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Article
Publication date: 8 September 2023

Shabnam Azimi and Sina Ansari

Recent research suggests that more than two-thirds of people use online reviews to find a new primary care physician (PCP). However, it is unclear what role review content plays…

Abstract

Purpose

Recent research suggests that more than two-thirds of people use online reviews to find a new primary care physician (PCP). However, it is unclear what role review content plays when a patient uses online reviews to decide about a new PCP. This paper aims to understand how a review's content, related to competence (communication and technical skills) and benevolence (fidelity and fairness), impacts patients’ trusting intentions to select a PCP. The authors build the model around information diagnosticity, construal level theory and valence asymmetries and use review helpfulness as a mediator and review valence as a moderator in this process.

Design/methodology/approach

The authors use two experimental studies to test their hypotheses and collect data through prolific.

Findings

The authors find that people have a harder time making inferences about the technical and communication skills of a PCP. Reviews about fidelity are perceived as more helpful and influential in building trust than reviews about fairness. Overall, reviews about the communication skills of a PCP have stronger effects on trusting intentions than other types of reviews. The authors also find that positive reviews are perceived as more helpful for the readers than negative reviews, but negative reviews have a stronger impact on patients' trust intentions than positive ones.

Originality/value

The authors identify how online reviews about a PCP’s competency and benevolence affect patients’ trusting intentions to choose the PCP. The implication of findings of this study for primary medical practice and physician review websites is discussed.

Article
Publication date: 23 December 2022

Hilary Omatule Onubi, Manuel Carpio and Ahmad Sanusi Hassan

Job satisfaction (JS) of construction workers is important in determining the level of green construction project performance. Despite the importance of construction workers' JS…

Abstract

Purpose

Job satisfaction (JS) of construction workers is important in determining the level of green construction project performance. Despite the importance of construction workers' JS in actualizing green construction projects' objectives, insufficient consideration has been accorded in green construction studies. This study aims to determine the link between green human capital (GHC), pro-environmental construction practice (PCP), green work climate (GWC) and JS. Precisely, the purpose of this study is to investigate the mediating role of GWC on the GHC and PCP relationship while analysing the moderating effect of GWC on the relationship between PCP and JS.

Design/methodology/approach

This research's data were collected through a survey questionnaire with 272 useable responses obtained. The partial least squares structural equation modelling (PLS-SEM) technique was used in the study's data analysis.

Findings

The findings of this study indicate that GHC was positively related to PCP; GWC had a significant mediating effect on the GHC–PCP relationship; PCP had a significant positive effect on JS; and GWC had a significant moderating effect on the PCP–JS relationship with high GWC yielding the greater effect.

Practical implications

This study gives a clearer picture of how GHC can lead to the adoption of PCP through GWC and translate to JS, thus providing stakeholders with the required information on firm-based initiatives that can promote the needed green behaviour on the construction site.

Originality/value

The originality of this study lies in its contribution to both theory and practice as it provides greater insight into PCP alongside its antecedents and outcomes as it relates to the JS of construction project/site managers.

Details

Engineering, Construction and Architectural Management, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 0969-9988

Keywords

Article
Publication date: 2 April 2020

Genevieve Elizabeth O’Connor and Laurel Aynne Cook

The purpose of this paper is to address a critical problem for health-care organizations: patient referral leakage. This paper explores the nature of patient referrals by…

Abstract

Purpose

The purpose of this paper is to address a critical problem for health-care organizations: patient referral leakage. This paper explores the nature of patient referrals by examining how health-care providers’ breadth and depth of connectivity within a hospital network and identification with each other influence the likelihood of future patient referrals.

Design/methodology/approach

The data was collected by using a multi-sourced data set from the health-care industry. The proposed model was tested by using logistic regression to determine the likelihood of a primary care physician’s (PCP) referral to a specialist within a hospital network.

Findings

A model linking provider connectivity to examine co-creation practices in the form of patient referrals is tested. Results indicate that patient referrals are multidimensional. A PCP’s likelihood to refer to a specialist within the hospital network is influenced by the breadth and depth of connectivity of each provider.

