The healthcare supply network: current state of the literature and research opportunities

Abstract

This literature review maps recent studies addressing supply chain management (SCM) in the healthcare sector through a systematic approach that synthesises 74 empirical studies (2006–2016). Our approach adopts a network lens to map the literature and offers key contributions to the field. First, we show that there is a lack of network level studies. Second, there is an imbalance of research attention regarding the various types of supply, namely health services, medicines, medical supplies and blood supply. Third, we underline the advantages of the network lens, indicating network actors and flows between those actors that need further research. Fourth, we show an alarming lack of theoretical lens in healthcare SCM studies and draw attention to the fact that even when explicitly adopting a theory, some studies show inconsistencies between theoretical lens and level of analysis. Ultimately, we offer a map of future research for healthcare SCM through a network lens in order to improve the understanding the complexities of the healthcare sector.     

Membership Benefits Matter

Professional associations have provided various benefits to their members to bolster member retention and recruitment. This study explored factors that could influence members’ behavioral intentions in professional membership associations by surveying 13,229 members from eighteen associations. More specifically, this analysis focused on the effects of members’ perceptions of the personal and professional benefits offered by associations with which they are affiliated and their satisfaction with those benefits. Our results suggested that members’ perceptions of personal and professional benefits positively correlated with their intentions to renew and recommend membership. If a member perceived a higher level of benefits, he or she would demonstrate a greater likelihood of satisfaction with the benefits and therefore be more likely to renew membership or recommend it to others. This study could advance understanding of the factors that influence members’ behavioral intentions while also providing professional associations with strategies for retaining existing members.     

The effect of capacity management strategies on employees' well-being: A quantitative investigation into the long-term healthcare industry

The aim of this study is to understand the effects of different capacity management strategies on the well-being of employees in long-term healthcare organizations. Such strategies may produce psychological effects in terms of job satisfaction and well-being among employees, namely frontline employees, thus affecting service quality. We collected 2158 observations from 42 nursing homes in Italy. Our results show that all capacity management strategies addressed in this study can influence the perceived degree of fatigue or of job hazard, and some of them can influence both. Moreover, a better perception of job hazard and fatigue leads to a higher degree of reported well-being from employees, although with the former, it is only through the mediation of job satisfaction. We conclude our paper by discussing theoretical contributions and policy implications.     

Premium Risk and Managed Care

This paper analyzes how individuals can insure premium risk and obtain high quality health insurance in a managed care environment. Insurers choose health care providers. Only a fraction of high risk individuals is unambiguously identifiable in front of a court. Premium insurance is not able to reach a first-best risk allocation while health insurers have an incentive to stint on quality under guaranteed renewable contracts. It is shown that a contract exists which can implement the first-best. This contract specifies payments to individuals and a third party upon switching to create a credible self-commitment by the insurer to provide high quality.     

Amplifying accountability by benchmarking results at district and national levels

This multi‐level ethnography of the Zambian health system illustrates the importance of top‐down accountability, and how it has emerged in a historically neglected sector. Maternal healthcare indicators are prioritized when they are benchmarked, at district and national levels. The realization that Zambia was lagging behind African countries in making progress towards Millennium Development Goal (MDG) 5 (to reduce the maternal mortality ratio by three quarters) appears to have evoked reputational concerns and revealed inspirational possibilities. Growing prioritization also stems from a change in incentives, with some partner funding being conditional on the proportion of deliveries attended by skilled health personnel.     

Collective Leadership and Circles: Not Invented Here

Issues like police-community relations, violence—from neighborhood to global levels, economic inequality, and climate change have been only minimally addressed within behavior analysis, despite the oft repeated mantra that they are all at root behavioral. Disciplines determine the scope of their interests; behavior analysis and behavioral systems analysis have long claimed at least potential expertise in changing not only individual behavior, but also the collective and interlocking functioning of larger institutions and systems. In this paper we note that standard organizational behavior management (OBM) practices primarily emphasizing centralized leadership are unlikely to be adequate for such work. We therefore argue that collective leadership, a strategy that has not been emphasized in OBM, will be required to operationalize behavioral systems interventions in situations where centralized leadership is impossible or dangerous, and suggest circle processes as one behaviorally specifiable approach to constructing collective leadership, an approach that behavioral systems analysts are well-positioned to test and refine.     

