bluuebunny/crossref_metadata_2025 huggingface dataset:
Knowledge transfer and innovation adoption in women farmers
Authors: De Rosa Marcello , Bartoli Luca , Charatsari Chrysanthi , Lioutas Evagelos
Published: August 2020

Purpose

The study aims to analyse patterns of innovation adoption among Italian female-owned farms, by evaluating the impact of innovation support services and entrepreneurial orientation on innovation adoption.

Design/methodology/approach

To explore both the entrepreneurial identity of women farmers and the role of innovation support services in boosting innovation, a questionnaire was administered to a sample of Italian women farmers. A multivariate analysis lets to classify the farms under the previous two perspectives.

Findings

The analysis reveals various patterns of innovation adoption, heavily depending on both the effectiveness of innovation support services and farmers' entrepreneurial orientation.

Research limitations/implications

The research analyses a sample of women farmers to excavate worlds of innovation among female-owned farms. Cross-gender comparisons can offer a more complete picture of the ways gender catalyses innovation adoption.

Practical implications

At a policy level, the results of our empirical analysis point out the need for gendering innovation analysis and for tailoring policy interventions to the different worlds of innovation that exist in rural Italy.

Social implications

The paper confirms the importance of deepening research on gender issues, with the purpose of fulfilling gender mainstreaming underlined in numerous policy documents at both the European and international levels.

Originality/value

The analysis represents a first attempt to join both the entrepreneurial identity of women farmers and the role of innovation support services in boosting innovation. Therefore, the paper fills a gap in the literature.
Sustainable beekeeping, community driven-development, and tri-sector solutions with impact
Authors: Gring-Pemble Lisa , Perilla Germán
Published: August 2020

Purpose

As the Academy for Business in Society considers the theme “Business in Society: Measuring Impact and Creating Change,” one fundamental question emerges and that is how to collaborate with universities to create positive impact and sustainable business models. The purpose of this paper is to address that question and offer one apt illustration for how to collaborate effectively across sectors.

Design/methodology/approach

This paper offers a case study of the Honey Bee Initiative (HBI) from George Mason University’s School of Business.

Findings

In this case study, the authors discuss the Initiative’s tri-sector domestic and global partnerships, community-driven development approach and innovative solutions as an exemplar of business as a force for good.

Originality/value

This paper provides unique insight into how universities can partner with non-profits, business and policy leaders to effect positive change. As such, the HBI program contributes to the growing body of research on the benefits of tri-sector partnership models as a means of addressing global goals and provides a valuable case study to understand better the necessity of multi-stakeholder partnerships. Moreover, the HBI’s tri-sector partnership model offers important insights into what makes these partnerships successful and serves as a replicable model that can be instituted in other regions around the globe.
Improving lighting efficiency in existing art museums: a case study
Authors: Hassanizadeh Negar , Noorzai Esmatullah
Published: August 2020

Purpose

The inappropriate lighting methods can have irreversible effects on artworks available in museums and exhibitions. Several factors affect the choice of the lighting system in the museums. By surveying all possible elements, this paper aims to propose a sustainability-based solution, as it relates to the development of artwork conservation, visual perception and energy efficiency during operation and maintenance (O&M).

Design/methodology/approach

The paper elicits optimal solutions out of the method presented based on functions and expert opinion to improve lighting quality in existing museums. To study the optimization, the energy consumption and life cycle cost (LCC) in both the proposed lighting and the existing lighting system are compared using HoneyBee and LadyBug plugins in GrassHopper, as well as BLCC5 energy cost estimation software.

Findings

The results indicated a practical method to select the most suitable solution for museum lighting. By applying the proposed solutions obtained from the case study, a significant reduction in energy consumption and LCC were achieved. Besides, greenhouse gases were remarkably decreased.

Practical implications

Providing the proper lighting systems for each museum is the issue that is given special attention during the facilities management. The quality of the lighting, energy consumption and costs are analyzed by the simulation software. It is recommended that the validity considerations of the practice are examined.

Originality/value

The present study tried to present an optimal method to choose the best lighting system by the simultaneous utilization of theoretical and practical aspects. The functional model is also introduced for performing the most effective method to enhance the lighting techniques in the art museums.
Positive effects of earthquake from the perspective of people with physical disability in Iran
Authors: Pakjouei Shahrzad , Aryankhesal Aidin , Kamali Mohammad , Seyedin Hesam , Heidari Mohammad
Published: August 2020

Purpose

Earthquake usually causes death, injury, disability and destruction of buildings and infrastructure, and people with disabilities are usually affected more than healthy people. As undesirable experiences may also have positive outcomes, this study aims to investigate the experiences of PWD and identify the positive effects of earthquakes on them in Iran, as an earthquake-prone country.

