The Dark Side of Medical Tourism?

Oncology ◽

10.4018/978-1-5225-0549-5.ch006 ◽

2017 ◽

pp. 203-215

Author(s):

Malcolm Cooper ◽

Mayumi Hieda

Keyword(s):

Decision Making ◽

Medical Tourism ◽

Medical Profession ◽

Human Security ◽

Healthcare Systems ◽

Dark Side ◽

Body Parts ◽

Medical Problems ◽

Cultural Behavior ◽

The Impact

There are 4 principles that should govern the response of the healthcare system in its treatment of individual medical problems. These may be summarized as: 1. medical care should be accessible to all; 2. the principle of patient autonomy should govern decision-making; 3. medical treatment should be recognized as being part of cultural behavior; and, 4. the medical profession should support the benefit of the patient. However, the combination of these with the rising cost of healthcare and the impact of globalization, has led to a dark side for medical tourism. In this situation, both patients and physicians are faced with ethical, human security and sustainability issues. This chapter examines 3 major issues in medical tourism: end of life choice, trafficking in human bodies and body parts, and organ transplants. In the healthcare systems of many countries, these issues can also involve criminal activities.

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The Influence Of Criminal Justice Professors On Narco-Terrorism Policies

Journal of Business & Economics Research (JBER) ◽

10.19030/jber.v6i6.2436 ◽

2011 ◽

Vol 6 (6) ◽

Author(s):

Craig S. Cleveland ◽

Andrew Honeycutt

Keyword(s):

Decision Making ◽

Criminal Justice ◽

The United States ◽

Comparison Method ◽

Managerial Decision ◽

Quantitative Research Methods ◽

Drug Enforcement ◽

Cultural Behavior ◽

Drug Enforcement Administration ◽

The Impact

The purpose of the study was to determine the impact of leadership and managerial decision making within the Drug Enforcement Administration since September 11, 2001.  A web based survey questionnaire was used to collect the data.  Participants in the study were criminal justice professors from randomly selected colleges and universities located in the southeast and southwest region of the United States.  Qualitative and quantitative research methods were used. Each participant was asked to complete a post survey that addressed areas of leadership and decision-making based on opinions and knowledge related to criminal justice.  Paired samples t test was used to describe the data. In spite of the survey findings of change in knowledge, skills, and cultural behavior, these changes did not appear to lead to significant differences in determining leadership skills.  It is recommended that future studies use a survey sample instrument designed to measure attitudinal dimensions of decision-making among leaders and managers within the Drug Enforcement Administration.  One possible recommendation is to utilize a different type of comparison method or instrument that would measure certain dimensions of managerial levels between upper and lower management.

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Case Discussion As a Strategic Planning Tool: Exploring Medical Tourism at Hospital Infantil Telethon De Oncología

Journal of Global Oncology ◽

10.1200/jgo.18.27300 ◽

2018 ◽

Vol 4 (Supplement 2) ◽

pp. 88s-88s

Author(s):

S. Popatia ◽

K. Wachter ◽

L. Vega-Vega ◽

I. Albanti

Keyword(s):

