The disease management approach to improving health care, at the system as well as the hospital level, has proved to be very powerful, producing unprecedented results in reducing…
Abstract
The disease management approach to improving health care, at the system as well as the hospital level, has proved to be very powerful, producing unprecedented results in reducing costs while improving quality of care and patient satisfaction. The Boston Consulting Group (BCG), working with a variety of leading managed care providers and pharmaceutical clients, has pioneered the development and dissemination of the disease management concept. Defines the disease management approach and outlines how it differs from the traditional component management approach. Also describes the key elements of disease management, characteristics to look for in a candidate disease, and results achieved so far. Finally, discusses the three strategic roles a health‐care player can take in disease management.
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The purpose of this paper is to see how the disciplines of physical anthropology and race biology used photographs as documenting tools when trying to prove the existence of…
Abstract
Purpose
The purpose of this paper is to see how the disciplines of physical anthropology and race biology used photographs as documenting tools when trying to prove the existence of variations among the human species dependent on race. On a more general level the study aims to contribute to the discussions on how images work as documents in scientific practice.
Design/methodology/approach
The primary methodology of this study is a functional and rhetorical analysis of the photographic material taken by the Swedish State Institute of Racial Biology between 1922 and 1958.
Findings
How images work as documents in scientific practice depends on what kind of documents they are, and what practices they take part in.
Originality/value
By showing how images played an important and substantial role in the research practices of physical anthropology and race biology, this paper stresses the importance of taking images as serious influences in scientific practice. The authors stress the need for further investigations into how images work as documents in scientific contexts.
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Johan Hagberg and Ulrika Holmberg
Although the movement of goods by consumers represents a large proportion of the economic and environmental impact of the distribution chain, this topic has been insufficiently…
Abstract
Purpose
Although the movement of goods by consumers represents a large proportion of the economic and environmental impact of the distribution chain, this topic has been insufficiently explored in the retailing literature. The purpose of this paper is to contribute to the understanding of shopping travel-mode choice in the context of grocery shopping.
Design/methodology/approach
The paper presents findings from a Swedish national survey of 1,694 respondents that included questions regarding travel-mode choices and consumer characteristics, mobility conditions, shopping behaviours and environmental interests and engagements.
Findings
This paper shows how travel modes interrelate and how various consumer characteristics, shopping behaviours, mobility conditions and environmental interests and engagements relate to and affect travel-mode choice in grocery shopping. General travel patterns and distance to store are shown to be the most important factors in explaining the mode of transport for grocery shopping.
Originality/value
This paper presents data from a national representative survey and provides novel analyses of travel-mode choices in grocery shopping and the interrelationships among those choices, in addition to the interrelationship between travel-mode choice and the use of home delivery. This paper contributes to a further understanding of consumer mobility in the context of grocery shopping.
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Heléne Lundberg, Peter Öhman and Ulrika Sjödin
The purpose of this paper is to shed light upon how retailers view alternative payment forms and to what extent they are willing to risk offending their customers by imposing…
Abstract
Purpose
The purpose of this paper is to shed light upon how retailers view alternative payment forms and to what extent they are willing to risk offending their customers by imposing payment restrictions.
Design/methodology/approach
This exploratory study consists of three consecutive parts: first, 100 situations of paying for goods or services; second, interviews with 25 of these 100 retailers; and third, observations at a meeting between retailers and bank representatives on various aspects of card and cash payments.
Findings
Retailers are unwilling to risk offending their customers and do not normally undertake any actions to affect the customers’ choice of payment form, except for proactively or reactively excluding the use of certain expensive credit cards, and card payments for small amounts. The retailers only take the risk of causing customer dissatisfaction when they feel that the sacrifice for not doing so is too costly, and in these cases the salespersons act very late in the purchase process. Other aspects than payment costs (such as safety, time and environment) seem to have little impact on individual retailers’ actions at the payment stage.
Research limitations/implications
The present study focuses solely on the retailers’ point of view on the payment stage, implying a need for additional research on customers’ and bank representatives’ views on the same matter.
Practical implications
Retailers try to nurture their customer relationships also when they are proactive or reactive, i.e. by pointing to the high cost of a particular payment form and/or asking customers to help with small change. Sending signals that invite customers to assist may not only be a way to affect how customers pay, but also foster relationship development.
