Subjects -> ENVIRONMENTAL STUDIES (Total: 913 journals)
    - ENVIRONMENTAL STUDIES (810 journals)
    - POLLUTION (31 journals)
    - TOXICOLOGY AND ENVIRONMENTAL SAFETY (54 journals)
    - WASTE MANAGEMENT (18 journals)

ENVIRONMENTAL STUDIES (810 journals)            First | 1 2 3 4 5     

Showing 201 - 378 of 378 Journals sorted alphabetically
Energy and Environment Research     Open Access   (Followers: 13)
Energy and Environmental Engineering     Open Access   (Followers: 5)
Energy, Ecology and Environment     Hybrid Journal  
Entrepreneurship and Sustainability Issues     Open Access  
EnviroLab Asia     Open Access  
Environment & Ecosystem Science     Open Access   (Followers: 2)
Environment and Behavior     Hybrid Journal   (Followers: 24)
Environment and Development Economics     Hybrid Journal   (Followers: 43)
Environment and Ecology Research     Open Access   (Followers: 9)
Environment and Natural Resources Research     Open Access   (Followers: 5)
Environment and Planning A : Economy and Space     Full-text available via subscription   (Followers: 57)
Environment and Planning B : Urban Analytics and City Science     Full-text available via subscription   (Followers: 39)
Environment and Planning C : Politics and Space     Full-text available via subscription   (Followers: 45)
Environment and Planning D : Society and Space     Full-text available via subscription   (Followers: 76)
Environment and Planning E : Nature and Space     Hybrid Journal   (Followers: 4)
Environment and Pollution     Open Access   (Followers: 10)
Environment and Society     Open Access   (Followers: 9)
Environment Conservation Journal     Open Access   (Followers: 6)
Environment International     Hybrid Journal   (Followers: 15)
Environment Systems & Decisions     Hybrid Journal   (Followers: 1)
Environment, Development and Sustainability     Hybrid Journal   (Followers: 39)
Environment, Space, Place     Full-text available via subscription   (Followers: 9)
Environment: Science and Policy for Sustainable Development     Hybrid Journal   (Followers: 40)
Environmental & Engineering Geoscience     Full-text available via subscription   (Followers: 5)
Environmental & Socio-economic Studies     Open Access   (Followers: 1)
Environmental Advances     Open Access  
Environmental and Climate Technologies     Open Access   (Followers: 3)
Environmental and Molecular Mutagenesis     Hybrid Journal   (Followers: 4)
Environmental and Sustainability Indicators     Open Access   (Followers: 6)
Environmental and Water Sciences, public Health and Territorial Intelligence Journal     Open Access   (Followers: 2)
Environmental Bioindicators     Hybrid Journal   (Followers: 2)
Environmental Challenges     Open Access   (Followers: 1)
Environmental Chemistry     Hybrid Journal   (Followers: 9)
Environmental Chemistry and Ecotoxicology     Open Access  
Environmental Chemistry Letters     Hybrid Journal   (Followers: 4)
Environmental Claims Journal     Hybrid Journal   (Followers: 1)
Environmental Communication: A Journal of Nature and Culture     Hybrid Journal   (Followers: 16)
Environmental Development     Hybrid Journal   (Followers: 3)
Environmental Disease     Open Access   (Followers: 3)
Environmental DNA     Open Access   (Followers: 1)
Environmental Economics     Open Access   (Followers: 3)
Environmental Education Research     Hybrid Journal   (Followers: 16)
Environmental Engineering Science     Hybrid Journal   (Followers: 9)
Environmental Ethics     Hybrid Journal   (Followers: 12)
Environmental Evidence     Open Access   (Followers: 1)
Environmental Fluid Mechanics     Hybrid Journal   (Followers: 11)
Environmental Forensics     Hybrid Journal  
Environmental Geosciences     Full-text available via subscription   (Followers: 6)
Environmental Geotechnics     Hybrid Journal   (Followers: 6)
Environmental Hazards     Hybrid Journal   (Followers: 3)
Environmental Health     Open Access   (Followers: 12)
Environmental Health Insights     Open Access   (Followers: 5)
Environmental History     Hybrid Journal   (Followers: 29)
Environmental Impact Assessment Review     Hybrid Journal   (Followers: 22)
Environmental Innovation and Societal Transitions     Hybrid Journal   (Followers: 9)
Environmental Justice     Hybrid Journal   (Followers: 12)
Environmental Law Review     Full-text available via subscription   (Followers: 23)
Environmental Management     Open Access   (Followers: 54)
Environmental Management and Sustainable Development     Open Access   (Followers: 9)
Environmental Microbiology Reports     Hybrid Journal   (Followers: 9)
Environmental Modeling & Assessment     Hybrid Journal   (Followers: 18)
Environmental Modelling & Software     Hybrid Journal   (Followers: 35)
Environmental Monitoring and Assessment     Hybrid Journal   (Followers: 39)
