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The past few years have seen the emergence of a research literature dedicated to defining and understanding trust in physicians. Much of this research, however, focuses on a narrow set of explanations for the generation of physician trust. The purpose of this chapter is to expand on research by introducing new ideas to the study of physician trust. Employing data from the 1998 General Social Survey, the chapter shows that social resources, vulnerability in finances and in perceptions about the end of life, and exposure to unstable environments all are fairly consistent predictors of physician trust.

This contribution discusses how multinational firms could serve poorer consumers in developed regions like Europe and through which business models, beyond the traditional corporate social responsibility (CSR) actions. MNEs have still limited capacity to address poverty in developed countries, notwithstanding some experience they have matured in developing markets and the striking figures of rising poverty in Europe and the United States. This research focuses on a specific issue: the role of MNEs in addressing poverty in developed markets, either leveraging on their previous expertise gained in developing countries or designing novel ad hoc solutions. The capacity of Western multinationals to tackle effectively the challenge of profitably doing business at the base of the pyramid (BoP) represents a controversial issue in literature and an intriguing topic for international business studies. The empirical research is based on three case studies. The companies have already gained experience in targeting BoP markets in developing countries. They are analyzed in order to understand better their approaches and their applicability in Europe.

This chapter uses a college-by-graduate degree fixed effects estimator to evaluate the returns to 19 different graduate degrees for men and women. We find substantial variation across degrees, and evidence that OLS overestimates the returns to degrees with the highest average earnings and underestimates the returns to degrees with the lowest average earnings. Second, we decompose the impacts on earnings into effects on wage rates and effects on hours. For most degrees, the earnings gains come from increased wage rates, though hours play an important role in some degrees, such as medicine, especially for women. Third, we estimate the net present value and internal rate of return for each degree, which account for the time and monetary costs of degrees. Finally, we provide descriptive evidence that satisfaction gains are large for some degrees with smaller economic returns, such as education and humanities degrees, especially for men.

Purpose – The chapter aims to explore women's entrepreneurship in the sciences, specifically, veterinary medicine, and to highlight future potential.

Methodology/approach – Following a review of the extant literature, the chapter employs a single case approach to explore the experiences of a woman academic entrepreneur in the field of veterinary medicine.

Findings – The findings support the view that women are significantly under-represented in the sciences (SET/STEM) both as professionals and as entrepreneurs. The chapter also finds that, due to a relatively low number of veterinary professionals currently working in industry and/or commercialisable research areas, the sector offers significant potential for entrepreneurship, particularly among women veterinarians.

Research limitations/implications – Despite providing rich and meaningful insights that enhance understanding, the single case approach limits the potential for generalising the findings.

Practical implications – Given the significant increase in the number of women entering veterinary education in recent years, the chapter has important implications for how gender is considered in the promotion of entrepreneurship within veterinary medicine curricula.

Social implications – In view of the imminent gender shift within the profession, the case discussed in this chapter serves as an important role model to encourage more women to engage in entrepreneurship.

Originality/value of chapter – As one of the few studies offering insights on women's entrepreneurship in veterinary medicine, this chapter helps enhance our understanding of the field.

Traditional African Health Systems (TAHS) is one of the earliest systems of health care known to humankind. It remains a sustainable practice in many indigenous cultures and in Africa accounts for the great majority of cures for illnesses despite the advent of Western Medicine. This chapter explores the concept of TAHS and the specialisations that constitute it. It looks at relational and contextual factors in the practitioners of TAHS within the continent that explain its viability. There are resources and knowledge passed on from generation to generation which make African Traditional Medicines a force to be reckoned with.

The authors look at the specific system of health education contained in the health-related adages which foster wisdom with respect to prevention, diagnosis, and treatment of ailments. Situating education in its cultural context is one of the factors that has promoted TAHS. The authors compare some of these factors with Western Medicine and outline the benefits of encouraging mutuality rather than the dominance of one over the other. TAHS will definitely be a practice in the future and prospects have to include continued research in the areas of pharmacognosy, medical ethics, responsible health care, and education.

Intentions of managers of pharmaceutical multinational enterprises (MNEs) to adopt business strategies, which will aid global health and wellbeing, are in some ways linked with their understanding of the returns that their company will receive from these investments. However, the MNE’s managers are unaware of business strategies that will allow them to link their business activities with the corporate objectives of contributing to Sustainable Development Goals (SDGs). Pharmaceutical companies are moving toward monopolistic practices by acquiring local companies for manufacturing purposes or by engaging local companies in contract manufacturing and directing the focus of these companies away from innovation and toward profit making. At the same time, pharmaceutical MNEs are promoting global health and wellbeing as their SDGs. This study uses knowledge from existing sources and expert insights to explain the returns that MNEs can get from their investments related to global health and wellbeing. One of the important recommendations from the ethical point of view is engaging local firms in the innovation process; from the marketing perspective, this study recommends the use of a corporate brand and not a product brand for offering generic medicines. The operations perspective explains how MNEs can incorporate the social agenda into their mainstream business strategies. Limitations of the study are discussed, and avenues for future research are explained.

A fairly consistent finding in research on trust in physicians is that racial and ethnic minorities cite lower levels than whites. This research typically samples only health care users, which limits our understanding of what underlies distrust. It remains unclear whether the distrust is generalized, which is distrust that is unrelated to using health care regularly or recently.

Using data from the Health Information National Trends Survey, multivariable logistic regressions assessed whether racial and ethnic differences in distrust (1) are equivalent among health care users and non-users; (2) regardless of respondents’ health and socio-economic status; and (3) manifest in other health information sources.

Racial and ethnic minorities are less likely than whites to trust physicians as health information sources. These racial and ethnic differences are equivalent among health care users and non-users, regardless of respondents’ health and socio-economic status. The racial and ethnic patterns do not manifest when predicting trust in other health information sources (Internet, family or friends, government health agencies, charitable organizations).

Data are derived from a cross-sectional survey, which makes it difficult to account comprehensively for self-selection into being a health care user. Despite the limitations, this research suggests that racial and ethnic minorities possess a generalized distrust in physicians, necessitating interventions that move beyond improving health care experiences.

Many researchers have surmised that a generalized distrust in physicians exists among racial and ethnic minorities. This chapter is the first to explicitly examine the existence of such distrust.

Purpose: We analyze how medical providers use accountability processes or the regulatory means through which individuals hold themselves or others accountable to social norms, to uphold their medical authority. We use the case of trans medicine because in this medical domain, providers often have little to no expertise and few are trained specifically in delivering trans medicine or working with trans patients. As a result, providers experience uncertainty and are left without the typical tools and expertise on which they depend in most other areas of medical decision-making.

Design/methodology/approach: We conducted in-depth interviews with 23 medical providers and observations of transgender healthcare conferences in the United States between 2012 and 2015.

Findings: Our work offers insight into the provider side of patient-provider encounters and medical decision-making in gender minority health. The first accountability strategy providers employed was to invoke the language of evidence as a method to maintain their authority, in spite of the paucity of scientific evidence that undergirds this emergent medical domain. The second strategy was to mandate compliance by holding trans people accountable to the expectation of acquiescing to medical authority.

Originality/value: We contribute to the scholarship on gender minority health by examining how high power actors use accountability processes to restore order in interactions with trans and nonbinary patients. We demonstrate how enforcement to expectations through accountability processes is a plausible, though oft-overlooked, dimension of health inequalities.