PubMed Health⌕ Search

Biomedical subjects

Justin Keen

Publications and source records attributed to Justin Keen.

5 recordsLinked to original sources
PubMed2006

Pathways, networks and choice in health care.

PURPOSE: The purpose of the paper is to present an alternative to the supply chain model of health care delivery that currently informs most thinking about the design of care processes. DESIGN/METHODOLOGY/APPROACH: The paper draws on arguments from systems theories and public administration, to generate an analysis of the nature of health care processes. It sets out a model of services characterised by treatment and care needs that vary over time, that are inherently uncertain, involve frequent assessment and re-assessment, and provide patients and service providers with choices about treatment and care. Evidence from an evaluation of intermediate care is used to illustrate the analysis. FINDINGS: The analysis suggests that both the supply chain and a more network-like model of health care processes can help us to understand health care processes. The two are complementary. RESEARCH LIMITATIONS/IMPLICATIONS: Largely conceptual in nature. The empirical evidence is taken from one study. The ideas are presented to stimulate thinking rather than to prove an argument. PRACTICAL IMPLICATIONS: The conceptualisation of care processes as network-like has implications for the way in which we think about the design and performance of health care systems. ORIGINALITY/VALUE: There have been few publications that seek to use both systems and network approaches to understand health care processes.

Delivery of Health Care, Integrated↗
PubMed2005

The implementation of electronic services: planned or organic growth?

The literature on innovation suggests that projects are successful when rigorous project management is mixed judiciously with 'organic' development. This paper argues that organic growth can play a substantial role in the implementation of electronic services in healthcare settings. Evidence for organic growth is presented, based on a study of email use. Methods are presented for investigating email use in health service settings in the National Health Service (NHS) in Bradford, England. Geographical information systems (GIS) outputs and social network analyses are presented. The results demonstrate a fivefold increase in the use of email over a 13-month period, which is shown to be largely independent of the growth in the number of organisations using the network. They also demonstrate a marked increase in the complexity of the patterns of email use over the period.

Data Collection↗