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Article
Publication date: 8 June 2015

Mustafa Ozkaynak, Sharon A. Johnson, Bengisu Tulu, Jennifer L. Donovan, Abir O. Kanaan and Adam Rose

The needs of complex patients with chronic conditions can be unpredictable and can strain resources. Exploring how tasks vary for different patients, particularly those with…

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Abstract

Purpose

The needs of complex patients with chronic conditions can be unpredictable and can strain resources. Exploring how tasks vary for different patients, particularly those with complex needs, can yield insights about designing better processes in healthcare. The purpose of this paper is to explore the tasks required to manage complex patients in an anticoagulation therapy context.

Design/methodology/approach

The authors analyzed interviews with 55 staff in six anticoagulation clinics using the Systems Engineering Initiative for Patient Safety (SEIPS) work system framework. The authors qualitatively described complex patients and their effects on care delivery.

Findings

Data analysis highlighted how identifying complex patients and their effect on tasks and organization, and the interactions between them was important. Managing complex patients required similar tasks as non-complex patients, but with greater frequency or more intensity and several additional tasks. After complex patients and associated patient interaction and care tasks were identified, a work system perspective was applied to explore how such tasks are integrated within clinics and the resulting implications for resource allocation.

Practical implications

The authors present a complex patient management framework to guide workflow design in specialty clinics, to better support high quality, effective, efficient and safe healthcare.

Originality/value

The complex patient framework presented here, based on the SEIPS framework, suggests a more formal and integrated analysis be completed to provide better support for appropriate resource allocation and care coordination.

Details

International Journal of Health Care Quality Assurance, vol. 28 no. 5
Type: Research Article
ISSN: 0952-6862

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Article
Publication date: 8 June 2015

Keith Hurst

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Abstract

Details

International Journal of Health Care Quality Assurance, vol. 28 no. 5
Type: Research Article
ISSN: 0952-6862

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Book part
Publication date: 9 June 2016

Zeynep Cihan Koca-Helvacı

A comparative analysis of ideologically opposed Turkish newspapers’ coverage of the Gezi Park protests, which was a wave of pro-democracy movement in Turkey, is critical because…

Abstract

A comparative analysis of ideologically opposed Turkish newspapers’ coverage of the Gezi Park protests, which was a wave of pro-democracy movement in Turkey, is critical because the media not only have a strong influence on opinion formation (Fairclough, 1989) but also provide the most relevant context for observing controversial interpretations and practices of democracy in Turkey. Although previous research on the media framing of social movements (Chan & Lee, 1984; Dardis, 2006; Hackett & Zhao, 1994; McLeod & Hertog, 1999) has shown that the media delegitimized the protests to serve the interests of the political status quo, it is expected that a much more complicated attitude may be revealed in the Turkish media because of the protest issue and polarized media. To this end, I triangulate corpus linguistics with frame analysis to explore discrepancies between the right and left wing newspapers’ coverage of the protests. Contrary to previous studies, no sort of unanimity on the side of the political authority is observed in Turkish media. While right wing newspapers widely use delegitimizing frames to portray the protests as an international plot or a masquerade, left wing newspapers only use legitimizing frames to deem the protests as a reasonable reaction to the controversial policies of the government. The findings of this study provide a new understanding of changing media attitudes toward social mobilizations in an era which has witnessed a series of movements for democracy and equality.

Details

Protest, Social Movements and Global Democracy Since 2011: New Perspectives
Type: Book
ISBN: 978-1-78635-027-5

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