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1 – 10 of over 48000Tímea Beatrice Dóra and Zsuzsanna Szalkai
This paper aims to investigate the dyadic relationships of actors engaged in public–private (P-P) collaboration in health-care prevention. The purpose is to characterize a new…
Abstract
Purpose
This paper aims to investigate the dyadic relationships of actors engaged in public–private (P-P) collaboration in health-care prevention. The purpose is to characterize a new type of actor as an intermediary that connects different actors in P-P collaboration and to compare P-P collaboration based on results expected with and without the inclusion of this new actor.
Design/methodology/approach
For the investigation, the Industrial Marketing and Purchasing Group approach to business relationships is used. The substance (activities-resources-actors) and the functions (dyadic, single actor and network) of business relationships are applied as a research framework. The analysis is based on these theories through a case study.
Findings
This study delivers four important findings: the relationship with this new type of actor results in new resources for all of the participants that are involved, the new actor is a key channel for generating corporate social responsibility recommendations for private actors, relationships with this new type of actor are a great basis on which private firms may build relationships with the public that involve higher levels of health care and also generate sponsorship for public causes, thereby increasing social welfare and the new type of actor can cause potential tensions that require constant and coordinated management.
Originality/value
The paper contributes to the conceptualization of the “interacted actor” through characterizing a new type of actor and its renewing network in P-P collaboration.
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Raniere Rodrigues dos Santos, Fagner José Coutinho de melo Melo, Calline Neves de Queiroz Claudino and Denise Dumke de Medeiros
The implementation of quality in health services should go beyond legal, regulatory and purely technical obligations in relation to carrying out health insurance practices. The…
Abstract
Purpose
The implementation of quality in health services should go beyond legal, regulatory and purely technical obligations in relation to carrying out health insurance practices. The purpose of this paper is to present a management model that intends to equip private health care companies in favor of quality development from the use of a model for forming a competitive strategy in the supplementary health sector companies.
Design/methodology/approach
In this approach the proposed model is grounded on guiding procedures for the process of strategy formulation, with a systemic structure that separates in analysis involving the internal and external environment to the organization to verify the strategy that best applies. It is based on prescriptive strategy – the five competitive forces and, with adaptive strategy, the competition arenas.
Findings
Through the proposed model the analytical mechanisms of political-legal environments surrounding companies in the sector can be described, identify organizations and their process performance, study them, and perform comparative analysis of information between them. All of this development seeks to ensure the formation of policies, to guide strategic action in health insurance.
Originality/value
This work strongly contributes to the foundation and strengthening of strategic knowledge and has quality aimed at the study of the private health care market, due to the high degree of regulatory requirements by the state to the businesses, the environment turns into a chain of complex information that migrates from the condition of just meeting legal requirements, to also satisfying the demands of a hypercompetitive market.
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Milla Ratia, Jussi Myllärniemi and Nina Helander
As the health care sector is changing rapidly, there is a growing need to develop new ways to make data-driven decisions, especially at the organizational level. Data utilization…
Abstract
Purpose
As the health care sector is changing rapidly, there is a growing need to develop new ways to make data-driven decisions, especially at the organizational level. Data utilization, like business intelligence (BI) activities, benefits health care organizations. The purpose of this paper is to study the potential of Big Data and the utilization of BI tools in creating value in the private health care industry in Finland.
Design/methodology/approach
Intellectual capital (IC) components and Möller et al.’s (2005) work on value capabilities are used as a framework to point out the roles of data utilization and BI tools in value creation. Thematic interviews enable understanding of the value creation based on Big Data potential and utilization of BI tools in the Finnish private health care industry.
Findings
The findings will provide an understanding of the existing data sources and BI tools used in private health care. In addition, it provides an insight into the future-oriented Big Data potential, which can create new business concepts. The approach provides valuable insights for value identifying the future needs of data utilization and creates an understanding on the current state within the private health care sector.
Originality/value
Data-driven value creation is one of the most discussed topics in private health care sector. By analyzing the current data-source utilization, challenges with data and BI tool utilization and the future vision and development roadmaps, the authors gain a better understanding of the IC components and value creation capabilities.
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Health insurance in India has shown little development. It has not been able to evoke enthusiasm among Indian insurers. Consequently, several reports on Indian health care…
Abstract
Purpose
Health insurance in India has shown little development. It has not been able to evoke enthusiasm among Indian insurers. Consequently, several reports on Indian health care insurance have been produced. The purpose of this paper is to offer a review of this matter.
Design/methodology/approach
Critical review of related published and grey literature.
