Peter Hensen, Meinhard Schiller, Dieter Metze and Thomas Luger
The purpose of this research is to show that referring physicians play a strategic role in health care management. This study aims to evaluate the perception of hospital services…
Abstract
Purpose
The purpose of this research is to show that referring physicians play a strategic role in health care management. This study aims to evaluate the perception of hospital services by referring physicians and clinicians for quality improvement.
Design/method/approach
Referring physicians in private practice and hospital clinicians at a large dermatology academic department providing inpatient and outpatient services at secondary and tertiary care levels were surveyed to determine their perceptions of service quality. A comparative questionnaire survey was established to identify improvement areas and factors that drive referral rates using descriptive and inferential statistics.
Findings
Referring physicians' (n=53) and clinicians' (n=22) survey results concordantly revealed that timely and significant information about hospital stay as well as accessibility to hospital staff are major points for improvement. Significant differences between both samples were found with respect to inpatient services and patient commendation. Clinicians tended to rate their services and offerings higher than referring physicians (p=0.019). Geographic range was correlated with the frequency of patient commendation (p=0.005) and the perception of friendliness (p=0.039). The number of referred patients was correlated with medical reports' informational value (p=0.042).
Research limitations/implications
Although the study has a limited sample size it appears that surveying physicians' perspectives is an essential tool for gathering information about how provided health care services are perceived.
Originality/value
Survey results should be useful for continuous quality improvement by regular measuring and reporting to executive boards. Hospitals should pay careful attention to their communication tools, particularly medical reports.
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A tax based on land value is in many ways ideal, but many economists dismiss it by assuming it could not raise enough revenue. Standard sources of data omit much of the potential…
Abstract
Purpose
A tax based on land value is in many ways ideal, but many economists dismiss it by assuming it could not raise enough revenue. Standard sources of data omit much of the potential tax base, and undervalue what they do measure. The purpose of this paper is to present more comprehensive and accurate measures of land rents and values, and several modes of raising revenues from them besides the conventional property tax.
Design/methodology/approach
The paper identifies 16 elements of land's taxable capacity that received authorities either trivialize or omit. These 16 elements come in four groups.
Findings
In Group A, Elements 1‐4 correct for the downward bias in standard sources. In Group B, Elements 5‐10 broaden the concepts of land and rent beyond the conventional narrow perception, while Elements 11‐12 estimate rents to be gained by abating other kinds of taxes. In Group C, Elements 13‐14 explain how using the land tax, since it has no excess burden, uncaps feasible tax rates. In Group D, Elements 15‐16 define some moot possibilities that may warrant further exploration.
Originality/value
This paper shows how previous estimates of rent and land values have been narrowly limited to a fraction of the whole, thus giving a false impression that the tax capacity is low. The paper adds 14 elements to the traditional narrow “single tax” base, plus two moot elements advanced for future consideration. Any one of these 16 elements indicates a much higher land tax base than economists commonly recognize today. Taken together they are overwhelming, and cast an entirely new light on this subject.
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The expected operational lifespan of modern buildings has become disturbingly short as buildings are replaced for reasons of changing cultural expectations, style, serviceability…
Abstract
The expected operational lifespan of modern buildings has become disturbingly short as buildings are replaced for reasons of changing cultural expectations, style, serviceability, locational obsolescence and economic viability. The same buildings, however, are not always physically or structurally obsolete; the materials and components within them are very often still serviceable. While there is some recycling of selected construction materials, such as steel and concrete, this is almost always in the form of down cycling or reprocessing. One significant impediment to reuse is that buildings are not designed in a way that facilitates easy recovery of materials and components. This chapter explores the potential for the recovery of materials and components if buildings were designed for such future recovery, utilizing the strategy of design for disassembly. As well as assessing material waste, this chapter presents research into the analysis of the embodied energy in buildings, highlighting its significance in comparison with operational energy. Analysis at material, component and whole-of-building levels shows the potential benefits of strategically designing buildings for future disassembly to recover this embodied energy. Careful consideration at the early design stage can result in the deconstruction of significant portions of buildings and the recovery of their potential through higher order reuse and upcycling.
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Peter Carini and Kelcy Shepherd
This case study details the evolution of descriptive practices and standards used in the Mount Holyoke College Archives and the Five College Finding Aids Access Project, discusses…
Abstract
This case study details the evolution of descriptive practices and standards used in the Mount Holyoke College Archives and the Five College Finding Aids Access Project, discusses the relationship of Encoded Archival Description (EAD) and the MARC standard in reference to archival description, and addresses the challenges and opportunities of transferring data from one metadata standard to another. The study demonstrates that greater standardization in archival description allows archivists to respond more effectively to technological change.
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This paper seeks to identify different medical strategies adopted in relation to the new hospital payment systems in Germany, The Netherlands and England and analyse how the…
Abstract
Purpose
This paper seeks to identify different medical strategies adopted in relation to the new hospital payment systems in Germany, The Netherlands and England and analyse how the medical strategies have impacted on the emergence of these New Public Management policy tools between 2002 and 2007.
Design/methodology/approach
A comparative approach is applied. In addition to secondary sources, the study uses publications in professional journals, official publications of the (national) physician organisations and a (non‐random) expert questionnaire to obtain the views of the medical corporate bodies in the three countries.
Findings
The results reveal differences in the medical strategies in the three countries that point towards the significance of institutional and interest configurations. The Dutch corporate medical body was most willing to solve the conflict, while the German and English corporate medical bodies seem to be keen to use a strategy of confrontation. The differences in medical strategies also impact on the ways in which hospital payment systems have emerged in the three countries.
Research limitations/implications
Further research is necessary to study the medical strategies in healthcare reforms from a broader perspective, for instance by including other countries.
