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Article
Publication date: 9 October 2017

Martin Powell and Michele Castelli

The purpose of this paper is to critically explore hybrid organisations in health care. It examines the broad literature on hybrids focusing on issues of perspective…

Abstract

Purpose

The purpose of this paper is to critically explore hybrid organisations in health care. It examines the broad literature on hybrids focusing on issues of perspective, definition, sub-type and level. It then presents the results of the literature review of hybrid health care organisations, exploring which organisations have been viewed as hybrids, and then examining studies in more detail with respect to the research questions.

Design/methodology/approach

It critically explores the literature on hybrid organisations in health care through a structured search.

Findings

It is found that a wide variety of hybrid forms exist, but not clear what they combine or how they combine it. However, the level of depth from some of these studies is rather limited, with little consensus on definition, and relatively few drawing on any explicit conceptual perspective. It seems that the wider hybridity literatures have limited influence of studies of hybrid health care organisations.

Originality/value

As far as the authors are aware, this paper is the first attempt to critically review the literature on hybrid organisations in health care. It is concluded that it is difficult to define and explain hybrid health care organisations. Health care hybrids appear to be chameleons as they appear to be able to change their form to different observers.

Details

Journal of Health Organization and Management, vol. 31 no. 7/8
Type: Research Article
ISSN: 1477-7266

Keywords

Content available
Article
Publication date: 6 June 2018

Jonathan Erskine, Michele Castelli, David Hunter and Amritpal Hungin

The purpose of this paper is to determine whether some aspects of the distinctive Mayo Clinic care model could be translated into English National Health Service (NHS…

Abstract

Purpose

The purpose of this paper is to determine whether some aspects of the distinctive Mayo Clinic care model could be translated into English National Health Service (NHS) hospital settings, to overcome the fragmented and episodic nature of non-emergency patient care.

Design/methodology/approach

The authors used a rapid review to assess the literature on integrated clinical care in hospital settings and critical analysis of links between Mayo Clinic’s care model and the organisation’s performance and associated patient outcomes.

Findings

The literature directly concerned with Mayo Clinic’s distinctive ethos and approach to patient care is limited in scope and largely confined to “grey” sources or to authors and institutions with links to Mayo Clinic. The authors found only two peer-reviewed articles which offer critical analysis of the contribution of the Mayo model to the performance of the organisation.

Research limitations/implications

Mayo Clinic is not the only organisation to practice integrated, in-hospital clinical care; however, it is widely regarded as an exemplar.

Practical implications

There are barriers to implementing a Mayo-style model in English NHS hospitals, but they are not insurmountable and could lead to much better coordination of care for some patients.

Social implications

The study shows that there is an appetite among NHS patients and staff for better coordinated, multi-specialty care within NHS hospitals.

Originality/value

In the English NHS integrated care generally aims to improve coordination between primary, community and secondary care, but problems remain of fragmented care for non-emergency hospital patients. Use of a Mayo-type care model, within hospital settings, could offer significant benefits to this patient group, particularly for multi-morbid patients.

Details

Journal of Health Organization and Management, vol. 32 no. 4
Type: Research Article
ISSN: 1477-7266

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Article
Publication date: 27 August 2014

Paolo Manghi, Michele Artini, Claudio Atzori, Alessia Bardi, Andrea Mannocci, Sandro La Bruzzo, Leonardo Candela, Donatella Castelli and Pasquale Pagano

The purpose of this paper is to present the architectural principles and the services of the D-NET software toolkit. D-NET is a framework where designers and developers…

Abstract

Purpose

The purpose of this paper is to present the architectural principles and the services of the D-NET software toolkit. D-NET is a framework where designers and developers find the tools for constructing and operating aggregative infrastructures (systems for aggregating data sources with heterogeneous data models and technologies) in a cost-effective way. Designers and developers can select from a variety of D-NET data management services, can configure them to handle data according to given data models, and can construct autonomic workflows to obtain personalized aggregative infrastructures.

Design/methodology/approach

The paper provides a definition of aggregative infrastructures, sketching architecture, and components, as inspired by real-case examples. It then describes the limits of current solutions, which find their lacks in the realization and maintenance costs of such complex software. Finally, it proposes D-NET as an optimal solution for designers and developers willing to realize aggregative infrastructures. The D-NET architecture and services are presented, drawing a parallel with the ones of aggregative infrastructures. Finally, real-cases of D-NET are presented, to show-case the statement above.

