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1 – 10 of 459Kelly Veasey and Jonathan Parker
This study aims to explore homeless-support workers’ perceptions of homeless welfare recipients and their experiences of navigating new conditions placed upon them by UK welfare…
Abstract
Purpose
This study aims to explore homeless-support workers’ perceptions of homeless welfare recipients and their experiences of navigating new conditions placed upon them by UK welfare reform. It examines support workers’ views of the most punitive feature of the welfare system, sanctions, on those recipients.In 2012, the Conservative and Liberal Democrat Coalition Government introduced the largest and most radical overhaul of the UK benefit system, significantly increasing the level of conditionality and sanctions for non-compliance, part of a shift in welfare, suggesting that rights must be balanced by responsibility and the “culture of worklessness” and “benefit dependency” should be addressed.
Design/methodology/approach
Welfare reforms in the UK and the increased use of sanctions as part of welfare conditionality are reviewed. Data are collected from eight semi-structured interviews taking place in five housing support groups in the South East and South West of England in 2019–2020. The interviews followed an approach from interpretive phenomenological analysis.
Findings
Findings from this study indicate that the government’s reforms serve as a disciplinary measure for the poor, reinforcing inequality and social marginalization. To mitigate the effects would require a comprehensive review of universal credit prior to its full rollout to claimants. Data are analyzed thematically.
Originality/value
Welfare conditionality and welfare reform is well-researched in the UK. There is also a significant volume of research concerning homelessness. This paper, however, fills a gap in research concerning the experiences of those working in housing support agencies working with homeless people in the UK.
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Chontira Riangkam, Aurawamon Sriyuktasuth, Kanaungnit Pongthavornkamol, Worapan Kusakunniran and Apiradee Sriwijitkamol
This study aimed to examine the effects of a three-month mobile health diabetes self-management program (MHDSMP) on glycemic control, diabetes self-management (DSM) behaviors and…
Abstract
Purpose
This study aimed to examine the effects of a three-month mobile health diabetes self-management program (MHDSMP) on glycemic control, diabetes self-management (DSM) behaviors and patient satisfaction in adults with uncontrolled type 2 diabetes (T2DM) in Thailand.
Design/methodology/approach
This was a three-arm, parallel-group, randomized controlled trial among 129 adults with uncontrolled T2DM who attended the medical outpatient department in a medical center. The participants were randomly assigned to the three study groups (n = 43 per group), including MHDSMP, telephone follow-up (TF) and usual care (UC). MHDSMP encompassed four components, including DSM engagement, DSM mobile application, motivational text messages and telephone coaching. Outcomes were evaluated at three-month end-of-study by using HbA1C and response to the Summary of Diabetes Self-Care Activities (SDSCA) and the Client Satisfaction Questionnaire (CSQ-8). Data were analyzed by using descriptive statistics and multivariate analysis of covariance (MANCOVA).
Findings
The findings revealed that at the end-of-study, HbA1C decreased from 7.80 to 7.17% (p < 0.001) in MHDSMP group, from 7.72 to 7.65% (p = 0.468) in TF group, and from 7.89 to 7.72% (p = 0.074) in UC group. Significantly higher SDSCA and CSQ-8 scores were also observed in MHDSMP compared to TF and UC groups (F = 12.283, F = 19.541, F = 8.552, p < 0.001, respectively).
Originality/value
This study demonstrated that MHDSMP adjunct with usual care is beneficial for patient outcomes in adults with uncontrolled T2DM in Thailand, compared to TF and UC groups.
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Nisita Jirawutkornkul, Chanthawat Patikorn and Puree Anantachoti
This study explored health insurance coverage of genetic testing and potential factors associated with precision medicine (PM) reimbursement in Thailand.
Abstract
Purpose
This study explored health insurance coverage of genetic testing and potential factors associated with precision medicine (PM) reimbursement in Thailand.
