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1 – 10 of 17Value-based healthcare suggested using patient-reported information to complement the information available in the medical records and administrative healthcare data to provide…
Abstract
Purpose
Value-based healthcare suggested using patient-reported information to complement the information available in the medical records and administrative healthcare data to provide insights into patients' perceptions of satisfaction, experience and self-reported outcomes. However, little attention has been devoted to questions about factors fostering the use of patient-reported information to create value at the system level.
Design/methodology/approach
Action research design is carried out to elicit possible triggers using the case of patient-reported experience and outcome data for breast cancer women along their clinical pathway in the clinical breast network of Tuscany (Italy).
Findings
The case shows that communication and engagement of multi-stakeholder representation are needed for making information actionable in a multi-level, multispecialty care pathway organized in a clinical network; moreover, political and managerial support from higher level governance is a stimulus for legitimizing the use for quality improvement. At the organizational level, an external facilitator disclosing and discussing real-world uses of collected data is a trigger to link measures to action. Also, clinical champion(s) and clear goals are key success factors. Nonetheless, resource munificent and dedicated information support tools together with education and learning routines are enabling factors.
Originality/value
Current literature focuses on key factors that impact performance information use often considering unidimensional performance and internal sources of information. The use of patient/user-reported information is not yet well-studied especially in supporting quality improvement in multi-stakeholder governance. The work appears relevant for the implications it carries, especially for policymakers and public sector managers when confronting the gap in patient-reported measures for quality improvement.
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Majid Monajjemi and Fatemeh Mollaamin
Early prediction of any type of cancer is important for the treatment of this type of disease, therefore, our target to evaluate whether monitoring early changes in plasma human…
Abstract
Purpose
Early prediction of any type of cancer is important for the treatment of this type of disease, therefore, our target to evaluate whether monitoring early changes in plasma human epidermal growth factor receptor 2 (HER2) levels (using EIS), could help in the treatment of breast cancer or not? Human epidermal growth factor receptor 2 (HER2) overexpression is an important biomarker for treatment selection in earlier stages of cancers. The combined detection of the HER2 gene in plasma for blood cancer provides an important reference index for the prognosis of metastasis to other tissues. For this purpose, the authors fabricated and characterized a model wireless biosensor-based electrochemical impedance spectroscopy (EIS) for detecting HER2 plasma as therapeutics.
Design/methodology/approach
Most sensors generally are fabricated based on a connection between component of the sensors and the external circuits through wires. Although these types of sensors provide suitable sensitivities and also quick responses, the connection wires can be limited to the sensing ability in various devices approximately. Therefore, the authors designed a wireless sensor, which can provide the advantages of in vivo sensing and also long-distance sensing, quickly.
Findings
The biosensor structure was designed for detection of HER2, HER3 and HER-4 from lab-on-chip approach with six units of screen-printed electrode (SPE), which is built of an electrochemical device of gold/silver, silver/silver or carbon electrodes. The results exhibited that the biosensor is completely selective at low concentrations of the plasma and HER2 detection via the standard addition approach has a linearity plot, therefore, by using this type of biosensors HER2 in plasma can be detected.
Originality/value
This is then followed by detecting HER2 in real plasma using standard way which proved to have great linearity (R2 = 0.991) proving that this technique can be used to detect HER2 solution in real patients.
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This paper aims to provide insights into the potential of digital technologies-based innovations for more inclusive healthcare by alleviating the affordability, accessibility and…
Abstract
Purpose
This paper aims to provide insights into the potential of digital technologies-based innovations for more inclusive healthcare by alleviating the affordability, accessibility and availability barriers to utilization of healthcare services. Also, it aims to provide insights into the potential of digital technologies-based innovations for more inclusive services, broadly.
Design/methodology/approach
A conceptual framework is inductively developed by analyzing real-world examples of digital technologies-based innovations for more inclusive healthcare through the lenses of economics of information in digital form and certain characteristics of services.
Findings
Concurrent implementation of digital technologies-based healthcare innovations with innovations and/or modifications in service processes can enable greater inclusivity by alleviating the affordability, accessibility and availability barriers to utilization of healthcare services.
Research limitations/implications
Issues relating to inequities in healthcare, as a social problem, are the focus of research at multiple levels (e.g. global, national, regional and local) in several academic disciplines. In relation to the scope of the problems and challenges pertaining to providing quality healthcare to the unserved and underserved segments of society, worldwide, the contribution of the proposed framework to practice is modest. However, by highlighting the promise and potential of digital technologies-based innovations as solutions for alleviating barriers to affordability, accessibility and availability of healthcare services during various stages (prevention, detection, diagnosis, treatment and post-treatment follow-up) with illustrative vignettes and developing a framework, the article offers insights for future research. For instance, in reference to mission-driven social enterprises that operate in the product-market space for inclusive innovations under resource constraints, a resourcefulness-based view of the social enterprise constitutes a potential avenue for theory development and research.