Design/methodology/approach

In this qualitative study, 20 participants were selected purposively among those having physical disability, aged 23-55 years and with experience of an earthquake. Their opinions were collected using semi-structured interviews. Analysis was performed using thematic approach and MAXQDA software was used to organize the data.

Findings

The positive effects of earthquake were categorized into five main themes: promotion of preparedness, knowledge enhancement, improvement of structures, socio-economic improvement (economic situation enhancement and social cohesion promotion) and outstanding role of national and international non-governmental organizations.

Originality/value

Although disasters are generally unpleasant, in the long term, they can result in positive effects and may be considered as opportunities to improve the situation and eliminate certain limitations. It is also important to learn from experiences of people with disabilities and apply the lessons learned, for enhancing preparedness and providing better services in the response phase of disaster management. Additionally, paying attention to the positive attitudes of such people, with special conditions and limitations, indicates their enhanced resilience to cope with disasters and emergencies, including COVID-19, which should be taken into consideration by policymakers and planners in future programs.
Experience and the perceived efficacy of cyclone preparedness behaviour
Authors: Scovell Mitchell , McShane Connar , Swinbourne Anne
Published: August 2020

Purpose

Cyclone preparedness activities can significantly reduce household-related property damage and the negative knock-on effects. Research has found, however, that many people do not perform these behaviours. It is, therefore, important to understand why some people do, and others do not, perform such behaviours. This paper aims to investigate whether a commonly applied psychological theory of behaviour change can explain cyclone-specific preparedness behaviour.

Design/methodology/approach

This study used a cross-sectional survey design to examine the relationship between demographic factors, cyclone experience, psychological factors and preparedness behaviour. Informed by the protection motivation theory (PMT), it was hypothesised that perceived efficacy, perceived cost and self-efficacy would be the strongest predictors of preparedness behaviour. Data from 356 respondents living in a cyclone-prone region were analysed using multiple regression and mediation analysis with the PROCESS macro in SPSS.

Findings

In support of the hypothesis, it was found that perceived efficacy and perceived cost were the strongest psychological predictors of preparedness behaviour. Contradicting the hypothesis, however, self-efficacy was not a significant predictor of preparedness behaviour. Subsequent analysis indicated that people who have experienced cyclone damage perceive that preparedness measures are more effective for reducing damage, which, in turn, increases preparedness behaviour.

Originality/value

This paper provides empirical support for the application of the protective motivation theory for explaining cyclone-specific preparedness behaviour. More specifically, the results indicate that people are more likely prepare for cyclones if they perceive that preparedness activities are effective for reducing damage and are relatively inexpensive and easy to perform. The findings suggest that to promote cyclone preparedness, risk communicators need to emphasise the efficacy of preparedness and downplay the costs.
To list or not to list, that is the question: new evidence from the performance of Vietnamese commercial banks
Authors: Le Tuan Quoc , Duong Ha Ngan , Nguyen Phuong Thanh
Published: August 2020

Purpose

This paper aims to investigate the decisions of listing for Vietnamese banks and the impact of listing on bank performance.

Design/methodology/approach

A longitudinal data set of 30 commercial banks in the period of 2006–2018 with various univariate and multivariate tests is used.

Findings

This study found that listing is positively associated with bank profitability. The results are consistent even after the control for potential endogeneity problems by propensity score matching methodology and Heckman selection bias models. Further analysis suggests some new alternative channels for the positive impact, namely, the increased quality of information disclosure, technological development and income diversification of commercial banks after listing.

Practical implications

Hence, this paper provides recommendations and policy implications for regulatory bodies regarding the listing of commercial banks in Vietnam.

Originality/value

The contributions to the literature are three-folds. First, this study contributes to a strand of literature on the impact of going public [initial public offering (IPO)/listing] of financial institutions on their performance. While the literature on non-financial firm performance post-going public is ample, few have directly considered the IPO/listing of banks and other financial institutions. Second, in further looking at the impact of listing on bank performance, this study also sheds some light on the new possible channels of the effect and provides evidence of new channels. Then, last but not least, the case of Vietnam could possibly yield interesting results for a transitory stock market. From the evidence, the recommendations and policy implications for a listing of Vietnamese banks are provided.
Trust building in a Norwegian municipal acute ward
Authors: Gjerstad Brita , Nødland Svein Ingve , Teig Inger Lise
Published: August 2020

Purpose

Trust plays an important role in the organisation of healthcare services. In Norway, the establishment of mandatory municipal acute wards with 24 h inpatient services introduces a new unit into the healthcare system. This article discusses how this new health care service succeeds in building trust with patients and among healthcare workers.

