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1

Flagle, Charles D. "OPERATIONAL RESEARCH IN THE HEALTH SERVICES." Annals of the New York Academy of Sciences 107, no. 2 (December 15, 2006): 748–59. http://dx.doi.org/10.1111/j.1749-6632.1963.tb13318.x.

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2

Dexter, Franklin, Eric Marcon, and Xiaolan Xie. "Operational research applied to health services 2007 special issue." Health Care Management Science 12, no. 2 (February 21, 2009): 117–18. http://dx.doi.org/10.1007/s10729-009-9102-2.

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Peltokorpi, Antti, Juri Matinheikki, Jere Lehtinen, and Risto Rajala. "Revisiting the unholy alliance of health-care operations: payor–provider integration of occupational health services." International Journal of Operations & Production Management 40, no. 4 (April 6, 2020): 357–87. http://dx.doi.org/10.1108/ijopm-04-2019-0326.

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PurposeTo investigate the effects of payor–provider integration on the operational performance of health service provision. The research explores whether integration governs agency problems and tilts the incentives of diverse actors toward more systematic outcomes.Design/methodology/approachA two stage multimethod case study of occupational health services. A qualitative stage aimed to understand the reasons, mechanisms, and outcomes of payor–provider integration. A quantitative stage evaluated the performance of the integrated hospital against fee-for-service partner hospitals with a sample of 2,726 patients.FindingsPayor–provider integration mitigates agency problems on multiple levels of the service system by complementing formal governance mechanisms with informal mechanisms. Compared to partner hospitals, the integrated hospital yielded 9% lower the total costs of occupational injuries achieved primarily by emphasizing conservative care and faster recovery.Research limitations/implicationsFocuses on occupational health services in Finland. Provides initial evidence of the effects of payor–provider integration on the operational performance.Practical implicationsVertical integration may provide systematic outcomes but requires mindful implementation of multiple mechanisms. Rigorous change management initiative is advised.Social implicationsFor patients, the research shows payor–provider integration of health services can be implemented in a manner that it reduces care costs while not compromising care quality and customer satisfaction.Originality/valueThis study provides a rare longitudinal analysis of payor–provider integration in health-care operations management. The study adds to the knowledge of operational performance improvement of health services.
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Nafi’ah, Zumrotun, and Sri Wiranti Setiyanti. "PENGARUH AUDIT OPERASIONAL DAN PENGENDALIAN INTERNAL TERHADAP EFEKTIVITAS PELAYANAN KESEHATAN PADA RUMAH SAKIT UMUM FASTABIQ SEHAT PKU MUHAMMADIYAH PATI." Fokus Ekonomi : Jurnal Ilmiah Ekonomi 13, no. 2 (December 20, 2018): 358–68. http://dx.doi.org/10.34152/fe.13.2.358-368.

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The hospital is a health institution engaged in the field of services that are required to create good health services in operational services. In creating good service, research is needed. This study aims to determine (1) the influence of Operational Audit on the Effectiveness of Health Services at the Hospital (2) the influence of Internal Control on the Effectiveness of Health Services at the Hospital (3) Pengauh Audit Operational and Internal Control on Health Services Effectiveness at the Hospital.The selected population is all employees at RSU Fastabiq Sehat PKU Muhammadiyah Pati which amounted to 200 people. Sampling technique using purposive sampling technique with sample amounted to 90 people. Variabe in this research is operational audit, internal control, and effectiveness of health service. Data collection techniques through questionnaires. Data analysis methods include analytical prerequisite test and hypothesis test. Prerequisite test analysis includes linearity test, multicollinearity test and heteroscedasticity test. Hypothesis test in this research using multiple regression analysis, coefficient of determination, partial test (t test) and simultaneous test (F test).Considering the multiple linear regression model, Y = 6,229 + 0,237X1 + 0,594 X2. The results of this study indicate that the Operational Audit and Internal Control there is a positive and significant influence on the Effectiveness of Health Services at the Hospital.Based on the results of the study, it is recommended that Fastabiq Health Hospital PKU Muhammadiyah Pati should add a good medical tool so that the services provided to be more effective. As well as Accounting and Management Information Systems owned by the hospital should be developed better again to improve internal control of the hospital, so as to improve the effectiveness of health services at the hospital.
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Pay, Dece Mery Natalia, Mindo Sinaga, and Marthen R. Pelokilla. "Utilization of Health Operational Assistance (BOK) in Nutrition Services in Public Health Center." Jurnal Kesehatan Masyarakat 12, no. 2 (March 14, 2017): 313–22. http://dx.doi.org/10.15294/kemas.v12i2.6045.

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Since BOK was launched in 2010, BOK utilization rate continued to increase while the NTT provincial nutrition service coverage did not increase, until 2013. This research aimed to analyze the relationship between the availability of operational funds, the availability of human resources, officers knowledge, infrastructure support, heads support and the appropriateness of fund utilization using BOK in nutritional services. This was a quantitative research which supported by a qualitative, cross-sectional design in 2015. The total sample of 250 health workers in 26 health centers of North Central Timor regency was included in this study. Data analysis was done using descriptive, bivariate and multivariate analyses. The results of the bivariate analysis using chi square test showed an association of (p <0.05) the availability of human resources (p = 0.017), officers knowledge (p = 0.000), infrastructure support (p = 0.004), heads support (p = 0.000) and the appropriateness of BOK fund utilization (p = 0.000) with the use of BOK in nutritional services. Meanwhile, the availability of operational funds is not associated with the use of BOK in nutritional services. Multivariate analysis showed that health centers with adequate human resources availability are seven times more likely to take advantage and make a good use of the nutritional services using BOK compared to health centers with the lack of human resources, after the infrastructure and head variable controlled. The government is required to provide adequate human resources, including financial administrative personnel and operational funding for health centers to optimize nutritional services. The government also needs to monitor the use of funds regularly and tiered to improve service coverage at the health center.
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Bawono, Bambang Tri. "LEGAL PROTECTION OF DOCTORS IN PROVIDING HEALTH SERVICES." International Journal of Law Reconstruction 4, no. 1 (April 30, 2020): 24. http://dx.doi.org/10.26532/ijlr.v4i1.9634.

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Cases of alleged malpractice committed by doctors or health workers have become an interesting issue that has been widely discussed by the public. Malpractice is basically due to the emergence of differences in perception between patients and doctors or health workers. The research method used in this study is library research, library research limits its activities to library collections. While the approach used in this study is normative juridical, the results of the study mentioned that the standards that must be met by doctors to obtain legal protection are professional standards, operational procedures standards, and medical service standards. These three standards, doctors are also obliged to make informed consent as part of health service standards, and carry out the obligations as contained in Article 51 of Law No. 29 of 2004 concerning Medical Practice. In addition, doctors can be free from allegations of medical malpractice when providing health services in accordance with professional standards and operational procedures, providing medical services based on informed consent and the principle of non-vit inura volenti law or the assumption of risk, respectable minority rules and error of in judgment, as well as contribution negligence.
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7

Banerji, Debabar. "The World Health Organization and Public Health Research and Practice in Tuberculosis in India." International Journal of Health Services 42, no. 2 (April 2012): 341–57. http://dx.doi.org/10.2190/hs.42.2.k.

