Justin Keen, Jeanette Moore and Robert West
The purpose of the paper is to present an alternative to the supply chain model of health care delivery that currently informs most thinking about the design of care processes.
Abstract
Purpose
The purpose of the paper is to present an alternative to the supply chain model of health care delivery that currently informs most thinking about the design of care processes.
Design/methodology/approach
The paper draws on arguments from systems theories and public administration, to generate an analysis of the nature of health care processes. It sets out a model of services characterised by treatment and care needs that vary over time, that are inherently uncertain, involve frequent assessment and re‐assessment, and provide patients and service providers with choices about treatment and care. Evidence from an evaluation of intermediate care is used to illustrate the analysis.
Findings
The analysis suggests that both the supply chain and a more network‐like model of health care processes can help us to understand health care processes. The two are complementary.
Research limitations/implications
Largely conceptual in nature. The empirical evidence is taken from one study. The ideas are presented to stimulate thinking rather than to prove an argument.
Practical implications
The conceptualisation of care processes as network‐like has implications for the way in which we think about the design and performance of health care systems.
Originality/value
There have been few publications that seek to use both systems and network approaches to understand health care processes.
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Stuart E. Woodhead, Nick V. Ashley, Jeanette S. Atkinson and Michelle R. Moore
Communication, or the process of transferring understanding of ideas and products, is complex. This is particularly true in an area where jargon is rife (science, scientific…
Abstract
Communication, or the process of transferring understanding of ideas and products, is complex. This is particularly true in an area where jargon is rife (science, scientific research and development, scientific marketing, and management of scientific/technical staff) and new terminology increases exponentially as the rate of innovation gathers pace. The purpose of this paper is to explain how the authors’consultancy has in the past adopted and is currently adopting innovative planning and implementation techniques in the communication process. Such adoption of new techniques is a response to an environment where information overload and information stress are increasing. There is a need for techniques that generate optional approaches for uncertain futures, clarify and define purpose, and assess possible risks associated with approaches and actions. Techniques have been adapted from management practice and interaction with a range of associates from the management specialities of marketing, human resources, information systems and information technology. Examples are given of the use of scenario (futuristic) planning to establish optional approaches, the use of the value proposition to focus messages and align terminology, and the use of risk assessment tools such as probability impact graphics.
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Fiona Measham, Karenza Moore and Jeanette Østergaard
In this fourth paper in a series on emergent drug trends in the UK (2006 ketamine, 2009 MDMA powder/crystal, 2010 mephedrone), the authors consider how the pharmacological…
Abstract
Purpose
In this fourth paper in a series on emergent drug trends in the UK (2006 ketamine, 2009 MDMA powder/crystal, 2010 mephedrone), the authors consider how the pharmacological landscape has changed since substituted cathinones (including mephedrone) were controlled in April 2010 and in particular assess the prevalence of mephedrone in the general night time economy (NTE) and its relationship to the use of established illegal drugs.
Design/methodology/approach
Surveys were conducted with a convenience sample of 207 adults stopped at random in four town and city centres on Friday nights in Lancashire in November 2010.
Findings
Of the adults surveyed, one in ten reported having taken mephedrone within the past year and one in 20 within the past month. Those who used mephedrone were also significantly more likely to report using ecstasy pills, cocaine and amphetamines. Regarding the next generation of “legal highs”, no clear substitute for mephedrone had emerged; instead, there was uncertainty, confusion and a degree of disinterest. In this vacuum, “Bubble” has emerged and evolved as a generic term in the north west of England to refer to any unidentified white powders which are synthetic stimulants.
Social implications
Despite an emotional investment by advocates and opponents alike in mephedrone being an ecstasy‐type substitute, research now points towards more amphetamine‐type characteristics at a time when national prevalence of amphetamines is at an historic low. The emergence of unidentified white powders sold as “Bubble” in the North West of England is a graphic illustration of the unknown content, effect and risk of current (by contrast with previous) “legal highs”, and the resultant challenges for health service providers and criminal justice agencies. Bubble may be indicative of the enduring popularity but increasingly indiscriminate use of cheap stimulants.
Originality/value
For this cohort of NTE customers, the paper's analyses indicate that mephedrone was added to existing polydrug repertoires, rather than significantly displacing use of established illegal drugs or acting as a gateway for initiation into drug use.
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Henrik Florén, Henrik Barth, Jeanette Gullbrand and Magnus Holmén
This paper reviews research on the intersection between additive manufacturing technologies (AMTs) and business models (BM). The purpose of the review is to synthesize past…
Abstract
Purpose
This paper reviews research on the intersection between additive manufacturing technologies (AMTs) and business models (BM). The purpose of the review is to synthesize past research for the benefit of researchers, to describe the dominant research themes and aggregated research questions and to identify research gaps in the literature.
