scholarly journals Bedside healthcare rationing dilemmas: a survey from Croatia

2018 ◽  
Vol 11 (3) ◽  
pp. 153-164
Author(s):  
Micaela Pinho ◽  
Ana Pinto Borges ◽  
Duje Petricevic
Keyword(s):  
Descriptive Analysis ◽  
Life Time ◽  
Online Questionnaire ◽  
Policy Makers ◽  
Content Type ◽  
Rationing Policy ◽  
Rationing Decision ◽  
Healthcare Rationing ◽  
Allocation Decisions ◽  
Fair Innings

Purpose The purpose of this paper is to explore Croatian views about issues regarding bedside rationing decisions. Design/methodology/approach An online questionnaire was used to collect data from a sample of 243 Croatian citizens. In a context of hypothetical scenarios involving priority setting decisions taking by physicians, the present study elicits Croatian respondents’ views concerning: the ethical principles that should guide patients prioritization; the parties that should make prioritization decisions; and the likelihood of healthcare rationing becoming a reality. Descriptive analysis, factor analysis and parametric and non-parametric tests were performed. Findings Findings suggest that Croatian respondents: support multiple substantive rationing criteria, with an incident in favoring the worst-off, reducing inequalities in health, translated in the fair-innings argument and efficiency achievement; appoint health professionals as rationing decision makers; and do not seem to believe in the possibility of patient selection becoming a reality. Practical implications Favoring the worst-off, equalizing life time health and the pursuit of efficiency seem to be the criteria most preferred by Croatian respondents to guide rationing policy at the micro level. Originality/value This study is the first attempt to elicit Croatian opinions concerning several rationing criteria inherent in healthcare micro allocation decisions. Healthcare rationing is a serious challenge to Croatian policy makers and so it would be useful for the public’s perceptions and beliefs to be considered.

Bedside healthcare rationing dilemmas: a survey from Portugal

2015 ◽  
Vol 8 (4) ◽  
pp. 233-246 ◽  
Author(s):  
Micaela Pinho ◽  
Ana Borges
Keyword(s):  
Economic Crisis ◽  
Social Preferences ◽  
Personal Characteristics ◽  
Political Agenda ◽  
Online Questionnaire ◽  
Health States ◽  
Healthcare Resources ◽  
Content Type ◽  
Rationing Policy ◽  
Healthcare Rationing

Purpose – The purpose of this paper is to seek to elicit, in a context of economic crisis, the social preferences for the microallocation of scarce healthcare resources. Design/methodology/approach – Data were collected from an online questionnaire which includes a hypothetical rationing choice scenario with four patients differentiated by their personal characteristics and health states competing for treatments and a set of statements that embodies: distributive criteria for prioritizing patients; the authorship of these types of decisions; and the likelihood of these decisions to be taken. Descriptive statistics, factor analysis and non-parametric test were used for describing and validating the data. Findings – Findings suggest that respondents: support a pluralism of distributive principles in prioritizing patients with an incident in utilitarianism and the reducing of inequalities in health, translated in the fair-inning and in emotional arguments of fragility; trust in the health professional to make prioritization decisions; and are conscious that rationing decisions will be real in the short term. Practical implications – The pursuit of efficiency and the equalizing of a lifetime health seem to be the criteria that should guide any rationing policy at the micro level. Originality/value – This study addresses simultaneously several ethical principles inherent to microallocation healthcare resources in a suitable context in which Portugal is facing an economic crisis and where, consequently, rationing healthcare policies gain prominence on the political agenda.

scholarly journals Knowledge sharing in open source software communities: motivations and management

2015 ◽  
Vol 19 (4) ◽  
pp. 791-813 ◽  
Author(s):  
Zilia Iskoujina ◽  
Joanne Roberts
Keyword(s):  
Knowledge Sharing ◽  
Open Source ◽  
Open Source Software ◽  
Online Communities ◽  
Descriptive Analysis ◽  
Online Questionnaire ◽  
Content Type ◽  
The Individual ◽  
The Impact

