Write about The impact of healthcare economics and decision-making mechanisms on the performance of healthcare institutions.
Annotated Bibliography
Quadasia Dukes
Professor Terrance Duncan
The Liberty University
July 10, 2022
Topic: The impact of healthcare economics and decision-making mechanisms on the
performance of healthcare institutions
Abimbola, S., Baatiema, L., & Bigdeli, M. (2019). The impacts of decentralization on health
system equity, efficiency, and resilience: a realist synthesis of the evidence. Health
policy and planning, 34(8), 605-617.
According to this research document, the existence of decentralization in health systems
presents complex intervention endeavors. The involved researchers proceeded to synthesize
available shreds of evidence provided by the literature. Such realizations enabled them intrinsically
fathom the how, why as well as probable circumstances whereby the aspect of decentralization
could contribute to health system resilience, equity, and efficiency. The article is inclined to
expound on how the propensity of decentralization could pave the way for desirable improvement
in care.
Arefin, M. S., Hoque, M. R., & Rasul, T. (2020). Organizational learning culture and business
intelligence systems of health-care organizations in an emerging economy. Journal of
Knowledge Management.
This relevant research journal is attributable as inclined to investigate the probable
responsibility played by the prospects of business intelligent systems within the rapport that
manifests health care organizational culture and the resultant performances of healthcare
establishments. The literature discloses that the prevailing managers of health-providing
organizations align their decisions with mechanisms that would allow for an appropriate
organizational learning culture that could shape it accordingly towards the realization of better
performances.
Bertram, M. Y., Lauer, J. A., De Joncheere, K., Edejer, T., Hutubessy, R., Kieny, M. P., &
Hill, S. R. (2016). Cost-effectiveness thresholds: pros and cons. Bulletin of the World
Health Organization, 94(12), 925.
The article strives to ascertain that cost-effectiveness is inherently crucial for the
comparison of the prevailing outcomes as well as costs for determinable policy options. The
involved scholars disclose that the cost-effectiveness mechanisms have provided ardent outlets for
decision rules that determine the realizable thresholds. The reliable document outlines that the
cost-effectiveness is relatively reliable in providing information that would ostensibly contribute
to positive influencing of the performance of existing healthcare organizations.
Brown, A. F., Ma, G. X., Miranda, J., Eng, E., Castille, D., Brockie, T., … & Trinh-Shevrin,
C.
(2019).
Structural
interventions
to
reduce
and
eliminate
health
disparities. American journal of public health, 109(S1), S72-S78.
Within the context of this resourceful document, the research conducted on health
disparities has shown substantial progress towards the realization of interventions. The
distinguished health-related disparities according to the document tend to emerge and similarly be
persistent through potentially complex mechanisms, for instance, healthcare economics and
management decision frameworks that could influence the desired healthcare outcomes in
attributes that encompass different dimensions within the healthcare guild.
Cardinaels, E., & Soderstrom, N. (2013). Managing in a complex world: Accounting and
governance choices in hospitals. European Accounting Review, 22(4), 647-684.
According to the authors of this relevant resource, the healthcare fraternity experiences
substantial challenges that are renowned to stem from attributes like regulations, competition, and
demand. The realization of such criteria has contributed to ideal pressurizing healthcare institutions
forcing them to adopt various changes in terms of decisions made and operations. The article is
presented as inclined to disclose how the decisions made by care providers are relatively
determined by the institutionalized environment where such establishments operate.
Cylus, J., Papanicolas, I., Smith, P. C., & World Health Organization. (2016). Health system
efficiency: how to make measurement matter for policy and management. World Health
Organization. Regional Office for Europe.
The article upholds that the facet of efficiency is an integral key aspect integrated by the
available Health managers alongside policymakers. The article ascertains that inefficient care can
result in undesirable outcomes for existing patients. The involved researchers further disclose that
the overriding desire for achieving greater efficiency is a motivational factor for decision-making.
Such is accurate as robust efficiency could result in high performances by the available healthcare
firms.
Elwyn, G., Frosch, D. L., & Kobrin, S. (2015). Implementing shared decision-making:
consider all the consequences. Implementation Science, 11(1), 1-10.
