scholarly journals Measuring the efficiency of medical tourism industry in EU member states

2019 ◽  
Vol 26 (2) ◽  
pp. 115-130 ◽  
Author(s):  
Lorena Androutsou ◽  
Theodore Metaxas
Keyword(s):  
Member State ◽  
Medical Tourism ◽  
Health Indicators ◽  
Tourism Industry ◽  
Border Health ◽  
Hospital Discharges ◽  
Content Type ◽  
Eu Member States ◽  
Cross Border ◽  
The Cross

Purpose Under the Directive 2011/24/EU, medical tourism and cross-border health are interrelated terms regarding the freedom to move to get the most accessible medical treatment into EU Member State within the defined procedures for reimbursement. Little known empirically regarding the efficiency of the cross-border health/medical tourism industry. This study aims to measure its efficiency in Europe for the years 2010-2014, by using Data Envelopment Analysis (DEA). Design/methodology/approach Data obtained from OECD and the European Core Health Indicators (ECHI), which is collecting the data through Eurostat. Eurostat collects data on health-care activities and provides data on hospital discharges, including the hospital discharges of non-residents and these include hospital discharges of in-patients and day care patients. The analysis uses “DEA.P, 2.1 for windows” by Coelli (1996). Findings The results show that the Members States health systems were very efficient in handling non-residents in-patients; however, when managing day cases/outpatients, the efficiency scores dropped. Practical implications The findings would have significant associations affecting intentions to revisit clinics and the destination country. In addition, will be useful to those seeking a better understanding of the cross-border health and medical tourism industry efficiency. Originality/value Extending the findings of the European Commission report (2015c) by examining how well medical tourists are informed about the decision they are making, would be of perceived value. These are important indicators at European level by helping each Member State to measure its medical tourism services.

scholarly journals Digital Content Portability and its Relation to Conformity with the Contract

2021 ◽  
Vol 15 (1) ◽  
pp. 53-84
Author(s):  
Pavel Koukal
Keyword(s):  
Member State ◽  
European Commission ◽  
Digital Content ◽  
Member States ◽  
Eu Member States ◽  
Cross Border ◽  
Consumer Rights ◽  
Legislative Proposals ◽  
Scope Of Application ◽  
The Cross

In this paper the author analyses the possible convergences and divergences of two current legislative proposals of the European Commission: the Portability Regulation and the Digital Content Directive. Both proposals address the issue of access to digital content from different perspectives and complement each other, although they use different legal terminology and in some respects have a different scope of application in the question of cross-border portability of the digital content provided for monetary counter performance to consumers. The Portability Regulation focuses on the cross-border portability of digital content [Art. 3 (1) Portability Regulation), while the Digital Content Directive specifies the consumer rights related to the distribution of digital content and subsumes the accessibility of digital content under the concept of “conformity of the digital content with the contract” [Art. 6 (1), (2) Digital Content Directive). The author aims to answer whether a consumer who is not allowed to use the digital content in EU Member States besides the Member State of his residence will be entitled to pursue claims arising from the non-conformity of the digital content with the contract.

Mergers and acquisitions in Morocco: reality and perspectives

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mohammed Ibrahimi ◽  
Jalal Eddine Liassini
Keyword(s):  
Mergers And Acquisitions ◽  
North Africa ◽  
Trade Agreements ◽  
Sub Saharan Africa ◽  
The Political ◽  
African Region ◽  
Content Type ◽  
Political Variable ◽  
Cross Border ◽  
The Cross

