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- Jacobsson, Torbjörn, 1971, et al.
(författare)
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Factors that hinder the implementation of process flow solutions in healthcare - Empirical findings from four emergency departments
- 2010
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Ingår i: Proceedings of the 17th International Annual EurOMA Conference – Managing Operations in Service Economies, 6-9 June 2010, Catholic University, Porto, Portugal..
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Konferensbidrag (refereegranskat)abstract
- This paper investigates factors that hinder the implementation of process flow solutions in healthcare. Empirical findings are based on case studies from four emergency departments. A qualitative research method was used. The main factors can be categorized into following areas: management on strategic and operational level, professional hierarchies and traditions, existing knowledge paradigm. These areas are connected to a multifaceted customer conception with differing perceptions on what are value-creating activities which lead to insufficient patient focus in the implementation.
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| 2. |
- Jacobsson, Torbjörn, 1971, et al.
(författare)
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Factors that hinder the implementation of process flow solutions related to the existing knowledge paradigm in healthcare
- 2010
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Ingår i: Proceedings of APMS 2010 - International Conference on Advances in Production Management Systems. - 9788864930077 ; , s. NS.5.1; id 195-
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Konferensbidrag (refereegranskat)abstract
- This paper investigates factors that hinder the implementation of process flow solutions related to the existing knowledge paradigm in healthcare. There is a prevailing view of the knowledge areas that healthcare should master. Medical science is, of course, in focus but in order to create efficiency in production of care, there is a need of widening the traditional approach and being open to knowledge from the operations management field.Physicians play a significant role when implementing process flow solutions and they have a severe impact on how knowledge in operations management is developed and established in healthcare organizations. There is a challenge in having both physicians and nurses involved in patient flow improvement projects that are not explicitly connected to their research or specialist areas.
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| 3. |
- Jacobsson, Torbjörn, 1971, et al.
(författare)
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IMPLEMENTING PROCESS FLOW SOLUTIONS IN HEALTHCARE:A CASE STUDY AT A DERMATOLOGY CLINIC
- 2007
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Ingår i: 14th International Annual Euroma Conference. - 9789756090237 ; , s. 10-
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Konferensbidrag (refereegranskat)abstract
- Today, many healthcare organizations are confronting queues of patients who need treatment. Implementing process flow improvements, derived from the operations management field is a promising way to meet these challenges. Although literature exists on how practices born out of manufacturing can be applied in healthcare, the study of the implementation of these practices is not that common. Based on an in-depth case study of the implementation of process flow solutions in a Swedish dermatology clinic, we identify several factors that played a significant role when implementing the process flow solutions. The contribution of this paper is foremost to increase awareness of factors that have impact on the implementation process.
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| 4. |
- Jacobsson, Torbjörn, 1971, et al.
(författare)
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REDUCING THE QUEUE OF REFERRALS USING OPERATIONS MANAGEMENT - –A CASE STUDY OF A DERMATOLOGY CLINIC
- 2005
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Ingår i: International Conference on the Management of Healthcare & Medical Technology 25-26 August 2005, Aalborg, Denmark. - 8791200482 ; , s. 136-147
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Konferensbidrag (refereegranskat)abstract
- We performed a study during a six month period at a dermatology clinic at a large teaching hospital. Our task was to analyse the patient flow and suggest ways to reduce the queue of referrals, through better utilization of existing recourses. To this aim, we applied manufacturing-based operations management techniques in three areas: capacity management, operations focus and reduction of variation. Our analysis revealed that the existing queue of referrals could be reduced with current resources after having implemented the suggested actions. Theoretically, itshould be possible to eliminate the queue of referrals in a seven to eight month period depending on how the clinic handle the follow-up visits created by the new first-time visits. Our conclusions focus on the reactions of medical staff to the usage of manufacturing-based improvement methods. We found that the usage of manufacturing concepts in a health care setting can create critical reaction byemployees. Explaining the purpose in a pedagogical way is one approach to reduce this criticism.
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| 5. |
- Jacobsson, Torbjörn, 1971, et al.
(författare)
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The challenge of collecting data in healthcare settings: experiences from clinical case research
- 2007
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Ingår i: 6th annual Conference of the Association for Healthcare Technology and Management (HCTM). ; , s. 10-
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Konferensbidrag (refereegranskat)abstract
- This paper gives advice on how to gain access to data in healthcare organizations. The paper is based on clinical research in Swedish healthcare organizations, where the concern was both with generating new knowledge andcontributing to the practical concerns of the organization. In conducting the research, we experienced difficulties in gaining access to appropriate data andneeded to develop practices to gain access. Among these practices were the manner in which the research project was introduced, the building of rapport and the way data were collected.
