Disentangling the Role of Health Care Systems in Producing High-Quality Care

Lewis, Valerie A.; Murray, Genevra F.; DeWalt, Darren A.

doi:10.1001/jama.2022.24728

Cited by 3 publications

(2 citation statements)

References 10 publications

(11 reference statements)

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“…The most well-understood antecedent of trust in healthcare is competence. Patients’ perceptions of clinical competence can be influenced by whether a doctor seems rushed or deliberative, uncertain or assured, thorough or cursory (Bendapudi et al 2006); by a doctor’s willingness to coordinate care with other clinicians (Lewis, Murry, and DeWalt 2023); and by the efficiency and professionalism of the service system, including encounters with nonclinical staff that “spill over” to influence assessment of the doctor (Dagger et al 2013). Patients are likely to assume a physician is competent unless evidence to the contrary emerges (Bendapudi et al 2006).…”

Section: How Trust Advances Healingmentioning

confidence: 99%

Reclaiming Healthcare’s Healing Mission for a Sustainable Future

Berry,

Yadav,

Hole

2023

Journal of Service Research

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Healthcare in the United States has reached a point where it is unsustainable for the long term, particularly for the poor, the elderly, and healthcare workers (HCWs) themselves. We propose a framework for making U.S. healthcare more sustainable, whereby the service returns to its core mission of healing. The framework casts that healing mission in broadly applicable, practical terms, whereby leaders of healthcare organizations and in the wider for-profit, not-for-profit, and governmental healthcare ecosystem take concrete steps to improve outcomes for patients and HCWs. Those steps involve aligning healthcare resources, incentives, and policies with the core mission of healing and then implementing change in specific ways that particular organizations have already shown are achievable and sustainable. We use those examples to illustrate how healing-oriented innovations in healthcare delivery get deployed and how progress toward sustainability then ensues. Lessons from these efforts can be tailored to individual healthcare contexts and institutions—and then applied on a national scale. The discussed initiatives can also guide the direction of future research on healthcare sustainability.

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Section: How Trust Advances Healingmentioning

confidence: 99%

Reclaiming Healthcare’s Healing Mission for a Sustainable Future

Berry,

Yadav,

Hole

2023

Journal of Service Research

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“…Many studies examining health systems and performance consider one country only and thus offer a nite perspective on the topic. [5][6][7][8][9][10][11][12] This is a eld of research that continues to evolve and we conducted a comprehensive scoping review on health systems and high performance to identify explicit de nitions, report on research outcomes, and knowledge gaps. The aim of this study is to chart the literature on the de nitions and key concepts of high performing health care systems.…”

mentioning

confidence: 99%

Definition and key concepts of high performing health systems: a scoping review

Perrier,

Perreira,

Cho

et al. 2024

Preprint

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Background: The COVID-19 pandemic identified the need to transform health systems globally. The meaning of a high performing health system is often shaped by specific priorities that may not be widely shared. The first step is to determine how high performing is defined in relation to a health system. The objective of this study is to chart the literature on the definitions and key concepts of high performing health care systems. Methods: A scoping review was conducted by searching the published and unpublished literature. Two reviewers independently screened titles and abstracts, then full-text articles. Data abstraction was performed independently by two investigators. Data were summarized descriptively by allocating concepts or characteristics into categories and reporting frequencies. Results: A total of 3441 citations and 485 full-text articles were screened independently by two reviewers, and we included 31 primary articles and 38 companion documents in the review. Three independent definitions for a high performance health system were identified. Eighteen research studies reported outcomes on the elements of a high performing health system (56%), system evaluation (33%), and tool development or validation (11%). Knowledge gaps identified were the lack of a common definition, a lack of common indicators, strategies for moving evidence into policy and practice, and difficulties with comparisons across health systems. Conclusions: We found limited definitions and a lack of empirical evidence on our topic. There is an opportunity for primary research in the area of health systems and high performance. Scoping review registration: https://osf.io/hdyrq

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