Looks at the introduction and marketing of generic products in Belgium. Examines the costs and benefits of their introduction and indicates that their introduction must be made at…
Abstract
Looks at the introduction and marketing of generic products in Belgium. Examines the costs and benefits of their introduction and indicates that their introduction must be made at a time when the market is ready for them. States that introduction for these is best when consumers have a changed opinion about price‐quality relationships and there is a decrease in disposable income.
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Ph. Naert and G. Swinnen
In this article, we want to report on evolutions in distribution and distribution research in Belgium. The purpose of the first part is to present some factual data on…
Abstract
In this article, we want to report on evolutions in distribution and distribution research in Belgium. The purpose of the first part is to present some factual data on distribution in Belgium and to report on evolutions since the Second World War.
Discusses individual generic ranges based on a series of interviews with senior personnel in major retail companies. Presents data from a survey of 200 generic purchasers…
Abstract
Discusses individual generic ranges based on a series of interviews with senior personnel in major retail companies. Presents data from a survey of 200 generic purchasers, outlining the methodology and findings. Reveals that, in the UK, conditions are suitable for the development of generic ranges within the grocery sector.
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Ixchel M. Faniel, Rebecca D. Frank and Elizabeth Yakel
Taking the researchers’ perspective, the purpose of this paper is to examine the types of context information needed to preserve data’s meaning in ways that support data reuse.
Abstract
Purpose
Taking the researchers’ perspective, the purpose of this paper is to examine the types of context information needed to preserve data’s meaning in ways that support data reuse.
Design/methodology/approach
This paper is based on a qualitative study of 105 researchers from three disciplinary communities: quantitative social science, archaeology and zoology. The study focused on researchers’ most recent data reuse experience, particularly what they needed when deciding whether to reuse data.
Findings
Findings show that researchers mentioned 12 types of context information across three broad categories: data production information (data collection, specimen and artifact, data producer, data analysis, missing data, and research objectives); repository information (provenance, reputation and history, curation and digitization); and data reuse information (prior reuse, advice on reuse and terms of use).
Originality/value
This paper extends digital curation conversations to include the preservation of context as well as content to facilitate data reuse. When compared to prior research, findings show that there is some generalizability with respect to the types of context needed across different disciplines and data sharing and reuse environments. It also introduces several new context types. Relying on the perspective of researchers offers a more nuanced view that shows the importance of the different context types for each discipline and the ways disciplinary members thought about them. Both data producers and curators can benefit from knowing what to capture and manage during data collection and deposit into a repository.
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Enrico Maria Piras and Alberto Zanutto
Personal Health Record (PHR) systems make possible to integrate data from different sources and circulate them within the illness care and management network. The new arrangements…
Abstract
Purpose
Personal Health Record (PHR) systems make possible to integrate data from different sources and circulate them within the illness care and management network. The new arrangements prefigure a redefinition of the relations among healthcare practitioners, patients, and caregivers. The purpose of this paper is to consider the role and the meanings attributed to information when a technical artifact enables new forms of communication within the healthcare management network.
Design/methodology/approach
The authors adopted a qualitative research design, conducting a pre-post analysis on a theoretical sample of patients and of a paediatrics department. The authors selected 12 patients (six females and six males) aged between four and 20 years old.
Findings
The patients were willing to act as “stewards of their own information” (Halamka et al., 2008), but they interpreted this role in terms of restricting access to their information, rather than facilitating its dissemination. In fact, the PHR was symbolized as an instrument to support personal diabetes management but the patients want to preserve their own competence and independent management on the information regarding their “Personal” diseases.
Originality/value
This work highlights two connotation of “Personal” information. The first is the dimension of the right to the privacy of information when it is believed that it may be used to pass judgement on the patient. The second connotation of “Personal” is the assertion by patients of their competence and autonomy in interpreting the information on the basis of personal knowledge about their diabetes.
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Andrea Jones, Flis Henwood and Angie Hart
This paper examines the factors that made services more or less effective in using electronic patient record systems to produce clinical information for clinical audit and…
Abstract
Purpose
This paper examines the factors that made services more or less effective in using electronic patient record systems to produce clinical information for clinical audit and research.
Design/methodology/approach
Case studies of the use of electronic patient record systems in three maternity services in England, using qualitative research methods (semi‐structured interviews, observations and shadowing).
Findings
There were many contributing factors in each case site. The three main groups of determining factors were these: the resources devoted to, and acceptability to midwives of, the “IT midwife”; maternity managers prioritisation of information related matters; the relationship of maternity information systems with Trust‐wide systems.
Originality/value
Provides services with lists of factors they need to consider if they want to maximise the benefits realised for clinical audit and research from existing and new electronic patient record systems.
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Carolina Elisabeth de Korte, Dirk F. de Korne, Jose P. Martinez Ciriano, J. Robert Rosenthal, Kees Sol, Niek S. Klazinga and Roland A. Bal
The purpose of this paper is to study the quality indicator appropriateness and use it for international quality comparison on diabetic retinopathy (DR) patient care process in…
Abstract
Purpose
The purpose of this paper is to study the quality indicator appropriateness and use it for international quality comparison on diabetic retinopathy (DR) patient care process in one American and one Dutch eye hospital.
Design/methodology/approach
A 17-item DR quality indicator set was composed based on a literature review and systematically applied in two hospitals. Qualitative analysis entailed document study and 12 semi-structured face-to-face interviews with ophthalmologists, managers, and board members of the two hospitals.
Findings
While the medical-clinical approach to DR treatment in both hospitals was similar, differences were found in quality of care perception and operationalization. Neither hospital systematically used outcome indicators for DR care. On the process level, the authors found larger differences. Similarities and differences were found in the structure of both hospitals. The hospitals’ particular contexts influenced the interpretation and use of quality indicators.
