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Article
Publication date: 21 November 2016

Rebecca Trowman Day, Richard Norman and Suzanne Robinson

Worldwide, there is significant growth in the cost of (and demand for) healthcare, which often clashes with a requirement to contain expenditure. This duality leads to an…

482

Abstract

Purpose

Worldwide, there is significant growth in the cost of (and demand for) healthcare, which often clashes with a requirement to contain expenditure. This duality leads to an increasing need for a systematic approach to disinvestment in health technologies. The purpose of this paper is to consider the challenges and opportunities for disinvestment policy decisions in Australia. It discusses the implementation of the Choosing Wisely campaign and the need for rigorous evaluation of such campaigns in the Australian healthcare system.

Design/methodology/approach

The authors highlight characteristics of disinvestment: what it is and what it is not and discuss international examples of identifying low value care, including the recent Choosing Wisely initiative. The authors discuss the barriers to implementing initiatives such as Choosing Wisely and the complexities in evaluating their effectiveness.

Findings

While the primary purpose of the Choosing Wisely campaign is improved decision making through clinical engagement, it is expected that implementation could lead to resource savings alongside improvements in patient safety and service quality. While there is research looking to understand the barriers and facilitators to the implementation of initiatives such as Choosing Wisely, little is known about broader patient impacts, and more attention on the quantification of their effect on both patient outcomes and resource use is needed.

Originality/value

This work highlights the limited knowledge around implementation of disinvestment strategies and the paucity of research around the impact of strategies such as Choosing Wisely in the Australian public hospital system. This is important as future research in this area will give greater certainty about the benefits and consequences of Choosing Wisely leading to improved opportunities for resource savings and patient safety and quality.

Details

Journal of Health Organization and Management, vol. 30 no. 8
Type: Research Article
ISSN: 1477-7266

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Article
Publication date: 1 May 1983

In the last four years, since Volume I of this Bibliography first appeared, there has been an explosion of literature in all the main functional areas of business. This wealth of…

16774

Abstract

In the last four years, since Volume I of this Bibliography first appeared, there has been an explosion of literature in all the main functional areas of business. This wealth of material poses problems for the researcher in management studies — and, of course, for the librarian: uncovering what has been written in any one area is not an easy task. This volume aims to help the librarian and the researcher overcome some of the immediate problems of identification of material. It is an annotated bibliography of management, drawing on the wide variety of literature produced by MCB University Press. Over the last four years, MCB University Press has produced an extensive range of books and serial publications covering most of the established and many of the developing areas of management. This volume, in conjunction with Volume I, provides a guide to all the material published so far.

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Management Decision, vol. 21 no. 5
Type: Research Article
ISSN: 0025-1747

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Article
Publication date: 1 March 1990

Timothy C. Weiskel and Richard A. Gray

The ecological decline of ancient Near Eastern civilizations and the violent and explosive characteristics of post‐Columbian colonial ecologies might well remain comfortably…

266

Abstract

The ecological decline of ancient Near Eastern civilizations and the violent and explosive characteristics of post‐Columbian colonial ecologies might well remain comfortably remote from us in our twentieth century world were it not for the disturbing parallels that such case histories seem to evoke as we consider our contemporary global circumstance. Just as in ancient times and in the age of colonial expansion, it is in the “remote environments,” usually quite distant from the centers of power, that the crucial indicators of environmental catastrophe first become apparent within the system as a whole. These regions are frequently characterized by weak economies and highly vulnerable ecosystems in our time, just as they were in the past. Accordingly, the environmental circumstances in these regions constitute for the modern world a kind of monitoring device that can provide early warnings of ecological instabilities in the global ecosystem.

