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The purpose of this paper is to examine patient engagement in remote consultation services, an increasingly important issue facing Healthcare Operations Management (HOM) given the significant expansion in this and other forms of telehealth worldwide over the last decade. We use our analysis of the literature to develop a comprehensive framework that incorporates the patient journey, multidimensionality, antecedents and consequences, interventions and improvement options, as well as the cyclic nature of patient engagement. We also propose measures suitable for empirical assessment of different aspects of our framework.

We undertook a comprehensive review of the extant literature using a systematic review approach. We identified and analysed 63 articles published in peer-reviewed scientific journals between 2003 and 2022.

We conceptualise patient engagement with remote consultation across three key aspects: dimensions, process, and the antecedents and consequences of engagement. We identify nine contextual categories that influence such engagement. We propose several possible metrics for measuring patient engagement during three stages (before service, at/during service and after service) of remote consultation, as well as interventions and possible options for improving patient engagement therein.

The primary contribution of our research is the development of a comprehensive framework for patient engagement in remote consultation that draws on insights from literature in several disciplines. In addition, we have linked the three dimensions of engagement with the clinical process to create a structure for future engagement assessment. Furthermore, we have identified impact factors and outcomes of engagement in remote consultation by understanding which can help to improve levels of adoption, application and satisfaction, and reduce healthcare inequality. Finally, we have adopted a “cyclic” perspective and identified potential interventions that can be combined to further improve patient engagement in remote consultation.

There is a dearth of research in the field of social marketing that attempts to understand why consumers prefer to use plastic packages when using online food delivery services. In addressing this issue, this study aims to investigate the role of moral disengagement, myopia and environmental apathy in the young generations' intentions to use plastic bags while ordering food online. It also examines the mediating role of moral disengagement and the moderating role of guilt in the context of the online food delivery service industry in China.

An online survey was designed to collect data, which yielded 256 usable responses. The partial least squares structural equation modelling (PLS-SEM) technique (SmartPLS 4.0) was used to test the study hypotheses.

The results indicate that environmental apathy, myopia and moral disengagement exert significant negative effects on consumer intention to use plastic. In addition, moral disengagement was able to mediate the links between “environmental apathy”, “myopia” and “plastic usage intention”. Lastly, consumers’ guilt was found to be a significant moderator in the link between moral disengagement and plastic usage intention.

This research holds significant importance for social marketers in the online food delivery service industry. Particularly, by understanding consumers' negative behavioural aspects, social marketers can implement marketing strategies that emphasise green practices for environmental well-being.

This is a pioneer study that focuses on the negative aspects of consumer behaviour, such as myopia, environmental apathy and moral disengagement, to understand what drives young consumers to use plastic. Additionally, this study investigates several new relationships in the social marketing field, such as the mediating effect of moral disengagement between myopia, environmental apathy and plastic usage intention. It also tests the moderating effect of guilt on the link between moral disengagement and use intention.

The process of ending mental health support is often not well-attended to in practice or research, and clinicians in UK mental health services lack focused clinical guidance in this area. This paper aims to report on a service evaluation that sought to understand from clinicians working in a single adult community mental health team (CMHT) their experiences of discharge and issues arising in the process, factors considered in decision-making and what constitutes “good” endings and what support could be helpful to them in navigating this with clients.

Semi-structured interviews were completed with six members of the multi-disciplinary team and analysed thematically.

Clinicians described a range of criteria considered in discharge decision-making. Collaboration, planning and preparation were represented as key ingredients for “good” endings. Factors viewed as complicating discharge included complexity and changes in presentation, psychosocial contexts and re-referrals. Perceptions of clients’ feelings (resistance and dependence, fear and anger, relief and gratitude) and varying feelings evoked for clinicians (from little or no reported impact, to pride and confidence, sadness and worry) at the ending of the working relationship were reported. Suggested organisational supports for clinicians with endings and discharges involved opportunities to consult with colleagues, psychological formulation and advice and reflective supervision.

There has been limited empirical attention to practitioner experiences of discharge in the work of CMHTs in a UK context; this practitioner-led evaluation explored clinician perspectives.

To ensure health, social and criminal justice services are suited to the complex and dynamic needs of people with learning/intellectual disabilities (LD) at risk of offending, it is important to systematically analyse the needs and characteristics of this population. This study aimed to analyse the patterns of referrals to a single community forensic LD service before and during the COVID-19 pandemic.

A structured audit was conducted on all referrals to the service (n = 37) across a three-year period (May 2019 – end of July 2022).

The majority of the overall sample were male (36, 97%) and Caucasian (24, 65%) with a mean age of 32.9 years and mild LD. The most prevalent current offending type was sexual offending (17, 44%), whereas the most prevalent historical offending type was violence (17, 35%). The most common service/function offered by the service was advice and consultation to other professionals and agencies (10, 19%). The service user and forensic/legal characteristics measured did not differ significantly before and during COVID-19.

