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Article
Publication date: 7 May 2020

David de Kam, Marianne van Bochove and Roland Bal

Despite the continuation of hospital mergers in many western countries, it is uncertain if and how hospital mergers impact the quality of care. This poses challenges for the…

1360

Abstract

Purpose

Despite the continuation of hospital mergers in many western countries, it is uncertain if and how hospital mergers impact the quality of care. This poses challenges for the regulation of mergers. The purpose of this paper is to understand: how regulators and hospitals frame the impact of merging on the quality and safety of care and how hospital mergers might be regulated, given their uncertain impact on quality and safety of care.

Design/methodology/approach

This paper studies the regulation of hospital mergers in The Netherlands. In a qualitative study design, it draws on 30 semi-structured interviews with inspectors from the Dutch Health and Youth Care Inspectorate (Inspectorate) and respondents from three hospitals that merged between 2013 and 2015. This paper draws from literature on process-based regulation to understand how regulators can monitor hospital mergers.

Findings

This paper finds that inspectors and hospital respondents frame the process of merging as potentially disruptive to daily care practices. While inspectors emphasise the dangers of merging, hospital respondents report how merging stimulated them to reflect on their care practices and how it afforded learning between hospitals. Although the Inspectorate considers mergers a risk to quality of care, their regulatory practices are hesitant.

Originality/value

This qualitative study sheds light on how merging might affect key hospital processes and daily care practices. It offers opportunities for the regulation of hospital mergers that acknowledges rather than aims to dispel the uncertain and potentially ambiguous impact of mergers on quality and safety of care.

Details

Journal of Health Organization and Management, vol. 34 no. 4
Type: Research Article
ISSN: 1477-7266

Keywords

Available. Open Access. Open Access
Article
Publication date: 10 June 2024

David Castillo-Merino, Josep Garcia-Blandon and Gonzalo Rodríguez-Pérez

This paper aims to examine the effects of the 2014 European regulatory reform on auditors’ activity, the audit outcome and the audit market, with a focus on the Spanish market.

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Abstract

Purpose

This paper aims to examine the effects of the 2014 European regulatory reform on auditors’ activity, the audit outcome and the audit market, with a focus on the Spanish market.

Design/methodology/approach

The research is based on in-depth, semistructured interviews with partners of the main audit firms operating in the Spanish market. This qualitative approach provides a precise identification of the cause-effect relationships of the new measures introduced by the European audit regulation.

Findings

The findings indicate that, based on auditors’ opinions, the costs of the main regulatory changes outweigh the benefits. The European Union (EU) Audit Regulation imposes more demanding provisions, such as an extended auditor’s report, mandatory audit firm rotation, more banned nonaudit services and stricter quality controls, resulting in substantial side effects on audit activity and the audit market. This could undermine the objective of enhancing the quality of audit services.

Originality/value

To the best of the authors’ knowledge, this is the first study to analyze the effect of the 2014 EU regulatory reform on audit activity, audit market and audit outcome based on auditors’ perceptions. The findings may be of interest to academics, professionals and regulators alike, as they offer valuable insights for assessing the effectiveness of the new audit provisions. Additionally, the qualitative methodology used facilitates a causal analysis of the key elements introduced by the regulations, potentially paving the way for future research avenues.

Details

Meditari Accountancy Research, vol. 32 no. 7
Type: Research Article
ISSN: 2049-372X

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Article
Publication date: 20 November 2020

Phillip McGowan, Chris Simms, David Pickernell and Konstantios Zisakis

The purpose of this paper is to consider the impact of effectuation when used by small suppliers within key account management (KAM) relationships.

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Abstract

Purpose

The purpose of this paper is to consider the impact of effectuation when used by small suppliers within key account management (KAM) relationships.

Design/methodology/approach

An exploratory longitudinal case study approach was used to examine a single small supplier operating in the snack foods sector of the UK foods industry, as it entered into a new KAM relationship with a major retailer and undertook four new product development projects.