Design/methodology/approach

The article is an in-depth case study of a single, exemplary inter-municipal acute ward. The study draws on interviews with COPD patients, the leader and doctors at the ward. The study also includes observations of daily work at the municipal acute ward. Moreover, administrators and healthcare workers at related healthcare institutions have been interviewed. Data were analysed using a qualitative method.

Findings

The study reveals that trust is built in complex relations and that it has both individual and systemic factors. The practices employed in the daily treatment and care of patients and in encounters between health care personnel and patients are important trust-building processes; however, these processes depend on structures and routines that promote efficient and adequate inter-organisational communication and patient-oriented procedures.

Practical implications

The study provides insight into how trust dynamics work on multiple organisational levels and how they depend on both individual and systemic factors. Additionally, the study may provide a picture of the importance of trust in organising healthcare services in the future.

Originality/value

Lessons regarding trust building inspired by data from a case-study care institution can be applied in different care settings and countries.
The impact of customer engagement and service leadership on the local food value chain of hotels
Authors: Thomas-Francois Kimberly , Joppe Marion , von Massow Michael
Published: August 2020

Purpose

This study was undertaken to investigate whether a service-oriented approach to the local food supply chain contributes to strengthened linkages between accommodation and agricultural sectors, thereby creating value for users.

Design/methodology/approach

The qualitative study examined levels of customer/consumer engagement (CE) within theoretical constructs of the service-oriented framework and value co-creation, intangible resources and valued relationship within the value chain and food service. Also, two explanatory case studies were conducted on two accommodation properties.

Findings

Empirical findings indicated that the hospitality business which emphasized a consumer-centric service approach throughout the value chain – both forward (toward the consumer) and backward (toward the supplier) – had greater success in engaging customers. It also highlighted the importance of service leadership.

Practical implications

The research study provides practical guidance to members of the local food supply chains in the hospitality sector and strategies that can be used to optimize all opportunities to ensure consumers’ needs are met and exceeded as a precursor for repeat business.

Social implications

The intricacies of services when well understood and applied in hospitality businesses are likely to generate favorable outcomes such as poverty alleviation. Developing destinations invest significantly in tourism as a channel for economic development. Unfortunately, gains are forfeited since limited attention is given to strategically advancing consumer-centric service at the micro level in tourism businesses to the extent that these benefit other stakeholders. Fostering CE and developing a culture of service leadership appear to be critical success factors.

Originality/value

This study is unique and extremely relevant to island destinations as it provides insights using a service management framework in the Caribbean context on how destinations may enhance hospitality business through improved service in island states.
The development of a tool to monitor integrated care for childhood overweight and obesity in the Netherlands
Authors: Koetsier Leandra , Jacobs Monique , Halberstadt Jutka , Sijben Marian , Zonneveld Nick , Minkman Mirella
Published: August 2020

Purpose

The development of a national model has led municipalities in the Netherlands to implement integrated care for childhood overweight and obesity. To monitor how this approach is being implemented locally, an appropriate tool is required. This study presents a “Tool to monitor the local implementation of Integrated Care for Childhood Overweight and obesity” (TICCO).

Design/methodology/approach

A three-step study was conducted in order to adapt and refine a generic integrated care questionnaire into a tool that suits the specific characteristics and context of integrated care for childhood overweight and obesity. The three consecutive steps comprised the following: a focus group session that assessed the relevance and comprehensiveness of the original integrated care instrument; a pilot questionnaire for end users that evaluated the feasibility of the preliminary tool and a pilot questionnaire that determined the feasibility and potential limitations of this adapted tool.

Findings

The adaptation process resulted in a 47-element digital tool for professionals actively involved in providing integrated care for childhood overweight and obesity. The results highlighted differences pertaining to how individual respondents judged each of the elements. These variations were found across both municipalities and different domains of integrated care.