Design/methodology/approach
A systematic literature review of secondary data was conducted. The 288 publications in the review appeared in peer-reviewed journal articles, conference proceedings papers and book chapters. All publications are listed in this paper by publication year and publication source. The review also distinguishes between empirical and non-empirical studies, describes methodological approaches and categorizes the publications by unit of analysis and by theme.
Findings
Research on the intersection between AMT and BM, which has increased significantly in the last three years, reflects firms' and industries' growing interest in digital manufacturing processes. This review identifies twelve dominant themes in the literature that contribute important insights to the field. Aggregated research questions are identified in each theme. Research advances and gaps are presented. Four themes relate directly to BM: (1) BM types, (2) BM and technology, (3) BM design and processes and (4) BM value and supply chains.
Originality/value
This review is the first systematic literature review on the intersection between AMT and BM. As such, the review provides a guide for researchers as they explore gaps in the research and develop research questions on an aggregated level. The review also supports users of such technologies as they review their business practices and models in the so-called Digital Revolution.
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Alysia D. Roehrig, Kristal Moore Clemons and Keely Norris
We explore how K-8 student scholars experience culturally relevant texts provided during Freedom Schools summer camps, discuss ways Freedom Schools can be a vehicle for youth to…
Abstract
We explore how K-8 student scholars experience culturally relevant texts provided during Freedom Schools summer camps, discuss ways Freedom Schools can be a vehicle for youth to become advocates for social change, and consider opportunities created by Freedom Schools for community engagement and partnerships. Mixed methods were used to investigate the experiences of 38 scholars at two different Freedom Schools sites (one rural and one mid-sized urban) in the southeastern U.S. The majority of scholars identified as African American and lived in low-income households. Primary data sources included scholar surveys and reading assessments, camp observations, and interviews with scholars, as well as our own personal reflections as the Research Director (Alysia Roehrig) and Co-Executive Directors (Kristal M. Clemons and Keely Norris) for the sites. We triangulated descriptive statistics from surveys with qualitative data, primarily from interviews, which we analyzed using open coding and axial coding to develop themes (Strauss & Corbin, 1998). The majority of scholars, who participated in the 2016 North Florida Freedom Schools, reported being able to identify with specific characters and situations in the books included in the culturally relevant reading summer program, and they expressed positive thoughts and feelings about the books. Most scholars (74%) maintained or gained in instructional reading levels and did not experience summer learning loss. Children’s confidence that they could act prosocially also increased significantly during the summer camps, which children characterized as different from regular school. Freedom Schools can offer a valuable forum for diverse community members to learn about one another, focus on their strengths, and become agents for social change. We provide suggestions for how other communities can implement the Freedom Schools model.
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There are seven main characters of which five are women: Sindiswa, Mia, Susan, Thenjiwe and Nicky. The other two characters, Glen and Zaccaria, represent males from very different…
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There are seven main characters of which five are women: Sindiswa, Mia, Susan, Thenjiwe and Nicky. The other two characters, Glen and Zaccaria, represent males from very different socio-economic and political backgrounds. The character of Dumasani, a young boy, is referred to in the play. What makes the play especially significant is that of a cast of seven, five are women. Throughout the play the character of Glen, a spy for the apartheid government, reveals the manipulative and deceitful manner in which the members of the South African police force and political informers carried out their work. He forms relationships with people about whom he professes to care; however, his only concern is that they are able to provide information that will secure financial reward for his spying activities for the apartheid government. Born in the RSA offers the audience an interesting exchange of ideas and thoughts about the political, economic and social situation in apartheid South Africa. Through the exploration of narratives and improvisation a landscape of violence is thrown open. A landscape of violence, that is not only physical, but also psychological. The play presents a complex situation in which violence does not only come from one source but from various sources such as the government, the youth, the opposition parties, the comrades, the private domestic space, subversive activities and political organisations. Any opposition to government policies results in harsher and more extreme violence by the apartheid regime strengthening their oppressive forces.
Jeanette N. Cleveland, Lena-Alyeska Huebner and Madison E. Hanscom
Aging workers are a diverse group yet research on aging infrequently examines the joint effects of age and gender upon various life domains and decisions. In order to fully…
Abstract
Aging workers are a diverse group yet research on aging infrequently examines the joint effects of age and gender upon various life domains and decisions. In order to fully understand the experience of a person, you must examine her/his roles and identities as they intersect. Intersectionality extends to the work setting, and the notion of intersectionality is presented as a paradigm that can yield significant insights into the joint consideration of age and gender in the workplace. These relationships have the potential to shape identities, which may in turn influence work perceptions and outcomes. As a result there are important considerations, consequences, solutions, and future research topics, as well as Human Resource practices that are discussed in this chapter.