99,965 research outputs found

    Randomised controlled trials of complex interventions and large-scale transformation of services

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    Complex interventions and large-scale transformations of services are necessary to meet the health-care challenges of the 21st century. However, the evaluation of these types of interventions is challenging and requires methodological development. Innovations such as cluster randomised controlled trials, stepped-wedge designs, and non-randomised evaluations provide options to meet the needs of decision-makers. Adoption of theory and logic models can help clarify causal assumptions, and process evaluation can assist in understanding delivery in context. Issues of implementation must also be considered throughout intervention design and evaluation to ensure that results can be scaled for population benefit. Relevance requires evaluations conducted under real-world conditions, which in turn requires a pragmatic attitude to design. The increasing complexity of interventions and evaluations threatens the ability of researchers to meet the needs of decision-makers for rapid results. Improvements in efficiency are thus crucial, with electronic health records offering significant potential

    The culture of market oriented organisations

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    This paper investigates the relationship between corporate culture and market orientation using a different methodology to those usually found done in empirical studies on this topic. Conventionally, one or two key informants provide information on the firm’s marketing practices in large scale quantitative cross-sectional studies; these few respondents provide their opinion on the firm’s actual marketing practices which are then considered as a reliable representation of both the (whole) firm’s culture and its market orientation. We have taken a different approach. Firstly, we chose to do multiple case studies in stead of cross sectional research. These case studies were small scale and qualitative; next a large(r) scale quantitative study was done within those organisations. Secondly, all employees in an organisation were invited to participate in the study: only then is it possible to measure culture as the shared beliefs in the company. Corporate culture itself as well as the marketing practices have been investigated as two separate constructs in our case studies. Both are measured via employee perceptions. Thirdly, we are looking at the possible configuration of market orientation and corporate culture. Almost all of the propositions generated are supported. The degree of openness appeared to be crucial to an organisation’s market orientation. Moreover, such a culture is also resultsoriented, employee-oriented and professional. It also has a balanced position on the two other dimensions: pragmatic/normative and loose/tight control. From the marketing perspective, the essential building blocks of a market oriented culture include: the internal cooperation, internal communication, drive to be the best, lack of pursuing self interest, learning from mistakes and from experiences in the market place, clarity about customer needs and better relative quality than competitors’. Because market orientation and corporate culture were measured as two distinct constructs, this study offers new insights in both domains as to what organisations should change to be(come) market oriented.Strategy;

    Innovation in the service economy: novelty in solutions

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    Recent studies show that firms in the knowledge economy develop new services as well as new products, thus providing solutions, experiences and creating value with, as well as for, their customers (Prahalad & Ramaswarmy, 2004). The paper briefly reviews literatures on multiple forms of innovation, including innovation in services. Characteristics of firms undertaking innovation in services are identified and implications for the management of innovation and propositions for future research are developed

    Charting a Path for Health Care Payment Reform: Recommendations for the Field

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    Outlines health policy experts' and stakeholders' suggestions for payment reform: identifying ways to improve quality and save costs, short- and long-term strategies, potential unintended consequences, technical assistance, and performance measurements

    Towards a knowledge management assessment tool : the operations management perspective

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    Copyright and all rights therein are retained by the authors. All persons copying this information are expected to adhere to the terms and conditions invoked by each author's copyright. These works may not be re-posted without the explicit permission of the copyright holdersPractitioners are often confused by the wide range of Knowledge Management (KM) solutions that researchers and consultants offer. Part of this confusion is because they cannot determine how these solutions fit into their existing KM systems. KM assessment should be the starting point for any KM initiative yet extant literature provides little guidance in this area. In this paper we propose a tool that organisations can use to assess their Knowledge Management (KM) practices in order for them to make informed decisions and invest wisely. To that end we propose the Operations perspective of KM which encapsulates existing thinking. Our proposal goes further to outline key elements that a KM assessment tool must have and review existing tools against these elements. The KM assessment tool proposed in this paper has its roots in Quality literature and is ideal for assessing as well as designing KM systemsFinal Published versio

    Towards an integrated perspective on fleet asset management: engineering and governance considerations

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    The traditional engineering perspective on asset management concentrates on the operational performance the assets. This perspective aims at managing assets through their life-cycle, from technical specification, to acquisition, operation including maintenance, and disposal. However, the engineering perspective often takes for granted organizational-level factors. For example, a focus on performance at the asset level may lead to ignore performance measures at the business unit level. The governance perspective on asset management usually concentrates on organizational factors, and measures performance in financial terms. In doing so, the governance perspective tends to ignore the engineering considerations required for optimal asset performance. These two perspectives often take each other for granted. However experience demonstrates that an exclusive focus on one or the other may lead to sub-optimal performance. For example, the two perspectives have different time frames: engineering considers the long term asset life-cycle whereas the organizational time frame is based on a yearly financial calendar. Asset fleets provide a relevant and important context to investigate the interaction between engineering and governance views on asset management as fleets have distributed system characteristics. In this project we investigate how engineering and governance perspectives can be reconciled and integrated to enable optimal asset and organizational performance in the context of asset fleets
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