Environmental Nanotechnology, Monitoring and Management     Open Access   (Followers: 1)
Environmental Policy and Governance     Hybrid Journal   (Followers: 16)
Environmental Pollutants and Bioavailability     Open Access  
Environmental Pollution     Hybrid Journal   (Followers: 26)
Environmental Processes : An International Journal     Hybrid Journal  
Environmental Research     Hybrid Journal   (Followers: 11)
Environmental Science & Policy     Hybrid Journal   (Followers: 19)
Environmental Science & Technology     Hybrid Journal   (Followers: 191)
Environmental Science & Technology Letters     Hybrid Journal   (Followers: 8)
Environmental Science : Atmospheres     Open Access   (Followers: 1)
Environmental Science : Water Research & Technology     Hybrid Journal   (Followers: 8)
Environmental Science and Ecotechnology     Open Access   (Followers: 4)
Environmental Science and Pollution Research     Hybrid Journal   (Followers: 11)
Environmental Science and Sustainable Development : International Journal Of Environmental Science & Sustainable Development     Open Access   (Followers: 12)
Environmental Science: Advances     Open Access   (Followers: 3)
Environmental Sciences     Hybrid Journal   (Followers: 5)
Environmental Sciences Europe     Open Access   (Followers: 2)
Environmental Skeptics and Critics     Open Access  
Environmental Smoke     Open Access  
Environmental Sociology     Hybrid Journal   (Followers: 2)
Environmental Sustainability     Hybrid Journal   (Followers: 1)
Environmental Systems Research     Open Access   (Followers: 2)
Environmental Technology     Hybrid Journal   (Followers: 2)
Environmental Technology & Innovation     Full-text available via subscription  
Environmental Technology Reviews     Hybrid Journal  
Environmental Toxicology     Hybrid Journal   (Followers: 11)
Environmental Toxicology & Chemistry     Hybrid Journal   (Followers: 22)
Environmental Toxicology and Pharmacology     Hybrid Journal   (Followers: 9)
Environmental Values     Full-text available via subscription   (Followers: 10)
Environments     Open Access  
Erwerbs-Obstbau     Hybrid Journal  
eScience     Open Access   (Followers: 2)
Estuaries and Coasts     Hybrid Journal   (Followers: 23)
Ethics & the Environment     Full-text available via subscription   (Followers: 7)
Ethics in Science and Environmental Politics     Hybrid Journal   (Followers: 5)
Ethics, Policy & Environment     Hybrid Journal   (Followers: 11)
Ethiopian Journal of Environmental Studies and Management     Open Access   (Followers: 3)
Études caribéennes     Open Access   (Followers: 1)
Euro-Mediterranean Journal for Environmental Integration     Hybrid Journal  
European Energy and Environmental Law Review     Full-text available via subscription   (Followers: 14)
European Environment: The Journal of European Environmental Policy     Hybrid Journal   (Followers: 5)
European Journal of Ecology     Open Access   (Followers: 1)
European Journal of Environmental and Civil Engineering     Hybrid Journal   (Followers: 5)
European Journal of Environmental Sciences     Open Access   (Followers: 1)
European Spatial Research and Policy     Open Access   (Followers: 9)
Evolutionary Ecology     Hybrid Journal   (Followers: 25)
Expert Opinion on Environmental Biology     Hybrid Journal  
Exposure and Health     Hybrid Journal  
Facta Universitatis, Series : Working and Living Environmental Protection     Open Access   (Followers: 1)
FIGEMPA : Investigación y Desarrollo     Open Access   (Followers: 1)
Fire Ecology     Open Access   (Followers: 2)
Food and Chemical Toxicology     Hybrid Journal   (Followers: 18)
Food and Ecological Systems Modelling Journal     Open Access  
Food and Environment Safety     Open Access   (Followers: 3)
Fordham Environmental Law Review     Open Access   (Followers: 4)
Forest Ecology and Management     Hybrid Journal   (Followers: 61)
Foresta Veracruzana     Open Access  
Forestry Chronicle     Full-text available via subscription   (Followers: 9)
Freshwater Biology     Hybrid Journal   (Followers: 32)
Fronteiras : Journal of Social, Technological and Environmental Science     Open Access  
Frontier of Environmental Science     Open Access   (Followers: 2)
Frontiers in Climate     Open Access   (Followers: 4)
Frontiers in Ecology and the Environment     Hybrid Journal   (Followers: 72)
Frontiers in Environmental Science     Open Access   (Followers: 1)
Frontiers in Water     Open Access  
Frontiers of Environmental Science & Engineering     Hybrid Journal   (Followers: 3)
Future Cities and Environment     Open Access   (Followers: 6)
FUTY Journal of the Environment     Full-text available via subscription  
Geo : Geography and Environment     Open Access   (Followers: 7)
Geo-Image     Open Access   (Followers: 1)
