurden der aktuelle
Reifegrad sowie die unterschiedlichen Zielsetzungen, Herausforderungen und
Lösungsansätze der Digitalisierung im Krankenhauswesen aus der
Perspektive der Kollegialen Führung, erhoben und analysiert.
Ergebnisse Es wird deutlich, dass die übergreifende
Digitalisierung im Krankenhaus durch eine Vielzahl an Akteuren, Professionen,
Aktivitäten, Ressourceneinsätzen sowie wissensbasierten
Dienstleistungen bestimmt sowie mit unterschiedlichen Herausforderungen
konfrontiert wird. Der aktuelle Reifegrad der Digitalisierung im Krankenhaus
erreicht nach Auffassung der befragten Entscheidungsverantwortlichen ein
mittleres Niveau. Wesentliche Verbesserungspotenziale und
Anwendungsmöglichkeiten werden insbesondere hinsichtlich der Nutzung von
Big Data und Künstliche Intelligenz (KI)-Technologien, dem
Asset-Tracking sowie der Anwendung von Mobile-Health-Lösungen
gesehen.
Schlussfolgerungen Neben der Weiterentwicklung der wissensbasierten und
qualifizierten medizinisch-pflegerisch-therapeutischen Patientenversorgung gilt
es, zukünftig verstärkt die Digitalisierung im Krankenhaus zu
forcieren. Ziel ist es, bei zunehmender Nachfrage und gesteigerten
Patientenerwartungen sowie verstärkt limitierter
Ressourcenverfügbarkeit, sowohl die Versorgungssicherheit (z. B.
niederschwelliger, zeit- und wohnortnaher Zugang) als auch die
Versorgungsqualität (z. B. Evidence Based Health Care),
sicherzustellen.
Collapse
Affiliation(s)
- Johannes Kriegel
- Institut für Management und Ökonomie im
Gesundheitswesen, UMIT TIROL - Private Universität für
Gesundheitswissenschaften, Medizinische Informatik und Technik,
Innsbruck
- Department für Gesundheits-, Sozial- und Public Management,
Fachhochschule Oberösterreich, Linz
| | - Clemens Rissbacher
- Institut für Public Health, Medical Decision Making und HTA,
UMIT TIROL - Private Universität für Gesundheitswissenschaften,
Medizinische Informatik und Technik, Innsbruck
- Kaufmännische Direktion, Tirol Kliniken,
Innsbruck
| |
Collapse
|
2
|
Li Y, He W, Yang L, Zheng K. A historical review of performance appraisal of public hospitals in China from the perspective of historical institutionalism. Front Public Health 2022; 10:1009780. [PMID: 36299757 PMCID: PMC9590688 DOI: 10.3389/fpubh.2022.1009780] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2022] [Accepted: 09/21/2022] [Indexed: 01/27/2023] Open
Abstract
The government performance appraisal of public hospitals serves as an effective management tool to promote high-quality development. It is also an important means of realizing the "Healthy China" initiative. Since the founding of the People's Republic of China, changes in performance appraisal have been divided into the following four periods: the early stage of performance appraisal (1949-1977), the exploration period (1978-2008), the development period (2009-2018), and the integration period (2019-present). This clarifies the regional practice of public hospital performance and identifies the institutional factors of the evolution. It also demonstrates that administrative forces, market-driving forces, and mission-driving forces combine to bring about change in the public hospital performance appraisal system. However, problems such as insufficient application of performance appraisal and coordination between health administrative departments and medical insurance departments still loom large.
Collapse
|
3
|
Liang D, Linda BE, Wang M, Xu Z. Hospital health-care delivery quality evaluation in Ghana: An integrated medical triangular fuzzy MULTIMOORA approach. Inf Sci (N Y) 2022. [DOI: 10.1016/j.ins.2022.05.031] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
4
|
Khan C, Nasrulddin V. Privatization, Corporatization, and Public-Private Partnership in the Kingdom of Saudi Arabia. Health Serv Insights 2022; 15:11786329221104240. [PMID: 35770136 PMCID: PMC9234922 DOI: 10.1177/11786329221104240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Accepted: 05/08/2022] [Indexed: 11/16/2022] Open
Abstract
There are different governmental reasons and technologies for seeking public-private partnerships throughout the developed countries. Significant motives have been to improve efficiency and risk distribution in comparison to traditional financing techniques and to lessen budget and borrowing limits. In this study, the movement toward privatization enhancing the efficiency of MoH's hospitals has been assessed using Data Envelopment Analysis (DEA) from 1979 to 2020. Moreover, the efficiencies of the individual hospital were estimated through the DEA model, which includes: scale efficiency (SE), pure technical efficiency (PTE), and overall technical efficiency (OTE). In addition, factor affecting such efficiencies was analyzed through Tobit regression. The VRS results suggest that the numbers of hospitals benefiting from the complete corporatized phase are greater than those benefiting from the last phase (and vice versa in the case of DRS). The variance between inefficient hospitals in the less corporatized phase (2000-2020) was more prominent than in the fully corporatized phase (1988-1999). In conclusion, fully corporatized hospitals (on average) achieve relatively better overall efficiency. It is recommended that additional corporatization might be stimulated by a standardized set of performance measures, which cover both the quality criteria and economic efficiency measurements from a healthcare perspective.
