Michelle Miller-Day, Janelle Applequist, Keri Zabokrtsky, Alexandra Dalton, Katherine Kellom, Robert Gabbay and Peter F. Cronholm
The Patient-Centered Medical Home (PCMH) has become a dominant model of primary care re-design. This transformation presents a challenge to many care delivery organizations. The…
Abstract
Purpose
The Patient-Centered Medical Home (PCMH) has become a dominant model of primary care re-design. This transformation presents a challenge to many care delivery organizations. The purpose of this paper is to describe attributes shaping successful and unsuccessful practice transformation within four medical practice groups.
Design/methodology/approach
As part of a larger study of 25 practices transitioning into a PCMH, the current study focused on diabetes care and identified high- and low-improvement medical practices in terms of quantitative patient measures of glycosylated hemoglobin and qualitative assessments of practice performance. A subset of the top two high-improvement and bottom two low-improvement practices were identified as comparison groups. Semi-structured interviews were conducted with diverse personnel at these practices to investigate their experiences with practice transformation and data were analyzed using analytic induction.
Findings
Results show a variety of key attributes facilitating more successful PCMH transformation, such as empanelment, shared goals and regular meetings, and a clear understanding of PCMH transformation purposes, goals, and benefits, providing care/case management services, and facilitating patient reminders. Several barriers also exist to successful transformation, such as low levels of resources to handle financial expense, lack of understanding PCMH transformation purposes, goals, and benefits, inadequate training and management of technology, and low team cohesion.
Originality/value
Few studies qualitatively compare and contrast high and low performing practices to illuminate the experience of practice transformation. These findings highlight the experience of organizational members and their challenges in practice transformation while providing quality diabetes care.
Details
Keywords
The purpose of this paper is to qualitatively validate the constructs of a theoretically derived research model while gaining insights to steer the direction of a greater study on…
Abstract
Purpose
The purpose of this paper is to qualitatively validate the constructs of a theoretically derived research model while gaining insights to steer the direction of a greater study on methodologies, their elements, and their impact on project success. In doing so, to investigate whether different project environments, notably project governance, impacts the relationship between methodologies and project success.
Design/methodology/approach
A deductive approach was applied to validate a theoretically derived research model. In total, 19 interviews across 11 industrial sectors and four countries were used to collect data. Pattern-matching techniques were utilized in the analysis to deductively validate the research model.
Findings
There is a positive relationship between project methodology elements and the characteristics of project success; however, environmental factors, notably project governance, influence the use and effectiveness of a project methodology and its elements with a resulting impact on the characteristics of project success.
Research limitations/implications
Project governance plays a major role in the moderating effect of a project methodology’s effectiveness. Contingency theory is applicable to a project’s methodology’s selection and its customization according to the project environment.
Practical implications
Understand the impact of project methodologies and their elements on the characteristics of project success while being moderated by the project environment, for example, the risk of suboptimal project performance due to the effectiveness of methodology elements being negatively impacted by the project environment.
Originality/value
The impact of a project methodology (collection of heterogeneous-related elements) on the characteristics of project success is identified while being moderated by the project environment, notably project governance.
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Keywords
Qinghua He, Ting Wang, Albert P.C. Chan, Hanzhang Li and Yangxue Chen
The purpose of this paper is to review the existing literature on project success in academic journals, specifically within the context of construction engineering and management…
Abstract
Purpose
The purpose of this paper is to review the existing literature on project success in academic journals, specifically within the context of construction engineering and management (CEM). It also aims to provide a holistic picture of existing research and to identify research implications in this specific area.
Design/methodology/approach
The paper is an extensive literature review of a total of 164 peer-reviewed journal papers between 2007 and 2017, using a mixed bibliographic and bibliometric method that considers annual circulation, institutional and regional contributions, author contributions, citations, categories of research methods and keywords networking.
Findings
There has been an increasing research interest in CEM project success. The largest number of published studies targets the developed regions, especially in Hong Kong, whereas the papers related to the developing economies remain weak. Questionnaire, interview and case study have comprised the main data collection methods, and descriptive data analysis was performed in most of the case/field studies. The subtopic related to the critical success factors (CSFs) is considered as the most popular in the keywords network in the targeted research area. Four implications, namely, megaproject success, project success in developing countries, relationships between CSFs and success outcomes, and the influence of human factors are highlighted in future research.
