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Article
Publication date: 10 October 2016

Lusine Poghosyan, Robert J. Lucero, Ashley R. Knutson, Mark W. Friedberg and Hermine Poghosyan

The purpose of this paper is to synthesize existing evidence regarding health care team networks, including their formation and association with outcomes in various health…

Abstract

Purpose

The purpose of this paper is to synthesize existing evidence regarding health care team networks, including their formation and association with outcomes in various health care settings.

Design/methodology/approach

Network theory informed this review. A literature search was conducted in major databases for studies that used social network analysis methods to study health care teams in the USA between 2000 and 2014. Retrieved studies were reviewed against inclusion and exclusion criteria.

Findings

Overall, 25 studies were included in this review. Results demonstrated that health care team members form professional (e.g. consultation) and personal (e.g. friendship) networks. Network formation can be influenced by team member characteristics (i.e. demographics and professional affiliations) as well as by contextual factors (i.e. providers sharing patient populations and physical proximity to colleagues). These networks can affect team member practice such as adoption of a new medication. Network structures can also impact patient and organizational outcomes, including occurrence of adverse events and deficiencies in health care delivery.

Practical implications

Administrators and policy makers can use knowledge of health care networks to leverage relational structures in teams and tailor interventions that facilitate information exchange, promote collaboration, increase diffusion of evidence-based practices, and potentially improve individual and team performance as well as patient care and outcomes.

Originality/value

Most health services research studies have investigated health care team composition and functioning using traditional social science methodologies, which fail to capture relational structures within teams. Thus, this review is original in terms of focusing on dynamic relationships among team members.

Details

Journal of Health Organization and Management, vol. 30 no. 7
Type: Research Article
ISSN: 1477-7266

Keywords

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Article
Publication date: 1 March 2005

Asher Friedberg and Carl Lutrin

Audits are a crucial part of the American system of checks and balances. Adequately funded and resourced, they can help assure that precious tax dollars are well spent. In…

Abstract

Audits are a crucial part of the American system of checks and balances. Adequately funded and resourced, they can help assure that precious tax dollars are well spent. In this study, we focus on the following points regarding auditing in the American states: (1) the types of audits used by state governments; (2) orientation of audits; (3) organization form and auditor independence; (4) auditor resources and their relationship to auditor positions; (5) corrections of errors and abuses; and (6) limited academic research concerning state audits. Data for this study was derived from 1996 and 2000 reports supplied by The National Association of Auditors, Comptrollers, and Treasurers (NASACT).

Details

Journal of Public Budgeting, Accounting & Financial Management, vol. 17 no. 1
Type: Research Article
ISSN: 1096-3367

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Book part
Publication date: 18 October 2017

Mélia Djabi and Sakura Shimada

The purpose of this article is to understand how academics in management deal with the concept of generation in the workplace. We begin by conducting an interdisciplinary…

Abstract

The purpose of this article is to understand how academics in management deal with the concept of generation in the workplace. We begin by conducting an interdisciplinary literature analysis, thereby elaborating a conceptual framework concerning generational diversity. This framework consists of four levels of analysis (society, career, organisation and occupation) and three dimensions (age, cohort and event/period). We then conduct a meta-analysis using this conceptual framework to analyse papers from the management field. The results from this analysis reveal the existence of a diversity of generational approaches, which focus on the dimensions of age and cohort on a societal level. Four factors seem to explain these results: the recent de-synchronisation of generational dimensions and levels, the novelty of theoretical models, the amplification of stereotypes by mass media and the methodologies employed by researchers. In sum, this article contributes to a more realistic view of generational diversity in the workplace for both academics and practitioners.

Details

Management and Diversity
Type: Book
ISBN: 978-1-78635-489-1

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Article
Publication date: 1 April 1988

R. Scott Harnsberger

Numismatics, the systematic study and collecting of coins and related items such as tokens, medals, and paper money, has been a recognized scholarly discipline since the…

Abstract

Numismatics, the systematic study and collecting of coins and related items such as tokens, medals, and paper money, has been a recognized scholarly discipline since the Middle Ages. Archaeologists, historians, economists, artists, and engravers have found numismatics a valuable adjunct to their respective fields of study. Coins are the official product of an issuing authority, and as such they can provide an important primary historical source of documentation concerning monetary values, patterns of economic exchange, trade routes, colonization, migration, military campaigns, linguistic and epigraphic data, mythology, religion, art, historical portraits, and views of buildings, monuments, and statues that have long since been destroyed. For the researcher in American history, numismatics can provide insights into historical economic trends.

