A Qualitative Evaluation of the Performance-based Supplementary Payment System in Turkey: Physicians' Perspectives
This study reports the perceptions of physicians about the PBSP system in Turkey. A qualitative analysis has been conducted in two hospitals in the Western province of Turkey, Balıkesir. Analysis results suggest that physicians have limited awareness about the pay for performance system. They agree that the PBSP system has not achieved the objectives of enhancing productivity, efficiency and quality of care. The major contributing factors to the limited success of the system have been identified as increased workload, stress and competition among the physicians. Thus revisions have been suggested for the proper impl...
Source: Journal of Health Management - June 10, 2014 Category: Health Management Authors: Yuzden, G. E., Yildirim, J. Tags: Articles Source Type: research

Using Multicriteria Decision Analysis to Evaluate Patient Satisfaction in a Hospital Emergency Department
The scope of this study is to evaluate the level of patient satisfaction and to propose the solutions on how to increase the levels of satisfaction by using multicriteria analysis. A multicriteria user satisfaction analysis was used in order to measure the satisfaction and to elucidate the weak and strong points of satisfaction. The results of the questionnaire revealed that the average level of complete satisfaction is low (73.4) indicating that the citizens are somehow satisfied regarding the emergency department. Furthermore, the patients attributed great importance to the criteria of ‘processes involved in patien...
Source: Journal of Health Management - June 10, 2014 Category: Health Management Authors: Manolitzas, P., Grigoroudis, E., Matsatsinis, N. Tags: Articles Source Type: research

Empowering Women in India: Need for a Feminist Agenda
The article aims at formulating a feminist agenda to empower women living in highly patriarchal and traditional surroundings with several obstacles. The ‘agenda’ is based on the premises that no doubt efficient policing, stringent punishments and legal measures would reduce the incidences of crime against women but these cannot eliminate growing gender inequality in India unless and until the mindset of the society is changed. The article suggests that women-centred reproductive healthcare may alter patriarchal constructs despite strong structural resistance. Ensuring reproductive rights and improving living co...
Source: Journal of Health Management - June 10, 2014 Category: Health Management Authors: Kothari, D. Tags: Articles Source Type: research

The Influence of Organizational Culture on Job Satisfaction of Administrative Employees at a Public Hospital: The Case of General Hospital of Larissa
The case study aims in outlining the organizational culture that exists at a General Hospital of Larissa in Greece, measuring the satisfaction which the administrative employees of the hospital acquire through their job and correlating these two variables. The total population of the survey was the 100 administrative employees that work in General Hospital of Larissa. The survey was conducted during May and June 2013. The research tools used were the questionnaires developed by Cameron and Quinn (1999) and Spector (1994). Regarding the organizational culture, the survey revealed that the dominant culture in a General Hospi...
Source: Journal of Health Management - June 10, 2014 Category: Health Management Authors: Dimitrios, B., Kastanioti, C., Maria, T., Dimitris, N. Tags: Articles Source Type: research

Measuring the Efficiency of Rashtriya Swasthaya Bima Yojana using Data Envelopment Analysis Approach
The study evaluates the performance of the scheme—Rashtriya Swasthaya Bima Yojana—in different districts of Uttar Pradesh using Data Envelopment Analysis. Additionally, the slack-based forecasting was used to find out how much excess of amount of inputs they are consuming and how much they are lagging behind to use outputs. The study will be helpful for the policymakers (in this case Ministry of Labour and Employment and GIZ) to further improve the scheme. The study and the findings if adopted may help in improving the scheme and which will definitely help the masses, mainly Below Poverty Line (BPL) people for ...
Source: Journal of Health Management - June 10, 2014 Category: Health Management Authors: Seth, P., Patel, G. N. Tags: Articles Source Type: research

Clinical Governance Infrastructures and Relational Mechanisms of Control in Healthcare Organizations
This review paper aims to identify and discuss the dominant themes surrounding the governance initiatives in the context of medical markets relying on the two most common search strategies, namely the keyword search technique and the ancestry approach. In an in-depth examination of the recently published research in the field we uncover an emergent decoupling between the governance initiatives formulated at the macro- and micro-levels in today’s institutions of healthcare provision. The macro-level initiatives are associated with clinical governance infrastructures directed towards the attainment of medical performan...
Source: Journal of Health Management - June 10, 2014 Category: Health Management Authors: Bodolica, V., Spraggon, M. Tags: Articles Source Type: research

Assessment of Effect of Leadership Behaviour Perceptions and Organizational Commitment of Hospital Employees on Job Satisfaction with Structural Equation Modelling
This article is dedicated to the memories of coal miners who lost their lives in Soma (Manisa). It was not their destiny. (Source: Journal of Health Management)
Source: Journal of Health Management - June 10, 2014 Category: Health Management Authors: Şahin, I., Akyurek, C. E., Yavuz, Şenol Tags: Articles Source Type: research