According to this article, ethically shared decision-making stances could become deemed
as the right move for any healthcare business to consider aligning themselves. However, such
undertakings could not be the essential element worthy of paving the way for the achievement of
the desirable outcomes. The researchers reveal that other integral elements are also vital in bringing
about the desired change per se. Such could comprise econometrics like profit margin, efficiency,
cost alongside quality.
Hauck, K., Thomas, R., & Smith, P. C. (2016). Departures from cost-effectiveness
recommendations: the impact of health system constraints on priority setting. Health
Systems & Reform, 2(1), 61-70.
This literary document attempts to explain the realizable methodologies and application of
the ardent cost-effectiveness analysis which it proceeds to declare has reached a level deemed as
advanced within the development continuum. The Cost-effectiveness analysis is an approach
considered by a significant proportion of decision-makers to be a feasible and valid approach that
aid in putting in place relative health priorities. The article continues to reveal that the mechanism
has undergone extensive application during occasions of evaluating interventions that assist in
developing clinical guidelines helpful in improving the performance of health companies.
Justo, N., Espinoza, M. A., Ratto, B., Nicholson, M., Rosselli, D., Ovcinnikova, O., … &
Drummond, M. F. (2019). Real-world evidence in healthcare decision making: global
trends and case studies from Latin America. Value in Health, 22(6), 739-749.
According to this reliable journal, it is ample to ascertain that the real-world evidence has
experienced frequent usage during recent occasions to assist in informing the health technology
assessment. The article proceeds to expound that the attribute is integral in enabling resource
allocation, a mechanism that is relied upon by economies considered to be emerging in the
American region.
Kavosi, Z., Rahimi, H., Khanian, S., Farhadi, P., & Kharazmi, E. (2018). Factors influencing
decision making for healthcare services outsourcing: a review and Delphi
study. Medical journal of the Islamic Republic of Iran, 32, 56.
As per this research document, it is essential to reveal that the aspect of outsourcing is a
useful tool that a considerable proportion of managers exploit during stances of productivity
promotion along with organizational development. The authors of this document revealed that
their efforts were inherently geared toward the prospect of determining the vital elements that can
influence the decision-making levels concerning the outsourcing of reigning healthcare-affiliated
services thus improving the quality of care in the sector.
Kraus, S., Schiavone, F., Pluzhnikova, A., & Invernizzi, A. C. (2021). Digital transformation
in healthcare: Analyzing the current state-of-research. Journal of Business
Research, 123, 557-567.
This resourceful article declares that the aspect of digital transformation within healthcare
has been an attribute of significance to the existing practitioners alongside scholars within the
particular field. These researchers proceeded to unveil that the linking of various technological
tandems could contribute to the achievement of operational efficiency that could contribute to the
attainment of operational efficiency for the available service providers. The realization of such
outcomes could readily contribute to ample performance by the relevant establishments in the
healthcare fraternity.
Lakdawalla, D. N., Doshi, J. A., Garrison Jr, L. P., Phelps, C. E., Basu, A., & Danzon, P. M.
(2018). Defining elements of value in health care—a health economics approach: an
ISPOR Special Task Force report [3]. Value in Health, 21(2), 131-139.
As highlighted by this reliable research document, there are ideal points of value that are
essential in the creation of value within the healthcare guild. The involved researchers engage in
broadening their scope by associating value within the healthcare setup to be in the form of costeffect analysis. The resource is concerned with how optimal these points could become positioned
to aid measuring and assisting with decision-making in the long run
Petticrew, M., Knai, C., Thomas, J., Rehfuess, E. A., Noyes, J., Gerhardus, A., & McGill, E.
(2019). Implications of a complexity perspective for systematic reviews and guideline
development in health decision making. BMJ Global Health, 4(Suppl 1), e000899.
As healthcare organizations continue to engage themselves with complex decision-making
efforts there is persistently growing interest in the available complex systems and perspectives
used in the evaluation. The article critically highlights that there is moving away from the
prevailing chains affiliated with the cause-effect alignment. Hence, the literature inclines to
disclose how research questions can be mapped into specific pieces of evidence to focus on the
ideal quantitative along with qualitative evidence that is relevant for influencing decision making
and the overall performance of involved organizations.