Research limitations/implications

This investigation extends service ecosystems to patients, health-care providers and hospital organizations, making it the first to explore how different degrees of connectivity (breadth of referral partners and depth of exchange) between and among health-care providers influence the likelihood of future patient referrals. Findings complement extant literature on service ecosystems by empirically showing that provider relationships are interdependent and rely on the mutual coordination of benefits within the entire health-care organization and network.

Practical implications

Managers and health-care professionals can use the framework to build and strengthen relational ties/alliances within a service organization. An ecosystems perspective reduces patient referral leakage through enhanced organizational performance, competitive advantage and continuity of care.

Originality/value

The authors offer a novel view of referral relationships using hard-to-access proprietary data. Moreover, this study responds to the need for transformative service research by offering service researchers and policymakers a means to enhance consumer well-being. The main contribution of this study is a framework to gain a better understanding of patient referral relationships between employees (i.e., health-care providers) in an organization, thereby affording an opportunity to bolster operational efficiencies, improve clinical outcomes and strengthen referral pathways. By viewing health-care networks through a service ecosystems perspective, contextual boundaries and the relative power of relationships are also identified. The novel use of rarely available hospital data in this setting helps explain how patient leakage compromises the health of the ecosystem and its members.

Article
Publication date: 16 July 2020

Kostas Selviaridis

The study aims to investigate how pre-commercial procurement (PCP) influences the activities, capabilities and behaviours of actors participating in the innovation process. Unlike…

Abstract

Purpose

The study aims to investigate how pre-commercial procurement (PCP) influences the activities, capabilities and behaviours of actors participating in the innovation process. Unlike much of PCP research underpinned by a market failure theoretical framework that evaluates the additionality of innovation inputs and outputs, this paper focusses on the role and capacity of PCP in addressing systemic failures impeding the process of innovation.

Design/methodology/approach

PCP effects on the innovation process were studied through a qualitative study of the UK small business research initiative (SBRI) programme. Data collection comprised 33 semi-structured interviews with key informants within 30 organisations and analysis of 80-plus secondary data sources. Interviewees included executives of technology-based small businesses, managers within public buying organisations and innovation policymakers and experts.

Findings

The UK SBRI improves connectivity and instigates research and development (R&D) related interactions and cooperation. Through securing government R&D contracts, small firms access relevant innovation ecosystems, build up their knowledge and capabilities and explore possible routes to market. Public organisations use the SBRI to connect to innovative small firms and access their sets of expertise and novel ideas. They also learn to appreciate the strategic role of procurement. Nonetheless, SBRI-funded small business face commercialisation and innovation adoption challenges because of institutional constraints pertaining to rules, regulations and public-sector norms of conduct.

Research limitations/implications

The study contributes to existing PCP research by demonstrating innovation process-related effects of PCP policies. It also complements literature on small business-friendly public procurement measures by highlighting the ways through which PCP, rather than commercial procurement procedures, can support the development of small businesses other than just facilitating their access to government (R&D) contracts.

Social implications

The study identifies several challenge areas that policymakers should address to improve the implementation of the UK SBRI programme.

Originality/value

The study demonstrates the effects of PCP on the activities, capabilities and behaviours of small businesses and public buying organisations involved in the innovation process.

Details

Journal of Public Procurement, vol. 21 no. 3
Type: Research Article
ISSN: 1535-0118

Keywords

Article
Publication date: 8 November 2011

Elena Gospodarevskaya and Leonid Churilov

The purpose of this paper is to investigate the regulator's attempt at redesigning the patient care process (PCP) – a core business process in public hospitals – by introducing…

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Abstract

Purpose

The purpose of this paper is to investigate the regulator's attempt at redesigning the patient care process (PCP) – a core business process in public hospitals – by introducing dichotomous process performance indicators as an innovative management tool intended to align the State health care policy with the everyday management of operations at a hospital ward.

