IDEAS home Printed from https://ideas.repec.org/a/spr/opmare/v12y2019i1d10.1007_s12063-018-0137-8.html
   My bibliography  Save this article

From general to specialty hospitals: operationalising focus in healthcare operations

Author

Listed:
  • Mandar Dabhilkar

    (Stockholm University)

  • Anna Svarts

    (KTH Royal Institute of Technology)

Abstract

This study proposes an operationalisation of the term focus in healthcare operations. We develop a configuration model consisting of six interrelated dimensions that can be used to characterise hospital focus. The proposed dimensions of focus are Knowledge areas, Procedures, Medical conditions, Patient groups, Planning horizons and Levels of difficulty. The strength of these dimensions is shown through empirical examination, using a three-step methodology to analyse case study data from a unique transformation project where general hospitals were turned into new types of focused specialty hospitals. As our study takes a portfolio approach to the allocation of demand segments to different healthcare delivery units, it contributes to operations management knowledge with a model for segmenting healthcare demand from an operations perspective. This configuration model provides researchers and practitioners with a tool for understanding current configurations as well as for identifying potential new configurations of focus in healthcare.

Suggested Citation

  • Mandar Dabhilkar & Anna Svarts, 2019. "From general to specialty hospitals: operationalising focus in healthcare operations," Operations Management Research, Springer, vol. 12(1), pages 94-111, June.
    • Handle: RePEc:spr:opmare:v:12:y:2019:i:1:d:10.1007_s12063-018-0137-8
    DOI: 10.1007/s12063-018-0137-8
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s12063-018-0137-8
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s12063-018-0137-8?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Eissens van der Laan, M.R. & van Offenbeek, M.A.G. & Broekhuis, H. & Slaets, J.P.J., 2014. "A person-centred segmentation study in elderly care: Towards efficient demand-driven care," Social Science & Medicine, Elsevier, vol. 113(C), pages 68-76.
    2. Curtis P. McLaughlin & Shitao Yang & Roland van Dierdonck, 1995. "Professional Service Organizations and Focus," Management Science, INFORMS, vol. 41(7), pages 1185-1193, July.
    3. Vedran Capkun & Martin Messner & Clemens Rissbacher, 2012. "Service Specialization and Operational Performance in Hospitals," Post-Print hal-00715580, HAL.
    4. Jonathan R. Clark & Robert S. Huckman, 2012. "Broadening Focus: Spillovers, Complementarities, and Specialization in the Hospital Industry," Management Science, INFORMS, vol. 58(4), pages 708-722, April.
    5. Paul Joustra & Erik Sluis & Nico Dijk, 2010. "To pool or not to pool in hospitals: a theoretical and practical comparison for a radiotherapy outpatient department," Annals of Operations Research, Springer, vol. 178(1), pages 77-89, July.
    6. Maartje Zonderland & Richard Boucherie & Nelly Litvak & Carmen Vleggeert-Lankamp, 2010. "Planning and scheduling of semi-urgent surgeries," Health Care Management Science, Springer, vol. 13(3), pages 256-267, September.
    7. Diwas Singh KC & Christian Terwiesch, 2011. "The Effects of Focus on Performance: Evidence from California Hospitals," Management Science, INFORMS, vol. 57(11), pages 1897-1912, November.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Simone Laratro & Marco Giovanni Rizzo & Stefano Villa, 2023. "Il ridisegno dei processi di cura secondo l?approccio value-based: quali insegnamenti da un multiple case study?," MECOSAN, FrancoAngeli Editore, vol. 2023(126), pages 7-28.
    2. Michael Freeman & Nicos Savva & Stefan Scholtes, 2021. "Economies of Scale and Scope in Hospitals: An Empirical Study of Volume Spillovers," Management Science, INFORMS, vol. 67(2), pages 673-697, February.
    3. Paulo Gonçalves & Paolo Ferrari & Luca Crivelli & Emiliano Albanese, 2023. "Model‐informed health system reorganization during emergencies," Production and Operations Management, Production and Operations Management Society, vol. 32(5), pages 1323-1344, May.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Thomas J. Best & Burhaneddin Sandıkçı & Donald D. Eisenstein & David O. Meltzer, 2015. "Managing Hospital Inpatient Bed Capacity Through Partitioning Care into Focused Wings," Manufacturing & Service Operations Management, INFORMS, vol. 17(2), pages 157-176, May.
    2. Antonio Vera & Pythagoras Petratos & Torsten Oliver Salge, 2018. "A widening gap? Static and dynamic performance differences between specialist and general hospitals," Health Care Management Science, Springer, vol. 21(1), pages 25-36, March.