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| 6. |
- Jacobsson, Torbjörn, 1971, et al.
(författare)
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The role of physicians in the implementation of process flow solutions in healthcare
- 2011
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Ingår i: Proceedings of the 18th International Annual EurOMA Conference – Exploring Interfaces”, 3-6 July 2011, Cambridge, UK.
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Konferensbidrag (refereegranskat)abstract
- This paper identifies physician-related factors that influence the implementation of process flow solutions in healthcare. Based on qualitative research at four A&E departments, we identify three factors that negatively influenced the implementation. First, standardized process flow solutions are perceived to limit physician's traditionally high level of autonomy. Second, there were also perceived difficulties when combining the medical responsibility and process flow solutions. Finally, physicians were more interested in developing their medical skills, rather than skills in improving the process of care production.
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| 7. |
- Moses, Anna, 1978, et al.
(författare)
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Cross-functional Involvement in Supplier Selection
- 2006
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Ingår i: Moving up the Value Chain, EurOMA, 18-21 June, Glasgow, UK, Editors: Kepa Mendibil & Alina Shamsuddin. ; , s. 875-884
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)
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| 8. |
- Moses, Anna, 1978, et al.
(författare)
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Dimensions of change in make or buy decision processes
- 2008
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Ingår i: Strategic Outsourcing. - : Emerald. - 1753-8297 .- 1753-8300. ; 1:3, s. 230-251
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Tidskriftsartikel (refereegranskat)abstract
- Purpose The purpose of this paper is to determine the dimensions along which make or buy decision processes change over time. Design/methodology/approach The paper is based on a longitudinal in-depth case study of a large industrial company, where the data were collected using interviews, documentation and observations. The data were analyzed using chronological patterns, and findings were then compared with the literature on make or buy decision processes. Findings Nine dimensions were found along which the make or buy decision process had changed over time. The dimensions were cross-functionality, structure, regularity, formality, awareness, mandatory, information distribution and management and flexibility. The causes of the changes were related to a combination of company internal and external events and contexts. Research limitations/implications The findings should be seen as a first attempt in assisting in the creation of a foundation for constructing more dynamic make or buy decision process models. However, since the findings are based on a single case, they need to be complemented by more research in order to help determine how context sensitive the identified dimensions are. Practical implications The nine dimensions of change can be used as a checklist for managers in designing their decision process. Originality/value The paper adds to existing research, which takes a static viewpoint and does not include a dynamic perspective, in that, the longitudinal nature of our research creates opportunities for developing more dynamic make or buy decision process models. The paper clarifies how make or buy decision processes develop over time, and how they cannot be seen as a one-time implementation but rather as a process that needs both structure and flexibility.
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| 9. |
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| 10. |
- Moses, Anna, 1978, et al.
(författare)
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Nature of functional involvement in make or buy decision processes
- 2009
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Ingår i: International Journal of Operations and Production Management. - : Emerald. - 1758-6593 .- 0144-3577. ; 29:9, s. 894-920
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The purpose of this paper is to investigate the nature of functional involvement in the cross-functional make or buy decision process. Design/methodology/approach: The paper is based on literature within the areas of cross-functional make or buy decision processes as well as cross-functional process research in general. The empirical part of the paper is a longitudinal and in-depth case study, where the data are collected using interviews, documentation and observations. The data are analyzed using chronological patterns. Findings: Findings indicate a changing pattern between close collaborative integration during decision-making phases and more interaction-focused integration during data-gathering phases. The benefits of this integration pattern mainly lay in the effective use of resources combined with increased decision quality. Research limitations/implications: The results are based on a large manufacturing company that produces complex products. It can be suggested that the scene researched by the authors may be common for companies in the same environment. However, it is a limited sample and future research would benefit from investigating different environments to establish whether the results are context-specific or not. Practical implications: Five phases are found in the make or buy decision process where resources are used differently. Also, different functions have different roles during these phases in order not to drain resources. Originality/value: The paper helps clarify how functions integrate and use resources during different phases of the make or buy decision process and the cross-functional benefits and effects. A conceptual model is developed that explains the effect of functional involvement during different types of integration. © Emerald Group Publishing Limited.
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