Journal of Health Organization and Management: Volume 30 Issue 4

Which moral hazard? Health care reform under the Affordable Care Act of 2010

Roger Lee Mendoza

Moral hazard is a concept that is central to risk and insurance management. It refers to change in economic behavior when individuals are protected or insured against certain…

Interpretation time in an ethnically diverse pediatric orthopedic clinic

Moon Lee, Mary Sobralske, Ellen Raney, Brian Carino

The purpose of this paper is to determine whether there were differences in clinical encounter time between patients who speak English and those who require an interpretation…

Crossing and creating boundaries in healthcare innovation

Karen Ingerslev

This paper reports from a qualitative case study of a change initiative undertaken in a Danish public hospital setting during national healthcare reforms. The purpose of this…

“Nudge” and the epidemic of missed appointments: Can behavioural policies provide a solution for missed appointments in the health service?

Ajay Aggarwal, Joanna Davies, Richard Sullivan

Missed appointments constitute a significant problem in the UK National Health Service (NHS) and this remains an area where improvements could yield substantial efficiency…

General practitioners’ decisions about discontinuation of medication: an explorative study

Michael Simon Nixon, Morten Thanning Vendelø

– The purpose of this paper is to investigate how general practitioners’ (GPs) decisions about discontinuation of medication are influenced by their institutional context.

Using health information technology to manage a patient population in accountable care organizations

Frances M Wu, Thomas G. Rundall, Stephen M. Shortell, Joan R Bloom

The purpose of this paper is to describe the current landscape of health information technology (HIT) in early accountable care organizations (ACOs), the different strategies ACOs…

Significance of scientific evidence in organizing care processes

Henna Hasson, Staffan Blomberg, Anna Dunér, Anneli Sarvimäki

The purpose of this paper is to analyze how staff and managers in health and social care organizations use scientific evidence when making decisions about the organization of care…

Social interaction in management group meetings: a case study of Finnish hospital

Tomi Laapotti, Leena Mikkola

– The purpose of this paper is to understand the role of management group meetings (MGMs) in hospital organization by examining the social interaction in these meetings.

Development of a comprehensive model for stakeholder management in mental healthcare

Joyce Bierbooms, Hans Van Oers, Jeroen Rijkers, Inge Bongers

Stakeholder management is not yet incorporated into the standard practice of most healthcare providers. The purpose of this paper is to assess the applicability of a comprehensive…

Women physicians as healthcare leaders: a qualitative study

Virginia R Roth, Anne Theriault, Chris Clement, Jim Worthington

– The purpose of this paper is to explore the under-representation of women physicians in clinical leadership by examining the issue from their perspective.

The mutuality metaphor: understanding healthcare provision in NHS Scotland

Brian Howieson

Better Health, Better Care Action Plan (Scottish Government, 2007) sets out how the Scottish Government intends to strengthen public ownership of the National Health Service in…

The importance, challenges and prospects of taking work practices into account for healthcare quality improvement: Nursing work and patient status at a glance white boards

Davina Allen

The purpose of this paper is to underline the importance of taking work practices into account for quality improvement (QI) purposes, highlight some of the challenges of doing so…

Fit for purpose? Introducing a rational priority setting approach into a community care setting

Evelyn Cornelissen, Craig Mitton, Alan Davidson, Colin Reid, Rachelle Hole, Anne-Marie Visockas, Neale Smith

Program budgeting and marginal analysis (PBMA) is a priority setting approach that assists decision makers with allocating resources. Previous PBMA work establishes its efficacy…

First and foremost, physicians: the clinical versus leadership identities of physician leaders

Joann Farrell Quinn, Sheri Perelli

Physicians are commonly promoted into administrative and managerial roles in US hospitals on the basis of clinical expertise and often lack the skills, training or inclination to…