Design/methodology/approach

The paper presents an ethnographic case study of redesigning the PCP according to the strategy originating outside the organization. The study employs competing theories that represent alternative epistemological and ontological views of the world in order to produce a tentative explanation of why the intended redesign of the PCP has not fully eventuated. Observational data and opportunistic interviewing are used to answer the research question of whether and how the information and operational flows on the ward were affected by introduction of process performance indicators. A business process redesign framework was employed for data analysis since it better reflects the objectives of the State‐wide initiative and offers a convenient tool in dealing with data complexity.

Findings

Introduction of the process performance indicators did not result in redesigning of the PCP as intended by health care authorities. Out of four process performance indicators, only one was consistently implemented, which merely produced a duplication of the previously collected information, therefore adding no value to the PCP. On a theoretical level, the results indicate that the emergent theory rather than the rational agent theory demonstrated a greater fidelity to the empirical observations.

Originality/value

The paper assessed the feasibility of using innovative dichotomous process performance indicators as a tool for redesigning the business process at the ward level, in order to achieve macro‐level policy objectives. The failure to successfully implement a top‐down universal approach to redesigning business processes in health care is likely to reflect a lack of appreciation of emergent rationality that characterizes essential aspects of the PCP.

Details

Business Process Management Journal, vol. 17 no. 6
Type: Research Article
ISSN: 1463-7154

Keywords

Open Access
Article
Publication date: 26 July 2021

Liisa Jaakkimainen, Imaan Bayoumi, Richard H. Glazier, Kamila Premji, Tara Kiran, Shahriar Khan, Eliot Frymire and Michael E. Green

The authors developed and validated an algorithm using health administrative data to identify patients who are attached or uncertainly attached to a primary care provider (PCP

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Abstract

Purpose

The authors developed and validated an algorithm using health administrative data to identify patients who are attached or uncertainly attached to a primary care provider (PCP) using patient responses to a survey conducted in Ontario, Canada.

Design/methodology/approach

The authors conducted a validation study using as a reference standard respondents to a community-based survey who indicated they did or did not have a PCP. The authors developed and tested health administrative algorithms against this reference standard. The authors calculated the sensitivity, specificity positive predictive value (PPV) and negative predictive value (NPV) on the final patient attachment algorithm. The authors then applied the attachment algorithm to the 2017 Ontario population.

Findings

The patient attachment algorithm had an excellent sensitivity (90.5%) and PPV (96.8%), though modest specificity (46.1%) and a low NPV (21.3%). This means that the algorithm assigned survey respondents as being attached to a PCP and when in fact they said they had a PCP, yet a significant proportion of those found to be uncertainly attached had indicated they did have a PCP. In 2017, most people in Ontario, Canada (85.4%) were attached to a PCP but 14.6% were uncertainly attached.

Research limitations/implications

Administrative data for nurse practitioner's encounters and other interprofessional care providers are not currently available. The authors also cannot separately identify primary care visits conducted in walk in clinics using our health administrative data. Finally, the definition of hospital-based healthcare use did not include outpatient specialty care.

Practical implications

Uncertain attachment to a primary health care provider is a recurrent problem that results in inequitable access in health services delivery. Providing annual reports on uncertainly attached patients can help evaluate primary care system changes developed to improve access. This algorithm can be used by health care planners and policy makers to examine the geographic variability and time trends of the uncertainly attached population to inform the development of programs to improve primary care access.

Social implications

As primary care is an essential component of a person's medical home, identifying regions or high need populations that have higher levels of uncertainly attached patients will help target programs to support their primary care access and needs. Furthermore, this approach will be useful in future research to determine the health impacts of uncertain attachment to primary care, especially in view of a growing body of the literature highlighting the importance of primary care continuity.

Originality/value

This patient attachment algorithm is the first to use existing health administrative data validated with responses from a patient survey. Using patient surveys alone to assess attachment levels is expensive and time consuming to complete. They can also be subject to poor response rates and recall bias. Utilizing existing health administrative data provides more accurate, timely estimates of patient attachment for everyone in the population.