Design/methodology/approach
The study employed a targeted review method. Thirteen PMs were selected to represent four PM categories: targeted cancer therapy candidate, prediction of adverse drug reactions (ADRs), dose adjustment and cancer risk prediction. Content analysis was performed to compare access to PMs among three health insurance schemes in Thailand. The primary outcome of the study was evaluating PM test reimbursement status. Secondary outcomes included clinical practice guidelines, PMs statement in FDA-approved leaflet and economic evaluation.
Findings
Civil Servant Medical Benefits Scheme (CSMBS) provided more generous access to PM than Universal Coverage Scheme (UCS) and Social Security Scheme (SSS). Evidence of economic evaluations likely impacted the reimbursement decisions of SSS and UCS, while the information provided in FDA-approved leaflets seemed to impact the reimbursement decisions of CSMBS. Three health insurance schemes provided adequate access to PM tests for some cancer-targeted therapies, while gaps existed for access to PM tests for serious ADRs prevention, dose adjustment and cancer risk prediction.
Originality/value
This was the first study to explore the situation of access to PMs in Thailand. The evidence alerts public health insurance schemes to reconsider access to PMs. Development of health technology assessment guidelines for PM test reimbursement decisions should be prioritized.
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Policy brief on how to mitigate the negative impacts of Universal Credit on financial insecurity and crime based on the paper d’Este, R. and Harvey, A. (2022), “The unintended…
Abstract
Policy brief on how to mitigate the negative impacts of Universal Credit on financial insecurity and crime based on the paper d’Este, R. and Harvey, A. (2022), “The unintended consequences of welfare reforms: Universal Credit, financial insecurity, and crime”, The Journal of Law, Economics, and Organization.
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Neil Bernard Boyle and Maddy Power
Background: Rising food bank usage in the UK suggests a growing prevalence of food insecurity. However, a formalised, representative measure of food insecurity was not collected…
Abstract
Background: Rising food bank usage in the UK suggests a growing prevalence of food insecurity. However, a formalised, representative measure of food insecurity was not collected in the UK until 2019, over a decade after the initial proliferation of food bank demand. In the absence of a direct measure of food insecurity, this article identifies and summarises longitudinal proxy indicators of UK food insecurity to gain insight into the growth of insecure access to food in the 21st century.
Methods: A rapid evidence synthesis of academic and grey literature (2005–present) identified candidate proxy longitudinal markers of food insecurity. These were assessed to gain insight into the prevalence of, or conditions associated with, food insecurity.
Results: Food bank data clearly demonstrates increased food insecurity. However, this data reflects an unrepresentative, fractional proportion of the food insecure population without accounting for mild/moderate insecurity, or those in need not accessing provision. Economic indicators demonstrate that a period of poor overall UK growth since 2005 has disproportionately impacted the poorest households, likely increasing vulnerability and incidence of food insecurity. This vulnerability has been exacerbated by welfare reform for some households. The COVID-19 pandemic has dramatically intensified vulnerabilities and food insecurity. Diet-related health outcomes suggest a reduction in diet quantity/quality. The causes of diet-related disease are complex and diverse; however, evidence of socio-economic inequalities in their incidence suggests poverty, and by extension, food insecurity, as key determinants.
Conclusion: Proxy measures of food insecurity suggest a significant increase since 2005, particularly for severe food insecurity. Proxy measures are inadequate to robustly assess the prevalence of food insecurity in the UK. Failure to collect standardised, representative data at the point at which food bank usage increased significantly impairs attempts to determine the full prevalence of food insecurity, understand the causes, and identify those most at risk.
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Babak Lotfi and Bengt Ake Sunden
This study aims to computational numerical simulations to clarify and explore the influences of periodic cellular lattice (PCL) morphological parameters – such as lattice…
Abstract
Purpose
This study aims to computational numerical simulations to clarify and explore the influences of periodic cellular lattice (PCL) morphological parameters – such as lattice structure topology (simple cubic, body-centered cubic, z-reinforced body-centered cubic [BCCZ], face-centered cubic and z-reinforced face-centered cubic [FCCZ] lattice structures) and porosity value ( ) – on the thermal-hydraulic characteristics of the novel trussed fin-and-elliptical tube heat exchanger (FETHX), which has led to a deeper understanding of the superior heat transfer enhancement ability of the PCL structure.
