This paper considers the impact of reimbursement on delayed transfers and whole‐systems planning. The paper argues that making hospital discharge work with the focus only on the…
Abstract
This paper considers the impact of reimbursement on delayed transfers and whole‐systems planning. The paper argues that making hospital discharge work with the focus only on the interface between health and social care will have limited and short‐term results. More radical cultural change is needed to tackle the problems of an ageing society. The paper draws on recent thinking which challenges the way in which services are currently provided to older people, and calls for new ways for services to be commissioned and provided. The paper advocates changes towards community‐based processes and pathways, across a wide range of services and within a much broader whole‐systems framework, to support independence.
Details
Keywords
Christine Phillips, Sally Hall, Nicholas Elmitt, Marianne Bookallil and Kirsty Douglas
Services for refugees and asylum seekers frequently experience gaps in delivery and access, poor coordination, and service stress. The purpose of this paper is to examine the…
Abstract
Purpose
Services for refugees and asylum seekers frequently experience gaps in delivery and access, poor coordination, and service stress. The purpose of this paper is to examine the approach to integrated care within Companion House (CH), a refugee primary care service, whose service mix includes counselling, medical care, community development, and advocacy. Like all Australian refugee and asylum seeker support services, CH operates within an uncertain policy environment, constantly adapting to funding challenges, and changing needs of patient populations.
Design/methodology/approach
Interviews with staff, social network analysis, group patient interviews, and service mapping.
Findings
CH has created fluid links between teams, and encouraged open dialogue with client populations. There is a high level of networking between staff, much of it informal. This is underpinned by horizontal management and staff commitment to a shared mission and an ethos of mutual respect. The clinical teams are collectively oriented towards patients but not necessarily towards each other.
Research limitations/implications
Part of the service’s resilience and ongoing service orientation is due to the fostering of an emergent self-organising form of integration through a complex adaptive systems approach. The outcome of this integration is characterised through the metaphors of “home” for patients, and “family” for staff. CH’s model of integration has relevance for other services for marginalised populations with complex service needs.
Originality/value
This study provides new evidence on the importance of both formal and informal communication, and that limited formal integration between clinical teams is no bar to integration as an outcome for patients.
Details
Keywords
Christine Jorm, Rick Iedema, Donella Piper, Nicholas Goodwin and Andrew Searles
The purpose of this paper is to argue for an improved conceptualisation of health service research, using Stengers' (2018) metaphor of “slow science” as a critical yardstick.
Abstract
Purpose
The purpose of this paper is to argue for an improved conceptualisation of health service research, using Stengers' (2018) metaphor of “slow science” as a critical yardstick.
Design/methodology/approach
The paper is structured in three parts. It first reviews the field of health services research and the approaches that dominate it. It then considers the healthcare research approaches whose principles and methodologies are more aligned with “slow science” before presenting a description of a “slow science” project in which the authors are currently engaged.
Findings
Current approaches to health service research struggle to offer adequate resources for resolving frontline complexity, principally because they set more store by knowledge generalisation, disciplinary continuity and integrity and the consolidation of expertise, than by engaging with frontline complexity on its terms, negotiating issues with frontline staff and patients on their terms and framing findings and solutions in ways that key in to the in situ dynamics and complexities that define health service delivery.
Originality/value
There is a need to engage in a paradigm shift that engages health services as co-researchers, prioritising practical change and local involvement over knowledge production. Economics is a research field where the products are of natural appeal to powerful health service managers. A “slow science” approach adopted by the embedded Economist Program with its emphasis on pre-implementation, knowledge mobilisation and parallel site capacity development sets out how research can be flexibly produced to improve health services.
Details
Keywords
The purpose of this paper is to present an annotated bibliography of the new poetry volumes from the Poets House 2009 Poetry Showcase.
Abstract
Purpose
The purpose of this paper is to present an annotated bibliography of the new poetry volumes from the Poets House 2009 Poetry Showcase.
Design/methodology/approach
The titles were selected from the Poets House 2009 Poetry Showcase as titles that are both challenging and accessible.
Findings
This list provides the librarian and reader with a guide to collection development in poetry.
Originality/value
This is one of the few lists of its kind showcasing contemporary poetry.
