Managing shifts to value-based healthcare and value digitalization as a multi-level dynamic capability development process

Kokshagina, Olga

doi:10.1016/j.techfore.2021.121072

Cited by 40 publications

(23 citation statements)

References 59 publications

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“…In addition, the different kinds of involvement of employees in the decision-making and implementation processes did not show any significant differences in effect on the self-estimated degree of digitalization, at least not from the managers’ point of view. This is in contrast to the work of Kokshagina [ 53 ], as mentioned above. The successful implementation of health information technology would require supporters, change managers, advocates, project managers, decision-makers, facilitators and champions [ 57 ].…”

Section: Discussioncontrasting

confidence: 78%

“…Learning-oriented leadership and adaptive management should be focused upon to emphasize workplace learning, as management strategies are decisive when transforming an organization from health to eHealth [ 52 ]. As discussed by Kokshagina [ 53 ], the micro-levels (individual levels) and macro-levels (hospital levels) must be aligned through a constructive dialog at the meso-level (department and interdepartmental levels). The alignment of the mindset of relevant stakeholders, behavioral rules and suitable technology are key elements to driving digital transformation [ 54 ].…”

Section: Discussionmentioning

confidence: 99%

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Managing Directors’ Perspectives on Digital Maturity in German Hospitals—A Multi-Point Online-Based Survey Study

Burmann

Fischer

Brinkkötter

et al. 2022

IJERPH

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Background: The digitalization and integration of data are increasingly relevant for hospitals. Several methods exist to assess and structurally develop digital maturity. However, it is notable that German hospitals lag behind the European average with respect to digitalization. Objective: We hypothesized that: (a) the perspective of hospital managing directors regarding the state of digitalization in German hospitals plays an important role in the investigation of barriers, and (b) the Hospital Future Act in 2020 may help to surmount those barriers. Methods: Aligned with the Checklist for Reporting Results of Internet E-Surveys (CHERRIES), two online surveys were conducted, one in 2019 and one in 2021. Results: The first study covered 184/344 hospitals and the second, 83/344. The responsibility for deciding on the implementation of digitalization lay with the management (115/184; 62.5%). About 54.9% (101/184) of the managing directors desired digitally supported workflows, together with employees or users. In total, 74.7% (62/83) of hospital managing directors expressed an increase in digitization compared to 2019, with a percentage increase of 25.4% (SD 14.41). In some cases, we analyzed the data using an ANOVA, chi-squared test and Pearson’s correlation, but there was no significant relation identified among the variables. Conclusions: This online-based survey study demonstrated that the development of a digitalization strategy is still strongly tied to or dominated by the attitude of the management. One could assume a lack of acceptance among employees, which should be surveyed in future research. The Hospital Future Act, as well as the COVID-19 pandemic, has positively influenced the digital maturity of hospitals.

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Section: Discussioncontrasting

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Managing Directors’ Perspectives on Digital Maturity in German Hospitals—A Multi-Point Online-Based Survey Study

Burmann

Fischer

Brinkkötter

et al. 2022

IJERPH

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show abstract

“…The literature proposes the introduction of technologies, artificial intelligence, big data (Glauner et al, 2021), for the development of medical institutions and increases the efficiency of rendering of medical services (solving problems of communication, exchange of medical institutions through it-solution) (Lapão, 2019). Digital technologies are seen as a factor of value formation and medical services added value (Kokshagina, 2021), which simplify business processes and ensure the transfer of routine functions to the working technique's performance. That is why technologies significantly reduce the burden on medical personnel in conditions of medical personnel's lack, particularly during the pandemic, solving the problem of providing medical care through remote medicine (Paital et al, 2020;Roy et al, 2020).…”

Section: Literature Reviewmentioning

confidence: 99%

Management of medical institutions on context of provision medical and preventive care in COVID-19 condition

Okhabska

Budzyn

Rybchych

et al. 2022

ijhs

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The aim of the study management of medical institutions in the context of providing medical and preventive care in conditions of COVID-19 is an urgent research problem because it provides detection of management’s effective mechanism in times of crisis. It was to identify the management’s peculiarities of medical institutions in the context of providing medical and preventive care in conditions of COVID-19. The article uses a qualitative content analysis method, a method of comparison, and a method of analysis of countries’ cases in the context of rendering medical and preventive care in Ukraine, Spain, Italy, Germany, and the Czech Republic. The article identifies the main elements of the health system management mechanism during the pandemic, which includes coordinated work by stakeholders to ensure a coordinated response to the emergency. The mechanism includes the organizational, legal, and financial components of cooperation between agencies and ministries of national, regional level, involvement international organizations in the process of development of policy and tactics, management crisis’ strategies. Strategic documents of the national level are one of the main elements of the management’s system.

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“…Digitalization of healthcare will change the paradigm of healthcare delivery, mechanisms of patient participation and engagement, and determine the sustainability of healthcare facilities depending on the design of digital services. As Kokshagina (2021) notes, digital technologies of health services delivery provide value creation in healthcare.…”

Section: Methodsmentioning

confidence: 99%

Healthcare facilities management in digitalization context

Nataliia

Barzylovych

Zabolotna

et al. 2021

ijhs

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In 2020-2021, the digitalization of medical institutions and their management systems is one of them during the coronavirus pandemic. This research reveals that the healthcare system crisis due to the spread of the pandemic not only revealed weaknesses but was an engine for accelerating technological change even in the face of limited financial resources. In Germany, Italy and France the crisis provided: 1) the development of telemedicine and online tools (to assist departments of medical institutions and doctors, assess the health of patients, remotely provide recommendations for further action (doctor's appointment or testing), provide contact information for medical institutions), creating technologies for screening the spread of the virus in the country; 2) strengthening collaboration with international partner companies, non-profit organizations, and local healthcare departments to implement practical solutions to provide remote support based on telemedicine technologies needed by patients under the isolation; 3) the adoption of regulations for the development of digital infrastructure of hospitals in order to digitalize the organization of processes, documents and communication. The pandemic spread was the impetus for the introduction of technological solutions in other areas of medicine to meet the healthcare needs of diabetology, cardiology, oncology, neurology, and psychology.

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Managing shifts to value-based healthcare and value digitalization as a multi-level dynamic capability development process

Cited by 40 publications

References 59 publications

Managing Directors’ Perspectives on Digital Maturity in German Hospitals—A Multi-Point Online-Based Survey Study

Managing Directors’ Perspectives on Digital Maturity in German Hospitals—A Multi-Point Online-Based Survey Study

Management of medical institutions on context of provision medical and preventive care in COVID-19 condition

Healthcare facilities management in digitalization context

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