Ambulante Notfallbehandlung in der Gesetzlichen Krankenversicherung – Eine empirische Analyse

2020 ◽  
Vol 69 (3) ◽  
pp. 203-231
Author(s):  
Thomas Kopetsch ◽  
Laura Steffen
Keyword(s):  
Emergency Service ◽  
Family Doctor ◽  
Negative Influence ◽  
Positive Influence ◽  
Political Agenda ◽  
Empirical Comparison ◽  
Hospital Outpatient ◽  
Empirische Analyse ◽  
Emergency Care System ◽  
Outpatient Departments

Abstract Reorganization of the office-based emergency care system is currently on the political agenda in Germany. Analysing the present situation, the present study makes an empirical comparison between usage of the office-based emergency service and of the competing hospital outpatient departments in different localities, also examining the possible reasons for the differences. Family doctor density was found to have a negative influence on the number of cases in hospital outpatient departments and a positive influence on the number of cases dealt with by the emergency service of the office-based physicians. Further, the number of hospitals in a county correlates positively with the cases in hospital outpatient departments.

Does Diversity in The Boardroom Add Value to a Firm?

2018 ◽  
Vol 18 (5) ◽  
Keyword(s):  
Firm Performance ◽  
Panel Data ◽  
Firm Size ◽  
Significant Influence ◽  
Negative Influence ◽  
Positive Influence ◽  
Future Research ◽  
Board Composition ◽  
Board Diversity

This study examines whether board diversity affects firm performance. We investigate this study using panel data of a sample of S&P 500 firms during a 12 year period. After controlling for industry, firm size, and other board composition variables, we find that all three board diversity variables of interest – gender, ethnicity, and age have a significant influence on firm performance. While ethnicity and age have a positive influence on firm performance, it was found that gender has a negative influence. Implications for future research are discussed.

Values in Science and the Erosion of Trust

2018 ◽  
Author(s):  
Inmaculada de Melo-Martín ◽  
Kristen Intemann
Keyword(s):  
Knowledge Production ◽  
Social Values ◽  
Stakeholder Involvement ◽  
Negative Influence ◽  
Political Agenda ◽  
Values In Science ◽  
Scientific Communities ◽  
Alternative Strategies ◽  
Political Values ◽  
The Public

This chapter considers another factor that plays a role in eroding the public’s trust in science: concerns about the negative influence of nonepistemic values in science, particularly in controversial areas of inquiry with important effects on public policy. It shows that the credibility of scientists can be undermined when the public perceives that scientists have a political agenda or will be biased by their own personal or political values. However, to assume that the best way to address this problem is try to eliminate such values from science altogether would be a mistake. Ethical and social values are necessary and important to knowledge production. Consequently, the chapter explores alternative strategies to increase transparency and stakeholder involvement so as to address legitimate concerns about bias and sustain warranted trust in scientific communities.

scholarly journals Concerns or Desires Post-Pandemic: An Extended MGB Model for Understanding South Korean Residents’ Perceptions and Intentions to Travel to China

2021 ◽  
Vol 18 (5) ◽  
pp. 2542
Author(s):  
Guanghui Qiao ◽  
Xiao-li Zhao ◽  
Luqi Xin ◽  
Seokchool Kim
Keyword(s):  
Mass Media ◽  
Latent Variables ◽  
Structural Equation ◽  
Mainland China ◽  
Negative Influence ◽  
Positive Influence ◽  
Extended Model ◽  
South Korean ◽  
Structural Relationships ◽  
China Post

In this study, we examined South Korean residents’ travel-related behavioural intention for mainland China post-COVID-19 using an extended model of goal-directed behaviour. To do so, we integrated South Korean residents’ perceptions of country image (PCI), mass media, and concerns about travel into the framework of the original model of goal-directed behaviour (MGB). Structural equation modelling was used to identify the structural relationships among the latent variables. The results show that mass media had a positive influence on South Korean residents’ perception of China’s image, a negative influence on residents’ concerns, and a positive influence on residents’ behavioural intentions for travel overseas. Meanwhile, PCI had a positive influence on residents’ attitude towards travel overseas. The theoretical and practical implications of the study are discussed.

scholarly journals Filling the void of family leadership: institutional support to business model changes in the Italian Industry 4.0 experience

2021 ◽  
Author(s):  
Marco Cucculelli ◽  
Ivano Dileo ◽  
Marco Pini
Keyword(s):  
Business Model ◽  
Industry 4.0 ◽  
Manufacturing Industry ◽  
Business Models ◽  
Institutional Support ◽  
Negative Influence ◽  
Positive Influence ◽  
External Support ◽  
Family Management ◽  
Family Leadership

