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Book part
Publication date: 16 August 2023

Emre Ozan Aksoz and Ipek Itir Can

The aim of the study is to determine the benefits of transforming a destination into smart destination (SD) to restart tourism after the COVID-19 outbreak, to match the dimensions…

Abstract

The aim of the study is to determine the benefits of transforming a destination into smart destination (SD) to restart tourism after the COVID-19 outbreak, to match the dimensions of SD with restarting strategies, and to make conceptual inferences to serve this. For this purpose, two reports published by the World Tourism Organization (WTO) in 2020 were examined: Priorities for Tourism Recovery and Global Guidelines to Restart Tourism. Then, the contents of these reports and the dimensions of SDs were matched and a guiding model for tourism decision-makers was developed.

Details

Resilient and Sustainable Destinations After Disaster
Type: Book
ISBN: 978-1-80382-022-4

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Article
Publication date: 28 May 2024

Michael Fehsenfeld, Helle Terkildsen Maindal and Viola Burau

The purpose of this paper is to rethink the concept of organizational culture as something that emerges bottom-up by using the sociological concepts of boundary object and…

Abstract

Purpose

The purpose of this paper is to rethink the concept of organizational culture as something that emerges bottom-up by using the sociological concepts of boundary object and boundary work as an analytical lens and to show how this approach can help understand and facilitate intersectoral coordination.

Design/methodology/approach

We used observations and qualitative interviews to develop “deep” knowledge about processes of intersectoral coordination. The study draws on a conceptual framework of “boundary work” and “boundary objects” to show how a bottom-up perspective on organizational culture can produce better understanding of and pave the way for intersectoral coordination. We use a case of health professionals engaged in two Danish intersectoral programs developing and providing health promotion services for women with gestational diabetes mellitus (GDM).

Findings

The study showed how boundary work revolves around negotiations on how to define, understand and act on the diagnosis of GDM. This diagnosis has the characteristics of a “boundary object”, being more loosely structured in general terms, but strongly structured in local settings. Boundary objects help connect different professionals and facilitate coordination. The analysis showed how the introduction of time and the concept of “lifelong health promotion” helped to transgress existing organizational and professional boundaries.

Research limitations/implications

The findings contribute to the literature on organizational culture and intersectoral coordination. We highlight the benefits of a practice-oriented, bottom-up perspective for a better understanding of how shared meaning is produced in cross professional coordination and collaboration. While the theoretical implications will be general applicable when studying organizational culture, the implications for practice are sensitive to context and the processes we have described as the outcomes of boundary work are generated from cases that were most likely to provide deep insight into our research topic.

Practical implications

For practice this can build bridges between organizational and professional boundaries.

Originality/value

The findings contribute to the literature on organizational culture and intersectoral coordination. We highlight the benefits of a practice-oriented, bottom-up perspective for a better understanding of how shared meaning is produced in cross professional coordination. This may build bridges between organizational and professional boundaries in practice settings.

Details

Journal of Health Organization and Management, vol. 38 no. 3
Type: Research Article
ISSN: 1477-7266

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Book part
Publication date: 22 March 2021

Eline Aas, Tor Iversen and Oddvar Kaarboe

The Norwegian health care system is semi-decentralized. Primary care and long-term care (LTC) are the responsibilities of the municipalities. Specialist care is the responsibility…

Abstract

The Norwegian health care system is semi-decentralized. Primary care and long-term care (LTC) are the responsibilities of the municipalities. Specialist care is the responsibility of the central government and is organised through four Regional Health Authorities (RHA). Resource use, health outcomes and severity are the three main pillars for priority setting, regularly applied in reimbursement decisions for pharmaceuticals.

The sustainability of health care is challenged in Norway. The main factors are a growing elderly population with high need of complex, coordinated services, an increasing demand for newly approved drugs and advanced technology and a potential shortage of health care personnel.

We present recent trials and policy reforms in Norway aimed at improving care pathways combined with cost containment. Reforms in the pharmaceutical market, both with regard to market access and reimbursement (cost-effectiveness), and regulation of prices, have resulted in cost containment. The primary care sector awaits reform initiatives to recruit and retain physicians as general practitioners. No reform in the hospital sector has had cost containment as a main focus. The sector is characterized with low productivity growth, and expenditures that have increased more than the GDP growth. Waiting times are long, and coordination between sub-sectors of health care has been poor, although the Coordination reform of 2012 has alleviated some of the challenges related to intersectoral coordination. Still, the divided responsibility for health care between the central government and the municipalities creates tensions between national ambitions and local decisions in the financing and provision of health services.

