1,720,968 research outputs found
WHAT DOES PATIENT NEED? How Technology may influence patients’ Co-Production inclination in diabetes management
No full textPatients' Key Indications: relevant issues for a balanced health technology evaluation from users' standpoint
No full textHow Information Availability Changes Healthcare Chronicity Management: Findings from a Pilot Case Study
No full textChronic diseases are a crucial matter for worldwide National Health Systems; they represent one of the first causes of disability, mortality and morbidity, due to their persistency and tendency to develop some degree of disability (WHO, 2013).
To ensure the economic and social sustainability of such diseases, new healthcare business models development should be considered. Accordingly, Chronic Diseases Management shows how patients are enabled to actively take part of their healthcare by taking advantage of Internet of Things (IoT) (Batalden et al., 2018).
This is particularly highlighted in cardiac chronicity: patients enhance their health status, by increasing the participation level (Osborne et al., 2016) on their care pathway, through telemedicine.
Accordingly, the main purpose of this work is to explain how is possible to improve real time medical information exchange between patient and hospital, by using technological infrastructures. Just in time information allows the clinical staff to improve the chronicity management. This means: increasing quality of life for patients, optimisation of hospital workload, cost saving.
Design/methodology/approach – It was adopted a pilot case study method (Yin, 2014), classified as “Extreme Case Sampling” (Patton, 2002). Study concerns with the observation of remote management of a group of heart failure (HF) patients that, at moment of discharge, are equipped with: i) electrocardiograph; ii) weight scale; iii) pulse- oximeter; iv) sphygmomanometer. All those medical devices are connected with a mobile transmitter. Thus, according with his/her own clinical protocol, each patient provides both the self-measurement and dispatch of his/her own clinical data. These data are sent on a website platform, where, on a daily basis, cardiology staff check them.
Originality/value – The availability of these biomedical parameters allows medical staff to predict patient’s health status evolution. Before a patient’s health condition worsens, a predictive model, based on patients’ co- production and IoT, allows the medical staff to provide a TRIAGE aimed at promptly manage those troubled patients. Preliminary findings show that: i) patients were managed exclusive by telephone contact ii) no HF relapse, iii) no ER transit; iv) none hospitalization. Also a cost saving was observed.
Practical implications – Empirical experience demonstrates that possibility to share clinical information might change the traditional paradigm (Cahn, 2000) of service providing. As complexity increases, information requirements increase; thus, managerial approaches to healthcare change. Patient’s participation and IoT technologies become critical drivers in chronicity management sustainability: operative inputs able to enhance also Social Value of services provided
ESG and impact litigation: identifying and governing the causes through strategic accountability patterns
Full text linkPurposeAs financial firms incorporate impact strategies more extensively into their operations, they are asked to sustain their impact claims and thus face increased risks of regulatory scrutiny and lawsuits from private and public parties. The lack of reliable frameworks to measure impact gives rise to phenomena like impact washing, leading to litigations. This article aims to explore the main factors contributing to the impact litigation risk and the mechanisms employed by practitioners in the impact investing field to navigate and address this challenge.Design/methodology/approachWe conducted semi-structured interviews involving three impact investors and three impact lawyers with specific knowledge of ESG and impact controversies, adopting the Gioia Methodology for the analysis. We triangulated such information with the analysis of secondary data.FindingsThe "great noise" around the impact investing world and the rise of impact washing, the lack of shared standards for measuring impacts and the misalignment of interests among actors involved in the initiatives constitute a potential "litigation bomb". Such a scenario is detrimental to an investment strategy, which has the potential to tackle societal issues.Originality/valueThis study represents an initial effort to connect the academic debate on impact litigation with the expert's active "on-field" standpoints. The identified and validated drivers of impact litigations provide valuable insight to enhance the governance and accountability of impact investing. Implementing Impact Measurement and Management (IMM) tools, participatory governance models, clear impact-focused contracts and a proactive approach could serve as prospective solutions to mitigate the risk of disputes
Accountability for climate change: a research synthesis through the lenses of the integrated thinking approach
Full text linkPurpose – The increasing responsibility of organisations towards society and the environment has inverted the relationship between accounting and accountability, leading to accountability-based accounting systems. This study aims to explore the debate on accountability for climate change within the integrating thinking (IT) perspective. Ascertaining the most significant trends in the debate around purposes and performance that characterise climate mitigation engagement and their connections, the study would explore if and to what extent organisations are tackling climate actions.
Design/methodology/approach – A narrative review of the extensive academic literature developed from the Kyoto Protocol to date was performed. After selecting a representative sample, papers were analysed with the support of a new analytical framework that involves three dimensions – answerability, enforcement and outcome – and governance schemes that emerge from the involvement of the private and public sector and civil society. With the support of NVivo software, themes arisen were analysed and coded. Key items were labelled, creating specific nodes and synthesised into the proposed framework.
Findings – A “silo approach” largely characterises the debate on accountability for climate change. The most significant reasons behind the shortcomings of extant climate actions may be retrieved firstly in the weakness of the motivations that guide organisations to operate in a climate-friendly way.
Social implications – This study underlines the need for a 360° integrated approach for strategically tackling climate actions.
Originality/value – This study would represent a further step towards an integrated approach for studying organisations behaviours in the “climate war”, embracing the connectivity between purposes and outcomes, capitals and the relationships amongst the various stakeholders
New development: A prototype framework to assess the coverage of financial management topics in MPA/MPM programmes
No full textThe development of a prototype framework to support analyses of Master's of Public Administration (MPA) and Master's of Public Management (MPM) programmes is expected to significantly impact the field of public administration and management. These programmes play a crucial role in equipping current and future public administrators with the essential skills needed to effectively navigate the complexities of the public sector. To date, the debate about public sector accounting education misses vital cross-country analysis to understand the main differences between countries.Master's of Public Administration (MPA) and Master's of Public Management (MPM) programmes are expected to equip current and future public administrators with essential skills. Many scholars have analysed the consistency between public sector accounting education and the required competencies. While some studies gavce highlighted the need for including recent issues, others have identified more traditional approaches in educational practices. This new development article presents a prototype framework to support analyses of MPA/MPM programmes to address the current dearth of cross-country analysis in this area
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
- …