Findings

The D-NET software toolkit is a general-purpose service-oriented framework where designers can construct customized, robust, scalable, autonomic aggregative infrastructures in a cost-effective way. D-NET is today adopted by several EC projects, national consortia and communities to create customized infrastructures under diverse application domains, and other organizations are enquiring for or are experimenting its adoption. Its customizability and extendibility make D-NET a suitable candidate for creating aggregative infrastructures mediating between different scientific domains and therefore supporting multi-disciplinary research.

Originality/value

D-NET is the first general-purpose framework of this kind. Other solutions are available in the literature but focus on specific use-cases and therefore suffer from the limited re-use in different contexts. Due to its maturity, D-NET can also be used by third-party organizations, not necessarily involved in the software design and maintenance.

Details

Program, vol. 48 no. 4
Type: Research Article
ISSN: 0033-0337

Keywords

Content available
Article
Publication date: 30 January 2012

Teresa Di Filippo, Lucia Parisi and Michele Roccella

Impairment of intelligence in Duchenne muscular dystrophy (DMD) patients was described by Duchenne de Boulogne himself in 1868. Further studies report intelligence…

Abstract

Impairment of intelligence in Duchenne muscular dystrophy (DMD) patients was described by Duchenne de Boulogne himself in 1868. Further studies report intelligence disorders with mayor impairment of memory. The aim of the present study was to assess the presence of affective and personality disorders in a group of children affected by DMD. Twenty six male DMD patients, mean age eleven and four months years old, were assessed for their affective and personality disorder. Only eight subjects had a total IQ below average with major difficulties in verbal and visual-spatial memory, comprehension, arithmetic and vocabulary. All the subjects presented some disorders: tendency to marginalization and isolation, self-depreciation, sense of insecurity, hypochondriac thoughts and marked state of anxiety. These disorders are often a dynamic prolongation of a psychological process which starts when the diagnosis is made and continues, in a slow and latent fashion, throughout the evolution of the disease.

Details

Mental Illness, vol. 4 no. 1
Type: Research Article
ISSN: 2036-7465

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Article
Publication date: 1 April 1951

Michele Troisi

Nei tempi moderni l'abitudine di viaggiare si è molto diffusa. Lo sviluppo del turismo s'accompagna al miglioramento della viabilità e all'introduzione dei nuovi mezzi di…

Abstract

Nei tempi moderni l'abitudine di viaggiare si è molto diffusa. Lo sviluppo del turismo s'accompagna al miglioramento della viabilità e all'introduzione dei nuovi mezzi di trasporto.

Details

The Tourist Review, vol. 6 no. 4
Type: Research Article
ISSN: 0251-3102

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Book part
Publication date: 16 July 2014

Samuel R. Hodge and Martha James-Hassan

In this chapter, we discuss teaching physical education to Black male students in urban schools. We present a brief account of the history and status of physical education…

Abstract

In this chapter, we discuss teaching physical education to Black male students in urban schools. We present a brief account of the history and status of physical education and specifically examine school physical education, particularly for Black male students in urban geographical contexts. We also offer strategies to counter the narrative of Black male school failure and present strategies for addressing the needs of urban teachers and Black male students.

Details

African American Male Students in PreK-12 Schools: Informing Research, Policy, and Practice
Type: Book
ISBN: 978-1-78350-783-2

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Article
Publication date: 11 February 2021

Francesca Giuliani, Anna De Falco, Valerio Cutini and Michele Di Sivo

Worldwide, natural hazards are affecting urban cultural heritage and World Heritage Sites, exacerbating other environmental and human-induced threats deriving from…

Abstract

Purpose

Worldwide, natural hazards are affecting urban cultural heritage and World Heritage Sites, exacerbating other environmental and human-induced threats deriving from deterioration, uncontrolled urbanization and unsustainable tourism. This paper aims to develop a disaster risk analysis in Italian historic centers because they are complex large-scale systems that are cultural and economic resources for the country, as well as fragile areas.

Design/methodology/approach

A heritage-oriented qualitative methodology for risk assessment is proposed based upon the formalization of risk as a function of hazard, vulnerability and exposure, taking into account the values of cultural heritage assets.

Findings

This work provides a contribution to the body of knowledge in the Italian context of disaster risk mitigation on World Heritage Sites, opening for further research on the monitoring and maintenance of the tangible heritage assets. The application to the site of San Gimignano proves the effectiveness of the methodology for proposing preventive measures and actions that ensure the preservation of cultural values and a safer built environment.

Originality/value

The application of a value-based simplified approach to risk analysis is a novelty for historic centers that are listed as World Heritage Sites.