Findings
Almost 79 per cent of health expenditure is borne by private bodies and the rest by the public. Authors argue that to stimulate private health insurance growth, the Indian government should recognize health insurance as a separate line of business and distinguish it from other non‐life insurance. Particular emphasis is placed on the present health care scenario in India and international field generally. A global comparison of selected Asian countries, regarding their national incomes and health expenditure in public and private sectors, generates insights. Third party administrators (TPAs) facilitate a cashless health services for their customers and offer back‐up services to the insurance companies. Desired strategies and ways of furthering the role of the Insurance Regulatory and Development Authority in acting as a regulator for the purpose of ensuring the industry's smooth functioning is an issue for India's health services.
Originality/value
Information about the present complexities in the health insurance market has been gathered from various sources and summarized.
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Lucas Manoel Marques Clemente, Alexandre Pereira Salgado Junior, Eduardo Falsarella Júnior, Marco Antonio Alves de Souza Junior, Juliana Chiaretti Novi and Alexandre de Castro Moura Duarte
The purpose of this study was to identify a set of management practices towards financial sustainability for Brazilian private health insurance and plans companies.
Abstract
Purpose
The purpose of this study was to identify a set of management practices towards financial sustainability for Brazilian private health insurance and plans companies.
Design/methodology/approach
The present paper uses a bimodal two-step approach. The first step was quantitative, with the data envelopment analysis (DEA) technique in 521 Brazilian private health companies (PHCs). At this stage, the objective was to obtain scores to rank the PHCs regarding their financial performance and services in 2013. From the quantitative analysis, two PHCs displaying contrasting performances were selected and interviewed to identify differentiating management practices.
Findings
The Group Medicine PHCs displayed a higher performance in the financial approach. Following the qualitative comparative analysis, the financially sustainable PHC presented the following differentials: a high level of financial management professionalization, a deliberate policy for the control and prevention of claims and a larger share of revenues from health plans over service revenues.
Research limitations/implications
However, a limitation of the study lies in the fact that by not using any cash flow or financial result variables, the financial efficiency model used in the study does not evaluate the generation capacity of long-term results. It is noteworthy that, because it is a multiple case study, the results found cannot be generalized and should be understood only as characteristics of the studied PHCs in here.
Practical implications
The present paper can contribute to managers of Brazilian PCHs towards the implementation of management tools aimed at the sustainability of those organizations.
Originality/value
Despite the importance of the Supplemental Health Insurance System for public health in Brazil, PHCs have received a high volume of complaints and struggled with constant financial problems.
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Unai Arzubiaga, Francesco Schiavone, Talal Ali Mohamad and Junsong Chen
The purpose of this study is to explore the marketing success factors of an international private healthcare company operating in Lebanon and examine how these factors evolve…
Abstract
Purpose
The purpose of this study is to explore the marketing success factors of an international private healthcare company operating in Lebanon and examine how these factors evolve depending on different business phases.
Design/methodology/approach
An extreme single-case study of a Lebanese healthcare center was conducted. The data sources consisted of semi-structured interviews and archival data including industry reports, newspaper articles and internal documents.
Findings
This study offers interesting, non-studied insights into marketing success factors in the private healthcare sector. In particular, it shows how to evolve from more traditional business models to disruptive yet very attractive personalized services with high-quality standards.
Research limitations/implications
While the theoretical position developed fits the unique characteristics of the studied industry and country settings, it is necessary to be cautious in generalizing the study to other geographical settings and industries.
Practical implications
This research provides managers and decision-makers with insights into how to identify, organize and develop success factors in the marketing discipline during different business phases of private healthcare organizations.
Originality/value
This study contributes to the scarce literature on the marketing of private healthcare organizations by exploring success factors in a non-studied geographical and cultural context.
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Jeremias Lachman, Ezequiel Tacsir and Martín Pereyra
The purpose of this paper is to study the lemon and citrus clusters in Argentina and Uruguay, in which the central role of public-private coordination in ensuring successful…
Abstract
Purpose
The purpose of this paper is to study the lemon and citrus clusters in Argentina and Uruguay, in which the central role of public-private coordination in ensuring successful participation in global value chains. International agrifood markets are increasingly segmented in terms of quality, plant health and safety standards, requiring the implementation of reliable traceability systems and certifications of good practices. These requirements call for the alignment of various actors – including private companies, plant health organizations, science and technology institutions – behind a common interest.
Design/methodology/approach
This study employed a series of case studies to answer the research question. Thus, the study conducted 30 in-depth semi-structured interviews with stakeholders from different public and private organizations (18 for the Argentinean case and 12 for Uruguay). This fieldwork took place between June and November 2020, where all interviews were recorded.
Findings
The clusters studied here exemplify how these challenges can be successfully met. In turn, these achievements not only represent new export opportunities, employment generation, attraction of foreign direct investment (or the opening of subsidiaries in other countries by one of the local companies) but also the possibility for small producers to benefit from a novel array of sectoral public goods and institutions that have the potential to contribute to their growth.
