1,720,986 research outputs found
The relationship between Value Co-creation and Defensive Medicine
No full textThe purpose of this study is to analyse the patient-physician relationship from the perspective of its consequences in terms of risk of defensive medicine behaviour and of likelihood of value co-creation occurrence. We develop, first, a theoretically informed model which explains the patient-physician relationship in terms of the two phenomena above mentioned; we then collect qualitative empirical data, elaborate on the theory, and develop an empirically informed model. The main result of this research is the definition of four archetypes of the patient-physician relationship, whose discussion leads to theoretical contributions and managerial implications
Defensive behavior in healthcare: the role of organizational factors
No full textDefensive medicine occurs when a healthcare practitioner performs treatment or procedure to avoid exposure to malpractice litigation. Being the consequences of such a behavior nefarious both in terms of patient care, healthcare operations and cost, much has been done in terms of research and practice with the aim to reduce the likelihood of its occurrence. Because defensive medicine is strictly related to the doctor perception of the risk of litigation and its legal repercussions, in the last years, jurisprudence and insurance contract studies in healthcare focused on this topic, as well as national laws have been introduced with the goal of contrasting it.
This paper argues and demonstrates that not only legal and insurance-related aspects may influence defensive medicine but organizational factors, such as hospital overcrowding and work overtime, may exacerbate or dampen such a phenomenon. For the purpose of this research, an ad-hoc laboratory experiment method has been designed, 60 medical doctors involved, and a total of 504 experiments executed.
The main results of the experiment show that while, on one hand, hospital overcrowding leads to a reduction in overtreatment because the doctor recognizes that prescribing not strictly necessary treatments would increase congestion even more, on the other hand, when combined with the doctor’s perception of litigation risk, overcrowding exacerbates her/his instinct to adopt defensive behavior. Furthermore, previous experience in the emergency ward, age, and some personality traits of the doctor are significantly correlated to defensive behavior
Organizational model and operations performance: a longitudinal study of Italian Judicial Courts
No full textThe study focuses on six Italian judicial courts that recently implemented a new organizational model based on the so-called "Ufficio Per il Processo" (UPP) and gathers qualitative and quantitative data over a two-year period (pre- and post-UPP). The research investigates the relationship between court clerks' organizational models and operations performance. The results indicate that the different types of organizational models are associated with improved performance when compared to the pre-implementation level depending on the cases’ congestion level the court has to deal with. The findings highlight the importance of considering the organizational structure in optimizing judicial courts’ performance
Understanding antecedents and consequences of Environmental Product Declarations implementation within a product strategy
No full textThis paper offers a first attempt to investigate the antecedents and outcomes of environmental communication at the product level, focusing on Environmental Product Declarations (EPDs). Through interviews and focus groups involving EPD experts from the lighting, construction products, and food & beverage sectors, we address critical research inquiries. Our investigation aims to uncover internal and external drivers motivating EPD implementation, delineate the target audience of EPDs, and help elucidate EPD’s role within product strategies. Employing stakeholder theory and the relational view, our research highlights the significant influence of key stakeholders, as well as the relational mechanisms facilitated by multinational companies, in shaping manufacturer adoption of EPDs. Despite the increasing utilization of EPDs, challenges persist, including the high costs associated with conducting requisite Life Cycle Assessment (LCA) studies and EPD registration. Additionally, a lack of knowledge of EPDs among users as well as a lack of LCA experts were considered a hindrance to EPDs’ development. Addressing these challenges through awareness initiatives is pivotal for augmenting the efficacy of EPD programs
Telemedicine the role of the patient-doctor relationship
No full textThe aim of this work is to study whether and how the characteristics of the existing relationship between a patient and her/his doctor impact the patient’s propensity to switch to telemedicine.
We build a conceptual model which hypothesizes a direct effect of the patient-doctor relationship on the propensity to telemedicine, with the perceived efficacy of the healthcare service as the mediator. To collect data, we used the survey methodology.
The results confirm the hypothesis about the positive effects of both a good patient-doctor relationship and the patients’ perceived value on the patients’ propensity to switch to telemedicine
Patient engagement and the adherence to long-term therapies: the role of gamification
No full textIn the health care system, non-adherence to treatment for chronic diseases is a prevalent issue with a high incidence rate. Some earlier studies suggested that gamification could be a potential solution to this problem, but other researchers have pointed out that this approach may not always be successful. Therefore, this study aims to address this limitation by incorporating the concept of patient engagement. Through a qualitative research approach based on a case study, we have developed a conceptual model. Our main contribution is proposing a possible solution to the non-adherence problem by utilizing gamified elements to stimulate a patient's behavioral change through patient engagement
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
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