AbstractWe examine whether the probability of innovating a company’s business model towards the Industry 4.0 paradigm is affected by external institutional support and family leadership. Industry 4.0 is the information-intensive transformation of global manufacturing enabled by Internet technologies aimed at reinventing products and services from design and engineering to manufacturing. Using a sample of 3000 firms from a corporate survey on the manufacturing industry in Italy, our results showed that family leadership has a significant positive influence on the adoption of Industry 4.0 business models, but only in terms of family ownership. By contrast, family management has a negative influence on the probability of adopting a new business model. However, this negative influence is almost totally offset by the presence of the Triple Helix, i.e. the external support by public institutions and universities, which counterbalances the lower propensity of family managers to adopt Industry 4.0 business models. This supporting role only occurs when institutions and universities act together.

scholarly journals Practice Patterns for Older Adult Patients With Advanced Cancer: Physician Office Versus Hospital Outpatient Setting

2019 ◽  
Vol 15 (1) ◽  
pp. e30-e38 ◽  
Author(s):  
Allison Lipitz-Snyderman ◽  
Coral L. Atoria ◽  
Stephen M. Schleicher ◽  
Peter B. Bach ◽  
Katherine S. Panageas
Keyword(s):  
Older Adult ◽  
Advanced Cancer ◽  
Odds Ratio ◽  
Hierarchical Modeling ◽  
Outpatient Setting ◽  
Adult Patients ◽  
Medicare Beneficiaries ◽  
Hospital Outpatient ◽  
Outpatient Departments ◽  
Retrospective Comparative Study

PURPOSE: A shift in outpatient oncology care from the physician’s office to hospital outpatient settings has generated interest in the effect of practice setting on outcomes. Our objective was to examine whether medical oncologists’ prescribing of drugs and services for older adult patients with advanced cancer is used more in physicians’ offices compared with hospital outpatient departments. METHODS: This was a retrospective comparative study. SEER-Medicare data (2004 to 2011) were used to identify Medicare beneficiaries diagnosed with advanced breast, colon, esophagus, non–small-cell lung, pancreatic, or stomach cancer. Between physicians’ offices and hospital outpatient departments, we compared use of selected likely low-value supportive drugs, low-value therapeutic drugs, chemotherapy-related hospitalizations, and hospice. We used hierarchical modeling to assess differences between settings to account for correlation within physicians. RESULTS: Compared with patients treated in a hospital outpatient department, those treated in a physician’s office setting were more likely to receive erythropoiesis-stimulating agents (odds ratio, 1.72; 95% CI, 1.53 to 1.94) and granulocyte colony–stimulating factors (odds ratio, 1.28; 95% CI, 1.18 to 1.38). For combination chemotherapy and nanoparticle albumin-bound–paclitaxel in patients with breast cancer, there was a trend toward higher use in physicians’ offices, although this was not statistically significant. Chemotherapy-related hospitalizations and hospice did not vary by setting. CONCLUSION: We found somewhat higher use of several drugs for patients with advanced cancer in physicians’ office settings compared with hospital outpatient departments. Findings support research to dissect the mechanisms through which setting might influence physicians’ behavior.

An experimental study of the influence of riblets on transition

1996 ◽  
Vol 315 ◽  
pp. 31-49 ◽  
Author(s):  
G. R. Grek ◽  
V. V. Kozlov ◽  
S. V. Titarenko
Keyword(s):  
Experimental Study ◽  
Three Dimensional ◽  
Negative Influence ◽  
Positive Influence ◽  
Linear Stage ◽  
Turbulent Transition ◽  
Transition Structures ◽  
Stage Transition ◽  
Tollmien Schlichting ◽  
Laminar Turbulent Transition

An experimental study of the effect of riblets on three-dimensional nonlinear structures, the so-called Λ-vortices on laminar-turbulent transition showed that riblets delay the transformation of the Λ-vortices into turbulent spots and shift the point of transition downstream. This result is opposite to the negative influence of such ribbed surfaces on two-dimensional linear Tollmien-Schlichting waves (the linear stage of transition). Thus, the ribbed surface influences laminar-turbulent transition structures differently: a negative influence on the linear-stage transition structures and a positive influence on the nonlinear-stage transition structures. It is demonstrated that transition control by means of riblets requires special attention to be paid to the choice of their location, taking into account the stage of transition.

scholarly journals Lagged Ensembles, Forecast Configuration, and Seasonal Predictions

2013 ◽  
Vol 141 (10) ◽  
pp. 3477-3497 ◽  
Author(s):  
Mingyue Chen ◽  
Wanqiu Wang ◽  
Arun Kumar
Keyword(s):  
Lead Time ◽  
Geographical Location ◽  
Seasonal Prediction ◽  
Skill Score ◽  
Negative Influence ◽  
Positive Influence ◽  
Prediction Skill ◽  
Ensemble Size ◽  
Seasonal Forecasts ◽  
Ensemble Forecasts

