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1 – 6 of 6Sina Furnes Øyri, David W. Bates and Siri Wiig
The authors compare perspectives on external evaluation of health service provision between Norway and the USA. External inspection and accreditation are examples of…
Abstract
Purpose
The authors compare perspectives on external evaluation of health service provision between Norway and the USA. External inspection and accreditation are examples of internationally wide-spread external evaluation methods used to assess the quality of care given to patients. Different countries have different national policy strategies and arrangements set up to do these evaluations. Although there is growing attention to the impact and effects on quality and safety from external evaluation, there is still a gap in knowledge to how structures and processes influence these outcomes. Accordingly, the purpose of this article is to describe the structures and processes in external evaluation designed to promote quality improvement in Norway and the USA with attention to comparison of enablers and barriers in external evaluation systems.
Design/methodology/approach
Data collection consisted of documentary evidence retrieved from governmental policies, and reviews of the Joint Commission (the US), international guidelines, recommendations and reports from the International Society for Quality in Health Care, and the World Health Organization, and policies and regulations related to Norwegian governmental bodies such as the Ministry of Health and Care Services, the Norwegian Directorate of Health, and the Norwegian Board of Health Supervision . Data were analyzed inspired by a deductive, direct content analytical framework.
Findings
The authors found that both accreditation and inspection are strategies put in place to ensure that healthcare providers have adequate quality systems as well as contributing to the wider risk and safety enhancing management and implementation processes in the organizations subjected to evaluation. The US and the Norwegian external regulatory landscapes are complex and include several policymaking and governing institutions. The Norwegian regulatory framework for inspection has replaced an individual blame logic with a model which “blames” the system for inadequate quality and patient harm. This contrasts with the US accreditation system, which focuses on accreditation visits. Although findings indicate an ongoing turning point in accreditation, findings also demonstrate that involving patients and next of kin directly in adverse event inspections is a bigger part of a change in external inspection culture and methods than in processes of accreditation.
Research limitations/implications
The message of this paper is important for policymakers, and bodies of inspection and accreditation because knowledge retrieved from the comparative document study may contribute to better understanding of the implications from the different system designs and in turn contribute to improving external evaluations.
Originality/value
Although there is a growing attention to the impact and effects on quality and safety from external evaluation, the implications of different regulatory strategies and arrangements for evaluation on quality and safety remain unclear.
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Erik Velasco and Elvagris Segovia
Waiting for a bus may represent a period of intense exposure to traffic particles in hot and noisy conditions in the street. To lessen the particle load and tackle heat in bus…
Abstract
Purpose
Waiting for a bus may represent a period of intense exposure to traffic particles in hot and noisy conditions in the street. To lessen the particle load and tackle heat in bus stops a shelter was equipped with an electrostatic precipitator and a three-step adiabatic cooling system capable of dynamically adjust its operation according to actual conditions. This study evaluates the effectiveness of the Airbitat Oasis Smart Bus Stop, as the shelter was called, to provide clean and cool air.
Design/methodology/approach
The particle exposure experienced in this innovative shelter was contrasted with that in a conventional shelter located right next to it. Mass concentrations of fine particles and black carbon, and particle number concentration (as a proxy of ultrafine particles) were simultaneously measured in both shelters. Air temperature, relative humidity and noise level were also measured.
Findings
The new shelter did not perform as expected. It only slightly reduced the abundance of fine particles (−6.5%), but not of ultrafine particles and black carbon. Similarly, it reduced air temperature (−1 °C), but increased relative humidity (3%). Its operation did not generate additional noise.
Practical implications
The shelter's poor performance was presumably due to design flaws induced by a lack of knowledge on traffic particles and fluid dynamics in urban environments. This is an example where harnessing technology without understanding the problem to solve does not work.
Originality/value
It is uncommon to come across case studies like this one in which the performance and effectiveness of urban infrastructure can be assessed under real-life service settings.
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Chen Zhu, Timothy Beatty, Qiran Zhao, Wei Si and Qihui Chen
Food choices profoundly affect one's dietary, nutritional and health outcomes. Using alcoholic beverages as a case study, the authors assess the potential of genetic data in…
Abstract
Purpose
Food choices profoundly affect one's dietary, nutritional and health outcomes. Using alcoholic beverages as a case study, the authors assess the potential of genetic data in predicting consumers' food choices combined with conventional socio-demographic data.
Design/methodology/approach
A discrete choice experiment was conducted to elicit the underlying preferences of 484 participants from seven provinces in China. By linking three types of data (—data from the choice experiment, socio-demographic information and individual genotyping data) of the participants, the authors employed four machine learning-based classification (MLC) models to assess the performance of genetic information in predicting individuals' food choices.
