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What difference does ("good") HRM make?

By James Buchan

Abstract

The importance of human resources management (HRM) to the success or failure of health system\ud performance has, until recently, been generally overlooked. In recent years it has been increasingly\ud recognised that getting HR policy and management "right" has to be at the core of any sustainable\ud solution to health system performance. In comparison to the evidence base on health care reformrelated\ud issues of health system finance and appropriate purchaser/provider incentive structures,\ud there is very limited information on the HRM dimension or its impact.\ud Despite the limited, but growing, evidence base on the impact of HRM on organisational\ud performance in other sectors, there have been relatively few attempts to assess the implications of\ud this evidence for the health sector. This paper examines this broader evidence base on HRM in\ud other sectors and examines some of the underlying issues related to "good" HRM in the health\ud sector.\ud The paper considers how human resource management (HRM) has been defined and evaluated in\ud other sectors. Essentially there are two sub-themes: how have HRM interventions been defined?\ud and how have the effects of these interventions been measured in order to identify which\ud interventions are most effective? In other words, what is "good" HRM?\ud The paper argues that it is not only the organisational context that differentiates the health sector\ud from many other sectors, in terms of HRM. Many of the measures of organisational performance\ud are also unique. "Performance" in the health sector can be fully assessed only by means of indicators\ud that are sector-specific. These can focus on measures of clinical activity or workload (e.g. staff per\ud occupied bed, or patient acuity measures), on measures of output (e.g. number of patients treated)\ud or, less frequently, on measures of outcome (e.g. mortality rates or rate of post-surgery\ud complications).\ud The paper also stresses the need for a "fit" between the HRM approach and the organisational\ud characteristics, context and priorities, and for recognition that so-called "bundles" of linked and\ud coordinated HRM interventions will be more likely to achieve sustained improvements in\ud organisational performance than single or uncoordinated interventions

Topics: RA
Publisher: BioMed Central
Year: 2004
OAI identifier: oai:eresearch.qmu.ac.uk:21

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Citations

  1. (2004). A: A Lasting Attraction? The Magnet Accreditation of Rochdale Infirmary
  2. (2001). A: Hospital restructuring and its impact on outcomes. doi
  3. (2000). Beyond unloving care: linking human resource management and patient care quality in nursing homes. doi
  4. (1994). Competitive Advantage through People Boston: doi
  5. (2001). Credentialing Center (ANCC): The Magnet Recognition Program for Excellence in Nursing Service. Health Care Organizations Instructions and Application Process. Manual 2000–2001 Washington DC: ANCC;
  6. (2002). Effects of hospital staffing and organisational climate on needlestick injuries. doi
  7. (1994). ET: Lower Medicare mortality among a set of hospitals known for good nursing care. Medical Care doi
  8. (2001). Foreman S: Optimal long term care nurse staffing levels. Nursing Economics
  9. (2002). Guidelines for Introducing Human Resource Indicators to Monitor Health Service Performance Keele: Centre for Health Planning and Management,
  10. (2000). Health sector reform and human resources: lessons from the United Kingdom. Health Policy and Planning doi
  11. (1995). Health sector reform: key issues in developing countries. doi
  12. (2002). Hospital staffing, organisation, and quality of care: cross national findings. International Journal for Quality in Health Care doi
  13. Human resource bundles and manufacturing performance: organisational logic and flexible production systems in the world auto industry. Industrial and Labour Relations doi
  14. (1995). Human resource bundles and manufacturing performance: organisational logic and flexible production systems in the world auto industry. Industrial and Labour Relations Review doi
  15. (2003). Human resources for health policies: a critical component in health policies. Human Resources for Health 1:1. doi
  16. (2002). Human resources impact assessment. Bulletin of the World Health Organization
  17. (1998). Human resources in healthcare reform: a review of current issues. Health Policy and Planning doi
  18. (1995). Improving the Efficiency of the Public Sector Health Services in Developing Countries: Bureaucratic versus Market Approaches. PHP Departmental Publication no.17 London: London School of Tropical Medicine;
  19. (2002). Interrelationships amongst mortality rates, drug costs, total cost of care and length of stay in United States hospitals: summary and recommendations for clinical pharmacy services and staffing. Pharmacotherapy doi
  20. (2002). JH: Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. doi
  21. Magnet Hospitals: Attraction Retention of Professional Nurses Kansas City:
  22. (2003). Monitoring and evaluation of human resources for health: an international perspective. Human Resources for Health 1:3. doi
  23. (2002). Nurse staffing and post surgical adverse events: An Analysis of administrative data from a sample of US hospitals 1990–1996. Health Services Research doi
  24. (2002). Nursestaffing levels and the quality of care in hospitals. doi
  25. (2002). Nursing related determinants of 30 day mortality for hospitalized patients.
  26. (2002). of Personnel and Development (CIPD): Sustaining Success in Difficult Times: Research Summary London: CIPD;
  27. (2001). of Personnel and Development (CIPD): The Change Agenda: People Management and Business Performance London: CIPD;
  28. (2002). Patient volume, staffing and workload in relation to risk-adjusted outcomes in a random stratified sample of UK neonatal intensive care units: a prospective evaluation. The Lancet doi
  29. (2001). Personnel's paradox. People Management :25-29.
  30. (1997). S: The Impact of People Management Practices on business performance.
  31. (1991). Satisfaction and retention. Insights for the 90s. Part 2. Nursing doi
  32. (2003). Staffing and Skill Mix: Indicators of effectiveness? Geneva: World Health Organization (unpublished document);
  33. (2001). T: Impact of human resource management practices on nursing home performance. Health Services Management Research doi
  34. (1998). The Human Equation: Building Profits By Putting People First Boston: Harvard Business School; doi
  35. (1995). The impact of human resource management practices on turnover, productivity and corporate financial performance. doi
  36. (1999). The Impact of People Management Practices on Business Performance: A Literature Review London: Institute of Personnel and Development;
  37. (2001). The time is now.
  38. (2002). W o o d M : Nursing related determinants of 30 day mortality for hospitalized patients. doi

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