Government imperatives that drive integrated care are challenging corporate executive leadership. Conspicuous by its absence in both government's imperatives and the literature…
Abstract
Purpose
Government imperatives that drive integrated care are challenging corporate executive leadership. Conspicuous by its absence in both government's imperatives and the literature, is any reference to corporate executive leadership in transitioning a hierarchically oriented health system to a laterally integrated health system referred to, in this paper, as an integrated health system. This lack of reference to executive leadership involvement conveys either significant consequences or opportunities for corporate healthcare executives. The purpose of this qualitative, multi-case study is to explore corporate executive leadership in transitioning a hierarchically oriented health system to an integrated health system.
Design/methodology/approach
Between December 2017 and February 2018, a qualitative methodology and multi-case study design facilitated one hour telephone interviews with 11 presidents and four senior vice presidents. Critical case sampling was used to select the study sample from a target population of 246 corporate healthcare executives representing Ontario's major acute healthcare organizations/systems.
Findings
Corporate healthcare executives possess the requisite skills and knowledge to transition a hierarchically oriented to a laterally integrated the health system but are constrained by an undefined partnership role with government and fear of government changes.
Originality/value
This paper provides corporate executive leaders with a systematic leadership approach to organizational readiness, in transitioning to an integrated health system. Features and outcomes of the approach are illustrated.
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Livia Martin and Evelyn Everett Knowles
Theoretically, a health system has been described in terms of integration being the coordination of health services and collaboration amongst provider organizations. The…
Abstract
Purpose
Theoretically, a health system has been described in terms of integration being the coordination of health services and collaboration amongst provider organizations. The components of an integrated health system remain inconclusive. Although senior healthcare executives establish structures and designs which facilitate the delivery of integrated care, their perspectives of a health system have not been explored. The purpose of this paper is to present senior healthcare executives’ perspectives of a health system which, when combined, form a model for developing an integrated health system.
Design/methodology/approach
Using a qualitative methodology and a multi-case study design, 11 presidents and 4 senior vice presidents of major healthcare organizations or systems in Ontario Canada were selected from a target population of 246 senior healthcare executives to engage in 1 h interviews each. Critical case sampling was applied in the selection of the study sample. Interviews were conducted between December 2017 and February 2018.
Findings
Senior healthcare executives expressed four distinct perspectives of a health system: systems, institutional, clinical and governance. When combined, the four perspectives form an original research-based concept or model for an integrated health system.
Originality/value
This paper conveys results of personal interviews with senior healthcare executives and presents a proposed model for an integrated health system based on their four distinct perspectives of a health system.
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Tamires Cássia de Melo Souza, Lívya Alves Oliveira, Juliana Costa Liboredo, Ceres Mattos Della Lucia, Lívia Garcia Ferreira, Marina Martins Daniel and Lucilene Rezende Anastácio
The purpose of this study is to describe the prevalence of a sedentary lifestyle (<150 min of physical exercise/week) and associated factors of this behavior in Brazil.
Abstract
Purpose
The purpose of this study is to describe the prevalence of a sedentary lifestyle (<150 min of physical exercise/week) and associated factors of this behavior in Brazil.
Design/methodology/approach
An observational study was conducted through an online questionnaire in August–September 2020 (5.5 months after the beginning of the pandemic in the country). Socioeconomic, lifestyle, anthropometric, dietary and perceived stress data were evaluated as possible related factors to a sedentary lifestyle through multiple logistic regression analysis.
Findings
A total of 1,347 individuals were evaluated (median of 31 years old, 80.1% women), of whom 76.7% were considered sedentary. Associated factors to a sedentary lifestyle were being overweight; a greater difference between current weight and prepandemic weight; female sex; lower percentage of home-cooked meals; greater increase in the frequency of consumption of alcoholic beverages; higher frequency of consumption of cereals, sausages and sweets during the pandemic; and higher score of perceived stress.
Originality/value
To the best of the authors’ knowledge, no studies have aimed to reveal the associated factors to a sedentary lifestyle during the COVID-19 pandemic in Brazil. Protective factors against a sedentary lifestyle were eating breakfast, being a student, living with parents, a higher frequency of fruit consumption, a higher rate of alcohol consumption and a higher cognitive restriction of food intake during the pandemic. Most of the study participants were sedentary, especially women. A sedentary lifestyle was associated with worse lifestyle/eating habits and stress. Such findings encourage an interdisciplinary approach because habits and lifestyle have numerous interferences.
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Tamires Cássia de Melo Souza, Lucilene Rezende Anastácio., Lívya Alves Oliveira, Marina Martins Daniel, Fernanda Rodrigues de Oliveira Penaforte, Juliana Costa Liboredo, Ceres Mattos Della Lucia and Lívia Garcia Ferreira
This study aims to identify comfort food (CF) consumption and its associated factors during the pandemic period. The study also involves an online survey conducted five months…
Abstract
Purpose
This study aims to identify comfort food (CF) consumption and its associated factors during the pandemic period. The study also involves an online survey conducted five months after the quarantine started in Brazil.
