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21 – 30 of over 69000Angus Ramsay, Naomi Fulop and Nigel Edwards
This paper reviews the evidence base for vertical integration in health care. We describe its impact on organisational structures, on how services are provided, and on such…
Abstract
This paper reviews the evidence base for vertical integration in health care. We describe its impact on organisational structures, on how services are provided, and on such outcomes as cost, clinical outcomes and patient experience. We also outline conditions that support successful integration.
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Peter J. Aspinall and Ferhana Hashem
The purpose of this paper is to answer the question: in the British state's relationship with its diverse minority ethnic communities, how have politics framed administrative…
Abstract
Purpose
The purpose of this paper is to answer the question: in the British state's relationship with its diverse minority ethnic communities, how have politics framed administrative allocation of language support services? The dynamics of policy development are investigated, a tangible effect of the shift from unofficial pragmatic multiculturalism towards community cohesion/“Britishness” having been a government focus on English for speakers of other languages (ESOL) rather than translation/interpreting. This change has revealed a tension between the demands of identity and equality for minority ethnic people: respect for cultural identity requires provision of translation/interpreting while creating (political) equality between majority and minority communities entails the latter having access to the political language so placing an emphasis on ESOL.
Design/methodology/approach
An evidence synthesis is undertaken of policy documents relating to the British state's provision of language support services and data on the skill levels in English from government surveys.
Findings
The relative contribution of financial constraints and new policy/ideological positions to changes in the direction of policy and provision is assessed. With respect to the “new approach to ESOL”, this process of discretionary allocation that privileges policies of integration and community cohesion rather than language need itself is viewed against the inadequacies of the data currently available on levels of English language proficiency in providing the basis for making policy decisions and allocating resources.
Originality/value
The level of English language skills amongst Britain's minority ethnic groups and of government policy to address skill deficits has been substantially neglected. The paper provides a policy focus ahead of the release of the 2011 Census findings on language questions.
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Dritero Arifi and Ngadhnjim Brovina
This chapter delves into the education of Kosovo's Roma community, shining a light on the obstacles they encounter and the initiatives taken by the government to enhance their…
Abstract
This chapter delves into the education of Kosovo's Roma community, shining a light on the obstacles they encounter and the initiatives taken by the government to enhance their educational prospects. The Roma community represents just 0.5% of Kosovo's entire population and faces significant challenges with low literacy rates and high dropout rates, particularly at lower levels of education. Since Kosovo's independence proclamation in 2008, there have been institutional advancements and partnerships with local, central, and worldwide organisations to improve the education system for the Roma community.
This study aims to provide an in-depth understanding of the educational situation of the Roma community in Kosovo. It recognises their challenges and proposes practical solutions to accelerate their integration and improve their social, educational, and cultural welfare. Various analytical methods, including descriptive statistics and historical analysis, are utilised to conduct comparative and quantitative assessments.
The Roma community in Kosovo continues to encounter numerous challenges, such as economic hardships, lack of education opportunities, and early marriages that often result in school dropouts. However, research highlights the government's dedication to enhancing education conditions and enabling better access to the labour market for the Roma community through proper education and qualifications. Additionally, Kosovo's constitutional and legal framework safeguards the rights of all communities, including the Roma community, regarding education and employment with high standards.
Melissa Clark, Hulda G. Black and Kimberly Judson
This paper aims to address two primary research questions: Why does a consumer integrate into a brand community and how does that impact overall satisfaction with the brand? Which…
Abstract
Purpose
This paper aims to address two primary research questions: Why does a consumer integrate into a brand community and how does that impact overall satisfaction with the brand? Which of the main social media sites (Facebook, Twitter, LinkedIn and Pinterest) is more/less appropriate for cultivating a brand community?
Design/methodology/approach
Data were collected via an online survey of college students at two universities. The data were analyzed using structural equation modeling with AMOS software.
Findings
Results suggest that brand community does lead to satisfaction with a social media brand. Consumers are more likely to integrate into a brand community if they view the site as personally relevant. Relevancy is affected by the frequency with which the consumer visits the site. The analysis also indicates that there are interesting differences among the different sites.
Research limitations/implications
This study has some limitations due to the demographics of the respondents and the finite listing of sites.
Practical implications
Social media marketers looking to build brand community and increase satisfaction will be able to use the results of this study to make informed decisions regarding these efforts.
Social implications
Society could benefit from this study if marketers use the findings to engage consumers in brand communities through social media. Brand communities help participants to feel more engaged and connected to others. It is well known that people thrive in community settings and this togetherness, as opposed to isolation, will be good for the participants and society in general.
Originality/value
The understanding of why a consumer would integrate into a brand community is valuable information because it is generally known and accepted that there are positive results for the brand, but this study takes it a step further and looks at the specific social media sites to give guidance to marketing practitioners as to which ones are best for brand community building.
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The purpose of the paper is to test and analyze the equilibrium economic relationships of the East Africa Community (EAC).
Abstract
Purpose
The purpose of the paper is to test and analyze the equilibrium economic relationships of the East Africa Community (EAC).
Design/methodology/approach
To attain the study's purpose the authors applied the Johansen cointegration test, including long-run structural modeling (LRSM), vector-error-correlation-model (VECM) and variance-decomposition (VDC).
Findings
At I(1), both Philips‐Peron (PP) and Kwiatkowski–Phillips–Schmidt–Shin (KPSS) tests show that the East Africa member states' economies are cointegrated. The result was further substantiated by the tests based on Johansen cointegration and VECM procedures, showing significant long-run and short-run economic relations. The result further reveals that despite some uncommon issues among member states such as Tanzania and Kenya, however, their economic relationships remain significant though it is negative. Moreover, the finding revealed positive and significant short-run economic relationships between Kenya, Burundi and Rwanda.
