scholarly journals PERSPECTIVES FOR COMPETITION IN THE HEALTHCARE INDUSTRY

2019 ◽  
Vol 26 (6) ◽  
pp. 1643-1648
Author(s):  
Yuliyan Velkov
Keyword(s):  
Value Creation ◽  
Large Scale ◽  
Active Role ◽  
Competitive Interaction ◽  
Patient Choice ◽  
Healthcare Industry ◽  
Healthcare Experiences ◽  
The Creation ◽  
The Individual

A paradox has been established in the modern healthcare industry - consumers can choose between many alternatives but with high uncertainty, while healthcare establishments have numerous possibilities, but they function in conditions of rigorous demand, globalization and large-scale technological efficiency. This requires a re-evaluation of the classical understanding of competition in value creation - healthcare effects (for patients) and financial gains (for the performance of medical and related activities). Today, competition can be explained as a competition for the creation, supply and realization of healthcare products and related services and goods. It is a dynamic process of competition and, in a more general sense, interaction between competing subjects under conditions of significant state interference. It reflects the modern perceptions of health, the improvement of biotechnology and pharmacy, the changed role of the patients - more and more informed, educated, active and united in thematic groups. For the realization with a focus on personal patient preferences, this embodies the characteristics of the interaction between the healthcare establishment and the patient. Competition integrates business logic and patient thinking. In the context of the concept of joint value creation, it covers the intense interactions between healthcare institutions and the individual. Competition in the healthcare industry is based on dialogue, access, risk assessment and transparency at every stage of value creation and realization. This is realized as a competitive interaction in the environment (network) from the influences of healthcare institutions and other producers of medical and non-medical services and goods, thematic associations and regulations. This is a rivalry in creating and offering healthcare products tailored to individual patient's views, preferences, expectations and financial capabilities. The prospects for a competitive race are a transition from competitiveness to competitive interaction. In parallel with the improvement of the operational efficiency of the medical institution, this imposes, the increasing individualization of the created healthcare products. This requires the development of an environment for shared healthcare experiences with the customer. Thus, the development of competition is connected with the realization of the competitive potential of the healthcare establishment through the prism of patient choice - joint creation of healthcare experience through many channels, through options, through transactions and at an appropriate price-to-experience ratio. Consequently, the competitiveness targeting passive patients in need of treatment is shifted from an effective healthcare establishment-to-patient interaction in order to jointly provide patient satisfaction. Competition is a race between dependant healthcare establishments; it is a rivalry between producers of healthcare effects interacting with patients among many environmental influences. Contemporary competition in the healthcare industry is a mechanism for jointly creating healthcare effects by interaction between a healthcare establishment and a patient with the active role of those in need of treatment. This is realized in the form of competition and co-operation in the course of the creation of individualized healthcare experiences. Competition combines a variety of subjective patient needs, medicinal product characteristics, and network experience qualities. As a guideline for improving competition, we can point to enhancing the quality of the environment, enhancing the possibility to take into account patient need heterogeneity, increasing adaptability to changes in demand, and enhancing capabilities to mobilize all potential competencies.

E-Collaborative Knowledge Construction

2011 ◽  
pp. 233-239 ◽  
Author(s):  
Bernhard Ertl
Keyword(s):  
Explicit Knowledge ◽  
Knowledge Society ◽  
Active Role ◽  
Traditional Learning ◽  
New Knowledge ◽  
Knowledge Age ◽  
Learning Scenarios ◽  
The Creation ◽  
The Individual

Knowledge has become an important factor in the success of organizations. Several authors reflect this in their use of terms such as knowledge society (e.g., Nonaka, 1994) or knowledge age (e.g., Bereiter, 2002). The role of knowledge has changed fundamentally with the development of a knowledge society. Knowledge is still an indispensable resource for the individual as well as for an organization, but the emphasis lies on the creation of new knowledge (see Nonaka, 1994). This change also has consequences for the individual acquisition of knowledge and, in turn, for learning. In traditional learning scenarios, knowledge was seen as a commodity that could be transferred directly from one brain to another. This resulted in an interaction between teacher and learner, in which the teacher had an active role and presented parts of his knowledge to the learners, who passively received and memorized them (see Ertl, Winkler, & Mandl, 2007). However, studies have shown that whilst learning by such presentations of explicit knowledge enabled learners to reproduce it in tests, they failed to transfer it to new situations and often failed to apply it in the creation of new knowledge—the knowledge learners acquired remained inert (Renkl, Mandl, & Gruber, 1996).

Could Patient Engagement Promote a Health System Free From Malpractice Litigation Risk?

