Factors relating to effectiveness data use in healthcare management
Purpose ‐ The aim of this study is to produce information concerning factors which may hamper or promote the use of effectiveness data in secondary health care middle and upper management. Additionally, the study aims to acquire knowledge of the ways in which the managers would generate effectiveness data for use in their own work. Design/methodology/approach ‐ The study was conducted by interviewing department directors, chief medical officers and directors of nursing (n=38) in the surgical, medical and psychiatric divisions of the five largest hospital districts in Finland. Findings ‐ The use of effectiveness data in management was hampered by factors relating to research, managerial work and the organization. Factors relating to the production of effectiveness data, managerial behaviour and a universal demand for evidence-based operations were considered conducive to the use of such information. Managers would cultivate the use of effectiveness data by improving its accessibility, usability and visibility. Practical implications ‐ The findings may help healthcare organizations in developing the use of effectiveness data in their decision-making. Originality/value ‐ The paper addresses managers' willingness to apply effectiveness data in decision-making although the present quality, reliability and accessibility of effectiveness data do not meet the managers' needs. The use of effectiveness data in management can be influenced by enhancing organizational patterns of action and supporting managerial decision-making.
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