Purpose – This paper aims to add to the understanding of knowledge sharing in online communities through an investigation of the relationship between individual participant’s motivations and management in open source software (OSS) communities. Drawing on a review of literature concerning knowledge sharing in organisations, the factors that motivate participants to share their knowledge in OSS communities, and the management of such communities, it is hypothesised that the quality of management influences the extent to which the motivations of members actually result in knowledge sharing. Design/methodology/approach – To test the hypothesis, quantitative data were collected through an online questionnaire survey of OSS web developers with the aim of gathering respondents’ opinions concerning knowledge sharing, motivations to share knowledge and satisfaction with the management of OSS projects. Factor analysis, descriptive analysis, correlation analysis and regression analysis were used to explore the survey data. Findings – The analysis of the data reveals that the individual participant’s satisfaction with the management of an OSS project is an important factor influencing the extent of their personal contribution to a community. Originality/value – Little attention has been devoted to understanding the impact of management in OSS communities. Focused on OSS developers specialising in web development, the findings of this paper offer an important original contribution to understanding the connections between individual members’ satisfaction with management and their motivations to contribute to an OSS project. The findings reveal that motivations to share knowledge in online communities are influenced by the quality of management. Consequently, the findings suggest that appropriate management can enhance knowledge sharing in OSS projects and online communities, and organisations more generally.

The perceptions on the recent COVID-19 pandemic: a study on health-care students in Malaysia

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Norhayati Mohd Zain ◽  
Nur Anis Izzati Che Mut
Keyword(s):  
Health Care ◽  
Demographic Data ◽  
Descriptive Analysis ◽  
Online Questionnaire ◽  
Future Health ◽  
Content Type ◽  
Health Care Students ◽  
Future Challenges ◽  
Future Health Care ◽  
Huge Impact

PurposeThe purpose of this paper is to study the perception of health-care students on the recent COVID-19 pandemic in Malaysia. There was one study by Caliskhan et al. (2020) conducted among Turkish final-year medical students showed that the students were knowledgeable about and aware of the COVID-19 pandemic. To the authors’ knowledge, there are limited number of studies conducted among health-care students in Malaysia.Design/methodology/approachThe online questionnaire was randomly distributed to the health-care students in Malaysia. The questionnaire consists of socio-demographic data and perceptions on COVID-19. Descriptive analysis was used to analyse the perceptions of the health-care students on COVID-19.FindingsHealth-care students in Malaysia have positive perceptions on COVID-19, and it did not give huge impact of their interest in this health-care field. Thus, it is important that this issue is investigated, and the perceptions of health-care students on COVID-19 can be highlighted.Research limitations/implicationsThe strength of this study was the participation from the health-care students from various institutions, which have different experience and backgrounds. The study was limited on the items of question utilised. Due to the limited time and urgency of the survey, the authors were unable to study their knowledge, attitudes and way they are going to cope with this kind of pandemic as the students and as future health-care workers.Originality/valueThe paper points out the effect on the recent COVID-19 pandemic on health-care students in Malaysia. It also points out the perceptions of health-care students in Malaysia on the current pandemic. It is expected that the results of this research would serve as baseline data for health-care institutions in Malaysia to continue equip the future front liners that can adapt future challenges.

What drives working adults to be better prepared for their retirements?

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Soo Ming Chua ◽  
Phaik Nie Chin
Keyword(s):  
Financial Literacy ◽  
Descriptive Analysis ◽  
Multiple Logistic Regression Analysis ◽  
Well Being ◽  
Retirement Planning ◽  
School Curriculum ◽  
Financial Behavior ◽  
Policy Makers ◽  
Content Type ◽  
Working Adults

