A value-based taxonomy of improvement approaches in healthcare

2017 ◽  
Vol 31 (4) ◽  
pp. 445-458 ◽  
Author(s):  
Christian Colldén ◽  
Ida Gremyr ◽  
Andreas Hellström ◽  
Daniella Sporraeus
Keyword(s):  
Design Methodology ◽  
Healthcare Professionals ◽  
Management Practice ◽  
Healthcare Management ◽  
Patient Centered ◽  
Content Type ◽  
A Value ◽  
Centered Care ◽  
Organizational Focus

Purpose The concept of value is becoming increasingly fashionable in healthcare and various improvement approaches (IAs) have been introduced with the aim of increasing value. The purpose of this paper is to construct a taxonomy that supports the management of parallel IAs in healthcare. Design/methodology/approach Based on previous research, this paper proposes a taxonomy that includes the dimensions of view on value and organizational focus; three contemporary IAs – lean, value-based healthcare, and patient-centered care – are related to the taxonomy. An illustrative qualitative case study in the context of psychiatric (psychosis) care is then presented that contains data from 23 interviews and focuses on the value concept, IAs, and the proposed taxonomy. Findings Respondents recognized the dimensions of the proposed taxonomy and indicated its usefulness as support for choosing and combining different IAs into a coherent management model, and for facilitating dialog about IAs. The findings also suggested that the view of value as “health outcomes” is widespread, but healthcare professionals are less likely than managers to also view value as a process. Originality/value The conceptual contribution of this paper is to delineate some important characteristics of IAs in relation to the emerging “value era”. It also highlights the coexistence of different IAs in healthcare management practice. A taxonomy is proposed that can help managers choose, adapt, and combine IAs in local management models.

scholarly journals How could discourse theories of identity formation critically engage patient-centered care in older adults?

2018 ◽  
Vol 19 (3) ◽  
pp. 205-216
Author(s):  
Anna Horton ◽  
Simon Horton
Keyword(s):  
Older Adults ◽  
Older People ◽  
Identity Formation ◽  
Design Methodology ◽  
Patient Centered ◽  
Content Type ◽  
Clinical Encounters ◽  
Centered Care ◽  
Conceptual Paper

Purpose The purpose of this paper is to explore how discourse theories can contribute to the concept of identity formation within a patient- or person-centered care (PCC) orientation, to enable more critical engagement with PCC in older people. Design/methodology/approach This is a conceptual paper. Findings This paper concludes that the discourse literature has important insights for understanding identity formation in older people as operationalized in the context of PCC in three particular ways: accounting for multiplicity in patients’ identity; exploring “the devolution of responsibility” to address shifts in performing identities in clinical encounters; and attending to a “crisis of positioning” to engage empowerment discourse within a PCC philosophy. Originality/value Whilst a notion of patient identity is at the heart of PCC, the concept remains inconsistent and underdeveloped. This is particularly problematic for the quality of care in older adults, as PCC has become increasingly synonymous with care of older people. Discourse theories of identity formation can be used to critically engage with identity within the context of PCC, so as to develop more nuanced understandings of “the person” or “the patient,” with the potential to improve research into care for aging and older adults.

Time to rethink Norwegian maritime collaboration exercises

2017 ◽  
Vol 6 (1) ◽  
pp. 14-28 ◽  
Author(s):  
Elsa Kristiansen ◽  
Jarle Løwe Sørensen ◽  
Eric Carlström ◽  
Leif Inge Magnussen
Keyword(s):  
Emergency Response ◽  
Design Methodology ◽  
Structured Interviews ◽  
Content Type ◽  
Volunteer Organizations ◽  
Organizational Focus ◽  
National Significance ◽  
Civil Defence ◽  
The Military