Geoacta     Open Access   (Followers: 2)
Geochemical Transactions     Open Access   (Followers: 2)
Geochronometria     Open Access   (Followers: 1)
Geoenvironmental Disasters     Open Access   (Followers: 3)
Geoforum     Hybrid Journal   (Followers: 25)
GeoHealth     Open Access  
Geology, Geophysics and Environment     Open Access   (Followers: 2)
Géomorphologie : relief, processus, environnement     Open Access   (Followers: 1)
GeoScience Engineering     Open Access  
Geospatial Health     Open Access   (Followers: 1)
Geosystems and Geoenvironment     Open Access  
Global Challenges     Open Access  
Global Environment     Full-text available via subscription   (Followers: 1)
Global Environmental Change     Hybrid Journal   (Followers: 45)
Global Journal of Environmental Science and Management     Open Access   (Followers: 6)
Global Journal of Environmental Sciences     Full-text available via subscription  
Global Sustainability     Open Access   (Followers: 3)
Golden Gate University Environmental Law Journal     Open Access   (Followers: 3)
Grassland Science     Hybrid Journal  
Green Energy & Environment     Open Access   (Followers: 2)
Greenhouse Gas Measurement and Management     Hybrid Journal  
Groundwater for Sustainable Development     Full-text available via subscription   (Followers: 5)
Harvard Environmental Law Review     Free   (Followers: 13)
Health Services Management Research     Hybrid Journal   (Followers: 16)
Health, Safety and Environment     Open Access   (Followers: 34)
Hereditas     Open Access   (Followers: 1)
Hidrobiológica     Open Access  
Historia Ambiental Latinoamericana y Caribeña     Open Access   (Followers: 2)
História, Natureza e Espaço - Revista Eletrônica do Grupo de Pesquisa NIESBF     Open Access  
Home Health Care Management & Practice     Hybrid Journal   (Followers: 1)
Horticulture, Environment, and Biotechnology     Hybrid Journal   (Followers: 11)
Human & Experimental Toxicology     Hybrid Journal   (Followers: 8)
Human Ecology     Open Access   (Followers: 24)
Hydrology: Current Research     Open Access   (Followers: 9)
Ideas in Ecology and Evolution     Open Access   (Followers: 9)
IMA Journal of Management Mathematics     Hybrid Journal   (Followers: 1)
Indonesian Green Technology Journal     Open Access  
Indonesian Journal of Conservation     Open Access  
Indonesian Journal of Sustainability Accounting and Management     Open Access  
Indoor Air     Hybrid Journal   (Followers: 2)
Information Systems Management     Hybrid Journal   (Followers: 10)
Informs Journal on Applied Analytics:     Full-text available via subscription   (Followers: 15)
Ingeniería Hidráulica y Ambiental     Open Access  
Inhalation Toxicology     Hybrid Journal   (Followers: 8)
Innovative Infrastructure Solutions     Hybrid Journal  
Integrated Environmental Assessment and Management     Hybrid Journal   (Followers: 8)
Interdisciplinary Environmental Review     Hybrid Journal   (Followers: 3)
International Aquatic Research     Open Access   (Followers: 4)
International Archives of Occupational and Environmental Health     Hybrid Journal   (Followers: 7)
International Electronic Journal of Environmental Education     Open Access   (Followers: 1)
International Environmental Agreements: Politics, Law and Economics     Hybrid Journal   (Followers: 14)
International Journal of Acarology     Hybrid Journal   (Followers: 1)
International Journal of Agricultural and Environmental Information Systems     Full-text available via subscription   (Followers: 1)
International Journal of Alternative Propulsion     Hybrid Journal   (Followers: 23)
International Journal of Applied Earth Observations and Geoinformation     Open Access   (Followers: 1)
International Journal of Corrosion     Open Access   (Followers: 10)
International Journal of Critical Infrastructures     Hybrid Journal   (Followers: 2)
International Journal of Disaster Risk Reduction     Hybrid Journal   (Followers: 18)
International Journal of Disaster Risk Science     Open Access   (Followers: 14)
International Journal of Ecological Economics and Statistics     Full-text available via subscription   (Followers: 5)
International Journal of Ecology & Development     Full-text available via subscription   (Followers: 2)
International Journal of Energy and Environmental Engineering     Open Access   (Followers: 3)
International Journal of Energy and Water Resources     Hybrid Journal  
International Journal of Environment     Open Access   (Followers: 3)
International Journal of Environment and Climate Change     Open Access   (Followers: 22)
International Journal of Environment and Geoinformatics     Open Access   (Followers: 4)
International Journal of Environment and Health     Hybrid Journal   (Followers: 5)

