Search results

A fairly consistent finding in research on trust in physicians is that racial and ethnic minorities cite lower levels than whites. This research typically samples only health care users, which limits our understanding of what underlies distrust. It remains unclear whether the distrust is generalized, which is distrust that is unrelated to using health care regularly or recently.

Using data from the Health Information National Trends Survey, multivariable logistic regressions assessed whether racial and ethnic differences in distrust (1) are equivalent among health care users and non-users; (2) regardless of respondents’ health and socio-economic status; and (3) manifest in other health information sources.

Racial and ethnic minorities are less likely than whites to trust physicians as health information sources. These racial and ethnic differences are equivalent among health care users and non-users, regardless of respondents’ health and socio-economic status. The racial and ethnic patterns do not manifest when predicting trust in other health information sources (Internet, family or friends, government health agencies, charitable organizations).

Data are derived from a cross-sectional survey, which makes it difficult to account comprehensively for self-selection into being a health care user. Despite the limitations, this research suggests that racial and ethnic minorities possess a generalized distrust in physicians, necessitating interventions that move beyond improving health care experiences.

Many researchers have surmised that a generalized distrust in physicians exists among racial and ethnic minorities. This chapter is the first to explicitly examine the existence of such distrust.

Purpose: The public health burden caused by tobacco is heavy among first-generation Chinese immigrant men whose home country has significantly higher smoking rates than the United States. The current study is part of a larger effort to pilot an mHealth tobacco cessation intervention using MMS (graphic) mobile phone technologies to target East Asian immigrant populations. Grounded in the Extended Parallel Process Model (EPPM), our specific aims were to determine what message themes, level of graphic intensity, and types of efficacy information are most appropriate and useful for mHealth interventions targeting this population.

Methodology/Approach: A qualitative study utilizing a series of focus groups (k = 5) was conducted with male adult smokers who were born in China and currently reside in the United States. The primary aim of the focus groups was to solicit reactions to a series of preliminary messages developed by the research team. A secondary aim was to gauge receptivity to the use of MMS as a vehicle for smoking cessation intervention. Participants (n = 32) were recruited from local Chinese communities in a large Mid-Atlantic metropolitan area.

Findings: Opinions about different message strategies were mixed. However, participants tended to rate messages more positively when they focused on the impact of smoking on family and loved ones, particularly children. Messages with fear-arousing images were also perceived to be effective at low frequency of exposure, but there were concerns that they may backfire at high exposure. Awareness of and interest in Quitline were low, and concrete quitting tips were perceived as more effective. Participants reported a preference for receiving messages a few times a week, and an MMS message platform was generally preferred to WeChat (a Chinese social media platform).

Implications: Our results suggest that graphic MMS messaging holds promise as an effective intervention method for this population and that EPPM is an appropriate framework to develop, test, and analyze mHealth intervention messages. While messages that focused primarily on impact on children, health, and specific quitting tips were generally found to be more effective, a mix of different types of messages that address a wide range of issues may be most appropriate for this population.

Originality/Value: This study is the first to explore the utility of graphic text messaging as an intervention method to promote smoking cessation among male Chinese immigrants. Findings from the study provide important insights for future intervention work targeting this underserved population.

This chapter presents systematic evidence on the persistent power of guanxi, the Chinese phrase for informal social relations and networks, in transitional China. I draw heavily on my previous publications reporting findings from a series of probability sample surveys of the Job-Search Network (thereafter JSNET) project in Chinese cities, and job histories of the survey respondents combined cover a span of 37 years from 1978, the beginning year of China's market-oriented reforms, to 2014, the year of last JSNET survey completed.

We build on the resource-based view and extend entry mode research by focusing on firms’ intention to transfer different resources from the parent firm to its overseas subsidiary. In line with our hypotheses, we find that parent firms that plan to transfer high levels of intangible resources to their foreign subsidiaries tend to choose wholly owned subsidiaries, while firms that intend to transfer high levels of tangible resources tend to choose international joint ventures. Moreover, we find that these relationships are moderated by institutional distance. We test our hypotheses using unique primary data from a sample of 128 foreign subsidiaries in the People’s Republic of China. Our results have important theoretical implications for international business strategy research as they develop further existing entry-mode theories.

