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1 – 10 of 110Russell Jaffe, Robert A. Nash, Richard Ash, Norman Schwartz, Robert Corish, Tammy Born, Harold Lazarus and ASIMP Working Group on Healthcare Transparency
Healthcare is an ever‐growing segment of the American economy. Transparency facilitates better decision‐making and better outcomes measures. The purpose of this paper is to…
Abstract
Purpose
Healthcare is an ever‐growing segment of the American economy. Transparency facilitates better decision‐making and better outcomes measures. The purpose of this paper is to present the human and economic results of increasing transparency.
Design/methodology/approach
The ASIMP Working Group on Healthcare Transparency represents a diverse yet conscilient group of practitioners, researchers, regulators, economists, and academics. Given the need for re‐envisioning healthcare to include more accountability, evidence of efficacy and transparency, this integrative medicine (ASIMP) working group is suitable to address the above purpose.
Findings
Substantial opportunity exists to reduce morbidity and mortality, suffering and excess death, unnecessary costs and risks. Greater transparency facilitates the transition to safer, more effective, more humane healthcare.
Research limitations/implications
This paper starts from a need to improve clinical outcomes and value for resources devoted. Best efforts of a national working group are presented. The implications of the report, when tested, will determine the enduring value of this work.
Practical implications
Consumers and business, administrators and practitioners can improve care at lower cost by increasing transparency. This will accelerate the diffusion of effective approaches that are not yet in widespread use despite replication of efficacy.
Originality/value
This is the first time an integrative approach has been compared with conventional healthcare models, particularly with regard to the role of transparency in healthcare management.
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Russell Jaffe, Robert A. Nash, Richard Ash, Norm Schwartz, Robert Corish, Tammy Born, James P. Carter and Harold Lazarus
Healthcare is both the largest (17 + percent) and the most rapidly growing (three plus times the consumer product index (measure of inflation) and half a percent of gross domestic…
Abstract
Purpose
Healthcare is both the largest (17 + percent) and the most rapidly growing (three plus times the consumer product index (measure of inflation) and half a percent of gross domestic product each year) segment of the US economy. The purpose of this paper is to focus on outcome successes that illustrate application of a previously reported health equation. The health equation allows an organized and more transparent assessment of healthcare outcomes.
Design/methodology/approach
The approach includes “end use/least cost” techniques that identifies healthful care as a big unmet need (BUN) and equally attractive business opportunity in identifying health promotion that improves outcome at lower net costs.
Findings
Opportunity exists to reduce costs while also reducing adverse events, healthcare morbidity and morality. Transparency is essential to find what works more effectively to yield desired outcomes. Metrics and measures, particularly more precise tools to assess true outcome in promoting health or managing ill health, are given priority as they allow quantified and, often econometric, outcome opportunities in the midst of current uncertainties.
Practical implications
This paper is for consumers and businesses, managers and administrators, professionals and allied health professionals. The successes described herein illustrate fundamental opportunities driving change and innovation within healthcare and in our society.
Originality/value
Attention is called to opportunity areas that can fund out of savings the transition from the authors' current “sickness care” system to a healthful care, proactive prevention approach to delivering care. Novel application of transparency and end use/least cost can help guide choices to achieve healthier outcomes.
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Russell Jaffe, Robert A. Nash, Richard Ash, Norm Schwartz, Robert Corish, Tammy Born and Harold Lazarus
This article aims to present an equation of health to allow measurement and more precise comparison of what is more or less effective in promoting health or managing ill health…
Abstract
Purpose
This article aims to present an equation of health to allow measurement and more precise comparison of what is more or less effective in promoting health or managing ill health. It builds upon and extends a prior report (JMD, Volume 25 Number 10, 2006, pp. 981‐995).
Design/methodology/approach
Applying basic scientific methods and empiric observations, the equation proposed in this article is a state of the current science. Such an equation allows for more systematic and predictive comparison of health initiatives.
Findings
The pace of scientific progress is outstripping our institutional adaptive response mechanisms. An approach to the causes of ill health appears more promising than re‐configuration of current disease reactive, symptom treatment care. This paper starts from first principles and builds a model that results in an equation of health.
Research limitations/implications
Refinement of the model and replication by others are needed to fully determine the predictive value of this approach.
Practical implications
The opportunity to reduce costs while also reducing adverse events, healthcare morbidity and morality.
Originality/value
This article calls attention to areas of opportunity to fund out of savings the transition from our current “sick care” system to a health promotion/proactive prevention approach to caring.
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Tom McManus, Yair Holtzman, Harold Lazarus and Johan Anderberg
Based on an ethnographic study of a restaurant called the “Hungry Cowboy,” I examine how servers make use of sexual harassment claims within a sexually overt work culture…
Abstract
Based on an ethnographic study of a restaurant called the “Hungry Cowboy,” I examine how servers make use of sexual harassment claims within a sexually overt work culture. Focusing on the dynamics of a specific case, I explore how participation in sexual talk and touch provides positive rewards for some workers, operating as a source of craft pride, while laying the groundwork for exclusion of other workers. This study reveals how intersectionality plays out in the day-to-day behaviors and practices that make up workplace cultures, how white workers use a gendered tool to filter racism, the intentional manipulation of workplace culture by workers, and the unintended outcomes of sexual harassment laws.