Collapse
Affiliation(s)
- Caroline Khan
- Department of Economics, Faculty of Economics and
Administration, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Vivian Nasrulddin
- Department of Economics, Faculty of Economics and
Administration, King Abdulaziz University, Jeddah, Saudi Arabia
| |
Collapse
|
5
|
Badilla-Murillo F, Vargas-Vargas B, Víquez-Acuña O, García-Sanz-Calcedo J. Reduction of the Cycle Time in the Biopsies Diagnosis Through a Simulation Based on the Box Müller Algorithm. Front Public Health 2022; 10:809534. [PMID: 35444982 PMCID: PMC9013820 DOI: 10.3389/fpubh.2022.809534] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2021] [Accepted: 03/07/2022] [Indexed: 11/13/2022] Open
Abstract
Anatomic pathology services study disease in hospitals on the basis of macroscopic and microscopic examination of organs and tissues. The focus of this research investigation was on improving clinical biopsy diagnosis times through simulation based on the Box-Muller algorithm to reduce the waiting time in the diagnosis of clinical biopsies. The data were provided by a hospital in San José (Costa Rica). They covered 5 years and showed waiting times for a pathological diagnosis that for some biopsies were close to 120 days. The correlation between the main causes identified and the cycle time in the biopsy diagnostic process was defined. A statistical analysis of the variables most representative of the process and of the waiting times was carried out. It followed the DMAIC structure (Define, Measure, Analyse, Improve, Control) for the continuous improvement of processes. Two of the activities of the process were identified as being the main bottlenecks. Their processing times had a normal distribution, for which reason a Box-Muller algorithm was used to generate the simulation model. The results showed that waiting times for a diagnosis can be reduced to 3 days, for a productive capacity of 8 000 biopsies per annum, optimizing the logistics performance of health care.
Collapse
Affiliation(s)
- Félix Badilla-Murillo
- Industrial Production Engineering, Instituto Tecnológico de Costa Rica, Cartago, Costa Rica
| | - Bernal Vargas-Vargas
- Industrial Production Engineering, Instituto Tecnológico de Costa Rica, Cartago, Costa Rica
| | - Oscar Víquez-Acuña
- Computer Engineering, Instituto Tecnológico de Costa Rica, Cartago, Costa Rica
| | - Justo García-Sanz-Calcedo
- Engineering Projects Area, University de Extremadura, Badajoz, Spain
- *Correspondence: Justo García-Sanz-Calcedo
| |
Collapse
|
6
|
Yağar F, Soysal A. Health Reforms in Turkey: The Impact on the Perceived Performance Levels of Health Staff. Hosp Top 2020; 99:15-21. [PMID: 32969770 DOI: 10.1080/00185868.2020.1824138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
In this study, the relationship between the levels of participation of hospital staff in health reforms and perceived performance levels were investigated. The data attained from 274 participants were evaluated. The level of participation of health professionals in health reforms was 3.23 and the level of perceived performance was found to be 3.91. When evaluated at the point that 5 represents the highest level, these average scores may be indicative of moderate performance and participation in reforms. It was concluded that there is a relationship between the level of participation in health reforms and performance (r = 0.563, p < 0.01).
