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1 – 10 of over 4000Francisco G. Nunes, Janet E. Anderson, Luis M. Martins and Siri Wiig
The purpose of this paper is to examine the effect of ownership of community pharmacies on the perception of organizational identity and its relationships with organizational…
Abstract
Purpose
The purpose of this paper is to examine the effect of ownership of community pharmacies on the perception of organizational identity and its relationships with organizational performance.
Design/methodology/approach
A survey was carried out on a sample of pharmacists working in community pharmacies in Portugal. The sample comprised 1,369 pharmacists, of whom 51 percent were owner-managers. Measures of pharmacies’ normative (community health oriented) and utilitarian (business oriented) identities, identity strength (clear and unifying), substantive (stockholder focused) and symbolic (society focused) performance were included.
Findings
Both owners and employed pharmacists rated the normative identity of pharmacies higher than the utilitarian identity. Compared with employed pharmacists, owners perceive a lower level of utilitarian identity, the same level of normative identity, and higher levels of identity strength. Normative identity and identity strength predicted symbolic performance. Normative and utilitarian identities and identity strength predicted substantive performance. The relationship between utilitarian identity and substantive performance was significant among owner pharmacists but not among employed pharmacists.
Research limitations/implications
The limitations include the use of perceptive measures and the focus on the individual level of analysis.
Practical implications
In order to improve pharmacies’ performance, pharmacists who manage community pharmacies are challenged to reconcile tensions arising from the co-existence of business and community health identities and from their own agency (self-serving) and stewardship (altruistic) motives.
Originality/value
This study draws on institutional, identity and stewardship theories to understand how pharmacists, owners and employees, view the identity of community pharmacies and how identity relates to organizational performance.
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Jaap Edo Wieringa, Katrin Christiane Reber and Peter Leeflang
This study aims to increase understanding of the factors that affect retail pharmacy performance. This paper investigates how various product-, store-, customer- and competitor…
Abstract
Purpose
This study aims to increase understanding of the factors that affect retail pharmacy performance. This paper investigates how various product-, store-, customer- and competitor characteristics affect over-the-counter (OTC) drug sales and thus store performance.
Design/methodology/approach
This paper specifies and estimates a hierarchical model comprising scanner-based information, as well as individual-level data from a customer survey.
Findings
Results indicate that the drivers of retail pharmacy performance in OTC categories are different from those identified in traditional retailing research.
Originality/value
This is the first study that determines which factors impact the sales of OTC drugs in pharmacies.
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Gholamhossein Mehralian, Mohammad Peikanpour, Maryam Rangchian and Hamed Aghakhani
The purpose of this paper is to develop a conceptual model to determine whether organizational climate (OC) mediates the effect of managerial skills (MSs) on business performance…
Abstract
Purpose
The purpose of this paper is to develop a conceptual model to determine whether organizational climate (OC) mediates the effect of managerial skills (MSs) on business performance in small businesses, such as pharmacies.
Design/methodology/approach
The model proposed in this research was tested using separate questionnaires specifically designed for managers, employees and clients. The data set consists of responses from 301 managers, 470 clients and 328 employees from community pharmacies in Tehran, capital of Iran, which were analyzed using structural equation modeling.
Findings
Although the results indicated no significant direct relationship between MSs and pharmacy performance (PP), they also confirmed that having a context-appropriate set of MSs can positively affect PP via the mediating effect of OC.
Originality/value
This is the first study investigating how MSs improve performance in retail pharmacies. Although this research focuses specifically on small businesses in the pharmaceutical industry, it nevertheless contributes to the literature by showing the importance of OC.
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Alan Fowler and David Campbell
The article features a study based on postal questionnaires and structured interviews, targeting senior members of the hospital pharmacy profession. The aim was to examine the…
Abstract
The article features a study based on postal questionnaires and structured interviews, targeting senior members of the hospital pharmacy profession. The aim was to examine the potential of practice and performance benchmarking as a means of improving competence and capabilities within the clinical pharmacy service of NHS Trust hospitals. Postulation of models and analysis of data is followed by discussion of results. This leads to a number of suggestions and conclusions with respect to the potential role of benchmarking including an assessment of its suitability, limitations, and implementation issues associated with this particular service sector.
