Search results

Medtronic needed a comprehensive, integrated, measurable and global approach to employee wellness. Its primary focus was putting the critical factors of prevention and early detection at the forefront of its employee health rewards. The ability to monitor and measure health and wellbeing across the organization was also vital in giving Medtronic key insight, through analytics, into the impact that employee health had on the business. This paper aims to examine this approach.

Medtronic's Total Health global employee wellness brand focused on investing in health rather than the cost of treatment and improving employee health through behavior change. Seeing that the web was critical to delivery and collection of information in this environment it sought an online health and wellbeing platform with the capability to be deployed globally.

Initial health assessments conducted through the online platform have provided essential baseline data to understand overall global health trends as well as territory specific differences and priorities. Medtronic has been able to establish an average employee health score. Digging deeper it has noted priority health indicators for global employees based on the number who are recorded to be “at risk” in each case.

Successful use of analytics and web‐based tools has helped Medtronic accelerate towards its vision of personalized, consistent wellbeing support for all employees. It now has greater insight into their health status to define the right strategy, and the tools to drive targeted initiatives where they are needed.

To explore the politics of gender, health, medicine, and citizenship in high-income countries, medical sociologists have focused primarily on the practice of legal abortion. In middle- and low-income countries with restrictive abortion laws, however, medical sociologists must examine what happens when women have already experienced spontaneous or induced abortion. Post-abortion care (PAC), a global reproductive health intervention that treats complications of abortion and has been implemented in nearly 50 countries worldwide, offers important theoretical insights into transnational politics of abortion and reproduction in countries with restrictive abortion laws. In this chapter, I draw on my ethnography of Senegal’s PAC program to examine the professional, clinical, and technological politics and practices of obstetric care for abortions that have already occurred. I use the sociological concepts of professional boundary work and boundary objects to demonstrate how Senegalese health professionals have established the political and clinical legitimacy of PAC. I demonstrate the professional precariousness of practicing PAC for physicians, midwives, and nurses. I show how the dual capacity of PAC technologies to terminate pregnancy and treat abortion complications has limited their circulation within the health system, thereby reducing quality of care. Given the contradictory and complex global landscape of twenty-first-century abortion governance, in which pharmaceutical forms of abortion such as Misoprostol are increasingly available in developing countries, and as abortion restrictions are increasingly enforced across the developed world, PAC offers important theoretical opportunities to advance medical sociology research on abortion politics and practices in the global North and South.

The purpose of this study is to revisit the interdisciplinary roots of international business (IB) by challenging the compartmentalized and obscured nature of certain major themes in current IB research. Here, the author broadens IB’s natural scope by introducing the links with global health while preemptively removing the existing limits of critical perspectives.

The study synthesizes ignored common insights from IB and global health governance. It supplies a select composite of emerging themes mostly at the interface of IB and global health as foundational proposals for reengaging IB for radical social change. This is in response to the urgent calls for inquiries into the “extra dimensions” of IB in answering wicked questions of global sustainability, injustice and inequality and other emergent grand challenges whilst embracing novel conceptual, theoretical and empirical opportunities.

This study demonstrates that IB research in its current form is reductive, quintessentially compartmentalized and evidently weak in responding to the emergent wicked problems of global scale. This is because several layers of complex, burning interconnected questions with roots in IB hardly receive exposure in research although they are the very existential and emerging issues with massive impacts on populations both in home and host countries.

This study sets new research agendas for critically studying IB and global health topics of vital relevance to reflect the changing frontiers of knowledge production in the fourth industrial revolution.

This study calls for deeper and broader discussions about the limitless opportunities of cross-fertilization of IB and other disciplines whilst highlighting the heretofore-overlooked connections between IB and environmental and medico-techno-scientific disciplines.

Environmental degradation, economic and political threats along with ideological extremism necessitate a global redirection toward sustainability and well-being. Since the survival of all species (humans, animals, and plants) is wholly dependent on a healthy planet, urgent action at the highest levels to address large-scale interconnected problems is needed to counter the thinking that perpetuates the “folly of a limitless world.” Paralleling critical societal roles played by universities – ancient, medieval, and modern – throughout the millennia, this chapter calls for all universities and higher education institutions (HEIs) generally – estimated at over 28,000 – to take a lead together in tackling the pressing complex and intractable challenges that face us. There are about 250 million students in tertiary education worldwide rising to about 600 million by 2040. Time is not on our side. While much of the groundwork has been done by the United Nations (UN) and civil society, concerns remain over the variable support given to the UN-2030 Sustainable Development Goals (SDGs), especially in light of the negative impact of global biodiversity loss on achieving the UN-2030 SDGs. Ten propositions for global sustainability, ranging from adopting the SDGs at national and local levels to ensuring peaceful uses of technology and UN reforms in line with global socioeconomic shifts, are provided for consideration by decisionmakers. Proposition #7 calls for the unifying One Health & Well-Being (OHWB) concept to become the cornerstone of our educational systems as well as societal institutions and to underpin the UN-2030 SDGs. Recognizing the need to change our worldview (belief systems) from human-centrism to eco-centrism, and re-building of trust in our institutions, the chapter argues for the re-conceptualization of the university/higher education purpose and scope focusing on the development of an interconnected ecological knowledge system with a concern for the whole Earth – and beyond. The 2019 novel coronavirus has made clear that the challenges facing our world cannot be solved by individual nations alone and that there is an urgency to committing to shared global values that reflect the OHWB concept and approach. By drawing on our collective experience and expertise informed by the UN-2030 SDGs, we will be in a much stronger position to shape and strengthen multilateral strategies to achieve the UN-2030 Transformative Vision – “ending poverty, hunger, inequality and protecting the Earth’s natural resources,” and thereby helping “to save the world from itself.”