PurposeThis study aims to understand the drivers that help working adults to be better prepared for retirement, by examining the relationship between financial literacy (FL), financial attitude (FA), financial well-being (FWB), financial behavior (FB) and retirement preparation (RP). RP includes multidimensional measures, which are retirement confidence, retirement planning, long-term financial planning and private retirement schemes (PRS) participation.Design/methodology/approachThis was a quantitative study adopting non-probability sampling with self-administered questionnaire distributed to all working adults. Descriptive analysis was used to examine the 294 useable data, and the multiple logistic regression analysis was adopted for hypothesis testing.FindingsThe empirical results show that FB is positively associated with RP and then followed by FWB on retirement confidence. Although insignificant influence is found on FL and FA, better FL and FA will still improve individuals' RP.Research limitations/implicationsThe study provides insights to working adults that practicing positive FB and good FWB will improve RP. Besides, for financial institutions, income level is the main determinant for consumers to participate in PRS; for policy makers, to incorporate financial attributes knowledge as part of the school curriculum since early school years.Originality/valueThis study is one of the few studies in Malaysia that explored FL, FA, FB and FWB on retirement planning, respectively.

The creation of national intellectual capital from the perspective of Hofstede’s national culture

2017 ◽  
Vol 18 (4) ◽  
pp. 807-831 ◽  
Author(s):  
I-Chen Lee ◽  
Carol Y.Y. Lin ◽  
Te-Yi Lin
Keyword(s):  
National Culture ◽  
Intellectual Capital ◽  
Descriptive Analysis ◽  
Policy Makers ◽  
Content Type ◽  
National Leaders ◽  
Research Findings ◽  
Research Outcome ◽  
The Difference ◽  
The Relationship

Purpose The purpose of this paper is to explain the difference of national intellectual capital from the perspective of national culture and to illustrate how national leaders or policy-makers increase their country’s national intellectual capital. Design/methodology/approach The study conducts a descriptive analysis combining the research outcome of Lin and Edvinsson’s (2011) national intellectual capital with Hofstede’s (2001) national culture. The research findings and results of these two studies were compared before running a t-test to determine whether countries with relatively high national intellectual capital have a higher level of certain national culture. Findings Based on the matching data of 26 countries, the study proposed that countries with certain national culture possess lower intellectual capital. Countries with high intellectual capital tend to exhibit a common culture of low power distance, weak uncertainty avoidance, and individualism. Practical implications The study suggests that for a country to enhance its overall intellectual capital, it should strive for a culture of equality, freedom and safety, and an active competitive environment, while avoiding social class distance in order to eliminate insecurity. The study proposes some suggestions to advance the countries’ national intellectual capital. In addition to admit the weakness of their intellectual capital due to cultural reasons, these countries could go a step further to increase their own national intellectual capital by increasing or enhancing certain national cultures if possible. Originality/value The study compares national intellectual capital and national culture and finds the relationship between these two sets of constructs. This study proves that national culture not only influences the strategies or behaviors of business level but also the competitiveness of national levels.

Examining the perception of Iranian organizations on Internet of Things solutions and applications

2016 ◽  
Vol 48 (2) ◽  
pp. 104-108 ◽  
Author(s):  
Changiz Valmohammadi
Keyword(s):  
Internet Of Things ◽  
Descriptive Analysis ◽  
Successful Implementation ◽  
It Infrastructure ◽  
Supply Chain Optimization ◽  
Policy Makers ◽  
Content Type ◽  
Executive Managers ◽  
Iranian Context ◽  
Self Administered Questionnaire

Purpose – The purpose of this paper is to explore the perception of Iranian experts and executive managers of sample organizations on the benefits and barriers of Internet of Things (IoT) solutions implementation. Based on the context of Iran using descriptive analysis. Design/methodology/approach – Based on the review of the related literature and websites, benefits and barriers of successful implementation to IoTs solutions were identified. Through a self-administered questionnaire which was collected from 67 Iranian organizations the ranking and importance of benefits and barriers of IoTs solutions implementation were determined based on the perception of the experts of the surveyed organizations. Findings – Analysis of data and the obtained results reveals that “improved customer experience” and “Supply chain optimization and responsiveness” are the most important benefits that the survey organizations expect to reap as a result of IoTs solutions implementation. Also “Integration challenges” and “cannot find right suppliers” were ranked as the most challenging barriers to IoTs solutions implementation. Research limitations/implications – The findings and conclusions drawn from this research are representative of the Iranian context only. So, caution needs to be exercised in generalizing the results. Practical implications – The top management of Iranian organizations and also, policy makers of the country should be aware that IoTs solutions are being deployed rapidly throughout the globe. Therefore, it is necessary to increase investment in IT infrastructure and also by holding various training for employees and experts of Iranian organizations, and setting various IoT majors in the country’s universities and vocational schools, efforts should be made to accelerate the deployment of IoTs solutions to keep pace with leading companies in the world. Originality/value – As IoTs is rather a new phenomenon in the Iranian industries this study has the potential to enhance the understanding of IoTs solutions and applications, benefits and barriers amongst researches and practitioners in the context of Iran. Also policymakers of the country could take advantage of the findings of this study toward a successful implementation of IoTs solutions and applications.