Originality/value

This article presents an adapted tool that seeks to both support local discussion in the interpretation of individual TICCO scores and identify potential areas for improvement in local integrated care for childhood overweight and obesity.
Increases of suicide rates in Kansas: results from 2009-2018
Authors: Lloyd Jason D. , Oakley David W.
Published: August 2020

Purpose

The purpose of this study is to evaluate the increase in suicide rates for Kansas residents, as well as quantify the difference in suicide rates between men and women across the State of Kansas.

Design/methodology/approach

To evaluate increases in suicide rates, a joinpoint regression analysis was conducted to calculate the annual percentage change in suicide rates. To evaluate differences between sex characteristics, a one-way analysis of variance was conducted.

Findings

Results of a joinpoint regression analysis found that the annual percentage change in the suicide rates of Kansas did increase significantly between 2009 and 2018. Furthermore, the rate of suicide increase among women was greater than the suicide rate increases of men.

Originality/value

The value of this study provides context to the suicide literature that could allow for better local and statewide policy decisions.
Knowledge translation in project portfolio decision-making: the role of organizational alignment and information support system in selecting innovative ideas
Authors: Annosi Maria Carmela , Marchegiani Lucia , Vicentini Francesca
Published: August 2020

Purpose

The present study aims to describe the micro-dynamics of decision-making that refer to knowledge translation pursued by organizational actors to see how they affect the travel of new ideas within the managerial practice of Project Portfolio Management (PPM). The study focuses on how the alignment of actors' meanings is reached at the organizational level and how they move towards a common direction by synthesizing information and negotiating meanings across the activities that constitute PPM. The study also investigates the intermediation function of information support systems in knowledge translation, which brokers information among those involved in the PPM practice.

Design/methodology/approach

This piece of research uses an inductive, qualitative research approach and a methodological combination of case study research and grounded theory to investigate and explore the processes of knowledge transfer and translation enacted by the organizational actors (both human and non-human) involved in innovation portfolio decision-making.

Findings

The findings of this research reveal the sequence of portfolio decision-making process that confirms that PPM occurs not only in a single hierarchical level or meeting, but that decisions are made across different organizational levels in a complex network of relationships where many actors are involved. We also show that the technological artefacts have an intermediate role in knowledge translation.

Research limitations/implications

Despite referring to a single case study, the results discussed in this piece of research provides insightful evidence for academics and practitioners alike. In fact, the paper discusses organizational pre-alignment and alignment as a crucial enabler of knowledge transfer. Moreover, the intermediate role of an information support system is discussed.

Practical implications

Our study highlights the positive effect on actors' meaningful participation in PPM associated with the adoption of information support systems in PPM. Moreover, our results highlight the importance of considering a horizontal perspective in the decision-making process, so that knowledge translation occurs by leveraging on all the actors' breadth of experience and expertise.

Originality/value

This research emphasizes two organizational routines termed as decision- making preparation processes that were identified as key enablers of portfolio decision-making: cross-functional pre-alignment and an information support system.
Environmental disclosure and sentiment analysis: state of the art and opportunities for public-sector organisations
Authors: Rocca Laura , Giacomini Davide , Zola Paola
Published: August 2020

Purpose

Because of the expansion of the internet and Web 2.0 phenomenon, new challenges are emerging in the disclosure practises adopted by organisations in the public-sector. This study aims to examine local governments’ (LGOs) use of social media (SM) in disclosing environmental actions/plans/information as a new way to improve accountability to citizens to obtain organisational legitimacy and the related sentiment of citizens’ judgements.

Design/methodology/approach

This paper analyses the content of 39 Italian LGOs’ public pages on Facebook. After the distinction between five classes of environmental issues (air, water, energy, waste and territory), an initial study is performed to detect possible sub-topics applying latent Dirichlet allocation. Having a list of posts related to specific environmental themes, the researchers computed the sentiment of citizens’ comments. To measure sentiment, two different approaches were implemented: one based on a lexicon dictionary and the other based on convolutional neural networks.

Findings

Facebook is used by LGOs to disclose environmental issues, focussing on their main interest in obtaining organisational legitimacy, and the analysis shows an increasing impact of Web 2.0 in the direct interaction of LGOs with citizens. On the other hand, there is a clear divergence of interest on environmental topics between LGOs and citizens in a dialogic accountability framework.

Practical implications

Sentiment analysis (SA) could be used by politicians, but also by managers/entrepreneurs in the business sector, to analyse stakeholders’ judgements of their communications/actions and plans on corporate social responsibility. This tool gives a result on time (i.e. not months or years after, as for the reporting system). It is cheaper than a survey and allows a first “photograph” of stakeholders’ sentiment. It can also be a useful tool for supporting, developing and improving environmental reporting.