What Motivates Government Doctors in India to Perform Better in their Job?
Conclusion: The current study concludes that MOs motivation to continue with the current job is driven both by extrinsic and intrinsic factors. Hence, the health departments and systems need to pay close attention to devising strategies that address both the extrinsic as well as intrinsic factors. However, according to study findings, more attention needs to be paid to providing Job security and better salaries and monetary benefits to MOs. The study results may be useful to health departments and systems to design management strategies that are based on motivational needs of MOs to improve their attraction and retention. ...
Source: Journal of Health Management - March 13, 2014 Category: Health Management Authors: Bhatia, S., Purohit, B. Tags: Articles Source Type: research

Health Care Management in India: Some Issues and Challenges
Conclusion: With rising health care demand in India, private sector hospitals and health care firms started to come with the concept of Corporate Social Responsibility (CSR) by giving subsidized rates and rural coverage concepts in India, so that the poor people can afford for the necessary treatment, as 32.7 per cent of the total Indian people fall below the international poverty line of US$ 1.25 per day (PPP) while 68.7 per cent live on less than US$ 2 per day (http://www.wikipedia.org). Oxford Poverty and Human Development Initiative (OPHI) stated in 2010, that eight Indian states have more poor people than 26 poorest A...
Source: Journal of Health Management - March 13, 2014 Category: Health Management Authors: Khan, M. I., Banerji, A. Tags: Articles Source Type: research

Development of Primary Health Care Systems and MCH Services in Karnataka
The present study examined the performance of MCH programmes relative to the development of primary health care systems in Karnataka state. The study focused its analysis on the institutional development of primary health care systems, namely, Sub-Centres (SCs), Primary Health Centres (PHCs) and Community Health Centres (CHCs) in terms of expansion and populations served by these facilities during the past three decades consequent to adoption of ‘Health for All by 2000’ strategy, and performance of MCH services in the past 20 years with respect to key components. The study finds that the primary health care sys...
Source: Journal of Health Management - March 13, 2014 Category: Health Management Authors: Bhat, T. N. Tags: Articles Source Type: research

Trend, Differential and Determinants of Deprivation of Reproductive and Child Health in the Districts of West Bengal, India
Reproductive and Child Health (RCH) is assumed to play a pivotal role in effective human capital formation as well as in determination of future demographic dividend of an economy. West Bengal exhibits a large scale inter-district disparity of health vulnerability measured by RCH Deprivation Index using Senian Power Mean Formula and Principal Component Analysis. Keeping in mind the variability of the RCH parameters, unitary weights and multicollinearity among the different RCH parameters, we suggest a measure of weighted RCH Deprivation Index. It is observed that the regional inequality of RCH Deprivation Index is increasi...
Source: Journal of Health Management - March 13, 2014 Category: Health Management Authors: Bhattacharya, G., Haldar, S. K. Tags: Articles Source Type: research

Heterogeneity in Private Sector Health Care and its Implications on Urban Poor
Private sector health care attains more attention in the current context due to its changing nature and characteristics. One such characteristic is the heterogeneity in terms of care prevalent within the private sector. Heterogeneity within private sector has been a challenge not only in terms of its understanding but also the way it interacts with the policies on the regulation of the health services system. The present study examines the nature of this heterogeneity based on the care rendered for an acute illness, namely, fever. The study was carried out in an urban setting and the severity of illness examined using dura...
Source: Journal of Health Management - March 13, 2014 Category: Health Management Authors: George, M. Tags: Articles Source Type: research

Satisfaction Level and Perception of Quality in Cancer Care: A Comparison between Patients and Health Care Providers
This study was undertaken to compare the satisfaction level between the patients and health care providers from a radiation oncology department. A common 16-item questionnaire was served to 40 patients and 40 staff members. The responses were statistically evaluated to assess the satisfaction level among the two groups and the scores were compared to assess the agreement between two groups. Overall, satisfaction level of both groups regarding quality of services ranged from ‘good’ to ‘excellent’. A high level of agreement was observed between the two groups. The physician’s ability to give exp...
Source: Journal of Health Management - March 13, 2014 Category: Health Management Authors: Sharma, K., Kataria, T., Bisht, S. S., Goyal, S., Gupta, D. Tags: Articles Source Type: research

Enhancing Role of District Hospitals and Community Health Centres in Primary Health Care in Rajasthan: A Case Study
(Source: Journal of Health Management)
Source: Journal of Health Management - March 13, 2014 Category: Health Management Authors: Gupta, S. D. Tags: Articles Source Type: research

Is Public Private Partnership an Effective Alternative to Government in the Provision of Primary Health Care? A Case Study in Odisha
This study aimed to understand the breadth and depth of services in primary health centres (PHC) under government (PHC-GOV), NGO (PHC-NGO) and corporate (PHC-COR) management in Kendrapara district of Odisha. One PHC from each model was selected at random. Compliance with Indian Public Health Standards (IPHS), programme performance of last one year and perception of end-users about quality of services were studied. The Government of India (GOI) prescribed IPHS checklist, a performance indicator matrix and a semi-structured interview schedule, respectively, were used for data collection. There were no significant differences...
Source: Journal of Health Management - March 13, 2014 Category: Health Management Authors: Baig, M. B., Panda, B., Das, J. K., Chauhan, A. S. Tags: Articles Source Type: research