Nicola Parfitt, Alison Smeatham, John Timperley, Matthew Hubble and Graham Gie
This paper aims to show the results from a pioneering primary care‐based extended scope physiotherapist (ESP) led service, which placed patients directly onto the surgical waiting…
Abstract
Purpose
This paper aims to show the results from a pioneering primary care‐based extended scope physiotherapist (ESP) led service, which placed patients directly onto the surgical waiting list of secondary care orthopaedic consultants over a two‐year period.
Design/methodology/approach
A retrospective data review was performed on all referrals from community‐based ESPs for direct listing at the secondary care hospital between 2 January 2008 and 31 December 2009.
Findings
A total of 130 referrals for direct listing were made by the ESP team during the two‐year period. Of these, 127 (98 per cent) went on to undergo a THR. Three patients (2 per cent) did not ultimately have a THR.
Research limitations/implications
This process has continued over the two years of the direct listing service, with ongoing evaluation and refinement of the pathway, so referral criteria and clinical/administrative pathways have been changed in the light of experience.
Practical implications
Patients who were directly listed did not require a hospital orthopaedic outpatient appointment until attendance at preoperative assessment clinic shortly before their surgery. In addition to the reduction in inconvenience and travelling costs incurred by patients, there was an approximate saving of £145 to the primary care trust per directly listed patient.
Originality/value
The authors believe that this service evaluation is the first publication to show that direct listing by primary care based ESPs is a safe and effective process for some patients requiring primary THR.
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Ruoyu Jin, Yang Zou, Kassim Gidado, Phillip Ashton and Noel Painting
The purpose of this paper is to summarize the latest research of BIM adoption in construction engineering and management (CEM) and propose research directions for future scholarly…
Abstract
Purpose
The purpose of this paper is to summarize the latest research of BIM adoption in construction engineering and management (CEM) and propose research directions for future scholarly work. During the recent decade, building information modeling (BIM) has gained increasing applications and research interest in the construction industry. Although there have been review-based studies that summarized BIM-based research in the overall architecture, engineering and construction (AEC) area, there is limited review that evaluates the current stage of BIM-based research specifically in the CEM sub-area.
Design/methodology/approach
CEM falls into the scope of AEC. It involves construction-related tasks, activities and processes (e.g. scheduling and cost estimates), issues (e.g. constructability), as well as human factors (e.g. collaboration). This study adopted a holistic literature review approach that incorporates bibliometric search and scientometric analysis. A total of 276 articles related to BIM applied in CEM were selected from Scopus as the literature sample for the scientometric analysis.
Findings
Some key CEM research areas (e.g. CEM pedagogy, integrated project delivery, lean and off-site construction) were identified and evaluated. Research trends in these areas were identified, and analyses were carried out with regard to how they could be integrated with BIM. For example, BIM, as a data repository for ACE facilities, has substantial potential to be integrated with a variety of other digital technologies, project delivery methods and innovative construction techniques throughout the whole process of CEM.
Practical implications
As BIM is one of the key technologies and digital platforms to improve the construction productivity and collaboration, it is important for industry practitioners to be updated of the latest movement and progress of the academic research. The industry, academics and governmental authorities should work with joint effort to fill the gap by first recognizing the current needs, limitations and trends of applying BIM in the construction industry. For example, it needs more understanding about how to address technical interoperability issues and how to introduce the integrated design and construction delivery approach for BIM implementation under the UK BIM Level 2/3 framework.
Originality/value
This study contributed to the body of knowledge in BIM by proposing a framework leading to research directions including the differences of BIM effects between design-bid-build and other fast-track project delivery methods; the integration of BIM with off-site construction; and BIM pedagogy in CEM. It also addressed the need to investigate the similarities and differences between academia and industry toward perceiving the movement of BIM in construction field work.
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Johanna Sumiala, Katja Valaskivi, Minttu Tikka and Jukka Huhtamäki
The purpose of this paper is to provide details of the communist and socialist past to inform the debate on redesigning tourism in Central and Eastern European (CEE) countries as…
Abstract
Purpose
The purpose of this paper is to provide details of the communist and socialist past to inform the debate on redesigning tourism in Central and Eastern European (CEE) countries as impacted by the transition and accelerated by European Union (EU) membership.
Design/methodology/approach
The issues from two sides are addressed: academic and practical. Based on a literature review, the authors propose a model of five main research topics that represent the main areas of change and conceptualise the general EU accession research debate on tourism. Content analysis is conducted on each of the revealed main research topics that are presented and discussed from the standpoint of tourism-relevant socialist and communist stature and image. On the other hand, this paper engages with reality as it surveys real-life practices in tourism development and business operation based on the personal experience of the researcher regarding the social situation under consideration.
Findings
The findings concerning the revealed main areas of tourism change in CEE countries following EU accession refer to the: change from communism towards a new image (Europeanisation and re-imaging), change from communism to capitalism (transformation and marketisation), change from old communist tourism products to new products (rejuvenation, diversification), change from communist towards sustainability values (sustainability) and change from tourism inside the communist block to international tourism (re-internationalisation) The discussion indicates how each area of change relates to socialist and communist content and its tourism relevance and the potential for tourism development, policy and business.
Research limitations/implications
The list of relevant works is not exhaustive as only tourism-focussed quality journals are surveyed in order to define the main areas of change.
Practical implications
A very relevant source of information and impartial advice for tourism developers and policymakers in ex-socialist and communist countries is provided regarding tourism development at the strategic and managerial levels.
Originality/value
This paper fills an identified information/resource gap concerning the potential and contribution of communist and socialist heritage to tourism development and business, and places this in the context of the changes CEE countries have made in order to stay and/or become tourism destinations. It introduces a new term “tourism redesign” which explains the transition in tourism development, policy and management through different areas of change.
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Ömer Sarı and Selma Meydan Uygur
Nation branding efforts are carried out by means of communication. The element, which is the object of communication tools, must have an analogical connection with nation…
Abstract
Purpose
Nation branding efforts are carried out by means of communication. The element, which is the object of communication tools, must have an analogical connection with nation branding. The object of analogy should have attractive features that will strengthen the nation brand. Online tourism content, which has the quality to add value to nation branding, can produce a strong analogy. Online tourism content can easily be internalized in a positive way, as it creates attractive connotations such as memories, entertainment, holidays, etc. in the mind of the audience. In this direction, the research aims to reveal that the online tourism brand is a strategic transmission tool of nation branding.
Design/methodology/approach
The research study was carried out with the semiotics method. Content analysis has been made for the videos of GoTürkiye, Turkey's tourism brand, on YouTube.
Findings
Research findings show that content covering a large part of Turkey has been created. Messages to be given in the content; it is that Turkey has authentic and attractive elements and hosts international events. The content on GoTürkiye's YouTube has reached a significant number of views.
Practical implications
The research aims to reveal how to build an online nation brand through online tourism brands. In this respect, it is thought that the results can guide the politicians or marketers responsible for nation branding.
Originality/value
The idea of how to build an online nation branding through online tourism brands remains unclear. In this respect, the research demonstrates its original value in proposing a model that will contribute to online nation branding.