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Dana Barghouth, Ghaith M. Al-Abdallah and Ayman Bahjat Abdallah
This study aims to examine the effects of pharmacy service factors (namely, medication teaching, service promptness, pharmacist attitudes, medication supply and pharmacy location…
Abstract
Purpose
This study aims to examine the effects of pharmacy service factors (namely, medication teaching, service promptness, pharmacist attitudes, medication supply and pharmacy location) on patient satisfaction with community pharmacies in Jordan and to explore the effect of patient satisfaction on pharmacy performance.
Design/methodology/approach
Descriptive analytical methodology, with a quantitative approach using survey strategy was applied. The study population represented the whole population of Jordan (2.033 million households). Data were collected using an online questionnaire. A convenient quota sample of 1,000 respondents was targeted; 502 valid questionnaires were returned, representing an effective response rate of 50.2%. The study hypotheses were tested using path analysis.
Findings
The results showed that the service factors contributing most significantly to patient satisfaction in Jordan are medication supply, pharmacist attitudes, medication teaching and service promptness, in descending order of influence. Meanwhile, the effect of pharmacy location on patient satisfaction proved to be insignificant. In addition, patient satisfaction proved to have a highly positive impact on pharmacy performance.
Originality/value
This study addresses a debatable issue in the literature regarding the influence that pharmacy service factors can have on patient satisfaction. In addition, to the best of the researchers’ knowledge, this is the first study to explore the proposed effects in Jordan. It is also one of the first to investigate the effect of patient satisfaction on community pharmacy performance.
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Fenwick Feng Jing, Gayle C. Avery and Harald Bergsteiner
The purpose of this paper is to address an important gap in the literature by investigating the relationship between organizational climate and performance in small businesses.
Abstract
Purpose
The purpose of this paper is to address an important gap in the literature by investigating the relationship between organizational climate and performance in small businesses.
Design/methodology/approach
Data were collected from 100 retail pharmacies in Sydney, Australia where a manager and up to three staff members and three buying customers were interviewed in each pharmacy.
Findings
Supportive climates tend to be associated with higher organizational performance (i.e. financial performance, staff satisfaction, customer satisfaction) in small retail pharmacies, and may reduce staff turnover.
Practical implications
The results suggest that managers should consider creating warm and supportive organizational climates to enhance business performance, employee job satisfaction and organizational commitment, and increase employee tenure.
Originality/value
This paper is among the first to empirically establish a direct link between organizational climate and the performance of small businesses, in particular in retail pharmacies. Both financial and non‐financial measures of performance confirm reports based on larger firms that performance is enhanced in the presence of more supportive organizational climates. A further benefit of supportive climates, namely lower staff turnover in small businesses, was also evident.
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Fatemeh Alipour, Sogol Jamshidizadeh, Peivand Bastani and Gholamhossein Mehralian
A balanced scorecard (BSC) is an applied tool for implementing strategic management in various organizations. Implementing strategic management using the BSC approach has not…
Abstract
Purpose
A balanced scorecard (BSC) is an applied tool for implementing strategic management in various organizations. Implementing strategic management using the BSC approach has not received much attention in pharmacy departments. This study aims to provide a model for the strategic management of pharmacy departments using the BSC framework.
Design/methodology/approach
This experimental study was conducted from 2015 to 2018 in a 300-bed hospital and regional healthcare centers affiliated with the Petroleum Industry Health Organization in Tehran province, Iran. After carefully reviewing the organization's mission and vision, the strategic objectives were determined via the internal matrix and the external matrix (IE matrix), and the strengths–weaknesses–opportunities–threats matrix (SWOT matrix) were examined. Then, six BSC measures and interventions were identified, and each was examined from the perspectives of finance, patient satisfaction, internal processes and learning/growth. Finally, the proposed strategy was evaluated.
Findings
Results showed significant increases in patient satisfaction and gross profit. The observed increase range, from 0.09 to 0.29, indicates more effective operational management for optimal resource utilization. In addition, the pharmacy department was able to save US $539,137 by implementing prepared protocols for expensive medications. Similarly, the pharmacy department saved $442,899 during the two years of our strategic management plan by implementing the standard mechanism for returning unused medications to the pharmacy department after patients were discharged from various treatment units.
Originality/value
This study is among the first studies to demonstrate the simultaneous development, implementation and evaluation of the proposed strategy using the BSC in a pharmacy department in a public healthcare center. The BSC application improved the optimal use of resources and reduced costs while increasing patient satisfaction. It appears that the application of such an intervention may be as valuable to public pharmacies as it is to other private centers.
