Search results

Purpose – One-third of the world's population is infected with tuberculosis (TB) and there are two million TB-related deaths worldwide every year. Along the U.S.-Mexico border, migration patterns, and reduced access to health care contribute to high rates of TB. Delayed diagnosis of TB, the focus of this chapter, increases the likelihood that a patient will progress to more advanced stages of the disease and heightens the risk of TB transmission to others as patients are contagious for longer periods of time.

Approach – Despite the seriousness of these consequences, few sociological studies have examined delayed diagnosis of TB and why people affected by TB symptoms delay care. Because of this, we take a health narratives approach to understanding the experiences of 15 TB patients of Mexican descent in a high-risk border community (e.g., El Paso, Texas) in order to discover why delayed diagnoses happen and how they impact patients.

Findings – Fourteen of the fifteen patients experienced delayed diagnosis. Analysis of these fourteen narratives revealed two broad themes: (1) provider lack of awareness, including repeated misdiagnosis and TB test errors, and (2) patient disadvantage, including fear of U.S. immigration authorities and few economic resources for care.

Implications – Findings from this study suggest that prompt diagnosis of TB could be achieved if providers were more cognizant of TB and its symptoms and public health policies increased access to health care regardless of immigration status or socioeconomic status.

This chapter explores the relationships between 12 single mothers with breast cancer and their children, a subtheme of a larger qualitative study.

Qualitative data were collected via interviews. The study used the ecological systems theoretical framework to explain findings.

In speaking with women about how they constructed and altered their social networks post-diagnosis, many talked about their relationships with their children. This chapter explains how these mothers discussed their diagnoses with their children in age-appropriate ways; how they relied on their children during treatment for informational and emotional support; and how relationships with their children changed during treatment and recovery.

Based on findings from this study, family scientists, public health professionals, and oncology care providers may have a better understanding of the specific concerns and experiences related to the children of breast cancer patients without partners.

This study yields new information about the support needs of single breast cancer patients and their children, and offers insight into what researchers and medical teams can do to better support families affected by breast cancer.

Strategic Management, Business Ethics.

This case is suitable to be used in advanced undergraduate and MBA/MSc level.

The case accentuates the challenges faced by Geetanjali Woollens in its mechanical recycling business which is proving detrimental to its African business expansion plans. The case is developed from the episodes of divergence in January 2018 when the buyers’ non-acceptance of mechanically recycled products initiated a managerial dilemma between “business sustenance” and “sustainable business” for Geetanjali Woollens. Being associated with the recycling business for more than 25 years, Madhukar Ghosh, the General Manager at Geetanjali Woollen recycling unit, was delving upon practical, supply-chain-wide solutions to generate standard acceptance norms for mechanically recycled textiles. For him, ethical purpose of business existence was equally important as the profit motive. Bringing operational clarity and standardized regulatory framework still seemed a big challenge for international policymakers and torchbearers of environmental responsibility, and Governments and NGOs popularizing green initiatives. Lack of policy guidelines for business behavior was exacerbating the business functioning. Madhukar knew that consistent buyer policies and standard regulatory framework could clear some mist and induce maturity in the concept of circular economy. Some formalizations were expected till the end of December 2018, if the deadlines did not get pushed further.

The objectives of this case are as follows:

• to highlight the limitations that recycled apparel and textile products have and the concerns that emerge for buyers, designers, and consumers, due to these limitations;

• to highlight the myopic business vision with which the recycling business is suffering due to the lack of a formalized regulatory framework, which in turn is creating various system barriers and making recycling business an unattractive proposition;

• to appreciate the contribution of mechanical recycling of post-consumer textile waste as a closed-loop manufacturing technique in recouping the eco-impacts of increased disposal of apparel and textile products; and

• to promote discussions for innovative solutions for limitations and concerns related to substances of concern in the recycling business and deliberations for a more effective tracking of such substances to facilitate buyer acceptance of mechanically recycled products.

to highlight the limitations that recycled apparel and textile products have and the concerns that emerge for buyers, designers, and consumers, due to these limitations;

to highlight the myopic business vision with which the recycling business is suffering due to the lack of a formalized regulatory framework, which in turn is creating various system barriers and making recycling business an unattractive proposition;

to appreciate the contribution of mechanical recycling of post-consumer textile waste as a closed-loop manufacturing technique in recouping the eco-impacts of increased disposal of apparel and textile products; and

to promote discussions for innovative solutions for limitations and concerns related to substances of concern in the recycling business and deliberations for a more effective tracking of such substances to facilitate buyer acceptance of mechanically recycled products.

This chapter focuses on how changes in management control systems in a manufacturing company could be affected by the interplay of institutional forces and power mobilization over an extended period of time (1946–1975).

The chapter is grounded in the ‘hybrid’ theoretical framework developed by Yazdifar, Zaman, Tsamenyi, and Askarany (2008) which ties old institutional economics, new institutional sociology and power mobilization frameworks to provide a holistic view of a process of change. Historical analysis contributes to an understanding of the institutional context. The research has been developed by a longitudinal case study by using archival data.