Originality/value
This paper departs from earlier research by using a mixed bibliographic and bibliometric method, especially facilitating to analyze and illustrate the interlinkages between keywords effectively. Additionally, it provides a clear picture of the existing literature on CEM project success, which contributes to insights for successful construction project management. Finally, the holistic analysis identifies gaps in the body of knowledge, revealing avenues for future research.
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Keywords
This chapter uncovers the destabilizing and transformative dimensions of a legal process commonly described as assimilation. Lawyers working on behalf of a marginalized group…
Abstract
This chapter uncovers the destabilizing and transformative dimensions of a legal process commonly described as assimilation. Lawyers working on behalf of a marginalized group often argue that the group merits inclusion in dominant institutions, and they do so by casting the group as like the majority. Scholars have criticized claims of this kind for affirming the status quo and muting significant differences of the excluded group. Yet, this chapter shows how these claims may also disrupt the status quo, transform dominant institutions, and convert distinctive features of the excluded group into more widely shared legal norms. This dynamic is observed in the context of lesbian, gay, bisexual, and transgender (LGBT) rights, and specifically through attention to three phases of LGBT advocacy: (1) claims to parental recognition of unmarried same-sex parents, (2) claims to marriage, and (3) claims regarding the consequences of marriage for same-sex parents. The analysis shows how claims that appeared assimilationist – demanding inclusion in marriage and parenthood by arguing that same-sex couples are similarly situated to their different-sex counterparts – subtly challenged and reshaped legal norms governing parenthood, including marital parenthood. While this chapter focuses on LGBT claims, it uncovers a dynamic that may exist in other settings.
Details
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Bashir Tijani, Xiao-Hua Jin and Osei-Kyei Robert
Design of architecture, engineering and construction (AEC) project organizations expose project management practitioners (PMPs) to poor mental health due to the influence of…
Abstract
Purpose
Design of architecture, engineering and construction (AEC) project organizations expose project management practitioners (PMPs) to poor mental health due to the influence of project organization designs on project management activities assigned to the PMPs. The AEC project organization design comprises the integration of permanent organization, project organization and external environment layers. In spite of the link between project organization design and mental health, limited studies have examined the impact of permanent organization factors, project organization factors and external environmental factors on mental health management practices. Therefore, this study aims to examine the interactive relationships between permanent organization factors, project organization factors, external environment factors and mental health management indicators.
Design/methodology/approach
Four organizational theories: institutional theory, agency theory and resource-based theory were integrated to develop a theoretical model guiding the aim of the study. Eighty-two survey data were collected from PMPs in AEC firms in Australia. Structural equation modelling was used to test the relationships between the constructs.
Findings
The study found that mental health management indicators are predicted by the interactive and direct effects of permanent organizational factors, project organizational factors and external environmental factors. The results of the interactive effects of the factors and mental health management indicators revealed that 20 of 26 proposed hypotheses were supported. Based on the established hypotheses, economic factors, technological factors, environmental factors, legal factors and organizational culture positively correlated with mental health management indicators. Likewise, human resources management (HRM), corporate governance, project governance and integrated project delivery (IPD) positively impact mental health management indicators. However, political factors, social factors, knowledge management and project management skills negatively impact mental health management indicators. Moreover, political factors, economic factors, technological factors, environmental factors, legal factors and organizational culture are positively related to corporate governance. Additionally, organizational culture positively impacts corporate governance, project governance and HRM, whereas project governance positively correlated with IPD and knowledge management.
Originality/value
The findings provide guidelines to AEC firms on achieving positive mental health management indicators through concentration on project organization design.
Details
Keywords
Bashir Tijani, Xiaohua Jin and Robert Osei-Kyei
This conceptual paper aims to develop a multi-level mental health management framework for project management practitioners (PMPs) in architecture, engineering and construction…
Abstract
Purpose
This conceptual paper aims to develop a multi-level mental health management framework for project management practitioners (PMPs) in architecture, engineering and construction (AEC) project organizations through organizational design theories to extend current knowledge on mental health by revealing organizational, project and external environmental factors contributing to mental health management in AEC project organizations.