Originality/value

To the best of the authors’ knowledge, this paper is one of the first to apply SA to environmental disclosure via SM in the public sphere. The study links modern techniques in natural language processing and machine learning with the important aspects of environmental communication between LGOs and citizens.
Intertwined institutionalization: pressures on Vietnam’s accounting profession during transition to IFRS
Authors: Nguyen Lan Anh , Vesty Gillian , Kend Michael , Nguyen Quan , O'Connell Brendan
Published: August 2020

Purpose

The purpose of this paper is to understand the institutionally driven changes impacting organizational accounting manipulation in Vietnam’s emerging transitional economy. Specifically, this study explore how Vietnamese accountants and regulators explain questionable accounting transactions and their rationalization for those practices, especially during the period of accounting system transition from Vietnamese accounting standards to International Financial Reporting Standards (IFRS).

Design/methodology/approach

The study uses interview-based methods involving 22 Vietnamese accountants, financial managers, audit partners and regulators.

Findings

This study have found dysfunctional approaches to revenue and expense recognition underpinned by institutional theory. At play is a combination of opportunities relating to weak accounting standards and organizational controls; management pressure; and a desire to avoid unwanted scrutiny from Vietnamese regulators.

Research limitations/implications

This study does not include the views of non-financial managers or other accounting users. Future research could focus more on the perceptions of these other stakeholder groups.

Practical implications

Accounting manipulation can be collusive, therefore, regulators should have a stricter view and broader examination in the monitoring process.

Originality/value

This study examine accounting manipulation through the lens of New Institutional Sociology and also share the views of the accountants and regulators. This study argue that weak accounting standards are not the only factors contributing to accounting manipulation. When evaluating the existence of accounting manipulation, this paper find a combination of factors including: opportunities for manipulation, pressure from management and the rationale behind the conduct. These factors should be interpreted in context.
Spillover effects of organizational politics on family satisfaction: the role of work-to-family conflict and family support
Authors: Arefin Md. Shamsul , Alam Md. Shariful , Li Shao-Long , Long Lirong
Published: August 2020

Purpose

This study considered organizational politics as a source of stress and examined its spillover effects on the family domain. By integrating the work–home resource theory and transactional theory of stress, the authors developed a moderated mediation model that examined the moderating role of family support in the relationship between employee's perceptions of organizational politics and their family satisfaction through work-to-family conflict.

Design/methodology/approach

The authors examined the moderated mediation model using a sample of 223 full-time employees in Bangladesh. Data were collected using a three-wave survey research design.

Findings

The results indicate that organizational politics is negatively related to family satisfaction; work-to-family conflict medicates this relationship. Besides, family support attenuates the mediating effect of work-to-family conflict on the relationship between organizational politics and family satisfaction.

Practical implications

Managers should reduce the extent of organizational politics to avoid its impact on the nonwork domain. Moreover, social support from family members might play a crucial role in reducing the negative consequence of organizational politics in the family domain. By taking human resource practices such as training, increased communication, family-friendly policies, organizations may improve the ability of workers to cope with the negative consequences of organizational politics.

Originality/value

The current study uncovered the spillover effect of organizational politics on the nonwork domain. This research contributed to the burgeoning stream of organizational politics and work–family interface literature by investigating the influence of organizational politics in undermining family satisfaction and exploring the mediating mechanism linking organizational politics and family satisfaction as well as the boundary conditions of family social support.
Diversity climate on turnover intentions: a sequential mediating effect of personal diversity value and affective commitment
Authors: Lee Joonghak , Kim Steven , Kim Youngsang
Published: August 2020

Purpose

Research on diversity climate has shown that diversity climate as an employee's perception of an organization's diversity-related practices or procedures has a positive impact on reducing turnover intentions. However, we know little about which intervening mechanism explains the relationship between diversity climate and employee's turnover intentions. In this study, we suggest that individual employee's perceived diversity climate influences turnover intentions through personal diversity value and affective commitment.

Design/methodology/approach

With a sample of 901 employees in more than 50 companies affiliated in South Korea, the authors test the hypothesized relationship, using structural equation modeling (SEM).

Findings

Our findings show that personal diversity value and affective commitment sequentially mediate the relationship between perceived diversity climate and turnover intentions.

Research limitations/implications

This study can enhance the understanding about the mediating mechanism linking the relationship between perceived diversity climate and turnover intentions and how personal diversity value and affective commitment link the relationship.

