Managing Under Austerity, Delivering Under Pressure

Wanna, John; Lee, Hsu-Ann; Yates, Sophie

doi:10.26530/oapen_588796

Cited by 4 publications

(3 citation statements)

References 67 publications

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“…In particular, these findings align with public sector organisations empowering motivated individuals through digital innovations, democratising innovation, enabling change, and change-ready business models [ 19 ]. In the specific case of the ICIF grant opportunity in Queensland, the findings of this study validate the drive by healthcare executives to implement new models of care, supported by sustainable business models, that show promise of fostering a more integrated, and people-centred approach to care across primary, secondary and tertiary services than what conventional approaches have delivered previously [ 1 19 28 ].…”

Section: Discussionsupporting

confidence: 52%

“…The themes identified in this research, while focusing on healthcare innovation and investment decision-making, align with other contexts focusing on redesign and improvement more broadly across the public sector [ 3 19 28 30 40 ]. In particular, these findings align with public sector organisations empowering motivated individuals through digital innovations, democratising innovation, enabling change, and change-ready business models [ 19 ].…”

Section: Discussionmentioning

confidence: 69%

“…These themes also linked to how executives’ personal experiences and career goals/motives positioned them to consider innovation pilots as vehicles to drive workforce and systems performance and productivity to benefit patients and communities [ 28 29 30 ]. For ease of analysis, where the interview participant recognised a facilitator or a barrier to their decision-making, these were recorded to inform the theming.…”

Section: Description Of the Care Practicementioning

confidence: 99%

See 2 more Smart Citations

Executive Decision-Making: Piloting Project ECHO® to Integrate Care in Queensland

Moss¹,

Hartley²,

Ziviani³

et al. 2020

International Journal of Integrated Care

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Introduction: A Queensland project team secured grant funding to pilot Project ECHO ® , a telementor ing model, to drive vertical and horizontal integration across paediatric, education and primary care services. This study sought to understand what influenced healthcare executives' decision-making pro cesses to organisationally commit to and financially invest in the pilot proposal within an organisational context. Theory and Methods: A phenomenological approach methodology was adopted to investigate healthcare executives' conscious decision-making processes. Semi-structured interviews with key stakeholders were conducted alongside project documentation analyses to create a thematic framework. Results: The qualitative thematic analysis identified five key themes that influenced the decision-making processes of healthcare executives to invest in Project ECHO ® as an integrated care pilot. The themes were: (i) personal experiences, (ii) benefits, (iii) risks, (iv) partnerships, and (v) timing. Executives' reflec tions explored how their decision-making processes considered the intrapreneurial project team as an indicator of future sustainability. Discussion: Findings highlighted healthcare intrapreneurs' drive to foster more integrated and peoplecentred approaches to care. Intrapreneurial aims of financial sustainability, ongoing improvement and scalability of the proposal positively influenced investment confidence. Conclusion: Intrapreneurial champions must provide a compelling narrative to convince executive decisionmakers that benefits will outweigh risks, that integration is achievable through strengthened partnerships as well as future sustainability beyond the pilot phase.

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Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 69%

Section: Description Of the Care Practicementioning

confidence: 99%

See 1 more Smart Citation

Executive Decision-Making: Piloting Project ECHO® to Integrate Care in Queensland

Moss¹,

Hartley²,

Ziviani³

et al. 2020

International Journal of Integrated Care

View full text Add to dashboard Cite

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Entrepreneurship and Open Innovation in the Informal Sector of Sub-Saharan Africa

Pillay

2024

Palgrave Studies of Entrepreneurship and Social Challenges in Developing Economies

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Moral Dilemma of Striking: A Medical Worker’s Response to Job Duty, Public Health Protection and the Politicization of Strikes

Ng²

2021

Work, Employment and Society

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The emergence of COVID-19 has led many countries to take strong border control measures. In Hong Kong, in reaction to government reluctance to close the border, more than 9000 medical workers went on strike. The strike lasted for five days only, yet it provoked a moral dilemma for healthcare occupations – when workers strike, citizens’ medical needs may be sacrificed. This article presents Jenna, a medical worker who went on strike, and her evaluation of the moral dilemma. Her account shows the ways in which different narratives shape power and politics and lend legitimacy to striking. Her example reveals the contested framing of professionalism – the struggle between job duties, workplace safety and a commitment to the public interest (public health). This contribution highlights how the moral dilemma of medical strikes can be resolved, and how the politicization of strikes can be legitimized by medical workers.

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Managing Under Austerity, Delivering Under Pressure

Cited by 4 publications

References 67 publications

Executive Decision-Making: Piloting Project ECHO® to Integrate Care in Queensland

Executive Decision-Making: Piloting Project ECHO® to Integrate Care in Queensland

Entrepreneurship and Open Innovation in the Informal Sector of Sub-Saharan Africa

Moral Dilemma of Striking: A Medical Worker’s Response to Job Duty, Public Health Protection and the Politicization of Strikes

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