Findings
The authors found that the XGBoost algorithm incorporating both genetic and socio-demographic data achieves the highest prediction accuracy (77.36%), significantly outperforming those using only socio-demographic data (permutation test p-value = 0.033). Polygenic scores of several behavioral traits (e.g. depression and height) and genetic variants associated with bitter taste perceptions (e.g. TAS2R5 rs2227264 and TAS2R38 rs713598) offer contributions comparable to that of standard socio-demographic factors (e.g. gender, age and income).
Originality/value
This study is among the first in the economic literature to empirically demonstrate genetic factors' important role in predicting consumer behavior. The findings contribute fresh insights to the realm of random utility theory and warrant further consumer behavior studies integrating genetic data to facilitate developments in precision nutrition and precision marketing.
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Dolores Rando Cueto, Carmen Jambrino-Maldonado, Gloria Jiménez-Marín and Patricia P. Iglesias-Sánchez
Organizational happiness has received exponential attention in recent years. To offer an over-view for future research gap, this article produces a comprehensive review by…
Abstract
Purpose
Organizational happiness has received exponential attention in recent years. To offer an over-view for future research gap, this article produces a comprehensive review by combining bibliometric analysis and interviews to key authors in the field. The main objective of this paper is to show the state of research regarding the environment in the management of happiness in organizations: the evolution of scientific activity, current trends in authorship, topics and future setting research agenda.
Design/methodology/approach
The methodological process focuses on a mixed method. A systematic review of the relevant literature; bibliometric analysis and network mapping in the Web of Science and Scopus data-bases; bibliometric network analysis of authorship, citation and co-occurrence of key words in scientific publications.
Findings
The results reveal that happiness management is gaining importance and, moreover, more than half of the publications about happiness management are related to the environment in which the organizations are immersed. Therefore, the study provides some research directions and insists on role of environment to better understand the theoretical and practical perspectives. Likewise, bibliometric analysis and interviews allow to measure quality, impact, productivity and scientific evolution which are increasingly valued in order to identify the main concepts and topics that are considered key, drivers of research and those gaps that should be addressed in future research work for the conceptual framework of happiness management in organizations.
Originality/value
Conclusions are drawn that promoting corporate social responsibility strategies, aimed at fostering sustainability and care for the environment result in the well-being of organizations and the performance of their workers are highlighted.
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Sahar Daghagh Yazd, Mehmet Akif Karaman, Salma Fathi, Areej Alsarraf, Shaikhah Alajmi, Sahab Rutabian and Manya Aladwani
This study aims to explore how factors such as working conditions, lifestyle choices and demographic characteristics may affect the mental health of industrial workers in Kuwait.
Abstract
Purpose
This study aims to explore how factors such as working conditions, lifestyle choices and demographic characteristics may affect the mental health of industrial workers in Kuwait.
Design/methodology/approach
Within the scope of the study’s objective, the authors reached 400 industrial workers (228 male, 172 female) working in oil and gas organizations in Kuwait. An ordered logistic regression model was conducted to examine the effect of relevant independent variables on workers’ mental health.
Findings
Result indicated that employees with a lower education level (p-value = 0.015), employees who were smokers (p-value = 0.004) and employees with night shifts (p-value = 0.019), were more likely to experience mental health issues. Furthermore, result strongly highlights a higher chance of experiencing mental health problems among the workers who had longer working times (p-value = 0.000). On the other hand, having children (p-value = 0.042), visiting a mental health professional (p = 0.014) and living in a house with others (flat mate, family members, etc.) (p-value = 0.016) were statistically significant factors to improve employees’ mental health. Surprisingly, the authors’ research did not find a significant relationship between the mental health issues experienced by employees and their yearly income.
Originality/value
The paper lies in its exploration of the impact of working conditions, lifestyle choices and demographic factors on mental health of industrial workers using statistical approach. By applying ordered logistic regression, this study uncovers new insights into mental health of industrial workers.
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A deteriorating security situation and an increased need for defence equipment calls for new forms of collaboration between Armed Forces and the defence industry. This paper aims…
Abstract
Purpose
A deteriorating security situation and an increased need for defence equipment calls for new forms of collaboration between Armed Forces and the defence industry. This paper aims to investigate the ways in which the accelerating demand for increased security of supply of equipment and supplies to the Armed Forces requires adaptability in the procurement process that is governed by laws on public procurement (PP).
Design/methodology/approach
This paper is based on a review of current literature as well as empirical data obtained through interviews with representatives from the Swedish Defence Materiel Administration and the Swedish defence industry.
Findings
Collaboration with the globalized defence industry requires new approaches, where the PP rules make procurement of a safe supply of defence equipment difficult.
Research limitations/implications
The study's empirical data and findings are based on the Swedish context. In order to draw more general conclusions in a defence context, the study should be expanded to cover more nations.
Practical implications
The findings will enable the defence industry and the procurement authorizations to better understand the requirements of Armed Forces, and how to cooperate under applicable legal and regulatory requirements.
Originality/value
The paper extends the extant body of academic knowledge of the security of supply into the defence sector. It serves as a first step towards articulating a call for new approaches to collaboration in defence supply chains.
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