A comparative study of contemporary user involvement within healthcare systems across England, Poland and Slovenia

2015 ◽  
Vol 29 (5) ◽  
pp. 625-636 ◽  
Author(s):  
Mateusz Lichon ◽  
Matic Kavcic ◽  
Daniel Masterson

Purpose – The purpose of this paper is to explore how healthcare-users’ engagement is perceived, how it occurs and how these perceptions differ between three European countries: England, Poland and Slovenia, using the concepts of voice, choice and coproduction. Design/methodology/approach – This comparative, qualitative study is based on a review of legal documents, academic literature and semi-structured interviews conducted in October and November 2011. A research sample consisted of 21 interviewees representing various stakeholders including healthcare-users, doctors and managers. Primary and secondary data were analysed using theoretical thematic analysis. Emerging themes were identified from the interviews and related to the indicators describing healthcare-users’ involvement in the voice, choice and coproduction model. Findings – Results of the comparative qualitative research suggest that the healthcare-users’ influence is strongly grounded in England where the healthcare system and professionals are prepared to include healthcare-users in the decision-making process. In Slovenia, cultural development of healthcare-users’ involvement seems to proceed the institutional development. In Poland, institutions are ready to involve healthcare-users in decision-making process although the cultural desirability of involving users among doctors and patients is lacking. Originality/value – The notion of user involvement is increasingly gaining importance and research attention, yet there is still little known about the way cultural, political, historical differences between various European countries influence it. This paper explores this little known area using the original approach of user involvement (Dent et al., 2011) with input from various stakeholders including patients, healthcare representatives and academics.

2019 ◽  
Vol 36 (1) ◽  
pp. 178-188 ◽  
Author(s):  
Nanda Choudhury ◽  
Srabanti Mukherjee ◽  
Biplab Datta

Purpose The purpose of this paper is to examine the factors affecting decision-making at the BoP and propose a framework of the consumer decision-making process at the base of the pyramid (BoP). Design/methodology/approach The qualitative research design was adopted to collect primary data. Data collected through the in-depth semi-structured interviews of the 48 BoP consumers in Kolkata and Kharagpur (India) were subjected to grounded theory analysis for theory development. Findings This study reveals that consumer vulnerability affects the decision-making process and the transaction cost at BoP level. It was observed that the consumers at the BoP make constrained choices due to their vulnerability and try to minimise transaction cost while selecting the retails. The constrained retail choice leads to a limited selection of products and brands. Originality/value This study, for the first time, has investigated the decision-making process for BoP consumers in detail. As a pioneering attempt, it sheds light on some new factors including consumer vulnerability and transaction cost that have an impact on the consumer decision-making process.


2006 ◽  
Vol 24 (1) ◽  
pp. 7-19 ◽  
Author(s):  
Martin Livette

PurposeVarious studies have shown that nearly three‐quarters of older people living within retirement housing are female single persons, leading some researchers to argue that sheltered housing is essentially a gender or health‐related issue, which can be explained demographically. Possible differences in the buyer behaviour of men and women or single people and married couples are ignored. If differences exist, the approaches adopted by not‐for‐profit agencies to improve the decision‐making process may need to differentiate between the sexes and marital states. The purpose of this paper, therefore, is to comment on the differences in the process and contrast some of the results of the research.Design/methodology/approachA sample of about 200 respondents was selected from all purchasers of retirement housing in the West Midlands region of England. Semi‐structured interviews were undertaken with 20 respondents.FindingsThe findings demonstrate that differences exist of less than one‐fifth of the decision‐making factors explored in the study.Originality/valueDifferences can limit the number of suitable options for the purchaser. Therefore, not‐ for‐profit agencies, when providing information and offering advice about housing alternatives, need to appreciate differences between the sexes and marital states in terms of the provision of stairs, the garden, loneliness and problems or difficulties associated with bereavement; the number of builders contacted and schemes known; and the awareness and consideration stages of the decision‐making process relating to a number of housing alternatives.


2014 ◽  
Vol 17 (3) ◽  
pp. 306-326 ◽  
Author(s):  
Hendi Yogi Prabowo

Purpose – The purpose of this paper, which is based on author’s study, is to shed light on the behavioral elements of corruption in particular the decision-making process undertaken by potential offenders to construct a solid basis for effective corruption eradication strategy in Indonesia. Design/methodology/approach – This study examines corruption cases in Indonesia in the past two years which have been investigated by the Indonesian Corruption Eradication Commission as well as relevant literature on corruption to gain a better understanding of corruption offenders’ behavior. Findings – The author establishes that by looking at the behavioral side of corruption we may gain more understanding on potential offenders’ way of thinking as a reference in dealing with corruption. The discussions in this paper suggest that when potential offenders are exposed to pressure/motivation, opportunity and rationalization to commit corruption, they will (consciously or subconsciously) assess all the perceived benefits and costs before deciding to commit (or not to commit) corruption. Understanding the mechanics by which potential offenders decide to engage (or not to engage) in corruption will provide government and decision makers with a solid basis for formulating an effective corruption eradication strategy. Research limitations/implications – This study utilizes only secondary data sources to build its analysis on the perceived benefits and costs of engaging in corrupt practices. For future studies, primary sources, such as incarcerated corruption offenders, will offer a more accurate view of the actual decision-making process behind corrupt practices. Practical implications – This paper contributes to the development of effective corruption eradication strategy in Indonesia by introducing the fraud decision scale as a framework by which appropriate measures will be devised so as to yield the intended results. Originality/value – Instead of taking the more popular legal or political standpoint, this paper takes an unconventional view of assessing corruption problem from the behavioral perspective.


