Code : 9345-353494      Created Date : Saturday, October 14, 2017   Visit : 1696

European Health Management Association (EHMA) 2017 Annual Conference by Dr. Mahdi Mahdavi

European Health Management Association (EHMA) 2017 Annual Conference by Dr. Mahdi Mahdavi
Mahdi Mahdavi | International Congress Form

Application Code :
762-0217-0028
 
Created Date : Monday, June 5, 2017-19:41 19:41:05Update Date : Tuesday, July 18, 2017-09:18 09:18:39
IP Address : 192.168.102.18Submit Date : Monday, July 17, 2017-09:47 09:47:27Email : info.mahdavi@gmail.com
Personal Information
Name : Mahdi
Surname : Mahdavi
School/Research center : other
If you choose other, please name your Research center : National Institute of Health Research
Position : Assistant professor
Tel : +98-21-62921375
Information of Congress
Title of the Congress : European Health Management Association (EHMA) 2017 Annual Conference
Title of your Abstract : How health service structure and process explain differences in
outcomes in type 2 diabetes provider networks: investigation in six European countries
Destination Country : Italy
From : Tuesday, June 13, 2017
To : Thursday, June 15, 2017
Abstract(Please copy/paste the abstract send to the congress) : Context
The aim of this research is to explain differences in health and service outcomes between provider networks for the treatment of type 2 diabetes patients in primary care in six regions in
Finland, Germany, Greece, Netherlands, Spain, and UK. We explain differences in quality of life measured by EuroQol (EQ-5D), glycated haemoglobin (A1c), and service satisfaction between networks by structure and process parameters.
Methods
Research methods encompassed two parts: a) modelling structure and process of care and b) the cross-sectional survey of patient perception of health outcomes and services. Service structure and process were modelled at the regional level using standard templates i.e. operational models, based on data from information systems. In surveys 1459 type 2 diabetes patients were studied in six regions during 2011-2012. The instrument of survey included background information, EQ-5D, perceived service quality and patient satisfaction of care. Stepwise linear regression models with fixed effects of regions were used to explain differences in quality of life, A1c levels and patient
satisfaction by annual hours of care, frequency of service use, costs of care, types of human resource, and access to services.
Results
Presented models explained only 20% of variance in quality of life between the networks versus 45% of variance in patient satisfaction. by the attributes of service quality, types of human
resources, and access to services. It was found that greater involvement of nurses is positively associated with quality of life and satisfaction (p-value=.000). Moreover, a higher percentage of patients with well-controlled A1c appears to translate to less service use (p-value=.000) and lower yearly costs.
Discussion
A large proportion of differences in outcomes between the studied provider networks remained unexplained. Our findings support the view that the relationships between structures and processes on the one hand and outcomes on the other hand are complex and require not only unidirectional relations from services to outcomes, but also bidirectional relations to explain differences in structure and process of services, e.g. use and costs of services. The findings furthermore confirm the relevance of some, but not all, of the earlier established service quality dimensions from the ServQual model for service satisfaction.
Keywords of your Abstract : Type 2 diabetes, provider networks, operational models, structure, process, outcomes, European countries
Acceptance Letter : http://gsia.tums.ac.ir/images/UserFiles/36705/Forms/762/Invitation letter_Mahdavi_2.pdf
The presentation : Oral
The Cover of Abstract book : http://gsia.tums.ac.ir/images/UserFiles/36705/Forms/762/Abstract-Book_Cover_1.pdf
Published abstract in the abstract book with the related code : http://gsia.tums.ac.ir/images/UserFiles/36705/Forms/762/Abstract Page_Mahdavi_1.pdf
Where has your abstract been indexed? : none
If you choose other, please name :  
The Congress Reporting Form
How many volunteers were present at the Congress? : At least 250 had participated at this conference.
Delegates from which countries presented in the congress? : Participants were come from across the world. However, the majority of them were Europeans. Italy, Netherlands, England, Germany, France, Spain, and couple of other countries had the largest number of participants.
Were the delegates of any other organizations present in the congress? : Yes
If yes, please write the names of the organizations in the box : There were so many from mostly universities.
What were the responses to your talking points? Were specific questions or concerns raised? : I received positive feedback from people attending the session on operations management. From those comments I learned how to improve the paper based on which I had prepared the talk. A specific question that was raised by the chair of the session regarded how we can provide best practice recommendations to managers based on evidence of my research.
If you met staff members, please list their full names & positions. : Of course I met several people such as Kim Putters, Walter Sermeus, and my ex colleagues.
Please inform us if there are any follow up actions we need to talk with the members of the congress : At the moment I need to work with people that I met on shared interests.
Your experiences about the travel processes(Providing ticket, accommodation,...) : All went well.
Please give a briefing of your own observations and outcomes of the congress: : Taking a couple of days off, preparing a presentation, and being in a conference are great experiences for an academic. You can exercise your presentation and networking skills there.
“Thought provoking” was a term that I had frequently heard in this conference. I noticed that presentations with challenging conceptual frameworks or those that triggered pondering on challenges got more audiences and raise further questions. I personally believe mere presenting data and analyses without points to discuss or to challenge audiences would not be able to involve audiences. However, we need to think twice about our presentation, to build it upon a convincing conceptual fame and a set of questions and wherever possible to go through detail of research methods

 

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