Practical implications
Although quality indicators and quality comparison between hospitals are increasingly used in international settings, important local differences influence their application. Context should be taken into account. Since that context is locally bound and directly linked to hospital setting, caution should be used interpreting the results of quality comparison studies.
Originality/value
International quality comparison is increasingly suggested as a useful way to improve healthcare. Little is known, however, about the appropriateness and use of quality indicators in local hospital care practices.
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Denise L. Anthony and Timothy Stablein
The purpose of this paper is to explore different health care professionals’ discourse about privacy – its definition and importance in health care, and its role in their…
Abstract
Purpose
The purpose of this paper is to explore different health care professionals’ discourse about privacy – its definition and importance in health care, and its role in their day-to-day work. Professionals’ discourse about privacy reveals how new technologies and laws challenge existing practices of information control within and between professional groups in health care, with implications not only for patient privacy, but also for the role of information control in professions more generally.
Design/methodology/approach
The authors conducted in-depth, semi-structured interviews with n=83 doctors, nurses, and health information professionals in two academic medical centers and one veteran’s administration hospital/clinic in the Northeastern USA. Interview responses were qualitatively coded for themes and patterns across groups were identified.
Findings
The health care providers and the authors studied actively sought to uphold the protection (and control) of patient information through professional ethics and practices, as well as through the use of technologies and compliance with legal regulations. They used discourses of professionalism, as well as of law and technology, to sometimes accept and sometimes resist changes to practice required in the changing technological and legal context of health care. The authors found differences across professional groups; for some, protection of patient information is part of core professional ethics, while for others it is simply part of their occupational work, aligned with organizational interests.
Research limitations/implications
This qualitative study of physicians, nurses, and health information professionals revealed some differences in views and practices for protecting patient information in the changing technological and legal context of health care that suggest some professional groups (doctors) may be more likely to resist such changes and others (health information professionals) will actively adopt them.
Practical implications
New technologies and regulations are changing how information is used in health care delivery, challenging professional practices for the control of patient information that may change the value or meaning of medical records for different professional groups.
Originality/value
Qualitative findings suggest that professional groups in health care vary in the extent of information control they have, as well in how they view such control. Some groups may be more likely to (be able to) resist changes in the professional control of information that stem from new technologies or regulatory policies. Some professionals recognize that new IT systems and regulations challenge existing social control of information in health care, with the potential to undermine (or possibly bolster) professional self-control for some but not necessarily all occupational groups.
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Yeon Kyoung Joo and Youngseek Kim
The purpose of this research is to investigate the factors that influence engineering researchers’ data reuse behaviours.
Abstract
Purpose
The purpose of this research is to investigate the factors that influence engineering researchers’ data reuse behaviours.
Design/methodology/approach
The data reuse behaviour model of engineering researchers was investigated by using a survey method. A national survey was distributed to engineering researchers in the USA, and a total of 193 researchers responded.
Findings
The results showed that perceived usefulness, perceived concerns and norms of data reuse have significant relationships with attitudes toward data reuse. Also, attitudes toward data reuse and the availability of data repositories were found to have significant influences on engineering researchers’ intention to reuse data.
Research limitations/implications
This research used a combined theoretical framework by integrating the theory of planned behaviour (TPB) and the technology acceptance model (TAM). The combination of the TPB and the TAM effectively explained engineering researchers’ data reuse behaviours by addressing individual motivations, norms and resource factors.
Practical implications
This research has practical implications for promoting more reliable and beneficial data reuse in the engineering community, including encouraging positive motivations toward data reuse, building community norms of data reuse and setting up more data repositories.
Originality value
As prior research on data reuse mainly used interviews, this research used a quantitative approach based on a combined theoretical framework and included diverse research constructs which were not tested in the previous research models. As one of the initial studies investigating data reuse behaviours in the engineering community, the current research provided a better understanding of data reuse behaviours and suggested possible ways to facilitate engineering researchers’ data reuse behaviours.
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Mads Solberg, Ralf Kirchhoff, Jannike Dyb Oksavik and Lauri Wessel
Norway, like other welfare states, seeks to leverage data to transform its pressured public healthcare system. While managers will be central to doing so, we lack knowledge about…
Abstract
Purpose
Norway, like other welfare states, seeks to leverage data to transform its pressured public healthcare system. While managers will be central to doing so, we lack knowledge about how specifically they would do so and what constraints and expectations they operate under. Public sources, like the Norwegian policy documents investigated here, provide important backdrops against which such managerial work emerges. This article therefore aims to analyze how key Norwegian policy documents construe data use in health management.
Design/methodology/approach
We analyzed five notable policy documents using a “practice-oriented” framework, considering these as arenas for “organizing visions” (OVs) about managerial use of data in healthcare organizations. This framework considers documents as not just texts that comment on a topic but as discursive tools that formulate, negotiate and shape issues of national importance, such as expectations about data use in health management.
Findings
The OVs we identify anticipate a bold future for health management, where data use is supported through interconnected information systems that provide relevant information on demand. These OVs are similar to discourse on “evidence-based management,” but differ in important ways. Managers are consistently framed as key stakeholders that can benefit from using secondary data, but this requires better data integration across the health system. Despite forward-looking OVs, we find considerable ambiguity regarding the practical, social and epistemic dimensions of data use in health management. Our analysis calls for a reframing, by moving away from the hype of “data-driven” health management toward an empirically-oriented, “data-centric” approach that recognizes the situated and relational nature of managerial work on secondary data.
Originality/value
By exploring OVs in the Norwegian health policy landscape, this study adds to our growing understanding of expectations towards healthcare managers' use of data. Given Norway's highly digitized health system, our analysis has relevance for health services in other countries.