    3. Diwas Singh KC & Bradley R. Staats, 2012. "Accumulating a Portfolio of Experience: The Effect of Focal and Related Experience on Surgeon Performance," Manufacturing & Service Operations Management, INFORMS, vol. 14(4), pages 618-633, October.
    4. Linda Argote & Sunkee Lee & Jisoo Park, 2021. "Organizational Learning Processes and Outcomes: Major Findings and Future Research Directions," Management Science, INFORMS, vol. 67(9), pages 5399-5429, September.
    5. Michael Freeman & Nicos Savva & Stefan Scholtes, 2021. "Economies of Scale and Scope in Hospitals: An Empirical Study of Volume Spillovers," Management Science, INFORMS, vol. 67(2), pages 673-697, February.
    6. Izady, Navid & Arabzadeh, Bahar & Sands, Nicholas & Adams, James, 2024. "Reconfiguration of inpatient services to reduce bed pressure in hospitals," European Journal of Operational Research, Elsevier, vol. 316(2), pages 680-693.
    7. Felix Miedaner & Sandra Sülz, 2020. "Boundaries of Focus and Volume: An Empirical Study in Neonatal Intensive Care," Production and Operations Management, Production and Operations Management Society, vol. 29(2), pages 298-308, February.
    8. Bradley R. Staats & Francesca Gino, 2012. "Specialization and Variety in Repetitive Tasks: Evidence from a Japanese Bank," Management Science, INFORMS, vol. 58(6), pages 1141-1159, June.
    9. David Dreyfus & Anand Nair & Srinivas Talluri, 2020. "The Impact of Chain Organization Size on Efficiency and Quality of Affiliated Facilities—Implications for Multi‐Unit Organizational Forms," Production and Operations Management, Production and Operations Management Society, vol. 29(7), pages 1605-1623, July.
    10. Sebastian McRae & Jens O. Brunner & Jonathan F. Bard, 2020. "Analyzing economies of scale and scope in hospitals by use of case mix planning," Health Care Management Science, Springer, vol. 23(1), pages 80-101, March.
    11. Diwas Singh KC & Stefan Scholtes & Christian Terwiesch, 2020. "Empirical Research in Healthcare Operations: Past Research, Present Understanding, and Future Opportunities," Manufacturing & Service Operations Management, INFORMS, vol. 22(1), pages 73-83, January.
    12. Susan F. Lu & Huaxia Rui, 2018. "Can We Trust Online Physician Ratings? Evidence from Cardiac Surgeons in Florida," Management Science, INFORMS, vol. 64(6), pages 2557-2573, June.
    13. Hui Zhang & Thomas J. Best & Anton Chivu & David O. Meltzer, 2020. "Simulation-based optimization to improve hospital patient assignment to physicians and clinical units," Health Care Management Science, Springer, vol. 23(1), pages 117-141, March.
    14. Soroush Saghafian & Wallace J. Hopp & Mark P. Van Oyen & Jeffrey S. Desmond & Steven L. Kronick, 2014. "Complexity-Augmented Triage: A Tool for Improving Patient Safety and Operational Efficiency," Manufacturing & Service Operations Management, INFORMS, vol. 16(3), pages 329-345, July.
    15. Navid Izady & Israa Mohamed, 2021. "A Clustered Overflow Configuration of Inpatient Beds in Hospitals," Manufacturing & Service Operations Management, INFORMS, vol. 23(1), pages 139-154, 1-2.
    16. Bichescu, Bogdan C. & Bradley, Randy V. & Smith, Antoinette L. & Wei, Wu, 2018. "Benefits and implications of competing on process excellence: Evidence from California hospitals," International Journal of Production Economics, Elsevier, vol. 202(C), pages 59-68.
    17. Ludwig Kuntz & Stefan Scholtes & Sandra Sülz, 2019. "Separate and Concentrate: Accounting for Patient Complexity in General Hospitals," Management Science, INFORMS, vol. 67(6), pages 2482-2501, June.
    18. Winter, Vera & Thomsen, Mette Kjærgaard & Schreyögg, Jonas & Blankart, Katharina & Duminy, Lize & Schoenenberger, Lukas & Ansah, John P. & Matchar, David & Blankart, Carl Rudolf & Oppel, Eva & Jensen,, 2019. "Improving Service Provision - The Health Care Services' Perspective," SMR - Journal of Service Management Research, Nomos Verlagsgesellschaft mbH & Co. KG, vol. 3(4), pages 163-183.
    19. Masha Shunko & Julie Niederhoff & Yaroslav Rosokha, 2018. "Humans Are Not Machines: The Behavioral Impact of Queueing Design on Service Time," Management Science, INFORMS, vol. 64(1), pages 453-473, January.
    20. Lin, Boqiang & Wang, Siquan, 2023. "The performance of specialized and oriented diversified firms: A comparative analysis from the targeted expansion of renewable energy business of listed companies," International Review of Financial Analysis, Elsevier, vol. 89(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:opmare:v:12:y:2019:i:1:d:10.1007_s12063-018-0137-8. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.