2018 ◽  
pp. 431-454
Author(s):  
Massimo Miglioretti ◽  
Francesca Mariani ◽  
Luca Vecchio
Keyword(s):  
United States ◽  
Patient Engagement ◽  
Professional Education ◽  
Medical Malpractice ◽  
Large Scale ◽  
Active Role ◽  
The United States ◽  
Litigation Risk ◽  
Malpractice Litigation

In recent decades, medical malpractice litigation experienced a large-scale expansion in the United States as well as in Europe, involving both medical and surgical specialties. Previous studies have investigated the reasons why patients decide to sue doctors for malpractice and highlighted that adverse outcome, negative communication with doctors and seeking compensation are among the major reasons for malpractice litigation. In this chapter, patient engagement is discussed as a possible method for reducing the risks of doctors being sued for medical malpractice. The results of a first qualitative study underline how an active role for patients and their engagement in the treatment definition and execution could be a way to limit the occurrence of malpractice litigations. However, a second study noted that in Italy, many patients are still struggling to become involved in the process of their care. The authors discuss the role of professional education in promoting patient engagement in Italy.

Peace is Everything: An Examination of the Bahá’í Faith’s Concept of Peace

2020 ◽  
Vol 72 (3) ◽  
pp. 242-259
Author(s):  
Hoda Mahmoudi
Keyword(s):  
Science And Religion ◽  
Dynamic Effects ◽  
Baha'i Faith ◽  
The World ◽  
Peace And Security ◽  
The Creation ◽  
Global Peace ◽  
The Individual

This paper describes the central role of peace in the Bahá’í Faith. For Bahá’ís, peace begins at the level of the individual and migrates outward to the community, nation, and the world. The article explains how the Bahá’í Faith outlines a covenant – an agreement between Bahá’ís and between Bahá’ís and the world – made manifest in an Administrative Order in which the ascertainment of peaceful principles and the establishment of peaceful practices are developed. The paper explains how concepts like the oneness of humanity, the symbiosis between science and religion, and the unity of religion and God combine with ideals like justice, equality, and consultation to form a Bahá’í approach to the creation and maintenance of peace. Integration and disintegration – broad-structured, dynamic effects that shift societies and the world – will help to usher in two main aspects of a present and future Bahá’í order: the Lesser Peace and the Most Great Peace. The Lesser Peace is defined by the efforts of nations and international actors to form a broad-based, global peace. The Most Great Peace describes the arrival and ascendance of the Bahá’í Administrative Order, which will result in an unprecedented level of global peace and security.

Tumoral Drug Metabolism: Overview and Its Implications for Cancer Therapy

2005 ◽  
Vol 23 (1) ◽  
pp. 205-229 ◽  
Author(s):  
M. Michael ◽  
M.M. Doherty
Keyword(s):  
Cancer Therapy ◽  
Drug Metabolism ◽  
Large Scale ◽  
New Technologies ◽  
Drug Efficacy ◽  
Metabolizing Enzymes ◽  
Therapeutic Implications ◽  
Firm Data ◽  
The Individual

Drug-metabolizing enzymes (DME) in tumors are capable of biotransforming a variety of xenobiotics, including antineoplastics, resulting in either their activation or detoxification. Many studies have reported the presence of DME in tumors; however, heterogenous detection methodology and patient cohorts have not generated consistent, firm data. Nevertheless, various gene therapy approaches and oral prodrugs have been devised, taking advantage of tumoral DME. With the need to target and individualize anticancer therapies, tumoral processes such as drug metabolism must be considered as both a potential mechanism of resistance to therapy and a potential means of achieving optimal therapy. This review discusses cytotoxic drug metabolism by tumors, through addressing the classes of the individual DME, their relevant substrates, and their distribution in specific malignancies. The limitations of preclinical models relative to the clinical setting and lack of data on the changes of DME with disease progression and host response will be discussed. The therapeutic implications of tumoral drug metabolism will be addressed—in particular, the role of DME in predicting therapeutic response, the activation of prodrugs, and the potential for modulation of their activity for gain are considered, with relevant clinical examples. The contribution of tumoral drug metabolism to cancer therapy can only be truly ascertained through large-scale prospective studies and supported by new technologies for tumor sampling and genetic analysis such as microarrays. Only then can efforts be concentrated in the design of better prodrugs or combination therapy to improve drug efficacy and individualize therapy.

‘By Small Things Revealed’

2014 ◽  
Author(s):  
Martin Millett
Keyword(s):  
Active Role ◽  
Individual Study ◽  
Roman Britain ◽  
The Past ◽  
The People ◽  
Study Sites ◽  
The Individual ◽  
Small Things

The study of rural settlement in Roman Britain is undergoing a period of re-evaluation and change. In the past, work has focused on the individual study sites, especially villas. Now there is an increasing interest in the exploitation of whole landscapes, with an emphasis on the people who lived in them and the ways that they exploited the resources available to them. These trends are reviewed, and a case study is presented based on the author’s fieldwork in East Yorkshire. Given that the bulk of the population of Roman Britain lived in the countryside, emphasis is placed on understanding the active role of these people in creating the culture of Roman Britain.

Values, credibility, and ethics: public advocacy and conservation science

2019 ◽  
Vol 25 (1) ◽  
pp. 22
Author(s):  
Harry F. Recher
Keyword(s):  
Environmental Policies ◽  
Active Role ◽  
Natural World ◽  
Conservation Science ◽  
Global Environmental ◽  
The Creation ◽  
Ecologically Sustainable

While it is important for conservation scientists to advise government on policy, they need to do more than give advice. Conservation scientists need to be public advocates for the creation of economies that are ecologically sustainable. To achieve sustainability conservation scientists must assume a role of leadership in the development and application of global environmental policies. Not all scientists agree with advocacy, but advocacy for conservation of the natural world means creating an ethical world, a world where all generations and people as well as all other species can share the Earth’s resources. At present that world does not exist and conservation scientists need to take a more active role in its creation.

