Abstract:
BACKGROUND:Redundancy is mostly conceived as "waste" resulting from inefficient operations that ought to be eliminated. However, there are scholars who challenge this view and argue that redundancy is an essential element in facilitating reliable and safe operations in health care delivery processes. The ambiguity on redundancy has led to limited insights in health care settings. PURPOSE:This article seeks to provide clarity by investigating the conceptualization of redundancy within and across disparate contexts within hospital operations. DESIGN/METHODOLOGY/APPROACH:An exploratory study using different hospital departments was conducted in two large hospitals as case studies to allow for in-depth understanding of the conceptualization of redundancy across hospital departments. Data sources included 42 semistructured interviews, surveys, field notes from site observations, and document analysis. RESULTS/FINDINGS:The findings revealed alternative conceptualizations of redundancy, these being safety, care, heterogeneity, sustenance, and waste, and highlight their dominance in distinct hospital departments. The first four categories are positive in connotation, whereas the last, waste, has a negative connotation. Further, the analysis revealed that the conceptualization of redundancy is context dependent. CONCLUSION:Contrary to the general cognition of redundancy in the social science and management literature, our research found that redundancy might have a valuable role to play in core health care management concerns such as patient-centeredness, patient safety, and quality of care. This work is one of the first comprehensive studies on redundancy in the health care settings and is expected to steer scholarly conversations on redundancy in a more positive light. PRACTICAL IMPLICATIONS:Overall, this article serves as a call to health care operations decision makers and chiefs of hospitals to reexamine their current approach and management practices on redundancy.
journal_name
Health Care Manage Revjournal_title
Health care management reviewauthors
Tay HL,Singh PJdoi
10.1097/HMR.0000000000000257subject
Has Abstractpub_date
2019-06-26 00:00:00eissn
0361-6274issn
1550-5030pub_type
杂志文章abstract::To prepare for managed competition, many hospitals now focus on service quality as a means to improve their competitive position. To aid in decisions about where best to direct limited resources, managers need physician feedback about how the hospital's services compare with its competitors' services (competitive adva...
journal_title:Health care management review
pub_type: 杂志文章
doi:
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journal_title:Health care management review
pub_type: 杂志文章,评审
doi:10.1097/00004010-200001000-00008
更新日期:2000-01-01 00:00:00
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-198601140-00003
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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
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-198701230-00013
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abstract:BACKGROUND:Benchmarking has become very popular among managers to improve quality in the private and public sector, but little is known about its applicability in international hospital settings. PURPOSE:The purpose of this study was to evaluate the applicability of an international benchmarking initiative in eye hosp...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e3181c22bdc
更新日期:2010-01-01 00:00:00
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199401930-00006
更新日期:1994-07-01 00:00:00
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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
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journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e318294e586
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000243
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journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1981-10-01 00:00:00
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journal_title:Health care management review
pub_type: 杂志文章,评审
doi:
更新日期:1989-04-01 00:00:00
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journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1997-07-01 00:00:00
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199101630-00006
更新日期:1991-07-01 00:00:00
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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
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000034
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/01.HMR.0000304496.89684.7f
更新日期:2008-01-01 00:00:00
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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
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000128
更新日期:2018-01-01 00:00:00
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-198400930-00014
更新日期:1984-07-01 00:00:00
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200501000-00004
更新日期:2005-01-01 00:00:00
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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
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000177
更新日期:2019-07-01 00:00:00
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e3181c8b20c
更新日期:2010-04-01 00:00:00
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200004000-00008
更新日期:2000-04-01 00:00:00
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000115
更新日期:2017-10-01 00:00:00
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journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1983-04-01 00:00:00
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e3181afc0d3
更新日期:2009-10-01 00:00:00
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journal_title:Health care management review
pub_type: 杂志文章
doi:
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