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Two major research studies carried out in India fundamentally affected tuberculosis treatment practices worldwide. One study demonstrated that home treatment of the disease is as efficacious as sanatorium treatment. The other showed that BCG vaccination is of little protective value from a public health viewpoint. India had brought together an interdisciplinary team at the National Tuberculosis Institute (NTI) with a mandate to formulate a nationally applicable, socially acceptable, and epidemiologically sound National Tuberculosis Programme (NTP). Work at the NTI laid the foundation for developing an operational research approach to dealing with tuberculosis as a public health problem. The starting point for this was not operational research as enunciated by experts in this field; rather, the NTI achieved operational research by starting from the people. This approach was enthusiastically welcomed by the World Health Organization's Expert Committee on Tuberculosis of 1964. The NTP was designed to “sink or sail with the general health services of the country.” The program was dealt a major blow when, starting in 1967, a virtual hysteria was worked up to mobilize most of the health services for imposing birth control on the people. Another blow to the general health services occurred when the WHO joined the rich countries in instituting a number of vertical programs called “Global Initiatives.” An ill-conceived, ill-designed, and ill-managed Global Programme for Tuberculosis was one outcome. The WHO has shown rank public health incompetence in taking a very casual approach to operational research and has been downright quixotic in its thinking on controlling tuberculosis worldwide.
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8

Fox, Amanda, Glenn Gardner, and Sonya Osborne. "A theoretical framework to support research of health service innovation." Australian Health Review 39, no. 1 (2015): 70. http://dx.doi.org/10.1071/ah14031.

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Objective Health service managers and policy makers are increasingly concerned about the sustainability of innovations implemented in health care settings. The increasing demand on health services requires that innovations are both effective and sustainable; however, research in this field is limited, with multiple disciplines, approaches and paradigms influencing the field. These variations prevent a cohesive approach, and therefore the accumulation of research findings, in the development of a body of knowledge. The purpose of this paper is to provide a thorough examination of the research findings and provide an appropriate theoretical framework to examine sustainability of health service innovation. Methods This paper presents an integrative review of the literature available in relation to sustainability of health service innovation and provides the development of a theoretical framework based on integration and synthesis of the literature. Results A theoretical framework serves to guide research, determine variables, influence data analysis and is central to the quest for ongoing knowledge development. This research outlines the sustainability of innovation framework; a theoretical framework suitable for examining the sustainability of health service innovation. Conclusion If left unaddressed, health services research will continue in an ad hoc manner, preventing full utilisation of outcomes, recommendations and knowledge for effective provision of health services. The sustainability of innovation theoretical framework provides an operational basis upon which reliable future research can be conducted. What is known about the topic? Providers of health services are rapidly implementing innovations in an effort to provide effective health care. Little research has been conducted to evaluate the sustainability of these health service innovations. What does this paper add? This paper aims presents an integration and synthesis of the current body of knowledge to provide a theoretical framework to evaluate the sustainability of health service innovation. What are the implications for the practitioner? An improved body of knowledge surrounding the sustainability of health service innovations generated from research will consequently result in more appropriate use of resources and improved provision of health services.
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Daskalopoulou, Athanasia, Josephine Go Jefferies, and Alexandros Skandalis. "Transforming technology-mediated health-care services through strategic sense-giving." Journal of Services Marketing 34, no. 7 (October 5, 2020): 909–20. http://dx.doi.org/10.1108/jsm-11-2019-0452.

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Purpose Service research has previously documented service providers’ role in addressing the barriers of technology mediation, mostly at the service delivery level. The purpose of this study is to enhance our understanding about the role of service providers who hold strategic and operational roles, as well as investigate the impact of coordinated, organization-wide initiatives in dealing with the demands and associated emotional ambivalence of technology-mediated services. Design/methodology/approach This qualitative study draws from a series of in-depth interviews with health-care service providers who hold strategic and operational roles in health-care organizations along with participant observation to develop an understanding of the broader organizational context of telehealth services. Findings This paper outlines the strategic sense-giving process and highlights how health-care service providers who hold strategic and operational roles enact the sense-giver role. This study illustrates that strategic sense-giving involves the recognition of sense-making gaps; identification of sense-giving opportunities; and provision of templates of action. Originality/value This study illustrates that sense-giving can be performed by a number of organizational members in a more formalized way which extends informal sense-giving efforts at the peer-to-peer level. The importance of strategic sense-giving in providing templates of action for service providers and consumers is highlighted. This study also shows how strategic sense-giving safeguards against confusion and errors by communicating appropriate ways of using technology. Finally, the role of strategic sense-giving in helping service providers and consumers cope with the emotional ambivalence of technology-mediated service interactions are demonstarted.
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10

Selvaraju, P. "Operational Efficiency of the Pondicherry Health Employees Co-operative Society: A Study." Asian Review of Social Sciences 7, no. 2 (August 5, 2018): 74–79. http://dx.doi.org/10.51983/arss-2018.7.2.1427.

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Activity in a Co-operative Spirit and in a commercial spirit has distinction. In Co-operative activity the purpose is not to earn profit but it is collective activity of the members for common purpose. No one is owner of the Co-operative activity but all are members of such activity. The urban credit co-operatives including Employees’ Cooperative Banks were registered under All India Co-operative Societies Act 1912. Subsequently, urban credit co-operatives/ employees’’ co-operatives were organized in various parts of the country. Among the non-agricultural credit co-operatives next to the urban co-operative banks, prominent are the employees’ co-operative credit societies, salary earners’ co-operatives and employees’’ co-operative banks. This paper will argue that cooperatives present a strong alternative for playing an important role in the health-set up of the country. On this line, health care employees play a vital role in facilitating and providing medical services to people. This service may be considered as Nobel service to humanity. Further, economic viability of those people is great factor for doing their profession effectively, in order to fulfill their credit needs and banking services, formal system take place in such a healthy way. In this way, health care employees’ cooperative credit societies are functioning to promote their involvement in doing health services indirectly by way of fulfilling their credit needs and which creates healthy attitude to perform duty well. The prime objective of the study is to examine the working performance of the PHECCS. This study is an Empirical Research in nature.
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11

Weinberger, Morris, Eugene Z. Oddone, William G. Henderson, David M. Smith, James Huey, Anita Giobbie-Hurder, and John R. Feussner. "Multisite Randomized Controlled Trials in Health Services Research: Scientific Challenges and Operational Issues." Medical Care 39, no. 6 (June 2001): 627–34. http://dx.doi.org/10.1097/00005650-200106000-00010.

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12

Mallor, Fermin, Sally Brailsford, Marion Rauner, and Cristina Azcarate. "Operational research applied to health services: Finding better health-care decisions in new oceans of health data." Operations Research for Health Care 17 (June 2018): 1–3. http://dx.doi.org/10.1016/j.orhc.2018.02.001.

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Winarso, Septerina Purwandani, Pamungkas Puji Rahayu, and Sumiyati Sumiyati. "FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN BIDAN TERHADAP PENERAPAN STANDAR OPERASIONAL PROSEDUR (SOP) PELAYANAN ANTENATAL CARE." Jurnal Sains Kebidanan 1, no. 1 (November 26, 2019): 30–38. http://dx.doi.org/10.31983/jsk.v1i1.5441.

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In providing midwifery services, it must be in accordance with established standards, namely referring to all quality requirements of health services and equipment to meet the needs of the community. Midwife compliance with ANC service standards is influenced by several factors. This study aims to find factors related to midwives' compliance with 2019 antenatal care standard operating procedures (SOPs). The type of research used is correlational analytics. The population is all midwives who work in Jatilawang Health Center and Rawalo Health Center. The sample in this study was 44 midwives. The results showed the majority of midwives aged 21-35 years (52.3%), educated in D3 Midwifery (93.2%), had 11-20 years of service (47.7%). 100% ANC service infrastructure complete. There is no relationship between age (p value 0.323), education (p value 1.00), years of service (p value 0.471), and infrastructure and midwife compliance with standard operational procedures (SOP) for antenatal care services. The conclusion of this study there is no relationship between age, education, years of service, and infrastructure with midwife compliance with standard operational procedures (SOP) for antenatal care services.
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Johnson, S., and L. Salvador-Carulla. "Description and classification of mental health services: a European perspective." European Psychiatry 13, no. 7 (November 1998): 333–41. http://dx.doi.org/10.1016/s0924-9338(99)80699-3.