Details

Journal of Health Organization and Management, vol. 35 no. 6
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 26 June 2009

I.A. Metwally and A. Al‐Badi

The purpose of this paper is to introduce a theoretical investigation of the pulse‐cathodic protection (PCP) systems to show how they behave under different operating conditions…

Abstract

Purpose

The purpose of this paper is to introduce a theoretical investigation of the pulse‐cathodic protection (PCP) systems to show how they behave under different operating conditions. The effectiveness of the PCP system also is highlighted for a typical large‐scale configuration. The principal technical objectives of this paper are to answer three questions: Are the PCP systems effective in the desert fields? Although they have been approved, what is the reason for their lack of effectiveness in some coastal areas? What are the operation recommendations for the currently installed PCP systems and their future application?

Design/methodology/approach

The factors affecting the cathodic protection of well casings have been investigated theoretically by using a 3D field approach software package current distribution, electromagnetic fields, grounding and soil structure analysis. Cathodic interference with nearby well casings has been investigated thoroughly because corrosion of this kind is more serious than the anodic type. The performance of PCP systems has been analyzed with respect to obtaining better protection‐current distribution along the protected well casing at reduced anode current, together with reduced stray current (corrosion) at any nearby unprotected structure(s).

Findings

For uncoated well casings, protection current pulses are attenuated significantly and are smoothed out to be pure direct current after about 10 percent of the well‐casing buried length. High‐magnitude stray current can be found affecting any switched‐off well casings and hence they can be corroded faster from the top part than unprotected/remote wells, as are deeper well casings that may sustain considerable localized corrosion attack on the upper portions of the casing. Without the formation of a natural protective coating with high resistivity, the PCP system becomes malfunctioning, i.e. its performance becomes very similar to that of the conventional cathodic protection (CP) systems. This effect has been confirmed by field measurements in Oman, where magnesium hydroxide is minimally formed (in desert areas).

Research limitations/implications

In reality, some of the PCP modules at the same station can have a slight deviation in the operating frequency and/or voltage. It is planned, therefore, that the investigation will be extended to simulate such cases and take into account the effect of multi‐layer soils.

Practical implications

Knowing the performance of PCP systems for protecting deep well casings is a critical issue for the oil industry.

Originality/value

The paper provides a sound basis on which oil producers can take decisions about the future application of the PCP systems, optimize their performance, and introduce application restrictions by studying all factors that affect PCP performance. The effectiveness of PCP in desert (sandy/rocky) soil, where calcium‐carbonate deposition predominates over magnesium‐hydroxide formation, has proven to be very similar to that of a conventional CP system. The reliability of artificial oil‐lifting systems will be increased by reducing oil production losses (“oil deferment”) and the rig mobilization, which has very high rent cost.

Details

Anti-Corrosion Methods and Materials, vol. 56 no. 4
Type: Research Article
ISSN: 0003-5599

Keywords

Article
Publication date: 18 February 2022

Jian Li, Aboubaker Idriss Bolad, Yanling Guo, Yangwei Wang, Elkhawad Ali Elfaki, Shareef Aldoom Abdallah Adam and Gafer Abd Alhamid Mohammad Ahmed

The range of applications of the currently available biomass selective laser sintering (SLS) parts is limited and low-quality. This study aims to demonstrate the effects of the…

172

Abstract

Purpose

The range of applications of the currently available biomass selective laser sintering (SLS) parts is limited and low-quality. This study aims to demonstrate the effects of the various processing parameters on the dimensional accuracy, bending strength, tensile strength, density and impact strength of the Prosopis chilensis/polyethersulfone (PES) composites (PCPCs) that were produced by SLS. The various processing parameters are laser power, scan speed, preheating temperature, scan spacing and layer thickness. In addition, the authors’ studied the effects of PCP particle size on the mechanical properties of the PCPCs.

