Search results

Measures of patient satisfaction are used in the assessment of quality of healthcare, but the influence of patient‐based factors on reported satisfaction has been little described. This paper aims to quantify associations between reported satisfaction with GP services and measures of socio‐demographic and health status and the effect of adjusting for these factors in comparing satisfaction measured at the level of primary care organisations (PCOs).

Cross‐sectional analysis of the 1998 Welsh Health Survey, response rate 61 per cent. The 20,380 respondents, aged between 18 and 74 years reporting contact with their GP in the previous 12 months formed the study population. Satisfaction was defined as being “very” or “fairly satisfied” with GP services. Crude odds ratios were calculated(95 per cent confidence intervals) for reported satisfaction for the 22 PCOs in Wales and adjusted odds ratios were calculated for socio‐demographic variables and LLTI in logistic regression.

Satisfaction varied with age, gender, employment status, marital status, and reported LLTI. The rank order of reported satisfaction for PCOs changed by up to five places after adjusting for these factors.

The generalisability of this study should be assessed through further research on the impact of adjusting for patient based factors when using other validated measures of satisfaction.

Comparing measures of satisfaction between organisations to assess relative performance may not be valid unless differences in socio‐demographic composition are taken into account.

Highlights the importance of caution in using measures of patient satisfaction to assess performance.

This paper examines the nature of propaganda and its use by corporations, particularly in the USA, over a period of nearly 100 years. It emphasises the invisibility of much of this activity and propaganda’s importance for shaping acquiescence in corporate hegemony. The role played by corporate propaganda in the development of different forms of capitalism is addressed. The inculcation of accounting and finance students with values that serve corporate interests is considered: in this context propaganda is inferred in both the longstanding misrepresentation of Adam Smith, and the sustained illusion of competitive “free markets”. The role and language of the business media as a form of propaganda is considered, particularly regarding colonisation of social market economies by Anglo‐Saxon capitalism, which takes as incontestable the maximisation of shareholder value as the proper and necessary aim of corporate activity. It is argued that corporate propaganda has contributed to the accounting measure of business success being justified as an end in itself at the explicit expense of wider societal considerations.

Governor Robert F. Casey made his first state visit to Homestead, Pennsylvania the day after his inauguration in January 1987 to announce a package of plans for restoring economic vitality to metropolitan Pittsburgh in the wake of steel's collapse. Earlier urban renewal had involved large-scale demolition of older downtowns for conversion to commercial and industrial use, but state and local officials now emphasized a two-pronged redevelopment approach largely modeled on the success of the postwar suburbs. The closure of the Monongahela River (Mon) Valley's mammoth steel mills opened large swaths of land and prompted calls for planned riverfront manufacturing and retail districts similar to those sites sprouting up at suburban interchanges. A second and related effort involved schemes to build new highways tying aging communities in the river valleys to both Pittsburgh and new suburban growth areas, such as the sprawling “edge city” of Monroeville less than 10miles away. Indeed, Casey had a special project in mind for revitalizing the iconic Homestead – construction of the long-delayed Mon/Fayette Expressway that would parallel the river south of Pittsburgh. “This is another big step [to] help bring businesses and jobs into the region,” the governor later declared. “No longer is this valley a forgotten valley” (as cited in Basescu, 1989, p. 1).

Looks at developments in corporate communications during the twentieth century. Reveals that communication between organizations and their publics during the twentieth century has been changing and substantially improving due to a changing society, corporate values, information technology, enhanced connectivity and shared values among nations. Also notes that businesses are beginning to equally focus on both products and consumers, and have been moving from the traditional unidirectional approach to contemporary multidirectional approaches to integrated communication. Concludes that the success or failure of business no longer affects just a few individuals or stakeholders and in time, there may be less dialectical tension between the corporate communication profession, business and society as a whole.

Clickbait has become a popular strategy for attracting online users by enticing them to follow the link to a particular website to read further. The purpose of this paper is to fill a gap in the literature by providing empirical evidence of how clickbait headlines affect online users’ emotional and behavioral responses, specifically emotional arousal and intention to read news. In addition, it is an early attempt to examine pupillary dilation response as an indicator of emotional arousal in the online news context.

