1,720,962 research outputs found

    How does co-creation influence healthcare regulations ? An analysis of co-creation in social innovation

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    Social innovations are discussed as solutions to societal challenges, such as ensuring quality healthcare provision. Co-creation (i.e. the collaboration of actors who share their knowledge and skills), a primary feature of social innovation, can play a central role in changing formal institutions such as regulations, which is crucial to solving challenges in highly regulated sectors such as healthcare. However, research investigating how co-creation in social innovation can influence regulations is lacking. We investigate how co-creation can affect the ways social innovation actors influence healthcare regulations by analysing three social innovations in the Bernese Oberland, a Swiss mountain region facing the challenge of maintaining quality healthcare provision. Applying innovation biographies and semi-structured interviews, we find that two co-creating actor types were involved in influencing regulations: social innovation leaders and actors who fulfil central social innovation tasks. They influenced regulations by suggesting changes and inducing others to implement them, and they learned knowledge and skills in co-creation that helped them perform these activities. However, resources unrelated to co-creation also helped them influence regulations, such as actor networks and skills in persuading others. Co-creation in social innovation can thus support institutional change but is not a guarantee for it

    Social innovations in healthcare provision: an analysis of knowledge types and their spatial context

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    Peripheral regions face the challenge of ensuring adequate healthcare provision. As a solution to such challenges, social innovations are introduced. In relevant literature, it is recognized that the exchange of knowledge among diverse actors is a defining aspect of social innovations and that it is a crucial component of their success in peripheral areas. However, little is known about the characteristics and the spatial context of knowledge in social innovations. We address this research gap by analyzing micro-level knowledge dynamics in four social innovations in the healthcare sector of a Swiss mountain region. We distinguish three knowledge types according to the knowledge base approach: synthetic (practical and tacit), analytical (scientific and codified) and symbolic (semiotic and tacit). From innovation biographies and semi-structured interviews, we find that synthetic knowledge is the type used most throughout the whole social innovation process and that it is often combined with the other two knowledge types. Local actors and extra-local actors who are locally embedded contribute the most knowledge. The findings indicate that the social innovation actors require a considerable number of craft and practical skills to make use of their own analytical or symbolic knowledge, as well as to link these three knowledge types from different actors and spatial contexts. It seems that, in a strongly regulated sector like healthcare that primarily depends on (analytical) expert knowledge, analytical knowledge from extra-local inputs is not sufficient. Rather, highly knowledgeable, locally embedded actors are needed to combine synthetic knowledge with other knowledge types. Our findings suggest that successful social innovations combine locally and extra locally acquired synthetic knowledge with analytical and symbolic knowledge to solve peripheral healthcare challenges and to contribute to regional wellbeing

    Addressing health care shortages through social innovations in the Bernese Oberland

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    Doctors and medical support are in short supply in Swiss mountain regions. Addressing this issue has led to innova-tive solutions based on novel forms of cooperation among local actors from the public, private and non-profit sectors. Not only do these social innovations respond to an urgent need, they can also contribute to regional development in the longer term, as they keep the area attractive for resi-dents and enterprises. We present four examples from the Bernese Oberland in Switzerland that address the widening gap in health care service provision in mountain regions

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The 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

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    “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

    Appropriate Similarity Measures for Author Cocitation Analysis

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    We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis

    Dispelling the Myths Behind First-author Citation Counts

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    We conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more sophisticated methods

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