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The Sustainability of Health Care Systems in Europe
Type: Book
ISBN: 978-1-83909-499-6

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Article
Publication date: 14 June 2024

Michael Fehsenfeld, Sofie Buch Mejsner, Helle Terkildsen Maindal and Viola Burau

Interprofessional collaboration and coordination are critical to developing solutions to complex problems, and many workplaces engage in coordination and collaboration across…

Abstract

Purpose

Interprofessional collaboration and coordination are critical to developing solutions to complex problems, and many workplaces engage in coordination and collaboration across organizational boundaries. This development changes work conditions and workplaces for many people. The ethnographic study of workplaces needs to re-configure the toolbox to adjust to such changes. The purpose of this study was to explore how the ethnographic study of dispersed workplaces can benefit from the analytical concept of boundary work.

Design/methodology/approach

A multi-sited ethnographic study was conducted in two health promotion programs, introducing new collaborative relations across sectors and professions. The concept of boundary work was applied as the conceptual frame and introduced the diagnosis of gestational diabetes mellitus (GDM) as a boundary object.

Findings

Professional boundaries are key to understanding interorganizational and interprofessional collaborations. The ethnographic study of complex, multi-sited settings using boundary work as a conceptual framework can enrich workplace ethnographies by demonstrating how professions position themselves through framing. Such framing strategies are used to construct, defend or contest boundaries. Boundary objects may potentially bridge devices connecting people across boundaries.

Originality/value

The traditional ethnographic notion of “following” an object or a subject is difficult in a workplace environment dispersed across multiple sites and involving many different actors. This suggests that workplace ethnographies studying interorganizational workplaces would benefit from a shift in focus from place-based or group-based ethnography to a field-level ethnography of relations using boundary work as an analytical frame.

Details

Journal of Organizational Ethnography, vol. 13 no. 2
Type: Research Article
ISSN: 2046-6749

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Abstract

Details

A Neoliberal Framework for Urban Housing Development in the Global South
Type: Book
ISBN: 978-1-83797-034-6

Article
Publication date: 12 July 2024

Kutisha T. Ebron, Anthony C. Andenoro, Cheyenne Luzynski and Anne Ngunjiri

Before COVID-19, Kenya was among the countries in sub-Saharan Africa already dealing with high Gender-Based Violence (GBV) issues. Kenya had experienced prior convoluted…

Abstract

Purpose

Before COVID-19, Kenya was among the countries in sub-Saharan Africa already dealing with high Gender-Based Violence (GBV) issues. Kenya had experienced prior convoluted emergencies and endemics, which had an inordinate impingement on women and girls that heightened their vulnerability to GBV. The Kenyan Ministry of Public Service and Gender reported that in 2020, there was an increase of 36% in GBV cases (Roy et al., 2021). COVID-19 had a devastating effect in rural communities, whereby women were most impacted. This study aims to understand the lessons learned from public leaders in implementing policies that could address GBV through better leadership approaches.

Design/methodology/approach

This is an exploratory-qualitative study in which six participants comprised of policymakers or government representatives that were interviewed in semi-structured interviews.

Findings

The qualitative narratives provided evidence that suggests a complex relationship between the COVID-19 lockdowns and movement restrictions policies and played a direct factor in the rise in GBV in vulnerable populations. The individual country policies and sectoral policies varied in how vulnerable women's needs were addressed, which led to diverse socioeconomic and health consequences.

Originality/value

This research delineates the impacts of the failure of Kenyan leaders to implement gender focused COVID-19 policies and guidelines that considered the physical, mental, violence and the economic impact such emergencies have on women and girls in rural communities.

Details

International Journal of Public Leadership, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2056-4929

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Book part
Publication date: 6 July 2015

Sabine Kuhlmann

This chapter is aimed at contributing to the question of how institutional reforms affect multi-level governance (MLG) capacities and thus the performance of public task…

Abstract

Purpose

This chapter is aimed at contributing to the question of how institutional reforms affect multi-level governance (MLG) capacities and thus the performance of public task fulfillment with a particular focus on the local level of government in England, France, and Germany.

Methodology/approach

Drawing on concepts of institutional evaluation, we analytically distinguish six dimensions of impact assessment: vertical coordination; horizontal coordination; efficiency/savings; effectiveness/quality; political accountability/democratic control; equity of service standards. Methodologically, we rely on document analysis and expert judgments that could be gleaned from case studies in the three countries and a comprehensive evaluation of the available secondary data in the respective national and local contexts.

Findings

Institutional reforms in the intergovernmental setting have exerted a significant influence on task fulfillment and the performance of service delivery. Irrespective of whether MLG practice corresponds to type I or type II, task devolution (decentralization/de-concentration) furthers the interlocal variation and makes the equity of service delivery shrink. There is a general tendency of improved horizontal/MLG type I coordination capacities, especially after political decentralization, less in the case of administrative decentralization. However, decentralization often entails considerable additional costs which sometimes overload local governments.

Research implications

The distinction between multi-purpose territorial organization/MLG I and single-purpose functional organization/MLG II provides a suitable analytical frame for institutional evaluation and impact assessment of reforms in the intergovernmental setting. Furthermore, comparative research into the relationship between MLG and institutional reforms is needed to reveal the explanatory power of intervening factors, such as the local budgetary and staff situation, local policy preferences, and political interests in conjunction with the salience of the transferred tasks.