Purpose This case study maps the perceived collaboration between public, private and volunteer organizations during maritime crisis work, with a substantive focus on communication, information flow and distribution of activities. The exercise studied was held in the far north in Norway. It was estimated to be Europe’s most extensive exercise in 2016. The paper aims to discuss these issues. Design/methodology/approach The data were collected through observations, semi-structured interviews and reviews of associated frameworks and evaluation reports. Data were collected simultaneously at five different sites. Findings The key findings showed an intra-organizational focus, a predominance of drills and different informal exercises instead of a cohesive exercise. This made evaluation difficult. Reasons for the fragmentation of the exercise appear to be the size of the exercise and the script. Research limitations/implications Generalization of findings is problematic as this study involved only one exercise. However, this study has national significance, as it involved 22 public, private and volunteer stakeholder organizations, including civil emergency response units, the military, the Norwegian Civil Defence, and major maritime volunteer organizations such as the Norwegian Society for Sea Rescue. Collaboration between actors suffered from the size of the exercise. A smaller exercise, less dependency on predetermined scripts, and more receptivity toward improvisation could improve collaboration. Originality/value The study shows how collaboration fails as an effect of strict agendas and scripts to accomplish an impressive but complex and oversized exercise.

“Wag the Dog” initiatives and the corporate immune system

2019 ◽  
Vol 28 (1) ◽  
pp. 109-127
Author(s):  
Roger Schweizer ◽  
Katarina Lagerström
Keyword(s):  
Immune System ◽  
Design Methodology ◽  
Single Case ◽  
Emerging Market ◽  
Content Type ◽  
A Value ◽  
Initiative Process ◽  
Subsidiary Managers ◽  
Practical Implications

Purpose This paper aims to contribute to the subsidiary initiative literature by studying the interaction between a headquarters and its subsidiary during an initiative process that has the potential to “wag the corporate dog” that is, for the global corporation’s promising subsidiary initiative in a strategically important emerging market to question the corporation’s prevailing schemata. Design/methodology/approach The longitudinal single case study draws on evidence from the Indian subsidiary of Swedish Volvo Bus and its efforts to introduce a value product in India. Findings The study argues that wag the dog initiatives provoke the corporate immune system independent of the initiative’s potential and the subsidiary’s autonomy and legitimacy. If the idea behind the wag the dog initiative is perceived as strategically important for the multinational corporation, then the corporate immune system tries to engulf – most likely unsuccessfully – the idea within the prevailing schemata. Failed attempts to engulf the initiative weaken the corporate immune system temporarily, thereby opening the organization to revitalization of the original initiative. Resistance, even though weakened, from the corporate immune system continues to exist. Practical implications Subsidiary managers need to avoid having their headquarters perceive an initiative as a wag the dog initiative by balancing their need to sell persistently the initiative with avoiding negative attention. Originality/value This study is a pioneer in explaining how the corporate immune system reacts towards wag the dog initiatives taken from subsidiaries in large emerging markets.

scholarly journals Providing healthcare through “value shops”: impact on professional fulfilment for physicians and nurses

2020 ◽  
Vol 25 (2) ◽  
pp. 127-136
Author(s):  
Christian Gadolin ◽  
Thomas Andersson ◽  
Erik Eriksson ◽  
Andreas Hellström
Keyword(s):  
Design Methodology ◽  
Healthcare Professionals ◽  
Qualitative Case Study ◽  
Quality Care ◽  
Healthcare Setting ◽  
Positive Outcomes ◽  
Care Provision ◽  
Quality Improvements ◽  
Content Type

PurposeThe purpose of this paper is to empirically explore and demonstrate the ability of healthcare professionals to attain professional fulfilment when providing healthcare inspired by “value shops”.Design/methodology/approachA qualitative case study incorporating interviews and observations was conducted.FindingsThe empirical data suggest that the professional fulfilment of both physicians and nurses is facilitated when care is organized through “value shops”. Both groups of professionals state that they are able to return to their “professional core”.Originality/valueThe beneficial outcomes of organizing healthcare inspired by the “value shop” have previously been explored in terms of efficiency and quality. However, the professional fulfilment of healthcare professionals when providing such care has not been explicitly addressed. Professional fulfilment is vital in order to safeguard high-quality care, as well as healthcare professionals' involvement and engagement in implementing quality improvements. This paper highlights the fact that care provision inspired by the “value shop” may facilitate professional fulfilment, which further strengthens the potential positive outcomes of the “value shop” when utilized in a healthcare setting.

