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Article
Publication date: 5 January 2021

Artwell Kadungure, Garrett Wallace Brown, Rene Loewenson and Gwati Gwati

This study examines key adaptations that occurred in the Zimbabwean Results-Based Financing (RBF) programme between 2010 and 2017, locating the endogenous and exogenous factors…

105

Abstract

Purpose

This study examines key adaptations that occurred in the Zimbabwean Results-Based Financing (RBF) programme between 2010 and 2017, locating the endogenous and exogenous factors that required adaptive response and the processes from which changes were made.

Design/methodology/approach

The study is based on a desk review and thematic analysis of 64 policy and academic literatures supplemented with 28 multi-stakeholder interviews.

Findings

The programme experienced substantive adaption between 2010 and 2017, demonstrating a significant level of responsiveness towards increasing efficiency as well as to respond to unforeseen factors that undermined RBF mechanisms. The programme was adaptive due to its phased design, which allowed revision competencies and responsive adaptation, which provide useful insights for other low-and-middle income countries (LMICs) settings where graduated scale-up might better meet contextualised needs. However, exogenous factors were often not systematically examined or reported in RBF evaluations, demonstrating that adaptation could have been better anticipated, planned, reported and communicated, especially if RBF is to be a more effective health system reform tool.

Originality/value

RBF is an increasingly popular health system reform tool in LMICs. However, there are questions about how exogenous factors affect RBF performance and acknowledgement that unforeseen endogenous programme design and implementation factors also greatly affect the performance of RBF. As a result, a better understanding of how RBF operates and adapts to programme level (endogenous) and exogenous (external) factors in LMICs is necessary.

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Journal of Health Organization and Management, vol. 35 no. 3
Type: Research Article
ISSN: 1477-7266

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Article
Publication date: 31 August 2023

Søren Rud Kristensen, Laura Anselmi, Garrett Wallace Brown, Eleonora Fichera, Roxanne Kovacs, Rene Loewenson, Neha Singh, Nicholas Midzi, Fatimah Mustapha, Lee White and Josephine Borghi

The use of pay for performance (P4P) as an instrument to incentivise quality improvements in health care is at a crossroads in high-income countries but has remained a commonly…

205

Abstract

Purpose

The use of pay for performance (P4P) as an instrument to incentivise quality improvements in health care is at a crossroads in high-income countries but has remained a commonly used tool in low- and middle-income countries. The authors aimed to take stock of the evidence on effectiveness and design from across income settings to reveal insights for the future design of performance payment across income contexts.

Design/methodology/approach

The authors identified Cochrane literature reviews of the use of P4P in health care in any income setting, tracked the development in the quantity and quality of evidence over time, and compared the incentive design features used across high-income countries compared to low- and middle-income countries.

Findings

The quantity and quality of the evidence base have grown over time but can still be improved. Scheme design varies across income settings, and although some design choices may reflect differences in context, the authors find that incentive designers in both income settings can learn from practices used in the other setting.

Originality/value

The research and literature on P4P in high-, low- and middle-income countries largely operate in silos. By taking stock of the evidence on P4P from across income settings, the authors are able to draw out key insights between these settings, which remain underexplored in the literature.

Details

International Journal of Public Sector Management, vol. 36 no. 6/7
Type: Research Article
ISSN: 0951-3558

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Abstract

Details

International Journal of Public Sector Management, vol. 36 no. 6/7
Type: Research Article
ISSN: 0951-3558

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Article
Publication date: 16 November 2020

Adrian Tootell, Elias Kyriazis, Jon Billsberry, Véronique Ambrosini, Sam Garrett-Jones and Gordon Wallace

This study aims to explore the factors undergirding knowledge creation in the university-industry complex inter-organizational arrangement. It builds upon social capital and…

1343

Abstract

Purpose

This study aims to explore the factors undergirding knowledge creation in the university-industry complex inter-organizational arrangement. It builds upon social capital and relationship marketing theories.