To the best of the authors’ knowledge, the project is the first to systematically analyse and compare community forensic LD service referral patterns before and during the COVID-19 pandemic. This study also provides an example of how a structured audit tool can be used to benefit individual services and the wider literature on assessing the needs and characteristics of adults with LD who live in the community and are at risk of [re]offending.

This study introduces an innovative approach to long-term economic forecasting by integrating anticipatory governance (AG) and causal layered analysis methodologies. Focussing on emerging economies, with Vietnam as a case study, we explore potential economic trajectories to 2050.

The research employs a mixed-method approach, combining quantitative economic projections with qualitative scenario building and analysis.

Our findings reveal four distinct future scenarios, ranging from low growth to transformative change. The preferred scenario, characterized by adaptive change, projects a Gross National Income (GNI) per capita of $30,684 by 2050, with significant reductions in agricultural labour and improvements in human development indicators.

This study contributes to theoretical and practical domains by demonstrating the value of integrated foresight methodologies in economic planning. It offers policymakers a comprehensive framework for navigating complex, long-term economic challenges and opportunities. This research underscores the importance of adaptive governance and systemic thinking in achieving sustainable, inclusive economic growth in an increasingly uncertain global environment.

This paper introduces the foresight matrix, a conceptual framework for foresight analysis rooted in critical realism (CR) and complexity theory. It aims to address the need for a comprehensive theoretical perspective that embraces emergence and recognizes the interplay between different layers of reality. Informed by critical theory within futures studies, the study seeks to provide additional foresight theoretical perspectives in addressing contemporary societal challenges and collectively shaping desirable futures.

The proposed reflexive foresight matrix incorporates elements of CR, complexity theory and morphogenesis theory, providing an alternative conceptual framework for analyzing complex social challenges. It integrates the vertical layers – empirical, actual and real – and horizontal dimensions – structure, agency and culture. This matrix guides researchers through a systematic analysis of structural barriers, cultural influences and individual agency, offering a comprehensive tool for understanding the underlying mechanisms driving social change.

The reflexive foresight matrix dissects complex situations into structure, agency and culture dimensions, enabling a thorough understanding of societal dynamics by examining the interplay between these dimensions and their influence on individual and collective behaviors. This conceptual framework guides researchers through a systematic analysis of structural barriers, cultural influences and individual agency, uncovering the mechanisms driving social change. Through reflexive monitoring and temporal action analysis, it explores historical and contextual factors, informing future tendencies.

The reflexive foresight matrix provides a multidimensional lens for understanding social issues, prompting researchers to consider the interplay between structure, agency and culture across different layers of reality. By exploring historical and contextual factors, this framework enables an insight into diverse perspectives and their impact on future outlooks. Furthermore, the matrix facilitates critical inquiry into prevailing power dynamics and narratives, offering insights into societal injustices and inequalities. This critical examination empowers stakeholders to challenge dominant narratives and work toward more equitable and desirable futures.

The proposed reflexive foresight matrix offers a comprehensive approach to analyzing complex social challenges, potentially impacting futures thinking and foresight practices. By integrating CR, complexity theory and morphogenesis theory, the framework fosters a deep understanding of the interplay between various factors influencing future tendencies. This comprehensive view of problems allows analysts to consider structural barriers, cultural influences and agency, thereby enhancing foresight efforts in addressing contemporary challenges.

The proposed reflexive foresight matrix contributes to futures thinking and foresight practices by offering a comprehensive approach to analyzing complex social challenges. By combining CR, complexity theory and morphogenesis theory, the framework fosters an insightful understanding of the interplay between various factors influencing future trajectories. Moreover, the integration of critical perspectives and reflexive methodologies into foresight practices underscores the importance of challenging dominant narratives, fostering inclusive decision-making processes and empowering individuals and communities to shape their futures.

Despite the increasing heterogeneity of the organizational workforce – as a consequence of major worldwide socioeconomic trends – a considerable number of studies shows how traditionally underrepresented groups still face significant barriers in entering the labor market. Literature has highlighted several grounds for discrimination: ethnicity, age, gender, religion, social status, sexual orientation, etc., and while some of these are extensively investigated (e.g. ethnicity), other fields are still gaining evidence (e.g. social status).

In the current paper, we aim at providing a review of current experimental studies aimed at detecting discrimination in hiring and the possible interventions to reduce bias. Then, we offer a point of reflection for policymaking, analyzing whether such issue should be addressed at the level of the individual (i-frame) or rather at a more systemic level (s-frame).

The paper provides substantial evidence that discrimination in hiring still exists, despite the never greater pressure for firms’ social sustainability. Further, existing interventions appear to have an overall limited impact in reducing bias. Hence, we suggest that the issue of discrimination in hiring should be tackled at a systemic level, by means of s-frame interventions.

The paper offers a comprehensive understanding of the phenomenon by systematizing the existing body of knowledge deriving from empirical research and offering a broad perspective onto policy implications.