The beginning of value co-creation: understanding dynamics, efforts and betterment

2017 ◽  
Vol 27 (6) ◽  
pp. 1145-1166 ◽  
Author(s):  
Tom Chen ◽  
Shirley Ou Yang ◽  
Cheryl Leo
Keyword(s):  
Design Methodology ◽  
Single Case ◽  
Diagnostic Value ◽  
Point Of View ◽  
Content Type ◽  
A Value ◽  
Micro Level ◽  
Current Value ◽  
Practical Implications

Purpose The purpose of this paper is to understand the beginning of value co-creation by uncovering the roles, efforts, and desired outcomes of employees and how they affect employees’ responses to their firm’s co-creation initiatives. Design/methodology/approach This study applies a single case study to explore micro-level processes at the beginning of value co-creation informed by a case about how a Taiwanese firm moved from a conventional to a co-creative business model. Findings The case study findings affirm nine subthemes that underlie three key themes: co-creation dynamics, efforts, and betterment. The authors provide a value co-creation framework that is informed by nine subthemes derived from interview data. Research limitations/implications Current literature on understanding value co-creation processes focuses on formalized co-creation processes which produce diverse and contextually dependent findings. The authors contribute to current value co-creation literature by offering convergent insights into the interplay of dynamics, efforts, and betterment experienced by employees transitioning to a value co-creation process. Practical implications The authors offer a diagnostic value co-creation checklist and propose three benefits of using the checklist, which can help managers mitigate the uncertainty that arises during the transition from a conventional to a co-creation firm. Originality/value The study responds to calls for research to investigate where and when the co-creation of value emerges, value co-creation behavior from employees’ point of view, and employees’ roles in the co-creation of value.

scholarly journals Storytelling: a co-creative process to support value-based leadership

2017 ◽  
Vol 9 (3/4) ◽  
pp. 484-497 ◽  
Author(s):  
Kristen Snyder ◽  
Christer Hedlund ◽  
Pernilla Ingelsson ◽  
Ingela Bäckström
Keyword(s):  
Sustainable Development ◽  
Organizational Culture ◽  
Data Collection ◽  
Creative Process ◽  
Design Methodology ◽  
Positive Impact ◽  
Data Collection Tool ◽  
Content Type ◽  
A Value

Purpose The purpose of this paper is to identify constraints and possibilities to develop a value-based leadership in manufacturing using storytelling as a co-creative method and process. Design/methodology/approach A multi-site case study was conducted in which storytelling was used as a data collection tool and co-creative process to explore dimensions in the company’s cultures that could provide a deeper understanding about the constraints and possibilities that exist for developing value-based leadership in manufacturing. Findings Storytelling has a positive impact on leadership and communication highlighting important aspects of the organizational culture to support sustainable development and innovation. Originality/value This study demonstrates how storytelling can be used by leaders in manufacturing to build cultures of innovation and sustainability. And identifies constrains and possibilities for developing value-based leadership.

Pathological test type and chemical detection using deep neural networks: a case study using ELISA and LFA assays

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Marzia Hoque Tania ◽  
M. Shamim Kaiser ◽  
Kamal Abu-Hassan ◽  
M. A. Hossain
Keyword(s):  
Intelligent Systems ◽  
Design Methodology ◽  
Deep Neural Networks ◽  
Healthcare Professionals ◽  
Content Type ◽  
Visual Knowledge ◽  
High Degree ◽  
Type Classification ◽  
Assay Detection

PurposeThe gradual increase in geriatric issues and global imbalance of the ratio between patients and healthcare professionals have created a demand for intelligent systems with the least error-prone diagnosis results to be used by less medically trained persons and save clinical time. This paper aims at investigating the development of image-based colourimetric analysis. The purpose of recognising such tests is to support wider users to begin a colourimetric test to be used at homecare settings, telepathology and so on.Design/methodology/approachThe concept of an automatic colourimetric assay detection is delivered by utilising two cases. Training deep learning (DL) models on thousands of images of these tests using transfer learning, this paper (1) classifies the type of the assay and (2) classifies the colourimetric results.FindingsThis paper demonstrated that the assay type can be recognised using DL techniques with 100% accuracy within a fraction of a second. Some of the advantages of the pre-trained model over the calibration-based approach are robustness, readiness and suitability to deploy for similar applications within a shorter period of time.Originality/valueTo the best of the authors’ knowledge, this is the first attempt to provide colourimetric assay type classification (CATC) using DL. Humans are capable to learn thousands of visual classifications in their life. Object recognition may be a trivial task for humans, due to photometric and geometric variabilities along with the high degree of intra-class variabilities, it can be a challenging task for machines. However, transforming visual knowledge into machines, as proposed, can support non-experts to better manage their health and reduce some of the burdens on experts.

