Abstract：
:This paper examines the nature and level of flexible employment in the National Health Service (NHS) by investigating the extent to which part-time work and job sharing arrangements are used in the provision and delivery of health care. It attempts to analyse the reasons for an increasing number of part-timers and a very limited number of job sharers in the NHS and to explain the advantages and disadvantages of each pattern of employment. Data collected through the use of questionnaires and interviews from 55 NHS trusts reveal that the use of part-time work is a tradition that seems to fit well with the cost-saving measures imposed on the management of the service but at the same time it has led to increasing employee dissatisfaction, and that job sharing arrangements are suitable for many NHS employees since the majority of them are women with a desire to combine family commitments with career prospects but a very limited number of employees have had the opportunity to job share. Therefore it is concluded that to attract and retain the quality of staff needed to ensure high performance standards in the provision and delivery of health care the NHS should accept the diversity that exists within its workforce and take a more proactive approach to promoting a variety of flexible working practices and family-friendly policies.
journal_name
J Health Organ Managjournal_title
Journal of health organization and managementauthors
Branine Mdoi
10.1108/14777260310469328keywords:
subject
Has Abstractpub_date
2003-01-01 00:00:00pages
53-68issue
1eissn
1477-7266issn
1758-7247journal_volume
17pub_type
杂志文章abstract：PURPOSE:The purpose of the study is to examine how Non-Executive Directors (NEDs) in the English National Health Service (NHS) commissioning bodies experienced their role and contribution to governance. DESIGN/METHODOLOGY/APPROACH:Semi-structured interviews were conducted with a purposive sample of 31 NEDs of Primary ...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/JHOM-10-2019-0306
更新日期：2020-11-06 00:00:00
abstract：PURPOSE:The purpose of this paper is to show how elements from queueing theory can be used to obtain objective measures of effective capacity in the triage function at Skaraborg Hospital in Sweden without direct observation of the function itself. DESIGN/METHODOLOGY/APPROACH:Approximately 30,000 patients arrived to th...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/JHOM-05-2014-0074
更新日期：2016-01-01 00:00:00
abstract：PURPOSE:Authentic leadership is an emerging theoretical model purported to focus on the root component of effective leadership. The purpose of this paper is to describe the relevance of authentic leadership to the advancement of nursing leadership practice and research and address the question of whether this is a new ...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/14777260910984014
更新日期：2009-01-01 00:00:00
abstract：PURPOSE:Older patients are at high risk of hospital readmission, which has led to an increasing number of screening and intervention programs. Knowledge on implementing screening tools for preventing readmissions in emergency department (ED), where the primary focus is often the present-day flow of patients, is scant. ...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/JHOM-10-2018-0284
更新日期：2019-08-08 00:00:00
abstract：:Purpose The purpose of this paper is to investigate the relationship between patient safety culture and two attitudinal constructs: affective organizational commitment and structural empowerment. In doing so, the main and interaction effects of the two constructs on the perception of patient safety culture were assess...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/JHOM-07-2016-0150
更新日期：2017-03-20 00:00:00
abstract：PURPOSE:In the last five years more and more scholars have drawn on insights from the complexity sciences as a way of understanding the process of managing and organising in the NHS differently. This paper aims to describe working methods derived from the theory of complex responsive processes, a more radical interpret...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/14777261011047318
更新日期：2010-01-01 00:00:00
abstract：PURPOSE:The purpose of this paper is to investigate the relationship between permanent tensions and organizational change. DESIGN/METHODOLOGY/APPROACH:This study used paradox theory and a case study. The case organization is a public university hospital in Finland involving several stakeholders. FINDINGS:The analysis...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/JHOM-11-2013-0257