PurposeThe purpose of this article is to address certain gaps and contribute to enriching the literature on mergers and acquisitions (M&A) in Africa; describe the phenomenon taking into account the particularity of the country; address recommendations to public policies and investors and make this article a ground-breaking article on research into the phenomenon of the M&A market in North Africa.Design/methodology/approachWith description and an exploratory intention, the authors develop phenomenon driven research. As appropriate phenomenon driven research, the authors focus on characteristics of Moroccan M&A market. The authors use scientific investigation to provide descriptions and explanations of the phenomena in order to add a new perspective to the M&A literature in North African region. The authors work on the particularity of companies in Morocco, typology of M&A, geographic areas, socio-economic indicators, trade agreements, politics and culture.FindingsUnderstand that the phenomenon of domestic M&A is a phenomenon of big cities and knows the participation of small and medium enterprises. The political variable, the trade agreements and the socio-economic weight of the countries influence the cross-border M&A in to out. Sharing a border and common culture has no impact on cross-border M&A but the history of colonization has an impact.Research limitations/implicationsThe scientific contribution is first an extension of the neoclassical theory on the initiation of M&A operations. Throughout these 29 years of history, the existence of external shocks such as regulations has influenced the activity of M&A operations. Privatization, partial opening of sectors to foreign investment tax incentives have contributed to the realization of M&A operations.Practical implicationsThis paper also has an economic and practical contribution, as it informs about the absence of M&A operation in the agriculture and agri-food sector in Sub-Saharan Africa. This region recognizes a food shortage that will increase by 70–100% between 2010 and 2050 with a strong population growth. The authors also note that regulations, royal directives, influence the activity and geographic choices of M&A. The political variable remains decisive for the cross-border M&A activity between Morocco and Algeria, but encourages acquisitions in countries in West and Central Africa.Originality/valueM&A research in Africa is poor and suffers from several shortcomings; these barriers push researchers to produce fewer papers on this phenomenon. Through data collection, description and explanation, the authors tried to produce a paper focusing on the M&A phenomenon in a country in North Africa. To the authors’ knowledge, no article has dealt with this phenomenon in this country which is known for its strong M&A activity.

A framework for knowledge retention to support business continuity in the cross-border mergers of the telecommunications industry in Lesotho

2022 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Tahleho Tseole ◽  
Ngoako Solomon Marutha
Keyword(s):  
Policy Development ◽  
Telecommunications Industry ◽  
Knowledge Retention ◽  
Business Continuity ◽  
Content Type ◽  
Staff Members ◽  
Cross Border ◽  
The Cross ◽  
Amount Of Knowledge ◽  
Sphere Of Influence

Purpose The purpose of this study is to investigate a framework for knowledge retention to support business continuity in cross-border mergers of the telecommunications industry in Lesotho. Design/methodology/approach This study applied a qualitative case study, with data collected through interviews from a purposively selected sample of staff members who held managerial positions. Information in this study was partially extracted from the PhD thesis of Dr Tseole ET supervised by Prof Ngulube P at the University of South Africa completed in 2021. Findings The study discovered that a considerable amount of knowledge may have been lost because employees who either left the organisation or those who were apparently forced to resign during the process had left without any proper knowledge retention arrangements. Research limitations/implications The framework proposed in this study may be used in framing future studies as a theoretical framework. The study also provides new literature for review and discussion of background in future related studies. Practical implications The framework provided in the study may be used as a benchmark in the knowledge management industry and/or organisations for policy development or improvements and implementation of knowledge retention strategies. Social implications Through recommendations and framework provided by this study, organisations will be able to improve their services to their sphere of influence in the surrounding communities. So, community will be receiving an improved and good service at all the times. Originality/value A framework for facilitating knowledge retention in the cross-border mergers of the telecommunications industry is therefore proposed and the researchers believe it will be helpful to the organisation for improving knowledge retention going forward, particularly in the merger process.

