Healthcare management challenges in two university hospitals

Reijula, Jori; Reijula, Emmi; Reijula, Kari

doi:10.1504/ijhtm.2016.10005028

Cited by 3 publications

(6 citation statements)

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“…Developing and developed countries are going through demographic and epidemiological transitions; people are living longer with increasing prevalence of chronic diseases requiring health managers and leaders to adjust to shifting healthcare needs at the population level, delivering preventative and long-term care beyond acute care. Countries in Africa, Europe, the Pacific Islands, Middle East, Asia and Caribbean are seeing an increase in number of patients with non-communicable diseases and communicable diseases [21, 46–52].…”

Section: Resultsmentioning

confidence: 99%

“…Although many countries have similar emerging health system concerns, there are some differences in the complexities each country faces. For many small countries, outmigration, capacity building and funding from international aid agencies are affecting how their health systems operate, while in many larger countries, funding cuts, rise in private health insurance, innovations, and health system restructuring are major influences [21, 34, 50, 53, 54]. In addition, patients are increasingly health literate and, as consumers, expect high-quality healthcare [34, 53, 54].…”

Section: Resultsmentioning

confidence: 99%

“…Healthcare managers and leaders also face operational inefficiencies in providing primary health and referral services to address highly complex and shifting needs which often result in the waste of resources [49, 63, 64]. Considering the pace of change, organisations are required to be flexible and deliver higher quality care at lower cost [21, 53, 65]. To achieve this, many organisations in developing and developed countries alike are adopting a lean model [17, 21].…”

Section: Resultsmentioning

confidence: 99%

“…Considering the pace of change, organisations are required to be flexible and deliver higher quality care at lower cost [21, 53, 65]. To achieve this, many organisations in developing and developed countries alike are adopting a lean model [17, 21]. However, there are challenges associated with ensuring sustainability of the lean system, adjusting organisational hierarchies, and improving knowledge of the lean model, especially in developing countries [17, 21].…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Priorities and challenges for health leadership and workforce management globally: a rapid review

Figueroa

Harrison

Chauhan

et al. 2019

BMC Health Serv Res

210

119

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Background Health systems are complex and continually changing across a variety of contexts and health service levels. The capacities needed by health managers and leaders to respond to current and emerging issues are not yet well understood. Studies to date have been country-specific and have not integrated different international and multi-level insights. This review examines the current and emerging challenges for health leadership and workforce management in diverse contexts and health systems at three structural levels, from the overarching macro (international, national) context to the meso context of organisations through to the micro context of individual healthcare managers. Methods A rapid review of evidence was undertaken using a systematic search of a selected segment of the diverse literature related to health leadership and management. A range of text words, synonyms and subject headings were developed for the major concepts of global health, health service management and health leadership. An explorative review of three electronic databases (MEDLINE®, Pubmed and Scopus) was undertaken to identify the key publication outlets for relevant content between January 2010 to July 2018. A search strategy was then applied to the key journals identified, in addition to hand searching the journals and reference list of relevant papers identified. Inclusion criteria were independently applied to potentially relevant articles by three reviewers. Data were subject to a narrative synthesis to highlight key concepts identified. Results Sixty-three articles were included. A set of consistent challenges and emerging trends within healthcare sectors internationally for health leadership and management were represented at the three structural levels. At the macro level these included societal, demographic, historical and cultural factors; at the meso level, human resource management challenges, changing structures and performance measures and intensified management; and at the micro level shifting roles and expectations in the workplace for health care managers. Conclusion Contemporary challenges and emerging needs of the global health management workforce orient around efficiency-saving, change and human resource management. The role of health managers is evolving and expanding to meet these new priorities. Ensuring contemporary health leaders and managers have the capabilities to respond to the current landscape is critical.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Priorities and challenges for health leadership and workforce management globally: a rapid review

Figueroa

Harrison

Chauhan

et al. 2019

BMC Health Serv Res

210

119

View full text Add to dashboard Cite

show abstract

“…However, integrating IoT devices into the hospital system causes various security vulnerabilities related to patient privacy issues. In particular, newly developed IoT devices have different security requirements than existing wired and wireless network-based services [9,10]. It is difficult to converge most IoT-based and services, as they are often provided through unique platforms.…”

Section: Introductionmentioning

confidence: 99%

Efficient Mutual Authentication Protocol between Hospital Internet of Things Devices Using Probabilistic Attribute Information

2019

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Wearable and portable medical devices are one of the fastest growing sectors in the Internet of Things (IoT) market. However, medical services specialize in the processing of personal health data, which carries issues that are not faced by other industries. In this paper, we propose a multi-dimensional color vector information based IoT device authentication protocol that can provide benefits for medical work, assuming that a hospital has the capability of integrating IoT devices and has access to patient information. The proposed protocol uses multi-dimensional color vectors to help users who use IoT devices to manage their condition in multiple groups, stochastically. In addition, the proposed protocol provides the health and medical service status of users to medical staff in real time using IoT authentication keys generated through the proposed multi-dimensional color vectors. The proposed protocol not only addresses health care problems yet to be tackled in the management of hospital and health services, but also minimizes administrative time and procedures for current medical services. As a result of the performance evaluation, the proposed protocol improved the efficiency of hospital IoT devices by an average of 31.1%, and the time delay for medical services was improved by 19.8%, compared to the existing protocol. By using the proposed protocol and IoT devices, the average overhead of healthcare providers could be reduced by as much as 15.3%.

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Navigating moral and ethical dilemmas in digital transformation processes within healthcare organizations

Naamati-Schneider,

Arazi-Fadlon,

Daphna-Tekoah

2024

DIGITAL HEALTH

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Objective Healthcare systems around the world face a turbulent and unstable global and local ecosystem that changes daily and impacts the healthcare organization and its workforce. This challenging environment, coupled with economic pressures, is forcing healthcare systems to change and adopt strategic and technological processes to adapt to change at all levels of the system (macro-holistic multi-systemic, mezzo-organizational, and micro-personal). Methods In this study, through 32 in-depth, semi-structured interviews with healthcare professionals working in public general hospitals in central Israel, we examined, mapped, and highlighted the conflicts and moral dilemmas they have faced in recent years, alongside the processes of strategic, technological, and digital changes that the healthcare system has undergone. Results The findings from both a categorical–deductive approach and an inductive approach analysis reveals four main themes: innovation paradox, quality and treatment conflict, information and knowledge conflict, and personal needs and values. The themes and sub-themes are sorted across the three levels of the healthcare system. Conclusions These findings represent a wide range of conflicts and moral dilemmas that arise from the implementation of strategic change and digital transformation, adding to the already numerous ethical issues and moral dilemmas in healthcare and bioethics that are associated with three levels of the system. These challenges and moral conflicts can be barriers to implementing the necessary changes, as well as challenging individuals’ internal values, potentially leading to burnout and moral distress. Given the importance of this issue and the intensification of change processes over the next few years, it is up to the management and key stakeholders to implement these processes in a way that addresses the conflicts and challenges that health professionals face. Minimizing the level of challenges and moral distress in the health sector will be to the benefit of the system, its workers, and the patients it serves.

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Healthcare management challenges in two university hospitals

Cited by 3 publications

References 0 publications

Priorities and challenges for health leadership and workforce management globally: a rapid review

Priorities and challenges for health leadership and workforce management globally: a rapid review

Efficient Mutual Authentication Protocol between Hospital Internet of Things Devices Using Probabilistic Attribute Information

Navigating moral and ethical dilemmas in digital transformation processes within healthcare organizations

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