Search results

Sustainable solutions for meeting the physical, emotional and social health care needs of individuals may be realized by shifting the care landscape; for instance, through innovative models of service-integrated housing (SIH). By diversifying populations in these settings, care recipients can choose to engage their skills and abilities toward assisting co-residents, and vice versa as a form of symbiosis. The purpose of this paper is to define attributes of the concept and practice of symbiotic care.

The authors drew on firsthand field experience and secondary data from a literature review to conduct a conceptual derivation and analysis, using Walker and Avant’s methodology. The term symbiotic mutualism was derived from the field of biology as an analogy for care exchanged between non-peer co-residents. Attributes, antecedents and consequences of symbiotic care were identified and illustrated using model, borderline and contrary case descriptions.

Four defining attributes of symbiotic care were identified: first, cohabitation: care recipients live closely together in SIH settings. Second, non-peer: co-residents have distinct, complementary needs and abilities. Third, mutualism: co-residents experience mutually significant benefits as a result of the activities of their co-residents. Fourth, agency-sponsored: the professional SIH agency or organization attends to unmet resident needs.

Symbiotic care is a relatively rare phenomenon for which little research exists. This analysis provides a starting point for empirical research, policy and program development and critical evaluation.

This paper fills a wide gap in the research literature and offers important terminology. It is the first to define the attributes of symbiotic care.

The purpose of this paper is to make a case for the strength of qualitative work, but more specifically for various kinds of ethnographies.

The authors argue that global neoliberal and audit culture policies have crept into academic research, tertiary education practice, and research culture.

The authors then discuss major tenets of and make the case for the use of auto-, duo-, and collaborative-ethnographies as caring practices and research method(ologies) that may in fact push back against such hegemonic neoliberal practices in the academy. Finally, the authors link these caring types of ethnographies to the papers within this special issue.

This is an original look at the concepts of auto-, duo-, and collaborative-ethnographies with relation to caring practices.

Patients are often ill‐equipped to know which speciality to choose for their health problem. Especially in the presence of non‐specific symptoms, choosing the right specialist might not be so obvious. In such cases, misdirected self‐referrals by patients to self‐chosen specialists can sometimes lead to misdiagnosis resulting in unwarranted delays in getting the right treatment. The general physicians, on the other hand, are in a unique position to oversee the big picture of patients’ health, and are therefore better equipped to identify and sort out their individual health problems. Hence instead of a specialist if the first place of contact for patients is a general physician, they are likely to be guided along the right path of treatment for their various health problems. Such a system will minimize errors on the part of the patients by making certain that they are referred to the appropriate specialists.

Throughout Europe, there is an increasing number of independently living chronically ill patients who suffer from multiple and complex health problems. Several organisations which, individually, are not able to deliver all of the necessary services to these so‐called multiple problem patients, are involved in providing for their care. In countries like Sweden, the UK and The Netherlands, national governments consider co‐operation between providers to be essential in meeting the demands of these patients. In order to promote co‐operation, governments must know why and how particular relationships between providers come about. We argue that the nature of (resource) dependencies that are conditioned, shaped and secured by institutions determine the characteristics of these relationships. Using Dutch data, we illustrate the effect of legislation and government policies on dependencies and relationships. We indicate how government policy makers can shape dependence that is favourable to co‐operation.

The purpose of this study is to highlight the role that service firms can play to improve societal health and create symbiotic value, defined as value created as a result of collaborative relationships between the firm, its employees, customers and the communities in which it operates.

This manuscript examines the case of Millennials as they make up a dominant portion of the current workforce in society and proposes a conceptual framework for symbiotic value creation.

This study identifies the need to develop supporting mechanisms for the growing role of Millennials as employees and members of society that ultimately, in turn, create symbiotic value.

The paper proposes an integrative framework beyond the traditional and siloed examination of linkages between employee, customer, firm and society, creating new opportunities for extending a service theory and practice.

The purpose of this paper is to explore the concepts of Swedish integrated health care, their state of development and interdependence, and, furthermore, evaluate whether the theoretical framework used improves the comprehension of why integrated health care arrangements endure or cease.

The study is founded on descriptive data gathered from a literature search on integrated health care in Sweden. With inspiration from ecology theory, these data were analysed guided by a theoretical model based on a continuum of symbiotic effects, from antagonism to mutualism.

