{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T16:07:01Z","timestamp":1765728421681,"version":"3.41.2"},"reference-count":19,"publisher":"Emerald","issue":"6","license":[{"start":{"date-parts":[[2011,7,19]],"date-time":"2011-07-19T00:00:00Z","timestamp":1311033600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.emerald.com\/insight\/site-policies"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011,7,19]]},"abstract":"<jats:sec><jats:title content-type=\"abstract-heading\">Purpose<\/jats:title><jats:p>The purpose of this paper is to develop a model for improving health services provided by the pre\u2010employment medical fitness check\u2010up system affiliated to Egypt's Health Insurance Organization (HIO).<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-heading\">Design\/methodology\/approach<\/jats:title><jats:p>Operations research, notably system re\u2010engineering, is used in six randomly selected centers and findings before and after re\u2010engineering are compared. The re\u2010engineering model follows a systems approach, focusing on three areas: structure, process and outcome. The model is based on six main components: electronic booking, standardized check\u2010up processes, protected medical documents, advanced archiving through an electronic content management (ECM) system, infrastructure development, and capacity building. The model originates mainly from customer needs and expectations.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-heading\">Findings<\/jats:title><jats:p>The centers' monthly customer flow increased significantly after re\u2010engineering. The mean time spent per customer cycle improved after re\u2010engineering \u2013 18.3\u00b15.5 minutes as compared to 48.8\u00b114.5 minutes before. Appointment delay was also significantly decreased from an average 18 to 6.2 days. Both beneficiaries and service providers were significantly more satisfied with the services after re\u2010engineering. The model proves that re\u2010engineering program costs are exceeded by increased revenue.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-heading\">Research limitations\/implications<\/jats:title><jats:p>Re\u2010engineering in this study involved multiple structure and process elements. The literature review did not reveal similar re\u2010engineering healthcare packages. Therefore, each element was compared separately.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-heading\">Practical implications<\/jats:title><jats:p>This model is highly recommended for improving service effectiveness and efficiency.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-heading\">Originality\/value<\/jats:title><jats:p>This research is the first in Egypt to apply the re\u2010engineering approach to public health systems. Developing user\u2010friendly models for service improvement is an added value.<\/jats:p><\/jats:sec>","DOI":"10.1108\/09526861111150734","type":"journal-article","created":{"date-parts":[[2011,7,25]],"date-time":"2011-07-25T10:28:01Z","timestamp":1311589681000},"page":"484-497","source":"Crossref","is-referenced-by-count":4,"title":["Re\u2010engineering pre\u2010employment check\u2010up systems: a model for improving health services"],"prefix":"10.1108","volume":"24","author":[{"given":"Said","family":"Abdel Hakim Rateb","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Azza","family":"Abdel Razek El Nouman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moshira","family":"Abdel Hakim Rateb","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Naguib Asar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayman","family":"Mohammed El Amin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saad","family":"abdel Aziz Gad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Salah Eldin Mohamed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"140","reference":[{"key":"key2022022020342267100_b1","doi-asserted-by":"crossref","unstructured":"Aiken, H., Clarke, S.P. and Sloane, D.M. (2002), \u201cHospital staffing, organization and quality of care: cross\u2010national findings\u201d, International Journal for Quality in Healthcare, Vol. 14 No. 1, pp. 5\u201013.","DOI":"10.1093\/intqhc\/14.1.5"},{"key":"key2022022020342267100_b2","doi-asserted-by":"crossref","unstructured":"Al Qatari, g. and Haran, d. (1999), \u201cDeterminants of users' satisfaction with primary healthcare settings and services in Saudi Arabia\u201d, International Journal for Quality in