Decision Making ◽

Strategic Planning ◽

Healthcare System ◽

Medical Tourism ◽

Care Delivery ◽

Local Economy ◽

Hypothetical Case ◽

Free Standing ◽

The Impact ◽

Healthcare Leaders

Background: As medical tourism rises globally, healthcare leaders are required to make strategic decisions about accepting international patients, as a means to diversify income, increase access to cancer care, and optimize patient experience. Hospital Infantil Teletón de Oncología (HITO), a free-standing pediatric oncology hospital in Mexico, currently has no international patients. Aim: We posed a hypothetical case to a group of HITO's senior leaders to understand the strategic priorities, examine the decision-making process around allocating beds for self-paying patients, and explore how changes in hospital governance influence the healthcare system. Methods: A literature review and prediscussion interviews were conducted, and IRB exemption was obtained. Two facilitators led the discussion using a structured case guide. Participants (N=13) were randomly assigned to teams supporting or opposing the decision to accept international patients. Thirty minutes were allocated for team discussion, thirty minutes for team presentation and group discussion. Session was recorded and transcribed. Results: Four themes emerged around ethics and equity, finance, operations, and community. Ethical considerations included concerns that this possibility disrupted HITO's mission to serve the Mexican population. Financial considerations focused on the creation of a new billing system and cost-efficiency questions. Operational issues included new processes and systems in care delivery to accommodate international patients such as transfer of records and hiring of translators. Community topics covered HITO's reputation and the impact on local economy. Conclusion: Our study revealed the importance of a multidisciplinary approach to complex decision-making and the need for systematic strategic planning that lead to system strengthening and improvement of childhood cancer outcomes. The use of a hypothetical case as a learning and consensus-building tool in exploring team dynamics and mapping strategies was also highlighted. With medical tourism as a potentially realistic scenario, healthcare leaders must be prepared to evaluate its impact on their organization, healthcare system, and society.

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When is Ambivalence Good for Family Firms? Understanding the Impact of Family Managers’ Emotional Ambivalence on Decision Making

Entrepreneurship Research Journal ◽

10.1515/erj-2021-0181 ◽

2021 ◽

Vol 0 (0) ◽

Author(s):

Shainaz Firfiray ◽

Luis R. Gomez-Mejia

Keyword(s):

Decision Making ◽

Family Firms ◽

Negative Impact ◽

Dark Side ◽

Positive Outcomes ◽

Socioemotional Wealth ◽

Emotional Ambivalence ◽

The Family ◽

The Impact

Abstract It has been suggested in the family business literature that the pursuit of socioemotional wealth (SEW) has both a bright and dark side and these conflicting priorities can have a negative impact on the quality of decisions made by family managers. This paper presents a model which recognizes that ambivalence emanating from socioemotional wealth may also lead to high calibre decision-making under certain contexts. In particular, we explain how emotional ambivalence can affect the decision-making abilities of family managers. Although emotional complexity and the resulting ambivalence is seen as an undesirable situation, we argue that this could also result in positive outcomes under certain circumstances. More specifically, emotional ambivalence prompts leaders to adopt a broader perspective and consider several alternatives before reaching a decision, hence enhancing decision-making quality. However, we acknowledge that emotional ambivalence may also lead to an overly restrictive focus on the family’s interests occasionally leading to inferior family-centric decisions.

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Partnership in Healthcare System Sustainability and Resilience: Russian Healthcare System Analysis

Annals of the Russian academy of medical sciences ◽

10.15690/vramn1622 ◽

2021 ◽

Vol 76 (5S) ◽

pp. 560-571

Author(s):

Elena I. Aksenova ◽

George Wharton ◽

Nadezhda A. Vosheva ◽

Dan Gocke ◽

Natalya N. Kamynina

Keyword(s):

Healthcare System ◽

System Analysis ◽

Medical Profession ◽

Critical Evaluation ◽

Building Blocks ◽

Healthcare Systems ◽

Current Crisis ◽

Care Services ◽

System Sustainability ◽

The Impact

Background. In 2020 the global community faced a serious unexpected challenge COVID-19. Fighting the aggressive spread of the coronavirus required rapid reconfiguration of the Russian healthcare system, while exposing its weak spots and pressure points. Critical evaluation of the Russian healthcare systems resilience to crises offers new perspectives on the most effective management and organizational solutions for resolving this crisis. Research objective. The main goal of this study is to make a significant long-term contribution to the Russian healthcare system by developing a set of recommendations for increasing the systems sustainability and resilience to crises. Methods. For this study, specialists developed a framework that includes a set of questions in the 1) domains of governance, 2) financing, 3) workforce, 4) medicines and technology and 5) service delivery, which align closely with the well-recognised WHO health system building blocks. In each domain, a series of targeted questions concerned both sustainability and resilience. Findings. The main areas of work for increasing the Russian healthcare systems sustainability and resilience to crises include: adapting the existing legislative framework to the current crisis, and to prepare it for similar crises in the future; increasing healthcare funding; improving the image of the medical profession; promoting healthcare digitalization; reducing the pressure on the inpatient and emergency care services by strengthening preventive and rehabilitative care services. Conclusion. The synthesis and analysis of materials relevant to understanding the impact of the coronavirus pandemic on the Russian healthcare system, supplemented by expert assessments and examples drawn from practice, allowed the authors to compile a list of recommendations for ensuring the healthcare systems sustainability and resilience to future crises. This list offers potential for healthcare industry development.

