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Article
Publication date: 12 June 2009

Revital Gross, Hava Tabenkin, Avi Porath, Anthony Heymann and Boaz Porter

This article aims to analyze existing and preferred labor divisions between physicians and nurses treating patients with hypertension and diabetes in managed care organizations.

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Abstract

Purpose

This article aims to analyze existing and preferred labor divisions between physicians and nurses treating patients with hypertension and diabetes in managed care organizations.

Design/methodology/approach

A mail survey was conducted in 2002/2003 among a representative sample of 743 physicians employed by Israel's largest managed care health plans (78 percent response rate). A telephone survey among a representative sample of 1,369 hypertensive or diabetic patients (77 percent response rate) was also used.

Findings

Findings reveal a conspicuous gap between actual labor division and what physicians perceive to be ideal. Possible reasons for this gap are discussed and strategies for facilitating collaboration, which would improve service quality as well as work life quality for both physicians and nurses.

Originality/value

This study provides empirical data on the extent of nurse involvement in managed care organization chronic patient care, as well as comparing them to physicians' preferences regarding nurse involvement.

Details

International Journal of Health Care Quality Assurance, vol. 22 no. 4
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 27 March 2009

Ronit Endevelt, Orna Baron‐Epel, Tomas Karpati and Anthony David Heymann

This paper's aim is to identify whether community‐level socioeconomic status (SES) predicts: screening test for pre‐diabetes; actual diagnosis of pre‐diabetes; or nutritional…

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Abstract

Purpose

This paper's aim is to identify whether community‐level socioeconomic status (SES) predicts: screening test for pre‐diabetes; actual diagnosis of pre‐diabetes; or nutritional counseling.

Design/methodology/approach

This is an analysis of 1,348,124 insured adults receiving medical care from Maccabi Healthcare Services (MHS) in 107 MHS clinics throughout Israel. The research population comprised 79 percent of the MHS members over 18 years of age in 2004‐2006. Area level socioeconomic data were drawn from the Israel Central Bureau of Statistics SES index for every geographical area and each MHS clinic in the study was coded from: −1.03 to 2.73 (−1.03 indicating low SES and 2.73+ high SES) according to the SES index for the location. The fasting glucose laboratory test was used for analysis. Pre‐diabetes diagnosis was based on a fasting glucose above 100 mg/dl. Nutritional counseling was defined by dietitian visits in the claims database.

Findings

The percentage of insured individuals who underwent blood glucose testing during the study increased with age from 67 percent at ages 18‐45 to 92 percent for age 65 and over. The percentage of individuals diagnosed with pre‐diabetes also increased with age, rising from 4 percent in the younger group to 14 percent in those aged 46‐65 and to 14‐16 percent of 65 and older. The percentage of individuals with pre‐diabetes who visited a dietitian was 16‐27 percent for those under 65 and 14‐17 percent for those over 65 (males and females, respectively). Individuals living in lower socioeconomic areas were less likely to have blood tests. Among tested patients, the prevalence of pre‐diabetes was higher in areas of lower SES and their dietitian visits were less frequent.

Practical implications

In lower SES index areas, there is a need for better identification and treatment of patients.

Originality/value

The paper shows that a proactive approach is needed both to detect pre‐diabetes and to encourage patients to receive nutritional treatment.

Details

International Journal of Health Care Quality Assurance, vol. 22 no. 2
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 14 April 2014

Kwame Emmanuel

Population growth, climate change, shortages of oil and other resources will have dramatic implication on where, when and how tourists travel in the future. This will also reshape…

Abstract

Purpose

Population growth, climate change, shortages of oil and other resources will have dramatic implication on where, when and how tourists travel in the future. This will also reshape the tourism industry for the future. Knowing what will happen in the future has always fascinated mankind from time immemorial. However, forecasting and predictions require not only a systematic approach to development but also an imagination and the ability to think and see beyond the ordinary. As a result, the purpose of this paper is to underscore the projected northward shift in tourism demand due to the global impacts of climate change and the lack of policy attention.

Design/methodology/approach

A rapid assessment of the literature was conducted to explore tourism flows to the Caribbean in a changing climate and recommendations for adaptation.

