Use of evidence-based management in healthcare administration decision-making. Issue 3 (3rd July 2017)

• Record Type: Journal Article
• Authors: Guo, Ruiling; Berkshire, Steven D.; Fulton, Lawrence V.; Hermanson, Patrick M.
• Is Part Of: Leadership in health services. Volume 30:Issue 3(2017)
• Page Start: 330
• Page End: 342
• Publication Date: 2017-07-03
• Subjects: Decision-making -- Healthcare organizations -- Evidence-based management -- Healthcare management -- Health leaders -- Healthcare administrators; Medical care -- Periodicals; Health services administration -- Periodicals; Health services administration -- Canada -- Periodicals; 362.1068
• DOI: 10.1108/LHS-07-2016-0033
• Languages: English
• ISSNs: 1751-1879

Abstract

Abstract : Purpose: The purpose of this paper is to examine whether healthcare leaders use evidence-based management (EBMgt) when facing major decisions and what types of evidence healthcare administrators consult during their decision-making. This study also intends to identify any relationship that might exist among adoption of EBMgt in healthcare management, attitudes towards EBMgt, demographic characteristics and organizational characteristics. Design/methodology/approach: A cross-sectional study was conducted among US healthcare leaders. Spearman's correlation and logistic regression were performed using the Statistical Package for the Social Sciences (SPSS) 23.0. Findings: One hundred and fifty-four healthcare leaders completed the survey. The study results indicated that 90 per cent of the participants self-reported having used an EBMgt approach for decision-making. Professional experiences (87 per cent), organizational data (84 per cent) and stakeholders' values (63 per cent) were the top three types of evidence consulted daily and weekly for decision-making. Case study (75 per cent) and scientific research findings (75 per cent) were the top two types of evidence consulted monthly or less than once a month. An exploratory, stepwise logistic regression model correctly classified 75.3 per cent of all observations for a dichotomous "use of EBMgt" response variable using three independent variables: attitude towards EBMgt, number of employees in the organization and the job position. Spearman's correlation indicated statistically significant relationships between healthcare leaders' use of EBMgt and healthcare organization bed size ( r s = 0.217, n = 152, p < 0.01), attitude towards EBMgt ( r s = 0.517, n = 152, p < 0.01), and the number of organization employees ( r s = 0.195, n = 152, p = 0.016). Originality/value: This study generated new research findings on the practice of EBMgt in US healthcare administration decision-making.