THE ROLE OF PATIENT-PHYSICIAN RELATIONSHIP IN CARE PROCESSES AND IN THE TECHNOLOGICAL TRANSITION OF HEALTHCARE

Revisiting the patient–physician relationship under the lens of value co-creation and defensive medicine

PurposeThis study formulates a new archetypical model that describes and re-interprets the patient–physician relationship from the perspective of two widespread phenomena in the healthcare delivery process: value co-creation (VCC) and defensive medicine (DM).Design/methodology/approachGrounded in the existing literature on VCC and DM, the authors designed and conducted 20 in-depth interviews with doctors (and patients) about their past relationships with patients (and doctors). After putting the recorded interviews through qualitative analysis with a three-level coding activity, the authors built an empirically informed model to classify patient–physician relationships.FindingsThe authors i…

The relationship between Value Co-creation and Defensive Medicine

The purpose of this study is to analyse the patient-physician relationship from the perspective of its consequences in terms of risk of defensive medicine behaviour and of likelihood of value co-creation occurrence. We develop, first, a theoretically informed model which explains the patient-physician relationship in terms of the two phenomena above mentioned; we then collect qualitative empirical data, elaborate on the theory, and develop an empirically informed model. The main result of this research is the definition of four archetypes of the patient-physician relationship, whose discussion leads to theoretical contributions and managerial implications.

Telemedicine the role of the patient-doctor relationship

The aim of this work is to study whether and how the characteristics of the existing relationship between a patient and her/his doctor impact the patient’s propensity to switch to telemedicine. We build a conceptual model which hypothesizes a direct effect of the patient-doctor relationship on the propensity to telemedicine, with the perceived efficacy of the healthcare service as the mediator. To collect data, we used the survey methodology. The results confirm the hypothesis about the positive effects of both a good patient-doctor relationship and the patients’ perceived value on the patients’ propensity to switch to telemedicine.

Organizational model and operations performance: a longitudinal study of Italian Judicial Courts

The study focuses on six Italian judicial courts that recently implemented a new organizational model based on the so-called "Ufficio Per il Processo" (UPP) and gathers qualitative and quantitative data over a two-year period (pre- and post-UPP). The research investigates the relationship between court clerks' organizational models and operations performance. The results indicate that the different types of organizational models are associated with improved performance when compared to the pre-implementation level depending on the cases’ congestion level the court has to deal with. The findings highlight the importance of considering the organizational structure in optimizing judicial court…

Defensive behavior in healthcare: the role of organizational factors

Defensive medicine occurs when a healthcare practitioner performs treatment or procedure to avoid exposure to malpractice litigation. Being the consequences of such a behavior nefarious both in terms of patient care, healthcare operations and cost, much has been done in terms of research and practice with the aim to reduce the likelihood of its occurrence. Because defensive medicine is strictly related to the doctor perception of the risk of litigation and its legal repercussions, in the last years, jurisprudence and insurance contract studies in healthcare focused on this topic, as well as national laws have been introduced with the goal of contrasting it. This paper argues and demonstrate…