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SummaryWhilst steady progress has been made in the development and dissemination of valid and reliable instruments for evaluation of patient outcomes, progress in establishing standard methodologies for description and classification of mental health services has been limited. Valid and reliable methods of describing and classifying services are needed in mental health services research for purposes including; i) comparison of levels of provision between catchment areas and countries; ii) reaching an understanding of the relationship between socio-demographic indicators and service use; iii) investigation of the degree to which one service may be substituted for another; iv) evaluating programme implementation; and v) understanding why different outcomes are observed from apparently similar treatment programmes. Where programmes of research encompass different countries, the need for methods of comparing the local service contexts is particularly acute. In this paper, the various contributions which have been made to the somewhat fragmented body of research in this area are reviewed, and the problems which have hampered the development of satisfactory instruments are discussed. A set of criteria for satisfactory service measurement methodologies is proposed: these include development of standard nomenclature and operational definitions of service types; clear demonstration of validity and reliability; comprehensiveness; and applicability and similar interpretation in a range of countries.
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Istiqamah, Nurul Fajriah, Darmawansyah Darmawansyah, Muhammad Syafar, and Anwar Mallongi. "Implementation of the National Health Insurance Referral System at the Public Health Center in the Pangkajene Kepulauan District in 2019." Open Access Macedonian Journal of Medical Sciences 8, T2 (August 30, 2020): 27–31. http://dx.doi.org/10.3889/oamjms.2020.5178.

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BACKGROUND: The health service referral system is the organization of health services that regulate the mutual assignment of tasks and responsibilities of health services both vertically and horizontally. AIM: The purpose of this study was to determine the appropriateness of referral service operational standards at the Kalabbirang Public Health Center in Pangkajene Kepulauan district. METOHDS: This research method uses a qualitative with a phenomenological. The location of this study is in the Kalabbirang Public Health Center. The informants in this study were the Head of Medical Records Installation, the medical records installation staff of registration, doctors, and nurses. Data collection techniques using in-depth interviews, document review, and observation. The data obtained analyzed using the content analyze. RESULTS: The results showed that the Kalabbirang Public Health Center, no operational service standards were governing the procedures of the Public Health Center when receiving patients to be referred back. In addition, doctors do not explain in full to patients information about the referral. The conclusion of this research is the implementation of the referral system at the Kalabbirang Public Health Center in terms of the requirements for referring to be in accordance with the national referral system. CONCLUSION: We need socialization to understand more deeply about the referral system and equate perceptions among health workers about the referral mechanism in the Kalabbirang Public Health Center.
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Amarnath, Vaishnavi Devi Moola, Anitha Rani Jeyaraju, Ramesh Harihara Iyer, and Ramesh Harihara Iyer. "The role of women self-help groups in reproductive health: an operational research." International Journal Of Community Medicine And Public Health 7, no. 1 (December 25, 2019): 333. http://dx.doi.org/10.18203/2394-6040.ijcmph20195877.

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Background: In India, women in the reproductive age group (15-44 years) comprise 53% of women population (according to 2011 census). In spite of continuous evolution to improve reproductive health services in India, there is insufficient progress in decline of maternal mortality rate at 2 percent per annuum. One of the innovative strategies identified in reproductive and child health (RCH) II program and UN millennium declaration was establishment of women self-help groups (SHG’s) particularly in rural regions with high levels of poverty. So this study is aimed to assess the current role of women SHG’s in, maternal health, Family welfare and associated maternity benefit schemes. And also, to find out the constraints in involvement of women SHG’s and to assess the feasibility of enhancing their role in reproductive health services.Methods: It is a population based cross sectional study carried out at Nemam sub centre area of Nemam primary health care centre under Thiruvallur housing and urban development. Women who have been a SHG member for more than 6 months were assessed quantitatively and qualitatively after obtaining informed consent which was approved by institutional ethics committee. Data was compiled and analyzed using SPSS 15.0. Qualitative data was analyzed using coding techniques.Results: A total of 56 self-help groups from 10 villages resulted in a total study population of 392 individuals. Before identifying their role, their awareness was also evaluated. Ninety percent of the SHG women were aware of most of the components of maternal health services. But the role was good among 58% of the SHG women. This study brings forth the gap in knowledge and their role which is because they were not confident of their knowledge.Conclusions: In a developing country like India, involving the well organized and available grass root volunteers like women SHG’s in reproductive health services will have a great bearing on the maternal health and consequently on health of children and community at large.
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Rahmawati, Annisa, and Achmad Daengs GS. "IMPLEMENTASI ACTIVITY BASED COSTING TERHADAP PERHITUNGAN BIAYA OPERASIONAL PADA UNIT LAYANAN RUMAH SAKIT X SURABAYA." Jurnal Riset Akuntansi Aksioma 20, no. 1 (June 16, 2021): 13–32. http://dx.doi.org/10.29303/aksioma.v20i1.122.

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Hospital is an institution that is in the realm of non-profit, where its main activities consist of medical activities, health services, and health education. During its development, hospital activities shifted to the business realm where apart from providing health services, the hospital also focused its activities as a business entity. This research was conducted at Hospital X, located in West Surabaya. In carrying out its economic activities, Hospital X charges its operational costs using a simple method. The research method used is a qualitative method. The research results show that the charging of operational costs with the Activity Based Costing method provides a more accurate and reasonable calculation of loading so that the results of these calculations can be used to compile financial reports with fair value and can be useful as a basis for calculations in order to determine service rates provided to the Hospital X.
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Sari, Komala, Mitra Mitra, Jasrida Yunita, Budi Hartono, and Dedi Afandi. "Predictors of Quality Leadership and Quality of Health Services in Hospital." Jurnal Kesehatan Manarang 6, no. 1 (July 28, 2020): 50. http://dx.doi.org/10.33490/jkm.v6i1.131.

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Law Republic Indonesia Number 44 of 2009 on Hospitals states health care institutions must improve higher quality and affordable services to highest health level. Quality leadership is continuous work method and process improve service quality, competitiveness and productivity. Health services quality is reference to the ideal level of health services. Hospitals health services quality will be good if the leadership carried out properly. In general hospital there was an absence Performance Report, disintegration and not sinergy between stakeholders in terms of health services quality. There was nothing of a Minimum Services Standards measurement, has not implemented a customer satisfaction based service pattern, service quality has not met national standards, which indicates that service quality is not optimum. Quality control activities not yet implemented, Standard Operational Procedure was also not optimal. Research objective was to know the effect of quality leadership on the quality of health services. Quantitative research type with analytic cross-sectional design. The study conducted in July 2017 in the Outpatient Installation. The population were all medical personnel and health workers with a sample of 100 people. Techniques for collected data using a questionnaire. The variables in this study were exogenous variables of quality leadership and endogenous variables of health services quality. Data analysis used Structural Equation Modeling - Partial Least Square. The results of the study obtained Values, Vision, Inspiration, Innovative, Systems View, Empowering, Customer Focus, were predictors of quality leadership. Professional standards, service standards, codes of ethics and standard operating procedures were predictors of health services quality. The value of T-Statistic 0.669 with a statistical value of 1.96 there was no significant effect of quality leadership on the health services quality.
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Lobo, Maria Stella de Castro, and Marcos Pereira Estellita Lins. "Epistemic dialog between health services and operations research." Pesquisa Operacional 30, no. 2 (August 2010): 371–86. http://dx.doi.org/10.1590/s0101-74382010000200007.

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The study proposes a dialogical approach between OR and Health Services Planning and Epidemiology based on the similarities of their own epistemological experiences, according to Habermas' Theory of Knowledge. As a field of application, healthcare services planning and epidemiology are characterized as Complex Societal Problems, requiring multidisciplinary and multi dimensional approaches. A review of the literature on OR efficiency healthcare services applications is made to confront the perspective of the OR analyst and that of the health manager. Finally, an agenda is proposed to enhance the interaction between the disciplines, by increasing actuality of the OR methods' findings, to guarantee that the results of health services research will really be put in practice by health policy decision makers.
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Prayetni, Prayetni, Ni Made Riasmini, Bondan Palestin, and Tri Prabowo. "Efektivitas Model Praktik Kolaborasi Interprofesional (PKIP) Tenaga Kesehatan Terhadap Kinerja Pelayanan Kesehatan Rumah." JKEP 3, no. 1 (May 31, 2018): 24–37. http://dx.doi.org/10.32668/jkep.v3i1.198.