Fake friends: The illusionist revision of Western urbanology at the time of platform capitalism

Urban Studies ◽  
2019 ◽  
Vol 57 (5) ◽  
pp. 1105-1117 ◽  
Author(s):  
Ugo Rossi
Keyword(s):  
Economic Development ◽  
Value Creation ◽  
Economic Value ◽  
Original Formulation ◽  
Liberal Democracies ◽  
Close Relationship ◽  
Development Processes ◽  
The Creation ◽  
Policy Proposals

It is generally assumed that the so-called populist explosion that has swept across liberal democracies since 2016 has led to a crisis of neoliberal reason in its original formulation. Owing to the close relationship between cities and neoliberalism, the crisis of neoliberal rationality has significantly impacted what is defined here ‘Western urbanology’. This definition brings together influential apologists of the urban age and its entrepreneurialist potential, starting with Richard Florida and Edward Glaeser. In recent times, these authors have started revisiting their conceptions and related policy proposals, in response to the growing sense of dissatisfaction with mainstream theorisations of economic development that has been associated with the populist explosion of 2016. However, this article shows how their revisions are minimal, and fundamentally illusory, as these authors have glossed over the very foundations of capitalist societies, drawing a veil over the issue of economic-value creation within contemporary platform urbanism. After having critically assessed the trajectory of Western urbanology, the article concludes by arguing that a substantial revision of the role of contemporary urbanism in economic development processes would require interrogating the creation and capture of economic value in today’s capitalist societies.

Presentations of Authorship in Knowledge Organization

2020 ◽  
Vol 47 (6) ◽  
pp. 486-500
Author(s):  
Carlin Soos ◽  
Gregory H. Leazer
Keyword(s):  
Creative Process ◽  
Knowledge Organization ◽  
Personal Networks ◽  
Knowledge Organization Systems ◽  
The Creation ◽  
Legal Professional ◽  
The Individual ◽  
To Receive ◽  
Relational Representation

The “author” is a concept central to many publication and documentation practices, often carrying legal, professional, social, and personal importance. Typically viewed as the solitary owner of their creations, a person is held responsible for their work and positioned to receive the praise and criticism that may emerge in its wake. Although the role of the individual within creative production is undeniable, literary (Foucault 1977; Bloom 1997) and knowledge organization (Moulaison et. al. 2014) theorists have challenged the view that the work of one person can-or should-be fully detached from their professional and personal networks. As these relationships often provide important context and reveal the role of community in the creation of new things, their absence from catalog records presents a falsely simplified view of the creative process. Here, we address the consequences of what we call the “author-as-owner” concept and suggest that an “author-as-node” approach, which situates an author within their networks of influence, may allow for more relational representation within knowledge organization systems, a framing that emphasizes rather than erases the messy complexities that affect the production of new objects and ideas.

A good approach to neural and behavioural development but would be even better if set in a broader context

2008 ◽  
Vol 31 (3) ◽  
pp. 334-335
Author(s):  
Patrick Bateson
Keyword(s):  
Active Role ◽  
Attractive Feature ◽  
Behavioural Development ◽  
Infancy And Childhood ◽  
The Individual ◽  
The Brain

AbstractAn attractive feature of Neuroconstructivism, Vol. I: How the Brain Constructs Cognition is its emphasis on the active role of the individual in neural and behavioural development and the importance of the interplay with the environment. Certain aspects of development are omitted, however, such as specializations for the distinctive ecologies of infancy and childhood and the scaffolding-like features of behaviour seen during development. It was also a pity that so little credit was given to many scientists who have contributed to just those aspects of development on which the authors focus.

scholarly journals Selective Exposure

Communication ◽  
2011 ◽  
Author(s):  
Hans-Bernd Brosius ◽  
Christina Peter
Keyword(s):  
Mass Communication ◽  
Online Communication ◽  
Active Role ◽  
Selective Exposure ◽  
Media Content ◽  
Media Messages ◽  
Selection Processes ◽  
The Individual ◽  
External Stimuli

The basic assumption in the study of selective exposure is that people expose themselves to external stimuli in a selective way. When referred to the area of mass communication, this means that people choose certain types of media content and avoid other types. Although this fact may sound rather trivial, it is important in understanding the effects of mass communication because it is our common understanding that people can only be influenced by media messages to which they actually expose themselves. Therefore, the selective exposure concept emphasizes the active role of the individual in the selection of media content. Research into this phenomenon is undertaken in the fields of both psychology and communication studies. Basically, there are two major trends in this research. Most studies focus on factors that lead to selective exposure or that mediate this process, whereas other studies deal with the consequences of selective exposure to information processing. The selection processes have also been examined in different contexts, such as in political or online communication.

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