Why understanding what matters to the patient matters

2017 ◽  
Vol 25 (1) ◽  
pp. 17-25 ◽  
Author(s):  
Karen D. Patterson

Purpose The purpose of this paper is to explore the evolving of integrated care, focussing on developments in why what matters to the patient matters and how to better understand the value the patient brings to and anticipates from integrated care. Design/methodology/approach A descriptive piece that draws on relevant research findings, literature, reports and health policy. Findings Although integrated care is a contemporary policy agenda, it is bringing back to the forefront the benefits of a population health planning approach. The shift in the health systems focus from inward looking to outward looking is promising, albeit has taken 25 years and is still evolving. Leadership is being demonstrated, however, a shared vision is elusive and not all voices are being heard. The development of a narrative that defines integrated care from the patient’s point of view is an important step. Next is better understanding the immediate and anticipatory public value integrated care offers. Originality/value This is a novel perspective of an enduring health reform policy concept. Currently the literature is thin.

2014 ◽  
Vol 22 (2) ◽  
pp. 32-38
Author(s):  
John P. Sloan

Purpose – The purpose of this paper is to describe lessons learned from a homecare practice for frail elderly people. Design/methodology/approach – It is strictly a description of a point of view in respect of care of frailty designed to avoid institution. Findings – Generally, frail elderly patients choose care focused on comfort and function as opposed to the traditional systematic healthcare goals of rescue and prevention. This choice should be respected. Research limitations/implications – There are no formal research findings. Practical implications – Cost-saving as well as improvement in care is possible through team-based relationship-oriented homecare of the frail elderly where that care emphasizes comfort and function. Originality/value – This paper is authored by Dr John Sloan and is entirely original.


2017 ◽  
Vol 25 (2) ◽  
pp. 103-108 ◽  
Author(s):  
Vesa Taatila

Purpose The purpose of this paper is to widen the discussion about the ongoing paradigm shift in global higher education. Design/methodology/approach The paper discusses and gives examples on several major changes and potential future developments within higher education. Findings Several major changes have taken place within higher education in a short time. Financial restraints leading to shorter accountability periods, mass education and research, as well as increased competition through e-enhanced globalization, have changed the field of higher education profoundly. It simultaneously faces requirements to produce a higher level of competence, shorten the implementation periods and to offer this to an increasing number of participants with fewer resources. Thus, it should be considered if the mission of higher education institutions has changed and what that mission should be. Research limitations/implications The paper is written from a culturally limited point of view (Finland/Nordic countries/Europe) and does not rely on empirical research findings. Social implications The potential paradigm shift has major social implications globally. It may change the way we understand and operate higher education during the next few decades. Originality/value A lot of the presented ideas have been discussed before in other articles. However, the potential implications as a whole have not yet been adequately discussed in scientific processes.


2019 ◽  
Vol 75 (6) ◽  
pp. 1274-1297 ◽  
Author(s):  
Ixchel M. Faniel ◽  
Rebecca D. Frank ◽  
Elizabeth Yakel

Purpose Taking the researchers’ perspective, the purpose of this paper is to examine the types of context information needed to preserve data’s meaning in ways that support data reuse. Design/methodology/approach This paper is based on a qualitative study of 105 researchers from three disciplinary communities: quantitative social science, archaeology and zoology. The study focused on researchers’ most recent data reuse experience, particularly what they needed when deciding whether to reuse data. Findings Findings show that researchers mentioned 12 types of context information across three broad categories: data production information (data collection, specimen and artifact, data producer, data analysis, missing data, and research objectives); repository information (provenance, reputation and history, curation and digitization); and data reuse information (prior reuse, advice on reuse and terms of use). Originality/value This paper extends digital curation conversations to include the preservation of context as well as content to facilitate data reuse. When compared to prior research, findings show that there is some generalizability with respect to the types of context needed across different disciplines and data sharing and reuse environments. It also introduces several new context types. Relying on the perspective of researchers offers a more nuanced view that shows the importance of the different context types for each discipline and the ways disciplinary members thought about them. Both data producers and curators can benefit from knowing what to capture and manage during data collection and deposit into a repository.


