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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
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    References listed on IDEAS

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    1. Vedran Capkun & Martin Messner & Clemens Rissbacher, 2012. "Service Specialization and Operational Performance in Hospitals," Post-Print hal-00715580, HAL.
    2. 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.
    3. Curtis P. McLaughlin & Shitao Yang & Roland van Dierdonck, 1995. "Professional Service Organizations and Focus," Management Science, INFORMS, vol. 41(7), pages 1185-1193, July.
    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. 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.
    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.
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    Cited by:

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    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.

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