Fiona Moffat
ED healthcare professionals and their notions of productivity
Moffat, Fiona; Timmons, Stephen; Coffey, Frank
Authors
STEPHEN TIMMONS stephen.timmons@nottingham.ac.uk
Professor of Health Services Management
FRANK COFFEY frank.coffey@nottingham.ac.uk
Clinical Consultant To The Postgraduate Clinical Skills Prog
Abstract
Objective: The combination of constrained resources, patient complexity and rapidly increasing demand has meant that healthcare productivity constitutes a significant problem for emergency medicine. However, healthcare productivity remains a contentious issue, with some criticising the level of professional engagement. This paper will propose that productivity improvements in healthcare could occur (and be sustained) if professionals' perceptions and views of productivity were better understood.
Methods: An 8-month ethnographic study was conducted in a large UK ED, using semistructured interviews with healthcare professionals (HCPs) (n=26), a focus group and observation. Thematic analysis of the data was undertaken based on an interpretivist philosophy.
Results: The data demonstrate that HCPs accept productivity improvement as part of their contemporary professional role. In particular, their understanding of productivity is focused around five key domains: the patient; the professional; the culture; the process of work and the economic.
Conclusions: By exploring how these HCPs experienced and made sense of productivity improvement and productive healthcare, the data reveals how HCPs may reconcile a culture of caring with one of efficiency. Understanding healthcare productivity from this perspective has potential implications for service improvement design and performance measurement.
Journal Article Type | Article |
---|---|
Acceptance Date | Mar 18, 2016 |
Online Publication Date | Apr 12, 2016 |
Publication Date | Nov 1, 2016 |
Deposit Date | Dec 8, 2017 |
Print ISSN | 1472-0205 |
Publisher | BMJ Publishing Group |
Peer Reviewed | Peer Reviewed |
Volume | 33 |
Issue | 11 |
Pages | 789–793 |
DOI | https://doi.org/10.1136/emermed-2015-205164 |
Public URL | http://emj.bmj.com/content/early/2016/04/12/emermed-2015-205164.full.pdf+html |
Publisher URL | https://emj.bmj.com/content/33/11/789 |
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