更新日期：2015-01-01 00:00:00
abstract：:The World Health Organization (WHO) is a global organization that nowadays has integrated gender issues into its policy, programmes and budget. How then is the state of affairs in the area of gender equity at the ultimate governing bodies of the modern WHO? This study aims to assess the representation of women and men...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/14777260410532074
更新日期：2004-01-01 00:00:00
abstract：PURPOSE:This study aims to explore the use of specific innovations in primary care practices. The research seeks to examine whether a relationship exists between environmental factors and organizational characteristics and the level of innovation in primary care practices in Virginia. DESIGN/METHODOLOGY/APPROACH:The s...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/14777261211211106
更新日期：2012-01-01 00:00:00
abstract：PURPOSE:Not only does leadership produce changes, but those changes produce leadership in organisations. The purpose of this paper is to present a theoretical and empirical analysis of the transformation of leadership at two different historical points in a health care organisation. It leans on the perspective of socia...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/JHOM-02-2014-0032
更新日期：2014-01-01 00:00:00
abstract：:Purpose Close collaboration between NHS clinicians and managers is essential in providing effective healthcare, but relationships between the two groups are often poor. Paired learning is a peer-peer buddying tool that can break down barriers, increase knowledge and change attitudes. Paired learning has been used with...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/JHOM-10-2017-0263
更新日期：2018-03-19 00:00:00
abstract：PURPOSE:This paper aims to explore hospital consultants' social identification, in terms of perceptions of their position in society, the salient targets for their social identification and how this appears to influence their perceptions of management activities and change. DESIGN/METHODOLOGY/APPROACH:A purposeful sam...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/14777261011054581
更新日期：2010-01-01 00:00:00
abstract：PURPOSE:This paper seeks to present findings from a longitudinal action research study aimed at exploring one such innovation. Little is known about the micro-level impact of health service innovations over time. DESIGN/METHODOLOGY/APPROACH:The paper shows that action research is a participatory approach ideally suite...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/14777260710778916
更新日期：2007-01-01 00:00:00
abstract：:Purpose Tertiary hospitals have registered an incremental rise in expenditure mostly because of the increasing demands by ageing populations. Reducing the length of stay (LOS) of patients within tertiary hospitals is one of the strategies, which has been used in the last decades to ensure health care systems' sustaina...
journal_title：Journal of health organization and management
pub_type： 杂志文章,评审
doi：10.1108/JHOM-10-2017-0275
更新日期：2018-05-21 00:00:00
abstract：:The development of any scientific theory has a certain logic. Bruno Latour formulated a theory, describing the development of science and technology. Outcomes of science are not guided by nature or "the truth", but by a complex negotiation. It starts with ideas, which follow paths of publications and assessment. Then ...
journal_title：Journal of health organization and management
pub_type： 杂志文章,评审
doi：10.1108/14777260310506614
更新日期：2003-01-01 00:00:00
abstract：PURPOSE:Following the development of a service that consisted of a "single point of contact" to coordinate end-of-life care (EoLC), including EoLC facilitators and an urgent response team, we aimed to explore whether the provision of coordinated EoLC would support patients being cared or dying in their preferred place ...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/JHOM-07-2019-0218
更新日期：2020-05-25 00:00:00
abstract：PURPOSE:The purpose of this paper is to set the context for this special issue and provide an introduction to the individual contributions. DESIGN/METHODOLOGY/APPROACH:This paper uses a literature survey and analysis. FINDINGS:Integration remains both a central goal and a field of limited but possibly developing achi...