2019 ◽  
Vol 47 (1) ◽  
pp. 39-54 ◽  
Author(s):  
Heleen Buldeo Rai ◽  
Sara Verlinde ◽  
Cathy Macharis

PurposeCurrently, it is unclear how omnichannel retailers can create a last mile offer that is both attractive and sustainable from an economic and environmental point of view. The purpose of this paper is to explore to which extent consumers are willing to adopt last mile options that are more sustainable and how these options should be composed to remain attractive.Design/methodology/approachTo this end, the authors surveyed a representative sample of Belgian consumers, using choice-based conjoint experiments, and analysed their preferences structures.FindingsConsumers’ preference goes out to free, next day delivery to an address of choice, on regular office hours during the week. However, when free delivery and return are offered, consumers are willing to collect their orders themselves or wait longer for their orders to arrive.Practical implicationsThe research findings are important for retailers that (plan to) operate an omnichannel model. For omnichannel retailers with a dense store network, the results indicate that consumers accept their store network as pick-up and return locations, allowing retailers to create a more efficient and sustainable supply chain in which their online and offline activities can be combined.Originality/valueThe research findings contribute to current literature and practice by combining “planet” and “profit” components of sustainability in last mile transport and applying it in the novel omnichannel environment.


Author(s):  
Marcin Lefik ◽  
Krzysztof Komeza ◽  
Ewa Napieralska-Juszczak ◽  
Daniel Roger ◽  
Piotr Andrzej Napieralski

Purpose The purpose of this paper is to present a comparison between reluctance synchronous machine-enabling work at high internal temperature (HT° machine) with laminated and solid rotor. Design/methodology/approach To obtain heat sources for the thermal model, calculations of the electromagnetic field were made using the Opera 3D program including effect of rotation and the resulting eddy current losses. To analyse the thermal phenomenon, the 3D coupled thermal-fluid (CFD) model is used. Findings The presented results show clearly that laminated construction is much better from a point of view of efficiency and temperature. However, solid construction can be interesting for high speed machines due to their mechanical robustness. Research limitations/implications The main problem, despite the use of parallel calculations, is the long calculation time. Practical implications The obtained simulation and experimental results show the possibility of building a machine operating at a much higher ambient temperature than it was previously produced for example in the vicinity of the aircraft turbines. Originality/value The paper presents the application of fully three-dimensional coupled electromagnetic and thermal analysis of new machine constructions designed for elevated temperature.


2015 ◽  
Vol 8 (4) ◽  
pp. 828-843 ◽  
Author(s):  
Gulnara Sharaborova ◽  
Derek H.T. Walker ◽  
Guinevere Gilbert

Purpose – The purpose of this paper is to provide a summary report and reflect on a recently passed PhD thesis (Sharaborova, 2014b) related to project management topics. Design/methodology/approach – This paper focussed on narrative reflection upon the completed doctoral journey. Findings – This paper presents the thesis findings, the research models, the guide in dealing with the early warning signs that developed as a result of this research and the contribution made to theory and practice. Research limitations/implications – Limitations of the research and the perspectives of the further diffusion of the research findings are considered. Originality/value – This TRN is a PhD candidate’s point of view as well as the opinions of the scientific research supervisors about the doctoral study and its outcome. The paper could be useful for novice researchers who wish to conduct their research and did not yet make a decision.


Author(s):  
Frank Lattuch ◽  
Patricia Dankert

Purpose Top-management teams often have no shared understanding of the organizational vision, or they find it unhelpful for decision-making due to its vague and uninspiring style. The purpose of this paper is to test a theory-based workshop to effectively develop a shared vision for organizational development and learning. Design/methodology/approach Based on the Collins and Porras (2008) vision framework, the authors tested a workshop design with top management teams. Findings The outlined vision workshop is a useful tool to develop a shared organizational vision in a systematic way. Originality/value This paper provides a practical approach to vision building that is relevant and shared by top management teams. Lessons drawn from the case analysis provide insights into the means by which organizations can shape their development through a compelling, guiding force.