  First | 1 2 3 4 5     

Similar Journals
Journal Cover
Health Services Management Research
Journal Prestige (SJR): 0.273
Citation Impact (citeScore): 1
Number of Followers: 16  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 0951-4848 - ISSN (Online) 1758-1044
Published by Sage Publications Homepage  [1174 journals]
  • The implementation of a precision case management model in a Canadian
           inpatient rehabilitation center: The 12-months post-implementation
           findings of a quality improvement project

    • Free pre-print version: Loading...

      Authors: Michael Chislett, Karen Hurtubise, Jason McCarthy, Cathy Hoyles
      Abstract: Health Services Management Research, Ahead of Print.
      Despite recommendations, few have reported on quality improvement initiatives to implement length of rehabilitation stay benchmarks, while actively monitoring functional outcomes. This article describes the development, implementation, and evaluation of a precision case management model across all inpatient rehabilitation client groups in a Canadian facility. To develop the length of rehabilitation-stay (LoRS) benchmarks, patient data was retrospectively analyzed. A severity specific method was used to stratify median length of stay. A target reduction on 8.6 days in LoRS was established. Functional discharge targets were also set and monitored at specific intervals via the Functional Independence Measure (FIM®). The implementation used an incremental quality improvement phased approach. Following 12-months, a statistically significant reduction in mean LoRS of 13.2 days was achieved, along with a small increase in FIM® change across all rehabilitation client groups. A similar pattern was seen across the three main client groups, where a LoRS reduction greater than the target was achieved, along with important improvements in LoRS efficiency. This study demonstrates how the implementation of a precision case management model can assist a facility in markedly reducing LoRS across inpatient groups, without compromising functional change or community discharge rates and begin its transformation to a value-based organization.
      Citation: Health Services Management Research
      PubDate: 2022-06-20T11:18:48Z
      DOI: 10.1177/09514848221109832
       
  • Causing harm but doing good: Recognizing and overcoming the burden of
           necessary evil enactment in healthcare service professions

    • Free pre-print version: Loading...

      Authors: Meena Andiappan
      Abstract: Health Services Management Research, Ahead of Print.
      Necessary evils – defined as acts that cause physical, psychological, or emotional harm to victims but are for the greater good of either the victim or society - are an everyday occurrence in the healthcare industry across the globe and across healthcare service professions. Healthcare professionals are tasked with behaviors that result in pain and suffering (e.g. nurses providing shots to patients; oncologists communicating cancer diagnoses) for the betterment of their patients and stakeholders. Although these behaviors are professionally mandated, they can also be cognitively and psychologically taxing for enactors. The current conceptual paper explores the undesired effects of performing necessary evils and proposes various actions through which healthcare organizations can reduce the negative repercussions of necessary evil enactment on healthcare service professionals.
      Citation: Health Services Management Research
      PubDate: 2022-06-20T08:35:22Z
      DOI: 10.1177/09514848221109833
       
  • Predictors of international Muslim medical tourists’ expectations on
           halal-friendly healthcare services: A hospital-based study

    • Free pre-print version: Loading...

      Authors: Mohsen Naserirad, Mohamad Tavakol, Mahmoud Abbasi, Behrooz Jannat, Naficeh Sadeghi, Zahra Bahemmat
      Abstract: Health Services Management Research, Ahead of Print.
      BackgroundHalal-friendly healthcare services have emerged as an important sector of the overall healthcare service delivery system. This study aimed to examine levels and determinants of expectations on halal-friendly healthcare services from the Muslim medical tourists’ perspective.MethodsA cross-sectional survey was conducted in four cities, seventeen hospitals, across Iran, with a sample of 365 international Muslim medical tourists.ResultsMean expectation score of the respondents was 3.95 ± 1.43. Being in the 25–34 age group (aOR = 2.65; CI 95%: 2.14–3.16), being married (aOR = 2.09; CI 95%: 1.46–2.72), having completed secondary education (aOR = 2.14; CI 95%: 1.26–3.02), belonging to a high-income socioeconomic background (aOR = 1.69; CI 95%: 1.06–2.33), coming from Iraq (aOR = 3.08; CI 95%: 2.12–4.04), being Shia (aOR = 2.83; CI 95%: 2.00–3.67), receiving information by recommendation as a source for travel decision (aOR = 3.02; CI 95%: 1.82–4.22), traveling with family or relatives (aOR=2.16; CI 95%: 1.42–2.90), receiving medical service of cosmetic surgery (aOR = 1.57; CI 95%: 1.22–1.92) and cardiovascular therapy (aOR = 2.33; CI 95%: 1.23–3.43), and traveling one or two times in the past (aOR = 2.33; CI 95%: 1.00–3.66) significantly increased the expectations on halal-friendly healthcare services.ConclusionThis study will represent an important contribution to the literature concerned with the levels and drivers of expectations on halal-friendly healthcare services.
      Citation: Health Services Management Research
      PubDate: 2022-06-17T03:04:46Z
      DOI: 10.1177/09514848221109831
       
  • COVID-19 management at one of the largest hospitals in Germany: Concept,
           evaluation and adaptation

    • Free pre-print version: Loading...

      Authors: Ana Zhelyazkova, Philipp M Fischer, Nina Thies, Julia S Schrader-Reichling, Thorsten Kohlmann, Kristina Adorjan, René Huith, Karl-Walter Jauch, Stephan M Prückner
      Abstract: Health Services Management Research, Ahead of Print.
      ContextThe LMU University Hospital is among the largest healthcare facilities in Germany. The measures implemented prior to and during the first pandemic wave of COVID-19, were evaluated in preparation of a second pandemic wave. This paper presents the pandemic management concept, evaluation and adaptation of LMU University Hospital.MethodsBetween July and September 2020 the disaster management team of LMU University Hospital conducted a mixed-method evaluation of the hospital’s pandemic management. A workshop series based on the After Action Review working group format was organized to examine the management structure, decision-making processes, documentation, and crisis preparedness response for a second COVID-19 wave. Further, the satisfaction of employees with the hospital’s COVID-19 management was examined through an anonymous survey.ResultsThe workshop series highlighted a need for structural and operational adaptation of the COVID-19 management at LMU University Hospital. The results of the employee survey (N = 2182) provided positive feedback for the measures taken during the first pandemic wave. Specific actions were derived concerning the availability of personal protective equipment and emergency childcare services. A key outcome of both evaluation activities was the identified need for further improvement in communication between stakeholders. All changes were adopted prior to the second pandemic wave.
      Citation: Health Services Management Research
      PubDate: 2022-05-18T08:39:48Z
      DOI: 10.1177/09514848221100752
       
