How do strategic decisions and operative practices affect operating room productivity?
Surgical operating rooms are cost-intensive parts of health service production. Managing operating units efficiently is essential when hospitals and healthcare systems aim to maximize health outcomes with limited resources. Previous research about operating room management has focused on studying th...
| Publicado en: | Health Care Management Science Vol. 14; no. 4; pp. 370 - 383 |
|---|---|
| Autores principales: | , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Dec2011
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104603467&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104603467 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13869620 BSE jtl: Health Care Management Science issn: 13869620 maglogo: N pubinfo: dt: Dec2011 vid: 14 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 104603467 NLM21814829 2011378842 10.1007/s10729-011-9173-8 NLM21814829 104603467 ppf: 370 ppct: 13 formats: tig: atl: How do strategic decisions and operative practices affect operating room productivity? aug: au: Peltokorpi A Peltokorpi, Antti affil: BIT Research Centre, Aalto University, PO Box 15500, FI-00076 Aalto, Finland sug: subj: Decision Support Techniques Organizational Efficiency Operating Rooms Administration Personnel Management Statistics and Numerical Data Planning Techniques Quality Improvement Statistics and Numerical Data Appointments and Schedules Cluster Analysis Diagnosis-Related Groups Employee Performance Appraisal Finland Germany Human Linear Regression Operating Room Personnel Operating Rooms Utilization Personnel Staffing and Scheduling United States ab: Surgical operating rooms are cost-intensive parts of health service production. Managing operating units efficiently is essential when hospitals and healthcare systems aim to maximize health outcomes with limited resources. Previous research about operating room management has focused on studying the effect of management practices and decisions on efficiency by utilizing mainly modeling approach or before-after analysis in single hospital case. The purpose of this research is to analyze the synergic effect of strategic decisions and operative management practices on operating room productivity and to use a multiple case study method enabling statistical hypothesis testing with empirical data. 11 hypotheses that propose connections between the use of strategic and operative practices and productivity were tested in a multi-hospital study that included 26 units. The results indicate that operative practices, such as personnel management, case scheduling and performance measurement, affect productivity more remarkably than do strategic decisions that relate to, e.g., units' size, scope or academic status. Units with different strategic positions should apply different operative practices: Focused hospital units benefit most from sophisticated case scheduling and parallel processing whereas central and ambulatory units should apply flexible working hours, incentives and multi-skilled personnel. Operating units should be more active in applying management practices which are adequate for their strategic orientation. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|