Healthcare, Vol. 11 No. 6, pp. 523\u201031.","DOI":"10.1093\/intqhc\/11.6.523"},{"key":"key2022022020342267100_b3","doi-asserted-by":"crossref","unstructured":"Bengt, B.A. (1999), \u201cStaff perception of the impact of healthcare transformation on quality of care\u201d, International Journal for Quality in Healthcare, Vol. 11 No. 4, pp. 345\u201051.","DOI":"10.1093\/intqhc\/11.4.345"},{"key":"key2022022020342267100_b4","doi-asserted-by":"crossref","unstructured":"Danaher, P.J. and Mattsson, J. (1994), \u201cCumulative encounter satisfaction in the hotel conference process\u201d, International Journal of Service Industry Management, Vol. 5 No. 4, pp. 69\u201080.","DOI":"10.1108\/09564239410068715"},{"key":"key2022022020342267100_b5","doi-asserted-by":"crossref","unstructured":"Donabedian, A. (1978), \u201cThe quality of medical care\u201d, Science, Vol. 200 No. 4344, pp. 856\u201064.","DOI":"10.1126\/science.417400"},{"key":"key2022022020342267100_b6","unstructured":"Edens, P.S. (2005), \u201cWorkplace reengineering, reorganization, and redesign from nursing management: principles and practice\u201d, Medscape Critical Care, Vol. 6 No. 2, available at: www.medscape.com\/viewarticle\/511808?rss (accessed June 24, 2010)."},{"key":"key2022022020342267100_b8","doi-asserted-by":"crossref","unstructured":"Glickman, S.W., Baggett, K.A., Krubert, C.G., Peterson, E.D. and Schulman, K.A. (2007), \u201cPromoting quality: the health\u2010care organization from a management perspective\u201d, International Journal for Quality in Healthcare, Vol. 19 No. 6, pp. 341\u20108.","DOI":"10.1093\/intqhc\/mzm047"},{"key":"key2022022020342267100_b7","unstructured":"Government Accountability Office (1997), \u201cBusiness process re\u2010engineering assessment guide\u201d, United States Government Accountability Office, available at: www.gao.gov\/special.pubs\/bprag\/bprag.pdf (accessed December 18, 2009)."},{"key":"key2022022020342267100_b9","unstructured":"Hammer, M. and Champy, J. (1994), Re\u2010engineering the Corporation: A Manifesto for Business Revolution, Harper Business, New York, NY."},{"key":"key2022022020342267100_b10","unstructured":"Kiran, J. (2006), \u201cPromise of enhanced efficiency and better integrated care to boost patient e\u2010booking systems markets\u201d, Frost and Sullivan, available at: www.healthcare.frost.com (accessed January 22, 2010)."},{"key":"key2022022020342267100_b11","doi-asserted-by":"crossref","unstructured":"Jiang, L. and Giachetti, R.E. (2008), \u201cA queuing network model to analyze the impact of parallelization of care on patient cycle time\u201d, Healthcare Management Science, Vol. 11 No. 3, pp. 248\u201061.","DOI":"10.1007\/s10729-007-9040-9"},{"key":"key2022022020342267100_b12","doi-asserted-by":"crossref","unstructured":"Meyer, G.S. and Masagli, M.P. (2001), \u201cThe forgotten component of the quality triad: can we still learn something from \u2018structure\u2019?\u201d, Joint Commission Journal on Quality Improvement, Vol. 27, pp. 484\u201093.","DOI":"10.1016\/S1070-3241(01)27042-4"},{"key":"key2022022020342267100_b13","doi-asserted-by":"crossref","unstructured":"Mitchell, M., Tseng, M.Q. and Chuan, J.S. (1999), \u201cMapping customers' service experience for operations improvement\u201d, Business Process Management Journal, Vol. 5 No. 1, pp. 50\u201064.","DOI":"10.1108\/14637159910249126"},{"key":"key2022022020342267100_b14","unstructured":"NHS Centre for Change and Innovation (2005), A Guide to Service Improvement, Measurements, Analysis, Techniques and Solutions, The Scottish Executive, Edinburgh."},{"key":"key2022022020342267100_b15","doi-asserted-by":"crossref","unstructured":"Osorio Acosta, J. and Paredes Alonso, E. (2001), \u201cProcess re\u2010engineering in public hospitals: re\u2010inventing of the wheel?\u201d, Revista Espa\u00f1ola de Salud P\u00fablica, Vol. 75 No. 3, pp. 193\u2010206.","DOI":"10.1590\/S1135-57272001000300004"},{"key":"key2022022020342267100_b16","unstructured":"Prosci BPR Learning Center (2010), \u201cBusiness process reengineering\u201d, available at: www.prosci. com\/reengineering.htm (accessed February 2, 2010)."},{"key":"key2022022020342267100_b17","unstructured":"Stetcher, B. (2005), \u201cAn educator looks at the quality improvement in healthcare\u201d, working paper, RAND Education, Santa Monica, CA."},{"key":"key2022022020342267100_b18","doi-asserted-by":"crossref","unstructured":"Walston, S.L. and Bogue, R.J. 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