Advancing Knowledge About Sexual Harassment Is a Critical Aspect of Organizational Development for All Employees

2021 ◽  
Vol 11 (4) ◽  
pp. 48-60
Author(s):  
Quatavia McLester ◽  
Darrell Norman Burrell ◽  
Calvin Nobles ◽  
Ileana Castillo

Sexual harassment remains prevalent in the workplace as well as a significant financial burden for organizations. Given the cost associated with sexual harassment, reputational damage, and internal disturbances, sexual harassment is a mounting apprehension because senior managers are responsible for bestowing an organizational culture that is intolerant to such engrossed behavior. It is imperative to explore how workplace stories and office talk are influenced by organizational culture and how organizational culture affects the workers' perceptions of Me Too and consequences of sexual harassment. Understanding the phenomenon of sexual harassment at work is vital to shaping organizational culture, behavior, and policies aimed at reducing sexual misconduct at work. Existing research indicates that 81% of women and 43% of men have experienced an aspect of sexual harassment. This study uses a content analysis exploration of the literature to better understand the impact and solutions to sexual harassment in the workplace.

2019 ◽  
Vol 37 (7_suppl) ◽  
pp. 434-434 ◽  
Author(s):  
Melissa Huynh ◽  
Ye Wang ◽  
Daniel Pucheril ◽  
Dimitar V. Zlatev ◽  
Steven Lee Chang ◽  
...  

434 Background: The Centers for Disease Control and Prevention estimates that nearly 40% of the U.S. population meets the criteria for obesity classification. Several studies have shown that obesity is associated with increased medical morbidity and costs. In this study, we investigated the impact of obesity on the financial burden of radical cystectomy. We hypothesize that the cost of radical cystectomy is greater in obese and morbidly obese patients compared to overweight patients. Methods: We performed a retrospective observational study within the Premier Healthcare Database (Premier Inc., Charlotte, NC), a large, U.S. hospital-based, all-payer database representing approximately 20% of annual inpatient discharges. ICD-9 procedure codes were used to identify all patients who had undergone elective radical cystectomy (57.71, 57.79) from 2003 to 2015, and administrative data was used to extract the costs associated with the index hospitalization. Patients were stratified into three body mass index (BMI) categories: overweight (25 BMI <30), obese (30 ≤ BMI < 40) and morbidly obese (BMI ≥ 40). Quantile regression analysis was performed to examine the effect of BMI category on cost. Results: We identified 12,056 patients who underwent radical cystectomy, 1,406 of whom had data available regarding BMI category. The crude cost of the index hospitalization for radical cystectomy was $24,596 for overweight patients. The costs associated with patients in the obese and morbidly obese categories were $2,158 ( p=0.059) and $5,308 ( p<0.001) higher compared to overweight patients, respectively. Median operative time for overweight, obese, and morbidly obese patients was 346, 391, and 420 minutes, respectively (p=0.0001). Multivariable models were constructed controlling for clinicodemographic, and surgical factors. After adjustment for operative time, there were no longer any statistically significant differences in cost between the BMI categories. Conclusions: The cost of radical cystectomy is significantly greater for obese and morbidly obese patients compared to overweight patients. This increased financial cost associated with obesity difference is driven by increased operative times encountered in obese patients.


2021 ◽  
Vol 138-139 (1-2) ◽  
pp. 65-84
Author(s):  
Maria Wanda Kopertyńska ◽  
Natalia Dernowska

The article presents the results of research on the impact of selected factors, such as business strategy, organizational culture, the stage of organizational development, the location of HR in the organizational structure, the type of activity, and the sector to which the company belongs, on the role and scope of the tasks of HR Business Partnering (HR BP). The research method employed was an in–depth, partially structured interview conducted on a group of HR BPs from twenty companies belonging to various sectors. In the interview, the respondents rated the impact of each factor on a scale from 1 to 5, where 1 means definitely has no impact and 5 means there positively is an impact. On the basis of the research, it was shown that the company’s business strategy, organizational culture, and the location of HR in the organizational structure have the greatest impact on the shape and role of HR BP in the surveyed organizations. The organizational development phase is slightly less important. On the other hand, the type of activity of the organization as well as the sector to which the company belongs has only a slight impact on the role and scope of tasks of HR BP in the company.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Klaus Kaier ◽  
Thomas Heister ◽  
Tim Götting ◽  
Martin Wolkewitz ◽  
Nico T. Mutters

