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1 – 10 of over 8000Patient experience is a complex multidimensional phenomenon that has been linked to constructs that are also complex to conceptualize, such as patient-centeredness, patient…
Abstract
Purpose
Patient experience is a complex multidimensional phenomenon that has been linked to constructs that are also complex to conceptualize, such as patient-centeredness, patient expectations and patient satisfaction. The purpose of this paper is to shed light on the different dimensions of patient experience, including those that receive inadequate attention from policymakers such as the patient’s lived experience of illness and the impact of healthcare politics. The paper proposes a simple classification for these dimensions, which differentiates between two types of dimensions: the determinants and the manifestations of patient experience.
Design/methodology/approach
This paper uses a narrative review of the literature to explore select constructs and initiatives developed for theorizing or operationalizing patient experience. Literature topics reviewed include healthcare quality, medical anthropology, health policy, healthcare system and public health.
Findings
The paper identifies five determinants for patient experience: the experience of illness, patient’s subjective influences, quality of healthcare services, health system responsiveness and the politics of healthcare. The paper identifies two manifestations of patient experience: patient satisfaction and patient engagement.
Originality/value
The paper proposes a classification scheme of the dimensions of patient experience and a concept map that links together heterogeneous constructs related to patient experience. The proposed classification and the concept map provide a holistic view of patient experience and help healthcare providers, quality managers and policymakers organize and focus their healthcare quality improvement endeavors on specific dimensions of patient experience while taking into consideration the other dimensions.
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In a context of critical transition such as the COVID-19 pandemic, moral semantics take a prominent role as a form of self-description of society. However, they are not usually…
Abstract
Purpose
In a context of critical transition such as the COVID-19 pandemic, moral semantics take a prominent role as a form of self-description of society. However, they are not usually observed, but rather assumed as self-evident and necessarily “good.” The purpose of the article is to summarize the theory of morality from the social systems' perspective and illustrate with concrete examples the polemogenous nature of moral communication.
Design/methodology/approach
This article presents an analysis of the role of morality in the context of the COVID-19 pandemic, from the perspective of Niklas Luhmann’s social systems theory. Applying the method of second-order observation, it describes three cases of moral semantics disseminated via mass media and social media, and it examines their connection with the structural situation of subsystems of society during the pandemic crisis (particularly healthcare, politics and science).
Findings
Second-order observation of moral communication demonstrates to be fruitful to describe the conditions and consequences in which moralization of communication occurs, particularly in a situation of critical transition around the healthcare crisis. The three examples examined, namely, the hero semantics directed to healthcare workers, the semantics of indiscipline and the controversies around pseudo-sciences and conspiracy theories, show how they are based on social attribution of esteem and disesteem, how they try to answer to troublesome situations and contradictions that seem difficult to cope, and how they are close related to the emergence of conflicts, even when they seem positive oriented and well intentioned.
Originality/value
This paper is an attempt to test the usefulness of Luhmann's theory of society to understand the ongoing COVID-19 crisis and particularly the role of moral communication in concrete examples.
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In the late autumn of 2002 Severe Acute Respiratory Syndrome (SARS) broke out in Foshan city in the People's Republic of China, and over the next few months it rapidly spread to…
Abstract
In the late autumn of 2002 Severe Acute Respiratory Syndrome (SARS) broke out in Foshan city in the People's Republic of China, and over the next few months it rapidly spread to every continent and 29 countries. Although plagues may be global events, they are ultimately fought at the local level. In discussing the SARS epidemic, I present two theses. (1) In the wake of a plague, politics tends to shape a community's response in protecting the system, evaluating performances and allocating blame, punishments, and rewards, and restructuring organizations. (2) Because of their potential for demographic and institutional destruction, systemic responses to plague tend to become entwined in politics at all levels – the local, national, and international.
An inquiry into the constitution of the experience of patienthood. It understands “becoming a patient” as a production of a subjectivity, in other words as a process of…
Abstract
Purpose
An inquiry into the constitution of the experience of patienthood. It understands “becoming a patient” as a production of a subjectivity, in other words as a process of individuation and milieu that occurs through an ontology of production. This ontology of production can, of course, also be understood as a political ontology. Therefore, this is, first of all, an inquiry into a mode of production, and, secondly, an inquiry into its relation to the issue of social justice – because of effects of digital divisions. In these terms, it also reflects on how expert discourses, such as in medical sociology and science studies (STS), can (and do) articulate their problems.