Design/methodology/approach
A three-dimensional computational fluid dynamics (CFD) model is proposed in this paper to provide better understanding of the fluid flow and heat transfer behavior of the PCL structures in the trussed FETHXs associated with different structure topologies and high-porosities. The flow governing equations of the trussed FETHX are solved by the CFD software ANSYS CFX® and use the Menter SST turbulence model to accurately predict flow characteristics in the fluid flow region.
Findings
The thermal-hydraulic performance benchmarks analysis – such as field synergy performance and performance evaluation criteria – conducted during this research successfully identified demonstrates that if the high porosity of all PCL structures decrease to 92%, the best thermal-hydraulic performance is provided. Overall, according to the obtained outcomes, the trussed FETHX with the advantages of using BCCZ lattice structure at 92% porosity presents good thermal-hydraulic performance enhancement among all the investigated PCL structures.
Originality/value
To the best of the authors’ knowledge, this paper is one of the first in the literature that provides thorough thermal-hydraulic characteristics of a novel trussed FETHX with high-porosity PCL structures.
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Mateus Panizzon, Gabriel Vidor and Maria Emília Camargo
Continuous understanding of the best practices associated with new product development is a constant research opportunity to advance knowledge in the field, as far as changes in…
Abstract
Purpose
Continuous understanding of the best practices associated with new product development is a constant research opportunity to advance knowledge in the field, as far as changes in the business environment and the increasing turbulence level in different market segments create and reposition the importance of practices over time.
Design/methodology/approach
Based on a systematic review, the study aimed to analyze the 100 most relevant articles published in international journals on new product development (NDP), identifying new patterns on the best practices for new product development and the types of relationship involved in NPD.
Findings
Among the several practices observed in the literature, the analysis point to a larger group of studies that converge on the identification of a positive and significant relationship in integration – simultaneously – between supplier, company, customers and strategic alliances and the performance of NPD.
Research limitations/implications
These results support integration as a cross-cutting and structural best practice for NPD, as long as it is constituted as a capacity, mainly applied in highly turbulent environments. This approach supported the proposition of a new framework.
Practical implications
Organizations will be able to implement the proposed framework to NPD strategy in order to prioritize resources in best practices, aiming to increase the performance of new product development.
Social implications
The adoption of integration and co-creation practices for the development of new products expands the possibilities of economic and social development, based on the involvement of the actors in this network.
Originality/value
This model had not yet been proposed in the literature, filling a gap in the agenda for future studies.
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Eliana Andréa Severo, Marcia Marisa Santanna Perin, Julio Cesar Ferro De Guimarães and Elaine Taufer
Environmental problems and natural resources scarcity are changing contemporary organizations management. The current society quest sustainable companies, mostly concern with the…
Abstract
Purpose
Environmental problems and natural resources scarcity are changing contemporary organizations management. The current society quest sustainable companies, mostly concern with the consumption and efficient management of natural resources; those innovative and sustainable companies have the capacity to create innovations and beneficial outcomes for the environment and society. The purpose of this paper is to analyze the relevance of sustainable innovation on products and services innovation, in companies in the northern region of Rio Grande do Sul (Brazil).
Design/methodology/approach
In the research, the authors applied a descriptive and quantitative method, through exploratory factor analysis (EFA), with the use of varimax rotation and multiple linear regression. The final sample of the survey consists of 107 respondents.
Findings
The results indicate that sustainable innovation (SI) has an influence on products and services innovations in the organizations, moreover the process innovations can provide reduced energy consumption and waste emissions, indicating the awareness regarding the environmental issues.
Research limitations/implications
It is emphasized that environmental issues must be linked to investments in environmental education projects in organizations, thus enabling a systemic and effective vision on this issue.
Practical implications
This research presents managerial and academic contributions, as it has developed a scale to measure the importance of SI on products and services innovation.
Originality/value
The study developed a measurement model, with observable variables based on the specialized literature. The measurement model consists of the constructs of product/service innovation and SI, which were statistically validated through the tests of normality, reliability and EFA.
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