2016 ◽  
Vol 25 (5) ◽  
pp. 685-700 ◽  
Author(s):  
Miao Liu ◽  
Eric Scheepbouwer ◽  
Sonia Giovinazzi

Purpose The purpose of this paper is to synthesise critical success factors (CSFs) for advancing post-disaster infrastructure recovery and underpinning recovery authorities in decision making when facing future disasters. Design/methodology/approach The seismic recovery after the Canterbury (NZ) earthquake sequence in 2010-2011 was selected as a case study for identifying CSFs for an efficient recovery of infrastructure post-disaster. A combination of research approaches, including archival study, observations and semi-structured interviews were conducted for collecting data and evidences by engaging with participants involved at various tiers in the post-disaster recovery and reconstruction. The CSFs are evaluated and analysed by tracking the decision-making process, examining resultant consequences and foreseeing onwards challenges. Findings Six salient CSFs for strengthening infrastructure recovery management after disasters are identified. Furthermore, the study shows how each of these CSFs have been incorporated into the decision-making process in support of the post-disaster recovery and what difficulties encountered in the recovery process when implementing. Practical implications The proposed CSFs provide a future reference and guidance to be drawn on by decision makers when project-managing post-disaster recovery operations. Originality/value The value of the paper is that it bridges the gap between managerial contexts and technical aspects of post-disaster recovery process in an effort to rapidly and efficiently rebuild municipal infrastructure.


Author(s):  
Veland Ramadani ◽  
Donika Zendeli ◽  
Shqipe Gerguri-Rashiti ◽  
Leo-Paul Dana

Purpose This paper aims to study and compare variables such as location, industry, socio-demographics and business factors of several companies located in Western Macedonia. Design/methodology/approach Research method is based on primary data the authors collected through questionnaires and secondary data obtained from State Statistical Office. Besides, the research sums up data classification of companies in the aspect of geomarketing and how location determinants and geo-information of certain cities can influence their business development and decision-making. Lastly, the results of data and Structural Equation Modeling integration are presented. Findings Since Republic of Macedonia is more than 25 years in transition, experts have often foreseen that companies in their country most of the time make intuitive decisions and do not take into account many elements during decision-making process in the business aspect. But on the other hand, results reveal interesting facts about companies involved in their research. For a majority of companies, the influence of geomarketing on business development is positive as long as during decision-making process its determinants have been taken into consideration and reviewed. Practical implications The paper helps the entrepreneurs to develop their businesses and decision-making process based on geomarketing determinants. Originality/value This is the first paper that investigates and compares variables such as location, industry, socio-demographics and business factors of companies located in Macedonia.


2020 ◽  
Vol 38 (5) ◽  
pp. 737-751
Author(s):  
M.F.F. Fasna ◽  
Sachie Gunatilake

PurposeThe success of energy retrofits (ER) projects is highly dependent on the involvement of right stakeholders at the right stage. So far, little insight is available from previous literature on the involvement of different stakeholders during various stages of the ER decision-making process, and their roles and functions in the respective stages. This is specifically true in the context of Energy Service Company (ESCO) led ER projects, which is an emerging trend in the current context. Hence, this paper aims to investigate the roles and functions of stakeholders during different stages of an ESCO-led ER project in the hotel sector.Design/methodology/approachAn in-depth case study was conducted in a selected hotel building to gain insights into the roles and functions of stakeholders throughout the project stages. To collect the required data, face-to-face semi-structured interviews were conducted with seven selected respondents within the case.FindingsThe study identified nine key stakeholders that were involved during five different project stages along with their functions. Based on these identified functions, four main roles (i.e. decision-maker, performer, monitor/observer, and supporter) emerged that were reflective of the nature of the stakeholders' involvement in different stages of the decision-making process. Owner/client, facilities manager (FM), ESCO and architect attached to ESCO emerged as the key “decision-makers” during project implementation process.Originality/valueThe outcomes of this research would be useful in ensuring the proactive involvement of all the identified stakeholders in respective project stages of ESCO led ER projects in the hotel sector.