Disaster communication

2019 ◽  
Vol 2 (3) ◽  
pp. 241-259
Author(s):  
Alicia Mason ◽  
Lynzee Flores ◽  
Pan Liu ◽  
Kenzie Tims ◽  
Elizabeth Spencer ◽  
...  
Keyword(s):  
Social Media ◽  
Crisis Communication ◽  
Medical Tourism ◽  
Tourism Industry ◽  
Small Scale ◽  
Data Set ◽  
Content Type ◽  
Disaster Communication ◽  
The Caribbean ◽  
Post Disaster

Purpose The purpose of this paper is to understand the crisis communication strategies used by the Caribbean medical tourism industry in the 2017 hurricane season, and also evaluate the quality of the disaster communication messages delivered via digital mediums. Design/methodology/approach This study includes a comprehensive, qualitative content analysis of 149 risk and crisis messages from 51 healthcare organizations distributed through digital media. The medical tourism providers (MTPs) include hospitals, medical tourism facilitators, practitioners/private physicians, specialty clinics, and dental and cosmetic providers. Findings Nearly half of the MTPs included in the data set delivered no post-disaster information to external audiences. The most prominent post-disaster message strategy utilized was conveying operational messages. Furthermore, an unexpected finding was the sheer magnitude of unrelated health-oriented and promotional destination marketing content disseminated before, during and after these events. Research limitations/implications This analysis excludes internal organizational channels of communication which may have been used to communicate risk and crisis messages during these events (i.e. employee e-mails, announcements made through intercom systems, etc.). Our analysis does not include content disseminated through medical tourism forums (i.e. Realself.com, Health Traveler’s Forum, FlyerTalk Forum). Practical implications Small-scale MTPs can improve on any weaknesses through proactive planning and preparation by creating organizational goals to complete basic crisis communication training courses and in doing so support the applied professional development of disaster and crisis responders in the Caribbean region. Second, MTPs exposed to similar risks of natural disasters may use these findings for comparative analysis purposes to support their own organizational planning. Finally, this study supports the continued utility of the National Center for Food Protection & Defense guidelines for analyzing and evaluating organizational performance. Originality/value Currently much of the academic scholarship of applied disaster communication narrowly focuses on the response strategies of one organization, or analyzes one social media platform at a time (i.e. Twitter). A strength of this analysis is the inclusion of an organizational sector (i.e. Caribbean medical tourism providers) and the range of platforms from which the content was captured (e.g. websites, org. blogs and social media networks).

E-commerce gives exporters greater access to China

2019 ◽  
Keyword(s):  
Government Policy ◽  
Rapid Growth ◽  
Consumer Goods ◽  
Overseas Chinese ◽  
Chinese Consumers ◽  
Content Type ◽  
Cross Border ◽  
The Cross

Subject Cross-border e-commerce in China. Significance Cross-border e-commerce allows consumer goods companies outside China to sell directly to Chinese consumers without a formal legal presence in China. Government policy has supported the rapid growth of this industry while cracking down on unofficial channels. Impacts Consumer goods that cannot otherwise be sold in China can be sold through the cross-border e-commerce channel. Chinese e-commerce companies are increasing emphasis on their cross-border e-commerce platforms. Sales to overseas Chinese who resell products in China will become less important to well-known brands.

India-Pakistan tensions up regional geopolitical risk

2016 ◽  
Keyword(s):  
South Asia ◽  
Security Policy ◽  
Prime Minister ◽  
Terrorist Attack ◽  
Security Forces ◽  
Content Type ◽  
Cross Border ◽  
Conventional Weapons ◽  
The Cross

Subject Outlook for India-Pakistan ties. Significance The cross-border raid conducted on the night of September 28-29 by Indian security forces apparently inside Pakistan-held Kashmir in response to a terrorist attack in Kashmir represents a continuation of a newly assertive neighbourhood security policy by India's Prime Minister Narendra Modi. Pakistan has denied such a strike took place, claiming it was only a case of border firing. Impacts Another India-Pakistan war (although unlikely) would involve conventional weapons. Delhi's military move will virtually eliminate bilateral commercial and cultural ties. Beijing and Washington's leverage to prevent an escalation in South Asia may prove insufficient.

scholarly journals The identity and role of stakeholders in the medical tourism industry: state of the art

