1,720,967 research outputs found

    Patient non-adherence: an interpretative phenomenological analysis

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    Purpose While interpretative phenomenological analysis (IPA) has been used in health psychology research, it has so far not been applied to seek deeper insights into the patients’ experiences about treatment. The purpose of this paper is to address this gap by using IPA to understand patient non-adherence. Design/methodology/approach In total, 18 patients with chronic conditions seeking healthcare services in Goa and Karnataka, India, were selected by using the snowball sampling method. In-depth interviews were conducted face to face. A semi-structured questionnaire developed by the researchers was used to collect the data. IPA was used to explore the themes to predict patient non-adherence. Findings The study results indicate that economic factors, health system related factors, social factors and psychological factors impact patient non-adherence. Patient non-adherence includes medication non-adherence and lifestyle modification non-adherence. Research limitations/implications Being cross sectional in design, the results may not be as appropriate as the results derived from a longitudinal study given that non-adherence occurs over time. Practical implications Patient non-adherence is a global health issue. Multidisciplinary approach to enhance patient adherence to treatment should form part of public healthcare policy. Social implications Exploring the factors influencing patient non-adherence will help the health-care industry stakeholders to reduce healthcare cost and improve patient’s quality of life. Originality/value Although there is extensive quantitative research on the prevalence of non-adherence, qualitative research is limited. This paper addresses this gap by using IPA to understand patient non-adherence and its factors and dimensions. </jats:sec

    Autonomy, market orientation and performance in Indian retail banking

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    PurposeThis paper aims to find out whether superior autonomy at boundary spanning levels in service organizations results in better market orientation and performance and whether autonomy and decentralization, though conceptually different, have similar practical implications. Researchers developed a theoretical model and tested it in the post‐liberalized Indian retail banking context to address these concerns.Design/methodology/approachBank branches constituted the unit of analysis. Further to getting initial insights on market orientation in retail banking through interviews researchers conducted a survey among branch managers. A total of 305 branch managers were contacted of which 122 cooperated.FindingsRegression results suggest that superior personnel related and goal setting autonomy at boundary spanning levels have positive market orientation as well as performance implications. Marketing autonomy did not have significant impact on market orientation. Autonomy and decentralization though conceptually different displayed similar implications on market orientation and performance. Formalization while negatively impacting market orientation did not directly impact performance.Practical implicationsAs firm performance is dependent on subunit performance, managers should naturally be interested in factors that enhance performance at subunit level. Current research finds evidence for superior personnel and goal setting autonomy as well as less rigid rules facilitating market orientation and performance at the subunit level.Originality/valueThis is the first effort to study market orientation at the boundary spanning levels in service organizations. Besides providing evidences from the Indian retail banking context about the impact of autonomy on market orientation and performance the paper also presents primary evidence for clarifying the similarities and differences between autonomy and decentralization.</jats:sec

    A qualitative study on electricity energy-saving behaviour

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    Purpose There is an unresolved paradox concerning electricity energy-saving behaviour. On one hand, there are many studies on energy-saving behaviours and on the other hand, recent research stresses that there exists large amount untapped potential in terms electricity energy-saving behaviours. Therefore, it becomes pertinent to revisit the construct of electricity energy-saving behaviours qualitatively to enlarge the spectrum of understanding. The purpose of this paper is to answer the research question why do not customers care about electricity energy-saving behaviours. Design/methodology/approach A qualitative study is undertaken in Western India using grounded theory methodology. The basic steps in the analysis of qualitative data consist of coding the data, combining the codes into broader categories and themes, and interpreting the results. Findings The study identifies seven categories of determinants of electricity energy-saving behaviours. Policy implications and limitations of the study are discussed along with areas of future research directions. Originality/value This is the first study to unearth the dimensions of electricity energy-saving behaviour. </jats:sec

    Self-Monitoring as a Key to the Tourist

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