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Article
Publication date: 29 July 2020

Ginevra Gravili, Francesco Manta, Concetta Lucia Cristofaro, Rocco Reina and Pierluigi Toma

The aim of this paper is to analyze and measure the effects of intellectual capital (IC), i.e. human capital (HC), relational capital (RC) and structural capital (SC), on…

Abstract

Purpose

The aim of this paper is to analyze and measure the effects of intellectual capital (IC), i.e. human capital (HC), relational capital (RC) and structural capital (SC), on healthcare industry organizational performance and understanding the role of data analytics and big data (BD) in healthcare value creation (Wang et al., 2018). Through the assessment of determined variables specific for each component of IC, the paper identifies the guidelines and suggests propositions for a more efficient response in terms of services provided to citizens and, specifically, patients, as well as predicting effective strategies to improve the care management efficiency in terms of cost reduction.

Design/methodology/approach

The study has a twofold approach: in the first part, the authors operated a systematic review of the academic literature aiming to enquire the relationship between IC, big data analytics (BDA) and healthcare system, which were also the descriptors employed. In the second part, the authors built an econometric model analyzed through panel data analysis, studying the relationship between IC, namely human, relational and structural capital indicators, and the performance of healthcare system in terms of performance. The study has been conducted on a sample of 28 European countries, notwithstanding the belonging to specific international or supranational bodies, between 2011 and 2016.

Findings

The paper proposes a data-driven model that presents new approach to IC assessment, extendable to other economic sectors beyond healthcare. It shows the existence of a positive impact (turning into a mathematical inverse relationship) of the human, relational and structural capital on the performance indicator, while the physical assets (i.e. the available beds in hospitals on total population) positively mediates the relationship, turning into a negative impact of non-IC related inputs on healthcare performance. The result is relevant in terms of managerial implications, enhancing the opportunity to highlight the crucial role of IC in the healthcare sector.

Research limitations/implications

The relationship between IC indicators and performance could be employed in other sectors, disseminating new approaches in academic research. Through the establishment of a relationship between IC factors and performance, the authors implemented an approach in which healthcare organizations are active participants in their economic and social value creation. This challenges the views of knowledge sharing deeply held inside organizations by creating “new value” developed through a more collaborative and permeated approach in terms of knowledge spillovers. A limitation is given by a fragmented policymaking process which carries out different results in each country.

Practical implications

The analysis provides interesting implications on multiple perspectives. The novelty of the study provides interesting implications for managers, practitioners and governmental bodies. A more efficient healthcare system could provide better results in terms of cost minimization and reduction of hospitalization period. Moreover, dissemination of new scientific knowledge and drivers of specialization enhances best practices sharing in the healthcare sector. On the other hand, an improvement in preventive medicine practices could help in reducing the overload of demand for curative treatments, on the perspective of sharply decreasing the avoidable deaths rate and improving societal standards.

Originality/value

The authors provide a new holistic framework on the relationship between IC, BDA and organizational performance in healthcare organizations through a systematic review approach and an empirical panel analysis at a multinational level, which is quite a novelty regarding the healthcare. There is little research focussed on healthcare industries' organizational performance, and, specifically, most of the research on IC in healthcare delivered results in terms of theoretical contribution and qualitative analyzes. The authors even contributed to analyze the healthcare industry in the light of the possible existence of synergies and networks among countries.

Details

Journal of Intellectual Capital, vol. 22 no. 2
Type: Research Article
ISSN: 1469-1930

Keywords

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Article
Publication date: 26 June 2020

Teresa Anna Rita Gentile, Rocco Reina, Ernesto De Nito, Davide Bizjak and Paolo Canonico

According to Fee (2009), e-learning systems have three components: technology, learning content and e-learning design. Few studies have examined e-learning design as an…

Abstract

Purpose

According to Fee (2009), e-learning systems have three components: technology, learning content and e-learning design. Few studies have examined e-learning design as an educational process, although universities are increasingly using e-learning as they become more entrepreneurial. This article aimed to investigate how universities approach e-learning design.