2020 ◽  
Vol 75 (3) ◽  
pp. 559-574 ◽  
Author(s):  
Ahmed Kamassi ◽  
Noor Hazilah Abd Manaf ◽  
Azura Omar
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Medical Tourism ◽  
Tourism Development ◽  
Tourism Industry ◽  
Decision Making Process ◽  
Care Providers ◽  
Content Type ◽  
Key Stakeholders

Purpose This paper aims to address and identify the major stakeholders in the medical tourism industry, based on their participation in medical tourism activities and their support for medical tourism development. Design/methodology/approach This paper systematically reviews the content of medical tourism studies from literature to identify key stakeholders and address the roles they play in the medical tourism industry. Findings This study shows that the key stakeholders in the medical tourism industry are eight, namely, medical tourists, health-care providers, government agencies, facilitators, accreditation and credentialing bodies, health-care marketers, insurance providers and infrastructure and facilities. These stakeholders strongly influence medical tourists’ decision-making process in seeking medical treatment abroad. Besides, a successful medical tourism development depends greatly on the excellent partnership between all stakeholders. Practical implications This paper sheds light on the crucial role of these stakeholders that can be an important consideration in medical tourists’ decision-making process and industry growth. The study can facilitate policymakers in designing and developing policies to improve medical tourism practices. Originality/value This paper expands the knowledge about medical tourism literature by identifying and explaining the significant role of each stakeholder in the industry. The results of this paper are quite revealing to all practitioners in terms of the potential strategies and medical tourism growth. The study establishes a foundation for future medical tourism research in the rapidly growing industry.

Digital competence of a teacher involved in the implementation of a cross-border lesson for classrooms in Brazil and Chile

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Masami Isoda ◽  
Soledad Estrella ◽  
Diana Zakaryan ◽  
Yuriko Baldin ◽  
Raimundo Olfos ◽  
...  
Keyword(s):  
Learning Environment ◽  
Information And Communication Technologies ◽  
Lesson Study ◽  
Lesson Plan ◽  
Primary School Teacher ◽  
Digital Competence ◽  
Content Type ◽  
Cross Border ◽  
Study Methodology ◽  
The Cross

PurposeThe purpose of this study was to examine the digital competence displayed by a primary school teacher who implemented an interdisciplinary cross-border lesson that was designed with the lesson study methodology and involved two countries: Brazil and Chile.Design/methodology/approachA qualitative methodology was adopted via the case study method through which the case of a sixth-grade Chilean teacher participating in the study was documented. The data were collected through a lesson plan, a videotape of the implemented lesson and a questionnaire. A professional digital competence framework for teachers provided an analytical perspective via data analysis.FindingsThe results show that the teacher displayed digital competence in a synchronous collaborative learning environment in which she had time to reflect on the educational value of technology and appropriate teaching methods involving information and communication technologies. Certain elements of the studied case contributed to this performance, namely the cross-border context, the classroom setting and the collaborative Lesson Study methodology.Practical implicationsThe lesson study methodology facilitated the teacher's performance in the “Pedagogy and didactics” digital competence by enabling her to participate in planning and implementing a lesson that allowed all those who collaborated, including teachers and researchers, to reflect on teaching in a digital learning environment.Social implicationsThe cross-border context, which involved co-designing and implementing a lesson in two countries, allowed the teacher to display her “School in society” and “Ethics” competencies. This was achieved through connecting two classrooms with different languages and cultures digitally and synchronously, thereby providing students the opportunity to debate and participate in a global and local problem such as a country's responsibility for energy consumption.Originality/valueModern society requires the transformation of school practices, and new teaching approaches should include the provision of collaborative spaces that incorporate digital technologies. In this sense, this paper shows that cross-border lessons involving a synchronous learning environment offer a potential alternative, as digital teaching competence enables teachers to bring together different social and cultural groups virtually, thereby contributing to the reduction of social gaps and to the promotion of positive identity among less advantaged students.