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Primary health care is an essential service that can be accepted by individuals, families in the community. Family health services face clients with actual, potential or potential health problems that are complex using biopsikososiospiritual Cooperation between health workers is needed so that the health services provided are effective and efficient. This research is operational research with qualitative and quantitative methods. Qualitative research uses descriptive design and quantitative research using Cross Sectional design. This study was designed to develop a model / form of interprofessional cooperation practice of health workers that is validated through statistical tests. The research will be carried out by two people, the first model develops and the two effective models of PKIP on the performance of health services and the quality of services to clients. The research sample used in the quantitative research was purposive sampling with a total of 155 people. To test the model using a structured equation model test (SEM). The results of the study showed all variables of Recognition among Professionals of Health Workers, Self-Confidence, Role of Health Responsibility, Leadership, Communication, Team Work, forming PKIP models that were in accordance with the influence, and connecting to the performance of home health services.
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Palakawong Na Ayutthaya, Paneevon, Oraluck Pattanaprateep, and Ammarin Thakkinstian. "Unit Cost Analysis for Health Academic and Operational Purposes." Ramathibodi Medical Journal 43, no. 1 (March 31, 2020): 47–53. http://dx.doi.org/10.33165/rmj.2020.43.1.217894.

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Background: Unit cost estimation is one of the key planning tasks of organisation in order to allocate resources to each activity properly. Therefore, this study was conducted applying top-down costing approach, for academic unit cost estimation. Objective: To estimate the unit costs using top-down allocation costing approach for academic and operational purposes of the Department of Clinical Epidemiology and Biostatistics (CEB) at Faculty of Medicine, Ramathibodi Hospital, Mahidol University. Methods: A cross-sectional study of the cost of CEB in fiscal year 2018 was retrieved. Direct and indirect costs were allocated to CEB based on 3 main missions (education, research, and academic services) considering staffs’ activities and time spent for each mission. Three cost per unit of measures (cost per student, cost per publication, and cost per research consultation) were estimated accordingly to these 3 main missions. Results: In the fiscal year 2018, direct and indirect costs were ฿15 178 761 and ฿737 496, respectively. As for staffs’ time spent for each mission activity, CEB mission costs were ฿6 807 282 for education (฿3 914 187 and ฿2 893 095 for MSc and PhD, respectively), ฿5 912 895 for research, and ฿2 186 280 for academic services. Conclusions: Unit cost should be estimated properly to minimise and optimally allocate resources to each activity. This study should be useful for other departments as a guideline for their cost management and resource planning.
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Muna, Nihayatul, Lilis Ardini, and Zufra Inayah. "Lean Hospital: Strategy of Operational Financing Efficiency in Supply Chain Management." Jurnal Manajemen Kesehatan Indonesia 9, no. 1 (April 30, 2021): 72–77. http://dx.doi.org/10.14710/jmki.9.1.2021.72-77.

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Health financing in Indonesia has increased from 27 US $ (2003) to 115 US $ (2017) and will continue to increase as the population increases. The JKN era is also a burden where health financing managed by BPJS is always deficit every year. Hospitals as health service providers must be able to carry out operational cost efficiency as mandated by the JKN era, namely quality control and cost control. One of the cost efficiency methods is the implementation of lean management in hospital operational processes, especially the supply chain management process (procurement, inventory control, distribution planning and demand management). This study aims to evaluate the improvement process and cost efficiency after the implementation of lean management in the supply chain management process at the hospital. This study used a single holistic case study method with the unit of analysis at the Lean team level at Panti Rapih Hospital, Yogyakarta. Research subjects are employees in the team who are directly involved in the implementation of lean management. Selection of research subjects based on purposive sampling. Total sample of 7 respondents for in-depth interview process. The research instrument used an interview guide. The result of this research is that lean management which is applied in the logistic unit of the neat orphanage hospital can reduce waste such as motion, inventory, and waiting time. In addition, another benefit that can be felt by management is increasing cost efficiency. The conclusion of this study is that lean management is recommended to be applied in health services such as hospitals.
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Mkize, D. L., R. W. Green-Thompson, P. Ramdass, G. Mhlaluka, N. Dlamini, and J. Walker. "Mental health services in KwaZulu-Natal." South African Journal of Psychiatry 10, no. 1 (April 1, 2004): 6. http://dx.doi.org/10.4102/sajpsychiatry.v10i1.116.

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This article is a summary of a document prepared by a task team appointed by the Superintendent-General, Head: Department of Health, KwaZulu-Natal. The terms of reference of the task team were to scrutinise all available documents on mental health in the province and to come up with a new doc- ument entitled ‘Strategic and Implementation Plan for Delivery of Mental Health Services in KwaZulu-Natal’, with operational plans and time frames, and to make specific recommendations with regard to community mental health services and forensic psychiatry.The documents used to prepare the new document were: A Framework for the Delivery of Mental Health Services by Institutions in KwaZulu-Natal;Mental Health Services Planning Report; Strategic Policy Document for Mental Health Services in KwaZulu-Natal; Community Mental Health Services at Indlovu Region, KwaZulu-Natal; KwaZulu-Natal Health Care Act 2000; Mental Health Act 2002; World Health Report on Mental Health 2001; and Mental Health and Substance Abuse Report.The article is divided into nine sections, namely organisational structure; education, training and research; mental health ser- vice provision; highly specialised services; community mental health services; forensic mental health services; mental health and the private sector; pharmaceutical services; and summary of recommendations.
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Polanco-Pasaje, Jhon Edwin, Iader Rodríguez-Márquez, Kelly Yoana Tello-Hoyos, Pilar Torres-Pereda, Bertha Leonor Guzmán-Salazar, and Freddy Pérez. "Tuberculosis care cascade for the indigenous population in Colombia: an operational research study." Revista Panamericana de Salud Pública 45 (February 23, 2021): 1. http://dx.doi.org/10.26633/rpsp.2021.20.

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Objective. Construct and evaluate the care cascade for pulmonary tuberculosis in the indigenous population of the department of Cauca (Colombia) and identify existing gaps. Methods. Mixed-methods sequential explanatory design. In the first phase, the pulmonary tuberculosis care cascade for the indigenous population of Cauca was evaluated. Data were obtained from secondary sources and all cases diagnosed from 1 January 2016 to 31 December 2017 were included. In the second phase, semi-structured interviews were done with nine program coordinators and 11 nursing auxiliaries to explain identified gaps. Absolute and percentage values were estimated for each of the steps and gaps in the care cascade. Quantitative and qualitative results were triangulated. Results. In 2016 and 2017, an estimated 202 patients with respiratory symptoms were expected to be positive and 106 cases of pulmonary tuberculosis were reported among the indigenous population of the department of Cauca. A gap of 47.5% was found for diagnosis, since only 52.5% of subjects were diagnosed in health services. This gap was explained by poor quality of samples and flawed smear techniques; flaws in correct identification of patients with respiratory symptoms; limited access to diagnostic methods, such as culture and molecular tests; and limited training and high turnover of personnel in health service provider institutions. Conclusions. The tuberculosis control program should focus actions on bridging the gap in case detection in the indigenous population.
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Flagle, Charles D. "Some Origins of Operations Research in the Health Services." Operations Research 50, no. 1 (February 2002): 52–60. http://dx.doi.org/10.1287/opre.50.1.52.17805.

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Che Mohd Nor, Roshanira, and Nur Atiqah Rochin Demong. "The Awareness Level of the Safety and Health of the Operational LevelThe Awareness Level of the Safety and Health of the Operational Level." ADVANCES IN BUSINESS RESEARCH INTERNATIONAL JOURNAL 2, no. 1 (June 30, 2016): 43. http://dx.doi.org/10.24191/abrij.v2i1.10057.