对组织承诺三因素模型被质疑问题的思考

针对组织承诺三因素模型被质疑的三种承诺与离职意愿的相关系数过高、情感承诺和规范承诺的高相关性和三个承诺的概念统一性问题进行分析后得出:强调个体与组织保持雇佣与被雇佣关系,将个体对离开组织这一具体行为的态度包含在将组织作为态度目标的模型中,是该模型被质疑问题的根源。此外,其概念的整合方式也不合理。将组织承诺中对具体行为的态度替换为一般性的行为意向,并与个体对组织的情感部分与认知部分一起组成标准态度观的组织承诺是更为合理的解决办法。     

Causal Evidence for Exclusively Positive Parenting and for Timeout: Rejoinder to Holden,Grogan-Kaylor,Durrant, and Gershoff (2017)

Abstract

In our initial article we raised concerns about a paradigm we called “Exclusively Positive Parenting” (EPP). This paradigm opposes all negative disciplinary consequences, including timeout and privilege removal. We argued that the empirical support for EPP was insufficient. Researchers should not rely on insufficient causal evidence to replace well-established parenting perspectives that combine positive parenting with appropriate firm control. In reply, Holden et al. defended EPP. In this rejoinder to them we do two things. First, we use their citations to evaluate the limited causal evidence (four randomized studies) for what EPP supports. Second, we summarize the evidence for timeout, which EPP opposes. To do that, we offer the first known meta-analysis of the overall effectiveness of timeout, based on 24 studies with strong causal evidence for its effectiveness with young oppositional defiant children (6 randomized clinical studies; 18 small-N experimental designs). We call for parenting researchers to synthesize positive parenting techniques and disciplinary consequences based on adequate causal evidence.     

Use of parent education to improve self-efficacy in parents of students with emotional and behavioral disorders

The results of a practice-based research project are described, in which parents of students with emotional and behavioral disorders (EBD) participated in a parent education presentation aimed at increasing parental self-efficacy. Results indicated that parents who participated did increase both their parental self-efficacy in regard to influencing their child’s school-related performance and helping their child succeed in school. Qualitatively, parents also reported the parent education was helpful and that they had tried suggested interventions at home. Though a small-scale pilot project, results are promising and suggest parent education is a feasible technique school districts can use to reach parents of students with EBD. Limitations and future directions are discussed.     

Hand-Hygiene Mitigation Strategies Against Global Disease Spreading through the Air Transportation Network

The risk for a global transmission of flu-type viruses is strengthened by the physical contact between humans and accelerated through individual mobility patterns. The Air Transportation System plays a critical role in such transmissions because it is responsible for fast and long-range human travel, while its building components—the airports—are crowded, confined areas with usually poor hygiene. Centers for Disease Control and Prevention (CDC) and World Health Organization (WHO) consider hand hygiene as the most efficient and cost-effective way to limit disease propagation. Results from clinical studies reveal the effect of hand washing on individual transmissibility of infectious diseases. However, its potential as a mitigation strategy against the global risk for a pandemic has not been fully explored. Here, we use epidemiological modeling and data-driven simulations to elucidate the role of individual engagement with hand hygiene inside airports in conjunction with human travel on the global spread of epidemics. We find that, by increasing travelers engagement with hand hygiene at all airports, a potential pandemic can be inhibited by 24% to 69%. In addition, we identify 10 airports at the core of a cost-optimal deployment of the hand-washing mitigation strategy. Increasing hand-washing rate at only those 10 influential locations, the risk of a pandemic could potentially drop by up to 37%. Our results provide evidence for the effectiveness of hand hygiene in airports on the global spread of infections that could shape the way public-health policy is implemented with respect to the overall objective of mitigating potential population health crises.