A descriptive analysis of consumer’s price promotion literacy skills

2016 ◽  
Vol 44 (12) ◽  
pp. 1223-1244 ◽  
Author(s):  
Pei Jie Tan ◽  
Svetlana Bogomolova
Keyword(s):  
Multiple Regression ◽  
Descriptive Analysis ◽  
Study Data ◽  
Literacy Skills ◽  
Price Promotion ◽  
Online Questionnaire ◽  
Content Type ◽  
Cross Tabulation ◽  
Effective Use ◽  
Do So

Purpose The purpose of this paper is twofold: first, to provide a descriptive analysis of consumers’ ability to comprehend and use common price promotion information when they choose to do so (e.g. to find the least expensive price or to understand the savings amount); second, to identify which consumer groups (in terms of demographic characteristics) find price promotion comprehension particularly challenging. Design/methodology/approach An online questionnaire with 14 measures (four literacy, ten numeracy) was administered in the study. Data from 607 Australian consumers were analysed using descriptive, cross-tabulation, and multiple regression analysis via IBM SPSS analytics software. Findings On average, 20 per cent of the consumers surveyed were unable to comprehend the price promotion signage. On average, 13 per cent of the consumers were unable to carry out arithmetic tasks using the information on price promotion signage. Multiple regression models showed that income level was the main driving factor for the consumers’ price promotion literacy and numeracy levels. Research limitations/implications The present study is the first exploratory examination of consumers’ levels of comprehension (literacy) and effective use (numeracy) regarding common types of price promotion communication. The use of online samples and data collection method overestimates the results effect. Originality/value This is a pilot field study to investigate whether levels of consumers’ price promotion literacy and numeracy are adequate for everyday decision making. The information can be used as evidence and justification for further research.

Financial access and economic development: the moderating role of financial consumer protection

2019 ◽  
Vol 15 (4) ◽  
pp. 406-424 ◽  
Author(s):  
Maryam Kriese ◽  
Joshua Yindenaba Abor ◽  
Elikplimi Agbloyor
Keyword(s):  
Economic Development ◽  
World Bank ◽  
Financial Literacy ◽  
Compliance Monitoring ◽  
Financial Access ◽  
Policy Makers ◽  
Content Type ◽  
The World Bank ◽  
Moderating Role

Purpose The purpose of this paper is to examine the moderating role of financial consumer protection (FCP) in the access–development nexus. Design/methodology/approach The study is based on cross-country data on 102 countries surveyed in the World Bank Global Survey on FCP and Financial Literacy (2013). The White heteroscedasticity adjusted regressions and Two-stage least squares regressions (2SLS) are used for the estimation. Findings Interactions between FCP regulations that foster fair treatment, disclosure, dispute resolution and recourse and financial access have positive net effects on economic development. However, there is no sufficient evidence to suggest that interactions between financial access and enforcement and compliance monitoring regulations have a significant effect on economic development. Practical implications First, policy makers should continue with efforts aimed at instituting FCP regimes as part of strategies aimed at broadening access to financial services for enhanced economic development. Second, instituting FCP regimes per se may not be enough. Policy makers need to consider possible intervening factors such as the provision of adequate resources and supervisory authority, for compliance monitoring and enforcement to achieve the expected positive effect on economic development. Originality/value This study extends evidence in the law–finance–growth literature by providing empirical evidence on the effect of legal institution specific to the protection of retail financial consumers on the access–development nexus using a nouvel data set, the World Bank Global survey on FCP and Financial Literacy (2013).