Design/methodology/approach

This study uses a qualitative research design. In total, 36 innovation champions involved in knowledge creation were interviewed to provide detailed insights into the process. A thematic analysis of the in-depth interviews was conducted.

Findings

The principal finding was that opportunistic behavior was a significant barrier to knowledge creation. In severe cases, the knowledge creation process was destroyed, resulting in lost investment. Principled behavior and investment in affect-based and cognition-based trust, through five critical trust development activities, provided the best path to successful knowledge creation.

Originality/value

This study contributes to the knowledge management literature by providing insights into the enablers and barriers to the formation of cooperation, a crucial antecedent to knowledge creation literature. It also affords practical implications for innovation managers and policymakers on how they can improve knowledge creation by using social capital and relationship marketing theory in complex inter-organizational arrangements.

Details

Journal of Knowledge Management, vol. 25 no. 4
Type: Research Article
ISSN: 1367-3270

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Available. Content available
Book part
Publication date: 20 June 2017

David Shinar

Free Access. Free Access

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Traffic Safety and Human Behavior
Type: Book
ISBN: 978-1-78635-222-4

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Book part
Publication date: 29 November 2014

Leslie Hazle Bussey and Jennie Welch

A vast array of leadership dispositions associated with school and student success is well-documented in extant leadership development literature. However, persistent challenges…

Abstract

A vast array of leadership dispositions associated with school and student success is well-documented in extant leadership development literature. However, persistent challenges face practitioners as they attempt to measure leader dispositions and apply what is known about dispositions to hiring, selection, development, and retention of school leaders. We begin this chapter with an exploration of the essential leader dispositions which surfaced through an exhaustive cross-disciplinary review of literature, in concert with a review of disposition tools and frameworks in use in a variety of practical settings. Next, we illuminate significant challenges associated with reliably measuring school leader dispositions and explore promising emergent innovative strategies for assessing disposition development. Though difficult to measure, we argue that dispositions are too important to ignore and conclude with practical recommendations for using research on leader dispositions to cultivate outstanding school leaders.

Details

Pathways to Excellence: Developing and Cultivating Leaders for the Classroom and Beyond
Type: Book
ISBN: 978-1-78441-116-9

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Book part
Publication date: 21 October 2014

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Politics and the Life Sciences: The State of the Discipline
Type: Book
ISBN: 978-1-78441-108-4

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Book part
Publication date: 7 November 2022

Joseph N. Patten

During the 2020 election cycle, 2,276 super PACs spent over $2.1 billion in federal elections. This chapter argues that changes made to the US campaign finance system brought…

Abstract

During the 2020 election cycle, 2,276 super PACs spent over $2.1 billion in federal elections. This chapter argues that changes made to the US campaign finance system brought about by the Citizens United v. FEC (2010) and SpeechNow.org v. FEC (2010) cases have destabilized the American political system by fueling tensions between right-wing and left-wing populist factions and by contributing to congressional corruption. By moving away from the political corruption standard and toward the free speech standard in Citizens United, polarizing wealthy mega-donors and dark money sources have come to play a dominant role in congressional elections. These cases also helped to contribute to a two-tiered campaign finance regulatory structure that distinguishes between campaign contributions given directly to federal candidates and political money contributed to super PACs to support or oppose federal candidates. In the 2020 congressional elections, PACs and super PACS outspent both major party candidates combined in 35 House and Senate races. Super PACs are serving as “shadow parties” by targeting competitive races for the purpose of swaying partisan control of Congress. This study also shows that an exceedingly high percentage of super PAC money is spent on negative advertising that further divides rather than unifies the nation. This chapter also highlights the corrupting influence of congressional leadership PACs and examines how super PACs have enabled foreign and dark money sources to illegally influence congressional campaigns.

Available. Content available

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IDeaLs (Innovation and Design as Leadership)
Type: Book
ISBN: 978-1-80071-834-0

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Book part
Publication date: 24 August 2004

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Details

Handbook of Transport Geography and Spatial Systems
Type: Book
ISBN: 978-1-615-83253-8

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