journal_title：Journal of health organization and management
pub_type： 社论
doi：10.1108/14777261211275881
更新日期：2012-01-01 00:00:00
abstract：:Purpose Worldwide, there is significant growth in the cost of (and demand for) healthcare, which often clashes with a requirement to contain expenditure. This duality leads to an increasing need for a systematic approach to disinvestment in health technologies. The purpose of this paper is to consider the challenges a...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/JHOM-10-2016-0189
更新日期：2016-11-21 00:00:00
abstract：PURPOSE:The purpose of this paper is to document everyday practices by which hospitalist physicians negotiate barriers to effective teamwork. DESIGN/METHODOLOGY/APPROACH:Ethnographic observation with a sample of hospitalists chosen to represent a range of hospital and practice types. FINDINGS:Hospitals rely on effect...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/JHOM-01-2015-0008
更新日期：2015-01-01 00:00:00
abstract：PURPOSE:This paper aims to examine empirically the ways in which workforce knowledge and organisational factors of an implementing agency affected the implementation of health sector administration decentralisation in Ghana with insights from the Nkwanta district health administration. DESIGN/METHODOLOGY/APPROACH:This...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/14777261111155038
更新日期：2011-01-01 00:00:00
abstract：:Purpose Mergers have become an influential part of public hospital development, and the successful implementation of such mergers requires skillful management. Recent studies have pointed to the impact of the distribution of leadership tasks amongst employees for implementing planned radical changes, yet this lacks ex...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/JHOM-08-2017-0225
更新日期：2018-08-20 00:00:00
abstract：PURPOSE:The purpose of this article is to explore factors influencing career deciding amongst pharmacy students and graduates in the U.K. DESIGN/METHODOLOGY/APPROACH:Group interviews were used to devise a topic guide for five subsequent focus groups with pharmacy students and graduates. Focus groups were tape-recorded...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/14777260910942579
更新日期：2009-01-01 00:00:00
abstract：PURPOSE:The purpose of this paper is twofold: first, to present patient-level utilisation patterns of hospital-based mental health services funded by private health insurers; and second, to examine the implications of the findings for planning and delivering private mental health services in Australia. DESIGN/METHODOL...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/JHOM-02-2018-0062
更新日期：2019-03-18 00:00:00
abstract：:Purpose - The purpose of this paper is to investigate the determinants of best management practices in an Australian state-run healthcare system, namely New South Wales (NSW), and studies the impact of a range of hospital factors in driving best management practices as a means of enhancing healthcare delivery. Design/...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/JHOM-01-2015-0016
更新日期：2016-05-16 00:00:00
abstract：PURPOSE:Research Governance has been introduced to regulate research involving National Health Service (NHS) patients and staff but the process is lengthy and bureaucratic and has improved little since its introduction. The paper seeks to investigate changes over time. DESIGN/METHODOLOGY/APPROACH:A comparison between ...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/14777260510629698
更新日期：2005-01-01 00:00:00
abstract：PURPOSE:The purpose of this research is to investigate the extent of outsourcing, the decision-making process, the impact of outsourcing, and the future trend of outsourcing in public hospitals in Greece. DESIGN/METHODOLOGY/APPROACH:A survey instrument was designed and mailed to a random sample of 100 public hospitals...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/14777260610656534
更新日期：2006-01-01 00:00:00
abstract：PURPOSE:Healthcare systems are increasing in complexity, and to ensure people can use the system effectively, health organizations are increasingly interested in how to take an organizational health literacy (OHL) approach. OHL is a relatively new concept, and there is little evidence about how to successfully implemen...
journal_title：Journal of health organization and management
pub_type： 杂志文章,评审
doi：10.1108/JHOM-06-2019-0167
更新日期：2020-03-19 00:00:00
abstract：PURPOSE:The purpose of this paper is to investigate the relationship between hospital adoption and use of computed tomography (CT) scanners, and magnetic resonance imaging (MRI) machines and in-patient mortality and length of stay. DESIGN/METHODOLOGY/APPROACH:This study used panel data (2007-2010) from 124 hospital co...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/JHOM-08-2018-0232
更新日期：2019-05-20 00:00:00
abstract：:With the aim of building a research conscious workforce, the former Northern and Yorkshire Research and Development office explored the nature and purpose of research and development (R&D) support for NHS staff. Part of the study used a questionnaire to seek healthcare professionals' R&D education and training needs. ...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/14777260310505147
更新日期：2003-01-01 00:00:00
abstract：:Purpose Length of stay (LOS) in hospital after surgery varies for each patient depending on surgeon's decision that considers criticality of the surgery, patient's conditions before and after surgery, expected time to recovery and experience of the surgeon involved. Decision on patients' LOS at hospital post-surgery a...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/JHOM-08-2017-0196
更新日期：2018-06-18 00:00:00