An experiment was conducted primarily to examine the levels of emotional arousal evoked by two treatment groups of online news headlines, news and clickbait, compared to a neutral control group. Emotional arousal was assessed using two approaches – pupillary dilation response recorded by an eye-tracking device and the Self-Assessment Manikin (SAM) – and the results were compared. The influence of emotional arousal on intention to read news was hypothesized and tested.

The level of emotional arousal evoked by the headlines varies. In general, clickbait headlines generate a higher level of emotional arousal than do the neutral headlines but a lower level than the news headlines. The results also indicate that the level of emotional arousal measured by pupillary dilation response and by SAM are somewhat consistent. Emotional arousal appears to be a significant predictor of intention to read news.

This study is an initial attempt to investigate how clickbait headlines influence online users’ perceptions and responses, which will be of interest to researchers and news media publishers. The current study also provides evidence for adopting pupillary dilation response, an unobtrusive measure of emotional response, as an alternative methodology for future studies that investigate emotional arousal related to textual information in the online news context.

The purpose of this paper is to enable improvers to use recent knowledge from implementation science to carry out improvement changes more effectively. It also highlights the importance of converting research findings into practical tools and guidance for improvers so as to make research easier to apply in practice.

This study provides an illustration of how a quality improvement (QI) team project can make use of recent findings from implementation research so as to make their improvement changes more effective and sustainable. The guidance is based on a review and synthesis of improvement and implementation methods.

The paper illustrates how research can help a quality project team in the phases of problem definition and preparation, in design and planning, in implementation, and in sustaining and spreading a QI. Examples of the use of different ideas and methods are cited where they exist.

The example is illustrative and there is little limited experimental evidence of whether using all the steps and tools in the one approach proposed do enable a quality team to be more effective. Evidence supporting individual guidance proposals is cited where it exists.

If the steps proposed and illustrated in the paper were followed, it is possible that quality projects could avoid waste by ensuring the conditions they need for success are in place, and sustain and spread improvement changes more effectively.

More patients could benefit more quickly from more effective implementation of proven interventions.

The paper is the first to describe how improvement and implementation science can be combined in a tangible way that practical improvers can use in their projects. It shows how QI project teams can take advantage of recent advances in improvement and implementation science to make their work more effective and sustainable.

The growth of organized labor during the latter part of the nineteenth century triggered an organizational impulse on the part of employers across the country. Although some employers’ associations began as “negotiatory” bodies engaged in collective bargaining, the vast majority of them shifted toward a more “belligerent” approach. Academic scholarship has generally focused on the belligerents at the national level. Recently, some scholars have begun to study organized employers at the community level, but they continue to feature the more typical staunchly anti-union associations. This study of Columbus, Ohio's master printers’ association reveals a different pattern of local labor relations during the years between 1887 and 1960 – an association that had generally smooth bargaining relationships with craft unions. Columbus’ conservative and sheltered economy enabled the longstanding cooperative shared printing craft culture to thrive. But changes in Columbus’ economy, shifts in larger patterns of industrial relations, the hard-line influence of the national employers’ association, and technological changes altered the context of local labor relations. The result was that, by 1960, the Columbus association sought the upper hand in labor relations by becoming a more traditional and belligerent employers’ association. This story of “latecomers” adds to our understanding of organized employer behavior under different historical periods and circumstances.

The purpose of this study is to analyze the increasingly congenial relationship between business and government that developed in the immediate post Second World War period. This study explores the subtle, but systematic, uses of advertising for propaganda purposes to secure American political and commercial world dominance. It locates the relationship between the US Government and the Advertising Council as key components in a strategy to blur the lines between political and commercial messages. In addition to study the relationship between the two stakeholders, the study identifies some of the implications for both.