Health care worker migration from underserved nations to developed nations, also known as the “brain drain” effect, is a leading cause of worldwide health inequalities. The purpose of this paper is to identify the factors which have and continue to contribute to “brain drain,” investigate the human consequences of health care worker migration, and explore the ways in which a global ethical leadership approach could be used to help address the issue of “brain drain” and its resulting deleterious effects on global health equality.

An argument is made supporting the need for a global leadership approach that is centered on the enforcement of ethical international health care worker recruitment policies and collaborative endeavors between wealthy and underserved nations to help improve the working conditions of health care workers worldwide.

The successful use of ethical leadership approaches in addressing and reversing the “brain drain” effect has been documented in Thailand and Ireland. These case examples could be used as templates for future legislative action on a global scale.

This piece highlights the urgent need for a global ethical leadership approach to help address the issue of “brain drain” in underserved nations and provides concrete strategies to help guide legislative decision making.

The purpose of this paper is to present a case study of the World Health Organization’s Global Healthcare Workforce Alliance (GHWA). Based on a commissioned evaluation of GHWA, it applies network theory and key concepts from systems thinking to explore network emergence, effectiveness, and evolution to over a ten-year period. The research was designed to provide high-level strategic guidance for further evolution of global governance in human resources for health (HRH).

Methods included a review of published literature on HRH governance and current practice in the field and an in-depth case study whose main data sources were relevant GHWA background documents and key informant interviews with GHWA leaders, staff, and stakeholders. Sampling was purposive and at a senior level, focusing on board members, executive directors, funders, and academics. Data were analyzed thematically with reference to systems theory and Shiffman’s theory of network development.

Five key lessons emerged: effective management and leadership are critical; networks need to balance “tight” and “loose” approaches to their structure and processes; an active communication strategy is key to create and maintain support; the goals, priorities, and membership must be carefully focused; and the network needs to support shared measurement of progress on agreed-upon goals. Shiffman’s middle-range network theory is a useful tool when guided by the principles of complex systems that illuminate dynamic situations and shifting interests as global alliances evolve.

This study was implemented at the end of the ten-year funding cycle. A more continuous evaluation throughout the term would have provided richer understanding of issues. Experience and perspectives at the country level were not assessed.

Design and management of large, complex networks requires ongoing attention to key issues like leadership, and flexible structures and processes to accommodate the dynamic reality of these networks.

This case study builds on growing interest in the role of networks to foster large-scale change. The particular value rests on the longitudinal perspective on the evolution of a large, complex global network, and the use of theory to guide understanding.

To underscore the significance of international health care management, we focus on three themes: the problem of global blindness; global health care challenges and opportunities; and learning from international health care management. The problem of global blindness highlights how health care managers’ inattentional blindness to competitors’ operational performance and market strategies lead to avoidable and expensive failures. To address global challenges and opportunities, health care organizations are employing two different strategies: (1) building and marketing a world-class health care facility internationally, and (2) organizing and integrating multinational health care operations. The first strategy exploits the medical-tourism market. The second strategy requires either multinational health care networks or transnational health care organizations. One of the lessons to be learned from international health care management is that an organization can create a meta-national competitive advantage. Another lesson is that by examining best practices from around the world, health care organizations can obtain new insights and become more innovative within their home markets. A corollary and third lesson is that while health care organizations can learn a great deal from examining international best clinical practices, sometimes the most important management lessons are lost in clinical translations. The fourth and last lesson is that worst cases – serious international management failures – offer perhaps the most valuable insights into the role of culture, complexity, and leadership for health care organizations.

The economic phenomenon of “globalization” has broadly affected the health care industry and the medical profession in the late 20th century. Governmental and private sector managed care reach is expanding globally, as patients are “ecuritized” and traded as covered lives. Arbitrage of health care goods and services is creating commoditization effects, including trans‐border parallel markets (i.e. black markets). Consumers and governments are becoming concerned about privacy issues and product standardization, while Third World challenges remain in the public health realm (i.e., infectious pandemics, sanitation, nutrition and overpopulation).

To position refugee mental health more effectively on the developing global health and humanitarian agendas requires effective communication in policy‐making processes. The capacity to answer three simple but demanding questions arguably determines the readiness of those working in this field to seek such influence. Reviewing current knowledge on the global context of refugee mental health with respect to the questions ‘What is the need?’, ‘What can we do about it?’ and ‘Will it work?’ suggests significant conceptual advance in this area over the last decade, and increasing consensus on broad intervention strategy. It remains important to document impact more effectively, however, if policy‐makers are to be persuaded to invest more resources in promoting mental health interventions with displaced and war‐affected populations.