Managing the tensions of standardized work processes in healthcare operations: The job crafting lens

Frangeskou, Marianna; Erthal, Alice; Ndibalema, Rweyemamu

doi:10.1016/j.jbusres.2023.114459

Journal of Business Research

2024

DOI: 10.1016/j.jbusres.2023.114459

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Managing the tensions of standardized work processes in healthcare operations: The job crafting lens

Marianna Frangeskou,

Alice Erthal,

Rweyemamu Ndibalema

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2024

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Cited by 1 publication

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Design principles for patient flow improvement in care pathways: a paradox theory perspective

Vallandingham,

De Boer,

Dreyer

2024

BPMJ

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PurposeThe patient flow performance achievable by care pathways is constrained by competing flow and resource efficiency, which can negatively impact improvements. This paper probes the divergence between resource and flow efficiency and how care pathways can lead to improved patient flow. By framing the problem through the lens of paradox theory, a set of design principles is proposed to assist decision-makers in care pathway implementation. Implications are derived for research and practice.Design/methodology/approachThe authors used conceptual research to develop design principles for care pathways based on a systematic review of relevant care pathway research. The initial search contained 515 unique articles, resulting in a final sample of 56 studies.FindingsWhen applying care pathways, patient flow may be negatively affected in relation to the dimensions of bottlenecks, non-value-adding activities, and variability. However, the findings also indicate methods that can be applied to manage organizational paradoxes, which can contribute to more efficient patient flow along each of the three dimensions.Research limitations/implicationsThe study is limited to care pathways and therefore could have missed relevant studies in similar fields, such as care coordination.Practical implicationsHealth care managers, politicians, and IT developers can apply the proposed design principles when developing, implementing, and improving care pathways and supporting technologies.Originality/valueWhile existing research has studied care pathways from a medical perspective, this is the first paper to the author’s knowledge that addresses care pathways directly by considering paradox theory and in light of the operations management literature.

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Design principles for patient flow improvement in care pathways: a paradox theory perspective

Vallandingham,

De Boer,

Dreyer

2024

BPMJ

View full text Add to dashboard Cite

show abstract

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Managing the tensions of standardized work processes in healthcare operations: The job crafting lens

Cited by 1 publication

References 87 publications

Design principles for patient flow improvement in care pathways: a paradox theory perspective

Design principles for patient flow improvement in care pathways: a paradox theory perspective

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