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Providing a safe and healthy workplace is one of the most effective strategies in for holding down the cost of doing construction business. It was a part of the overall management system to facilitate the management of the occupational health and safety risk that are associated with the business of the organization. Factors affected the awareness level inclusive of safety and health conditions, dangerous working area, long wait care and services and lack of emergency communication were the contributed factors to the awareness level for the operational level. According to TM Report (2016) 122 total cases of incident happened at Telekom Malaysia Berhad as compared to year 2015 only 86 cases. Thus, the main objective of this study was to determine the relationship between safety and health factors and the awareness level among operational workers. The determination of this research was to increase the awareness level among the operational level workers who committing to safety and health environment.
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Che Mohd Noor, Roshanira, and Nur Atiqah Rochin Demong. "The Awareness Level of the Safety and Health of the Operational Level." ADVANCES IN BUSINESS RESEARCH INTERNATIONAL JOURNAL 3, no. 1 (June 30, 2017): 42. http://dx.doi.org/10.24191/abrij.v3i1.10036.

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Providing a safe and healthy workplace is one of the most effective strategies in for holding down the cost of doing construction business. It was a part of the overall management system to facilitate themanagement of the occupational health and safety risk that are associated with the business of the organization. Factors affected the awareness level inclusive of safety and health conditions, dangerous working area, long wait care and services and lack of emergency communication werethe contributed factors to the awareness level for the operational level. Total of 122 incidents happened at Telekom Malaysia Berhad as compared to year 2015 only 86 cases. Thus, the main objective of this study was to determine the relationship between safety and health factors and the awareness level among operational workers.The determination of this research was to increase the awareness level among the operational level workerswho committing to safety and health environment.
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Naiker, Ugenthiri, Gerry FitzGerald, Joel M. Dulhunty, and Michael Rosemann. "Factors affecting the performance of public out-patient services." Australian Health Review 43, no. 3 (2019): 294. http://dx.doi.org/10.1071/ah17285.

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Objective The delivery of public out-patient services is an essential part of complex healthcare systems, but the contribution of public out-patient services is often ill defined and poorly evaluated. The aim of this study was to identify and better understand those factors that may affect the performance of out-patient services to provide health service managers, clinicians and executives with a conceptual framework for future decision-making processes. Methods The present qualitative research involved five exploratory case studies. These case studies were conducted across two specialties at hospitals in the Metro North Hospital and Health Service in Queensland. Data were obtained from 38 interviews and 15 focus groups, and were analysed to identify common themes. Further analysis helped identify the most significant factors and build a conceptual framework for understanding the relationships between those factors and their effect on performance. Results Across both specialties there were 10 factors (scheduling, performance, service framework, categorisation or prioritisation of patients, internal and external stakeholders, resources, service demand, culture, system challenges and medical stakeholders) identified that may affect the performance of out-patient services. These factors were condensed into five core domains: culture, stakeholders, resources, demand and system reform. Conclusion Strategies to address the five core domains identified may provide a framework for sustainable improvement in the delivery of out-patient services. What is known about the topic? The provision of specialist out-patient services is an essential element of health service delivery. Access to specialist services in the public sector is challenging because of the escalating demand associated with an increasing and aging demographic. The factors that may affect the delivery of out-patient services need to be addressed for long-term sustainable improvement. What does this paper add? This paper provides a conceptual framework grounded in rigorous qualitative data analysis for understanding the internal and external factors that affect waiting times for specialist out-patient services. The results of this qualitative research indicate that there are five core domains that may influence waiting times in the public out-patient setting. When these domains are addressed at the strategic, tactical and operational levels, they have the potential to provide significant improvement in the delivery of out-patient services. What are the implications for practitioners? This paper guides the attention of relevant stakeholders towards the five core domains identified (culture, stakeholders, resources, demand and system reform) that influence the performance of waiting times at the operational, tactical and strategic levels within the public hospital setting.
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Väänänen, Antti, Keijo Haataja, Katri Vehviläinen-Julkunen, and Pekka Toivanen. "Proposal of a novel Artificial Intelligence Distribution Service platform for healthcare." F1000Research 10 (March 26, 2021): 245. http://dx.doi.org/10.12688/f1000research.36775.1.

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In this paper, we focus on presenting a novel AI-based service platform proposal called AIDI (Artificial Intelligence Distribution Interface for healthcare). AIDI proposal is based on our earlier research work in which we evaluated AI-based healthcare services which have been used successfully in practice among healthcare service providers. We have also used our systematic review about AI-based healthcare services benefits in various healthcare sectors. This novel AIDI proposal contains services for health assessment, healthcare evaluation, and cognitive assistant which can be used by researchers, healthcare service provides, clinicians, and consumers. AIDI integrates multiple health databases and data lakes with AI service providers and open access AI algorithms. It also gives healthcare service providers open access to state-of-the-art AI-based diagnosis and analysis services. This paper provides a description of AIDI platform, how it could be developed, what can become obstacles in the development, and how the platform can provide benefits to healthcare when it will be operational in the future.
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Zeng, Grace, Donna Chung, and Beverley McNamara. "Organisational contexts and practice developments in mental health peer provision in Western Australia." Journal of Health Organization and Management 34, no. 5 (June 8, 2020): 569–85. http://dx.doi.org/10.1108/jhom-09-2019-0281.

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PurposeOver the past decade, the push for recovery-oriented services has birthed a growth in the recruitment of peer providers in mental health services: Persons who live with and manage their mental health challenges and are employed to support persons currently using mental health services. The aim of this paper is to compare the responses of government and non-government organisations to the implementation of peer provision.Design/methodology/approachEmploying a qualitative study design, 15 people who supervised peer providers or who were strategically involved in peer provision were recruited using snowball sampling. Participants completed an in-depth interview that explored how peer provision services operated at their organisation and factors that shaped the way peer provision operates. The interviews were transcribed and analysed using Moore's Strategic Triangle. Synthesised member checking and researcher triangulation ensued to establish trustworthiness.FindingsThe way in which peer provision operated sat along a continuum ranging from adoption (where practices are shaped by the recovery ethos) to co-option (where recovery work may be undertaken, but not shaped by the recovery ethos). Political and legal mandates that affected the operational capacities of each organisation shaped the way peer provision services operated.Research limitations/implicationsThe findings of the study highlight the need to reconsider where peer provision services fit in the mental health system. Research investigating the value of peer provision services may attract the support of funders, service users and policy makers alike.Originality/valueIn employing Moore's strategic triangle to evaluate the alignment of policy (the authorising environment) with the operational capacity and practice of peer provision services (the task environment), this study found that organisational response to peer provision is largely influenced by political and legal mandates externally. The successful implementation of peer provision is mediated by effective supervision of peer providers.
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Xie, Xiaolan, Steve Gallivan, Alain Guinet, and Marion Rauner. "Operational research applied to health services: a special volume dedicated to the international conference ORAHS’2007." Annals of Operations Research 178, no. 1 (April 21, 2010): 1–4. http://dx.doi.org/10.1007/s10479-010-0739-5.

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Beech, R. "Using Operational Research Modelling to Improve the Provision of Health Services: The Case of DNA Technology." International Journal of Epidemiology 24, Supplement 1 (January 1, 1995): S90—S95. http://dx.doi.org/10.1093/ije/24.supplement_1.s90.

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Dearnaley, Patricia, and Joanne E. Smith. "Challenging times: building a health, housing and social care local workforce strategy." Housing, Care and Support 21, no. 3/4 (December 17, 2018): 108–22. http://dx.doi.org/10.1108/hcs-07-2018-0010.