2016 ◽  
Vol 29 (6) ◽  
pp. 1100-1131 ◽  
Author(s):  
Lee D. Parker ◽  
Deryl Northcott

Purpose – The purpose of this paper is to identify and articulate concepts and approaches to qualitative generalisation that will offer qualitative accounting researchers avenues for enhancing and justifying the general applicability of their research findings and conclusions. Design/methodology/approach – The study and arguments draw from multidisciplinary approaches to this issue. The analysis and theorising is based on published qualitative research literatures from the fields of education, health sciences, sociology, information systems, management and marketing, as well as accounting. Findings – The paper develops two overarching generalisation concepts for application by qualitative accounting researchers. These are built upon a number of qualitative generalisation concepts that have emerged in the multidisciplinary literatures. It also articulates strategies for enhancing the generalisability of qualitative accounting research findings. Research limitations/implications – The paper provides qualitative accounting researchers with understandings, arguments and justifications for the generalisability of their research and the related potential for wider accounting and societal contributions. It also articulates the key factors that impact on the quality of research generalisation that qualitative researchers can offer. Originality/value – This paper presents the most comprehensively sourced and developed approach to the concepts, strategies and unique deliverables of qualitative generalising hitherto available in the accounting research literature.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kirk Chang ◽  
Sylvain Max ◽  
Jérémy Celse

Purpose Employee’s lying behavior has become ubiquitous at work, and managers are keen to know what can be done to curb such behavior. Managers often apply anti-lying strategies in their management and, in particular, the role of self-awareness on lying intervention has drawn academic attention recently. Drawing on multi-disciplinary literature, this study aims to investigate the efficacy of self-awareness in reducing lying behavior. Design/methodology/approach Following the perspectives of positivism and deductive reasoning, a quasi-experimental research approach was adopted. Employees from Dijon, France were recruited as research participants. Based on the literature, different conditions (scenario manipulation) were designed and implemented in the laboratory, in which participants were exposed to pre-set lying opportunities and their responses were analyzed accordingly. Findings Unlike prior studies which praised the merits of self-awareness, the authors found that self-awareness did not decrease lying behavior, not encouraging the confession of lying either. Employees actually lied more when they believed other employees were lying. Practical implications This study suggests managers not to rely on employee’s self-awareness; rather, the concept of self-awareness should be incorporated into the work ethics, and managers should schedule regular workshops to keep employees informed of the importance of ethics. When employees are regularly reminded of the ethics and appreciate its importance, their intention of lying is more likely to decrease. Originality/value To the best of the atuhors’ knowledge, the current research is the first in its kind to investigate lying intervention of employees in the laboratory setting. Research findings have brought new insights into the lying intervention literature, which has important implication on the implementation of anti-lying strategies.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Anna Dubois ◽  
Lars-Erik Gadde ◽  
Lars-Gunnar Mattsson

Purpose The purpose of the paper is to describe and analyse the evolution of the supplier base of a buying firm and the reasons behind these changes. Design/methodology/approach The paper is based on a case study of the changes over 52 years in a sub-set of the supplier base of a firm manufacturing fork-lifts. Findings The study shows that some relationships feature substantial longevity. However, the duration of one-third of the total relationships is shorter than five years. There was considerable variation over time in the dynamics of the supplier base in terms of entries and exits of suppliers. Owing to this variation, research findings and conclusions in short-term studies are heavily dependent on the specific conditions at the time of the study. Finally, no less than one-fourth of the terminated supplier relationships were reactivated later. Research limitations/implications The study was designed in a time when purchasing was considered entirely from the perspective of the buying firm. Further studies, therefore, must increasingly emphasise the role of suppliers and the interaction in the buyer–supplier relationships, as well as the embeddedness in networks. Originality/value The findings of the study are unique in two ways. First, they are based on systematic observations over more than 50 years. Second, the study involves the purchases of 11 components representing different technical and economic features. The (few) previous studies are based on much shorter time periods and involves fewer suppliers/components. Moreover, the findings regarding re-activation of terminated relationships represent unique contributions.


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