Design/methodology/approach
Data on lifestyle, eating habits and anthropometric data were collected before and during the pandemic, and the differences in these habits were analyzed. Univariate and multivariate logistic regression models were performed to identify predictors of CF consumption by gender.
Findings
A total of 1,363 individuals were included in the sample, with a median age of 31 years old, of whom 80.3% were women. Since individuals were free to respond about the food consumed without predetermined categories, it was possible to carry out a faithful assessment of the occurrence of this behavior. At the same time, allowing the subjectivity and symbolism inherent to the concept of CF to be embraced. CF consumption was present for 54%, with “sweets” being the most mentioned group by both genders. The factors associated with CF consumption in women during the pandemic were increased snacking, increased bread, candies and alcoholic beverage intake, increased time spent at work, worsened sleep quality, reduced meals, perceived stress (PS), emotional eating (EE), age and increased frequency of meat intake. In men, the predictors for CF consumption were remote full-time work/study, PS, EE and early waking time. For both genders, CF consumption during the pandemic period was associated with PS and EE.
Originality/value
This study provides an important overview of the possible contributions of the pandemic on behaviors and food choices related to the consumption of CF in Brazilians. This information is valuable to support further studies to investigate and treat the impacts of the pandemic on lifestyle, eating habits and behavior, mental health and other factors in the postpandemic period.
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Pablo Collazzo Yelpo and Livia Kubelka
This study aims to contribute to fill in the gap identified in the literature at the interplay of clusters and shared value creation (CSV), by mapping out and assessing CSV…
Abstract
Purpose
This study aims to contribute to fill in the gap identified in the literature at the interplay of clusters and shared value creation (CSV), by mapping out and assessing CSV clusters in Austria.
Design/methodology/approach
An exploratory, cross-sectional and multiple case study research with data generated through semi-structured interviews carried out with a sample of Austrian cluster managers. The collected data were assessed through a qualitative content analysis following Mayring (2010).
Findings
The analysis of the data suggests that there are five main categories that shape Austrian clusters’ CSV practices, namely, cluster context, cluster purpose, CSV context, development of CSV and types of CSV. Applying Mayring’s content analysis technique to the proposed CSV cluster definition results in one third of the networks labeled as CSV clusters. The lack of a clear understanding of CSV and its strategic value emerged as a barrier for Austrian clusters to further embed shared value in their operations.
Research limitations/implications
This cross-sectional, exploratory study adds empirical evidence to the theoretical appeal of the CSV construct. Being CSV firm-specific and context-dependent, the relevance of the findings is limited to the current state of play of Austrian clusters.
Practical implications
The cases revealed the opportunity to reinforce the message on the business case for CSV.
Social implications
By raising CSV awareness, social value creation is likely to increase.
Originality/value
This paper aimed at contributing to the buildup of empirical evidence on shared value creation. Deviating from the mainstream literature that typically portrays multinationals as CSV champions, this research looks at clusters as unit of analysis.
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Saarce Elsye Hatane, Livia Sondak, Josua Tarigan, Hendri Kwistianus and Sany Sany
This paper aims to give broad insights into what components can significantly influence the adoption of Metaverse from the perspective of internal auditors and their firms in…
Abstract
Purpose
This paper aims to give broad insights into what components can significantly influence the adoption of Metaverse from the perspective of internal auditors and their firms in Indonesia.
Design/methodology/approach
This research used primary data from questionnaires. Relying on the empirical view of 202 internal auditors in Indonesia, this research’s framework is executed using structural equation model. Company’s intention in adopting the Metaverse technology intervenes in the influence of perception of external control and usefulness on the internal auditor’s intention to adopt that technology.
Findings
The perception of external control and perceived usefulness of Metaverse significantly influenced the adoption intention of Metaverse by internal auditors and their firms in Indonesia. This paper is helpful for practitioners who would like to know what factors are needed to make the internal auditors in Indonesia able to adopt Metaverse.
Research limitations/implications
Results might be varied from country to country as each country has different technology development. Therefore, upcoming research can compare similar studies in another country. This paper can contribute to further empirical development for the theory of acceptance model of the third version. Many researchers use the theory to study advanced technology adoption intention.
Practical implications
The paper is also essential for future research and could enhance companies' knowledge about staying updated in the market with the advanced technology that keeps developing.
Originality/value
This paper contributes to an integrated view of the intention of internal auditors and firms in Indonesia to adopt Metaverse. To the best of the authors’ knowledge, this topic is relatively new in Indonesia.
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Lívia Lukovszki, András Rideg and Norbert Sipos
The purpose of this study is to identify the corporate functions that contribute most to the innovation success of SMEs with limited resources. After a systematic literature…
Abstract
Purpose
The purpose of this study is to identify the corporate functions that contribute most to the innovation success of SMEs with limited resources. After a systematic literature review, the authors used a unique primary data set of 784 SMEs from eight countries. Descriptive statistics and binary logistic regression were used to show the data set peculiarities. The logistic regression targeted the presence of innovative products and services in sales by 11 dummy variables and 4 principal factors describing SMEs’ different resources and capabilities.