Approach
An integrative mode of discourse analysis, strongly related to discursive institutionalism, called semantic agency theory: it considers those arrangements (institutions, informal organizations, networks, collectivities, etc.) and assemblages (intellectual equipment, vernacular epistemologies, etc.) that are constitutive of how the issue of “patient experience” can be articulated form its position within an ontology of production.
Findings
The aim not being the production of a finite result, what is needed is a shift in how “the construction of patient experience” is produced by expert discourses. While the inquiry is not primarily an empirical study and is also limited to “Western societies,” it emphasizes that there is a relation between political ontologies (including the issues of social justice) and the subjectivities that shape the experiences of people in contemporary health care systems, and, finally, that this relation is troubled by the effects of the digital divide(s).
Originality
A proposal “to interrogate and trouble” some innovative extensions and revisions – even though it will not be able to speculate about matters of degree – to contemporary theories of biomedicalization, patienthood, and managed care.
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Aims to review institutional change in health care and to look for opportunities in what the author sees as a coming crisis.
Abstract
Purpose
Aims to review institutional change in health care and to look for opportunities in what the author sees as a coming crisis.
Design/methodology/approach
A consultant on health‐care systems reviews the forces driving transformation in medicine, including new technologies, telemedicine, and prevention.
Findings
Finds forces driving transformation in medicine limited in addressing the crisis of spiraling cost and mediocre, overly complex treatment.
Originality/value
Concludes that a dramatic shift in perspective is coming as baby boomers are forced to face the inevitability of death in positive terms.
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This paper aims to review the latest management developments across the globe and pinpoint practical implications from cutting‐edge research and case studies.
Abstract
Purpose
This paper aims to review the latest management developments across the globe and pinpoint practical implications from cutting‐edge research and case studies.
Design/methodology/approach
This briefing is prepared by an independent writer who adds their own impartial comments and places the articles in context.
Findings
The traditional view of a leader is of a forceful individual who sets a clear agenda and expects followers to carry out his or her instructions unquestioningly. Like the Captain of a ship, the leader brooks no dissent and indeed Sims et al. point out that the English word to lead is derived from the Old Norse word laed that means to determine the course of a ship. However, in today's fast changing commercial environment, with the added pressures of economic uncertainty, one style of leadership cannot fit all situations. Leaders must learn to adapt their leadership styles and strategies to meet the needs of various complex situations.
Practical implications
The paper provides strategic insights and practical thinking that have influenced some of the world's leading organizations.
Social implications
This paper demonstrates that different leadership styles are appropriate for various stages of project management.
Originality/value
The briefing saves busy executives and researchers hours of reading time by selecting only the very best, most pertinent information and presenting it in a condensed and easy‐to‐digest format.
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Ernesto D’Avanzo, Giovanni Pilato and Miltiadis Lytras
An ever-growing body of knowledge demonstrates the correlation among real-world phenomena and search query data issued on Google, as showed in the literature survey introduced in…
Abstract
Purpose
An ever-growing body of knowledge demonstrates the correlation among real-world phenomena and search query data issued on Google, as showed in the literature survey introduced in the following. The purpose of this paper is to introduce a pipeline, implemented as a web service, which, starting with recent Google Trends, allows a decision maker to monitor Twitter’s sentiment regarding these trends, enabling users to choose geographic areas for their monitors. In addition to the positive/negative sentiments about Google Trends, the pipeline offers the ability to view, on the same dashboard, the emotions that Google Trends triggers in the Twitter population. Such a set of tools, allows, as a whole, monitoring real-time on Twitter the feelings about Google Trends that would otherwise only fall into search statistics, even if useful. As a whole, the pipeline has no claim of prediction over the trends it tracks. Instead, it aims to provide a user with guidance about Google Trends, which, as the scientific literature demonstrates, is related to many real-world phenomena (e.g. epidemiology, economy, political science).
Design/methodology/approach
The proposed experimental framework allows the integration of Google search query data and Twitter social data. As new trends emerge in Google searches, the pipeline interrogates Twitter to track, also geographically, the feelings and emotions of Twitter users about new trends. The core of the pipeline is represented by a sentiment analysis framework that make use of a Bayesian machine learning device exploiting deep natural language processing modules to assign emotions and sentiment orientations to a collection of tweets geolocalized on the microblogging platform. The pipeline is accessible as a web service for any user authorized with credentials.
Findings
The employment of the pipeline for three different monitoring task (i.e. consumer electronics, healthcare, and politics) shows the plausibility of the proposed approach in order to measure social media sentiments and emotions concerning the trends emerged on Google searches.
Originality/value
The proposed approach aims to bridge the gap among Google search query data and sentiments that emerge on Twitter about these trends.
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