Originality/value
The paper applies the cointegration techniques in the context of EAC. The result is likely to be adding value to the policymaker and also to the existing literature on the subject. This may trigger policy implications and open new research direction within the region and out.
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Lillian Mwanri, Kiros Hiruy and Joseph Masika
The purpose of this paper is to describe the application of empowerment and the role that it plays in fostering community participation, community integration and in enabling a…
Abstract
Purpose
The purpose of this paper is to describe the application of empowerment and the role that it plays in fostering community participation, community integration and in enabling a healthy re‐settlement of culturally and linguistically diverse migrants who have recently arrived in Australia from Sub Saharan Africa.
Design/methodology/approach
The paper's approach is a discussion expressing the views of authors supported by the relevant literature drawn from a wide range of sources on migration, settlement, health, social, environment, cultural and public health issues. The African community and its peak organisation, the African Communities Council of South Australia is presented and various empowerment strategies used by the council are discussed as a healthy model for empowering new settlers in the new environment.
Findings
The first part of the paper describes the migration of African migrants in South Australia and sets the scenario describing the current state of these migrants including opportunities and challenges they face in the new environment. The second part describes theories and contexts of community empowerment, relationship between community empowerment and a healthy settlement; and the relevance and implications of community empowerment. The third part draws the above context and the empowerment strategy is specifically related to the African Community in South Australia. The empowerment strategy in this case represents a wide range of interventions aimed to equip new African migrants to a successful and a healthy resettlement and integration in South Australia. By addressing a wide range of settlement challenges and issues, the strategy employs concepts of empowerment that have been used in public health in general, health promotion, health education, communications, community engagement and community development.
Originality/value
The paper highlights challenges and opportunities for new migrants in the new environment and argues that community empowerment is an important enabling tool for a healthy settlement, particularly for people with refugee backgrounds. The paper also acknowledges that the community development approach has assisted the target group and has improved their ability to overcome challenges associated with settlement through capacity building, social capital and community connectivity.
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Simon Evans, Robin Means and Jane Powell
This paper report on the evaluation of a project that aimed to improve the integration of care homes with health and social care services and with the wider community.
Abstract
Purpose
This paper report on the evaluation of a project that aimed to improve the integration of care homes with health and social care services and with the wider community.
Design/methodology/approach
The evaluation adopted a mixed methods approach, combining quantitative performance data with semi‐structured stakeholder interviews and emergency bed use costings.
Findings
The evaluation suggests that the project made significant steps towards integrating care homes with the health and social care community and demonstrated cost savings through reduced hospital bed use.
Practical implications
Health and social care interventions aimed at upskilling care home staff can increase standards of care and quality of life for residents; they are also likely to highlight unmet needs.
Originality/value
The project demonstrated the need for better integration of health and social care services with care homes in order to improve quality of life for residents.
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Chengcheng Miao, Hugo Gaggiotti and Chris Brewster
This paper aims to discuss multiple uses of the concept of “bubble” as a metaphor to refer to different experiences of foreign working communities and suggests a more flexible and…
Abstract
Purpose
This paper aims to discuss multiple uses of the concept of “bubble” as a metaphor to refer to different experiences of foreign working communities and suggests a more flexible and comprehensive approach.
Design/methodology/approach
Based on ethnographic fieldwork conducted at different locations, the authors propose changing the use of the bubble metaphor from an analogy of living in isolation to a way of conceptualising the changing contexts and characteristics that impact the porosity and permeability of communities.
Findings
The paper suggests that when using the metaphor as a concept, the following considerations need to be taken into account: (1) the conventional thinking that “expat-bubbles” are isolated places, (2) any simplistic notion that different internationally mobile workers will be less or more immersed in the local community and (3) the use of the bubble metaphor without a careful delineation and reference to its permeability and porosity.
Originality/value
The paper helps to visualise a different dimension of the traditional taken-for-granted representation of the bubble. The bubble emerges as a rich analogical concept not to explain binomial representations of integration-separation. Rather than a simple “open” or “closed”, bubbles became more or less porous and permeable depending on the experiences of foreign working communities.
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Sarah Van Oerle, Dominik Mahr and Annouk Lievens
The purpose of this paper is to develop a framework investigating patterns of online health communities. In particular, the study draws on coordination theory to identify four…
Abstract
Purpose
The purpose of this paper is to develop a framework investigating patterns of online health communities. In particular, the study draws on coordination theory to identify four community configurations. Their distinct features determine communities’ capacity to internalize and externalize knowledge, which ultimately determines their value creation in a service context.
Design/methodology/approach
The authors apply qualitative and quantitative techniques to detect similarities and differences in a sample of 50 online health communities. A categorical principal component analysis combined with cluster analysis reveals four distinct community configurations.
Findings
The analysis reveals differences in the degrees of cognitive and affective value creation, the types of community activities, the involved patients, professionals, and other stakeholders; and the levels of data disclosure by community members. Four community configurations emerge: basic information provider, advanced patient knowledge aggregator, systematic networked innovator, and uncomplicated idea sharer.
Research limitations/implications
The findings show that communities can be categorized along two knowledge creation dimensions: knowledge externalization and knowledge internalization. While, previous research remained inconclusive regarding the synergistic or conflicting nature of cognitive and affective value creation, the findings demonstrate that cognitive value creation is an enabler for affective value creation. The emerging configurations offer a classification scheme for online communities and a basis for interpreting findings of future services research in the context of online health communities.
Originality/value
This research combines coordination theory with healthcare, service, and knowledge creation literature to provide a fine-grained picture of the components of online health communities. Thereby, inherent trade-offs and conflicts that characterize the components of coordination theory are investigated.
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