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As a result of accelerating globalisation, competitive dynamics of the world are rapidly changing. Nowadays, both small and large enterprises exist in the same arena, which was not possible before. Similarly, emerging countries have become both markets and competitors for developed countries.

In this chapter, competitive dynamics of Turkey, as an emerging market, will be analysed by evaluating export, import and production volume of the main sectors in Turkey. The concept of competitive positioning and also competitive positioning in emerging markets will be explained. Cases from different industries will be included in order to comprehend the big picture, to understand the competitive dynamics in Turkey and to show the roadmap in management and marketing of these companies. This chapter is planned to be a helpful tool to guide entrepreneurs and managers working in and with Turkish companies to survive and market their products in the Turkish market.

This paper examines how medical practice, like all other productive activities, has been subject to the transformative elements of the forces and the relations of production involving class struggle and intra-class conflict. It will explore changes in the relations of production of medical practice which have been catalyzed by powerful productive forces. The current period of medical production involves the transformation of simple commodity production into a transitional stage of capitalist production with the seemingly unbounded growth of the medical productive forces. This development was precipitated by the intervention of capital as a whole, to restrict the drain on their variable capital through the placement of units of financial capital into the management of medical production, using the leverage of access to patients. In response, physicians have consolidated and centralized their practices to create enterprises with market power to limit the extraction of surplus by financial capital, and by their own employment of productive labor to extract surplus from hired physician labor and other clinical workers. Rationalization of the production of medical service commodities, and the sharing of surplus generated from exploitation of an expanded labor force by managed care financial capital and their capitalist partners owning medical enterprises, constitutes the contemporary relations of production. The contradictions of this mode of medical production and the potential for its reproduction will be analyzed.

Researchers recommend a reorganization of the medical profession into larger groups with a multispecialty mix. We analyze whether there is evidence for the superiority of these models and if this organizational transformation is underway.

We summarize the evidence on scale and scope economies in physician group practice, and then review the trends in physician group size and specialty mix to conduct survivorship tests of the most efficient models.

The distribution of physician groups exhibits two interesting tails. In the lower tail, a large percentage of physicians continue to practice in small, physician-owned practices. In the upper tail, there is a small but rapidly growing percentage of large groups that have been organized primarily by non-physician owners.

While our analysis includes no original data, it does collate all known surveys of physician practice characteristics and group practice formation to provide a consistent picture of physician organization.

Our review suggests that scale and scope economies in physician practice are limited. This may explain why most physicians have retained their small practices.

Larger, multispecialty groups have been primarily organized by non-physician owners in vertically integrated arrangements. There is little evidence supporting the efficiencies of such models and some concern they may pose anticompetitive threats.

This is the first comprehensive review of the scale and scope economies of physician practice in nearly two decades. The research results do not appear to have changed much; nor has much changed in physician practice organization.

There is a need for rigorous research documenting the important role of school nurses in facilitating positive health outcomes among students. Poorly managed care can affect student absenteeism rates, which are associated with academic performance and school funding, and students in underresourced schools are at particularly higher risk of suffering chronic conditions (e.g., asthma, diabetes) that necessitate proper care and management. The San Jose Unified School District (SJUSD) Nurse Demonstration Project was developed as a five-year endeavor to expand school nursing and formally link school nurses to a school-based health clinic. The initiative provides for full-time school nurses at four elementary and middle schools in SJUSD, and a nurse practitioner at School Health Clinics of Santa Clara County. The objectives are to: (1) improve access to primary care and prevention services, specifically asthma and chronic condition management and (2) facilitate the establishment of a medical home for students. Evaluation of the project employs a mixed methods research design, including a logic model, an intervention and control study design (comparing outcome measures in the four demonstration schools with five “control” schools), parent, teacher, and school administrator feedback, systematic nurse reports, and quantitative analysis of school health and administrative data, including health conditions and absenteeism information. Key findings in Phase I of the project are discussed, including improvement in screening and referrals, follow-up care among students with asthma, and mean days absent due to illness. With increasing budget cuts to public schools, documenting the impact of full-time school nurses will remain crucial in leveraging support and resources for school health services. Findings of this project indicate that school nurses provide valuable services and could be a major player in providing and coordinating effective management and prevention of chronic disease among children.

This paper describes how “pre-market activities” shape the competitive context. Such activities are neglected in both empirical and conceptual studies of strategic management scholars. Thus, pre-market activities have not yet been covered in the concept of the “competitive context.” Pre-market activities let firms collaboratively prepare for industry transition; firms also collaborate in standard-setting and gathering a shared view of future competition. Therefore, pre-market activities also shape next technologies’ business ecosystems where product offerings are systemic in their very nature. The author takes a Hayek–Schumpeterian economic perspective. In other words, markets are taken as the processes of making, integrating, searching, and destructing knowledge. Such a perspective is applied to competence-based theory because competences are built on knowledge in a broad sense.

How do organizations act as entrepreneurs and what are the outcomes of their innovations? This paper intersects two broad areas of organizational research: the sociology of entrepreneurship and the study of organizational forms. A case study of Kaiser Permanente's role as an institutional entrepreneur in the creation of the health maintenance organization form illuminates the benefits and pitfalls of institutional entrepreneurship – in this case, the act of turning identity into form. Examining organizations as institutional entrepreneurs also raises questions and challenges for future research about both entrepreneurs and models of organizing.

The performance of thermal comfort utilising machine learning and its acceptability by students and other users at the Professor Sir Edouard Lim Fat Engineering Tower at the University of Mauritius are evaluated in this study. Students and building occupants were asked to fill out surveys on-site as data was gathered from sensors throughout the structure. The Thermal Sensation Vote (TSV) and other important data were collected through the surveys, including the effect of wind on thermal comfort. An adaptive model incorporating solar and wind effects was evaluated using multiple linear regression techniques and RStudio. Three models were used to evaluate thermal comfort, including the adaptive one. Numerous models were compared and evaluated in order to select the best one. It was found that the adaptive model (Model 1) was deemed to be the best model for its application. It was also found that Fanger's PMV/PPD (Model 2) was a very good approach to determining thermal comfort. Through thorough analysis, it was concluded that the range of air temperature and wind speed for thermal comfort was 25.830°C–28.0°C and 0.26 m/s to 0.42 m/s, respectively. In order for cities to remain secure, resilient and sustainable, it will be important to manage thermal comfort and reduce populations' exposure to heat stress (SDG 11). The achievement of income and productivity goals will be hampered if measures to protect populations from heat stress are not taken (SDG 8). Thermal regulation is also necessary for the provision of numerous health services (SDG 3).