2019 ◽  
Vol 17 (4) ◽  
pp. 371-384
Author(s):  
M.F.F. Fasna ◽  
Sachie Gunatilake

Purpose Despite their energy conservation potential, still existing buildings are slow in embracing building energy efficiency retrofits (BEER), mainly because of the absence of a clearly defined process to deliver the BEER projects, and the lack of proactive guidance for project teams. Further, the identification of factors that can facilitate BEER projects is also important to ensure the project success. This is particularly true in energy service company (ESCO)-led projects. Hence, this study aims at investigating the decision-making process, including the motivators for the successful execution of each stage in implementing BEER when projects are outsourced to a third party. Design/methodology/approach An in-depth case study was carried out to investigate the decision-making process and motivators in implementing BEER in a selected hotel building. Seven semi-structured interviews were conducted to collect the required data within the case. Findings Study disclosed the 13 key decisions made and 37 key activities performed in each stage of the project. A total of 19 motivators for the successful execution of the respective stages were also elicited. Ultimately, the research findings are mapped against the five key stages of BEER decision-making process. Originality/value The outcome of this study will provide the industry practitioners a basis for the effective adoption and implementation of BEER in existing hotel buildings when an external contractor is involved.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mairead Grimley ◽  
Kevin John Burnard

PurposeThis case study aims to explore the perceptions and attitudes towards risk within a UK local authority and the subsequent effects on decision-making. Through a qualitative analysis of both primary and secondary data, this study advances current understanding of the complex relationships between risk and decision-making. The study concludes by suggesting how local governments may better provide value to constituents.Design/methodology/approachThis research follows a single case study approach. Data were collected through both a focused online survey and semi-structured interviews. Respondents were selected through purposive sampling in order to capture direct insights and understanding of the concepts under consideration. The study focuses on a single local authority within the UK.FindingsBuilding on extant literature, this case study highlights both the individual and organisational considerations towards risk perception. Following the analysis of collected data, the study highlights the influence of risk aversion and public involvement within decision-making.Originality/valueBy aiming to improve and advance understanding of risk and decision-making in a local authority setting, the relevance of this research may be wider than internal organisational structures. The study provides recommendations for further research towards facilitating the inclusion of the citizen within decision-making processes.


2014 ◽  
Vol 18 (1) ◽  
pp. 85-106 ◽  
Author(s):  
Patsy Perry ◽  
Margarita Kyriakaki

Purpose – The purpose of this paper is to explore the decision-making process used by luxury fashion retail buyers in Greece in order to assess the applicability of Sheth's (1981) model to the selection of brands and collections by retail buyers in luxury fashion resellers. Design/methodology/approach – The study takes an interpretive approach, utilising participant observation and semi-structured interviews with retail buyers in five luxury fashion reseller companies in Greece, which boasts the world's highest proportion of luxury fashion consumers. Qualitative data were analysed thematically according to the theoretical constructs in Sheth's (1981) model of merchandise buyer behaviour. Findings – Brand reputation, quality, appropriateness for the market and exclusive distribution were the most important criteria for supplier selection. For evaluating merchandise, the most important criteria were design, style, fashionability and quality. The most relevant influencer of decision making in supplier selection was the competitive structure in terms of the power balance between retailer and brand. For merchandise selection, the most relevant influencing factors were retailer size, management mentality, product positioning and type of decision (re-buy or new task). Research limitations/implications – Due to the exploratory nature of the study and its focus on the context of a particular geographical marketplace, the findings may not be generalised to other countries. Originality/value – This paper provides an insight into the decision-making practice of retail buyers in Greek luxury fashion retailers, where the buying task involves balancing the retailer's commercial interests with a more cultural role in terms of shaping fashion trends and generating PR and publicity for the retailer. The task is further complicated by the power imbalance between retailer and brand, enabling brands to impose limitations on the buyer's decision. Additionally, the combined influence of shortening product life cycles, increasing product variety and the emergence of a new and younger luxury fashion consumer requires a shift from intuitive to scientific, data-driven decision making.


Author(s):  
Peng Nai ◽  
Yuqing Luo ◽  
Guang Yang

Purpose This study aims to propose a set of institutional frameworks, as well as practical polices and steps, with a view to facilitating the establishment of a unified carbon trading market in China. Design/methodology/approach Based on existing empirical studies and reviews of the socioeconomic contexts, this study followed a qualitative approach consisting of secondary data collection and analysis, semi-structured interviews to collect primary data and comparative analysis. Findings The establishment of a national carbon trading market in China is a systemic and complex process which requires coordination among various concerned government agencies and supporting mechanisms. Currently, the development of a unified national carbon market has been impeded by the lack of coordination among local pilot programs, and there is no specific law passed by the People’s Congress or by its Standing Committee to regulate the emerging carbon trading market. It is of vital importance for China, in terms of both practical and strategic aspects, to take a gradualist approach in establishing laws and institutions to guide and support the development of its emerging carbon market. Research limitations/implications This present study forms a part of a regional research project aiming to identify sound policy approaches for the establishment of a carbon trading market in China. Due to scope reasons, it focuses only on policy analysis and recommendations. Originality/value China’s emerging national carbon trading market has attracted much research attention. However, little has been done from the perspectives of legislations and policies.


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