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Article
Publication date: 1 September 2001

M. Chatziarsenis, E. Makri, W. Sapouna‐Chatziarseni, M. Fioretos, T. Faresjö, E. Trell and C. Lionis

Addresses the important question of the optimal share and distribution of primary and hospital care, stating that the end‐user consensus is essential. On a classical medical…

219

Abstract

Addresses the important question of the optimal share and distribution of primary and hospital care, stating that the end‐user consensus is essential. On a classical medical ground with integrated medical services the care seeking patterns and preferences were investigated in a representative sample of the, hence reasonably unbiased, native population. In a small Cretan township hospital combining secondary and primary care, a questionnaire of habits, perceptions and expectations of health services delivery and provision was distributed to a consecutive visitor sample. Overall, primary care was well and realistically appreciated. In six of the 12 conditions, mostly with fever and/or pain, general practitioners were clearly preferred while in three, as a rule organ‐associated, specialists were the first choice. The consumer‐oriented survey brings additional support to the vital role of primary care in the ongoing health systems development.

Details

International Journal of Health Care Quality Assurance, vol. 14 no. 5
Type: Research Article
ISSN: 0952-6862

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Article
Publication date: 30 November 2021

Susanna Kujala, Outi Hakala and Leena Viitaharju

The main aim of this study is to identify the factors that can affect regional differences in the procurement of local food in public catering. Understanding how some regions…

244

Abstract

Purpose

The main aim of this study is to identify the factors that can affect regional differences in the procurement of local food in public catering. Understanding how some regions procure more local food products than others could help promote the use of local food in public catering. Regions with a lower share of local food can learn from regions that have a higher local food share.

Design/methodology/approach

The studied phenomenon is complex; therefore, we used several approaches to identify the share of local food procurement and the reasons behind the regional differences. The study gathered survey data and used fuzzy-set qualitative comparative analysis (fsQCA), a computable general equilibrium model and several data sources.

Findings

The share of local food within the total food procurement varies markedly between regions. The highest local food shares can be linked to a combination of three factors: sufficient and suitable supply, adequate organisational conditions and a political atmosphere that encourages the use of local food. In addition to limited political incentives, poor supply or inadequate organisational conditions effectively characterise why some regions use very few local food products. Hence, a move towards using more local food in public catering requires political decision makers, food producers and procurement personnel to demonstrate a common will and take cohesive action.

Originality/value

By examining regional variation, the results of this study offer a new perspective on the use of local food in public catering.

Details

British Food Journal, vol. 124 no. 10
Type: Research Article
ISSN: 0007-070X

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Article
Publication date: 1 February 1996

Mats Foldevi, Göran Sommansson and Erik Trell

States that health systems globally are in transition, for which also a correspondingly reformed education is required, involving new ‐ and renewed ‐ basic sciences, principles…

1133

Abstract

States that health systems globally are in transition, for which also a correspondingly reformed education is required, involving new ‐ and renewed ‐ basic sciences, principles, skills and methods. To that end, demonstrates how problem‐based learning in general practice is almost ideal, although still sparsely implemented, and has much in common with health care quality assurance. Contends that primary care in many ways comprises the most important platform and vehicle of modern health services and their interaction with the population. Uses the example of the Faculty of Health Sciences in Linköping, where all curricula are integrated, community‐oriented, problem‐based and have a focus on primary care and general practice. Represents a useful and hitherto insufficiently recognized widening of the overall field of health care quality assurance, and summarizes some of the experiences therein. Also provides a brief overview of the literature.

Details

International Journal of Health Care Quality Assurance, vol. 9 no. 1
Type: Research Article
ISSN: 0952-6862

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Available. Open Access. Open Access
Article
Publication date: 24 February 2025

Manon Danielle Baartmans, Tim Busscher, Stefan Verweij and Jos Arts

Wide participation in the strategic processes of public organizations can enhance inclusion and transparency, thereby contributing to improved performance of public organizations…

77

Abstract

Purpose

Wide participation in the strategic processes of public organizations can enhance inclusion and transparency, thereby contributing to improved performance of public organizations. However, engaging with external participants is easier said than done. This study aims to identify how public organizations can open up their strategic processes to external participants.

Design/methodology/approach

The analysis is based on qualitative data from 12 early-phase strategy projects in the 2023 Dutch Multi-Year Program for Infrastructure, Spatial Planning and Transport (MIRT). Interviews and document data were collected and analyzed using qualitative comparative analysis (QCA).

Findings

This study identifies that the government steering the process itself, by aiming for idea generation, opens up strategic processes. This is necessary for contributing to improved public service performance.

Practical implications

This study provides strategy actors (e.g. managers, planners and consultants) with actionable knowledge about what open strategizing with external participants requires to create openness.

