Abstract:
BACKGROUND:Health information technology (HIT) purports to increase quality and efficiency in health care organizations. However, health care organizations are situated in constantly changing environments. They need dynamic capabilities to implement HIT effectively. PURPOSES:This article builds on the dynamic capabilities perspective and generates propositions about implementing HIT in dynamic environments. Specifically, I identify the (1) the necessary resources and capabilities for organizations to implement HIT; (2) the organizational capabilities and benefits that can be enhanced by HIT; and (3) the similarities and differences between three distinct forms of HIT. APPROACH:I synthesized the literature on dynamic capabilities and HIT to identify dynamic capabilities that are associated with (1) electronic medical records, (2) telemedicine, and (3) social media. In addition, I discuss the benefits of these HITs for improving the dynamic capabilities of health care organizations. PROPOSITIONS/FINDINGS: This article generates three sets of propositions that can be tested empirically. First, I am concerned with how organizational size and human resources affect successful implementation of HIT. In addition, I argue that three technology-specific factors--hospital type, medical specialty, and socially desirable technical features--may affect the implementation of HIT. PRACTICAL IMPLICATIONS:To cope with constantly changing environmental pressures, health administrators need to deploy, modify, and/or acquire organizational resources skillfully. Practitioners need to identify dynamic capabilities to support specific forms of HIT and understand how HIT enables health care organizations in turn. The concept of evolutionary fitness in the dynamic capabilities perspective may be developed to measure HIT implementation.
journal_name
Health Care Manage Revjournal_title
Health care management reviewauthors
Leung RCdoi
10.1097/HMR.0b013e31823c9b55subject
Has Abstractpub_date
2012-01-01 00:00:00pages
43-53issue
1eissn
0361-6274issn
1550-5030pii
00004010-201201000-00006journal_volume
37pub_type
杂志文章abstract:BACKGROUND:In 2014, Maryland established a global budget policy for all hospitals in the state. Under this policy, hospitals are incentivized to not only provide clinical care services to individual patients but also address the health needs of their broader patient population through prevention efforts and investment ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000305
更新日期:2021-01-26 00:00:00
abstract::This study examined whether social capital can enhance an individual's ability in reducing emotional exhaustion and job tension when medical professionals encounter a crisis such as Severe Acute Respiratory Syndrome (SARS). ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200601000-00005
更新日期:2006-01-01 00:00:00
abstract::This article reports how continuous quality improvement (CQI) techniques were applied to physician care of patients with hypertension. A physician task force at an ambulatory care center used CQI methods to address the needs of two important "customer" groups: (1) third party payors and (2) patients with hypertension....
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1992-07-01 00:00:00
abstract:AIM:This aim of this study was to investigate the interactive effects of psychological empowerment and job satisfaction on the relationship between high-performance work systems (HPWS) and nurses' perceptions of the quality of patient care they provide. BACKGROUND:Studies of high-performing organizations in a variety ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e3181e4ec55
更新日期:2010-10-01 00:00:00
abstract::Scarce economic resources make cost-benefit assessment of employee training programs an important issue. It is helpful to review the role evaluation plays in training and apply cost-benefit assessment to management development programming. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1988-01-01 00:00:00
abstract::Stringent rules apply to the kinds of things hospitals can say about themselves and their services, over and above the ethics that apply to all advertising. Yet it seems clear from the levels of interest in advertising among hospitals and the growth in the use of this marketing technique in recent years that persuasio...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-198400920-00009
更新日期:1984-04-01 00:00:00
abstract:BACKGROUND:Scholars have noted a disconnect between the level at which structure is typically examined (the organization) and the level at which the relevant coordination takes place (service delivery). Accordingly, our understanding of the role structure plays in care coordination is limited. PURPOSE:In this article,...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000172
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:: Although management practices are recognized as important factors in improving health care quality and efficiency, most research thus far has focused on individual practices, ignoring or underspecifying the contexts within which these practices are operating. Research from other industries, which has incre...