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The purpose of this paper is to evaluate the performance of 46 pharmacy retail stores and to analyze the impact of non‐discretionary variables on the efficiency of the stores…
Abstract
Purpose
The purpose of this paper is to evaluate the performance of 46 pharmacy retail stores and to analyze the impact of non‐discretionary variables on the efficiency of the stores through dividing the decision making units (DMUs) into different categories.
Design/methodology/approach
Basic CCR model is being used to evaluate the efficiency of each store. First, the DMUs are divided into three different categories namely severe, normal and advantageous depending upon the extent of competition that they are facing. Second, basic CCR, Phases I and II models are applied to evaluate efficiency, reference set and projections of DMUs within the categories. Lastly, all DMUs are evaluated together using the same models.
Findings
For situations that are not under the direct control of the management, DEA with categorical DMUs is an appropriate approach for efficiency evaluation because through this approach one can do justice to each store which is a part of the study.
Research limitations/implications
Inclusion of people factor such as customer satisfaction or employee satisfaction can lead to a better analysis and therefore, to a better practical approach.
Originality/value
This study provides a framework for performance evaluation when both discretionary and non‐discretionary variables are to be taken into consideration.
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Gerson Tontini, Elaine Vaz, Evelásio Vieira Neto, Julio Cesar Lopes de Souza, Leonardo Anésio da Silva and Mara Paz Maurício Nowazick
The purpose of this paper is to evaluate the nonlinear impact of users’ memories on their general evaluation of outpatient healthcare services by the integration of two…
Abstract
Purpose
The purpose of this paper is to evaluate the nonlinear impact of users’ memories on their general evaluation of outpatient healthcare services by the integration of two methodologies: critical incidents technique (CIT) and penalty-reward contrast analysis (PRCA).
Design/methodology/approach
The authors carried out a survey with 356 respondents, users of seven outpatient clinics located in the city of Blumenau/SC, Brazil, during 2016. The participants were asked about their perceptions of positive and negative aspects of the service; and, using CIT, the answers were categorized according to the following dimensions: empathy, communication, facilities, access, promptness, medicines availability, complementary services, safety/confidentiality and service performance. Then, the authors evaluated the nonlinear impact of critical incidents on users’ general evaluation of the service using the identified incidents as input variables in a PRCA.
Findings
The findings show that users of healthcare services tend to remember emotion and health aspects positively, while technical and formal aspects tend to be more negatively than positively remembered. On the other hand, PRCA identifies that incidents of three dimensions positively influence the overall perception of the service (empathy, complementary services and privacy) and five negatively (empathy, facilities, speed, drugs/pharmacy and health performance), explaining 26.3 percent of the variation in clients’ general satisfaction.
Originality/value
The present paper explores the integration of two methodologies, showing how we can use open listening to healthcare service users to identify the nonlinear impact of different incidents on their general evaluation of the service. The results show that what customers remember does not necessarily influence overall customer satisfaction. The present approach allows companies to improve the process of listening to customers. There are no other papers exploring this approach, particularly in relation to healthcare services.
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Jennifer L. Harrison and Stephen J. Kelly
The purpose of this paper is to test the null hypothesis that there is no significant association between perceived environmental uncertainty (PEU) and a three component…
Abstract
Purpose
The purpose of this paper is to test the null hypothesis that there is no significant association between perceived environmental uncertainty (PEU) and a three component conceptualisation of commitment.
Design/methodology/approach
Data were collected from owner/managers of community pharmacy businesses in New South Wales, Australia, with 268 responses analysed by confirmatory factor analysis to test a measurement model for each construct and a structural model to test the paper's hypothesis.
Findings
The hypothesis was partially supported with results indicating that greater PEU is associated with lower instrumental and normative commitment. The association with affective commitment was more complex. No direct association with PEU was evident, however a standardised indirect effect was identified.
Research limitations/implications
The primary theoretical implications are that commitment in business‐to‐business channels is evidently affected by PEU, suggesting in part that PEU is likely to have a moderating effect on previously identified antecedents of commitment – including power, idiosyncratic investments, interdependence, trust, and conflict. For practitioners, the implications include the complication that PEU is a relative concept felt by various agents in a market to varying extents. As such, a supplier may benefit by maintaining a watching brief on PEU within a given channel and consider altering the channel strategy to either manage PEU and/or maintain commitment.
Originality/value
The findings provide original evidence that PEU is an antecedent of commitment with no other studies examining this relationship identified. The value lays both in the theoretical and practical implications highlighted in the paper.
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