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1 – 10 of over 1000Frances C. Cunningham, Andrew D. Morris and Jeffrey Braithwaite
Australian states have embraced clinical networking as a mechanism for managing, organising and improving the quality of care. Using these individualised state approaches to…
Abstract
Purpose
Australian states have embraced clinical networking as a mechanism for managing, organising and improving the quality of care. Using these individualised state approaches to clinical networks, in this paper the authors aim to examine this Australasian “experimentation” and present lessons for other health systems.
Design/methodology/approach
The paper draws on current knowledge from the literature on clinical networks. The 2010 Inaugural Australasian Clinical Networks Conference also serves as a primary resource, as well as the authors' extensive discussions with policy‐makers, managers and clinicians in Australasian systems.
Findings
Key themes from the literature include: network type (mandated or natural, and hybrids); network purpose; the importance of network objectives; drivers of network success and barriers; the need for consumer engagement; and the difficulty of evaluating network effectiveness. Policy challenges include the establishment of networks for some specialty areas and not others; how to develop common standards across networks; and the need for performance metrics to assess network impact on patient outcomes. Australian networks report difficulties with achieving greater involvement of rural clinicians and indigenous populations, and with private sector clinical engagement. There are challenges too with implementation, at service level, of models of care and recommendations.
Originality/value
Clinical networks are becoming a fundamental vehicle for clinical improvement and change across complex organisational and professional boundaries. How to nurture and sustain effective clinical networks is of import to every health system and the authors invite stakeholders in health systems to network and share their empirical research on clinical networks to assist with distinguishing the evidence from the rhetoric.
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Perhaps the most remarkable event in the US medical market in the last ten years has been the astonishing growth of the new kinds of health‐care delivery systems that are…
Abstract
Perhaps the most remarkable event in the US medical market in the last ten years has been the astonishing growth of the new kinds of health‐care delivery systems that are collectively known as health maintenance organisations (HMOs). Indeed, they are now posing a serious threat to the conventional insurance sector which has traditionally covered most Americans. According to data collected by the US Department of Health and Human Services and the Minnesota research foundation, InterStudy, some 18.9 million people were enrolled in an HMO in June 1985, so that the 400 HMOs then in existence accounted for roughly nine per cent of the health‐care market. Today's figures are undoubtedly higher, and one New York investment company expects that ‘by 1990, 75 million people, or 30 per cent of the population, will be members of HMOs’, with the organisations achieving ‘membership expansion and revenue growth of 30–40 per cent a year’
A survey is made of the instruments and methods used to measure total and static pressure and direction in three‐dimensional flow. Comparative tests in a towing tank of two…
Abstract
A survey is made of the instruments and methods used to measure total and static pressure and direction in three‐dimensional flow. Comparative tests in a towing tank of two designs of live‐orifice pitot‐type probe showed the advantage, within a limited range of flow inclination, of the instrument with independent static pressure orifices. Speed and angle of flow characteristics are Riven for these two probes, which differed in the shape of head.
This paper illuminates the distinction between individual and organizational actors in business-to-business markets as well as the coexistence of formal and informal mechanisms of…
Abstract
This paper illuminates the distinction between individual and organizational actors in business-to-business markets as well as the coexistence of formal and informal mechanisms of coordination in multinational corporations. The main questions addressed include the following. (1) What factors influence the occurrence of personal contacts of foreign subsidiary managers in industrial multinational corporations? (2) How such personal contacts enable coordination in industrial markets and within multinational firms? The theoretical context of the paper is based on: (1) the interaction approach to industrial markets, (2) the network approach to industrial markets, and (3) the process approach to multinational management. The unit of analysis is the foreign subsidiary manager as the focal actor of a contact network. The paper is empirically focused on Portuguese sales subsidiaries of Finnish multinational corporations, which are managed by either a parent country national (Finnish), a host country national (Portuguese) or a third country national. The paper suggests eight scenarios of individual dependence and uncertainty, which are determined by individual, organizational, and/or market factors. Such scenarios are, in turn, thought to require personal contacts with specific functions. The paper suggests eight interpersonal roles of foreign subsidiary managers, by which the functions of their personal contacts enable inter-firm coordination in industrial markets. In addition, the paper suggests eight propositions on how the functions of their personal contacts enable centralization, formalization, socialization and horizontal communication in multinational corporations.