journal_title:Health care management review
pub_type: 杂志文章,评审
doi:10.1097/HMR.0b013e318201d1bf
更新日期:2011-07-01 00:00:00
abstract::Hospitals are using several methods to establish a budget for advertising. The Strategic Planning Institute of Cambridge, Massachusetts, has developed a study of advertising practices on nearly 200 corporations and over 1,000 individual businesses. Decision rules, developed in the study, are used to show how hospitals...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1987-01-01 00:00:00
abstract:BACKGROUND:The United States has invested nearly a billion dollars in creating community health information organizations (HIOs) to foster health information exchange. Community HIOs provide exchange services to health care organizations within a distinct geographic area. While geography is a key organizing principle f...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000103
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND:The rapid increase in the number of hospitals becoming members of multihospital systems in recent decades has led to the formation of local and regional clusters that have the potential to function as regional systems, a model long advocated as a policy strategy for improving health system performance. PURP...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e3181a16ba7
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:Many observers have alleged that "fads," "fashions," and "bandwagons" (imitation strategies) are prominent feature of the health care organizational strategy landscape. "Imitation behavior" may fulfill symbolic functions such as signaling innovativeness but results in the adoption of strategies that are effe...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/01.HMR.0000304498.97308.40
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:The implementation science literature has contributed important insights regarding the influence of formal policies and practices on health care innovation implementation, whereas informal implementation policies and practices have garnered little attention. The broader literature suggests that informal impl...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000193
更新日期:2018-07-01 00:00:00
abstract::An important factor in pricing decisions is the concept of cost analysis. The objective of this article is to describe the relevant costs for pricing medical services in the managed care environment. It discusses how a proper understanding of costs enables one to make correct pricing decisions. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199701000-00011
更新日期:1997-01-01 00:00:00
abstract:BACKGROUND:The term "medical neighborhood" refers to relationships that patient-centered medical homes (PCMHs) seek to establish with other providers to facilitate coordinated patient care. Yet, how PCMHs can accomplish this coordination is not well understood. PURPOSE:Drawing upon organizational theory (; ; ), we exp...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000063
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:Expanding the opportunities for for-profit nursing home care is a central theme in the debate on the sustainable organization of the growing nursing home sector in Western countries. PURPOSES:We conducted a systematic review of the literature over the last 10 years in order to determine the broad impact of ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000121
更新日期:2017-10-01 00:00:00
abstract::In advising health care providers about care of the terminally ill in hospitals, risk managers generally take a legally conservative, narrow, risk avoidance approach. This orientation is generally unnecessary legally, since the legal risks in this context are exaggerated, and often lead to suboptimum medical treatment...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-198701220-00006
更新日期:1987-04-01 00:00:00
abstract::This article describes the extent to which hospitals use different integrative processes to assimilate physicians and assesses the extent to which their use is associated with managed care penetration and hospital characteristics. Results from a national survey of 1,495 community hospitals indicate that these integrat...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199810000-00006
更新日期:1998-10-01 00:00:00
abstract:INTRODUCTION:In spite of significant investment in quality programs and activities, there is a persistent struggle to achieve quality outcomes and performance improvements within the constraints and support of sociopolitical parsimonies. Equally, such constraints have intensified the need to better understand the best ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000023
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:Chain-owned nursing homes have become the predominant type of provider in the United States, but little is known about their management structures. Prior research has found that chain ownership has significant effects on health outcomes, but why that is the case is not well understood. PURPOSE:This study ex...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/01.HMR.0000267794.55427.52
更新日期:2007-04-01 00:00:00
abstract:BACKGROUND:Improving the efficiency and effectiveness of primary care treatment of patients with chronic illness is an important goal in reforming the U.S. health care system. Reducing occupational conflicts and creating interdependent primary care teams is crucial for the effective functioning of new models being deve...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e31825f3df9
更新日期:2013-10-01 00:00:00
abstract::Team level tacit knowledge is related to the collective knowledge of the team members. It is the shared experience that results in the ability to successfully anticipate the reactions of teammates in typical and nontypical situations. This study evaluates how tacit knowledge and related team characteristics influence ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200607000-00008
更新日期:2006-07-01 00:00:00
abstract::This study examines one specific type of collaboration activity in a community health collaborative. The focus of the research is the operations level where services are coordinated, patients are referred, and access may be improved for vulnerable populations. Using a case study approach, we examine the creation of a ...
journal_title:Health care management review
pub_type: 杂志文章,评审
doi:10.1097/00004010-200407000-00005
更新日期:2004-07-01 00:00:00
abstract::Specialty care institutions will face many concerns during the remainder of this decade. Increased intermediary and community education, establishing reliable benchmarks, understanding and dealing with a competitive marketplace, and establishing improved professional productivity are some of the major challenges. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-198300810-00002
更新日期:1983-01-01 00:00:00
abstract:BACKGROUND:Delivering safe patient care remains an elusive goal. Resolving problems in complex organizations like hospitals requires managers to work together. Safety leadership training that encourages managers to exercise learning-oriented, team-based leadership behaviors could promote systemic problem solving and en...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e318208cd1d
更新日期:2011-04-01 00:00:00
abstract::Scholars have vigorously debated the role of stakeholders since Freeman's 1984 landmark work. This article argues that an accurate assessment of relative power levels can enable stakeholders to accept their proper roles and responsibilities in planning and implementing strategy and enabling Top Management Teams to mor...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200007000-00010
更新日期:2000-07-01 00:00:00
abstract:BACKGROUND:Hospital incentive payments are increasingly becoming tied to quality. However, the U.S. health care system continues to face rising health care costs and scarce workforce resources, making improving quality a challenge. Patient satisfaction and process quality are two areas of quality tied to reimbursement....
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000034
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:Small independent practices are increasingly giving way to more complex affiliations between provider organizations and hospital systems. There are several ways in which vertically integrated health systems could improve quality and lower the costs of care. But there are also concerns that integrated systems...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000197
更新日期:2019-04-01 00:00:00
abstract::This article describes the author's path from a Doctor of Science from Johns Hopkins to a career mostly involved with practice. This practice has focused on innovation and new business development requiring significant research and analytical application, as well as leadership of key people. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200210000-00010
更新日期:2002-10-01 00:00:00
abstract::Value-based leadership--linking "managership" and leadership approaches--is needed to meet today's ever-proliferating challenges to the fundamental philosophy and mission of health care organizations. To work, however, it requires important changes from everyone in the organization. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-198400940-00007
更新日期:1984-10-01 00:00:00