The impact of cross-border knowledge management on internationalizing Renminbi: lessons from the belt and road initiative

2021 ◽  
Vol 26 (1) ◽  
pp. 257-267
Author(s):  
Bin Yu ◽  
Huimin Liu ◽  
Huifang Cheng ◽  
Peng Gao
Keyword(s):  
Knowledge Management ◽  
Cross Cultural ◽  
Risk Governance ◽  
Management Mechanism ◽  
Exogenous Shock ◽  
Content Type ◽  
Cross Border ◽  
The Cross ◽  
The Impact ◽  
Rmb Internationalization

Purpose In the process of Renminbi (RMB) internationalization, the heterogeneity and complexity in knowledge under the multicultural contexts have been considered as important factors that can have profound impacts on the cross-border flow of the RMB currency. Moreover, COVID-19, an exogenous shock, also triggers more in-depth reflection on the relationship between cross-border knowledge management and the financial risk governance. In addition, the needs to effectively respond to global risks and crises prompt the necessity in systematically establishing an effective cross-border knowledge management mechanism and innovatively solidifying the knowledge bases needed for the further internationalization of the RMB. Design/methodology/approach Based on the analysis on the current status of the RMB internationalization, this paper qualitatively explores some major challenges and difficulties encountered in the process of RMB internationalization from the perspectives of knowledge management and cross-cultural theories. To effectively mitigate these challenges and difficulties, discussions and recommendations centered on three main aspects: cross-cultural management; cognition; and innovation for the further development of the RMB internationalization are also presented in this paper. Findings Based on the analysis on the cross-border knowledge management and cross-cultural perspectives, this paper identifies three major challenges and difficulties that the RMB internationalization is encountering, including: cultural heterogeneity and its adverse impacts on the communication amongst economic entities; the existence of knowledge iceberg; and the difficulty it presents to cognition and financial innovation. Meanwhile, the authors also present recommendations on the development of the cross-border knowledge management mechanism for furthering the progress of internationalizing the RMB currency. Research limitations/implications From the perspective of cross-border knowledge management, this study not only elaborates on the recommendations aimed at further promoting the RMB internationalization but also provides reference and guidance for the state, central banks and commercial banks to play better roles in furthering the RMB internationalization. Originality/value This paper creatively integrates the micro knowledge management into the macro process of RMB internationalization, thoroughly discusses two main challenges and difficulties encountered in the process of RMB internationalization from the unique perspective of cross-border knowledge management under the multicultural contexts and provides relevant recommendations for RMB’s further internationalization. This study also enriches the exploration of knowledge management outcome variables and further expands the research field of knowledge management.

ECONOMIC GROWTH IN LOW-TECH AND MEDIUM-TECH INDUSTRIES OF THE CROSS-BORDER REGION «BLACK SEA»: LAWS AND PROBLEMS

2015 ◽  
Vol 10 (6) ◽  
pp. 265-271
Author(s):  
Мурава-Середа ◽  
Aurika Murava-Sereda ◽  
Цёхла ◽  
Svetlana Tsekhla ◽  
Павленко ◽  
...  
Keyword(s):  
Economic Growth ◽  
Black Sea ◽  
Tourism Industry ◽  
Border Region ◽  
High Tech ◽  
Innovation Development ◽  
Cross Border ◽  
Per Capita ◽  
The Cross ◽  
High Level

In the reseach the aprobation of proposed method is done based on the data of the cross-border region «Black Sea» by performing a comprehensive analysis of development of tourist and recreational complex ethnic regions, in the context of innovation development and clustering of economy. The first description of the innovation and clustering economic growth in the tourism industry of the cross-border region is presented. It was found that the growth of the cross-border region "Black Sea" is almost not associated with clustering and innovative development of the tourism industry of the cross-border region "Black Sea", but at the same time there is an absolute relationship with the level of employment in high-tech and medium-tech sectors of high level (0,91); positive relationship with population density (0,73), with business spending on science per capita (0,74), with government spending on science per capita (0,72).

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