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Purpose The purpose of this paper is to stimulate a wider debate around the coordination of workforce planning in non-statutory services (in this case, specialist housing for older people or those with long-term health and social care needs, such as learning disabilities). The authors argue that current NHS reforms do not go far enough in that they fail to include specialist housing and its workforce in integration, and by doing so, will be unable to optimise the potential efficiencies and streamlining of service delivery to this group. Design/methodology/approach The paper used exploratory study using existing research and data, enhanced by documentary analysis from industry bodies, regulators and policy think tanks. Findings That to achieve the greatest operational and fiscal impact upon the health care services, priority must be given to improving the efficiency and coordination of services to older people and those requiring nursing homes or registered care across the public and third sectors through the integration of service delivery and workforce planning. Research limitations/implications Whilst generalisable and achievable, the model proposed within the paper cannot be fully tested theoretically and requires further testing the in real health and social care market to evidence its practicality, improved quality of care and financial benefits. Originality/value The paper highlights some potential limitations to the current NHS reforms: by integrating non-statutory services, planned efficiency savings may be optimised and service delivery improved.
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Fitria, Ana Riskhatul. "DUKUNGAN STRATEGIS DAN OPERASIONAL PEMERINTAH DALAM PEMENUHAN HAK KESEHATAN ANAK TUNAGRAHITA DI KOTA SURABAYA." Jurnal Administrasi Kesehatan Indonesia 6, no. 2 (December 7, 2018): 129. http://dx.doi.org/10.20473/jaki.v6i2.2018.129-135.

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Background: Social justice is a condition of fulfilling material, spiritual and social needs of citizens to live properly and to develop themselves in carrying out the social functions. The social welfare rate in Indonesia was still low amounted to 62.8 in 2016. Children with mental illness problems experience social welfare. The government has provided support both strategic support and operational support for their lives.Aim: The objective of the research is to analyze the government's support for fulfilling child’s health rights for those who suffer from mental illness.Method: This research was descriptive. The data were collected by using policy review and observation. Policy review was used to discover the strategic support given by government to fulfill health needs of mentally illed children. Meanwhile, the observation was to find out government’s operational support for Kalijudan Surabaya Technical Implementation Unit (UPT) in Basic Social Services.Results: The results show that there is a good strategic support for the children with mental illness. The operational support has been implemented, but not in accordance with the existing regulations. However, Kalijudan Surabaya Technical Implementation Unit (UPT) in Basic Social Services has provided the right of health by cooperating with related parties.Conclusion: It can be concluded that the strategic support given includes Law Number 8 Year 2016 about disabled people, Health Ministry Law Number 25 Year 2014 about child’s health support, and Surabaya Mayor’s Law Number 2 Year 2013 about organization of Kalijudan Surabaya Technical Implementation Unit (UPT) at Basic Social Service Department. The Kalijudan Surabaya Technical Implementation Unit (UPT) in Basic Social Services had also given operational supports for mentally illed chidren’s health needs.Keywords: children with mental illness, health right, regulation
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Harries, Anthony D., Pruthu Thekkur, Irene Mbithi, Jeremiah Muhwa Chakaya, Hannock Tweya, Kudakwashe C. Takarinda, Ajay M. V. Kumar, et al. "Real-Time Operational Research: Case Studies from the Field of Tuberculosis and Lessons Learnt." Tropical Medicine and Infectious Disease 6, no. 2 (June 8, 2021): 97. http://dx.doi.org/10.3390/tropicalmed6020097.

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Real-time operational research can be defined as research on strategies or interventions to assess if they are feasible, working as planned, scalable and effective. The research involves primary data collection, periodic analysis during the conduct of the study and dissemination of the findings to policy makers for timely action. This paper aims to illustrate the use of real-time operational research and discuss how to make it happen. Four case studies are presented from the field of tuberculosis. These include (i) mis-registration of recurrent tuberculosis in Malawi; (ii) HIV testing and adjunctive cotrimoxazole to reduce mortality in TB patients in Malawi; (iii) screening TB patients for diabetes mellitus in India; and (iv) mitigating the impact of COVID-19 on TB case detection in capital cities in Kenya, Malawi and Zimbabwe. The important ingredients of real-time operational research are sound ethics; relevant research; adherence to international standards of conducting and reporting on research; consideration of comparison groups; timely data collection; dissemination to key stakeholders; capacity building; and funding. Operational research can improve the delivery of established health interventions and ensure the deployment of new interventions as they become available, irrespective of diseases. This is particularly important when public health emergencies, including pandemics, threaten health services.
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Beinborn, Julie, Kenneth Saling, Katelyn Reed, Mohamed Ibrahim, and Andrew Feldman. "Experience With a Research and Innovation Office to Support Laboratory Medicine and Pathology Research." American Journal of Clinical Pathology 152, Supplement_1 (September 11, 2019): S99. http://dx.doi.org/10.1093/ajcp/aqz119.001.

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Abstract Objectives Translational research in laboratory medicine and pathology is transforming health care based on recent quantum advances in omics technologies, computational science, and precision medicine. However, high-volume clinical settings where this research may be most effective often have significant constraints on faculty time that challenge productivity. The objective of this study was to assess our experience with a new resource designed to address this challenge. Methods In September 2016, we established the Research and Innovation Office (RIO) in the Department of Laboratory Medicine and Pathology, Mayo Clinic–Rochester. The goal was to provide infrastructure to unburden faculty from performing administrative, organizational, and operational tasks related to research. Over 30 months, we solicited faculty input into desired services, conducted surveys on utility and ease of use, and tracked metrics, including faculty participation, numbers of projects, and publications. Results Faculty members were highly satisfied with the range of services, ease of use, and service-oriented approach of RIO. Initial services included project organization, institutional process support (eg, IRB protocol management), biospecimen requests and handling, and data management. Based on early feedback, patient consenting, budget support, and manuscript assistance were added as additional services. Total RIO staff increased from 6 to 10 during in the first 30 months. Over this time, 97 of 160 faculty members (60%) utilized RIO services in over 1,000 discrete project requests. Annual departmental publications increased by 50% during this time. Conclusion Faculty time is a critical element for translational research productivity in laboratory medicine and pathology departments. Numerous tasks previously performed by faculty could be managed effectively by a team of research facilitators that unburdened constraints on research time and led to high levels of faculty engagement, satisfaction, and productivity. This model may promote advances in transformative laboratory medicine and pathology research in high-volume clinical settings.
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Muftika, Kismiyatul Fitriya, Mitra Mitra, Jasrida Yunita, Yanwir Kamal, and Helda Suryani Munir. "Factors Related to the Performance of Officers Relating to Provision Service of National Health Care (JKN)." Jurnal Kesehatan Komunitas 4, no. 1 (November 9, 2018): 2–7. http://dx.doi.org/10.25311/keskom.vol4.iss1.193.

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ABSTRACT In improving the service performance of health center staff, BPJS has contributed capitation fund for provision services (60%) and operational cost of Public Health Center (40%). Based on the preliminary survey, it was found that only 40% of officers with good performance, officers are still many who often come late. The purpose of this research is to know factors related to the performance of officers related to the provision service of National Health Care (JKN) at Tapung Public Health Center and Tapung II Public Health Center. With the variables studied are provision services, employment / position, attendance, work period, rewards, motivation, leadership, and demographic variables in the form of sex. This research is Quantitative research with cross sectional design was conducted from June to July of 2017. The sample in this study is all officers who received provision services amounted to 97 people. The result of this research is there is relationship of employment / position, work period, and leadership with performance, while other variables (attendance, rewards, motivation, and sex) are not related to officer performance. While service variable is variable confounding to work period. The conclusion of this research is that there is a correlation between employment / position, work period and leadership with officer performance. It is recommended that the head of Public Health Center to allocate funds outside the service for officers whose workload is more severe, motivation in the form of rewards for officers who can be exemplary, punishment for undisciplined officers, providing direction and support, and procurement of gradual evaluation and observation related to the completion of tasks by the officers.
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Nugraha, Ega, Septo Pawelas Arso, and Agung Budi Prasetijo. "Design of Web-Based Planned Referral Information System from Public Health Centers to Hospital." Unnes Journal of Public Health 9, no. 1 (January 31, 2020): 11–19. http://dx.doi.org/10.15294/ujph.v9i1.30876.

