دورية أكاديمية

Defensive medicine through the lens of the managerial perspective: a literature review.

التفاصيل البيبلوغرافية
العنوان: Defensive medicine through the lens of the managerial perspective: a literature review.
المؤلفون: Pischedda G; Department of Economics and Business, University of Sassari, Via Muroni, 25, 07100, Sassari, Italy. gf.pischedda@uniss.it., Marinò L; Department of Economics and Business, University of Sassari, Via Muroni, 25, 07100, Sassari, Italy., Corsi K; Department of Economics and Business, University of Sassari, Via Muroni, 25, 07100, Sassari, Italy.
المصدر: BMC health services research [BMC Health Serv Res] 2023 Oct 17; Vol. 23 (1), pp. 1104. Date of Electronic Publication: 2023 Oct 17.
نوع المنشور: Review; Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Defensive Medicine* , Delivery of Health Care*, Humans ; Health Personnel ; Qualitative Research ; Surveys and Questionnaires
مستخلص: Purpose: Several studies have been carried out on defensive medicine, but research from the managerial viewpoint is still scarce. Therefore, the aim of the present study is to conduct a literature review to better understand defensive medicine from a managerial perspective.
Design/methodology/approach: A literature review was conducted of studies focusing on the organisational (meso) level of healthcare providers and managerial practices. A final sample of 28 studies was processed.
Findings: Defensive medicine has mainly been studied in the USA, and scholars have principally used quantitative surveys. High-risk specialities have been a critical field of investigation, and a large portion of the papers are published in journals that cover medicine, health policy, education and law fields. The analysis showed that operations and the organisation of staffing were the most discussed managerial practices. No study considered planning and budgeting aspects.
Originality/value: The review confirmed that the managerial aspect of defensive medicine has not been fully addressed. Stimulated by this gap, this study analyses the managerial background of the defensive medicine phenomenon and shows which managerial practices have been most analysed. This paper also contributes to developing the literature on defensive medicine from the managerial side. Areas for future research include qualitative studies to investigate the behaviour of managers of healthcare companies to give a different perspective on defensive medicine and organisations' decision-making.
Research Limitations/implications: Some important publications might have been missed in this work because of the choice of only two databases. A further limit could be imposed by the use of the English language as an inclusion criterion.
(© 2023. BioMed Central Ltd., part of Springer Nature.)
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فهرسة مساهمة: Keywords: Defensive medicine; Healthcare sector; Literature review; Management issue; Managerial practices
تواريخ الأحداث: Date Created: 20231017 Date Completed: 20231023 Latest Revision: 20231123
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10580549
DOI: 10.1186/s12913-023-10089-3
PMID: 37848915
قاعدة البيانات: MEDLINE
الوصف
تدمد:1472-6963
DOI:10.1186/s12913-023-10089-3