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The purpose of this paper is to examine patient engagement in remote consultation services, an increasingly important issue facing Healthcare Operations Management (HOM) given the significant expansion in this and other forms of telehealth worldwide over the last decade. We use our analysis of the literature to develop a comprehensive framework that incorporates the patient journey, multidimensionality, antecedents and consequences, interventions and improvement options, as well as the cyclic nature of patient engagement. We also propose measures suitable for empirical assessment of different aspects of our framework.

We undertook a comprehensive review of the extant literature using a systematic review approach. We identified and analysed 63 articles published in peer-reviewed scientific journals between 2003 and 2022.

We conceptualise patient engagement with remote consultation across three key aspects: dimensions, process, and the antecedents and consequences of engagement. We identify nine contextual categories that influence such engagement. We propose several possible metrics for measuring patient engagement during three stages (before service, at/during service and after service) of remote consultation, as well as interventions and possible options for improving patient engagement therein.

The primary contribution of our research is the development of a comprehensive framework for patient engagement in remote consultation that draws on insights from literature in several disciplines. In addition, we have linked the three dimensions of engagement with the clinical process to create a structure for future engagement assessment. Furthermore, we have identified impact factors and outcomes of engagement in remote consultation by understanding which can help to improve levels of adoption, application and satisfaction, and reduce healthcare inequality. Finally, we have adopted a “cyclic” perspective and identified potential interventions that can be combined to further improve patient engagement in remote consultation.

Despite the unparalleled importance of value within healthcare, value-based models remain underutilised in the procurement of medical devices. Research is needed to understand what factors incentivise standard, low-priced device purchasing as opposed to value-adding devices with potentially higher overall health outcomes. Framed in agency theory, we examine the conditions under which different actors involved in purchasing decisions select premium-priced, value-adding medical devices over low-priced, standard medical devices.

We conducted 2 × 2 × 2 between-subjects scenario-based vignette experiments on three UK-based online samples of managers (n = 599), medical professionals (n = 279) and purchasing managers (n = 449) with subjects randomly assigned to three treatments: (1) cost-saving incentives, (2) risk-sharing contracts and (3) stronger (versus weaker) clinical evidence.

Our analysis demonstrates the harmful effects of intra-organisational cost-saving incentives on value-based purchasing (VBP) adoption; the positive impact of inter-organisational risk-sharing contracts, especially when medical professionals are involved in decision-making; and the challenge of leveraging clinical evidence to support value claims.

Our results demonstrate the need to align incentives in a context with multiple intra- and inter-organisational agency relationships at play, as well as the difficulty of reducing information asymmetry when information is not easily interpretable to all decision-makers. Overall, the intra-organisational agency factors strongly influenced the choices for the inter-organisational agency relationship.

We contribute to VBP in healthcare by examining the role of intra- and inter-organisational agency relationships and incentives concerning VBP (non-) adoption. We also examine how the impact of such mechanisms differs between medical and purchasing (management) professionals.

This study takes an “entrepreneurship as emancipation” perspective to study entrepreneurs defined as “others” on multiple categories: women entrepreneurs whose ventures are necessity-based, bootstrapped and located in economically impoverished areas (neighborhoods) in two Latin-American countries: Chile and Peru.

The study takes an interpretivist research approach and analyses inductively interviews with women entrepreneurs.

The findings reveal how everyday practices in pursuit of emancipation – while conducted within the existing patriarchal social structure – push the boundaries and contribute to changes in the social system via a variety of outcomes such as intergenerational social mobility, personal fulfilment and strengthening the communities in which the women entrepreneurs operate. Furthermore, while the authors find that in the particular Latin-American context under study, entrepreneuring activities become an emancipatory possibility for the everyday women entrepreneurs, they also highlight a “dark side” of their emancipatory projects.

The study contributes to recent critical studies in entrepreneurship by demonstrating the diversity and importance of the “mundane” activities undertaken by “necessity-based” entrepreneurs, and the significant – yet underappreciated – reach of their ventures’ impact on issues well beyond economic considerations.

In the past decade, financial austerity has brought significant pressure upon emergency services in the UK. For the British Government, one approach to alleviate this pressure was to increase collaborative efforts in core functions (e.g. information systems and technology) between multiple organisations. Despite the consensus that collaborations are key in addressing complex problems, the majority fail or become discontinued. This research explores the development of collaborative information infrastructures between one Police Force and two Fire and Rescue Services in the UK, with a specific focus on how the difference in culture, identities and rules and norms, can work in a collaborative emergency service environment.

This study investigated an example of successful development of a collaborative information infrastructure within the context of public safety and, specifically, the technology-based structures that underpin information management. A case study approach was taken, combining semi-structured interviews, document analysis and site visits. The study used activity theory as a theoretical and analytical framework.

The research revealed that creating a shared identity is not essential in emergency services collaboration, and organisations may maintain their separate identity, given they address other elements of the activity system (e.g. leadership, motivated subjects). However, pursuing this strategy will create multiple tensions throughout the collaboration process.

The study contributes to the information systems literature concerning inter-organisational collaborations in the public sector providing a novel view to the implications of maintaining separate identities, and the significance of misalignment between interacting activity systems.

Given the remarkable increase in entrepreneurial activities initiated by women in the Egyptian context in addition to the scarcity of empirical studies on digital self-employment there, the authors of the present paper aim to identify what motivates women to engage in digital entrepreneurship, and to identify how those women establish their digital entrepreneurial activities.

The authors employed a qualitative research method through semi-structured interviews with 30 women entrepreneurs who own and manage digital businesses. Thematic analysis was subsequently used to determine the main ideas in the transcripts.

The authors have found that enjoying absolute independence, securing more time for family, guaranteeing an independent source of income in addition to the ease of accessing extensive online markets are the main motives behind the engagement of women in the Egyptian context in digital entrepreneurship activities. Moreover, the authors have also asserted that the minimal training and government support stimulate women entrepreneurs there to start and continue their digital business activities informally.

This paper contributes by filling a gap in entrepreneurship studies in which empirical studies on establishing and managing digital entrepreneurship among women in developing economies has been limited so far.

This paper aims to unravel the puzzle that the United Kingdom’s high-quality government accounting and fiscal architecture is associated with low-quality outcomes, including poor productivity growth, high public debt, public services which do not meet citizen expectations and historically high levels of taxation. It contributes to public sector accounting research in the fields of fiscal transparency and governance.

This paper uses Miller and Power’s (2013) economization framework and Dunsire’s (1990) concept of collibration to explain why being a global leader in public sector accounting reform and in fiscal and monetary architecture has not protected the UK from weak governance. The intersection of economization’s roles of accounting with modes of government accounting clarifies the puzzle.

Whereas accruals government accounting contributes to fiscal transparency, this is not a sufficient condition for well-judged policy and its effective application. Collibration is the dominant mechanism for mediation in the fiscally centralized UK, but it has failed to deliver stable outcomes, in part because Parliament is limited in its ability to hold back inappropriate behaviour by the Executive. Subjectivization has disrupted adjudication because governments at all levels resist constraints on their behaviour, with unpredictable and often damaging consequences.

This paper provides insights through the combined lens of economization and modes of government accounting, demonstrating the practical value of this conceptualization. Although some causes for unsatisfactory outcomes are specific to the UK, there are cautions for accounting and fiscal reformers in other countries, such as Member States of the European Union.