The relative importance of leadership and payment system

Forsberg, Elenita; Axelsson, Runo; Arnetz, Bengt B.

doi:10.1016/j.healthpol.2003.12.003

Cited by 10 publications

(11 citation statements)

References 18 publications

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“…The most significant predictors of changes in mental health, another important aspect of organizational well-being, were work tempo, a proxy measure for work stress in knowledge workers, and work climate. Increased competition, demands for more efficient operations as well as financial cutbacks have resulted in an increased work stress in many organizations, including health care [21, 25]. There are also reports of high levels of mental ill health and mental fatigue in health care settings [26, 27].…”

Section: Discussionmentioning

confidence: 99%

“…Prior studies have also suggested that participatory management and employee empowerment are important ingredients for increasing efficacy in organizations [4, 24]. Organizational characteristics seem to influence the work performance and well-being of employees as well as their attitudes toward work [16,24,25,26,27,28,29]. Skills development, which is suggested by many researchers to be an important determinant of organizational and employee well-being, was only a significant predictor in one specific area (leadership) and then only in one hospital.…”

Section: Discussionmentioning

confidence: 99%

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Leadership, Mental Health, and Organizational Efficacy in Health Care Organizations

Arnetz

Blomkvist

2007

Psychother Psychosom

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Background: Only a few studies of psychosocial determinants of employee health and organizational development have been prospective, involving more than one organization and applying standardized assessment tools. This limits the ability of providing evidence-based guidance as how to carry out healthy organizational transformations. Methods: A total of 6,000 employees responded twice to a validated psychosocial-leadership questionnaire within a 2-year period. The assessment focused on changes over time in the three outcome measures – mental health, efficacy, and leadership, determined to be important indicators of a healthy organization. Changes within and between organization were assessed statistically using regular t tests and general linear modeling. Results: There were major differences between organizations in psychosocial measures, both at the baseline and over time. At the organizational level, changes between study periods in management performance feedback, participatory management, and work tempo were the most consistent predictors of improvements over time in the three outcome measures. Conclusions: Performance feedback and participatory management might be two common predictors of healthy workplaces. Some of the psychosocial determinants of healthy organizations suggested in previous research might not be universally valid. It is suggested that future research should to a larger degree make use of multiple departments and organizations in studies of psychosocial determinants of healthy organizations.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Leadership, Mental Health, and Organizational Efficacy in Health Care Organizations

Arnetz

Blomkvist

2007

Psychother Psychosom

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“…In this context, it should be mentioned that on closer scrutiny, it became apparent that two of the county councils had-albeit limited-elements of activity-based financing in their operations (Håkansson, 2000). Later studies, however, have pointed to the fact that activity-based financing's significance is not so great that there is not plenty of room for the management to act and affect the costs (Forsberg et al, 2004).…”

Section: Studies That Indicate Unchanged or Reduced Productivitymentioning

confidence: 99%

Activity‐based financing of health care––experiences from Sweden

Kastberg¹,

Siverbo

2007

Health Planning & Management

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SUMMARYThe market-inspired control models that go under the name of New Public Management (NPM) are no longer being debated in the arena of public health care as they once were, although there are still very clear signs of NPM in many countries. One manifestation of NPM in health care is activity-based financing. The first purpose of this paper is to describe what impacts activity-based financing has had in Sweden's public health service. The second purpose is to explain why the application of the payment model has been gradually changed. The basis for the paper comprises research done on activity-based financing.

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“…Poor leadership in HCOs could increase costs, reduce efficiency and effectiveness, and cause dissatisfaction among staff, ultimately resulting in lower patient satisfaction and society health level ( 16 - 19 ). Appropriate leadership can create an organizational culture that is committed to quality, reducing conflicts, improving efficiency and productivity of teams, enhancing staff’s satisfaction, advancing hospital performance, and finally, meeting personal and organizational goals ( 20 , 21 ). Most leadership studies have been conducted in developed countries and in the areas outside health care, and only a very few has been done in the realm of health care ( 22 , 23 ).…”

Section: Introductionmentioning

confidence: 99%

Leadership challenges in health care organizations: The case of Iranian hospitals

Ghiasipour

Mosadeghrad

Asgari

et al. 2017

Med. J. Islam. Republic Iran

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Background: Effective leadership is a vital component of health care systems and has an extensive range of functions in improving organizational effectiveness and efficiency. This study aimed at exploring leadership challenges encountered by leaders in Iranian hospitals. Methods: This qualitative study was conducted on a purposeful sample of 27 members of hospital management team in Tehran using face-to-face semi-structured interviews and in-depth interviews. Thematic analysis was used to analyze and report the data. Results: In this study, 5 main themes emerged upon the challenges of leadership in health care organizations as follow: organizational structure (complexity, centralization, and bureaucracy); human resources (the number and distribution of human resources, staff empowerment, and education, motivational mechanisms, and staff diversity); work nature (sensitivity, stress and tension, customer diversity, and team- oriented); leaders (knowledge and skills, appointment, superiors and colleagues, and time); and context (regulations and programs, cultural issues, social issues, and economic issues). Conclusion: The results of this study shed some light on the leadership challenges in a culturally specific developing country. The results also proved the importance of using educated leaders who are capable of understanding, analyzing, and dealing with such complex challenges.

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The relative importance of leadership and payment system

Cited by 10 publications

References 18 publications

Leadership, Mental Health, and Organizational Efficacy in Health Care Organizations

Leadership, Mental Health, and Organizational Efficacy in Health Care Organizations

Activity‐based financing of health care––experiences from Sweden

Leadership challenges in health care organizations: The case of Iranian hospitals

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