Design/methodology/approach
A systematic literature review was adopted to propose a theoretical model that integrated five organizational design theories: institutional theory, agency theory, resources-based theory (RBT), contingency theory and complexity theory.
Findings
The model reveals permanent organization, project organization and external environment factors for mental health management in AEC project organizations. It further proposed hypothetical interrelationships between elements of permanent organization, project organization, external environment and mental health management indicators to unravel the resultant effects of the interactions on mental health of PMPs.
Originality/value
This research contributes to the body of knowledge by developing a multi-level mental health management framework that identify and shows how combination permanent organization, project organization and external environment elements impact mental health of PMPs in AEC project organizations. It offers a model that offers guidance to practitioners on permanent organization and project organization management practices that can be implemented to improve mental health.
Details
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Lavagnon Ika, Jack Meredith and Ofer Zwikael
The performance of large-scale projects is often challenged due to major environmental changes that occur during their life. However, literature has paid little attention to the…
Abstract
Purpose
The performance of large-scale projects is often challenged due to major environmental changes that occur during their life. However, literature has paid little attention to the governance adaptations required to respond effectively to these changes. This paper aims to study changes in the project environment over time, the corresponding governance adaptations and their impact on project performance.
Design/methodology/approach
To ensure triangulation between two sources of evidence, we used both primary and secondary data sources and examined 14 projects through 2 studies, the first focused on seven documented, illustrative case projects and the second on interviews with senior and project managers involved in seven additional projects.
Findings
We found the key environmental changes that should trigger appropriate governance adaptations to be market evolutions, technological advancements and sociopolitical events. However, we also found that these necessary governance adaptations are not commonly implemented timely, sufficiently or effectively.
Originality/value
The paper distills the dynamics of large-scale projects in achieving project effectiveness and raises theoretical propositions on the combination of environmental changes and deficient governance adaptations that, over time, turns efficient projects into ineffective projects and discusses implications for theory and practice.
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John E. Elliott and Barry S. Clark
The relationship between capitalism and democracy has beenquestioned recently by economists and political scientists. In view ofthis debate, a reappraisal is made of the writings…
Abstract
The relationship between capitalism and democracy has been questioned recently by economists and political scientists. In view of this debate, a reappraisal is made of the writings of Richard Henry Tawney, the English economist and social philosopher. Central to his personal, intellectual and socio‐political project was the ideal of the creation of a genuinely democratic community. Capitalism; the principles of a democratic economy; institutions and processes; and the alternative perspectives on political economy are discussed.
Details
Keywords
This paper aims to assess the state of reference publishing between 2003 and 2013 in print, online databases (free access and fee-based) and Internet sites for the field of…
Abstract
Purpose
This paper aims to assess the state of reference publishing between 2003 and 2013 in print, online databases (free access and fee-based) and Internet sites for the field of lesbian, gay, bisexual and transgender (LGBT) studies. Background data on trends in non-reference monographic publishing and the growth of topical websites covering LGBT-related subjects are provided.
Design/methodology/approach
The WorldCat bibliographical database was scanned for titles published during the decade 2003-2013 to ascertain trends in subject monographs within LGBT studies. The status of the pool of LGBT websites reviewed by the author in 2005 for Choice was checked to evaluate the stability of this expanding format of LGBT information. Those reference works and online resources identified were annotated and placed in the context of general LGBT reference publishing.
Findings
Results of the study showed that the genres of encyclopaedias and handbooks continued to be produced for LGBT studies during the first decade of the twenty-first century. The creation of a database of full-text primary materials (ranging from newspapers and academic periodicals to research monographs) marks the recognition by the research community of the value of this body of formerly marginalized literature. The stability of the group of subject websites produced on LGBT topics delineated by the author in 2005 indicates that these resources can be effectively used in the reference process.
Originality/value
The data in this article will assist librarians engaged in collection development and reference work by providing a contemporary analysis and bibliographic overview of the sources and types of reference tools in a new interdisciplinary field.