Originality/value

The authors theorize and find that perceived diversity climate can influence personal diversity value that results in employee commitment and turnover intentions.
An investigation into the sustainability practices in PPP infrastructure projects: a case of Nigeria
Authors: Babatunde Solomon Olusola , Ekundayo Damilola , Udeaja Chika , Abubakar Uthman Olawande
Published: August 2020

Purpose

In the global construction industry, the concept of sustainability is not new, particularly within building projects. Against this backdrop, several studies have been conducted, mostly in developed countries, on sustainability in construction projects. However, efforts at investigating sustainability practices in public–private partnership (PPP) infrastructure projects in developing countries have received limited attention. Hence, the purpose of this study is to investigate the incorporation of sustainability practices within the context of Nigeria’s PPP infrastructure projects.

Design/methodology/approach

A questionnaire survey, which targeted four different types of stakeholders, was conducted in this study. These stakeholders included public sector authorities, concessionaires, consultants and banks undertaking PPP infrastructure projects in the Lagos State, Nigeria. The data collected were analyzed using frequency, percentage, mean score, standard deviation (SD) analyses and the Kruskal–Wallis test.

Findings

The findings of this study revealed that all the respondents are very much aware of sustainability principles and the vast majority of the respondents from the public sector authorities and the consultant organizations confirmed that they have incorporated sustainability requirements into their bidding documents for PPP infrastructure projects. The study revealed sustainability features in the three aspects of sustainability, namely, economic, environmental and social factors. Furthermore, the study revealed the top three–ranked economic factors of sustainability (considered to be the most important factors) were low maintenance costs, whole life costing and supporting the local economy, respectively. Similarly, the study revealed the top three–ranked environmental factors of sustainability were biodiversity, energy use during the operation stage and energy use during the construction stage, respectively. Furthermore, the study further revealed that the top three–ranked social factors of sustainability were the educational aspect, equity between stakeholders and health and safety, respectively.

Practical implications

The study will be of great value to PPP stakeholders involved in sustainability decision-making processes when delivering sustainable PPP projects, particularly in Nigeria. Also, the study’s findings are important as not many empirical studies have been conducted on the sustainability practices of current PPP projects in Nigeria.

Originality/value

The study’s findings would further inform the need for both the public and private sectors to take a more strategic approach to enhance sustainability in PPP projects.
Mediating effect of esports content live streaming in the relationship between esports recreational gameplay and esports event broadcast
Authors: Jang Wooyoung William , Byon Kevin K. , Baker III Thomas A. , Tsuji Yosuke
Published: August 2020

Purpose

Recently, Jang and Byon (2020) found that esports recreational gameplay consumption is causally linked to esports online media consumption. In the context of esports, live-streaming content (by individual creators) is a new type of media consumption, which should be distinguished from esports event broadcast. Extending Jang and Byon’s finding, the purpose of this study is to examine the mediating effect of esports content live streaming in the relationship between esports recreational gameplay and esports event broadcast because it allows the games to be more accessible to viewers due to two-way communication. In order to test for stability of the mediating effect of esports live content streaming, we examined the hypothesized model across the three genres (i.e. imagination [n = 224], physical enactment [n = 195], sport simulation [n = 179]).

Design/methodology/approach

Data (N = 598) were collected via an online survey from individuals who had experienced esports recreational gameplay. A total of 15 items with five dimensions (i.e. esports recreational gameplay, esports content live streaming, esports event broadcast, streamer identification, and pro-player identification) were adapted from existing studies. The two identification constructs and gender were used as control variables.

Findings

The model fit of the measurement model was found to be acceptable via CFA. The results of SEM indicated that the intention of esports content live streaming consumption played a full mediation role in the relationship between esports recreational gameplay behavior and the intention of esports event broadcast consumption. Additionally, we found the mediating effect of esports content live streaming across the three genres.

Originality/value

This study contributes to literature related to the esports consumer behavior by conceptualizing esports content live streaming and found that esports content live streaming represents a mechanism that underlies the relationship between esports recreational gameplay intention and esports event broadcast consumption.
Integration of continuous improvement strategies with Industry 4.0: a systematic review and agenda for further research
Authors: Vinodh S. , Antony Jiju , Agrawal Rohit , Douglas Jacqueline Ann
Published: August 2020

Purpose

The purpose of this paper is to provide a review of the history, trends and needs of continuous improvement (CI) and Industry 4.0. Four strategies are reviewed, namely, Lean, Six Sigma, Kaizen and Sustainability.