Purpose and Methodology – Championing a shared vision and strategy for informed learning (INFL) as an approach to information literacy (IL) education (ILE) centers on establishing…
Abstract
Purpose and Methodology – Championing a shared vision and strategy for informed learning (INFL) as an approach to information literacy (IL) education (ILE) centers on establishing a common understanding of IL/INFL that is sensitive to the variation in the ways stakeholders perceive their information context and conceptualize IL. Accordingly, the purpose of this chapter is to examine findings from a recent phenomenographic study of conceptions of IL that captures the understanding of IL held across multiple stakeholder groups in an international school community (Cunningham, 2017) and to use these findings to revisit Bruce’s (2008) RACER framework as a compass to champion INFL throughout an organization.
Findings and Originality – The phenomenographic study found that stakeholders did not hold one singular conception of IL but rather they shared a series of conceptions of IL to varying degrees, and that the variation in the ways IL was conceptualized prevailed across three continuums namely the individual-collective, affective-cognitive, and competency–personal mastery continuums. Furthermore, the comparative analysis of the series of conceptions of IL created the opportunity to develop a model of the common ground of conceptual understanding of IL thereby making an original contribution to knowledge. By undertaking a comparative analysis of this common ground model of IL with Bruce’s conceptions of IL/INFL and RACER framework for championing IL, the outcome is to present a new IL “without borders” model offering a blended strategic approach to advancing INFL/ILE based on a more representative understanding of the ways stakeholder groups perceive their information context and conceptualize IL.
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Lawrence F. Cunningham, Clifford E. Young, Moonkyu Lee and Wolfgang Ulaga
The purpose of this paper is to present the results of a study that examined how customers in the USA, France, and Korea perceived and classified a set of 13 services based on…
Abstract
Purpose
The purpose of this paper is to present the results of a study that examined how customers in the USA, France, and Korea perceived and classified a set of 13 services based on multidimensional scaling (MDS).
Design/methodology/approach
A MDS framework was used to map service classifications and actual services in the USA, Korea and France. Results from each country were then compared to the other two countries to determine similarities and differences.
Findings
Results from this research suggest that there are two underlying dimensions that explain approximately 80 percent of the total variance in service perceptions and classifications. Underlying dimensions of the classifications across the three cultures were virtually identical. Differences among the countries were based on relative positioning of classifications and/or services on the underlying dimensions.
Research limitations/implications
Evidence from diverse cultures implies that consumers perceive services in a somewhat simplistic, two‐dimensional fashion rather than the complex set of classifications proposed by researchers. Although the complex classifications may be of use to service providers in organizing the delivery of services, the presentation and positioning of those services is along a much simpler framework in the minds of customers.
Originality/value
This is the first time consumer‐based perceptions of services have been examined systematically across cultures using a MDS approach.
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Lawrence F. Cunningham, Clifford E. Young, Wolfgang Ulaga and Moonkyu Lee
In the services marketing literature, few service classifications are based on how customers view services, and fewer of these have been validated cross‐culturally. To fill this…
Abstract
In the services marketing literature, few service classifications are based on how customers view services, and fewer of these have been validated cross‐culturally. To fill this gap, this research presents the results of a study that examined how US and French customers perceived and classified a set of 13 services based on multidimensional scaling. Service classifications were developed on a perceptual space where the actual services were mapped for two countries, the USA and France. The results of the study suggest that there are two underlying dimensions that explain approximately 80 percent of the total variance in service perceptions and classifications. The dimensions and correlations for the classifications and services displayed many consistencies and some differences among American and French consumers. Directions for future academic research and managerial implications are cited and discussed.
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Compiled by K.G.B. Bakewell covering the following journals published by MCB University Press: Facilities Volumes 8‐18; Journal of Property Investment & Finance Volumes 8‐18;…
Abstract
Compiled by K.G.B. Bakewell covering the following journals published by MCB University Press: Facilities Volumes 8‐18; Journal of Property Investment & Finance Volumes 8‐18; Property Management Volumes 8‐18; Structural Survey Volumes 8‐18.
Index by subjects, compiled by K.G.B. Bakewell covering the following journals: Facilities Volumes 8‐18; Journal of Property Investment & Finance Volumes 8‐18; Property Management…
Abstract
Index by subjects, compiled by K.G.B. Bakewell covering the following journals: Facilities Volumes 8‐18; Journal of Property Investment & Finance Volumes 8‐18; Property Management Volumes 8‐18; Structural Survey Volumes 8‐18.