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The aim of the study was to create a web-based planned referral system (SIJUNA) to help manage referral services from public health centers to hospitals so that there was no reason for patients not to be served because the human resources and facilities needed were not available. This study uses action research with a qualitative approach and the system development stage using the FAST method. The system is tested using black box testing. The results of this study are the establishment SIJUNA that facilitates the referral process of patients from the Public Health Center to the Hospital. With the existence of SIJUNA, the operational needs of services are good with the types of outpatient referrals, inpatient care, and emergencies can be fulfilled by increasing accessibility such as certainty of service time with competence and the closest radius of the patient's location, equalizing and increasing the effectiveness of health services, nearest health who has competencies according to patient needs.
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Sustariyah, Sri. "INFLUENCE OF HEALTH SERVICE ACCEPTANCE VALUE TOWARD A PATIENT RELIANCE." Journal of Economic Empowerment Strategy (JEES) 1, no. 1 (August 31, 2018): 58. http://dx.doi.org/10.30740/j.v1i1.24.

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The Government appoints the Social Health Insurance Administering Body, hereinafter abbreviated as BPJS Kesehatan Pengelengaranya Agency. West Java is one of the organizers of BPJS Program whose membership is still below the standard set by the government. Alleged implementation of operational implementation of Social Security Health is still not fully understood and perceived benefits and services by the community, Marketing with a system of proximity to customers and provision of quality services to be one strategy that is effective in improving public confidence. Relational marketing and service quality is a determinant factor in increasing value and trust for customers. The purpose of this study is to analyze the influence of relational marketing and service quality to customer value and its impact on customer trust. The method used is quantitative with expert judgment. The sample of this research is inpatient of BPJS health participant at Public Hospital owned by Local Government in West Java Province. Technique of data retrieval is done by cluster proportional random sampling and analysis technique used is SEM analysis (structural equation modeling). The results of descriptive research indicate that relational marketing, service quality, customer value and customer trust move from less good to sanga tbaik. The results of the study of each indicator is still found some less than optimal. The result of verifikatif research proves that relational marketing and service quality have positive and significant effect to customer value and customer value have positive and significant influence to customer trust.
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Sustariyah, Sri. "INFLUENCE OF HEALTH SERVICE ACCEPTANCE VALUE TOWARD A PATIENT RELIANCE." Journal of Economic Empowerment Strategy (JEES) 1, no. 1 (August 31, 2018): 58. http://dx.doi.org/10.30740/jees.v1i1.24.

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The Government appoints the Social Health Insurance Administering Body, hereinafter abbreviated as BPJS Kesehatan Pengelengaranya Agency. West Java is one of the organizers of BPJS Program whose membership is still below the standard set by the government. Alleged implementation of operational implementation of Social Security Health is still not fully understood and perceived benefits and services by the community, Marketing with a system of proximity to customers and provision of quality services to be one strategy that is effective in improving public confidence. Relational marketing and service quality is a determinant factor in increasing value and trust for customers. The purpose of this study is to analyze the influence of relational marketing and service quality to customer value and its impact on customer trust. The method used is quantitative with expert judgment. The sample of this research is inpatient of BPJS health participant at Public Hospital owned by Local Government in West Java Province. Technique of data retrieval is done by cluster proportional random sampling and analysis technique used is SEM analysis (structural equation modeling). The results of descriptive research indicate that relational marketing, service quality, customer value and customer trust move from less good to sanga tbaik. The results of the study of each indicator is still found some less than optimal. The result of verifikatif research proves that relational marketing and service quality have positive and significant effect to customer value and customer value have positive and significant influence to customer trust.
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Mahdavi, Mahdi, Tomi Malmström, Joris van de Klundert, Sylvia Elkhuizen, and Jan Vissers. "Generic operational models in health service operations management: A systematic review." Socio-Economic Planning Sciences 47, no. 4 (December 2013): 271–80. http://dx.doi.org/10.1016/j.seps.2013.07.002.

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Mulenga, Philippe, Pascal Lutumba, Yves Coppieters, Alain Mpanya, Eric Mwamba-Miaka, Oscar Luboya, and Faustin Chenge. "Passive Screening and Diagnosis of Sleeping Sickness with New Tools in Primary Health Services: An Operational Research." Infectious Diseases and Therapy 8, no. 3 (July 15, 2019): 353–67. http://dx.doi.org/10.1007/s40121-019-0253-2.

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Katzan, Harry. "Foundations Of Service Science Concepts And Facilities." Journal of Service Science (JSS) 1, no. 1 (July 1, 2008): 1–22. http://dx.doi.org/10.19030/jss.v1i1.4297.

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This paper gives a conspectus of Service Science for academicians and practitioners with the express purpose of defining the scope of the discipline. The subject of services is the up and coming discipline for the 21st century, and it encompasses technology, entrepreneurship, business growth, and innovation four subjects that are generally of interest to most managers and scientists, alike. Services are important to people in business, government, education, health care and management, religion, military, scientific research, engineering, and other endeavors that are too numerous to mention, because most service providers be they individuals, businesses, governments, and so forth are also consumers of services. This is the first of three introductory papers on the subject. The second paper, entitled Foundations of Service Science: Management and Business covers the operational environment for services, and the final paper entitled Foundations of Service Science: Technology and Architecture covers the technical and architectural basis for the Service Science discipline.
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Bridges, Elizabeth, and Margaret McNeill. "Bringing Evidence to the Point of Care: TriService Nursing Research Program Battlefield and Disaster Nursing Pocket Guide." Military Medicine 185, Supplement_2 (May 2020): 50–53. http://dx.doi.org/10.1093/milmed/usz290.

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ABSTRACT Care under operational conditions is complex and unique. Although there is a growing body of evidence to inform this care, very few resources address operational nursing care. To address this issue and the lack of a compilation of relevant studies and evidence-based guidelines, the TriService Nursing Research Program Battlefield and Disaster Nursing Pocket Guide was created. The pocket guide has been updated and incorporates new and emerging evidence and also showcases the focused operational research of military nurse scientists. Eight thousand copies of the second edition of the guide, which curates a comprehensive body of literature related to operational nursing care, are being distributed to the three services. Military nurse scientists and multidisciplinary clinical experts contributed to the guide, with the content undergoing critical review by experts in operational care. This article summarizes the development of the pocket guide, summarizes some of the updates from the first edition, and demonstrates the integration of the guide into the major phases of evidence translation: knowledge, creation, and distillation; diffusion and dissemination; and adoption, implementation, and institutionalization. The incorporation of the pocket guide into readiness training reflects a goal of TriService Nursing Research Program to “develop and strengthen the Triservice community of nurse scholars to generate new knowledge in military nursing and translate it into practice” and an unending commitment to bring world class care to those in harm’s way.
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Burns, Clare L., and Laurelie R. Wall. "Using Telepractice to Support the Management of Head and Neck Cancer: Key Considerations for Speech-Language Pathology Service Planning, Establishment, and Evaluation." Perspectives of the ASHA Special Interest Groups 2, no. 13 (January 2017): 139–46. http://dx.doi.org/10.1044/persp2.sig13.139.

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With the rise of technology-enhanced health services, there is a growing opportunity to use telepractice to address the challenges associated with accessing and delivering speech-language pathology head and neck cancer (HNC) services. With an emerging body of research reporting clinical, patient and service benefits, careful planning and coordination of a range of factors are required to integrate these new models into routine speech-language pathology practice. This paper provides a review of current evidence and key professional policy documents to assist clinicians in the development of speech-language pathology HNC telepractice services. Important aspects of service design such as mode and configuration of technology, patient suitability, staff support, and training, as well as strategies for service establishment and evaluation are discussed. Consideration of these aspects is important to ensure that future speech-language pathology HNC telepractice services meet clinical, technical, and operational requirements to support successful service implementation and long-term sustainability.
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Bittar, Olímpio José Nogueira Viana, Carolina Zanatta, and Renato Ribeiro Nogueira Ferraz. "Physical and financial participation of teaching hospitals in private care in São Paulo - Brasil." Revista da Associação Médica Brasileira 66, no. 6 (June 2020): 806–11. http://dx.doi.org/10.1590/1806-9282.66.6.806.

