A new model of online health care delivery science education for mid-career health care professionals

Faerber, Adrienne; Andrews, Alice; Lobb, Ano; Wadsworth, Eric; Milligan, Katherine; Shumsky, Robert A.; Lahey, Tim

doi:10.1016/j.hjdsi.2018.12.002

Cited by 5 publications

(9 citation statements)

References 27 publications

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“…As HDSE programs continue to develop, online resources and web-based learning could be well-received platforms for delivering expert content. 5,14,44 Development of many HDSE program types may be needed in order to appeal to diverse physician populations with independent preferences. Disinterest in the HDSE program seemed to most strongly relate to the mixed peer group and project requirements.…”

Section: Resultsmentioning

confidence: 99%

“…HDSE program leadership often advocate for and incorporate these components into certificates and masters programs. 5 Mentoring has been shown to be one of the most effective methods for achieving success and satisfaction in the workplace. 39 Moreover, projects can help physicians find direct applicability of didactic content in their practice environments.…”

Section: Resultsmentioning

confidence: 99%

“…3,4 HDSE is the interdisciplinary, integrated study of social science, public health, population health, bio-design thinking, business, law, and medicine toward improving the effectiveness and proficiency of patient-centered care. [5][6][7][8] As medical schools and residency programs continue to struggle to allocate time and resources to HDSE amidst the growing mass of medical, translational, and basic science content, many physicians continue to graduate medical school and residency with minimal HDSE. 6,9,10 When physicians begin their careers, it can be challenging to allocate time toward learning basic healthcare delivery science skills, such as financial literacy, management, and advocacy.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

<p>An Unmet Need in Healthcare Leadership: A Survey of Practicing Physicians’ Perspectives on Healthcare Delivery Science Education</p>

Weeks¹,

Hansen²,

Merritt³

et al. 2020

JHL

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Background: Healthcare delivery science education (HDSE) is increasingly needed by physicians balancing clinical care, practice management, and leadership responsibilities in their daily lives. However, most practicing physicians have received little HDSE in undergraduate through residency training. The purpose of this study is to 1) quantify the perception of the need for HDSE and interest in HDSE among a diverse sample of physicians, and 2) determine if perspectives on HDSE vary by specialty, rurality, and years in practice. Methods: Using a cross-sectional, single state, mailed questionnaire, we surveyed 170 physicians about their perspectives on HDSE and interest in an HDSE program. Descriptive statistics and a multivariable logistic regression are presented. Results: Among the 70.5% of responding eligible physicians, 75% of physicians had less HDSE than they would like and 90% were interested in obtaining more HDSE. Thirty-five percent of physicians were interested in joining the described HDSE program. The most prevalent barriers to obtaining HDSE were a lack of time and existing programs. Physician perspectives were similar across specialties, years in practice, and rurality. Conclusion: There is a high unmet need for HDSE among physicians. Diverse and innovative HDSE programming needs to be developed to meet this need. Programming should be developed not only for physicians but also for undergraduate through residency training programs.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

<p>An Unmet Need in Healthcare Leadership: A Survey of Practicing Physicians’ Perspectives on Healthcare Delivery Science Education</p>

Weeks¹,

Hansen²,

Merritt³

et al. 2020

JHL

View full text Add to dashboard Cite

show abstract

“…One way of conceptualizing HCDS is to think about it as working on the healthcare delivery system as opposed to working in the healthcare system. As its name implies, HCDS focuses on the processes and organizational structures that influence the provision of healthcare, rather than the biological sciences that have been the traditional emphasis in medical research ( 74 ).…”