Towards a taxonomy of intergenerational knowledge transfer practices

2018 ◽  
Vol 25 (2) ◽  
pp. 81-91
Author(s):  
Kerstin Kuyken ◽  
Mehran Ebrahimi ◽  
Anne-Laure Saives
Keyword(s):  
Knowledge Transfer ◽  
Comparative Study ◽  
Design Methodology ◽  
Qualitative Case Study ◽  
High Tech ◽  
Content Type ◽  
Case Study Design ◽  
Younger Workers ◽  
Intergenerational Knowledge

Purpose This paper aims to develop a better understanding of intergenerational knowledge transfer (IKT) practices by adopting a context-related and comparative perspective. Design/methodology/approach A qualitative case study design involving 83 interviews and non-participative observation in German and Quebec organizations has been chosen. Findings Two distinctive archetypes of IKT emerge from both national contexts: “we-individualizing” (Germany) and “I-connecting” (Quebec), leading to an eightfold taxonomy of IKT practices. Research limitations/implications This research is limited to young and senior workers and to high-tech sectors. Originality/value Comparative and inductive study of IKT, adaptation of IKT practices to national contexts, retaining younger workers. This inductive and comparative study allows a better adaptation of IKT practices to national contexts and therefore a better retention of younger workers.

Digital forensics and evolving cyber law: case of BIMSTEC countries

2019 ◽  
Vol 22 (4) ◽  
pp. 744-752
Author(s):  
Sisira Dharmasri Jayasekara ◽  
Iroshini Abeysekara
Keyword(s):  
Information Technology ◽  
Design Methodology ◽  
Digital Forensics ◽  
Content Type ◽  
Global Context ◽  
Study Approach ◽  
Legal Frameworks ◽  
Work Done

Purpose The purpose of this paper is to discuss the role of digital forensics in an evolving environment of cyber laws giving attention to Bay of Bengal Initiative for Multi-Sectoral Technical and Economic Cooperation (BIMSTEC) countries, comprising Bangladesh, India, Myanmar, Sri Lanka, Thailand, Nepal and Bhutan, in a dynamic global context. Design/methodology/approach This study uses a case study approach to discuss the digital forensics and cyber laws of BIMSTEC countries. The objective of the study was expected to be achieved by referring to decided cases in different jurisdictions. Cyber laws of BIMSTEC countries were studied for the purpose of this study. Findings The analysis revealed that BIMSTEC countries are required to amend legislation to support the growth of information technology. Most of the legislation are 10-15 years old and have not been amended to resolve issues on cyber jurisdictions. Research limitations/implications This study was limited to the members of the BIMSTEC. Originality/value This paper is an original work done by the authors who have discussed the issues of conducting investigations with respect to digital crimes in a rapidly changing environment of information technology and deficient legal frameworks.

scholarly journals Exploring producers' motivations and challenges within a farmers' market

2020 ◽  
Vol 122 (7) ◽  
pp. 2089-2103
Author(s):  
Rosario Michel-Villarreal ◽  
Eliseo Luis Vilalta-Perdomo ◽  
Martin Hingley
Keyword(s):  
Design Methodology ◽  
Farmers Markets ◽  
Full Time ◽  
Structured Interviews ◽  
Farmers Market ◽  
Content Type ◽  
Food Supply Chains ◽  
Part Time ◽  
Short Food Supply Chains

PurposeThe purpose of this study is to explore food producers' motivations and challenges whilst participating in short food supply chains (SFSCs). This paper compares findings with previous literature and investigates the topic in the context of producers' motivations.Design/methodology/approachThe paper includes a literature review concerning producers' motivations to engage in SFSCs. A case study was designed to investigate motivations underlying producers' engagement in SFSCs, as well as the challenges that they face. Semi-structured interviews were conducted in a farmers' market located in Mexico. Thematic analysis is used to identify the principal issues for producers'. Propositions based on findings are presented.FindingsFindings suggest that small, large, part-time and full-time producers are willing to engage with farmers' markets for diverse primary economic and non-economic motivations. Individual and collective challenges were also identified.Originality/valueThis research helps to explain producers' motivations and challenges within SFSCs in an under-researched context, namely a focus on producers' and in the Global South.

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