Abstract Background Pseudomonas aeruginosa-related pneumonia is an ongoing healthcare challenge. Estimating its financial burden is complicated by the time-dependent nature of the disease. Methods Two hundred thirty-six cases of Pseudomonas aeruginosa-related pneumonia were recorded at a 2000 bed German teaching hospital between 2011 and 2014. Thirty-five cases (15%) were multidrug-resistant (MDR) Pseudomonas aeruginosa. Hospital- and community-acquired cases were distinguished by main diagnoses and exposure time. The impact of Pseudomonas aeruginosa-related pneumonia on the three endpoints cost, reimbursement, and length of stay was analyzed, taking into account (1) the time-dependent nature of exposure, (2) clustering of costs within diagnostic groups, and (3) additional confounders. Results Pseudomonas aeruginosa pneumonia is associated with substantial additional costs that are not fully reimbursed. Costs are highest for hospital-acquired cases (€19,000 increase over uninfected controls). However, community-acquired cases are also associated with a substantial burden (€8400 when Pseudomonas aeruginosa pneumonia is the main reason for hospitalization, and €6700 when not). Sensitivity analyses for hospital-acquired cases showed that ignoring or incorrectly adjusting for time-dependency substantially biases results. Furthermore, multidrug-resistance was rare and only showed a measurable impact on the cost of community-acquired cases. Conclusions Pseudomonas aeruginosa pneumonia creates a substantial financial burden for hospitals. This is particularly the case for nosocomial infections. Infection control interventions could yield significant cost reductions. However, to evaluate the potential effectiveness of different interventions, the time-dependent aspects of incremental costs must be considered to avoid introduction of bias.


2014 ◽  
Vol 58 (5) ◽  
pp. 434-443 ◽  
Author(s):  
Bruna Coelho Galvão Marinho ◽  
Luiza Paulino Guerra ◽  
Juliana Beaudette Drummond ◽  
Barbara C. Silva ◽  
Maria Marta Sarquis Soares

Osteoporotic fractures impose severe physical, psychosocial, and financial burden both to the patient and the society. Studies on the prevalence of osteoporosis and fragility fractures in Brazil show a wide variation, due to differences in sample size, the population studied, and methodologies. Few studies have been conducted in Brazil about the cost-effectiveness analyses of different intervention options aimed at the diagnosis and treatment of osteoporosis. Investigation and treatment strategies based on cost-effectiveness and scientific evidence are essential in the preparation of public health policies with the ultimate goal of reducing the incidence of fractures and, consequently, the direct and indirect costs associated with them. This article reviews the Brazilian burden of osteoporosis in terms of the prevalence and fractures attributable to the disease, the costs related to the investigation and management, as well as the impact of osteoporosis on the population as a whole and on affected individuals.


2004 ◽  
Vol 25 (4) ◽  
pp. 583-606 ◽  
Author(s):  
Stefan Tengblad

Based on a direct observation study of eight CEOs of large corporations, this paper examines how control is exercised in an era of financial transparency. In particular, the impact and effects of the increasing power of shareholders (corporate governance, shareholder value) with regard to managerial practices are investigated. The results show that CEOs were to a great extent influenced by expectations from exchange market actors and that such expectations, in a modified form, were passed down the hierarchy. Senior managers were given discretion in their work, but their performance (on the basis of how well they met expectations) was closely watched. The exercise of control by setting and monitoring expectations resulted in some managers working to exhaustion, and also in conformity and non-constructive communication. At the end of the paper, the effects of shareholder value management are discussed in relation to the societal level regarding issues of governance ethics, organizational development and work–life balance. It is concluded that reciprocal expectations and their intended and unintended consequences deserve further study in order to increase the understanding of the dynamics of modern capitalism.


2013 ◽  
Vol 19 (3) ◽  
pp. 241-254 ◽  
Author(s):  
Andrew S Klein ◽  
Joseph Wallis ◽  
Robert A. Cooke

AbstractThis research project seeks to contribute to the literature on management by presenting and testing a model of leadership linking leadership styles directly to culture type and indirectly to firm effectiveness. The authors selected a four-factor theory of leadership and examined how it directly impacted organizational culture, and indirectly impacted organizational effectiveness (via an organization's culture). Using surveys designed to measure attitudinal and behavioral indicators of organizational culture, leadership, and effectiveness, we collected data from 2,662 individuals in 311 organizations. The results generally support the hypotheses that organizational effectiveness is related to type of culture and that cultural norms are related to type of leadership styles. The results have implications for management and organizational development practices and processes. The results indicate that the leadership skills of managers and supervisors are critical factors in the creation and reinforcement of cultural norms. Furthermore, cultural norms seem to positively impact organizational effectiveness.


2019 ◽  
Vol 15 (7) ◽  
pp. e628-e635 ◽  
Author(s):  
Robert D. Siegel ◽  
Richard G. Slough ◽  
Howland E. Crosswell ◽  
Theresa M. Standifer ◽  
Michael E. Borron ◽  
...  