Originality/value

This study addresses the ongoing and increased interest in the openness of strategy processes in general and in infrastructure planning in particular. It contributes to the discussion on whether and how participation leads to improved performance of public organizations. Additionally, this study illustrates the application of QCA to the study of open strategy processes.

Details

Journal of Organizational Effectiveness: People and Performance, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2051-6614

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Available. Content available
Book part
Publication date: 31 July 2023

Firouz Gaini

This chapter explores the multifaceted present-day social and cultural constructions of adolescence in a Nordic Atlantic society, the Faroe Islands. Based on young people’s…

Abstract

This chapter explores the multifaceted present-day social and cultural constructions of adolescence in a Nordic Atlantic society, the Faroe Islands. Based on young people’s perspectives and narratives, this chapter delves into the transition from youthhood to adulthood in the context of a small-scale, family-oriented society in shift. Drawing on sociological theoretical writing about “waiting” and “waithood” in relation to the (often temporally extended or delayed) transition from adolescence to full adulthood in a globalizing world, as well as social anthropological studies of future-making, my aim is to outline the new futural orientations of contemporary adolescence with focus on aspirations for work and family life. Young people, the chapter argues, are waiting and navigating in a society with multiple parallel temporalities: When to marry? When to get children? When to earn your own money and have your own home? These and many other questions define waithood in contemporary society, which is characterized by an increasingly precarious avenue toward promising futures resonating the socially accepted ways of performing adulthood. In the Faroe Islands, an island society with roughly 54,000 inhabitants, young people’s waiting is very often also a question of staying or leaving, that is, mobility and migration strategies. The waiting entails pace as a strategy for the future (Eisenstein, 2021). Adolescent islanders aim to “hit the right pace” in their future imaginaries. This chapter contributes to sociological discussions on the social construction of adolescence with focus on the meaning of time and temporalities. It relies on empirical material from extensive qualitative studies in the Faroe Islands.

Details

The Social Construction of Adolescence in Contemporaneity
Type: Book
ISBN: 978-1-80117-449-7

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Article
Publication date: 30 October 2023

Muhammad Kazim Nur Sohad, Giuseppe Celi and Edgardo Sica

This article explores the migration intentions (MIs) embedded in population movements from rural to urban areas in Bangladesh. In this country, urban-centric development policies…

165

Abstract

Purpose

This article explores the migration intentions (MIs) embedded in population movements from rural to urban areas in Bangladesh. In this country, urban-centric development policies have made cities epicentres of commerce and industrialisation, offering significant employment and livelihood opportunities. This rapid transformation has generated several socio-psychological factors that are influencing the willingness of rural populations to migrate to cities for better jobs, lifestyles and services.

Design/methodology/approach

The present study adopted the theory of planned behaviour (TPB) as a conceptual model to assess the behavioural and psychological factors underlying MIs.

Findings

The results of the structural equation modelling (SEM) indicate that MIs are mainly influenced by subjective norms (SN) and, to a lesser extent, attitudes towards migration (ATM) and perceived behavioural control (PBC).

Originality/value

The analysis drew on an original dataset built through interviews with migrants from rural areas employed in the ready-made garment (RMG) industry in four selective areas of the Metropolitan City of Chittagong.

Details

Journal of Economic Studies, vol. 51 no. 5
Type: Research Article
ISSN: 0144-3585

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Article
Publication date: 15 July 2020

Nimesha Sahani Jayasena, Daniel W.M. Chan and Mohan Kumaraswamy

Rising human aspirations leading to rapid urbanisation, amidst climate changes and other environmental pressures have aggravated the needs for better-focused sustainable urban…

1073

Abstract

Purpose

Rising human aspirations leading to rapid urbanisation, amidst climate changes and other environmental pressures have aggravated the needs for better-focused sustainable urban development in general as well as for smart and sustainable cities in particular. Indeed, smart infrastructure (SI) development is a prerequisite for smart cities (SCs). However, inadequate funding and expertise for such SI development pose profound challenges that may be partially addressed by mobilising private finance and efficiencies through collaborative public–private partnership (PPP) models. This paper provides a holistic review and analysis of the relevant literature, as a basis for proposing such PPP models for developing SI.

Design/methodology/approach

A systematic literature review helped to fulfil the aim of this paper in the first phase of the underlying longer-term study. Authoritative search engines like Scopus and Web of Science indexed articles were reviewed and analysed, 85% of these being journal articles.

Findings

SCs that necessarily include SI are important in overcoming current urban challenges in developing and developed countries. Given shortfalls in traditional procurement and funding models, special PPP models are required for SI development. After identifying the relevant needs, drivers, barriers and challenges in different countries, a general indicative framework is developed to illustrate how the various interacting force fields can be harnessed to develop the envisaged PPP models that can complement non-PPP procurement models.

