Discursive strategies of self-promotion by doctors in online medical consultations in China: an e-commercialised practice

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Yu Zhang
Keyword(s):  
Evaluation System ◽  
Healthcare Services ◽  
Medical Discourse ◽  
Medical Consultation ◽  
Discursive Strategies ◽  
Online Mode ◽  
Starting Point ◽  
Mediated Discourse ◽  
New Perspective ◽  
Stereotypical Roles

Abstract The online mode of medical consultation has been gaining increasing popularity. Online medical consultation (OMC) in China is largely mediated through e-healthcare websites which are featured with an online evaluation system for patients and caregivers to assess OMC doctors’ service. The evaluation system facilitates an e-commercialised way for delivering healthcare services. It is of interest to study how doctors make efforts to promote themselves in the e-commercialised OMC practice, in particular how language is used to elicit positive comments and evaluations in doctors’ self-promotion. However, this, to my best knowledge, has not been studied. The present study thus examines discursive strategies for eliciting feedback by doctors who contribute to OMCs on a widely used e-healthcare website in China. By the approach of mediated discourse analysis, five strategies have been identified. These discursive strategies are discussed in relation to the disruption of stereotypical roles of doctor and patient and the influence of non-stereotypical positions on power relations between doctors and patients. This study provides a new perspective on doctor-patient relationship and serves as a starting point for further studying neoliberal medical discourse.

scholarly journals The Role of Value Stream Mapping in Healthcare Services: A Scoping Review

2021 ◽  
Vol 18 (3) ◽  
pp. 951
Author(s):  
Juan A. Marin-Garcia ◽  
Pilar I. Vidal-Carreras ◽  
Julio J. Garcia-Sabater
Keyword(s):  
Scoping Review ◽  
Healthcare Services ◽  
The United States ◽  
Environmental Indicators ◽  
Sustainability Indicators ◽  
Healthcare Sector ◽  
Value Stream Mapping ◽  
Value Stream ◽  
Starting Point

Lean healthcare aims to manage and improve the processes in the healthcare sector by eliminating everything that adds no value by improving quality of services, ensuring patient safety and facilitating health professionals’ work to achieve a flexible and reliable organization. Value Stream Mapping (VSM) is considered the starting point of any lean implementation. Some papers report applications of VSM in healthcare services, but there has been less attention paid to their contribution on sustainability indicators. The purpose of this work is to analyze the role of VSM in this context. To do so, a scoping review of works from recent years (2015 to 2019) was done. The results show that most applications of VSM reported are in the tertiary level of care, and the United States of America (USA) is the country which leads most of the applications published. In relation with the development of VSM, a heterogeneity in the maps and the sustainability indicators is remarkable. Moreover, only operational and social sustainability indicators are commonly included. We can conclude that more standardization is required in the development of the VSM in the healthcare sector, also including the environmental indicators.

scholarly journals Simple Emergency Triage (SET) – the new perspective on mass casualty incident triage

2020 ◽  
Vol 7 (2) ◽  
pp. 120-123
Author(s):  
Jerzy Jaskuła ◽  
Marek Siuta
Keyword(s):  
Personal Experience ◽  
Emergency Services ◽  
Statistical Data ◽  
First Aid ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Starting Point ◽  
Analysis And Synthesis ◽  
The Subject ◽  
New Perspective

The aim: Incidents with large number of casualties present a major challenge for the emergency services. Incident witnesses are always the first on scene. Authors aim at giving them an algorithm arranging the widely known first aid rules in such way, that the number of potential fatalities before the services’ arrival may be decreased. Material and methods: The authors’ main aim was creating an algorithm for mass casualty incident action, comprising elements not exceeding first aid skill level. Proceedings have been systematized, which led to creation of mass casualty incident algorithm. The analysis was based on the subject matter literature, legal acts and regulations, statistical data and author’s personal experience. Results: The analysis and synthesis of data from various sources allowed for the creation of Simple Emergency Triage (SET) algorithm. It has been proven – on theoretical level – that introducing an organized way of proceeding in mass casualty incident on the first aid level is justified. Conclusions: The SET algorithm presented in the article is of an implemental character. It may be a supplement to basic first aid skills. Algorithm may also be the starting point for further empirical research aimed at verifying its effectiveness.