  • Who counts when health counts' A case-study of multi-stakeholder
           initiative to promote value-creation in Swedish healthcare

    • Free pre-print version: Loading...

      Authors: Leonard Tragl, Carl Savage, Magna Andreen-Sachs, Mats Brommels
      Abstract: Health Services Management Research, Ahead of Print.
      A European initiative to design a “medical information framework” conceptualised how multiple stakeholders join in collaborative networks to create innovations. It conveyed the ways in which value is created and captured by stakeholders. We applied those insights to analyse a multi-stakeholder initiative to promote improvement of Swedish healthcare. Our longitudinal case study covered totally fifty stakeholders involved in a national project, aiming at designing a system to support value-based evaluation and reimbursement. During the project the focus changed from reimbursement to benchmarking. Sophisticated case-mix adjusting algorithms were designed to make outcome comparisons valid and incorporated in a software platform enabling detailed analysis of eight patient groups across seven regional health authorities. Those were deliverables demonstrating value created. However, the project was unable to transfer the system into routine use in the regions, a failed value-capture. The initial success was promoted by collaborative processes in diagnosis-specific working groups of well-informed and engaged professionals. The change of focus away from reimbursement decreased the involvement among health authorities, leaving no centrally placed persons to push for implementation. It highlights the importance of health professionals as the key stakeholder, who has both the know-how instrumental to creating an innovation, and the local involvement guaranteeing its implementation.
      Citation: Health Services Management Research
      PubDate: 2022-05-16T07:27:04Z
      DOI: 10.1177/09514848221100751
       
  • Association between asthma control and healthcare costs: Results from a
           German linked data study

    • Free pre-print version: Loading...

      Authors: Thomas Wilke, Hartmut Timmermann, Sabrina Mueller, Fraence Hardtstock, Victoria Unmuessig, Robert R Welte, Ulf Maywald
      Abstract: Health Services Management Research, Ahead of Print.
      Background: This study aimed to evaluate differences in healthcare resource utilization and cost among patients with controlled and uncontrolled asthma.Methods: Claims data from a German sickness fund was linked to patient survey data. Outpatient physicians enrolled patients and assessed asthma control using the ACTTM questionnaire. All-cause and asthma-specific healthcare resource use (HCRU)/costs were compared descriptively and based on multivariable models using a continuous ACTTM score.Results: Overall, 492 asthma patients were included (mean age: 53.8, 73.8% female). The mean/median ACTTM score was 19.9/20.7, with 183 patients (37.2%) classified as having uncontrolled asthma (mean ACTTM score
      Citation: Health Services Management Research
      PubDate: 2022-05-13T06:24:17Z
      DOI: 10.1177/09514848221100749
       
  • Allied health clinical supervision: An opportunity lost

    • Free pre-print version: Loading...

      Authors: Nicky Baker, Jill Garner, Liz Kapur, Belinda Lange
      Abstract: Health Services Management Research, Ahead of Print.
      This study investigated clinical supervision with Allied Health professionals in a public health setting. Staff perceptions and experiences were explored through focus group discussions. Key themes identified that supervisees “tip-toe into complexity” by engaging in reflective practice for incremental personal and professional development. In contrast, supervisors identified that reflexivity was required for the opportunity to “develop at a deeper level”. Offering a choice of supervisor and providing supervisor training enhanced supervision experiences. Challenges to effective supervision were identified. Competing priorities, inconsistent modes of delivery, major organisational change and the role of clinical supervision in line with professional development confounded the experiences. Health managers could improve the processes and outcomes by implementing consistency with approach, timing, documentation, language, and structure of Clinical Supervision.
      Citation: Health Services Management Research
      PubDate: 2022-05-11T05:25:53Z
      DOI: 10.1177/09514848221100747
       
  • Toward a universalistic behavioural model of perceived managerial and
           leadership effectiveness for the health services sector

    • Free pre-print version: Loading...