Practical implications
Given the conceptual nature of the article, the implications for practice are limited to cognitive implications. Action implications (instrumental implications or implications for practice) are outside of the scope of the article.
Social implications
Innovations that are economically viable, environmentally sustainable and socially impactful is one of the important issues of our times.
Originality/value
The proposed framework provides insights into the potential of digital technologies-based innovations for more inclusive healthcare by alleviating the affordability, accessibility and availability barriers in the context of emerging and less developed country markets and base of the pyramid segments of society in these markets.
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While the global body of knowledge on men and boys' experiences of sexual abuse during childhood has incrementally grown over the last several years, it remains an…
Abstract
While the global body of knowledge on men and boys' experiences of sexual abuse during childhood has incrementally grown over the last several years, it remains an under-researched area of study. Drawing upon primary phenomenological research with men survivors of child sexual abuse (CSA) in India, in this chapter, I report and discuss findings that explore the gendered meanings that men who have experienced CSA make of their abuse experiences against a backdrop of heteropatriarchal assumptions and expectations regarding masculinity. Specifically, I discuss how effeminophobia – anxiety and disdain regarding feminine-identified behaviors, mannerisms, attributes and presentations among boys and men – is an ingredient and also the product of such meaning making and eventually works as another form of violence against men and boy survivors following the primary experience of sexual violence. More broadly, acknowledging the role of effeminophobia in constructing men and boy survivors' experiences supports the argument that heteropatriarchy is a double-edged weapon that injures women and gender-expansive people disproportionately but also hurts boys and men.
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Fangfang Li, Susana C. Silva and Jorma Larimo
The purpose of this paper is to investigate the factors influencing the development of social media marketing strategy in an international context. We specifically look at the…
Abstract
Purpose
The purpose of this paper is to investigate the factors influencing the development of social media marketing strategy in an international context. We specifically look at the potential drivers and barriers throughout the social media marketing strategy development process and how cultural differences shape social media marketing strategy decision-making among firms in international markets.
Design/methodology/approach
The study is conducted with an inductive research approach involving in-depth interviews with 32 firms from Finland, China and Brazil. Using inductive data analysis, we identify both internal and external factors that drive and hinder the development of firms’ social media marketing strategies. Moreover, we explore the essential elements in social media marketing strategy development based on the key practices observed among these firms, which enables us to conduct a comparative analysis of how cultural values influence the development of social media marketing strategies.
Findings
Our findings underscore the importance of both internal (i.e. resources and capabilities) and external (i.e. market-level and country-level) factors that influence the development of social media marketing strategy. Our analysis also unveiled four key practices throughout the social media marketing strategy development process: social selling, content marketing, risk management and relationship management. Additionally, we identified three distinct mindsets regarding firms’ social media selling objectives across companies in the three countries.
Originality/value
The comparative approach provides novel insight into firms' international social media marketing strategy. Our proposed conceptual model shows the development process of social media marketing strategy in the international context. The research propositions highlight the role of cultural values and open up new avenues for future research.
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The idea of value co-creation involves the benefit actors gain from integrating resources through activities and interactions within a service network, with the environment…
Abstract
Purpose
The idea of value co-creation involves the benefit actors gain from integrating resources through activities and interactions within a service network, with the environment enabling high-quality collaboration. This paradigm highlights customers’ ability to co-create value with service providers and other customers. This idea is gaining traction in health care. These days, patients are no longer passive recipients of health-care services; rather they have started taking proactive roles in their self-health management. This study aims to understand the phenomenon of value co-creation among patients within online health communities (OHCs).
Design/methodology/approach
A systematic literature review of papers published from 2003 to 2024 in Web of Science-indexed journals was conducted. The review highlights theories, contexts, characteristics and methodologies in this area, synthesizing insights from previous research and presenting a future research agenda for underexplored and unexplored contexts using emerging theoretical perspectives and analytical methodologies.
Findings
The review illuminates theoretical and empirical studies on value co-creation among patients in OHCs. Previous research shows that value co-creation among patients leads to cognitive, affective and physical benefits such as reduced anxiety and stress, increased assurance and self-confidence, improved quality of life, enhanced patient empowerment, acceptance of disease and treatment effectiveness and a sense of self-worth and well-being.
Originality/value
This review synthesizes insights from previous works and outlines a research agenda for future studies in underexplored and unexplored contexts using new theoretical perspectives and methodologies. Considering the role social media plays in an individual’s life, this work will help in deep diving into the role of such online communities in the health-care sector.