Findings

Findings suggest effectuation may positively moderate the ability of a small supplier to enter into a KAM relationship by enabling it to obtain resources and limit risk. However, once within the relationship, the use of effectuation may negatively impact success by increasing the potential for failure to co-create new product development, leading to sub-optimal products, impacting buyer confidence and trust. Furthermore, a failed KAM relationship may impact other customers through attempts to recover revenues by selling these products, which may promote short-term success but, in the long-term, lead to cascading sales failure.

Research limitations/implications

It cannot be claimed that the findings of just one case study represent all small suppliers or KAM relationships. Furthermore, the case presented specifically concerns buyer-supplier relationships within the food sector.

Practical implications

This study appears to suggest caution be exercised when applying effectuation to enter into a KAM relationship, as reliance on effectual means to garner required resources may lead to the production of sub-optimal products, which are rejected by the customer. Additionally, a large customer considering entering into a KAM relationship with a small supplier should take care to ensure their chosen partner has all resources needed to successfully deliver as required or be prepared to provide sufficient support to avoid the production of sub-optimal products.

Originality/value

Findings suggest the use of effectuation within a KAM relationship has the potential to develop a dark side within business-to-business buyer-supplier relationships through unintentional breaches of trust by the selling party.

Details

Journal of Business & Industrial Marketing, vol. 36 no. 7
Type: Research Article
ISSN: 0885-8624

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Article
Publication date: 1 March 1993

Shipley Europe have appointed Alex Kostelecky as Group Sales Director for their range of specialist chemicals and processes for the printed circuit board industry.

15

Abstract

Shipley Europe have appointed Alex Kostelecky as Group Sales Director for their range of specialist chemicals and processes for the printed circuit board industry.

Details

Circuit World, vol. 19 no. 4
Type: Research Article
ISSN: 0305-6120

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Book part
Publication date: 22 October 2019

Mumbi Maria Wachira and David Wang’ombe

Though environmental management accounting (EMA) is a globally recognized accounting practice, its application and development within several developing economies remain stunted…

Abstract

Purpose

Though environmental management accounting (EMA) is a globally recognized accounting practice, its application and development within several developing economies remain stunted. The aim of this chapter is to provide an overview of the extent to which EMA practices have been implemented by local manufacturing companies in Nairobi, Kenya.

Methodology

We measure the degree to which EMA methods have been adopted by manufacturing entities and hypothesize that firm size, financial performance, and regulation are positively associated to the extent to which EMA techniques are applied by Kenyan corporations. The chapter employs a mixed methods research approach and combines the use of surveys with semi-structured interviews to gain insights into drivers of EMA and the extent to which these methods are applied locally.

Findings

We find environmental regulation and financial performance are positively associated with the level of EMA practices applied by manufacturing entities.

Originality

The findings illustrate the complexities of applying EMA practices within an emerging context and provide evidence that EMA practices are still predominantly used by entities to meet local regulatory requirements. The qualitative findings indicate there could be some companies who engage with EMA at a more sophisticated level.

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Book part
Publication date: 16 August 2014

Anna Kaunonen

Three types of industrial buyer-seller relational process models are available: joining theory, stage theory, and state theory. However, historically, these models have developed…

Abstract

Three types of industrial buyer-seller relational process models are available: joining theory, stage theory, and state theory. However, historically, these models have developed based on the knowledge and cultural context of the Western world. Several researchers note that national culture may have an impact on international industrial buyer-seller relationships. Including culture in the models is highly important, especially as the business environment is increasingly more global and different countries have different business cultures. The goal of this paper is to define the most suitable industrial buyer-seller relational process models for describing relationships in various contexts. The paper includes a through literature review and a single case study in order to reach this objective. A new state theory model evolved during the research. It consists of two beginning states: searching and starting; four purely middles states: constant/static, decline, growth, and troubled; and a purely end state: termination. The state of dormant/inert is both a middle state and an end state, that is, when the relational actors are not in contact does not mean that the relationship has ended, but instead, for example, new legislation may have been implemented, which requires the actors to evaluate their relationship and its future. A relationship goes through the two beginning states in the order mentioned above, but after that, any state may occur.