Findings

Tourism demand from major markets such as Europe and North America may be reduced significantly as tourists travel to other destinations, which are closer to home and have a more favourable climate. Regulation of carbon emissions from long haul flights will also influence demand substitution. Despite this projection, current policies in the Caribbean promote further development of the climate sensitive 3S model without anticipating a possible decrease in demand in the future.

Research limitations/implications

Research implications include a recalibration of tourism policy and diversification of Caribbean tourism and economies.

Originality/value

Recommendations are outlined for a critical issue that is not on the policy agenda.

Details

Worldwide Hospitality and Tourism Themes, vol. 6 no. 2
Type: Research Article
ISSN: 1755-4217

Keywords

Article
Publication date: 1 October 1999

Karen A. Van Peursem

With the aim of shedding light on issues surrounding the development and evaluation of report, this paper offers a theory for facilitating and legitimizing an accountability‐based…

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Abstract

With the aim of shedding light on issues surrounding the development and evaluation of report, this paper offers a theory for facilitating and legitimizing an accountability‐based discourse and disclosure in the public health sector. The project adopts Laughlin’s (1995) vision of middle range theory and an accountability perspective to justify the form and normative perspective which shapes the skeletal model to follow. Formulated in part from an analysis of the health management and public sector accounting literatures, the model is now empirically supported from the preferences of health sector accountees in New Zealand. The result is a conceptual construct which is both considerate of and challenging to the standard financial accounting model. The skeletal model consists of five conceptual categories, their interrelationships and properties. The theoretical model considers and mandates illumination of political incentives, incorporates the assumption that accounting can be constitutive as well as reflective and is sympathetic to a wide range of interests and contextual distinctions.

Details

Accounting, Auditing & Accountability Journal, vol. 12 no. 4
Type: Research Article
ISSN: 0951-3574

Keywords

Article
Publication date: 20 July 2022

Anthony Alexander, Constantin Blome, Martin C. Schleper and Samuel Roscoe

The purpose of this article is to discuss the theme of managing operations and supply chains in the so-called “new normal”. It reflects the themes emerging from recent research…

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Abstract

Purpose

The purpose of this article is to discuss the theme of managing operations and supply chains in the so-called “new normal”. It reflects the themes emerging from recent research and how these might be conceptualized.

Design/methodology/approach

The article reviews research presented at the EurOMA 2021 conference and eight papers subsequently developed into full journal papers. It considers conceptual themes contained in these papers and how they reflect recent turbulent events in the external business environment.

Findings

The article notes the themes of resilience in relation to the Covid-19 pandemic, environmental sustainability, especially climate change and the Sustainable Development Goals, and the significance of digital technologies. Additional themes relating to inter-organizational relationships, complexity and manager cognition are also considered. In order to provide useful insights for future disruptions, general concepts on epistemology and responsiveness are described.

Originality/value

The article discusses general principles across cutting-edge research in operations and supply chain management, to support improved performance to add economic and social value.

Details

International Journal of Operations & Production Management, vol. 42 no. 8
Type: Research Article
ISSN: 0144-3577

Keywords

Article
Publication date: 1 May 2002

Benjamin P. Bowser

Concentrates on HIV/AIDS prevention practitioners and how the AIDS epidemic can be recognized in such a way as to influence individuals to assist in prevention. Highlights how the…

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Abstract

Concentrates on HIV/AIDS prevention practitioners and how the AIDS epidemic can be recognized in such a way as to influence individuals to assist in prevention. Highlights how the gay community, in particular, have managed to reduce deaths and infection but that the newer members of the community seem to be falling by the wayside now. Discusses social and psychological theories involved in the fight in AIDS prevention. States that in the USA the effective interventions being discontinued are the poorly funded or not at all. Concludes the fight against AIDS through publicity and knowledge must go on.

