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As healthcare continues to become more expensive and complex, considering the voice of the patient in the design and operation of healthcare practices is important. Wound care and rural healthcare scenarios pose additional complexities for providers and patients. This study sought to identify key determinants of patient service quality in wound care.

Patients at the wound care/ostomy clinic (WOC) in a rural hospital were surveyed using the Kano model. The Kano model enables the categorization of quality attributes based on the attributes' contribution to the subject's overall satisfaction (and dissatisfaction). Chi-square goodness-of-fit testing, multinomial analysis and power analysis were then used to determine the Kano categories for each satisfaction-related attribute.

The analyses resulted in 14 one-dimensional attributes and 3 indeterminable attributes. For the one-dimensional attributes, customer satisfaction is directly proportional to the level of performance for that attribute. The one-dimensional attributes included providing correct care on the first, provision of necessary supplies for care, appropriately qualified medical staff and confidence in care provided by medical staff, among others. Understanding the attributes important to the patient drive patient-centered care, which improves positive patient outcomes and recovery. These attributes can then be used by healthcare professionals to design patient-centric processes and services. This research provides a framework for incorporating the voice of the patient into healthcare services.

While the research methodology can be used in other healthcare settings, the findings are not generalizable to other wound care clinics. This research was conducted in one small, rural hospital. In addition, the sample size was small due to the size of the wound clinic; therefore, an analysis of the differences between demographics could not be performed.

Considering the perspectives of rural wound care patients is important, as the patients are an under-served population with unique challenges related to patient care. The research findings detail rural patients' expectations during wound care treatments, which enable the clinic to focus on improving patient satisfaction. This research contributes to understanding the factors that are important to patient satisfaction in wound care. Further, the methodology presented can be applied to other healthcare settings.

While studies exist using the Kano model in healthcare and the literature is sparse in rural healthcare, this is the first case study using the Kano model in wound care to understand patient preferences.

This paper aims to provide a preliminary systemic portrayal of risk relationships in the context of critical infrastructures (CIs) during disasters and assess the adequacy of the Hyogo Framework in addressing such relationships and the resultant cascading effects.

Using a systems thinking approach, this study views CIs as complex systems operating in the context of broader societies and disaster conditions. Using a causal loop diagramming technique, relationships across a large number of variables are mapped to capture pathways for cascading effects across CIs. This theoretical understanding is supplemented by cascading effects seen during the 2011 Japanese disaster. The Hyogo Framework indicators are mapped both to causal variables and disaster events to identify gaps. Data on cascading effects were collected from journals, news articles and reports by governments and NGOs.

The Hyogo Framework does not address facilitation by the host country of international aid during disasters; identification of infrastructure interdependencies and prioritization planning for recovery operations; national risk assessments that account for interrelated disasters; and private sector’s need to understand CIs’ dependencies and establish robust continuity plans that account for potential infrastructure failures.

This paper is the first attempt to assess the Hyogo Framework’s potential in addressing risk relationships and cascading effects. The knowledge provided in the paper is derived from the synthesis of previous cascading effects’ literature and examination of a real-life disaster. Findings are applicable to any disaster risk reduction initiative that seeks to anticipate and mitigate risk relationships and their implications for CIs during disasters.

Over half of the US states have jettisoned an exclusive focus on profit maximization for shareholders and created new corporate structures, called “benefit corporations”, which give equal standing to the achievement of social and environmental objectives. This paper aims to examine the factors leading to adoption of legislation for the business formation of benefit corporations by the US states.

Event History Analysis (EHA), a time-series technique using panel data of non-repeatable events, is used to identify and understand economic, political and diffusion factors that affect the adoption of benefit corporation enabling legislation in the US states.

The results strongly indicate that politics matters – states in which the Democratic Party or liberal ideology controls governmental functions are more likely to pass these laws. There is also evidence that states that are more innovative in their approach to policy-making are more likely to adopt these laws. Otherwise, unemployment, tax burden, political culture, enacted constituency statutes and geographic diffusion have no discernible relationship with the adoption of benefit corporation laws.

The paper provides warning signs to firms considering expending costly resources on the establishment of or conversion to benefit corporation status and the related investment in developing skills for the preparation, review and assurance of required annual benefit corporation reporting.

The findings suggest future adoption of benefit corporation enabling laws may slow considerably.

This study aims to examine the effect of state-level legal risk on audit fee pricing in the USA. This study hypothesizes that auditors are more likely to charge higher audit fees to clients headquartered in states with higher legal risk in terms of probability of being sued, expected size of damages allocated to the auditors and breadth of third parties able to claim damages.

This study hypothesizes that higher state-level legal risk leads to higher audit fees. To test this, this study estimates ordinary least squares regressions of audit fees for 56,576 company years from 2001 to 2018 with the three measures of state legal risk and other factors known to affect audit fees.

This study finds that state-level legal risk is positively associated with audit fee pricing for two of three measures. Interestingly, the third measure, breadth of third parties able to claim damages, is negatively associated with audit fees.

To the best of the authors’ knowledge, this paper fulfills an identified need and is the first study to comprehensively test the association between state-level differentials in legal risk and audit fees.

This research provides accounting-ethics authors and administrators with a benchmark for accounting-ethics research. While Bernardi and Bean (2010) considered publications in business-ethics and accounting’s top-40 journals this study considers research in eight accounting-ethics and public-interest journals, as well as, 34 business-ethics journals. We analyzed the contents of our 42 journals for the 25-year period between 1991 through 2015. This research documents the continued growth (Bernardi & Bean, 2007) of accounting-ethics research in both accounting-ethics and business-ethics journals. We provide data on the top-10 ethics authors in each doctoral year group, the top-50 ethics authors over the most recent 10, 20, and 25 years, and a distribution among ethics scholars for these periods. For the 25-year timeframe, our data indicate that only 665 (274) of the 5,125 accounting PhDs/DBAs (13.0% and 5.4% respectively) in Canada and the United States had authored or co-authored one (more than one) ethics article.

The traditional and most common conception of cause lawyers has viewed them as necessarily oppositional to the state, leftist, and, at best, transgressive. This conception is significant to our analysis because of its tendency to treat “the state” as a rather singular arena of power – an “it” – rather than a multi-dimensional entity made up of competing institutions and personnel. Following work on the disaggregated and embedded state, we suggest that conflict and competition among state institutions and state personnel allow cause lawyers and state actors to engage in mutually-beneficial action in service of their agendas. Litigation has important benefits for both cause lawyers and state actors: within the arena of law, processes that usually require the backing of large constituencies in the context of majoritarian institutions require, instead, convincing legal arguments. We briefly present evidence from two highly disparate cases of similar processes of interaction among cause lawyers and state actors in Vermont and Israel, which we believe indicates that this type of interaction is far from idiosyncratic.

The purpose of this paper is to report on papers presented at the ninth annual Southern African online user group conference on 3‐5 June 2008 in Pretoria.

Conference report.

The focus was very much on the changes facing librarians daily, changes in users as well as in technology. This was addressed in subthemes such as the Google generation, news alerting services, institutional repositories and end‐user training.

Librarians must be on the forefront of innovative use of technology if they are to attract and retain the new users.