Peer-to-peer word-of-mouth: word-of-mouth extended to group online exchange

2018 ◽  
Vol 42 (2) ◽  
pp. 176-190 ◽  
Author(s):  
Anat Toder-Alon ◽  
Frédéric F. Brunel
Keyword(s):  
Online Community ◽  
Word Of Mouth ◽  
Peer To Peer ◽  
Bulletin Board ◽  
Cross Sectional ◽  
Content Type ◽  
Social And Emotional ◽  
Starting Point ◽  
Online Exchange ◽  
New Perspective

Purpose The purpose of this paper is to investigate how peer-to-peer word-of-mouth (PPWOM) conversations evolve over time because of the dynamic social nature of the community in which they take place. Design/methodology/approach This study analyzed PPWOM conversations in an online community website for new and expectant mothers. Two data collection phases were undertaken during a four-year period. In phase I, messages were collected for a one-month period from five different bulletin boards (i.e. cross-sectional data) and at two points in time (i.e. semi-longitudinal). In phase II, a full longitudinal study was conducted, and the complete text of all messages of a newly formed bulletin board was captured for a nine-month period. The corpus of messages was examined in line with the basic tools of ethnomethodology and conversation analysis. Findings This research developed a typology of PPWOM genres and showed that these genres change over the community lifespan. The findings confirmed that the levels of social cohesiveness and the interaction communicative motives are the main factors that distinguish different PPWOM genres. Research limitations/implications This research has offered a new perspective into the study of PPWOM, and hopefully it will serve as a starting point for a broader dialogue regarding the social context in which PPWOM is exchanged. Originality/value In contrast to traditional word-of-mouth research, this study demonstrated that PPWOM conversations go much beyond the exchange of functional information, and instead serve numerous social and emotional goals.

A Comparative Study Oriented Tourism Advertisements in Turkey

2021 ◽  
pp. 611-632
Author(s):  
Barış Yetkin
Keyword(s):  
Cultural Context ◽  
Meta Analysis ◽  
Analysis Data ◽  
Tourism Promotion ◽  
Analytical Thinking ◽  
Starting Point ◽  
Epistemic Violence ◽  
The Media ◽  
The Republic ◽  
New Perspective

This study examines the orientalist influences in the media. Studies that determine the orientalist elements in media content in Turkey are not sufficient. In order to eliminate this deficiency, it was determined as the starting point of the research whether the orientalist stereotypes are still valid today and whether they contain epistemic violence. Based on this problem, some of the advertisements used in tourism promotion in the last 20 years within the framework of the official state policies of the Republic of Turkey are selected. Historical understanding and analytical thinking are adopted. In this direction, cultural context research is conducted using comparative case studies. It is aimed to find out whether the situation defined as self-orientalism in tourism promotion advertisements coincides with Western orientalist stereotypes. Thus, it is desired to provide a new perspective to researchers working on this subject and to present meta-analysis data.

Social marketing: an Islamic perspective

2019 ◽  
Vol 11 (4) ◽  
pp. 863-881 ◽  
Author(s):  
Mahamudul Hasan
Keyword(s):  
Social Marketing ◽  
Research Work ◽  
Critical Approach ◽  
Content Type ◽  
Muslim Countries ◽  
Starting Point ◽  
New Perspective ◽  
Conceptual Study ◽  
Marketing Principles ◽  
Marketing Intervention

Purpose The purpose of this study is to propose and develop a new perspective in Islamic Marketing by Integrating Islamic Marketing principles and the conventional Social Marketing discipline. Design/methodology/approach This is a conceptual study that is based on academic contributions gathered from the works of key academicians of Islamic Marketing and Social Marketing discipline. The author also presents personal viewpoints regarding the discipline. Conventional social marketing practices in various Muslim and non-Muslim countries have been studied with theoretical discussions. A critical approach has been applied in this study to assimilate Islamic marketing principles with existing social marketing theories. Findings The author proposes a distinct discipline of Islamic Marketing, which is termed as Islamic Social Marketing. The new discipline has been compared with conventional social marketing framework and practices to demonstrate its distinctive features. The critical analysis and discussion exhibit that the proposed new discipline has both similarities and dissimilarities with present social marketing theories and practices. Originality/value This study contributes to Islamic Marketing discipline by proposing a unique field that has been termed as “Islamic Social Marketing”. Although many studies have been conducted on Islamic marketing, the analysis of social marketing in light of Islamic Marketing principles remains clearly in a vacuum-like situation. The current research work is a starting point for academic discussions on this issue that can provide guidelines to develop social marketing intervention programs for Muslim-dominated societies and assist Islamic value-driven social marketing practitioners.