Social implications
It seems that environmental costs have not filtered down to the firm level, at least not in an observable way. Any further move towards a “cashless society” has to emanate from other sources.
Originality/value
No previous study has focused on the way selling companies approach their customers at the payment stage in terms of proactive, reactive and inactive behaviour.
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Avant‐propos sous les auspices de l'Institut international de Coopération intellectuelle, paraissait en 1934 le t. I, consacré à l'Europe, du Guide international des Archives. Le…
Abstract
Avant‐propos sous les auspices de l'Institut international de Coopération intellectuelle, paraissait en 1934 le t. I, consacré à l'Europe, du Guide international des Archives. Le questionnaire envoyé à tous les États européens comportait sous les points 4 et 6 les questions suivantes: ‘Existe‐t‐il un guide général pour les diverses catégories d'Archives ou des guides particuliers pour l'une ou l'autre d'entre elles?’ et ‘Existe‐t‐il des catalogues imprimés, des publications tant officielles que privées, susceptibles de constituer un instrument complet de référence pour tout ou partie importante des fonds d'archives?’ Les réponses des divers pays à ces questions, malgré leur caractère très inégal, ont fait du Guide international un bon instrument d'information générale sur les Archives. Malheureusement les circonstances ont empêché la publication du volume consacré aux États non européens, tandis que le temps qui s'écoulait tendait à rendre périmés les renseignements fournis sur les Archives européennes.
Ulrika Winblad, Karsten Vrangbæk and Katarina Östergren
This paper aims to analyse waiting‐time guarantees in the three Scandinavian countries (Denmark, Norway, and Sweden) and to assess whether their current policy designs have…
Abstract
Purpose
This paper aims to analyse waiting‐time guarantees in the three Scandinavian countries (Denmark, Norway, and Sweden) and to assess whether their current policy designs have strengthened the role of patients in their healthcare systems.
Design/methodology/approach
The paper compares official documents and legislation in the three countries. The main findings are that waiting‐time guarantees have generally empowered patients in the Scandinavian health systems. This empowerment is stronger in Denmark and Norway, where formal waiting‐time guarantee rules are applied, than in Sweden, where the guarantee is based on the “softer” regulatory instrument of agreements. While patients are formally empowered in all three countries, and care providers are gradually adjusting to this situation, it is also clear that the practical conditions for empowering patients are not fully in place. The issue of information dissemination is particularly important.
Research limitations/implications
Assessments are based on current regulatory configurations in the three countries, where the process of adapting and implementing the policies is ongoing. These assessments are based on a comparative analysis of the institutional designs. There is no detailed information on how patients use the waiting‐time guarantee.
Practical implications
It is important to consider carefully the information that patients have available in exercising their right to choose healthcare as well as the incentives for providing such information to them.
Originality/value
This is the first systematic comparison of waiting‐time guarantees in the three countries. It is a starting‐point for further research on the introduction of waiting‐time guarantees in public health systems.
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The purpose of this paper is to outline the conditions for a new service system in healthcare, which will be able to match the available capacity in and between healthcare units…
Abstract
Purpose
The purpose of this paper is to outline the conditions for a new service system in healthcare, which will be able to match the available capacity in and between healthcare units, in order to match the need of care for the patients.
Design/methodology/approach
By drawing on statements from patients, experiences from similar services (a literature review), empirical research into the effects of the reforms on free choice and the care guarantee and a theoretically informed discussion drawing on value‐creation and service productivity, it is claimed that a matching system is needed to be developed.
Findings
As healthcare lacks incentives and structures of matching capacity between various care providers, and for coordinating episodes of care for the patient, the result is management of capacity that is difficult and uncertain for patients. Continuity and coordination during all the healthcare process are seen as important values by patients. It is valuable for patients to be matched in the coordination of contacts with providers and specialists.
Practical implications
Healthcare matching generates the supportive data for innovative service research. For management, it could be applicable in different organisational areas, for patients in their choices of provider and for the providers, when matching the needs for patients. In further research, it would be of value to discuss the barriers of matching.
Originality/value
Outlining the conditions for a service system, healthcare matching, has not been done before.