The interbank market in China experienced remarkable squeezes in liquidity in 2013. In particular, the overnight Shanghai Interbank Offered Rate reached a historical high in June. Banks were unprepared, facing the occurrence of various liquidity demands simultaneously. Effects of the liquidity squeeze spread across markets, and concerns were expressed about the health of the banking sector in the world’s second largest economy. Yet the central bank of China maintained an unswerving view that the tightness of liquidity was only structural, and could be overcome by the commercial banks themselves. While it may be too early to judge whether the central bank was correct, or whether there is systematic liquidity risk in the banking sector, markets received a clear signal from the People’s Bank of China. The central bank stopped acting as a ‘perpetual put option’ for commercial banks and refused to take responsibility to satisfy liquidity needs in the interbank market. Its intention is clear; that is, to adjust monetary policy and support economic reform in China. The new Chinese government seems determined to steer a new course away from the previous growth episode. Its resolution has been published and actions have been taken. Among them, the central bank’s changes to monetary policy have received responses from the markets, and the People’s Bank of China is now in the vanguard of a battle to squeeze liquidity. It is difficult to predict what further actions the government will take. However, it should be aware that the driving force of economic reform in China comes from structural change and productivity improvement. Without follow-up policies, complication in the financial system could undermine the central bank’s effort and international capital flows may quickly substitute the opening position of the central bank in the interbank market. More wisdom is required if China is to win the battle for deleveraging and structural reform.

Building social capital between groups of people and developing social enterprises that integrate social goals into commercial business models are rapidly adopted as innovative poverty relief mechanisms across countries. Together, the translation of social relationships into increased accessibility to resources, and the entrepreneurial dynamics resulting in additional services and goods, are thought to meet the survival and developmental needs of poor families and communities. However, the socio-economic contexts, in which new public policies and initiatives have been taken, vary from country to country. In China, its strong Confucian culture, state-led development strategy, weak civil society, and hierarchical social relationships have contributed to a value structure of social capital, but decreased the efficiency of business practice in social enterprise. This chapter presents a case study of Rural Cooperative Program, a poverty relief initiative in China’s southwest Guizhou Province. With the introduction of China’s new policies in welfare and rural development, this chapter presents evaluation results of whether social enterprises and entrepreneurship can improve poor villagers’ socio-economic wellbeing and promote sustainable development of poor rural villages in China, and to what extent social capital has been mobilized to facilitate the Rural Cooperative Program.

The materials and energy density of current electric vehicles (EV) battery technology means that the vehicles are heavier and have a shorter range in comparison to internal combustion engine vehicles (ICEV). Battery cost also means EVs are relatively expensive for the consumer, even with government incentives, and dependent on sometimes-rare resources being available. These factors also limit the applicability of battery-electric technologies to heavy-duty vehicles. However, a number of next generation technologies are under laboratory development which could radically change this situation. Using a follow-the-money methodology, the strategic innovations of companies and public institutions are examined. The chapter will review the potential for changes in resource inputs, higher-density batteries and cost reductions, considering options such as lithium-air, metal-air and solid-state technologies. The innovations outlined in these technologies are considered from an economic perspective, identifying their advantages and disadvantages in commercialisation. At the same time, innovations, and investments in infrastructure electrification (Electric Road Service) and battery exchange point with swapping technology will be also considered due their implications and contribution to solving battery-related challenges and shortcomings. It is concluded that only a joint investment in effort on technologies would allow the use of EVs to be extended to a broad public in terms both of users and geography.

Sustainable energy like renewable energy plays a critical role in achieving sustainable development goals including energy security in emerging economics. BRICS (Brazil, Russia, India, China and South Africa) constitutes about 23% of the world’s GDP, 40% of the world’s population and 36% share of the supply of primary energy in the world. Obviously the Bloc has tremendous potential in influencing the global sustainable clean energy transition with the advantages like lowering the costs of renewable, boosting employment in the sector of green energy, enhancement of energy security and improvement of local air quality. Despite the existence of varieties of renewable energy resources in the BRICS economies, renewable energy resources are found underdeveloped. The major objectives of this chapter are to assess progress of different forms of energy especially renewable energy, impact of development of renewable energy on carbon emission and policy issues in renewable energy development in the context of sustainable energy development of BRICS countries.

Collaborative relationships (CRs) in supply chains have become central in international business. Strategic performance measurement systems (SPMSs) establish a causal chain of performance measures that can be aligned with strategic goals and can link performance measures with business processes and suppliers. This study investigates whether CRs in supply chains positively affect buyer competitiveness by using SPMSs. Firm competitiveness is described in terms of product cost-price, delivery, as well as flexibility. We demonstrate through the use of SPMSs that CRs indirectly and positively influence the competitiveness of delivery and flexibility. This chapter contributes to the growing literature on the role of SPMSs in linking the relationship between CRs and competitiveness.