Details

International Journal of Sociology and Social Policy, vol. 22 no. 4/5/6
Type: Research Article
ISSN: 0144-333X

Keywords

Book part
Publication date: 3 March 2022

Omoseni Oyindamola Adepoju and David Love Opeyemi

The unseen benefit of the COVID-19 pandemic in Nigeria is that it presented an insight into the contributions of the manufacturing industry to the socio-economic development of…

Abstract

The unseen benefit of the COVID-19 pandemic in Nigeria is that it presented an insight into the contributions of the manufacturing industry to the socio-economic development of the nation. During the pandemic, the unavailability of Personal Protective Equipment (PPE) have demonstrated the low production capability of the Nigerian manufacturing industry to provide essential materials and equipment required by the health sector. This availability of these facilities is vital for the sustenance of public health and lives of frontline health workers. Consequently, this challenge resulted in an increase in infection and deaths of frontline health workers which could have minimized if there were adequate provision of PPE local production. Hence, this study postulates that the COVID-19 pandemic is an entrepreneurial opportunity in Nigeria, especially for the mass production of PPE to service the health sector of Nigeria and sub-Saharan Africa. The study therefore investigated the challenges of entrepreneurship in Nigeria's manufacturing industry and examined how the strategic partnership between educational institutions, corporate bodies and the government can be optimized. Utilizing a qualitative research methodology based on scholarly journals and interview sessions, the study revealed that Nigeria's manufacturing capability is low due to Nigeria's age-long protectionist tendency, lack of integration of entrepreneurship skill in the industry, inadequate knowledge of financial knowledge, lack of synergy in the industry, among others. The study recommended a strategic framework for Nigeria's manufacturing industry for the production of PPE in form of a helix model after an overhauling of the production process of the industry.

Details

Entrepreneurship and Post-Pandemic Future
Type: Book
ISBN: 978-1-80117-902-7

Keywords

Article
Publication date: 1 April 1949

It has often been said that a great part of the strength of Aslib lies in the fact that it brings together those whose experience has been gained in many widely differing fields…

Abstract

It has often been said that a great part of the strength of Aslib lies in the fact that it brings together those whose experience has been gained in many widely differing fields but who have a common interest in the means by which information may be collected and disseminated to the greatest advantage. Lists of its members have, therefore, a more than ordinary value since they present, in miniature, a cross‐section of institutions and individuals who share this special interest.

Details

Aslib Proceedings, vol. 1 no. 4
Type: Research Article
ISSN: 0001-253X

Book part
Publication date: 30 March 2006

Thomas R. McGuire

The oil and gas industry has developed in south Louisiana over the last hundred years, first in the salt domes and coastal marshes, then out onto the Outer Continental Shelf, and…

Abstract

The oil and gas industry has developed in south Louisiana over the last hundred years, first in the salt domes and coastal marshes, then out onto the Outer Continental Shelf, and most recently in the deep and ultradeep waters off the shelf. Communities such as New Iberia and Morgan City have grown with the cyclical industry, experiencing prosperous upturns and difficult downturns. Many of the forces these communities have to contend with are outside their control, including the effects of globalization and corporate restructuring common to advanced capitalism. This paper provides an overview of communities and capitalism in south Louisiana.

Details

Markets and Market Liberalization: Ethnographic Reflections
Type: Book
ISBN: 978-1-84950-354-9

Article
Publication date: 27 July 2010

Amber Gazso and Susan A. McDaniel

This paper aims to explore how neo‐liberalism shapes income support policy and lone mothers' experiences in Canada and the USA.

1954

Abstract

Purpose

This paper aims to explore how neo‐liberalism shapes income support policy and lone mothers' experiences in Canada and the USA.

Design/methodology/approach

A critical comparative analysis is undertaken of how Canadian and US governments take up sociological concepts of risk, market citizenship, and individualization, whether explicitly or implicitly, in the design and administration of neo‐liberal income support policies directed at lone mothers. Specifically, the contradictory life circumstances that Canadian and American lone mothers experience when they access income supports that are designed ostensibly to construct/reconstruct them as citizens capable of risk taking in their search for employment and self‐sufficiency are compared.

Findings

The paper finds that the realities for poor lone mothers are remarkably similar in the two countries and therefore argue that income support policies, particularly welfare‐to‐work initiatives, underpinned by neo‐liberal tenets, can act in a counter‐intuitive manner exposing lone mothers to greater rather than lesser economic and social insecurity/inequality, and constructing them as risk aversive and dependent.

Research limitations/implications

The economic and social implications/contradictions of neo‐liberal restructuring of income support policies for lone mothers is revealed.

Originality/value

This paper contributes to broader scholarship on the gendered dimensions of neo‐liberal restructuring of welfare states in late modernity.

Details

International Journal of Sociology and Social Policy, vol. 30 no. 7/8
Type: Research Article
ISSN: 0144-333X

Keywords

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