Practical implications

The findings provide evidence on the causal relationship between specific types of (vertical) institutional reforms, performance, and task-related characteristics. Policy-makers and government actors may use this information when drafting institutional reform programs and determining the allocation of public tasks in the intergovernmental setting.

Social implications

In general, the euphoric expectations placed upon decentralization strategies in modern societies cannot straightforwardly be justified. Our findings show that any type of task transfer to lower levels of government exacerbates existing disparities or creates new ones. However, the integration of tasks within multi-functional, politically accountable local governments may help to improve MLG type I coordination in favor of local communities and territorially based societal actors, while the opposite may be said with regard to de-concentration and the strengthening of MLG type II coordination.

Originality/value

The chapter addresses a missing linkage in the existing MLG literature which has hitherto predominantly been focused on the political decision-making and on the implementation of reforms in the intergovernmental settings of European countries, whereas the impact of such reforms and of their consequences for MLG has remained largely ignored.

Details

Multi-Level Governance: The Missing Linkages
Type: Book
ISBN: 978-1-78441-874-8

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Article
Publication date: 17 August 2021

Gebeyaw Ambelu Degarege and Brent Lovelock

The purpose of this paper is to identify pathways to improve the performance and competitiveness of Ethiopia's tourism sector using coffee as one essential tourism experience…

Abstract

Purpose

The purpose of this paper is to identify pathways to improve the performance and competitiveness of Ethiopia's tourism sector using coffee as one essential tourism experience, thereby improving the socio-economic conditions of the local communities who depend on coffee for their livelihoods.

Design/methodology/approach

Based upon qualitative focus group discussions undertaken with key informants in both the coffee and tourism sectors in Ethiopia.

Findings

Despite the existing tourism development potential, Ethiopia has not yet fully exploited this position. While the country uses coffee to assist its destination marketing strategies, practical interventions to position coffee as a primary tourism product are absent and remain of critical importance.

Research limitations/implications

In this exploratory study key informant participants from government and industry share their experience within this policy domain. It is acknowledged that future research aiming to provide a fuller picture of governance in this domain would also include the perspective of community-level coffee growers.

Practical implications

Paramount among the implications of this study is the need to enhance cross-sectoral planning and collaboration and to establish a bridging organisation that will help integrate the agricultural (coffee) sector and the tourism sector.

Social implications

This study identifies key governance-related obstacles to addressing rural poverty through coffee-related agri-tourism initiatives in Ethiopia.

Originality/value

This paper addresses, from a governance perspective, the obstacles and opportunities for coffee as a tourism product/experience in Ethiopia. The paper identifies what interventions and innovations in policy and practice are necessary to enhance the role of Ethiopia's coffee culture in the performance of the country's tourism sector.

Details

International Journal of Culture, Tourism and Hospitality Research, vol. 15 no. 3
Type: Research Article
ISSN: 1750-6182

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Abstract

Details

American Federal Systems and COVID-19
Type: Book
ISBN: 978-1-80117-166-3

Article
Publication date: 18 August 2020

Firas Izzat Mahmoud Saleh and Noorliza Karia

This paper aims to formulate COVID-19 benchmarks that international nongovernmental organizations (INGOs) have considered to recover from the sudden stopping of operations swiftly…

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Abstract

Purpose

This paper aims to formulate COVID-19 benchmarks that international nongovernmental organizations (INGOs) have considered to recover from the sudden stopping of operations swiftly and consequences of COVID-19 pandemic; thus, to move forward toward readiness for both, the unpredictable spreading or disappearing of the virus (case of INGOs operating in Jordan).

Design/methodology/approach

This exploratory research has been informed by the broader social constructivism paradigm and the basics of grounded theory method to identify the common themes. Six semistructured interviews have been conducted with INGOs’ leaders. The findings have been categorized, triangulated and prioritized toward the final identification of benchmarks.

Findings

Seven COVID-19 benchmarks for INGOs’ effective responses during COVID-19 pandemic have been proposed, comprising of (1) donors’ policies and regulations, (2) needs, expectations and relevancy, (3) coordination, (4) staff management, (5) business continuation plans, (6) balanced short-term and long-term planning and (7) permanent adoption of successful modalities.

Social implications

INGOs play a vital role in the lives of vulnerable people around the world through their international development and aid (IDA) projects. However, the restrictions of movements associated with COVID-19 pandemic drive more burden on these communities and interrupted their access to assistance and support. This paper helps to sustain the crucial support of INGOs to those people who need it.

Originality/value

COVID-19 pandemic has interrupted the implementation of IDA projects, which added further obstacles toward the achievement of quality implementation of these projects. The proposed COVID-19 benchmarks help INGOs to overcome the consequences of pandemic on the near longer-term alike.

Details

Benchmarking: An International Journal, vol. 27 no. 10
Type: Research Article
ISSN: 1463-5771

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