Details

International Journal of Disaster Resilience in the Built Environment, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1759-5908

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Book part
Publication date: 23 April 2007

Luca Solari

Institutional theory and organizational ecology have long proposed alternative (albeit not always contradictory) processes to interpret founding and creation of a novel…

Abstract

Institutional theory and organizational ecology have long proposed alternative (albeit not always contradictory) processes to interpret founding and creation of a novel organizational form. Much of the debate has dealt with the issue of how legitimation processes shape such important events or acts. Empirical research on both sides is rich with interesting results, while much of the controversy regards how legitimation is empirically captured and the ways it unfolds over time.

Recently, within organization ecology this specific issue has received increasing attention in the search for a theory of forms and identities. A central piece of the proposed theory links identities to specific audiences or constituencies, both internal and external, which act by attributing legitimation to novel constructions. The new formulation has originated different efforts aimed at better understanding how audiences develop and how they are shaped by wider social movements. Existing research has mainly been dealing with organizations (and forms), which appear to be legitimate (albeit not legitimated) from their inception, benefiting from the generalized acceptance of business organizations in modern societies. Limited attention has been devoted to analyzing contrasted forms, i.e. organized forms of action which act at the border or outside the border of established economic and social action. I contend that it is by analyzing these extreme cases that a clearer interpretation of legitimacy and legitimation processes can be achieved. By analyzing the evolution and the principal dynamics of three populations that are operating in gray and black market, I propose a critique to existing theories of legitimacy.

Details

The Sociology of Entrepreneurship
Type: Book
ISBN: 978-1-84950-498-0

Content available
Article
Publication date: 26 June 2020

Paolo Manghi, Claudio Atzori, Michele De Bonis and Alessia Bardi

Several online services offer functionalities to access information from “big research graphs” (e.g. Google Scholar, OpenAIRE, Microsoft Academic Graph), which correlate…

Abstract

Purpose

Several online services offer functionalities to access information from “big research graphs” (e.g. Google Scholar, OpenAIRE, Microsoft Academic Graph), which correlate scholarly/scientific communication entities such as publications, authors, datasets, organizations, projects, funders, etc. Depending on the target users, access can vary from search and browse content to the consumption of statistics for monitoring and provision of feedback. Such graphs are populated over time as aggregations of multiple sources and therefore suffer from major entity-duplication problems. Although deduplication of graphs is a known and actual problem, existing solutions are dedicated to specific scenarios, operate on flat collections, local topology-drive challenges and cannot therefore be re-used in other contexts.

Design/methodology/approach

This work presents GDup, an integrated, scalable, general-purpose system that can be customized to address deduplication over arbitrary large information graphs. The paper presents its high-level architecture, its implementation as a service used within the OpenAIRE infrastructure system and reports numbers of real-case experiments.

Findings

GDup provides the functionalities required to deliver a fully-fledged entity deduplication workflow over a generic input graph. The system offers out-of-the-box Ground Truth management, acquisition of feedback from data curators and algorithms for identifying and merging duplicates, to obtain an output disambiguated graph.

Originality/value

To our knowledge GDup is the only system in the literature that offers an integrated and general-purpose solution for the deduplication graphs, while targeting big data scalability issues. GDup is today one of the key modules of the OpenAIRE infrastructure production system, which monitors Open Science trends on behalf of the European Commission, National funders and institutions.

Details

Data Technologies and Applications, vol. 54 no. 4
Type: Research Article
ISSN: 2514-9288

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Article
Publication date: 4 April 2016

Andrea De Mauro, Marco Greco and Michele Grimaldi

– The purpose of this paper is to identify and describe the most prominent research areas connected with “Big Data” and propose a thorough definition of the term.

Abstract

Purpose

The purpose of this paper is to identify and describe the most prominent research areas connected with “Big Data” and propose a thorough definition of the term.

Design/methodology/approach

The authors have analysed a conspicuous corpus of industry and academia articles linked with Big Data to find commonalities among the topics they treated. The authors have also compiled a survey of existing definitions with a view of generating a more solid one that encompasses most of the work happening in the field.

Findings

The main themes of Big Data are: information, technology, methods and impact. The authors propose a new definition for the term that reads as follows: “Big Data is the Information asset characterized by such a High Volume, Velocity and Variety to require specific Technology and Analytical Methods for its transformation into Value.”

Practical implications

The formal definition that is proposed can enable a more coherent development of the concept of Big Data, as it solely relies on the essential strands of current state-of-the-art and is coherent with the most popular definitions currently used.

Originality/value

This is among the first structured attempts of building a convincing definition of Big Data. It also contains an original exploration of the topic in connection with library management.

Details

Library Review, vol. 65 no. 3
Type: Research Article
ISSN: 0024-2535

Keywords

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