Section: Research Methodologies For Healthcare Transformationmentioning

confidence: 99%

Changing the research paradigm for digital transformation in healthcare delivery

Regan

2022

Front. Digit. Health

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The growing focus on healthcare transformation (i.e., new healthcare delivery models) raises interesting issues related to research design, methodology, and funding. More than 20 years have passed since the Institute of Medicine first called for the transition to digital health with a focus on system-wide change. Yet progress in healthcare delivery system change has been painfully slow. A knowledge gap exists; research has been inadequate and critical information is lacking. Despite calls by the National Academies of Science, Engineering, and Medicine for convergent, team-based transdisciplinary research with societal impact, the preponderance of healthcare research and funding continues to support more traditional siloed discipline research approaches. The lack of impact on healthcare delivery suggests that it is time to step back and consider differences between traditional science research methods and the realities of research in the domain of transformational change. The proposed new concepts in research design, methodologies, and funding are a needed step to advance the science. The Introduction looks at the growing gap in expectations for transdisciplinary convergent research and prevalent practices in research design, methodologies, and funding. The second section summarizes current expectations and drivers related to digital health transformation and the complex system problem of healthcare fragmentation. The third section then discusses strengths and weaknesses of current research and practice with the goal of identifying gaps. The fourth section introduces the emerging science of healthcare delivery and associated research methodologies with a focus on closing the gaps between research and translation at the frontlines. The final section concludes by proposing new transformational science research methodologies and offers evidence that suggests how and why they better align with the aims of digital transformation in healthcare delivery and could significantly accelerate progress in achieving them. It includes a discussion of challenges related to grant funding for non-traditional research design and methods. The findings have implications broadly beyond healthcare to any research that seeks to achieve high societal impact.

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“…[1][2][3] Even as these changes are being implemented, the cost of healthcare in the United States continues to rise reaching $3.5 trillion in 2017 and amounting to 17.9% of the Gross Domestic Product. [4][5][6] Due to their unique clinical viewpoints, physicians across all specialties are being called upon to assume wide-ranging formal and informal leadership and management roles in healthcare. In this variety of roles, they are faced with addressing a diverse set of priorities, from adapting to fee-for-service models, implementing technologies and policies, to improving medical outcomes and maintaining patient satisfaction.…”

Section: Introductionmentioning

confidence: 99%

Viewpoints on Healthcare Delivery Science Education Among Practicing Physicians in a Rural State

Weeks¹,

Manorot²,

Conley³

et al. 2021

AMEP

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Introduction: Healthcare Delivery Science Education (HDSE) covers important aspects of the business of medicine, including, operations management, managerial accounting, entrepreneurship, finance, marketing, negotiations, e-health and policy/advocacy. We need to investigate and understand practicing physicians' viewpoints on HDSE in order to inform interventions capable of preventing the double loss phenomena and improving medical and continuing medical education opportunities in HDSE. This qualitative study aims to provide a rich, contextualized understanding of the HDSE experiences and interests of physicians practicing in a rural state through the intensive study of particular cases. Materials and Methods: We interviewed 18 practicing physicians from a rural, Midwestern state over the telephone about their viewpoints on past experiences obtaining HDSE, interest in HDSE, barriers to pursuing HDSE, and interest in an example HDSE certificate program. Results: Salient themes in our study were that physicians were interested in HDSE and believed HDSE could lead to improved patient care and practice efficiency. However, many of the respondents had not received longitudinal, diversified, didactic or practical HDSE. Time limited many physicians from pursuing HDSE opportunities. Many physicians in the study were interested in the example HDSE certificate program. Discussion and Conclusions: Physicians in our qualitative study were interested in obtaining HDSE and had not received diversified, didactic HDSE in the past. Our research suggests innovative HDSE programs will likely be utilized and pursued if they are developed.

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A new model of online health care delivery science education for mid-career health care professionals

Cited by 5 publications

References 27 publications

<p>An Unmet Need in Healthcare Leadership: A Survey of Practicing Physicians’ Perspectives on Healthcare Delivery Science Education</p>

<p>An Unmet Need in Healthcare Leadership: A Survey of Practicing Physicians’ Perspectives on Healthcare Delivery Science Education</p>

Changing the research paradigm for digital transformation in healthcare delivery

Viewpoints on Healthcare Delivery Science Education Among Practicing Physicians in a Rural State

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