The era of Swedish integrated health care started in the 1990s, when a kind of clinical network called chains of care was launched. At the beginning the chain of care development was predominantly surrounded by non‐integrative conditions, which had a restraining effect on these efforts. Even so, it seems that chains of care are here to stay. This faith in chains of care can to some extent be explained by the crucial role they have as connectors in the emerging local health care systems. Thus, these systems need chains of care to evolve and chains of care seem to require the integrative framework of local health care to progress and endure. Integrated health care performance could be troublesome, unless such mutualistic conditions are in place. States of commensalism may also be promoted, but the advantages are unilateral and therefore there is a risk of disloyalty by the unaffected part, which, in turn, can create a breeding‐ground for an antagonistic liaison.

A theoretical approach founded on what may be called “Health Care System Ecology” appears to enhance the understanding of the complex logic of integrated health care.

The purpose of this paper is to investigate whether and to what extent different forms of symbiotic relationships (named mutualism and collaboration) within a usage centre lead to different levels of value in use for its resource integrators. This study focusses on the educational services provided in deprived neighbourhoods to potentially vulnerable adolescents.

This study applies a two-phase sequential exploratory mixed-method design. The first phase included a qualitative study that involved both the focal (the students) and peripheral resource integrators (the students’ parents) of a Brazilian educational institution that had exceptional results. The qualitative findings were used to build a comparative multi-group survey with four subgroups in which 530 peripheral resource integrators participated.

A mutualistic educational institution in which the participation of students’ parents is mandatory creates more value in use than collaborative institutions in which parental participation is optional. In the context of educational services for vulnerable adolescents, value in use is echoed in the coexistence of families, greater caring about the students, and the encouragement from the adolescents’ positive beliefs about education and respectful relationships with others.

Initiatives aimed at addressing social issues regarding children or adolescents in situations of vulnerability will achieve better results if their families are contemplated and involved.

This study is the first to empirically test Kleinaltenkamp et al.’s usage centre framework (2017). In so doing, the study advances the understanding of how the interdependence of actors in the usage processes leads to value creation for vulnerable populations.

The purpose of this work is to add to professional practice and academia information related specifically to health care supply chain management and to demonstrate how an existing health care management model can be applied to supply chain operations.

Employing a review of practice‐oriented literature related to the patient‐centered medical home model this work examines and expounds on the implications and applicability toward more effective supply chain management.

This paper presents a discourse in evaluating health care supply chain management processes to place more emphasis on interactive customer relationships, collaborative communications, and more effective support to health care operations.

An effective health care supply chain operation involves key tenets of ensuring that the right products are provided to the right customer in a timely manner. While this discussion is directed specifically toward health care, the principles are applicable across a wide array of industries.

Health care logistics involves a symbiotic relationship among multi‐disciplined, multifaceted stakeholders working closely together and leveraging one another, patients, and technology to produce a desired outcome related to cost effective processes and business practices.

While existent literature provides information related to the effective management of logistics (outside of health care organizations) little information is directly concerned with operations within a health care environment. In an applied sense, this article provides practitioners with concepts related to cost reduction and effective supply chain management.

The purpose of this study is to understand the bi-directional causal relationship (regular and reverse causation) between employee well-being and organizational health, which is grounded in the micro-foundations of institutional theory.

In this study, employee well-being has two facets: work engagement and burnout. The positive aspect of employee well-being has been conceptualized by work engagement, whereas the negative aspect has been conceptualized with the help of burnout. As concurrent triangulation method was adopted, the qualitative data, as well as quantitative data, was collected from various laboratories of Council of Scientific and Industrial Research – an Indian research and development organization.

The findings did not show the existence of a symbiotic relationship between employee well-being and organizational health. The findings indicated the existence of a significant positive relationship between organizational health and employee well-being, but the reverse effect was found to be non-significant. This shows that when organizational health is good, employees’ health will also be good but not vice versa.

This study shows that health is not a static state, and so, at any given point in time, employee well-being cannot have a positive relationship with organizational health. Employee engagement helps enhance organizational health, whereas burnout can hinder organizational health if not properly mitigated.

This paper explores the overlapping domains of business/firm and family. Suggests that the descriptor of “joint careers” is preferable to that of symbiotic careers. Describes what we term the primary career and auxiliary career which often go to make up a joint career. Both strands of career are a prerequisite for the resilience and success of the family business. The example of youth entrepreneurship is dealt with to show the possibility of an inversion of the traditional roles with the parents’ career becoming ancillary to that of their offspring. Empirical observations from New Zealand are drawn on to illustrate our discussion. It is hoped that ideas discussed in this paper will aid the understandings of further dimensions and properties of the “thread” of the theory of the boundaryless career and help move forward the research agenda on the united career trajectory.