PURPOSE: The cost of cancer care is escalating dramatically, in part because of the rising expense of systemic cancer therapy. This creates financial dilemmas for patients and insurers and potential economic disruption for institutions attempting to provide cancer care to the underserved. Our institution initiated a drug recovery and copay assistance program (DRCAP) to mitigate the impact of the rising cost of parenteral medications. METHODS: We performed a 3-year review of our strategies to mitigate financial burden of parenteral therapeutics and supportive care medicines. Financial metrics were established and analyzed before and after implementing DRCAP. Medication encounters and associated costs were stratified by adolescents and young adults (15 to 39 years of age), and adults 40 years of age and older and were annualized from 2016 to 2018. RESULTS: The DRCAP resulted in a total of nearly $3.5 million worth of drugs replaced or copay assistance yearly in 2017 and 2018. This accounted for approximately 10% of our pharmacy budget for parenteral medications in each of these years. The vast majority was received in the form of drug replacement. The DRCAP resulted in assistance to 173 and 256 patients in 2017 and 2018, respectively. CONCLUSION: A DRCAP increased availability of otherwise unaffordable parenteral oncolytics and resulted in cost savings for our institution. Adolescents and young adults were disproportionately represented because of inadequate or no insurance. Despite the salutary benefits, such programs likely inflate the overall cost of cancer care. Cancer care providers participating in a DRCAP will remain in this conundrum until market forces can affect the cost of oncology therapeutics.


Author(s):  
Siti Nurhazwani Kamarudin ◽  
Nur Syuhada Jasni ◽  
Zuraina Sal Salbila Mohamed

The effects of Covid-19 are continuing to increase around the world as the pandemic claims millions of lives. Malaysia is no exception and has been remarkably affected by the pandemic. Apart from the number of people who are or have been infected with this virus, millions of people are directly or indirectly facing many challenges to their living. The challenges include increased cost of living, income reduction or losses, decreased purchasing power, and unemployment, along with other societal issues created by the pandemic. This study contextualised the implications of the pandemic on consumers’ burden in Malaysia, focusing on the cost of living and unemployment. Observations on prices, inflation, and unemployment rates were conducted to provide meaningful evidence. Major findings revealed that the cost of living has risen, contributed by the increase in prices, especially for food items, healthcare, and education. The unemployment rate also expanded due to the lockdown measures, which led to income losses and reduction. The Covid-19 pandemic has brought challenges to the consumers as measures taken to curb the pandemic have altered many aspects of life and increased the consumers’ burden. Although the inflation rate remains manageable, a major concern lies in many people’s income reduction or income losses. This study implies that the government, together with private institutions and NGOs, needs to work hand in hand to minimise the consumers’ financial burden, especially during this pandemic. It is hoped that the discussion presented in this paper would shed light on the impact of the pandemic on consumers’ burden in Malaysia.


2020 ◽  
Vol 9 (17) ◽  
pp. 22-38
Author(s):  
Gareth H Rees ◽  
Oswaldo Morales Tristán ◽  
Gladys Alosilla Cruzado ◽  
Sandra Guizado Vásquez ◽  
Bárbara Laos Raffo ◽  
...  

As south-south investments increase so do the issues experienced by investing companies. One of these is the impact of culture. This article analyzes the effects of the subsidiary country culture on an investing firm’s organizational culture and the managerial practices used to address them. Data is gathered from cultural databases, a company-wide survey and semi structured interviews. Descriptive statistics are used to reveal country and organizational culture differences, with content analysis to expose management responses. There is a clear difference between the firm’s Vietnamese and Peruvian workers, with the company’s practices more amenable to the Vietnamese employees. Recognition of this has resulted in a number of initiatives to reduce its impact. The study’s results offer suggestions that may be valued by other foreign companies interested in operating in Peru and may be especially relevant to Southeast Asia and Asian companies interested in investing in or looking to start operations in Latin America.


2014 ◽  
Vol 32 (30_suppl) ◽  
pp. 40-40
Author(s):  
Mackenzi Pergolotti ◽  
Jessica A. Lavery ◽  
Bryce B. Reeve ◽  
Stacie Dusetzina

40 Background: Occupational and Physical therapies (OT/PT) are effective treatments to decrease disability and functional status. Few studies have examined the variations in the cost of outpatient OT/PT. For adults with cancer, the added financial burden of cancer rehabilitation is unknown. The study objectives were to (1) describe the variation in patient financial burden for the most commonly used OT/PT services by the provider type (either OT or PT) and State; and (2) determine the impact of therapy caps on the price of service provided among Medicare beneficiaries. Methods: This retrospective, population-based study used the Medicare Provider Utilization and Payment Data Public Use File (PUF), released in April 2014 by the Center for Medicare and Medicaid Services (CMS) to examine variations in care by level of insurance (uninsured, insured and reimbursed), between providers and across states with descriptive statistics. We also examined the impact of the therapy cap on number of visits allowed and the proposed reduction of the therapy cap dollar amount on services use and patient out-of-pocket liability. Results: 3,663 (9.2%) OT’s and 36,247 (90.8%) PT’s were included. Differences between provider’s charges were minimal. Wisconsin, Illinois, Tennessee and Texas had the most inflated charges, respectively, for OT and PT. 12-14 visits plus evaluation are covered under 2012 therapy cap, and the amount of visits would be cut to 7-9 with the MedPAC cap. Conclusions: This study suggests there is wide variation between the potential patient liability for the price of OT/PT based on service provided, state received and insurance coverage. For older adults with cancer who need OT/PT services, this will be an additional cost to their care. Patients without insurance pay a premium for OT/PT services.


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