Syaribah Noor Brice, Paul Harper, Tom Crosby, Daniel Gartner, Edilson Arruda, Tracey England, Emma Aspland and Kieran Foley
The study aims to summarise the literature on cancer care pathways at the diagnostic and treatment phases. The objectives are to find factors influencing the delivery of cancer…
Abstract
Purpose
The study aims to summarise the literature on cancer care pathways at the diagnostic and treatment phases. The objectives are to find factors influencing the delivery of cancer care pathways; to highlight any interrelating factors; to find gaps in the literature concerning areas of research; to summarise the strategies and recommendations implemented in the studies.
Design/methodology/approach
The study used a qualitative approach and developed a causal loop diagram to summarise the current literature on cancer care pathways, from screening and diagnosis to treatment. A total of 46 papers was finally included in the analysis, which highlights the recurring themes in the literature.
Findings
The study highlights the myriad areas of research applied to cancer care pathways. Factors influencing the delivery of cancer care pathways were classified into different albeit interrelated themes. These include access barriers to care, hospital emergency admissions, fast track diagnostics, delay in diagnosis, waiting time to treatment and strategies to increase system efficiency.
Originality/value
As far as the authors know, this is the first study to present a visual representation of the complex relationship between factors influencing the delivery of cancer care pathways.
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Andrea Tonner, Kathy Hamilton and Paul Hewer
Our paper is centred on exploring the experiences of opening up closed doors to strangers in the context of home exchange.
Abstract
Purpose
Our paper is centred on exploring the experiences of opening up closed doors to strangers in the context of home exchange.
Methodology/approach
This paper is based on a year-long research project which has drawn on multiple qualitative methods of data collection. A bricolage approach was adopted to enable the authors to gather data which is sensitive to multivocality and conscious of difference within the consumer experience.
Findings
Our findings demonstrate that home exchangers treat their home as an asset to be capitalised, to allow them to travel to places and communities otherwise unreachable. Home exchangers simultaneously engage in the symbolic creation of home in a temporary environment and utilise the kinship and community networks of their home exchange partner.
Practical implications
Our paper adds depth and an insight to the increasing media coverage of the home exchange phenomenon.
Social implications
As a consumption practice that is witnessing widespread appeal, home exchange uncovers evidence of trust amongst strangers. While it is common practice to open the home in order to build friendship, it is less common for this invitation to be extended to strangers.
Originality/value
We extend the extensive theorisation of the home as a symbolic environment and reveal that the home can also be used in an enterprising fashion.
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Abstract
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Panita Surachaikulwattana and Nelson Phillips
Drawing on a case study of the adoption of an American organizational form – the “Academic Health Science Centre” (or “AHSC”) – in English healthcare, the authors develop a model…
Abstract
Drawing on a case study of the adoption of an American organizational form – the “Academic Health Science Centre” (or “AHSC”) – in English healthcare, the authors develop a model of the “translation work” required to translate an organizational form from one organizational field to another. The findings contribute to the literature on translation and shed light on the microfoundations of institutions by examining the complex relationship among agency, meaning, institutions, and temporality that underpin the translation of a contested organizational form. The authors also show the important, but limited, role of agency when translation occurs at the broad field level and argue that the translation of organization forms can, in at least some situations, best be understood as a “garbage can” rather than the linear and agentic view usually described in the translation literature.
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Andrew Healey, Alexandra Melaugh, Len Demetriou, Tracey Power, Nick Sevdalis, Megan Pritchard and Lucy Goulding
Many patients referred by their GP for an assessment by secondary mental health services are unlikely to ever meet eligibility thresholds for specialist treatment and support. A…
Abstract
Purpose
Many patients referred by their GP for an assessment by secondary mental health services are unlikely to ever meet eligibility thresholds for specialist treatment and support. A new service was developed to support people in primary care. “the authors evaluate” whether the phased introduction of the Lambeth Living Well Network (LWN) Hub to a population in south London led to: a reduction in the overall volume of patients referred from primary care for a secondary mental health care assessment; and an increase in the proportion of patients referred who met specialist service eligibility criteria, as indicated by the likelihood of being accepted in secondary care.
Design/methodology/approach
The evaluation applied a quasi-experimental interrupted time series design using electronic patient records data for a National Health Service (NHS) provider of secondary mental health services in south London.