Design/methodology/approach

The PCPC specimens were printed using an AFS SLS machine (additive manufacturing). The bending, tensile and impact strengths of the specimens were measured using a universal tensile tester. The dimensional accuracy of the bending specimens was determined by a Vernier caliper. The formability of the PCPC at various mixing ratios of the raw materials was earlier investigated by single-layer sintering experiments (Idriss et al., 2020b). The microstructure and particle distribution of the various PCPC specimens were analyzed by scanning electron microscopy (SEM).

Findings

The mechanical strengths (bending, tensile and impact strengths and density) and the dimensional accuracy of the PCPC SLS parts were directly and inversely proportional, respectively, to the laser power and preheating temperature. Furthermore, the mechanical strengths and dimensional accuracy of the PCPC SLS parts were inversely and directly proportional, respectively, to the scanning speed, scan spacing and layer thickness.

Practical implications

PCPC is an inexpensive, energy-efficient material that can address the drawbacks of the existing SLS parts. It is also eco-friendly because it lowers the pollution and CO2 emissions that are associated with waste disposal and SLS, respectively. The optimization of the processing parameters of SLS in this study produced high-quality PCPC parts with high mechanical strengths and dimensional accuracy that could be used for the manufacture of the roof and wooden floors, construction components and furniture manufacturing.

Originality/value

To the best of the authors’ knowledge, this study is among the first to elucidate the impact of the various SLS processing parameters on the mechanical properties and dimensional accuracy of the sintered parts. Furthermore, novel PCPC parts were produced in this study by SLS.

Article
Publication date: 1 April 2006

Helen Sanderson, Jeanette Thompson and Jackie Kilbane

Recent research (Robertson et al, 2005) has demonstrated that person‐centred planning (PCP) leads to positive changes for people. This research shows how PCP is associated with…

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Abstract

Recent research (Robertson et al, 2005) has demonstrated that person‐centred planning (PCP) leads to positive changes for people. This research shows how PCP is associated with benefits in the areas of community involvement, contact with friends, contact with family and choice. This paper briefly describes this research and its recommendations. In addition it explores the implications for managers and professionals supporting people with learning disabilities.

Details

Journal of Integrated Care, vol. 14 no. 2
Type: Research Article
ISSN: 1476-9018

Keywords

Article
Publication date: 1 August 2013

Khokan Bepari, Sheikh F. Rahman and Abu Taher Mollik

The purpose of this paper is to investigate the incremental value relevance of cash flow from operations (CFO) given book value and earnings. It also examines the relative value…

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Abstract

Purpose

The purpose of this paper is to investigate the incremental value relevance of cash flow from operations (CFO) given book value and earnings. It also examines the relative value relevance of earnings and CFO and changes therein between the 2008‐2009 global financial crisis (GFC) and the pre‐crisis period (PCP).

Design/methodology/approach

Least square regressions are estimated using modified Ohlson model to examine the research questions. Relative and incremental value relevance is examined by adjusted R2 and Vuong Z statistics.

Findings

The findings suggest that CFO has value relevance incremental to book value and earnings. The findings also suggest that earnings has greater relative and incremental information content than CFO in the Australian market. The value relevance of earnings has increased and that of CFO has decreased during the GFC compared to the PCP.

Research limitations/implications

This study focuses on a single country. Future studies can conduct cross‐country examination of the impact of the GFC on the value relevance of earnings and CFO.

Practical implications

This study contributes to the debate on the value relevance of CFO incremental to book value and earnings. It also extends the literature, showing that earnings has information content (value relevance) superior to CFO in the Australian market even during an economy‐wide exogenous shock like the one of the 2008‐2009 GFC.

Originality/value

This is the first known study examining the value relevance of fundamental accounting information such as earnings and CFO in the context of the 2008‐2009 GFC. It extends prior research in East Asian countries in the context of 1997 Asian financial crisis and provides evidence on the impact of a world‐wide exogenous shock on the value relevance of earnings and CFO from a relatively mature and developed country with different legal, institutional and enforcement backgrounds.

Details

Review of Accounting and Finance, vol. 12 no. 3
Type: Research Article
ISSN: 1475-7702

Keywords

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