scholarly journals Implementation of lean in health care environments: an update of systematic reviews

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Rui M. Lima ◽  
José Dinis-Carvalho ◽  
Thiago A. Souza ◽  
Elisa Vieira ◽  
Bruno Gonçalves
Keyword(s):  
Health Care ◽  
Cultural Change ◽  
Structural Changes ◽  
Great Majority ◽  
Content Type ◽  
Strategic Objectives ◽  
Starting Point ◽  
Lean Tools ◽  
New Perspective ◽  
Production Organization

Purpose Even though the implementation of lean in health care environments is relatively recent, it has been receiving a lot of attention in recent years. Partly because of the fact that it is a recent field of practise and research and partly because the number of works developed in this field has grown rapidly, it is important to frequently update the perspectives on this field of investigation. Thus, this study aims to review the implementation of lean tools and techniques applied to hospital organizational areas in a five-year period, between 2014 and 2018, complementing some of the most relevant reviews already published. The most important criteria such as tools, methods and principles, hospital areas intervened, improvements and difficulties were assessed and quantified. Design/methodology/approach As starting point for this systematic literature review (SLR), a set of selected pre-existing review publications was used to support the current study and as the ground base for the expansion of the studies about lean health care. The current study contemplated 114 articles from a five-year period between 2014 and 2018. A subset of 58 of these articles was critically assessed to understand the application of lean tools and methods in different hospital areas. Findings The thorough analysis of selected articles show a lack of works in continuous improvement approaches when compared to the application of production organization methods, visual management and diagnosing and problem-solving tools. The reported improvement results demonstrate alignment with the principles and foundations of lean philosophy, but such results are presented in isolated initiatives and without robust evidence of long-term maintenance. Moreover, this study shows an evolution in the number of articles referring to lean implementation in hospital areas, but in its great majority, such articles report isolated implementations in different areas, not spreading those for the global organization. Thus, some of the main recommendations are the need to implement studies on complete flows of patients, drugs and materials, instead of isolated initiatives and strive to promote the cultural change of hospitals through structural changes, following new visions and strategic objectives, supported by real models of continuous structural and sustained improvement. Originality/value The current study develops a new perspective of the articles published under the thematic of lean health care, published in a recent period of five years, which are not completely covered by other works. Additionally, it explicitly applied, in an innovative way, an approach that used a set of previous reviews as the starting point for this SLR. In this way, it integrates approaches and categories from different SLRs, creating a framework of analysis that can be used by future researchers. Finally, it shows the most recent implementations of lean health care, exposing the current trends, improvements and also the main gaps.

The experiences of mothers caring for a child with developmental disabilities: a cross cultural perspective

2015 ◽  
Vol 8 (4) ◽  
pp. 218-232 ◽  
Author(s):  
Kuljit Heer ◽  
John Rose ◽  
Michael Larkin ◽  
Nidhi Singhal
Keyword(s):  
Developmental Disabilities ◽  
Focus Groups ◽  
Skills Training ◽  
Cross Cultural ◽  
Small Scale ◽  
Cultural Perspective ◽  
Content Type ◽  
Starting Point ◽  
New Perspective ◽  
The Uk

Purpose – India has one of the more progressive disability frameworks in the developing world which tends to adopt western philosophies and principles (e.g. parent participation and advocacy) which to some degree mirrors the type of service delivery in the UK. The purpose of this paper is to adopt a cross-cultural perspective to explore caregiving amongst parents caring for a child with intellectual/developmental disabilities in India. Design/methodology/approach – Three focus groups were used to interview parents at Action for Autism (AFA) located in Delhi, India. The focus groups explored how disability is encountered within an Indian context. Findings – Two main themes were identified in the parents narratives which were “making the decision to get help” and “seeing disabilities in from a new perspective”. Family members played an important role in the decision to get help and acted as a platform for mothers to explore their own concerns. Seeing disability from a new perspective was a four stage process which included initially accepting the diagnosis and their child; regaining control through parenting skills training; witnessing positive changes in their children and themselves and reaping personal benefits as a result of their involvement with AFA. Research limitations/implications – The research is very small scale and focused on parents in a specific organisation, as a consequence the results cannot be generalised. Originality/value – The discourses of these individuals do provide a useful insight into the provision of services to children in India and provide a starting point for cross-cultural understanding of parenting children with disabilities.

