Sustainability in Health care by Allocating Resources Effectively (SHARE) 10: operationalising disinvestment in a conceptual framework for resource allocation

Harris, Claire; Green, Sally; Elshaug, Adam G

doi:10.1186/s12913-017-2506-7

Cited by 43 publications

(43 citation statements)

References 142 publications

(270 reference statements)

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“…The first used VOSviewer to identify the most frequent keywords. As indicated in the density map ( Figure 5), the most frequently occurring keywords were organization and management (261), health care delivery (119), healthcare (92), sustainability (86), health care quality (85), organization (81), standard (78), and total quality management (74). This pattern of results reinforces that findings from author co-citation analysis which highlighted the dominance of sustainability s viewed from an economic perspective.…”

Section: Topical Foci Of the Healthcare Management For Sustainabilitysupporting

confidence: 71%

“…More specifically, author co-citation analysis revealed three schools of thought in the SHM literature: (1) sustainable change in health care services, (2) innovations in managing health care operations, and (3) prioritizing and allocating resources for sustainability. The science map of the SHM literature highlighted both the micro-level focus on healthcare management in organizations [11,13,49,63,66], as well as macro-level issues in healthcare systems [70][71][72][73][74][75][76][77].…”

Section: Conclusion and Discussionmentioning

confidence: 99%

“…Key authors include five Australian scholars: Harris with 77 co-citations [70][71][72][73][74][75][76][77], Allen with 53 co-citations [70][71][72][75][76][77], King with 44 co-citations [70][71][72][75][76][77], Elshaung with 42 co-citations [74,[78][79][80], and Mitton with 42 co-citations [78,81]. Key literature within this School centers on a series of 11 research papers published under the acronym, 'SHARE' or 'Sustainability in health care by allocating resources effectively' [70,[72][73][74][75][76][77][82][83][84]. These papers investigated the process of disinvestment in the Australian health services network using an evidence-based approach.…”

Section: Intellectual Structure Of the Healthcare Management Knowledgmentioning

confidence: 99%

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Bibliometric Review of the Knowledge Base on Healthcare Management for Sustainability, 1994–2018

Punnakitikasem

Hallinger

2019

Sustainability

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In response to the United Nations’ (UN) Sustainable Development Goals (SDGs), health care organizations throughout the world have adopted management initiatives designed to increase their sustainability. This review of research used bibliometric methods to analyze a dataset comprised of 477 documents extracted from the Scopus database. The review sought to document research on sustainable healthcare management (SHM) that has accumulated over the past 25 years. Results indicated that the intellectual structure of this body of knowledge is comprised of three schools of thought: (1) sustainable change in health care services, (2) innovations in managing health care operations, and (3) prioritizing and allocating resources for sustainability. The review also highlighted the recent topical focus of research in this literature. Key topics were linked to organization and management of health care services, quality of patient care, and sustainability of health care delivery.

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Section: Topical Foci Of the Healthcare Management For Sustainabilitysupporting

confidence: 71%

Section: Conclusion and Discussionmentioning

confidence: 99%

Section: Intellectual Structure Of the Healthcare Management Knowledgmentioning

confidence: 99%

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Bibliometric Review of the Knowledge Base on Healthcare Management for Sustainability, 1994–2018

Punnakitikasem

Hallinger

2019

Sustainability

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“…ability to meet the needs of the present without compromising the ability to meet future needs" (p. 5). Embracing this perspective, sustainability implies the capability of health care organizations to effectively use available resources to optimize health services' provision and improve achievable health outcomes [17]. This circumstance has a twofold implication in terms of intergenerational equity: in the first place, the effective use of current assets reduces the use of loan financing to subsidize health services' provision; in the second place, the health gains achieved through appropriate access to care empower the current population to produce greater value for forthcoming generations.…”