Can housing rights be applied to modern housing systems?

2010 ◽  
Vol 2 (2) ◽  
pp. 103-117 ◽  
Author(s):  
Padraic Kenna
Keyword(s):  
International Law ◽  
Case Law ◽  
Epistemic Communities ◽  
Policy Makers ◽  
Content Type ◽  
Housing Systems ◽  
Effective Implementation ◽  
Housing Rights ◽  
The World ◽  
Effective Translation

PurposeThe purpose of this paper is to outline and examine the growing corpus of housing rights and assess their relevance and applicability to complex contemporary housing systems across the world.Design/methodology/approachThe paper sets out the principal instruments and commentaries on housing rights developed by the United Nations, regional and other bodies. It assesses their relevance in the context of contemporary analysis of housing systems, organized and directed by networks of legal and other professionals within particular domains.FindingsHousing rights instruments are accepted by all States across the world at the level of international law, national constitutions and laws. The findings suggest that there are significant gaps in the international law conception and framework of housing rights, and indeed, human rights generally, which create major obstacles for the effective implementation of these rights. There is a preoccupation with one element of housing systems, that of subsidized or social housing. However, effective housing rights implementation requires application at meso‐, micro‐ and macro‐levels of modern, dynamic housing systems as a whole. Epistemic communities of professionals develop and shape housing law and policy within these domains. The housing rights paradigm must be further fashioned for effective translation into contemporary housing systems.Research limitations/implicationsThe development of housing rights precedents, both within international and national law, is leading to a wide and diffuse corpus of legislation and case law. More research is needed on specific examples of effective coupling between housing rights and elements of housing systems.Originality/valueThis paper offers housing policy makers and lawyers an avenue into the extensive jurisprudence and writings on housing rights, which will inevitably become part of the lexicon of housing law across the world. It also highlights the limitations of housing rights implementation, but offers some new perspectives on more effective application of these rights.

scholarly journals Hidden bedside rationing in the Netherlands: a cross-sectional survey among physicians in internal medicine

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ursula W. de Ruijter ◽  
Hester F. Lingsma ◽  
Willem A. Bax ◽  
Johan Legemaate
Keyword(s):  
Internal Medicine ◽  
The Netherlands ◽  
Patient Choice ◽  
Cross Sectional Survey ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Physician Characteristics ◽  
Distribution Of Resources ◽  
Healthcare Rationing ◽  
Do So

Abstract Background Healthcare rationing can be defined as withholding beneficial care for cost reasons. One form in particular, hidden bedside rationing, is problematic because it may result in conflicting loyalties for physicians, unfair inequality among patients and illegitimate distribution of resources. Our aim is to establish whether bedside rationing occurs in the Netherlands, whether it qualifies as hidden and what physician characteristics are associated with its practice. Methods Cross-sectional online questionnaire on knowledge of -, experience with -, and opinion on rationing among physicians in internal medicine within the Dutch healthcare system. Multivariable ordinal logistic regression was used to explore relations between hidden bedside rationing and physician characteristics. Results The survey was distributed among 1139 physicians across 11 hospitals with a response rate of 18% (n = 203). Most participants (n = 129; 64%) had experience prescribing a cheaper course of treatment while a more effective but more expensive alternative was available, suggesting bedside rationing. Subsequently, 32 (24%) participants never disclosed this decision to their patient, qualifying it as hidden. The majority of participants (n = 153; 75%) rarely discussed treatment cost. Employment at an academic hospital was independently associated with more bedside rationing (OR = 17 95%CI 6.1–48). Furthermore, residents were more likely to disclose rationing to their patients than internists (OR = 3.2, 95%CI 2.1–4.7), while salaried physicians were less likely to do so than physicians in private practice (OR = 0.5, 95%CI 0.4–0.8). Conclusion Hidden bedside rationing occurs in the Netherlands: patient choice is on occasion limited with costs as rationale and this is not always disclosed. To what extent distribution of healthcare should include bedside rationing in the Netherlands, or any other country, remains up for debate.

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