Details

Reference Services Review, vol. 16 no. 4
Type: Research Article
ISSN: 0090-7324

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Book part
Publication date: 24 June 2014

Ian Roxborough and Zoe Levy

This chapter argues that aspiring hegemons face a wide array of complex and distinct military challenges. Managing scarce military resources requires a subtle and complex…

Abstract

This chapter argues that aspiring hegemons face a wide array of complex and distinct military challenges. Managing scarce military resources requires a subtle and complex global strategy that is likely to generate cognitive overload for the political system. As a result of cognitive overload, aspiring hegemons are likely to flail around, rapidly shifting from one global strategy to another. Such strategic flailing will occur independently of whether or not the economy is in crisis, though clearly economic crisis will exacerbate the tendency towards strategic incoherence. The chapter examines U.S. global strategy since the end of the Cold War, looking at the focus on “rogue regimes,” a growing concern with “global chaos,” worry about the rise of a peer competitor (China), and the debates about the root causes of, and best strategies to mitigate, terrorism. The chapter concludes with a discussion of the role of culture and notions of national identity and their role in the formulation of grand strategy.

Details

The United States in Decline
Type: Book
ISBN: 978-1-78350-829-7

Keywords

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Book part
Publication date: 8 August 2017

Lorenzo Fusaro

This paper attempts to critically question present IPE approaches and analyses that aim at assessing China’s role within the international political economy. Thus, unlike…

Abstract

This paper attempts to critically question present IPE approaches and analyses that aim at assessing China’s role within the international political economy. Thus, unlike common theorizations that see the country as being integrated within US hegemony (Panitch and Gindin) or those accounts that claim that we are already witnessing the “terminal crisis” of US hegemony accompanied by a hegemonic transition toward China (Arrighi), the paper will argue that China was able to gain “relative geopolitical autonomy” as a result of the revolutionary processes it went through and eventually assert itself as a contender state, now just in the process of challenging US hegemony. Dissatisfied with existent theorizations of hegemony, I will be drawing on the critical edition of Gramsci’s Quaderni and attempt to offer a new perspective regarding the conceptualization thereof. Thus applying the elaborated framework of analysis to the current situation, I argue that unlike the US’s ability to counter the challenge of its traditional imperial rivals Germany and Japan as they developed under the grip of US hegemony, the country is facing difficulties in countering China’s ascent. However, while maintaining that China does indeed represent a challenge to US hegemony, particularly in East Asia, I will argue that the idea of a “crisis of US hegemony” is premature as China remains distant from fully realizing hegemonic relations, even at the regional level.

Details

Return of Marxian Macro-Dynamics in East Asia
Type: Book
ISBN: 978-1-78714-477-4

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Book part
Publication date: 11 August 2014

Lawton Robert Burns, Jeff C. Goldsmith and Aditi Sen

Researchers recommend a reorganization of the medical profession into larger groups with a multispecialty mix. We analyze whether there is evidence for the superiority of…

Abstract

Purpose

Researchers recommend a reorganization of the medical profession into larger groups with a multispecialty mix. We analyze whether there is evidence for the superiority of these models and if this organizational transformation is underway.

Design/Methodology Approach

We summarize the evidence on scale and scope economies in physician group practice, and then review the trends in physician group size and specialty mix to conduct survivorship tests of the most efficient models.

Findings

The distribution of physician groups exhibits two interesting tails. In the lower tail, a large percentage of physicians continue to practice in small, physician-owned practices. In the upper tail, there is a small but rapidly growing percentage of large groups that have been organized primarily by non-physician owners.

Research Limitations

While our analysis includes no original data, it does collate all known surveys of physician practice characteristics and group practice formation to provide a consistent picture of physician organization.

Research Implications

Our review suggests that scale and scope economies in physician practice are limited. This may explain why most physicians have retained their small practices.

Practical Implications

Larger, multispecialty groups have been primarily organized by non-physician owners in vertically integrated arrangements. There is little evidence supporting the efficiencies of such models and some concern they may pose anticompetitive threats.

Originality/Value

This is the first comprehensive review of the scale and scope economies of physician practice in nearly two decades. The research results do not appear to have changed much; nor has much changed in physician practice organization.