Collapse
Affiliation(s)
- Fedayi Yağar
- Faculty of Economics and Administrative Sciences, Department of Health Care Management, Kahramanmaras Sütcü Imam University, Kahramanmaras, Turkey
| | - Abdullah Soysal
- Faculty of Economics and Administrative Sciences, Department of Health Care Management, Kahramanmaras Sütcü Imam University, Kahramanmaras, Turkey
| |
Collapse
|
7
|
Khalfaoui I, Hammouche A. Modelling and optimizing health emergency services: A regional study case. INTERNATIONAL JOURNAL OF HEALTHCARE MANAGEMENT 2020. [DOI: 10.1080/20479700.2020.1801163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- Ibtissam Khalfaoui
- Department of industry, Mohammadia School of Engineers, IMOSYS, Mohamed V, Rabat, Morocco
| | - Amar Hammouche
- Department of industry, Mohammadia School of Engineers, IMOSYS, Mohamed V, Rabat, Morocco
| |
Collapse
|
8
|
Marciano MA, Vaccaro GLR, Carmo AJRRSD, Nunes FDL, Nodari CH. Managed care and innovation in healthcare management: a Brazilian experience. INTERNATIONAL JOURNAL OF HEALTHCARE MANAGEMENT 2020. [DOI: 10.1080/20479700.2020.1788333] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
| | - Guilherme Luís Roehe Vaccaro
- Program in Production and Systems Engineering/Program in Business and Management, University of Sinos Valley, São Leopoldo, Brazil
| | | | - Fabiano de Lima Nunes
- Production and Systems Engineering, Unisinos – University of Sinos Valley, Novo Hamburgo, Brazil
| | | |
Collapse
|
9
|
Apornak A, Raissi S, Keramati A, Khalili-Damghani K. Human resources optimization in hospital emergency using the genetic algorithm approach. INTERNATIONAL JOURNAL OF HEALTHCARE MANAGEMENT 2020. [DOI: 10.1080/20479700.2020.1763236] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Arash Apornak
- Department of Industrial Engineering, South Tehran Branch, Islamic Azad University, Tehran, Iran
| | - Sadigh Raissi
- Department of Industrial Engineering, South Tehran Branch, Islamic Azad University, Tehran, Iran
| | - Abbas Keramati
- Department of Industrial Engineering, South Tehran Branch, Islamic Azad University, Tehran, Iran
- School of Industrial Engineering, Faculty of Engineering, University of Tehran and Information Technology Management Department, Ted Roger School of Management, Ryerson University, Toronto, Canada
| | - Kaveh Khalili-Damghani
- Department of Industrial Engineering, South Tehran Branch, Islamic Azad University, Tehran, Iran
| |
Collapse
|
10
|
Harikumar P, Saleeshya PG. A systems approach to mapping performance in Indian healthcare organizations. INTERNATIONAL JOURNAL OF HEALTHCARE MANAGEMENT 2020. [DOI: 10.1080/20479700.2020.1752990] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Affiliation(s)
- Priya Harikumar
- Department of Electronics & Communication Engineering, Amrita School of Engineering, Amrita Vishwa Vidyapeetham, Amrita University, Coimbatore, India
| | - P. G. Saleeshya
- Department of Mechanical Engineering, Amrita School of Engineering, Amrita Vishwa Vidyapeetham, Amrita University, Coimbatore, India
| |
Collapse
|
11
|
Ghadami L, Masoudi Asl I, Hessam S, Modiri M. Developing hospital accreditation standards: Applying fuzzy DEMATEL. INTERNATIONAL JOURNAL OF HEALTHCARE MANAGEMENT 2019. [DOI: 10.1080/20479700.2019.1702307] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Ladan Ghadami
- Department of Health Care Management, Islamic Azad University, Tehran, Iran
| | - Iravan Masoudi Asl
- Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Somayeh Hessam
- Department of Health Care Management, Islamic Azad University, Tehran, Iran
| | - Mahmoud Modiri
- Department of Industrial Management, Islamic Azad University, Tehran, Iran
| |
Collapse
|
12
|
Adalı EA, Tuş A. Hospital site selection with distance-based multi-criteria decision-making methods. INTERNATIONAL JOURNAL OF HEALTHCARE MANAGEMENT 2019. [DOI: 10.1080/20479700.2019.1674005] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Esra Aytaç Adalı
- Business Administration Department, Pamukkale University, Denizli, Turkey
| | - Ayşegül Tuş
- Business Administration Department, Pamukkale University, Denizli, Turkey
| |
Collapse
|
13
|
Adhikari SR, Sapkota VP. Measuring hospitals performance: Applying the management approach in Nepal. INTERNATIONAL JOURNAL OF HEALTHCARE MANAGEMENT 2018. [DOI: 10.1080/20479700.2018.1500770] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
|