Abstract An analysis of lagged ensemble seasonal forecasts from the National Centers for Environmental Prediction (NCEP) Climate Forecast System, version 2 (CFSv2), is presented. The focus of the analysis is on the construction of lagged ensemble forecasts with increasing lead time (thus allowing use of larger ensemble sizes) and its influence on seasonal prediction skill. Predictions of seasonal means of sea surface temperature (SST), 200-hPa height (z200), precipitation, and 2-m air temperature (T2m) over land are analyzed. Measures of prediction skill include deterministic (anomaly correlation and mean square error) and probabilistic [rank probability skill score (RPSS)]. The results show that for a fixed lead time, and as one would expect, the skill of seasonal forecast improves as the ensemble size increases, while for a fixed ensemble size the forecast skill decreases as the lead time becomes longer. However, when a forecast is based on a lagged ensemble, there exists an optimal lagged ensemble time (OLET) when positive influence of increasing ensemble size and negative influence due to an increasing lead time result in a maximum in seasonal prediction skill. The OLET is shown to depend on the geographical location and variable. For precipitation and T2m, OLET is relatively longer and skill gain is larger than that for SST and tropical z200. OLET is also dependent on the skill measure with RPSS having the longest OLET. Results of this analysis will be useful in providing guidelines on the design and understanding relative merits for different configuration of seasonal prediction systems.

Performance risk factors in SME strategic planning

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Keyword(s):  
Strategic Planning ◽  
Financial Performance ◽  
Emerging Market ◽  
Negative Influence ◽  
Positive Influence ◽  
Content Type ◽  
Political Ties ◽  
Pertinent Information ◽  
Internal Stakeholders ◽  
Business Ties

Purpose This paper aims to review the latest management developments across the globe and pinpoint practical implications from cutting-edge research and case studies. Design/methodology/approach This briefing is prepared by an independent writer who adds their own impartial comments and places the articles in context. Findings This research paper concentrates on the links between SME financial performance, business ties, and political ties. Business ties were revealed to be the fundamental microfoundations of formal strategic planning (FSP), by significantly boosting firms' financial performance. However, political ties were revealed to be something to avoid, in emerging market like Turkey, due to their distracting negative influence of firm performance. SMEs can overcome some of the disadvantages of their size by involving positive influence external parties in strategic work, to support internal stakeholders. Originality/value The briefing saves busy executives, strategists and researchers hours of reading time by selecting only the very best, most pertinent information and presenting it in a condensed and easy-to-digest format.

Access to Medical Care for Children and Adolescents in the United States

PEDIATRICS ◽  
1990 ◽  
Vol 86 (5) ◽  
pp. 666-673 ◽  
Author(s):  
David L. Wood ◽  
Rodney A. Hayward ◽  
Christopher R. Corey ◽  
Howard E. Freeman ◽  
Martin F. Shapiro
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Children And Adolescents ◽  
The United States ◽  
Emergency Rooms ◽  
Community Clinics ◽  
Hospital Outpatient ◽  
Regular Source ◽  
Outpatient Departments ◽  
Source Of Care

To evaluate access to health care for American children and adolescents, a telephone survey of a national random sample of households was conducted in which 2182 children 17 years or younger were studied. Approximately 10% had no medical insurance; 10% had no regular source of care; and 18% identified emergency rooms, community clinics, or hospital outpatient departments as their usual site of medical care. Children who were uninsured, poor, or nonwhite were less likely to have seen a physician in the past year (P < .001), and uninsured children were less likely to have up-to-date immunizations. Logistic regression analyses revealed that poor, uninsured, or nonwhite children less frequently had a regular source of care; more frequently used emergency rooms, community clinics, and hospital outpatient departments as their regular providers; and more frequently encountered financial barriers to health care. Low-income or nonwhite children had much less access to care compared with children from more affluent or white families, independent of insurance status or health status.

scholarly journals PENGARUH BENCANA ALAM, PERUBAHAN IKLIM, DAN KUALITAS LINGKUNGAN TERHADAP JUMLAH KUNJUNGAN WISATAWAN MANCANEGARA KE INDONESIA

2019 ◽  
Vol 1 (4) ◽  
pp. 13
Author(s):  
Safitri Safitri ◽  
Alpon Satrianto
Keyword(s):  
Climate Change ◽  
Regression Analysis ◽  
Panel Data ◽  
Natural Disaster ◽  
Significant Influence ◽  
Research Result ◽  
Negative Influence ◽  
Positive Influence ◽  
Environment Quality ◽  
Research Goal

This research goal is looking for the effect of natural disaster, climate change, and environment quality to the amount of tourist visit to Indonesia. This research uses panel data from 2014 untill 2017, the data get from the related institutions, and uses multiple regression analysis. This research result: 1) Natural disaster has negative influence and it is not significant to tourist visit to Indonesia, 2) Climate change has positive and significant influence to tourist visit to Indonesia, and 3) Environment quality has positive influence and is not significant to the amount of torist visit to Indonesia.

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