Design/methodology/approach

Digitalization and CI practices contribute to a major transformation in industrial practices. There exists a need to amalgamate Industry 4.0 technologies with CI strategies to ensure significant benefits. A systematic literature review methodology has been followed to review CI strategy and Industry 4.0 papers (n = 92).

Findings

Various frameworks of Industry 4.0, their advantages and disadvantages were explored. A conceptual framework integrating CI strategies and Industry 4.0 is being presented in this paper.

Practical implications

The benefits and practical application of the developed framework has been presented.

Originality/value

The article is an attempt to review CI strategies with Industry 4.0. A conceptual framework for the integration is also being presented.
The Mental Health Effects of the First Two Months of Lockdown during the COVID‐19 Pandemic in the UK*
Authors: Banks James , Xu Xiaowei
Published: August 2020

In this paper, we estimate the effects of the COVID‐19 pandemic on mental health in the UK. We use longitudinal micro data for the UK over the period 2009–20 to control for pre‐existing trends in mental health and construct individual‐specific counterfactual predictions for April 2020, against which the COVID‐19 mental health outcomes can be assessed. Our analysis reveals substantial effects at the population level, approximately equal in magnitude to the pre‐pandemic differences between the top and bottom quintiles of the income distribution. This overall effect was not distributed equally in the population – the pandemic had much bigger effects for young adults and for women, which are groups that already had lower levels of mental health before COVID‐19. Hence inequalities in mental health have been increased by the pandemic. Even larger effects are observed for measures of mental health that capture the number of problems reported or the fraction of the population reporting any frequent or severe problems, which more than doubled. Pre‐existing health vulnerabilities had no predictive power for subsequent changes in mental health.
Rural‐Urban Differences in Survival and Health care Utilization Among Medicare Beneficiaries Diagnosed with Alzheimer’s Disease and Related Dementias
Authors: Rahman M. , White E. , Thomas K. , Jutkowitz E.
Published: August 2020

Research Objective

There is poor understanding as to how survival and health care utilization vary among older adults living with Alzheimer’s disease and related dementias (ADRD) in rural versus urban areas of the United States. The objective of this study was to describe survival and trajectories of hospital, nursing home, and home health care use in the six years following a new diagnosis of ADRD among rural and urban Medicare beneficiaries.

Study Design

Prospective cohort study using 2008‐2015 Medicare claims linked with nursing home and home health assessment data.

Population Studied

1 203 897 Medicare fee‐for‐service beneficiaries who were newly diagnosed with ADRD in 2008 or 2009. 77% (n = 921 853) resided in metropolitan counties, 14% (n = 162 857) in micropolitan counties, and 10% (n = 119 187) in rural counties.

Principal Findings

The average age at ADRD diagnosis was about six months younger for beneficiaries residing in rural counties compared to metropolitan counties. Beneficiaries residing in metropolitan counties survived a mean of 1211 days (median 1188 days) after diagnosis. Adjusting for individual demographic and clinical characteristics, beneficiaries in rural and micropolitan counties survived 29.2 fewer days (95% CI −34.0, −24.4) and 31.9 fewer days (95% CI −36.1, −27.7) than metropolitan residents, respectively. Compared with metropolitan residents, rural residents spent an adjusted 82.9 fewer days (95% CI −87.6, −78.2) in the community without home health care services, received 3.0 fewer days of home health care services (95% CI −3.5, −2.5), and spent 59.8 more days (95% CI 56.7, 63.0) in nursing homes. We found similar patterns in health care utilization for micropolitan vs. metropolitan residents, though the magnitude of the differences was smaller. Differences between groups became more pronounced the greater the time from diagnosis.

Conclusions

Urban‐dwelling older adults with ADRD are significantly more likely to remain in the community and less likely to use nursing homes than individuals in rural and micropolitan counties, particularly in later disease stages.

Implications for Policy or Practice

Differences in health care utilization and survival between rural and urban Medicare beneficiaries with ADRD likely reflect geographic differences in health care access for timely diagnosis, proximity to informal caregivers, and availability of formal support services offered by home health agencies and other community‐based long‐term care providers.