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Herwinda Kusuma Rahayu, Yhona Paratmanitya, Herni Dwi Herawati, Fitri Tariani, Anafrin Yugistyowati and Erni Samutri
Complementary feeding practices was more difficult during the COVID-19 pandemic due to economic instability, especially for animal source foods (ASFs) consumption. According to…
Abstract
Purpose
Complementary feeding practices was more difficult during the COVID-19 pandemic due to economic instability, especially for animal source foods (ASFs) consumption. According to the problem, the purpose of this study was to determine the economic impact of COVID-19 pandemic on ASFs consumption and ASFs consumption related factors on complementary feeding in Indonesia.
Design/methodology/approach
This cross-sectional study was targeted at mothers of children aged 6–23 months during pandemic. A total of 574 respondents were obtained through online questionnaire.
Findings
This study found that flesh food, including fish/seafood, organ meat, meat, poultry and processed meat, were associated with all economic impact of COVID-19 pandemic; in contrast, those economic impacts did not affect the dairy product and egg consumption. Multivariate analysis showed children with older age (AOR: 1.13, 95%CI: 1.04–3.26), meet minimum dietary diversity (AOR: 2.17, 95%CI: 1.56–5.44) and are from high income level household (AOR: 1.14, 95%CI: 1.09–2.10) contributed to ASFs consumption.
Practical implications
Other strategies aimed at enhancing food security to increase ASFs consumption on complementary feeding. The government may consider short-term emergency purchasing subsidies and macro-control of the ASFs market. Nutrition education is also required to improve knowledge related to importance of ASFs consumption for children.
Originality/value
This study reveals the association between each food group of ASFs consumption on complementary feeding and the economic impact of COVID-19 pandemic.
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Elena Maggioni and Francesco Mazziotta
Common challenges for healthcare systems worldwide are population ageing, rising therapy spending and reduced economic resources. In response, AI can play a crucial role in…
Abstract
Common challenges for healthcare systems worldwide are population ageing, rising therapy spending and reduced economic resources. In response, AI can play a crucial role in facilitating managerial and economic objectives within a holistic vision of care and improve the experience of patients and professionals. AI may change the delivery of services and the demand for them as well. This raises questions of how to balance the supply and demand sides of healthcare services, how to leverage competitive positioning and how to differentiate strategies specific to the public and to the private sector.
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Children's film and fiction often portray a witch as either an evil hag or an incompetent older woman yet when the male witch is within the narrative, he is named Sorcerer or…
Abstract
Children's film and fiction often portray a witch as either an evil hag or an incompetent older woman yet when the male witch is within the narrative, he is named Sorcerer or Wizard, suggesting therefore that (unlike the hag) age and gender is not a factor when performing witchcraft. Moreover, the male witch identity is introduced from the position of empowerment and competency rather than prejudice. Witch identities are gendered, and the male witch is underappreciated and overlooked by the historical identity of the female witch.
This chapter analyses how the male witch is presented in selected children's film and fiction through the frameworks of Hegemonic, Hybrid, and Mosaic Masculinity. Hegemonic Masculinity demonstrates the toxic performance of the male witch, indicating to readers and audiences that to be male and a witch, a heterosexual man must be cruel and manipulative. Hybrid Masculinities relate to some patriarchal behaviours such as violent outbursts, that also blend with more empathetic and emotional behaviours. Mosaic Masculinity presents the male witch in a way that is fluid and disrupts the binary of Hegemonic and Hybrid Masculinity.
This chapter acknowledges the absence of presence of the male witch and encourages a more authentic representation of the male witch that is akin to those who practice witchcraft. There are non-toxic examples of masculinity that challenge the potential for stereotyping, hence there is a need for a better representation of what it means to be a witch within popular culture.
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The manoeuvring of everyday spaces to nudge the population towards a physically active lifestyle or active living has been the hallmark of the policy modes of instrumental…
Abstract
The manoeuvring of everyday spaces to nudge the population towards a physically active lifestyle or active living has been the hallmark of the policy modes of instrumental thinking for combating physical inactivity, particularly in urban spaces across the world. Thus, the active promotion of fitness activities by the postcolonial state signifies the centrality of the body in disciplining docile and inactive individuals to produce fit and active citizens. Such a population-based approach has often raised concerns about social and spatial justice and expressions of identity, liberty, and surveillance, even as everyday spaces in cities continue to exhibit elements of colonial governmentality. In the midst of this, the body continues to be central to the ways in which such a population makes sense of being physically active and ‘being healthy’ in their everyday lives. By employing a multi-sited ethnography conducted over a period of 10 months in different public parks in Delhi, the present chapter aims to understand the ways in which fitness activities are performed, produced, and practised in the city. While public parks themselves are a product of colonial urban governmentalities in Delhi, this chapter argues that active bodies engaged in everyday sports in the parks also emerge as the critical site for the bodily inscription of global standards of physical activity. Driven by Western fitness regimes, individuals tend to understand themselves as entrepreneurial selves that can bring to life this imagination of the body ideal even while being engaged in various fitness and leisure activities aimed at being ‘healthy’.
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