      Authors: Robert G Hamlin, Carlos E Ruiz, Jenni Jones, Taran Patel
      Abstract: Health Services Management Research, Ahead of Print.
      Much management and leadership development provision for healthcare professionals has been the subject of considerable criticism, and there have been numerous calls for training programmes explicitly focused on the specific managerial (manager/leader) behaviours healthcare managers, physician leaders and nurse managers need to exhibit to be perceived effective. The aim of our multiple cross-case/cross-nation comparative study has been to: i) identify similarities and differences between the findings of published qualitative critical incident studies of effective and ineffective managerial behaviour observed within British, Egyptian, Mexican and Romanian public hospitals, respectively, and ii) if possible, deduce from the identified commonalities a healthcare-related behavioural model of perceived managerial and leadership effectiveness. Adopting a philosophical stance informed by pragmatism, epistemological instrumentalism and abduction, we used realist qualitative analytic methods to code and classify into a maximum number of discrete behavioural categories empirical source data obtained from five previous studies. We found high degrees of empirical generalization which resulted in the identification of five positive (effective) and four negative (ineffective) behavioural dimensions (BDs) derived, respectively, from 14 positive and 9 negative deduced behavioural categories (BCs). These BDs and underpinning BCs are expressed in the form of an emergent two-factor universalistic behavioural model of perceived managerial and leadership effectiveness. We suggest the model could be used to critically evaluate the relevance and appropriateness of existing training provision for physician leaders, nurse managers and other healthcare managers/leaders in public hospitals or to design new explicit training programmes informed and shaped by healthcare-specific management research, as called for in the literature.
      Citation: Health Services Management Research
      PubDate: 2022-04-29T09:41:17Z
      DOI: 10.1177/09514848211065462
       
  • Cost-effectiveness of future lockdown policies against the COVID-19
           pandemic

    • Free pre-print version: Loading...

      Authors: Afschin Gandjour
      Abstract: Health Services Management Research, Ahead of Print.
      Aim: While the European Union (EU) has approved several COVID-19 vaccines, new variants of concern may be able to escape immunity. The purpose of this study is to project the cost-effectiveness of future lockdown policies in conjunction with a variant-adapted vaccine booster. The exemplary scenario foresees a 25% decline in the vaccine protection against severe disease. Methods: A decision model was constructed using, for example, information on age-specific fatality rates, intensive care unit (ICU) costs and outcomes, and herd protection threshold. The costs and benefits of a future lockdown strategy were determined from a societal viewpoint under three future scenarios—a booster shot’s efficacy of 0%, 50%, and 95%. Results: The cost-effectiveness ratio of a lockdown policy in conjunction with a booster dose with 95% efficacy is €44,214 per life year gained. A lockdown is cost-effective when the probability of approving a booster dose with 95% efficacy is at least 48% (76% when considering uncertainty in input factors). Conclusion: In this exemplary scenario, a future lockdown policy appears to be cost-effective if the probability of approving a variant-adapted vaccine booster with an efficacy of 95% is at least 48%.
      Citation: Health Services Management Research
      PubDate: 2022-04-05T01:08:56Z
      DOI: 10.1177/09514848221080687
       
  • Why are there so many hospital beds in Germany'

    • Free pre-print version: Loading...

      Authors: Matthias Brunn, Torsten Kratz, Michael Padget, Marie-Caroline Clément, Marc Smyrl
      Abstract: Health Services Management Research, Ahead of Print.
      The place of hospitals in health systems is undergoing rapid change worldwide due to the high cost of hospital care and the changing health needs of the population. The Covid-19 pandemic has recently drawn public attention towards hospital capacity and has added new urgency to discussions on the future role of hospitals. In this context, recent experience in Germany provides valuable information for health systems seeking to manage hospital capacity. Despite reform efforts to reduce hospital capacity, Germany has the highest rates of intensive care beds among high-income countries and the highest overall hospital capacity in Europe. The capacity of the German hospital system can be explained in large part by the high number of elderly in-patients. This, in turn, is driven by (1) a fragmented ambulatory care system; (2) physicians admitting and maintaining elderly patients in hospital at a high rate; (3) a hospital market adding incentives to admit patients; and (4) a political commitment to egalitarian access and universal care. Additionally, recent policies to reduce hospital capacity have had limited impact because hospitals have not responded to financial incentives in the expected manner. Countries looking to learn from Germany’s hospital capacity must therefore consider systemic features, political commitments, and unintended policy consequences.
      Citation: Health Services Management Research
      PubDate: 2022-03-25T05:53:49Z
      DOI: 10.1177/09514848221080691
       
  • Effect of surgeon experience on technical efficiency

    • Free pre-print version: Loading...

      Authors: Yoshinori Nakata, Yuichi Watanabe, Hiroshi Otake
      Abstract: Health Services Management Research, Ahead of Print.
      Surgeon experience certainly improves their technical efficiency although it also causes physiological changes with aging. The authors hypothesized that surgeons’ technical efficiency improves with increasing experience up to a point where it then decreases, which is a concave relationship. The authors collected data from all the surgical procedures performed at University Hospital from April through September in 2013–19. The dependent variable was defined as surgeons’ technical efficiency scores that were calculated using output-oriented Charnes–Cooper–Rhodes model of data envelopment analysis. Inputs were defined as (1) the number of assistants and (2) the duration of surgical operation. The output was defined as the surgical fee for each surgery. Surgeon experience was defined as the number of years since medical school graduation. Five control variables were selected: surgical volume, gender, academic rank, surgical specialty, and the year of surgery. Multiple regression analysis using pooled and random-effects Tobit models was performed for our panel data. Totally 20,375 surgical procedures performed by 264 surgeons in 42 months were analyzed. The coefficients of experience and the square of experience were not significantly different from zero. The other coefficients were also insignificant. Surgeons’ technical efficiency does not have a concave relationship with experience.
      Citation: Health Services Management Research
      PubDate: 2022-03-25T03:44:28Z
      DOI: 10.1177/09514848221080688
       
  • Do policies affect management' Evidence from a survey of clinicians of
           the Italian National Health Service

    • Free pre-print version: Loading...