Tammy Williams and Heidi Weigand
This chapter shares the stories of a Mi'kmaq grandmother's reflections of stories from Elders of the Mi'kmaq Nation to share with Masie, born at the start of the COVID-19 outbreak…
Abstract
This chapter shares the stories of a Mi'kmaq grandmother's reflections of stories from Elders of the Mi'kmaq Nation to share with Masie, born at the start of the COVID-19 outbreak in Mi'kma'ki. These stories form a story-net of teachings and reflections to help guide Masie on her journey as a Mi'kmaq girl growing up in a kind and sometimes unkind world. These stories represent a gift in a written form from a grandmother to a beautiful soul who will need help to navigate a world of uncertainty, but a world with tremendous beauty when seen through a Mi'kmaq historical perspective.
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Dave Whittington and Tammy Dewar
This short paper will introduce some tools and processes that can be used to develop a more strategic approach to organisational learning. They were developed over a two‐year…
Abstract
This short paper will introduce some tools and processes that can be used to develop a more strategic approach to organisational learning. They were developed over a two‐year action research project carried out by Business Lab (www.businesslab.co.uk) in Aberdeen, Scotland, involving dozens of UK and international companies, government agencies, and educational institutions. The toolset, called LearningEdge, evolved out of the best practices of these organisations and learning organisation theory. Calliope Learning has been using the toolset in the North American market since 2003.
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The front page of the Toronto Sun displayed an image of Karla Homolka bruised and battered and read, ‘Bernardo Did This to Karla: Crown’. In 1993, Karla Homolka entered into a…
Abstract
The front page of the Toronto Sun displayed an image of Karla Homolka bruised and battered and read, ‘Bernardo Did This to Karla: Crown’. In 1993, Karla Homolka entered into a plea deal in exchange for the testimony against her then-husband Paul Bernardo. Though Homolka pled guilty to two counts of manslaughter, Canadian media outlets painted Homolka as a subservient and battered woman fearful of the abusive Bernardo's reprisal. Then, during Bernardo's trial, rumoured videotapes finally surfaced that exposed Homolka's seemingly wilful role in the gruesome murders of the young girls Kristen French, Leslie Mahaffy, and her sister Tammy Homolka. Although Tammy Homolka's death had been deemed accidental, her body was exhumed, and autopsy reports found lethal traces of sedative drugs in her system. While sedated, both Bernardo and Homolka raped her as she choked and died on her own vomit. After these videotapes surfaced, media representations shifted drastically – referring to Homolka's plea deal as ‘the deal with the devil’.
This chapter outlines the crimes committed by Paul Bernardo and Karla Homolka – also known as the Barbie and Ken Killers. Furthermore, it employs a qualitative literature review to document the evolution in the media representations of Homolka and exposes the media's role in the creation of this ‘monstrous’ woman in Canadian history. As this chapter outlines the representational shift of Homolka in the media, it deconstructs the hegemonic notions of proper femininity that often characterise women as deviant. Moreover, from a social constructivist lens, the brutality of Homolka's crimes are considered and examined in the context of the normative ideologies surrounding ideal womanhood and sexuality. I will argue that by dismantling these socially constructed ideologies, the significance of Homolka's whiteness also becomes apparent. As Homolka seems to deviate from her whiteness, media depictions illustrate an incitement of hysteria. Thus, this article questions the validity of the media representations that once depicted Homolka as ‘the girl next door’ – who was acting in accordance with her whiteness – but also inevitably paint her as the ‘devil’.
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Niko Suhonen, Timo Tammi, Jani Saastamoinen, Jarkko Pesu, Matti Turtiainen and Lasse Okkonen
Public procurement of innovations (PPIs) addresses a specified need of the public-sector customer or aims at fostering private firms’ innovativeness. In an operational sense…
Abstract
Purpose
Public procurement of innovations (PPIs) addresses a specified need of the public-sector customer or aims at fostering private firms’ innovativeness. In an operational sense, issues of information asymmetry and risk sharing between the public agency and the supplier are of paramount importance. The purpose of this paper is to focus on the contract design issues of PPI.
Design/methodology/approach
Explicit and implicit contracting methods are reviewed, and a conceptual framework is proposed in which procurement characteristics are analyzed, focusing on the dimensions of the supplier’s sensitivity to the procurement risk and the power of implicit contracting methods.
Findings
Because of its complex nature, applying cost-plus contracts instead of more common fixed-price contracts is advisable in PPI.
Originality/value
Possible reasons for the more prominent role of contract design in the USA as opposed to the European Union procurement are discussed.
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