Findings
Scale-up of the Hub to the whole of the population of Lambeth led to an average of 98 fewer secondary care assessments per month (95% CI −118 to −78) compared to an average of 203 assessments per month estimated in the absence of the Hub; and an absolute incremental increase in the probability of acceptance for specialist intervention of 0.20 (95% CI; 0.14 to 0.27) above an average probability of acceptance of 0.57 in the absence of the Hub.
Research limitations/implications
Mental health outcomes for people using the service and system wide-service impacts were not evaluated preventing a more holistic evaluation of the effectiveness and cost-effectiveness of the LWN Hub.
Practical implications
Providing general practitioners with access to service infrastructure designed to help people whose needs cannot be managed within specialist mental health services can prevent unnecessary referrals into secondary care assessment teams.
Social implications
Reducing unnecessary referrals through provision of a primary-care linked mental health service will reduce delay in access to professional support that can address specific mental-health related needs that could not be offered within the secondary care services and could prevent the escalation of problems.
Originality/value
The authors use NHS data to facilitate the novel application of a quasi-experimental methodology to deliver new evidence on whether an innovative primary care linked mental health service was effective in delivering on one of its key aims.
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Richard C. Becherer, Mark E. Mendenhall and Karen Ford Eickhoff
Entrepreneurship and leadership may flow from the same genealogical source and the appearance of separation of the two constructs may be due to differences in the contexts through…
Abstract
Entrepreneurship and leadership may flow from the same genealogical source and the appearance of separation of the two constructs may be due to differences in the contexts through which the root phenomenon flows. Entrepreneurship and leadership are figuratively different manifestations of the need to create. To better understand the origin of entrepreneurship and leadership, research must first focus on the combinations or hierarchy of traits that are necessary, but perhaps not sufficient, to stimulate the two constructs. Factors that trigger a drive to create or take initiative within the individual in the context of a particular circumstance should be identified, and the situational factors that move the individual toward more traditional leader or classic entrepreneurial-type behaviors need to be understood.
Introducing a new regular page listing reports, publications and training materials of relevance to readers. If you come across new publications, training materials, websites or…
Abstract
Introducing a new regular page listing reports, publications and training materials of relevance to readers. If you come across new publications, training materials, websites or other resources that might be of interest to other readers, please send details to Tracey Austin e tracey.austin1@btopenworld.com
A distinction must be drawn between a dismissal on the one hand, and on the other a repudiation of a contract of employment as a result of a breach of a fundamental term of that…
Abstract
A distinction must be drawn between a dismissal on the one hand, and on the other a repudiation of a contract of employment as a result of a breach of a fundamental term of that contract. When such a repudiation has been accepted by the innocent party then a termination of employment takes place. Such termination does not constitute dismissal (see London v. James Laidlaw & Sons Ltd (1974) IRLR 136 and Gannon v. J. C. Firth (1976) IRLR 415 EAT).
Stefanie Mauksch and Mike Rowe
This chapter develops a community perspective on entrepreneurialization and demonstrates the epistemic value of community-based analysis. It focuses on the particularities of…
Abstract
Purpose
This chapter develops a community perspective on entrepreneurialization and demonstrates the epistemic value of community-based analysis. It focuses on the particularities of socio-economic settings that shape the emergence of social enterprises and allows for a consideration of diverse groups of actors beyond entrepreneurs.
Methodology/approach
The chapter draws from a literature review on UK policies around social enterprise and an ethnographic study of a deprived community in North-West England. It provides an in-depth account of how competition for scarce funds and the new hope around entrepreneurialism are negotiated and translated into action by policy actors in one local community.
Findings
The review contextualizes the evolution of social enterprise in the United Kingdom and highlights the need for grounded analysis of the effects of policies. A range of themes emerge from the ethnographic case: a misalignment between social workers’ and beneficiaries’ expectations and interests; a tendency to shift from holistic welfare to narrow, time-limited interventions; the importance of spatiality for issues of deprivation; and imbalances in the flows of money and attention between different communities.
Social Implications
The chapter questions the emphasis placed upon social enterprise as a source of innovation. The suggested focus on community redirects scholarly debate to the most important group of actors: the socially, politically, or economically excluded target groups of social innovations.
Originality/value
This chapter contributes to our understanding of the roles being played by social enterprises in a community and raises questions about their value as a vehicle of policy and of innovation.