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      OM Forum—Healthcare Operations Management: A Snapshot of Emerging Research

      1 , 2
      Manufacturing & Service Operations Management
      Institute for Operations Research and the Management Sciences (INFORMS)

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          Abstract

          A new generation of healthcare operations management (HOM) scholars is studying timely healthcare topics (e.g., organization design, design of delivery, and organ transplantation) using contemporary methodological tools (e.g., econometrics, information economics, and queuing games). A distinguishing feature of this stream of work is that it explicitly incorporates behavior, incentive, and policy considerations arising from the entanglements across multiple entities that make up the complex healthcare ecosystem. This focus is a departure from an earlier generation of research that primarily centered on optimizing given operations of a single entity. This paper provides an introduction to this burgeoning field and maps out research opportunities. We start with identifying key entities of healthcare delivery, financing, innovation, and policymaking, illustrating them on a healthcare ecosystem map (HEM). Next, we explore the HOM literature examining the interactions among various entities in the HEM. We then develop a taxonomy for the recent HOM literature (published in Manufacturing & Service Operations Management, Management Science, and Operations Research between 2013 and 2017), provide a tool-thrust graph mapping methodological tools with research thrusts, and situate the HOM literature in context by connecting it with perspectives from medical journals and mass media. We close with a reference to technological innovations that have the potential to transform the healthcare ecosystem in future decades.

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          The Quality of Care

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              Effects of influenza vaccination of health-care workers on mortality of elderly people in long-term care: a randomised controlled trial.

              Vaccination of health-care workers has been claimed to prevent nosocomial influenza infection of elderly patients in long-term care. Data are, however, limited on this strategy. We aimed to find out whether vaccination of health-care workers lowers mortality and the frequency of virologically proven influenza in such patients. In a parallel-group study, health-care workers in 20 long-term elderly-care hospitals (range 44-105 patients) were randomly offered or not offered influenza vaccine (cluster randomisation, stratified for policy for vaccination of patients and hospital size). All deaths among patients were recorded over 6 months in the winter of 1996-97. We selected a random sample of 50% of patients for virological surveillance for influenza, with combined nasal and throat swabs taken every 2 weeks during the epidemic period. Swabs were tested by tissue culture and PCR for influenza viruses A and B. Influenza vaccine uptake in health-care workers was 50.9% in hospitals in which they were routinely offered vaccine, compared with 4.9% in those in which they were not. The uncorrected rate of mortality in patients was 102 (13.6%) of 749 in vaccine hospitals compared with 154 (22.4%) of 688 in no-vaccine hospitals (odds ratio 0.58 [95% CI 0.40-0.84], p=0.014). The two groups did not differ for proportions of patients positive for influenza infection (5.4% and 6.7%, respectively); at necropsy, PCR was positive in none of 17 patients from vaccine hospitals and six (20%) of 30 from no-vaccine hospitals (p=0.055). Vaccination of health-care workers was associated with a substantial decrease in mortality among patients. However, virological surveillance showed no associated decrease in non-fatal influenza infection in patients.
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                Author and article information

                Contributors
                Journal
                Manufacturing & Service Operations Management
                M&SOM
                Institute for Operations Research and the Management Sciences (INFORMS)
                1523-4614
                1526-5498
                September 2020
                September 2020
                : 22
                : 5
                : 869-887
                Affiliations
                [1 ]Carey Business School, Johns Hopkins University, Baltimore, Maryland 21202;
                [2 ]Tepper School of Business, Carnegie Mellon University, Pittsburgh, Pennsylvania 15213
                Article
                10.1287/msom.2019.0778
                ec0758a8-539d-4519-8a36-8618f14552f4
                © 2020
                History

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