Originality/value
The paper gives insights into the interplay between the medical profession and the government in the context of new managerial governance practices in the hospital sector. It adds to the scholarly debates about the role of the medical profession in health policy‐making.
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Knowledge management is a function of learning orientation, knowledge sharing, organizational memory and knowledge reuse. This paper aims to endeavor to explore a link between…
Abstract
Purpose
Knowledge management is a function of learning orientation, knowledge sharing, organizational memory and knowledge reuse. This paper aims to endeavor to explore a link between knowledge management and value creation which seem to be fragmented in the literature due to various conceptualizations and meanings. The study hypothesized a moderating role of social capital on the relationship between knowledge management and value creation.
Design/methodology/approach
The study was approached from the theoretical perspective. Study thoroughly reviews and analyzes the literature by developing a link between knowledge management and value creation. The studies were explored from selected databases including “Google scholar”, “Emerald” and “ProQuest” using the keyword search, namely, “Knowledge Sharing”, “Learning Orientation”, “Organizational Memory”, “Knowledge Re-use”, “Knowledge Management”, “Knowledge-based View”, “Competitive Advantage”, “Value Creation” and “Social Capital” to reduce the interpretation bias.
Findings
Knowledge management is an important predictor of value creation which can be strengthened by developing strong interpersonal relationships with all stakeholders. Organizations can create competitive advantage by managing social capital through knowledge management processes including learning orientation, knowledge sharing, organizational memory and knowledge reuse.
Research limitations/implications
The study is based on a theoretical model and an apparent limitation is the non-existence here of contributions and discussions that have been based on empirical data. Future study may use other moderating and mediating variables such as industry type, market orientation, human capital and organizational climate to know whether knowledge management directly affects the value creation or indirectly through these variables. The hypotheses emerged from the model can be operationalized by generating the items from the review of the literature.
Originality/value
The study contributes to the knowledge management literature by developing a theoretical model of knowledge management based on underlying dimensions of learning orientation, knowledge sharing, organizational memory and knowledge re-use.
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Starting from the question whether the globalisation process leads to a social “race to the bottom”, this paper aims to highlight the international transfer of socially…
Abstract
Purpose
Starting from the question whether the globalisation process leads to a social “race to the bottom”, this paper aims to highlight the international transfer of socially responsible, employee‐oriented practices by multinational small to medium‐sized enterprises (SMEs) as a possible way to counter such a trend.
Design/methodology/approach
Based on a literature review, an exploratory framework – building on three perspectives – is proposed about the conditions in which employee‐oriented corporate social responsibility (CSR) affects long‐term firm performance positively. First, the stakeholder view on CSR entails that employees can be considered as legitimate stakeholders of the firm justifying introduction of employee‐oriented CSR. Second, the human resource management perspective matters as employee‐oriented CSR materialises in human resource management policies and practices that increase employee commitment. Finally, as regulative, normative and cognitive institutions differ across countries, the institutionalist perspective is relevant to understand diverging demands on content and form of employee‐oriented CSR practices.
Findings
It is argued that owner‐managers of (multinational) SMEs, who view their employees as legitimate stakeholders of the firm, will introduce employee‐oriented CSR out of their sense of moral responsibility towards their employees. This sense of moral responsibility is conditional on achieving sustainable mutual value creation as a result of employee‐oriented CSR. Finally, transfer of employee‐oriented CSR to foreign subsidiaries is positively mediated by the level of owner‐managers' institutional entrepreneurship.
Originality/value
This is one of the few studies addressing the position of employees as internal stakeholders of small and medium‐sized enterprises in an international context. It signals the relevance of institutional differences across countries to entrepreneurs who wish to improve long‐term firm performance through employee‐oriented CSR.
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Yogesh P. Pai and Satyanarayana T. Chary
– The purpose of this paper is to review the service quality dimensions established in various studies conducted across the world specifically applied to health care.
Abstract
Purpose
The purpose of this paper is to review the service quality dimensions established in various studies conducted across the world specifically applied to health care.
Design/methodology/approach
Studies conducted on quality of care selected from literature databases – Ebsco, Emerald Insight, ABI/Inform – was subjected to a comprehensive in-depth content analysis.
Findings
Service quality has been extensively studied with considerable efforts taken to develop survey instruments for measuring purposes. The number of dimensional structure varies across the studies. Self-administered questionnaire dominates in terms of mode of administration adopted in the studies, with respondents ranging from 18 to 85 years. Target sample size ranged from 84-2,000 respondents in self-administered questionnaires and for mail administration ranged from 300-2,600 respondents. Studies vary in terms of the scores used ranging from four to ten-point scale. A total of 27 of the studies have used EFA, 11 studies have used structural equation modelling and eight studies used gap scores. Cronbach ' s alpha is the most commonly used measure of scale reliability. There is variation in terms of measuring the content, criteria and construct validation among the studies.
Practical implications
The literature offers dimensions used in assessing patient perceived service quality. The review reveals diversity and a plethora of dimensions and methodology to develop the construct discussed.
Originality/value
The reported study describes and contrasts a large number of service-quality measurement constructs and highlights the usage of dimensions. The findings are valuable to academics in terms of dimensions and methodology used, approach for analysis; whereas findings are of value to practitioners in terms of the dimensions found in the research and to identify the gap in their setting.
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It is said that travel broadens the mind, deepens the understanding and refreshes the spirit. Judging by the amount of long distance travel undertaken nowadays by more people than…
Abstract
It is said that travel broadens the mind, deepens the understanding and refreshes the spirit. Judging by the amount of long distance travel undertaken nowadays by more people than ever before, it may also be said to widen the beam! However, this brief article is mainly concerned with the scope and benefits of the Library Association's programme of internships.