Originality/value

PPP for SI development is a relatively new, hence, under-researched topic. This desktop review and analysis provide a useful launching pad for the development of SI through overcoming the potential challenges in traditional procurement and financial models.

Details

Built Environment Project and Asset Management, vol. 11 no. 1
Type: Research Article
ISSN: 2044-124X

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Article
Publication date: 4 June 2024

Steven Ashley Forrest, Cecilia De Ita, Kate Smith, Giles Davidson and Patience Ejuma Amen-Thompson

The purpose of this study is to understand the potential of serious gaming as an imaginative and creative method to collect data in disaster studies that address key concerns…

75

Abstract

Purpose

The purpose of this study is to understand the potential of serious gaming as an imaginative and creative method to collect data in disaster studies that address key concerns such as extractive research, power inequalities, and bridging the theory-practice gap in exploring post-disaster recovery.

Design/methodology/approach

Novel serious gaming approach deployed to connect theory-practice by identifying and co-analysing post-disaster recovery gaps in a workshop setting.

Findings

The serious game has value in bridging theory-practice divides, identifying and exploring gaps/solutions in post-flood recovery, and serving as a novel social science research approach for disaster studies.

Practical implications

Outlining a dialogic approach to knowledge construction between academics, practitioners, policymakers and community voices on post-disaster recovery.

Social implications

Fostering collaboration and knowledge construction on post-disaster recovery gaps across stakeholders is valuable in improving disaster resilience strategies that benefit communities affected by disasters.

Originality/value

The paper proposes a creative and co-developed serious game method of data collection for disaster studies.

Details

Disaster Prevention and Management: An International Journal, vol. 34 no. 1
Type: Research Article
ISSN: 0965-3562

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Article
Publication date: 22 August 2024

Nele Nutt, Sirle Salmistu, Kristiina Kupper and Zenia Kotval

This paper aims to explore how recently designed and built urban public spaces in Estonia address the concept of age-friendly environments and consider older adults as users of…

50

Abstract

Purpose

This paper aims to explore how recently designed and built urban public spaces in Estonia address the concept of age-friendly environments and consider older adults as users of these spaces. This paper presents the evaluation of public spaces built as a result of urban design competitions in ten small towns of Estonia from 2014 until today.

Design/methodology/approach

This study explored and assessed how contemporary urban outdoor places meet the needs of older adults. For this purpose, this study developed an assessment instrument of age-friendly environment principles based on various sources and conducted fieldworks.

Findings

This study assumed that the needs of older adults were considered during the design competition and construction, as all towns of competition areas have a significant aging population. The findings suggest that various fundamental principles of universal or age-friendly design are not met, and there are areas of improvement in the inclusive design for all people that supports healthy aging.

Originality/value

This study can be used as improvement tool for current places in Estonia and basis for future design projects to make public places more age-friendly, specifically senior-friendly.

Details

Quality in Ageing and Older Adults, vol. 25 no. 3
Type: Research Article
ISSN: 1471-7794

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Article
Publication date: 28 December 2020

Md. Nawrose Fatemi, Seth Asare Okyere, Stephen Kofi Diko, Matthew Abunyewah, Michihiro Kita and Tahmina Rahman

This paper aims to bring the more recent discourse on the multilayered and interconnected dimensions of flood vulnerability, damage and risk reduction at the microlevel of global…

387

Abstract

Purpose

This paper aims to bring the more recent discourse on the multilayered and interconnected dimensions of flood vulnerability, damage and risk reduction at the microlevel of global south cities to Dhaka, by looking at multiple factors and their relationships.

Design/methodology/approach

A cross-sectional research design was used to generate data from 315 respondents in five neighborhoods in Eastern Dhaka, located in high flood damage zones with previous flood experience, using a structural equation model to test nine hypothetical relationships.

Findings

The model confirms that low socioeconomic conditions often lead households to use social capital to traverse flood vulnerabilities in cities. It also advances this notion to show that flood impact unleashes social capital through collective activities in responding to flooding. Further, it reveals that while socioeconomic conditions influence flood impacts, these also engender the necessary mechanisms to unleash collective responses to flooding.

Practical implications

This paper suggests the need for context-specific interventions that transcend physical and infrastructural responses to integrate socioeconomic conditions as a basis of understanding and addressing flood vulnerabilities. To achieve this requires transcending generic participatory mechanisms to use frameworks that encourage genuine participation and partnerships using coproduction.

Originality/value

This paper engages both the inner city and peri-urban areas of Dhaka to extend current conversations on the various conditions underlying flood impact to offer entry points for integrated flood management interventions at the microlevel. This paper contributes to fill the research gap in Dhaka where very few studies have examined flood damages to residential buildings and its driving factors at the neighborhood level.

Details

International Journal of Disaster Resilience in the Built Environment, vol. 12 no. 5
Type: Research Article
ISSN: 1759-5908

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