Details

Advances in Business Marketing & Purchasing
Type: Book
ISBN: 978-1-78190-858-7

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Book part
Publication date: 18 January 2002

Abstract

Details

The Comparative Study of Conscription in the Armed Forces
Type: Book
ISBN: 978-0-76230-836-1

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Article
Publication date: 8 June 2010

Amy Kam, David Citron and Gulnur Muradoglu

The purpose of this paper is to examine two contrasting financially distressed companies in China and their restructuring strategies. Chinese firms are selected as providing a…

1381

Abstract

Purpose

The purpose of this paper is to examine two contrasting financially distressed companies in China and their restructuring strategies. Chinese firms are selected as providing a context where bankruptcy law is in its infancy and where the state is still heavily involved as a shareholder. As a result, the process of distressed company restructuring is likely to differ markedly from that observed in developed economies.

Design/methodology/approach

The paper adopts a case study methodology to explore on an in‐depth basis the features of the distress resolution process in the Chinese institutional context and to investigate how it differs from the process in more developed economies. The paper analyses the firms' accounting‐based performance to understand the nature of their difficulties. It then examines the complex restructuring procedures initiated and uses an event study approach to evaluate the stock market's reaction to these strategies.

Findings

The distinguishing features of the Chinese restructuring process are as follows. First, the assets of distressed firms are sometimes transferred without payment being made in return. Second, social considerations play a role, in particular the state's need to maintain employment levels or ensure the funding of redundancy payments. Finally, firms can remain in severe financial distress for extended periods of time; possible reasons for this are explored in the paper.

Originality/value

The existing distress literature focuses on developed economies such as the USA and the UK. The paper provides an in‐depth understanding of the special features of the Chinese situation, including the role of government and other more commercially driven shareholders; the subsequent importance of social policy issues; the protracted and complex nature of the restructurings; and the frequent use of mergers, share transfers, asset swaps and asset sales.

Details

Qualitative Research in Financial Markets, vol. 2 no. 2
Type: Research Article
ISSN: 1755-4179

Keywords

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Article
Publication date: 1 April 1987

Christine Muir

M & T Chemicals have announced the appointment of Mr David Smith as Director of PCB Systems and as a member of the company's Board of Management. Mr Smith, who was formerly Sales…

25

Abstract

M & T Chemicals have announced the appointment of Mr David Smith as Director of PCB Systems and as a member of the company's Board of Management. Mr Smith, who was formerly Sales and Marketing Director of Lea Ronal (UK) Ltd, has had more than seventeen years experience in the printed circuit industry.

Details

Circuit World, vol. 14 no. 1
Type: Research Article
ISSN: 0305-6120

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Article
Publication date: 1 June 1997

Jaroslav Mackerle

Gives a bibliographical review of the finite element methods (FEMs) applied for the linear and nonlinear, static and dynamic analyses of basic structural elements from the…

6101

Abstract

Gives a bibliographical review of the finite element methods (FEMs) applied for the linear and nonlinear, static and dynamic analyses of basic structural elements from the theoretical as well as practical points of view. The range of applications of FEMs in this area is wide and cannot be presented in a single paper; therefore aims to give the reader an encyclopaedic view on the subject. The bibliography at the end of the paper contains 2,025 references to papers, conference proceedings and theses/dissertations dealing with the analysis of beams, columns, rods, bars, cables, discs, blades, shafts, membranes, plates and shells that were published in 1992‐1995.

Details

Engineering Computations, vol. 14 no. 4
Type: Research Article
ISSN: 0264-4401

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