Design/methodology/approach
The authors developed a resource-based product innovation model that is synthesising the impact of the company resources and capabilities and of the innovation activity of the company on the actual innovation performance. The authors carry out an empirical analysis of the characteristic features of innovation activity in an international sample of SMEs.
Findings
The results show that two corporate functions play a crucial role in the effectiveness of innovation for SMEs as follows: management and research and development (R&D). In addition, although of lesser importance, the effect of the marketing function also appears significant. The binary logistic regression had 84.2% of explanatory power.
Originality/value
From a scientific point of view, the SME-focussed, complex and synthesising RBV model of innovation construction and literature review can be used as a reference point for future researches. From a practical point of view, the analysis is useful for those SMEs, which want to gain a competitive advantage through innovation. Indeed, the results show that in the case of SMEs, a company wishing to innovate must invest in three corporate functions for innovation to be effective as follows: management, R&D and marketing.
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Livia Somerville, Matthias Stucki and Regula Keller
The purpose of this study was to evaluate the environmental footprint of a university of applied sciences in 2019 and 2020, including the effects of the lockdown periods. The…
Abstract
Purpose
The purpose of this study was to evaluate the environmental footprint of a university of applied sciences in 2019 and 2020, including the effects of the lockdown periods. The study identified the main sources of emissions and assessed the pandemic-related effects.
Design/methodology/approach
Using the life cycle assessment methodology, this study analysed the university’s direct and indirect emissions during a regular year of operation (2019) and compared them with those generated during the lockdown periods in 2020. For the activity areas mobility, energy, waste, IT and paper, gastronomy and water, specific, primary bottom-up inventory data were gathered before and during the pandemic. The data were assessed with 15 environmental impact assessment methods of the environmental footprint framework.
Findings
The results of a regular year of operation (2019) depicted that student and employee commuting and business travel contributed with 86% largely to the total global warming potential of 2,572 t CO2-eq. The pandemic-induced changes in commuting and business travel resulted in a 60% reduction, leading to a drop to 1,075 t CO2-eq (2020). In contrast, the environmental footprint due to energy consumption remained almost on the same level, irrespective of the absences on-site in 2020.
Originality/value
This study has the potential to shape post-pandemic environmental efforts and policies in higher education institutions and contribute to a much-needed baseline against which mitigation efforts can be compared with. Unlike other studies, this study goes beyond the carbon footprint, expanding the discussion to additional environmental and human health impact categories by applying the environmental footprint framework.
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Rafael Alcadipani Da Silveira and João Crubelatte
The purpose of this paper is to analyse the Brazilian literature about national and organizational culture.
Abstract
Purpose
The purpose of this paper is to analyse the Brazilian literature about national and organizational culture.
Design/methodology/approach
A postmodern epistemological perspective is taken to discuss culture, focusing first on its contribution to the analysis of culture within organizations. Then the central ideas in the articles published in Brazilian periodicals and congresses, between 1991 and 2000, which talked about Brazilian organizational culture, are presented and an attempt is made to outline their fundamental characteristics.
Findings
The majority of studies which deal with Brazilian culture, and which have been developed within the context of management, analyze the theme in a homogeneous manner and do not take into account the plurality and heterogeneity within the country and organizations.
Originality/value
Postmodern approaches to discussion of culture seem to be important in dealing with cultural contexts (national and organizational) where nuances and variations cannot be ignored without serious political and social implications.
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Anna Róza Varga, Norbert Sipos, Andras Rideg and Lívia Lukovszki
The purpose of this paper is to identify the differences between Hungarian family-owned businesses (FOBs) and non-family-owned businesses (NFOBs) concerning the elements of SME…
Abstract
Purpose
The purpose of this paper is to identify the differences between Hungarian family-owned businesses (FOBs) and non-family-owned businesses (NFOBs) concerning the elements of SME competitiveness and financial performance.
Design/methodology/approach
The research covers the Hungarian data set of the Global Competitiveness Project (GCP, www.sme-gcp.org) of 738 (data collection between 2018 and 2020) non-listed SMEs, of which 328 were FOBs. The study uses the comprehensive, multidimensional competitiveness measurement of the GCP built on the resource-based view (RBV) and the configuration theory. Financial performance was captured with two composite indicators: short-term and long-term financial performance (LTFP). The comparative analysis between FOBs and NFOBs was conducted using binary logistic regression.
Findings
The results show that FOBs are more prone to focusing on local niche markets with higher longevity and LTFP than NFOBs. However, FOBs have lower innovation intensity and less organised administrative procedures. The most contradicting finding is that the FOBs’ higher LTFP is accompanied by significantly lower competitiveness than in the case of NFOBs.
Originality/value
This study goes beyond other GCP studies by including composite financial performance measures among the variables examined. The combination of performance-causing (resources and capabilities) and performance-representing (financial performance) variables provides a better understanding of the non-listed SMEs in terms of family ownership. The results help academia to enrich the RBV-competitiveness, the non-listed SME management and finance literature, and policymakers to design business development and support schemes. They also show future entrepreneurs the impact of family ownership on entrepreneurial success.