Editorial

Maniatopoulos, Gregory; Hunter, David J.; Best, Allan

doi:10.1108/jhom-05-2020-367

Cited by 1 publication

(3 citation statements)

References 8 publications

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“…Public health systems internationally continue to be challenged by increasing demand for health care, compounded by pressures to enhance health outcomes amidst the current climate of uncertainty and tightening government finances. [1][2][3] These pressures necessitate a focus on maximizing value in terms of health outcomes achieved for resources invested. 4 Health systems therefore require cost-specific improvement practices that do not negatively impact either the quality of outcomes achieved or the experiences of staff and consumers.…”

Section: Introductionmentioning

confidence: 99%

“…With EI recognized as an integral component in addressing the challenge of meeting increasing demand for outcomes with limited resources, the generation and application of evidence to identify and implement EI approaches which have proven to be successful is likely to be a key enabling factor. 3,12 Public health systems and organisations internationally can establish EI as a strategic and operational priority by embedding a focus on efficiency in strategic plans, performance management frameworks and service agreements. 16,20 This can be extended to including EI-specific funding levers such as incentivization and grants, which can support organisations to direct resources and service delivery towards more efficient activities and away from less-efficiency and lower-value activities.…”

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confidence: 99%

“…74 Although the structure of health systems varies internationally, the imperatives to improve value, respond to increasing demand pressures and ensure capacity for reform by maximizing outcomes achieved for resources invested are shared across many public health systems. 3 This comes with a caveat, as performance measures for outcomes are in their infancy and are likely to vary across systems. 44,71 As each public health system sets out its strategic planning and governance documents according to its unique structural, funding and service delivery requirements, the approaches identified in this study may be used to inform specific approaches for EI which may be included in these documents.…”

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confidence: 99%

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Analysis of Centralized Efficiency Improvement Practices in Australian Public Health Systems

Walters,

Sharma,

Boyce

et al. 2023

JHL

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Analysis of centralized efficiency improvement practices in Australian public health systems. Introduction: Public health systems seek to maximize outcomes generated for resources used through efficiency improvement (EI) in response to funding and demand pressures. Despite this focus, evidence for EI approaches at the whole-of-system level is lacking in the literature. There is an urgent need for evidence-based approaches to centralized EI to address these pressures. This study aims to address this gap by answering the research question "How is EI conceptualized and managed by central public health system management entities in Australia?". Material and Methods: Document analysis was selected due to its suitability for systematically searching and appraising health system documentation, with this study following Altheide's approach focusing on whole-of-system strategic plan and management framework documents originating from Australian public health organizations. Results: Conceptualization of efficiency varied substantially with no consistent definition identified, however common attributes included resource use, management, service and delivery. Forty-two of 43 documents contained approaches associated with improving efficiency at the whole of system level. Discussion: While no comprehensive framework for centralized EI was evident, we identified nine core approaches which together characterize centralized EI. Together these approaches represent a comprehensive evidence-based approach to EI at the whole of system level. Conclusion:The approaches to whole-of-system EI identified in this study are likely to be highly transferable across health systems internationally with approaches including strategic priority setting, incentivization, performance support, use of EI evidence, digital enablement and workforce capability development.

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