The chapter provides us with an insight into management accounting change during an extended period of time dominated by political instability, economic turbulence, social tensions and change in the company’s presidency. The study suggests that changes were dependent on a complex set of relationships and preconditions, that the specificity of the company’s accounting controls was tied to isomorphism forms and power relationships internal to the company, while pressures from the external environment did not impact significantly on control systems architecture and functioning of the company.

The use of qualitative approach (as longitudinal case studies) is often criticized because its results are not generalizable and replicable.

The chapter clarifies the theoretical underpinnings of the institutional frameworks and power relationships and suggests areas for institutional and interdisciplinary research into management change.

Purpose – Hospitals need to determine if an international patient department is a necessity to communicate with and manage international patients.

Design/Methodology/Approach – A benchmarking instrument was created to assess the level of professionalism in managing international patients, including reviewing and validating processes by two university hospitals, professionals, and an expert panel.

Findings – First, the differences between the hospitals depended on the will of the hospital to engage in such activities. Second, the differences depended on the embedding national context in which the hospital was situated. Further validation revealed the importance of other supportive services, such as cultural sensitivity and language. Finally, the microlevel phenomenon of international patient departments is placed within a macrolevel transnational health region development scheme.

Originality/Value – This study focused on the supply of services with respect to international patient departments, which could be related to efficiency and sustainability on a public health and health systems level.

Integration between primary and secondary healthcare services and institutions has been at the core of health policy in Scandinavian countries over the last decade. This paper is based on an explorative case study of recent reforms in the healthcare sector and their outcomes in Denmark, Norway and Sweden. We discuss the possibilities of and problems for integrating the healthcare sector through the coordination mechanisms of hierarchy, market and network. The paper also discusses whether the institutional logic of the healthcare field is moving from a dual logic of ‘cure’ and ‘care’ towards a unifying logic of ‘integrated care’. We find that although the organisational principles that regulate the relationship between actors in the healthcare field in the three countries have changed, the challenge of achieving a mix of coordinative mechanisms that promote, rather than weaken, integration remains. However, the new organisational and regulative arrangements are an arena for increased interaction and collaboration between the actors, and thus a foundation for change towards the institutional logic of integrated health care.

There has been growing interest in narrative ethics over the last three decades. However, narratology, or the study of narratives, has a much longer history dating back to Plato and Aristotle.³ Structural linguistics, and its formal study of grammar and structure of language, was a major contributor to the development of the classification and interpretation of narratives.⁴ This structuralist period was followed by an increased interest in the relationships between narratives and social and historical dynamics and ideologies. Key social theorists, such as Derrida, Bakhtin and Ricoeur, have urged us to consider the relationship of the text to the way we understand ourselves and the worlds we inhabit. In summary, the study of narratives long preceded its association with ethics, and it was only recently that the interest in narratives has been adopted by the health-care disciplines, notably medicine and nursing.

Emerging technologies are becoming vital in the very process of innovation. Companies need to be updated to the latest technologies to offer their premium services to customers as well as meet their expectations. In the medical sector, it is a challenge to sustain superiority in service due to a high level of competition and the challenges arising from different forces. Liberty Dental Clinic (LDC), a premium clinic in dental services and solutions, based in the UAE, was able to maintain a premium presence in Dentistry due to a series of developmental thoughts and efforts. It was able to invest and utilize new innovative technologies which many organizations lacked such as implementing the most contemporary Artificial Intelligence “4 Robots” in the Clinics. Creating a pathway for a satisfactory customer journey was embedded at all levels of the hierarchy in the Clinic and customer touchpoints. Using a case study methodology, the drivers behind the success and uniqueness of LDC have been discussed including Leadership, Quality Management, Risk Management, Internal & External Marketing Strategy, Corporate Social Responsibility, Sustainability, Technology and Innovation.

We experimentally study strategic procrastination in a dynamic team environment. Two team members work for a finite number of periods on a joint project. The project’s success probability depends on the effort provided by both group members. Payment is conditional on finishing the project successfully. Between treatments, we vary whether both agents are free to choose their effort level or only a single agent can do so. If only one agent can choose effort, the effort of the other member is exogenously fixed; either to providing effort only shortly before the deadline or to providing effort in all periods. While in the former case we observe some effort patterns that resemble rational procrastination, the results from the other two treatments suggest that this seems to be caused by other-regarding concerns rather than being due to the strategic motives inherent in the mechanics of rational procrastination models.

Previous studies showed mixed results as to the cause of myopic loss aversion (MLA). This paper reexamines the main driver of MLA, considering two factors from previous studies and an additional factor.

Experimentally investigate whether flexibility of investment, frequency of information feedback, or timing of decision cause MLA.

Timing of decision and flexibility of investment explain most differences in subject behavior. Frequency of information feedback makes only a marginal contribution.

The differences in subject behavior can be interpreted by a shift in their reference points depending on the difference in flexibility of investment, frequency of information feedback, or timing of decision.