Section: Introductionmentioning

confidence: 99%

Framing the Shades of Sustainability in Health Care: Pitfalls and Perspectives from Western EU Countries

et al. 2018

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Sustainability is momentous for the appropriate functioning of health care systems. In fact, health and sustainability are two strictly related values, which could not be separately sought. While studies discussing the contextualization of this issue with respect to the distinguishing attributes of health care systems are rapidly blooming, there is still little agreement about what is ultimately meant by sustainability in the health care arena. On the one hand, attention is primarily focused on the proper use of available financial resources; on the other hand, people engagement and empowerment are gradually arising as a crucial step to enhance the viability of the health care system. This paper tries to identify, from a conceptual point of view inspired by the European integrative movement, the different shades of sustainability in health care and proposes a recipe to strengthen the long-term viability of health care organizations. The balanced mix of financial, economic, political, and social sustainability is compelling to increase the ability of health care organizations to create meaningful value for the population served. However, the focus on a single dimension of sustainability is thought to engender several side effects, which compromise the capability of health care organizations to guarantee health gains at the individual and collective levels. From this standpoint, further conceptual and practical developments are envisioned, paving the way for a full-fledged understanding of sustainability in the health care environment.

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“…However, apart from stakeholders' involvement in the epistemic work of identifying low-value care and formulating problem solutions, successful disinvestment requires stakeholders' engagement in implementation and monitoring. International literature reports that there is still a lack of information about effective approaches and clear procedural tools for the implementation of disinvestment policy (Harris, Green, & Elshaug, 2017;Hollingworth et al, 2015;Rooshenas et al, 2015).…”

Section: Limitationsmentioning

confidence: 99%

Experts and idiots

Moes

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Second, the quote reminds us of something more fundamental: 'evidence' is, essentially, a contested concept. Evidence and expertise are often invoked to provide a neutral, rationalistic and technical underpinning of public policy, but although evidence and expertise may seem neutral, in fact, they are not. What constitutes 'evidence' and what counts as 'objective' , 'scientific' or 'expert' knowledge is a philosophical question, rooted in the Philosophy of Science. Most 20 th century philosophers of science took a normative approach to the question: providing answers as to what Porter's work on the rise of quantitative knowledge to achieve 'objectivity' in science and public life shows how public accountability and epistemic ideals were mutually constitutive in the historical setting of the 19 th century. Porter demonstrates how statistics, numerical facts and figures have become a means to achieve objectivity and public trust in modern scientific, professional and public life. 'Trust in Numbers' invites us to take a closer look at knowledge practices and to understand the forms of trust and accountability that are constituted in them. suffers an 'intelligibility deficit' (Coady, 2010, p. 110). As an example Fricker recounts the situation of Carmita Wood, who suffers sexual harassment prior to the time when we had this critical concept: 'so she cannot properly comprehend her own experience, let alone render it communicatively intelligible to others' (Fricker, 2007, p. 1). This is considered a form of injustice, because someone who cannot make him/herself understood is unable to perform social and political tasks that demand their intelligible contribution. Someone who suffers a lack of conceptual resources to make him/ insurance (for low-income and middle-income groups), and private health insurances (for those above a certain income threshold) (Helderman et al., 2014). Faced with growing budget problems in the 80s, the lack of incentives for efficiency and innovation within the Sickness Funds system raised concerns, leading to growing support for 'incentive-based reforms and a reconsideration of the role of competition' (Van de Ven & Schut, 2008). Since the 90s successive governments worked to install all conditions necessary for managed competition in the health care system. In 2006, these efforts culminated in a major market-oriented reform within the context of a social health insurance system: the Health Insurance Act (Zorgverzekeringswet, Zvw). The introduction of the Health Insurance Act entailed a transition from government regulation of social health insurance taken out of wages (Sickness Fund system) towards a system of regulated competition between private insurance companies. clinical science can determine 'what works' and parameters based on these scientific findings can form an 'objective' standard for provider behavior (Tanenbaum, 1995, 2012). The epistemic practice of EBM has become pervasive in decision-making at macro-, mesoand micro-levels of the Dutch health care arena since the 1990s (Bolt, 2...

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Sustainability in Health care by Allocating Resources Effectively (SHARE) 10: operationalising disinvestment in a conceptual framework for resource allocation

Cited by 43 publications

References 142 publications

Bibliometric Review of the Knowledge Base on Healthcare Management for Sustainability, 1994–2018

Bibliometric Review of the Knowledge Base on Healthcare Management for Sustainability, 1994–2018

Framing the Shades of Sustainability in Health Care: Pitfalls and Perspectives from Western EU Countries

Experts and idiots

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