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Article
Publication date: 19 June 2017

Howard Peter Greenwald

The purpose of this paper is to identify the operational and management challenges in a globally budgeted, regionalized healthcare system and their implications for public service.

Abstract

Purpose

The purpose of this paper is to identify the operational and management challenges in a globally budgeted, regionalized healthcare system and their implications for public service.

Design/methodology/approach

Concentrating on British Columbia’s regional health authorities (RHAs) and hospitals, this study utilized data from interviews of key informants, documents (histories, legislation, agreements between RHAs and provincial government, and RHA organizational charts), news reports, and participant observation at board meetings.

Findings

Challenges encountered by the managers include accommodating powerful stakeholders (elected officials, providers, and organized publics), adhering to fixed budgets, obtaining capital from public sources, and adjusting to government turnover. In response, the managers engage in balancing priorities of stakeholders, shifting of resources within and across sites and operating units, and working strategically with the capital allocation process. Responses of managers to these challenges have promoted stability but raise concerns about attaining the system’s goals.

Practical implications

Management challenges and potential patterns of response should be considered in assessing the options for health system reforms. Many countries periodically reorganize their healthcare systems, and recognition of potential management challenges can contribute to the achievement of objectives sought in these reforms.

Originality/value

Although studies have demonstrated that management affects the implementation of public programs in several areas, little research has focused on the relationships between features of health systems, management responses, and potential outcomes.

Details

Journal of Health Organization and Management, vol. 31 no. 4
Type: Research Article
ISSN: 1477-7266

Keywords

Content available
Book part
Publication date: 29 August 2017

Abstract

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The Handbook of Business and Corruption
Type: Book
ISBN: 978-1-78635-445-7

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Abstract

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Review of Marketing Research
Type: Book
ISBN: 978-0-85724-728-5

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Article
Publication date: 1 March 2001

Shwu‐Ing Wu

States that the level of consumer involvement in a product category is a major variable relevant to advertising strategy. Suggests product category is often segmented by…

Abstract

States that the level of consumer involvement in a product category is a major variable relevant to advertising strategy. Suggests product category is often segmented by the level of consumer involvement; however, consumers are rarely segmented. Points out that different involvement clusters have different responses to advertising effectiveness for the same product. Presents a case study segmenting a market using the consumer involvement degree, exploring the characteristics in order to determine the relationship between advertising effectiveness and the level of consumer involvement. Shows results suggesting that a high degree of consumer involvement directed a high advertising effect and is therefore an important indication for advertising strategy.

Details

Asia Pacific Journal of Marketing and Logistics, vol. 13 no. 1
Type: Research Article
ISSN: 1355-5855

Keywords

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Book part
Publication date: 17 September 2020

Peter McGhee

This Chapter applies the philosophy of Emmanuel Levinas to business’ role in the ‘War on Terror’. Specifically, it uses Levinasian ethics to explain how organisations

Abstract

This Chapter applies the philosophy of Emmanuel Levinas to business’ role in the ‘War on Terror’. Specifically, it uses Levinasian ethics to explain how organisations, often with an abundance of ethical resources, become associated with military drones strikes against civilians, and offers ideas that challenge this practice. The chapter comprises several sections beginning with a brief introduction to the ‘War on Terror’ and the use of military drones. A concise discussion about business ethics and just war theory follows after which, the chapter explains Levinas’ ethics and his views on war. These ideas are applied to transform business ethical practice in this controversial area. The Chapter concludes with a summary of its main points.

Details

War, Peace and Organizational Ethics
Type: Book
ISBN: 978-1-83982-777-8

Keywords

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Book part
Publication date: 29 August 2017

Edward H. Spence

Using a general model of corruption that explains and accounts for corruption across professions and institutions, this chapter will examine how certain practices in the…

Abstract

Using a general model of corruption that explains and accounts for corruption across professions and institutions, this chapter will examine how certain practices in the media, especially in areas where journalism, advertising and public relations regularly intersect and converge, can be construed as instances of corruption. It will be argued that such corruption, as in the case of cash-for-comment scandals, advertorials, infomercials, and infotainment, as well as public relations media releases disseminated misleadingly as journalistic opinion, is regular, ubiquitous, and systematic.

Details

The Handbook of Business and Corruption
Type: Book
ISBN: 978-1-78635-445-7

Keywords

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Article
Publication date: 1 January 1963

TO all our readers we can wish a happy and prosperous New Year with greater confidence than usual that the coming months will translate the familiar hope into reality. The…

Abstract

TO all our readers we can wish a happy and prosperous New Year with greater confidence than usual that the coming months will translate the familiar hope into reality. The reason for that optimism is National Productivity Year. There is growing evidence that the public understands and appreciates its central theme. Naturally the official Guildhall opening attracted wide publicity. Since then it has been reinforced through the addresses given by prominent personalities at meetings up and down the country; meetings which will continue and build up a favourable climate in industry.

Details

Work Study, vol. 12 no. 1
Type: Research Article
ISSN: 0043-8022

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Article
Publication date: 1 April 1989

Jerry B. Gotlieb

Claims that effective price communication for services requires understanding variables thatmediate the effects of price and the cognitive systems consumers use to process…

Abstract

Claims that effective price communication for services requires understanding variables that mediate the effects of price and the cognitive systems consumers use to process price information. Presents a model which indicates that involvement and source credibility mediate the effects of price. Discusses the heuristic and analytic cognitive systems which consumers could use to process price information. The article also reports the results of an experiment which tested the model, and discusses the managerial implications of the model.

Details

Journal of Services Marketing, vol. 3 no. 4
Type: Research Article
ISSN: 0887-6045

Keywords

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Abstract

Details

Urban Dynamics and Growth: Advances in Urban Economics
Type: Book
ISBN: 978-0-44451-481-3

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Book part
Publication date: 13 July 2016

Michael Schwalbe, Tricia McTague and Kylie Parrotta

We examine collective responses to identity threats in organizations, conceptualizing these responses as identity contests in which members of opposing groups share an…

Abstract

Purpose

We examine collective responses to identity threats in organizations, conceptualizing these responses as identity contests in which members of opposing groups share an identity and strive to protect the social psychological rewards derived from that identity.

Methodology/approach

We present an argument for the importance of identity as a basis for motivation, suggesting that the desires to obtain and protect identity rewards underlie much behavior in organizations. We also present two case studies from which we derive further theoretical implications about identity contests as drivers of organizational change.

Findings

Our case studies show how organizational subgroups perceived identity threats arising from actual or proposed changes in policies and practices, mobilized to resist these threats, and negotiated further changes in organizational structure, policies, and practices.

Practical implications

Applying this analysis, social psychologists who study identity threats can see how responses to such threats are not solely individual and cognitive but sometimes collective and behavioral, leading to changes in organizations and in the surrounding culture.

Social implications

Our analysis of how identity contests arise and unfold can enrich understandings of how self-definition and mental well-being are shaped by organizational life.

Originality/value

By focusing on collective responses to identity threats, we offer a new way of seeing how intra-organizational identity struggles are implicated in social change.

Details

Advances in Group Processes
Type: Book
ISBN: 978-1-78635-041-1

Keywords

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