Details
Keywords
Anne Statham and Christine Evans
This chapter examines relationships between gender equity and environmental concerns as expressed through two different views of ecofeminism, those of a natural scientist and a…
Abstract
This chapter examines relationships between gender equity and environmental concerns as expressed through two different views of ecofeminism, those of a natural scientist and a social scientist. Personal experiences are recorded and analyzed to show similarities and differences in life and career trajectories, in part influenced by ecofeminist thought. In tracing this impact, we observed that much of the current philosophical and social science framework is less applicable to a natural science perspective. Natural systems repeat and nest at varieties of scales; thus the connectivity within any system parallels, reflects, mirrors the connectivity of other systems. These parallel systems can be nested in fractal-like natural worlds, where connections within are reflected between, and the patterns of the system are replicated in each. Thus, when we look across the range of interconnected systems, the axes are not intersecting at all, but simply reflective parallels. Such may be the case with the axes of oppression emphasized by many ecofeminists. We thus propose an extension to ecofeminist thinking – the notion of system reflectivity that encompasses, but is broader than, the idea of simultaneously operating axes of oppression.
Investigates the differences in protocols between arbitral tribunals and courts, with particular emphasis on US, Greek and English law. Gives examples of each country and its way…
Abstract
Investigates the differences in protocols between arbitral tribunals and courts, with particular emphasis on US, Greek and English law. Gives examples of each country and its way of using the law in specific circumstances, and shows the variations therein. Sums up that arbitration is much the better way to gok as it avoids delays and expenses, plus the vexation/frustration of normal litigation. Concludes that the US and Greek constitutions and common law tradition in England appear to allow involved parties to choose their own judge, who can thus be an arbitrator. Discusses e‐commerce and speculates on this for the future.
Details
Keywords
Jennifer Feitosa, Christine Kreutzer, Angela Kramperth, William S. Kramer and Eduardo Salas
The purpose of this paper is to first, synthesize employee characteristics that have been shown to help expatriate adjustment into best practices that can aid in expatriate…
Abstract
Purpose
The purpose of this paper is to first, synthesize employee characteristics that have been shown to help expatriate adjustment into best practices that can aid in expatriate selection. Second, the authors aim to identify training design variables that can be implemented to not only increase learning and expatriate adjustment, but also to maximize the benefits of employee characteristics. Finally, the authors point out environmental factors that are often overlooked, but yet important influencing forces of expatriate adjustment.
Design/methodology/approach
PsychINFO was searched using variations of the following terms: expatriate selection and expatriate training. For the selection criteria, the authors selected articles in which cross-cultural adjustment, expatriate performance, or learning was the dependent variable. Reference sections of these articles were then cross-referenced for additional support. Authors then double-coded every article independently to record variables, study methodology, and research results.
Findings
The authors have identified cultural intelligence, learning orientation, technical KSAO's, and language skills to be the most significant antecedents of expatriate adjustment. Furthermore, the authors have found environmental factors (i.e. organizational, family, and interpersonal support) to play a crucial role in the adjustment process. The authors have also identified training factors (i.e. content, process, and elements) to be crucial, and the authors propose how these design variables further facilitate learning and adjustment.
Originality/value
This manuscript contributes to the extant expatriate adjustment literature by providing a new, integrative framework. While the individual variables explored within the paper have been examined in past research, this manuscript is the first to offer a framework which integrates them to shape future research.
Details
Keywords
The present study aims to understand context and dynamics of cognitive learning of students as an outcome of the usage of popular movies as a learning tool in the management…
Abstract
Purpose
The present study aims to understand context and dynamics of cognitive learning of students as an outcome of the usage of popular movies as a learning tool in the management classroom and specifically in the context of a course on cross‐cultural management issues.
Design/methodology/approach
This is an exploratory study based on qualitative analysis of reflection notes of 14 students who participated in an elective course on “managing cross‐cultural issues (MCCI)” in the second year of their MBA programme. Students were asked to submit reflection notes focused on classroom learning as an outcome of the course MCCI with specific reference to used movies Outsourced and My Big Fat Greek Wedding. Students' reactions in their reflection notes were analyzed through qualitative content analysis.
Findings
The findings of this study reveal that students found selected movies very relevant and effective in learning cross‐cultural theories, issues and developing cross‐cultural competence. They also enjoyed movies as learning experience in the classroom. Both instructor's observations and students' reactions regarding the effectiveness of movies as classroom learning tool are very positive.
Practical implications
Popular movies, if appropriately selected and included in cross‐cultural training programmes for expatriate managers, immigrant workers and managers who travel to different countries, could be very useful as a learning tool for developing multicultural perspective and cross‐cultural competence.
Originality/value
This paper could be very useful to academicians and researchers who want to use popular movies as an instructional or research tool for exploring the psychodynamics of classroom learning in management and social sciences courses or professional training programmes focused on cross‐cultural management skills, global leadership skills, diversity management.