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The Implications Of Leadership On Narco-Terrorism Policy Management

Journal of Business & Economics Research (JBER) ◽

10.19030/jber.v6i5.2414 ◽

2011 ◽

Vol 6 (5) ◽

Author(s):

Craig S. Cleveland ◽

Andrew Honeycutt

Keyword(s):

Decision Making ◽

Criminal Justice ◽

The United States ◽

Comparison Method ◽

Managerial Decision ◽

Quantitative Research Methods ◽

Drug Enforcement ◽

Cultural Behavior ◽

Drug Enforcement Administration ◽

The Impact

The purpose of the study was to determine the impact of leadership and managerial decision making within the Drug Enforcement Administration since September 11, 2001.  A web based survey questionnaire was used to collect the data.  Participants in the study were criminal justice professors from randomly selected colleges and universities located in the southeast and southwest region of the United States.  Qualitative and quantitative research methods were used. Each participant was asked to complete a post survey that addressed areas of leadership and decision-making based on opinions and knowledge related to criminal justice.  Paired samples t test was used to describe the data. In spite of the survey findings of change in knowledge, skills, and cultural behavior, these changes did not appear to lead to significant differences in determining leadership skills.  It is recommended that future studies use a survey sample instrument designed to measure attitudinal dimensions of decision-making among leaders and managers within the Drug Enforcement Administration.  One possible recommendation is to utilize a different type of comparison method or instrument that would measure certain dimensions of managerial levels between upper and lower management.

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Quota Women Are Threatening to Men

Swiss Journal of Psychology ◽

10.1024/1421-0185/a000195 ◽

2017 ◽

Vol 76 (3) ◽

pp. 107-116 ◽

Cited By ~ 4

Author(s):

Klea Faniko ◽

Till Burckhardt ◽

Oriane Sarrasin ◽

Fabio Lorenzi-Cioldi ◽

Siri Øyslebø Sørensen ◽

...

Keyword(s):

Decision Making ◽

Organizational Performance ◽

Gender Stereotypes ◽

Perceived Threat ◽

Preferential Treatment ◽

Public Sector Employees ◽

Different Types ◽

Low Levels ◽

Women In Decision Making ◽

The Impact

Abstract. Two studies carried out among Albanian public-sector employees examined the impact of different types of affirmative action policies (AAPs) on (counter)stereotypical perceptions of women in decision-making positions. Study 1 (N = 178) revealed that participants – especially women – perceived women in decision-making positions as more masculine (i.e., agentic) than feminine (i.e., communal). Study 2 (N = 239) showed that different types of AA had different effects on the attribution of gender stereotypes to AAP beneficiaries: Women benefiting from a quota policy were perceived as being more communal than agentic, while those benefiting from weak preferential treatment were perceived as being more agentic than communal. Furthermore, we examined how the belief that AAPs threaten men’s access to decision-making positions influenced the attribution of these traits to AAP beneficiaries. The results showed that men who reported high levels of perceived threat, as compared to men who reported low levels of perceived threat, attributed more communal than agentic traits to the beneficiaries of quotas. These findings suggest that AAPs may have created a backlash against its beneficiaries by emphasizing gender-stereotypical or counterstereotypical traits. Thus, the framing of AAPs, for instance, as a matter of enhancing organizational performance, in the process of policy making and implementation, may be a crucial tool to countering potential backlash.

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