Design/methodology/approach

The study used a mixed methods approach. First, the authors carried out a quantitative analysis of the websites of the top 100 European universities in the Quacquarelli Symonds Ranking. The authors then moved to a qualitative approach, analyzing a pilot case and three case studies. Semistructured interviews were conducted with managers of e-learning services at the chosen European universities.

Findings

The 100 best European universities in the Quacquarelli Symonds Rankings all use e-learning methods. The case study universities were selected from this list. The semistructured interviews with managers of e-learning services highlighted the importance of the design of e-learning courses. However, most focused on the professional figures involved, rather than the process for e-learning and the overall design of the course.

Originality/value

The article provides a detailed study of e-learning design in an educational context. The analysis of multiple case studies allowed the authors to identify how the selected universities carry out didactic design activity through the use of technology. It therefore contributes to knowledge of cases of digital academic entrepreneurship.

Details

International Journal of Entrepreneurial Behavior & Research, vol. 26 no. 7
Type: Research Article
ISSN: 1355-2554

Keywords

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Article
Publication date: 9 November 2012

Rocco Reina, Concetta Cristofaro, Assunta Lacroce and Marzia Ventura

The aim of the paper is the study of information systems as mechanisms to manage existing and widespread knowledge in health care organizations; this is a platform that

Abstract

Purpose

The aim of the paper is the study of information systems as mechanisms to manage existing and widespread knowledge in health care organizations; this is a platform that supports the processes of communication and knowledge sharing. The paper seeks to focus on the electronic medical record (EMR) as a tool to manage the integration of knowledge and operational information among health care through the coordination of the interdependencies.

Design/methodology/approach

The paper develops a methodology characterized by a mixed theoretical and analyzing the key documents on the context and literature on health information systems and an empirical part based on the use of semi‐structured interviews and questionnaires to the working group responsible for the project “medical records”.

Findings

The contributions of research can be found in the descriptive analysis obtained by the process of implementation of integrated medical records (IMRs) within the structures investigated. This can lead to highlight possible areas for improvement in the management of the construction and operation of the EMR.

Originality/value

The originality lies in the possibility of verifying the conditions of effective integration of knowledge to manage health problems, through the use of IMR as a mechanism for additional information. Possible value added is the description and encoding of knowledge available within the health departments.

Details

Measuring Business Excellence, vol. 16 no. 4
Type: Research Article
ISSN: 1368-3047

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Article
Publication date: 9 November 2012

Antonio Lerro

This editorial of the special issue of Measuring Business Excellence is devoted to introduce and discuss a knowledge‐based perspective of innovation and performance

Abstract

Purpose

This editorial of the special issue of Measuring Business Excellence is devoted to introduce and discuss a knowledge‐based perspective of innovation and performance improvement in health care (HC).

Design/methodology/approach

The approaches, evidences and insights discussed in this introduction are based on the discussion of the topics of the conference “International Forum on Knowledge Assets Dynamics” organised in June 2012 in Matera, Italy. After a brief analysis of the importance of the HC for research and practice related to the reform of HC sector that encompassed most OECD countries in the last 15 years and the diffusion of the new public management philosophy, the article presents a rationale explaining the roots and the meanings of a knowledge‐based perspective of innovation and performance improvement in HC. The model of the innovation cycle is introduced and discussed. Finally, the article provides an overview of the papers of the special issue.

Findings

At the conference, leading experts discussed the importance of identifying and managing new key‐value drivers in order to face emergent competitive scenarios, and research and management practices for addressing complexity, uncertainty and changes of today's business landscape. This article as well as all the contributions to the special issue provide useful implications both for research and practice. In particular they support the analysis about the resources, the assets, the processes, the factors and the contingency conditions playing a role in determining the improvement of the innovative capacity and consequently the global performance of the HC organisations.

Originality/value

This article – and the contributions to the special issue – deal with different aspects which are important in the discussion about how fostering innovation and performance improvement in HC organisations exploiting knowledge‐based factors. The articles also deal with the approaches, tools, methods and techniques that disentangle the mechanisms by which different knowledge‐based factors, separately or interdependently, contribute to improve HC organisations' innovation dynamics and organisational performance.

Details

Measuring Business Excellence, vol. 16 no. 4
Type: Research Article
ISSN: 1368-3047

Keywords

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