Details

Annual Review of Health Care Management: Revisiting The Evolution of Health Systems Organization
Type: Book
ISBN: 978-1-78350-715-3

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Book part
Publication date: 27 June 2017

Terrill L. Frantz

The PMI Risk Framework (PRF) is introduced as a guide to classifying and identifying risks which can be the source of post-merger integration (PMI) failure — commonly…

Abstract

The PMI Risk Framework (PRF) is introduced as a guide to classifying and identifying risks which can be the source of post-merger integration (PMI) failure — commonly referred to as “culture clash.” To provide managers with actionably insight, PRF dissects PMI risk into specific relationship-oriented phenomena, critical to outcomes and which should be addressed during PMI. This framework is a conceptual and theory-grounded integration of numerous perspectives, such as organizational psychology, group dynamics, social networks, transformational change, and nonlinear dynamics. These concepts are unified and can be acted upon by integration managers. Literary resources for further exploration into the underlying aspects of the framework are provided. The PRF places emphasis on critical facets of PMI, particularly those which are relational in nature, pose an exceptionally high degree of risk, and are recurrent sources of PMI failure. The chapter delves into relationship-oriented points of failure that managers face when overseeing PMI by introducing a relationship-based, PMI risk framework. Managers are often not fully cognizant of these risks, thus fail to manage them judiciously. These risks do not naturally abide by common scholarly classifications and cross disciplinary boundaries; they do not go unrecognized by scholars, but until the introduction of PRF the risks have not been assimilated into a unifying framework. This chapter presents a model of PMI risk by differentiating and specifying numerous types of underlying human-relationship-oriented risks, rather than considering PMI cultural conflict as a monolithic construct.

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Book part
Publication date: 14 December 2004

Jeffrey Geiger

Cultural visibility is closely linked to physical and social mobility, and access to – or denial of – free movement through private and public spaces powerfully shapes…

Abstract

Cultural visibility is closely linked to physical and social mobility, and access to – or denial of – free movement through private and public spaces powerfully shapes individual and social identities. As Liam Kennedy has shown in the context of urban space, “the operations of power are everywhere evident in space: space is hierarchical – zoned, segregated, gated – and encodes both freedoms and restrictions – of mobility, of access, of vision” (2000, pp. 169–170). A consideration of how film articulates a relationship between space and identity might thus begin by breaking down the concept of space itself into three distinct yet interconnected areas of analysis: first, the notion of socially produced space, as shown in the work of Henri Lefebvre and others; second, the idea of audience space or the architectural space of the theater; and finally, the theory of film space or the space of the screen. Given this essay’s limited scope, the latter will be examined in more detail than the first two, but I would like to stress the underlying interconnectedness of the three. While, for example, formalist studies of film aesthetics may be just as valuable as in-depth studies of changing viewing habits, audience demographics, and exhibition technologies, film interpretation should strive to keep in view the variety of spatial formations and conditions that might come to bear on any particular visual text.

Details

Race and Ethnicity in New York City
Type: Book
ISBN: 978-0-76231-149-1

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Article
Publication date: 7 October 2014

Jean-François Chanlat

The purpose of this paper is to clarify the relationship between language, thinking and society for explaining the degree of visibility of the French organizational…

Abstract

Purpose

The purpose of this paper is to clarify the relationship between language, thinking and society for explaining the degree of visibility of the French organizational studies (OS) production.

Design/methodology/approach

This paper proposes a sociological analysis based on Bourdieu field to understand the variation of reception the French OS production have had among the Anglo-Saxon field. The paper aims to underline some key elements, which can explain the differences of reception experienced by the French OS scientists. The paper opted for a general review using historical data; reviews of OS literature; and Google scholar, Web of Science and major OS Journal data.

Findings

The paper provides some evidence about how the degree of visibility of the French OS production is related to translation, cognitive and social resonance, producer place in the scientific network and relationship between the fields. It suggests that the degree of visibility is the result of a complex set of socio-cognitive schemes, social issues raised by the scholar and the place occupied by the researcher in the field.

Originality/value

The paper brings interesting ideas concerning the international development of the OS field, the degree of visibility of diverse contributions coming from non-English speaking researchers, notably the French ones, and how the dialogue between different linguistic and social universes can be ameliorated.

Details

International Journal of Organizational Analysis, vol. 22 no. 4
Type: Research Article
ISSN: 1934-8835

Keywords

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