Reply to Letter: Prehospital physician involvement and survival after out-of-hospital cardiac arrest

Hamilton, Annika; Steinmetz, Jacob; Lohse, Nicolai

doi:10.1016/j.resuscitation.2017.01.021

Cited by 1 publication

(1 citation statement)

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“…However, studies on clinician involvement in hospital diagnostic decisions and also decisions involving purchase and implementation of devices and processes, respectively, are somewhat fragmented and rare. However academic healthcare management literature supports involving physicians and patients in making superior care delivery decisions (Huang et al , 2017; Khatana et al , 2017; Mehta-Naik et al , 2017; Hamilton et al , 2017). The environment of the healthcare ecosystem is such that often clinicians need to work and execute beyond their usual line of duty and practices to cater to the varying needs of the patients.…”

Section: Process Focusmentioning

confidence: 99%

Enablers of clinician involvement inclination, care delivery agility and clinical productivity

Chakraborty

Мандал

2019

BIJ

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Purpose Healthcare services have enormous potential for growth in the country. However, the drivers of clinical productivity are yet to be explored. The purpose of this paper is to examine the effect of clinician buy-in, clinician ease of use, clinician work stream flexibility and device placement comfort on clinician’ s involvement. The study further examines the effect of converged devices implementation and wireless portable devices adoption on care delivery agility. Lastly, the authors examine the influence of clinician’s involvement and care delivery agility on clinical productivity. Design/methodology/approach Measures for the constructs were developed from extant literature and expert feedback complemented with pre-testing. Further, perceptual responses were collected from 221 doctors through internet surveys and were analyzed using partial least squares. Findings The study identified clinician’s ease of use and workflow streamlining flexibility as key enablers of clinician’s involvement. Findings further reveal that converged devices implementation and wireless portable adoption as prominent enablers of care delivery agility. Further, the authors found clinician’s involvement and care delivery agility to have a positive contribution in enhancing clinical productivity. Research limitations/implications The study has collected perceptual responses from doctors practicing both in hospitals and private clinics and their perceptions have been based on their experiences at those specific institutions or sites, which may limit generalizability of the current study findings. This study incorporated only doctors and ignored other assistant staffs’ perceptions who assisted and aided doctors in executing treatment procedures either in private clinics or hospitals. Practical implications The study has practical implications for enhancing clinical productivity. Social implications The study findings highlight the role of process focus and infrastructure focus on the human elements of involvement and agility which often play pivotal role for motivation for individual physicians and their productivity. Originality/value The study is the foremost to develop perceptual measures for several constructs in the healthcare services.

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