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Reference Services Review, vol. 18 no. 3
Type: Research Article
ISSN: 0090-7324

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Article
Publication date: 1 March 1985

Richard Dobbins and Norman H. Cuthbert

The Growth of Institutional Shareholdings 1966–1980. Institutional investors, particularly insurance companies and pension funds, are consistent purchasers of company and overseas…

55

Abstract

The Growth of Institutional Shareholdings 1966–1980. Institutional investors, particularly insurance companies and pension funds, are consistent purchasers of company and overseas securities. Of particular interest is the ownership of U.K. quoted equities, rather than ownership of debentures, preference shares and overseas securities. Ownership of the ordinary share capital is of particular interest because the votes attached to equities give the holders legal powers to influence management through general meetings. The impact of the growth of institutional shareholdings on corporate management and the London Stock Exchange will be discussed in later articles. This article demonstrates the growth of institutional ownership of British industry, comments on the concentration of institutional holdings in large companies, illustrates the avoidance of new issues by financial institutions, and comments on the future pattern of U.K. share ownership.

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Managerial Finance, vol. 11 no. 3/4
Type: Research Article
ISSN: 0307-4358

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Article
Publication date: 1 March 1985

Richard Dobbins and Norman H. Cuthbert

A comprehensive review of UK share ownership during the 1966–1980 period, with particular reference to the work of Revell and Moyle at the Department of Applied Economics…

66

Abstract

A comprehensive review of UK share ownership during the 1966–1980 period, with particular reference to the work of Revell and Moyle at the Department of Applied Economics, Cambridge.

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Management Research News, vol. 8 no. 3
Type: Research Article
ISSN: 0140-9174

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Article
Publication date: 1 May 1980

Norman Cuthbert and Richard Dobbins

Pension funds are rapidly acquiring voting control of UK quoted companies. Who, if anybody, should have the legal right to use the votes attached to pension fund shareholdings �…

71

Abstract

Pension funds are rapidly acquiring voting control of UK quoted companies. Who, if anybody, should have the legal right to use the votes attached to pension fund shareholdings — pension fund managers, employees, employee representatives, members of the TUC, members of the Government, civil servants, or perhaps members of a stakeholders' council? This article sketches a few scenarios.

Details

Managerial Finance, vol. 6 no. 3
Type: Research Article
ISSN: 0307-4358

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International Journal of Social Economics, vol. 7 no. 5
Type: Research Article
ISSN: 0306-8293

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Article
Publication date: 1 May 2002

David C. Bell, John S. Atkinson and Victoria Mosier

Describes how HIV and AIDS are carried and spread, particularly for high‐risk groups, but adds that it is not only behavioural but also those behaviours in conjunction with…

263

Abstract

Describes how HIV and AIDS are carried and spread, particularly for high‐risk groups, but adds that it is not only behavioural but also those behaviours in conjunction with others. Employs figures and tables for added explanation and emphasis. Chronicles some individual case studies showing different “risk” behaviours and types of “unsafe” practices. Makes clear that the use of varied types of education are of major importance in the fight against ignorance and nonchalance in the battle against AIDS.

Details

International Journal of Sociology and Social Policy, vol. 22 no. 4/5/6
Type: Research Article
ISSN: 0144-333X

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Available. Content available
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Publication date: 14 March 2017

Kenneth M. Moffett

Free Access. Free Access

Abstract

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Forming and Centering
Type: Book
ISBN: 978-1-78635-829-5

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Article
Publication date: 1 April 1980

Norman Cuthbert and Richard Dobbins

By contrast with industrial democracy, which relates to control of the enterprise, economic democracy is concerned with ownership of the organisation. Participation by employees…

47

Abstract

By contrast with industrial democracy, which relates to control of the enterprise, economic democracy is concerned with ownership of the organisation. Participation by employees in ownership of the enterprise involves a change in the system or in the pattern of ownership. In the most extreme form, employees themselves, through their trade unions or through employees' share holdings or otherwise, would come to own the enterprise and thence to run it. Thus ownership and control would become inextricably fused. It can be seen that like some systems of industrial democracy through worker directors, economic democracy is power‐centred and policy‐based.

Details

Employee Relations, vol. 2 no. 4
Type: Research Article
ISSN: 0142-5455

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