Scholarship on the government’s postwar relationships with other organizations is relatively scant and few other scholars have focused on the advertising industry’s role in this transformation. This paper draws on trade periodicals and newspaper accounts, and relies on archival material from the Arthur W Page and the Thomas D’Arcy Brophy collections at the Wisconsin State Historical Society and the Advertising Council’s papers at the University of Illinois. Charles W. Jackson papers, located at the Harry S. Truman Library, and the papers of Office of War Mobilization and Re-conversion, deposited at the National Archives, have also been consulted.

The Advertising Council’s “Peace” and “World Trade and Travel” demonstrate an acceleration of collaboration between business and government that continued into the postwar era. It shows the government’s willingness to trade on the Advertising Council’s goodwill and to blur the lines between political and commercial messages, in what can accurately be characterized as a duplicitous manner. Key conclusion includes a willingness among Washington’s policymakers to propagandize its own citizens, a strategy that it commonly, and disparagingly, ascribed to the Soviet Union, and a Council so willing to appease Washington, that it was putting its own reputation at considerable risk.

This paper is based on a study of two campaigns (“Peace” and “World Trade and Travel”) that the Advertising Council conducted in collaboration with the US State Department. While these were the first campaigns of this nature, they were not the only ones. Additional studies of similar campaigns may add new insights.

Recent political events have brought propaganda and government collusion back on the public agenda. In an era of declining journalism credibility, rising social media and unprecedented government and commercial surveillance, it is argued that propaganda demands scholarly attention more than ever and that a historical study of how the US Government collaborated with private industry and used advertising as a propaganda smokescreen is particularly timely.

This study adds to the scholarship on advertising, PR and propaganda in several ways. First, it contributes to the understanding of the advertising industry’s important role in the planning of US international policy after the Second World War. Second, it demonstrates the increasingly congenial relationship between business and the US Government that emerged as a result. Third, it provides excellent insights into the Adverting Council’s transition from war to peacetime. The heavy reliance on archival material also brings originality and value to the study.

This paper aims to provide an overview over the development of historical research into advertising from the early twentieth century. Its main purposes are to interest marketing scholars and business historians in the history of advertising, help scholars that are unfamiliar with the field in choosing an appropriate theoretical and methodological angle, and provide a critique of a range of methods and theoretical approaches being applied in advertising historical research.

The research design of this paper is based on historiographical analysis and method critique. It surveys the advertising historical literature of the three decades between 1980 and 2010, and it compares and contrasts dominant research methodologies and theoretical paradigms that have been used by historians and advertising researchers.

Much advertising historical research is based on a specific set of theoretical paradigms (“Modernization”, “Americanization”, and “Semiotics”), without being aware of the manifest impact they have on the narratives and understandings that historians create. Identifying these paradigms and outlining their impact will help marketing historians and advertising researchers to avoid the pitfalls associated with particular paradigms.

This paper subjects the modern historiography of advertising to a methodological and narratological analysis. It uses this analysis to propose new and somewhat more critical directions in advertising historical research.

The study examines the effect of macroeconomic risk, inflation uncertainty and instability associated with key macroeconomic indicators on the efficiency of financial institutions among economies in sub-Saharan Africa (SSA).

Data for the empirical inquiry were compiled from 35 SSA economies from 1996 to 2019. The empirical estimates were carried out using pooled ordinary least squares (POLS) with Driscoll and Kraay’s (1998) standard errors.

Reported empirical estimates show that macroeconomic risk and exchange rate volatility constrain the efficiency of financial institutions. Further results suggest that inflation uncertainty has a significant influence on the efficiency of financial institutions among economies in the subregion. Additionally, reviewed empirical estimates show that institutional quality positively moderates the nexus between inflation uncertainty and financial institution efficiency. At the same time, political instability is found to worsen the adverse effect of macroeconomic risk on the efficiency of financial institutions.

For policymakers and governments, improved institutional structures are recommended to ensure the operational efficiency of financial institutions, especially during an inflationary period. For decision-makers among financial institutions, the study recommends policies that have the potential to make their institutions less vulnerable to macroeconomic risk and exchange rate fluctuations.

The approach adopted in this study differs significantly from related studies in that the study examines and reviews interactions and relationships not readily found in the reviewed literature.