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The papers included in this volume may be categorized loosely into
four general thematic sections: theoretical perspectives on the
field of health care management; the role and impact of managed
care; evolution of the health professions; enhancing health care
organizational performance. The three papers in the first general
section deal with a range of theoretical issues related to health
care management, from complexity science to a theoretical
comparison of integrated networks against systems, to how health
care management researchers think about the research process. The
three papers in the second section address the significant
challenges faced by health care managers as they attempt to respond
to the increasing impact of managed care. The third section's three
papers look at the evolving roles of the health professions,
including those of physicians as clinicians and as executives. The
four papers in the final section focus on various approaches, from
total quality management to use of work groups and transformational
leadership, to enhancing health care organizational performance.
Hardbound. Dramatic social, political, technological, and economic
changes are occurring in the health care industry. The Advances in
Health Care Management research series was developed in response to
this ongoing turbulence in the health care industry coupled with
the decreasing number of scholarly outlets for complex and
originative health care management research. The field needs new
perspectives on organization, innovative management theory and
superior empirical research that offer exciting ways to approach
existing and emerging problems in health care management.
Management scholarship should benefit from diverse conceptual and
empirical health care research that examines all levels of
analysis. The series provides a forum for the highest quality
research, whether theoretical or empirical, in the field of health
care management. It is endorsed and supported by the Health Care
Management Division of the Academy of Management.
Section one, a special research forum on management issues in
nursing, examines the causes of the nursing shortage and its impact
on performance, as well as how wage increases, staffing increases,
empowerment, and organizational design might address and alleviate
some of the root causes for this problem. Section two focuses on
how health care costs can be lowered and the quality of care can be
improved through better clinical and technological management,
exploring population health management, patient-centered care
management, and the impact of regulations on medical innovations.
Section three addresses how health service organizations can
improve their performance, and includes a field study of managers'
capabilities and hospital success, a critical review of academic
health centers, a theoretical model of post-bankruptcy organization
performance, and a secondary data analysis that supports a new
organizational typology for managing stakeholders.
Increasingly, there is a need for managers operating in the complex
and dynamic health care environment to better understand the
competitive nature of the health care industry and the
opportunities that potentially exist within it. In response, this
sixth volume of "Advances in Health Care Management" is dedicated
to strategic thinking and entrepreneurial action in the health care
industry.
As implied in the title, this volume of eleven independent chapters
is arranged in four sections. The first section is composed of
three chapters, focusing on the health care industry itself. The
first of these serves as an introduction for this volume, with the
other two chapters taking an historical and futuristic perspective
of the health care industry, respectively. These two chapters serve
as solid contextual reference points for which we can position the
remaining manuscripts. The second section contains two chapters
that more explicitly examine strategic issues within a specified
health care context. The first of these examines strategy and
structure fit in a large sample of physician organizations, while
the latter studies a single, large medical center to demonstrate
the impact culture and human capital have on strategic outcomes.
Four chapters make up the third section, which focuses on
innovation and entrepreneurship. The first two chapters in this
section focus on the processes of entrepreneurship in the health
care environment, with both the similarities and dissimilarities
between the health care industry and other contexts being
discussed. The latter two chapters of the third section, on the
other hand, principally demonstrate the activities and implications
associated withentrepreneurship, or the lack thereof. Finally, the
fourth section contains two chapters that integrate both strategic
and entrepreneurial perspectives. One of these chapters creates a
typology of new biotechnology ventures; the focus in this chapter
is on how such firms exploit opportunities. The final chapter,
then, examines strategic corporate entrepreneurship by
comprehensively studying one major organization??'s entry into the
health care services marketplace.
Collectively, these multi-faceted chapters help to recognize and
address the often elusive phenomenon of successful strategic choice
over environmental determinism, which is aided by quality strategic
thinking and decisive entrepreneurial actions. In summary, these
chapters help to emphasize the importance of these issues to the
health care industry and the managers operating within it.
*Examines the health care and hospital industries and their
relation to entrepreneurial action and strategy
*Provides 11 valuable chapters for scholars and researchers in
sociology and healthcare
This fifth volume of Advances in Health Care Management examines
international health care management. It consists of 12 papers, one
of which serves as an introduction, with the other papers arranged
into three sections. The first section on patients and providers
focuses on such issues as how socio-cultural forces affect the
health care experience; how hospital providers function differently
under various governance structures; how global strategies affect
providers and patients; and why and how provider organizations
should consider integrating within a health delivery system. The
second section on policy and management addresses such dilemmas as
whether some health care issues are impossible to solve through
traditional policy reforms; how international refugees should
receive health care; and whether policy reform lessons from other
countries can be adapted and applied to transform another country's
health system. The third and final section on performance and
management addresses issues such as whether the quality of care can
be managed at the hospital level, how human resource management can
be benchmarked within and across health care organizations, how
health care informatics and telemedicine can improve the continuity
of care, and whether different ways of accessing care within health
systems can be systemically compared and improved.
Authors from Australia, Chile, Finland, France, Germany, Greece,
South Africa, Taiwan, the United Kingdom, and the United States of
America contributed to this volume. They explore the delivery and
organization of care in health systems from Africa, Asia,
Australia, Europe, North America, and South America, encompassing
more than 20countries in their comparisons. The papers included in
this volume were only accepted following a rigorous peer review
process. Each paper, whether solicited or responding to our open
call, went through a double-blind review and revision process. The
result is a select collection of outstanding papers.
This volume is a collection of critical ideas relating organization
science to both operations and accomplishments in the health care
environment. A thematic guide for current leaders and
practitioners, as well as health administration, business
administration and organization development professors and students
alike, this work pulls in a broad cross-section of perspectives on
the important linkage of scholarship and practice with a solid
global perspective. Covering key themes from culture, change,
leadership, teams, IT and a systemic perspective of health care
overall, it provides both practical insights and theoretical
perspectives that will support immediate improvements and encourage
longer term dialogue on how organization science can impact the
delivery, structure and operations of health care systems globally.
"Advances in Health Care Management" provides a forum for leading
research on health care management with previous volumes providing
reviews of the field, conference papers and research on selected
topics including bioterrorism, international health care
management, entrepreneurship, patient safety and nursing and health
professional shortages.
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