      Authors: Giovanni Fattore, Dino Numerato, Domenico Salvatore
      Abstract: Health Services Management Research, Ahead of Print.
      Since the early 1990s, New Public Management ideas have deeply influenced reforms and their implementation in the Italian NHS. We compare doctors’ perceptions about management systems in two Italian regions which differ in the dominant values of the regional political environment. In total 220 doctors, orthopaedists and cardiologists, working in public hospitals in Lombardy and Emilia-Romagna, were surveyed. Doctors in Emilia-Romagna perceived their organization to be more managerially driven in comparison to their colleagues in Lombardy. Doctors from Lombardy perceived their professional freedom to be higher, regardless of their specialization. The divergence of professionals’ perception between these two Italian regions, which operate within the same Beveridge model, shows that dominant values of regional politics may have tangible effects on hospital management.
      Citation: Health Services Management Research
      PubDate: 2022-02-23T04:27:24Z
      DOI: 10.1177/09514848211073521
       
  • The impact of management practices on relative patient mortality: Evidence
           from public hospitals

    • Free pre-print version: Loading...

      Authors: Reza Salehnejad, Manhal Ali, Nathan C Proudlove
      Abstract: Health Services Management Research, Ahead of Print.
      A small, but growing, body of empirical evidence shows that the material and persistent variation in many aspects of the performance of healthcare organisations can be related to variation in their management practices. This study uses public data on hospital patient mortality outcomes, the Summary Hospital-level Mortality Indicator (SHMI) to extend this programme of research. We assemble a five-year dataset combining SHMI with potential confounding variables for all English NHS non-specialist acute hospital trusts. The large number of providers working within a common system provides a powerful environment for such investigations. We find considerable variation in SHMI between trusts and a high degree of persistence of high- or low performance. This variation is associated with a composite metric for management practices based on the NHS National Staff Survey. We then use a machine learning technique to suggest potential clusters of individual management practices related to patient mortality performance and test some of these using traditional multivariate regression. The results support the hypothesis that such clusters do matter for patient mortality, and so we conclude that any systematic effort at improving patient mortality should consider adopting an optimal cluster of management practices.
      Citation: Health Services Management Research
      PubDate: 2022-02-17T04:13:57Z
      DOI: 10.1177/09514848211068627
       
  • A qualitative study on relationships and perceptions between managers and
           clinicians and its effect on value-based healthcare within the national
           health service in the UK

    • Free pre-print version: Loading...

      Authors: Sze May Ng
      Abstract: Health Services Management Research, Ahead of Print.
      One of the main drivers for change towards delivering value-based healthcare is to improve clinical and managerial culture and engagement within organisations. The relationships between clinicians and managers in an organisation are often considered to be either an enabler or disabler towards successful engagement to develop strategies towards better value healthcare. Successful engagement is dependent on effective and transformational leadership that can impact on organisational value in healthcare. The aim of this research was to explore the relationships, behaviours and perceptions between managers and clinicians towards value-based healthcare in the National Health Service in the United Kingdom. A qualitative research methodology of semi-structured in-depth interviewing on a sample consisting of hospital consultants, senior managers and board executives from a diverse group were conducted. A thematic analysis was used to analyse the data using a systematic approach. The study findings identified areas of potential barriers to engagement for clinicians and managers which were related to regulatory burden, financial challenges and workforce shortages. Key recommendations on what will be required to improve clinicians and managers engagement and the leadership approaches towards improving value-based healthcare are discussed.
      Citation: Health Services Management Research
      PubDate: 2022-02-09T07:40:47Z
      DOI: 10.1177/09514848211068624
       
  • Reducing hospital admissions and transfers to long-term inpatient care: A
           systematic literature review

    • Free pre-print version: Loading...

