Health professionals are now required to develop skills that help them to achieve better organizational performance, in addition to the skills necessary to carry out their professional activities. The role of clinician-manager has thus grown rapidly in all the main industrialized countries. The purpose of this study is to investigate how healthcare professionals perceive their level of preparation in managerial skills. Analysing literature on managerial skills in the health sector, ten domains of skills emerged and were used to construct a questionnaire. A survey analysis was conducted among professionals from health organizations in two Italian regions. Independent t-tests were conducted and a one-way analysis of variance was performed in order to compare the self-assessment competency levels in selected subgroups of participants. Findings show that healthcare professionals feel sufficiently prepared in all managerial areas identified. However, they also suggest that health organizations should invest more in all managerial areas. Differences between self-perception of competence and need for training occur among managers and non-managers. The findings will be useful for top management and policy makers designing operational tools for intervention in human resource development, with the aim of providing appropriate training and skills for clinician-managers.

Purpose This study aims to provide a picture of the current state of art in the use of big data for decision-making processes for the management of health-care organizations. Design/methodology/approach A systematic literature review was carried out. The research uses two analyses: descriptive analysis, describing the evolution of citations; keywords; and the ten most influential papers, and bibliometric analysis, for content evaluation, for which a cluster analysis was performed. Findings A total of 48 articles were selected for bibliographic coupling out of an initial sample of more than 5,000 papers. Of the 48 articles, 29 are linked on the basis of their bibliography. Clustering the 29 articles on the basis of actual content, four research areas emerged: quality of care, quality of service, crisis management and data management. Originality/value Health-care organizations believe strongly that big data can become the most effective tool for correctly influencing the decision-making processes. Thus, more and more organizations continue to invest in big data analytics, and the literature on this topic has expanded rapidly. This study seeks to provide a comprehensive picture of the different streams of literature existing, together with gaps in research and future perspectives. The literature is mature enough for an analysis to be made and provide managers with useful insights on opportunities, criticisms and perspectives on the use of big data for health-care organizations. However, to date, there is no comprehensive literature review on the big data analysis in health care. Furthermore, as big data is a “sexy catchphrase,” more clarity on its usage may be needed. It represents an important tool to be investigated and its great potential is often yet to be discovered. This study thus sheds light on emerging issues and suggests further research that may be needed.

The Covid-19 pandemic has had wide-reaching societal and economic effects and a return to “normal” will take years to accomplish. In light of this situation, the most important advancement since COVID-19′s emergence has been the development of multiple, life-saving, vaccines. Academic research on vaccine has been extensive. It is estimated that in only one year it has been produced more published and indexed papers on this single issue than in the last twenty years on any other single issue, thus, necessitating some organization. This research consists of a systematic literature review of the social science publication on COVID-19 published in the first year of the pandemic (February 2020 to March 2021). This review is important because it occurs at a time when vaccines have begun their global distribution and the best efforts to address the pandemic is through vaccination programs. In this research, 53 papers published in relevant journals are analyzed out of the almost 30,000 articles retrieved from Scopus database. The analysis conducted relies on two different types: descriptive analysis (evolution at the time of citations; evolution over time of keywords; bibliographical mapping of countries, the top 10 most influential papers), and bibliometric analysis for content evaluation. A cluster analysis was performed for the latter. Clustering the research papers, based on the actual content of papers, found there to be five research areas: (1) economic aspects; (2) ethics and legal aspects; (3) health communication; (4) policies and crisis management, and (5) political issues. Yet, this article’s results paint a picture of literature that has not yet considered the full scope of COVID-19’s effect on the economic, political, and population level health and well-being. Nor has it considered these effects across the global community, suggesting new potential areas of research and giving a perspective of what we should expect for the future.

Purpose Health-care systems around the globe share several pressing challenges – including increasing costs and patient outcomes. Innovative arrangements, such as public–private partnerships (PPP) can be adopted to help address these challenges. Although the promise of PPPs is great, so are its peril if the arrangements are not managed and regulated adequately through the contracting process. Yet, PPP arrangements can introduce their own unique set of problems. This paper aims to analyze how PPPs contracting accounts for three major problems identified reviewing the: performance measurement and audit; determination of compensation and risk management–related issues. Design/methodology/approach The authors used a case study approach to analyze contracting among health-care PPPs in two countries: Italy and the USA. With a structured review performed on Scopus database using a keywords Boolean research, the authors identified three recurring major issues to investigate in two selected cases, one per country. For each major issue, the authors defined several sub-issues retrieved from a widely used institutional framework. In each sub-issue, a documental analysis on all published information related to the signed contract has been performed identifying the approaches used by the two organizations. Findings The authors find that PPP contracting in the USA case seems to be oriented more toward managing institutional change as well as more flexibility in the deductibility and compensation determination for organizations and providers, suggesting this organization is more oriented to change in general. The authors find that PPP contracting in Italy more clearly delineate the allocation of risk between organizations that engage in PPPs, suggesting a more practical approach. Practical implications PPP is complex. Contracting helps manage the complexity of these arrangements. This case study approach to PPP contracting highlights the variation in contracting approaches across two different countries. Policymakers and health-care managers need to ensure that PPP contracting clearly delineates auditing and performance measurement, compensation and risk management. Originality/value The authors’ analysis sheds light on the different approaches to arranging health-care PPPs in two different country settings. More research should be done to connect these different approaches to important outcomes, such as patient and organizational finances, as well as expanding the scope of countries adopting PPP in health care.

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