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SUMMARY OBJECTIVE To evaluate the physical and financial participation of private health insurance beneficiaries in the TH located in the State of Sao Paulo, regarding the care of Brazilian Unique Health System patients, in the year 2017. METHODS The research data were obtained from the System of Evaluation of the Teaching Hospitals (SAHE), of the State Department of Health of São Paulo (SES/SP). RESULTS It was observed that, on average, the TH analyzed provide 17% of their operational vacancies for the Supplementary Health System, and that the financial return is better in the philanthropic ones. CONCLUSIONS The health care services provided by TH deserve to be deepened, evaluating the real advantages obtained in the provision of services, given that supplementary health care requires differentiated infrastructure, and mainly the knowledge of operational costs in order to stipulate the procedures’ price.
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Giles, Glenn, Merridy Malin, and Peter Harvey. "The Centre of Clinical Research Excellence in Aboriginal and Torres Strait Islander Health: An Operational Rationale and Some Reflections on Progress so far." Australian Journal of Primary Health 12, no. 2 (2006): 97. http://dx.doi.org/10.1071/py06028.

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The Centre of Clinical Research Excellence (CCRE) in Aboriginal and Torres Strait Islander Health was established in late 2003 through a major National Health and Medical Research Council (NHMRC) grant involving collaboration between the Aboriginal Health Council of South Australia (AHCSA), Flinders University, and Aboriginal Health Services. Our foundation research communities are the Aboriginal communities served by these Aboriginal Health Services in the Spencer Gulf / Eyre Peninsula region. In recent years a number of collaborative research programs involving chronic illness management, self-management and coordinated care have been implemented in these communities and this work is the basis of the initial CCRE activities. Key objectives of the CCRE are to improve the health status of Indigenous people through conducting relevant and meaningful Aboriginal controlled health research, providing formal training for Indigenous health researchers and developing innovative approaches to health care that can be readily translated and applied to support communities. The inclusion, empowerment and engagement of Indigenous people in the process of managing community health represent tangible strategies for achieving more equitable health outcomes for Aboriginal people. This paper outlines the CCRE operational rationale and presents early activities and outcomes across the three strategic areas of CCRE operations: research, education and training, and translation. Some critical reflections are offered on the progress and experience of the CCRE thus far. A common obstacle this CCRE has encountered is that the limited (especially staff) resources available to the Aboriginal Health Services with which we are collaborating make it difficult for them to engage with and progress the projects we are pursuing.
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48

Savory, Clive, and Joyce Fortune. "From translational research to open technology innovation systems." Journal of Health Organization and Management 29, no. 2 (April 13, 2015): 200–220. http://dx.doi.org/10.1108/jhom-01-2013-0021.

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Purpose – The purpose of this paper is to question whether the emphasis placed within translational research on a linear model of innovation provides the most effective model for managing health technology innovation. Several alternative perspectives are presented that have potential to enhance the existing model of translational research. A case study is presented of innovation of a clinical decision support system. The paper concludes from the case study that an extending the triple helix model of technology transfer, to one based on a quadruple helix, present a basis for improving the performance translational research. Design/methodology/approach – A case study approach is used to help understand development of an innovative technology within a teaching hospital. The case is then used to develop and refine a model of the health technology innovation system. Findings – The paper concludes from the case study that existing models of translational research could be refined further through the development of a quadruple helix model of heath technology innovation that encompasses greater emphasis on user-led and open innovation perspectives. Research limitations/implications – The paper presents several implications for future research based on the need to enhance the model of health technology innovation used to guide policy and practice. Practical implications – The quadruple helix model of innovation that is proposed can potentially guide alterations to the existing model of translational research in the healthcare sector. Several suggestions are made for how innovation activity can be better supported at both a policy and operational level. Originality/value – This paper presents a synthesis of the innovation literature applied to a theoretically important case of open innovation in the UK National Health Service. It draws in perspectives from other industrial sectors and applies them specifically to the management and organisation of innovation activities around health technology and the services in which they are embedded.
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49

Boudioni, Markella, Susan McLaren, and Graham Lister. "Patient empowerment: Its implementation and systems within hospitals in England and Greece." Health Services Management Research 31, no. 4 (January 29, 2018): 180–94. http://dx.doi.org/10.1177/0951484817752628.

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Introduction International health policies recognise patient empowerment, resulting in diverse empowerment models and systems. Research on organisational systems for implementing patient empowerment between countries or from organisational stakeholders’ perspective, however, is limited. Aims and methodology: This paper explores and compares organisational systems and structures for patient empowerment implementation in six acute public hospitals in England and Greece (three in each country), their cross-case and cross-national similarities and differences. It uses a comparative, qualitative, explanatory embedded case study design. Semi-structured interviews with a representative sample of stakeholders (n = 33) and documentary sources (n = 79) were analysed with framework. Results Two main patient empowerment themes were identified: (1) organisational leadership, systems, structures; (2) operational structures, services, mechanisms and activities. Generic organisational systems and structures for patient empowerment varied across-cases, but with common organisation of empowerment roles in England and common leadership in Greece. Operational structures, services and mechanisms supporting empowerment varied across-cases and cross-nationally, but with similarities in the main services. Conclusion Implementation of patient empowerment was weaker in Greece than in England, attributable to differing approaches to strategic and operational leadership, limited development of strategies and influential organisational structures. Overall, patient empowerment is well-embedded in organisations with a highly visible patient empowerment profile; commitment to policies and strategy implementation at different levels; strategic and operational leadership investing in dedicated roles with clear authority for patient empowerment, influential empowerment structures and mechanisms.
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Nzinga, Jacinta, Caroline Jones, David Gathara, and Mike English. "Value of stakeholder engagement in improving newborn care in Kenya: a qualitative description of perspectives and lessons learned." BMJ Open 11, no. 6 (June 2021): e045123. http://dx.doi.org/10.1136/bmjopen-2020-045123.

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ObjectiveEmbedding researchers within health systems results in more socially relevant research and more effective uptake of evidence into policy and practice. However, the practice of embedded health service research remains poorly understood. We explored and assessed the development of embedded participatory approaches to health service research by a health research team in Kenya highlighting the different ways multiple stakeholders were engaged in a neonatal research study.MethodsWe conducted semistructured qualitative interviews with key stakeholders. Data were analysed thematically using both inductive and deductive approaches.SettingOver recent years, the Health Services Unit within the Kenya Medical Research Institute (KEMRI)-Wellcome Trust Research Programme in Nairobi Kenya, has been working closely with organisations and technical stakeholders including, but not limited to, medical and nursing schools, frontline health workers, senior paediatricians, policymakers and county officials, in developing and conducting embedded health research. This involves researchers embedding themselves in the contexts in which they carry out their research (mainly in county hospitals, local universities and other training institutions), creating and sustaining social networks. Researchers collaboratively worked with stakeholders to identify clinical, operational and behavioural issues related to routine service delivery, formulating and exploring research questions to bring change in practiceParticipantsWe purposively selected 14 relevant stakeholders spanning policy, training institutions, healthcare workers, regulatory councils and professional associations.ResultsThe value of embeddedness is highlighted through the description of a recently completed project, Health Services that Deliver for Newborns (HSD-N). We describe how the HSD-N research process contributed to and further strengthened a collaborative research platform and illustrating this project’s role in identifying and generating ideas about how to tackle health service delivery problemsConclusionsWe conclude with a discussion about the experiences, challenges and lessons learned regarding engaging stakeholders in the coproduction of research.
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