      Authors: Stephan Herberg, Frank Teuteberg
      Abstract: Health Services Management Research, Ahead of Print.
      Individuals in need of long-term care and their relatives prefer to receive and give care in their domestic environment for as long as possible. Residential long-term care is to be avoided for as long as possible. To achieve this goal, the care setting must be optimally oriented to the needs of the person in need of care. Moreover, relatives who provide care must be professionally supported. The Regional Care Competence Center (ReKo), launched on October 1, 2019, is a quasi-experimental study (two groups and pre-post design), funded by the Innovation Fund. As part of the ReKo project, people in need of care and their relatives are assisted by a case management (CM) system. An independent CM, supported by an IT network that includes the most important service providers, is to establish a comprehensive CM for people in need of care. Based on a literature review, this paper aimed to take a conceptual approach to the ReKo project by drawing on previous research and comparing the findings with the ReKo approach. The review considered CM projects that defined avoidance of hospitalization and/or delay in the transition of care recipients to long-term inpatient care as endpoints. Using PubMed and Google Scholar, the study screened 270 articles, abstracted and quality-assessed data, and included eight randomized clinical trials, two other studies, and seven reviews in the analysis. The review results and ReKo approaches are presented along the dimensions of clinical and medical benefits, community and public health benefits, economic benefits, and political and legislative benefits. CM organizations will continue to be established internationally in aging societies. The questions of improving quality of care, avoiding service costs, and the costs of establishing a CM must be raised, even if clear evidence is difficult to provide.
      Citation: Health Services Management Research
      PubDate: 2022-02-07T10:42:42Z
      DOI: 10.1177/09514848211068620
       
  • Volume creates value: The volume–outcome relationship in
           Scandinavian obesity surgery

    • Free pre-print version: Loading...

      Authors: Anna Svarts, Thorell Anders, Mats Engwall
      Abstract: Health Services Management Research, Ahead of Print.
      This study establishes the relationship between surgical volume and cost and quality outcomes, using patient-level clinical data from a national quality registry for bariatric surgery in Sweden. Data include patient characteristics with comorbidities, surgical and follow-up data for patients that underwent gastric bypass or gastric sleeve operations between 2007 and 2016 (52,703 patients in 51 hospitals). The relationships between surgical volume (annual number of bariatric procedures) and several patient-level outcomes were assessed using multilevel, mixed-effect regression models, controlling for patient characteristics and comorbidities. We found that hospitals with higher volumes had lower risk of intraoperative complications as well as complications within 30 days post-surgery (odds ratios per 100 procedures are 0.78 and 0.87, respectively, p
      Citation: Health Services Management Research
      PubDate: 2022-02-07T04:53:44Z
      DOI: 10.1177/09514848211048598
       
  • Competitive intelligence: A precursor to a learning health system

    • Free pre-print version: Loading...

      Authors: H Fred Farley, Shelly Freyn
      Abstract: Health Services Management Research, Ahead of Print.
      Unlike other developed countries, the US healthcare system is largely privatized and highly competitive. This dynamic stifles effective information sharing, while the need for prompt and accurate evidence-based decision making has become crucial. Crises, like the COVID-19 pandemic, elevate the importance of quality decision making and exacerbate issues associated with the lack of a cohesive system to share information. Competitive intelligence (CI) is a discipline that encourages gathering, analyzing, and sharing information throughout a firm in order to develop and sustain competitive advantage. CI could be considered a precursor in establishing a learning organization (LO). Although CI research has focused on its process and value, little is found in the literature on how to integrate CI into an organization; this is particularly true in healthcare. A conceptual model is proposed to build and integrate a CI function and culture within a healthcare organization to encourage effective information sharing and knowledge development. In turn, this can provide a mechanism to create a learning health system (LHS). Although the model was developed specifically for US healthcare, it offers application to healthcare in other countries as well as most any industry.
      Citation: Health Services Management Research
      PubDate: 2022-02-05T04:12:13Z
      DOI: 10.1177/09514848211065470
       
  • Analysis of the effect of patients’ health status on efficiency:
           Application of data envelopment analysis in healthcare

    • Free pre-print version: Loading...

      Authors: Tamás Koltai, Rita V. Dénes, Zoltán Dénes
      Abstract: Health Services Management Research, Ahead of Print.
      The effective and efficient operation of public healthcare systems is more and more important as a consequence of the increasing amount of money spent on their operation. For this reason, accurate and science-based efficiency information is needed for managers and healthcare policy makers. The evaluation of the efficiency in this sector is particularly difficult because several measures and indicators are used. Data envelopment analysis (DEA) can provide aggregate and overall measures of efficiency. The purpose of this paper is the examination of the efficiency of in-patient rehabilitation units curing musculoskeletal disorders in Hungary. The research presented focuses on rehabilitation units which attend to patients recovering from stroke or other acquired brain injuries. Output-oriented, slack-based DEA models are applied for the evaluation of in-patient rehabilitation units using data of a national survey. The novelty of the method presented is the consideration of the change in patients' functional status when efficiency is evaluated using DEA.
      Citation: Health Services Management Research
      PubDate: 2022-01-21T09:04:08Z
      DOI: 10.1177/09514848211065464
       
  • No health organization or system will ever be better than its people...

    • Free pre-print version: Loading...

      Authors: Federico Lega
      First page: 57
      Abstract: Health Services Management Research, Ahead of Print.

      Citation: Health Services Management Research
      PubDate: 2022-04-13T01:26:22Z
      DOI: 10.1177/09514848221096184
       
 
JournalTOCs
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
Email: journaltocs@hw.ac.uk
Tel: +00 44 (0)131 4513762
 


Your IP address: 44.192.94.86
 
Home (Search)
API
About JournalTOCs
News (blog, publications)
JournalTOCs on Twitter   JournalTOCs on Facebook

JournalTOCs © 2009-