Youth gambling: A public health perspective

2005 ◽  
Author(s):  
Carmen Messerlian ◽  
Jeffrey L. Derevensky
Keyword(s):  
Public Health ◽  
Policy Development ◽  
Treatment Programs ◽  
Public Health Approach ◽  
Youth Gambling ◽  
Public Health Perspective ◽  
Future Directions ◽  
Starting Point ◽  
New Perspective ◽  
Support Research

Over the last decade research in the area of youth gambling has led to a better understanding of the risk factors, trajectories and problems associated with this behaviour. At the same time, governments have begun to recognize the importance of youth gambling and have offered to support research and treatment programs. Yet, public health and prevention in the realm of youth gambling has only recently drawn the attention of researchers and health professionals. Early work by Korn and Shaffer (1999) set the groundwork for a public health approach to gambling. This paper attempts to apply health promotion theory to youth gambling and describes a conceptual framework and model. Strategies focus on addressing risk and protective factors through community mobilization, health communication, and policy development. It is anticipated that this paper will provide future directions and serve as a starting point for addressing youth gambling issues from this new perspective.

The 2019 Social Protests in Latin America: Global Context and Ecuadorian Case-Study

2020 ◽  
Vol 12 (2) ◽  
pp. 7-43
Author(s):  
A. N. Pyatakov
Keyword(s):  
Latin America ◽  
Western Europe ◽  
Global Scale ◽  
Third Wave ◽  
Social Sphere ◽  
Online Mode ◽  
Starting Point ◽  
The Social ◽  
Social Protests ◽  
To Come

The paper examines the phenomenon of global social protests that spread in 2019 across more than 20 countries. The author considers the most striking manifestations of this phenomenon that occurred in the Middle East, North Africa, Western Europe, and Asia. The paper provides a periodization of several waves of anti-globalization movement in the 21st century, whereby the current global unrest represents the third wave. The author identifies specific features of each stage and outlines a growing trend towards politicization and exacerbation of violence. Particular emphasis is made on how the protests in Latin America developed in time and space, as they spread to at least eight states of the region: Haiti, Puerto Rico, Venezuela, Ecuador, Peru, Bolivia, Chile, and Columbia. In each country, protests were triggered by a peculiar set of internal factors which are not susceptible to easy generalization. In order to come nearer to the understanding of the new global phenomenon the author puts forward several socio-philosophical hypotheses. In particular, the possibility of internationalization of the French ‘yellow vests’ movement, its transfer and adaptation to other countries affected by protests, is noted. In that regard the paper outlines certain ‘channels’ for exporting the French protests to Latin America, including migration and cultural ties. The author stresses that although socio-economic explanations of the global protest phenomenon that focus on such issues as the growth of inequality and social polarization, are correct, they are insufficient for a comprehensive understanding of the new and complex phenomenon. As an alternative, the author suggests using the concept of ‘social singularity’. The paper considers the key features of this concept, including the idea that contemporary global social sphere is functioning in an online mode, allowing for increased speed of social interaction and communication on a global scale. Finally, the paper examines the causes and the development of the social unrest that broke out in Ecuador and served as a starting point for escalating the protest movement in Latin America in 2019.

scholarly journals Interactions between symphonies and film music in the œuvre of László Lajtha

2017 ◽  
Vol 58 (2) ◽  
pp. 239-253
Author(s):  
Viktória Ozsvárt
Keyword(s):  
Film Music ◽  
Visual Effects ◽  
Film Score ◽  
Common Features ◽  
The Third ◽  
Starting Point ◽  
Symphonic Orchestra ◽  
Way Of Thinking ◽  
New Perspective

In the case of Hungarian composer and ethnomusicologist László Lajtha (1892–1963) discovering the manifold potentials in a symphonic orchestra linked strongly with the composition of works for stage and screen. Nevertheless, it clearly makes sense to examine the long-term relations Lajtha had with the film as a genre, by searching for common features in the structure of his music composed for films and his symphonies. Much of the musical material in Lajtha’s Third Symphony is similar to those he used in his 1948 film music for Murder in the Cathedral. The similarity gains more complexity if one takes into consideration that the Third Symphony was marked by the composer as the starting point in a monumental, five-fold symphonic cycle composed through the 1950s. The article makes an attempt to explore the thematic and motivic relationship between the Third Symphony, the Variations and the film score Murder in the Cathedral by analysing the musical material and the structure, and by searching for correlation between the audible and visual effects of the music Lajtha used in the movie scenes. This kind of examination may offer a new perspective on the sources of inspiration that shaped Lajtha’s workmanship and it also gives some important information about his way of thinking about music.

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