Phelps, C. E., Lakdawalla, D. N., Basu, A., Drummond, M. F., Towse, A., & Danzon, P. M.
(2018). Approaches to aggregation and decision making—a health economics
approach: an ISPOR Special Task Force report [5]. Value in Health, 21(2), 146-154.
The research-related article reveals that there are two distinctive aggregation-oriented
issues including the aggregation affiliated to cost and benefits aligned from individualistic to
population level with the intention of benefiting the decision-making plan. The second attribute
pertains to the combination of elements that are more than two to form one metric for existing
individuals. The researchers continue to discuss that developed approaches such as costeffectiveness mechanisms are one of the vital efforts for depicting how to exploit broader concepts
associated with utility.
Raghupathi, V., & Raghupathi, W. (2020). Healthcare expenditure and economic
performance: Insights from the United States Data. Frontiers in public health, 8, 156.
This relevant research document is inclined to highlight the prevailing association existing
between public health expenditures and the inherent economic performance within the United
States realm. The authors of the article continue to explain that reasonable expenditures in
healthcare organizations could contribute to securing better healthcare propensities. Of course,
such manifestation could result further contribute to the betterment of economic elements of
human capital and overall production outcomes and in turn, enhance the performance of healthcare
entities.
Santilli, J., & Vogenberg, F. R. (2015). Key strategic trends that impact healthcare decisionmaking and stakeholder roles in the new marketplace. American health & drug
benefits, 8(1), 15.
According to this research journal, after the implementation of the Affordable Care Act in
2010, probable market changes which were more robust than the ones already in place became
manifest. This document reveals that the succinct authority and roles of various stakeholders in
the healthcare fraternity have now become altered to be in line with the provisions of the ACA.
The presence of such realities means that the decision-making capabilities of these renowned
stakeholders are open for sharing in the form of establishing relationships and taking risks as they
gear towards improving the quality of care.
Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K.
I. (2020). An overview of clinical decision support systems: benefits, risks, and
strategies for success. NPJ digital medicine, 3(1), 1-10.
According to this significant and resourceful document, the prevailing clinical decision
support systems that are computerized have been fundamental in shaping the healthcare paradigm
in the modern timeline. It is of greater importance to uphold that the presence of such realizations
has been relevant in enabling and maintaining clinical workflow as well as electronic medical
records. The involved scholars reveal that even though the mechanisms depict success stories,
there are also setbacks still associated with them.
Wang, Y., & Byrd, T. A. (2017). Business analytics-enabled decision-making effectiveness
through knowledge absorptive capacity in health care. Journal of Knowledge
Management.
This reliable document considers delving mostly into dynamic capability frameworks and
resources-based theory by inherently examining the inherent mechanisms through which
prevailing business-oriented analytics in healthcare can contribute to indirect influencing of the
effectiveness of decision-making. It achieves such through the prospect of meditating role
ascertained by the absorptive knowledge capabilities. The ultimate outcome is the enhancement of
the relative performance of healthcare establishments toward the positive continuum.
Wang, Y., Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities
and potential benefits for healthcare organizations. Technological forecasting and
social change, 126, 3-13.
This resourceful document inclines to reveal that up to the present period, the healthcare
fraternity has not gained sufficient understanding of the criterion of data analytics and its affiliated
benefits. Hence, the involved researchers concern themselves with the prospect of recommending
appropriate approaches to available healthcare entities that are aspiring to integrate data analytic
technologies that would considerably contribute to the manifestation of robust performance.
Xie, Y., Gunasekeran, D. V., Balaskas, K., Keane, P. A., Sim, D. A., Bachmann, L. M., … &
Ting, D. S. (2020). Health economic and safety considerations for artificial intelligence
applications in diabetic retinopathy screening. Translational Vision Science &
Technology, 9(2), 22-22.
This research document within its stance explains that the procedure of systematic
screening which is responsible for ascertaining diabetic retinopathy is significantly recommended
to enable smooth detection as well as prevention of potential vision loss among diabetic patients.
The scholars stress that the success levels of such an undertaking are inherently dependent on the
facet of econometrics such as financial resources alongside manpower. Further, the AI
technologies are crucial in reducing financial burden while similarly contributing to an increase in
access to care thus improving performance levels of existing entities.

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