Research limitations/implications
The adoption of a case study method limits the generalization of results.
Originality/value
This study sheds light on how public–private cooperation spaces and the provision of public goods might boost fruit exports.
Markus Kantola, Hannele Seeck, Albert J. Mills and Jean Helms Mills
This paper aims to explore how historical context influences the content and selection of rhetorical legitimation strategies. Using case study method, this paper will focus on how…
Abstract
Purpose
This paper aims to explore how historical context influences the content and selection of rhetorical legitimation strategies. Using case study method, this paper will focus on how insurance companies and labor tried to defend their legitimacy in the context of enactment of Medicare in the USA. What factors influenced the strategic (rhetorical) decisions made by insurance companies and labor unions in their institutional work?
Design/methodology/approach
The study is empirically grounded in archival research, involving an analysis of over 9,000 pages of congressional hearings on Medicare covering the period 1958–1965.
Findings
The authors show that rhetorical legitimation strategies depend significantly on the specific historical circumstances in which those strategies are used. The historical context lent credibility to certain arguments and organizations are forced to decide either to challenge widely held assumptions or take advantage of them. The authors show that organizations face strong incentives to pursue the latter option. Here, both the insurance companies and labor unions tried to show that their positions were consistent with classical liberal ideology, because of high respect of classical liberal principles among different stakeholders (policymakers, voters, etc.).
Research limitations/implications
It is uncertain how much the results of the study could be generalized. More information about the organizations whose use of rhetorics the authors studied could have strengthened our conclusions.
Practical implications
The practical relevancy of the revised paper is that the authors should not expect hegemony challenging rhetorics from organizations, which try to influence legislators (and perhaps the larger public). Perhaps (based on the findings), this kind of rhetorics is not even very effective.
Social implications
The paper helps to understand better how organizations try to advance their interests and gain acceptance among the stakeholders.
Originality/value
In this paper, the authors show how historical context in practice influence rhetorical arguments organizations select in public debates when their goal is to influence the decision-making of their audience. In particular, the authors show how dominant ideology (or ideologies) limit the options organizations face when they are choosing their strategies and arguments. In terms of the selection of rhetorical justification strategies, the most pressing question is not the “real” broad based support of certain ideologies. Insurance company and labor union representatives clearly believed that they must emphasize liberal values (or liberal ideology) if they wanted to gain legitimacy for their positions. In existing literature, it is often assumed that historical context influence the selection of rhetorical strategies but how this in fact happens is not usually specified. The paper shows how interpretations of historical contexts (including the ideological context) in practice influence the rhetorical strategies organizations choose.
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This chapter analyzes the tourism industry from national and regional perspectives, in order to understand the past and current trends in Costa Rica’s positioning and branding…
Abstract
This chapter analyzes the tourism industry from national and regional perspectives, in order to understand the past and current trends in Costa Rica’s positioning and branding attributes and strategies for tourism development. The intent here is not to provide an exhaustive comprehensive literature review of academic research on country branding; and so it is by all means a case study as it describes the evolution of the tourism industry in Costa Rica – including the transformative stages the country went through since the 1980s – as planned tourism national management programs evolved toward reaching the target of creating a nature-based tourism brand. The medical industry and then medical tourism industries are analyzed in a global basis and the US market is examined in detail because of its potential to develop a new complementary niche for Costa Rica’s tourism industry. The chapter intends to asses Costa Rica’s potential to become a country brand in medical tourism, leveraged on its natural tourism destination branding status quo.
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Simon Bishop and Justin Waring
The purpose of this paper is to investigate the impact of recent outsourcing and public‐private partnership (PPPs) arrangements on the consistency of professional employment in…
Abstract
Purpose
The purpose of this paper is to investigate the impact of recent outsourcing and public‐private partnership (PPPs) arrangements on the consistency of professional employment in health care.
Design/methodology/approach
A case study methodology is applied.
Findings
The paper finds that multiple arrangements for employment within the ISTC creates numerous sources for inconsistency in employment: across the workplace, within professional groups and with national frameworks for health care employment. These are identified as having implications for organisational outcomes, threatening the stability of current partnerships, and partially stymieing intended behavioural change.
Research limitations/implications
The study is a single case study of an independent sector treatment centre. Future research is required to investigate wider trends of employment in heterogeneous outsourcing and PPP arrangements.
Practical implications
The paper informs both managers and clinical professionals of the unanticipated complexities and practical challenges that can arise in partnerships and outsourcing arrangements.
Originality/value
The paper presents a unique in‐depth investigation of employment within recently established ISTCs, and highlights important employment changes for the core health care workforce and high‐status professionals in the evolving health care organisational landscape.
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