Primary Funding Source

National Institutes of Health.
Medicaid Expansion Resulted in Decreased Odds of Frequent Emergency Department Use Among Medicaid Beneficiaries and the Uninsured in New York
Authors: Giannouchos T. , Kum H.‐C. , Ohsfeldt R. , Gary J. , Morrisey M.
Published: August 2020

Research Objective

Frequent emergency department (ED) use has been often cited as a marker of fragmented health care provision and is an indicator of poor quality of care. The Affordable Care Act (ACA) attempted to address the rising costs related to the utilization of ED services, among others, by expanding insurance coverage, by fortifying primary care, by supporting the development of integrated health care delivery models, and by introducing alternative quality‐adjusted payment models. The objective of this study is to describe and to compare frequent ED users before and after the Medicaid expansion under the ACA and to estimate the policy’s effect on the likelihood of frequent ED utilization in New York.

Study Design

We used the 2011 to 2016 Healthcare Cost and Utilization Project (HCUP) State Emergency Department Databases (SEDD) and State Inpatient Databases (SID) for New York. The number of ED visits per patient was calculated using a patient identifier across the HCUP SEDD and SID data. We defined frequent ED use as four or more visits in one year. Multivariate logistic regression was used to estimate the changes in the likelihood of frequent ED use in the post‐Medicaid expansion period. We conducted sensitivity analyses using alternative definitions of frequent use and falsification analyses examining only pre‐expansion years.

Population Studied

In‐state residents aged 18‐64, who had Medicaid or private coverage or were uninsured.

Principal Findings

Frequent users represented 7.1% of all ED patients before and 7.3% after the policy implementation and accounted for 26.1% and 27.0% of all ED visits, respectively. Frequent users were mostly covered through Medicaid across all years (69% vs 35%, P < .001) and had higher rates of comorbidities and chronic conditions compared with infrequent users. After controlling for patient and county‐level characteristics, the policy implementation was associated with 4% (P < .001) and 12% (P < .001) reductions in the likelihood of being a frequent ED user among Medicaid beneficiaries and the uninsured, respectively, while the likelihood of frequent use increased by 9% (P < .001) for private insurance enrollees. Beyond the policy, high ED reliance was continuously associated with patients who had multiple comorbidities and chronic conditions, including mental health, substance, and alcohol use, as well as conditions that could be prevented and treated in non‐ED settings.

Conclusions

After New York expanded Medicaid in 2014, the likelihood of frequent ED use declined among Medicaid beneficiaries and those remaining uninsured.

Implications for Policy or Practice

The high share of frequent users in Medicaid plans indicates the continuous need to address social determinants of health at community level, particularly for Medicaid patients.
A Comparison on Quality of Care and Practice Patterns of Primary Care Physicians, Nurse Practitioners, and Physician Assistants for Medicaid Patients in New York
Authors: Wang S. , Martiniano R.
Published: August 2020

Research Objective

Currently, services for Medicaid patients in ambulatory care are predominantly delivered by primary care physicians (PCMDs). This study compared the quality of care and practice patterns among primary care physicians, nurse practitioners (NPs), and physician assistants (PAs) in ambulatory care settings to indicate gaps in services that could be filled if primary care services were delivered by NPs and PAs.

Study Design

Using Medicaid claims data of the New York State Medicaid Data Warehouse from 2016 to 2018, multivariate regression analyses were conducted to estimate the impact of receiving primary care by NPs/PAs versus receiving primary care by PCMDs.

Literature reviews were conducted to select 7 patient‐level outcome variables, including 3 quality of care indicators (smoking cessation, depression, and hyperlipidemia) and 4 practice pattern indicators (general examination, ultrasonography, medication, and referral). Both design‐based and model‐based inferences were utilized to test on 7 key outcome variables (software SPSS 25 and Hierarchical Linear and Nonlinear Modeling (HLM) 7, respectively).

Effects of practitioner type on quality of care and practice patterns were examined using weighted regressions and presented as adjusted odds ratios (AORs) for each outcome.

In addition to the AORs, predictive margin modeling was also used to estimate the probability of each outcome occurring among PCMDs, NPs, and PAs while controlling for other outcomes.

Population Studied

Analyses included over 23 million Medicaid claims from 21,392 PCMDs, 3,492 NPs, and 1,951 PAs on more than 6 million unique Medicaid patients in New York State from 2016 to 2018.

Principal Findings

The distribution of practitioners’ characteristics was largely similar across practitioner type, although a greater proportion of NPs were female compared with PCMDs and PAs.

On 4 of the 7 outcomes—depression treatment, hyperlipidemia treatment, general examination, and medication—no statistically significant differences were detected in NP/PA‐provided primary care compared with PCMD‐provided.

On the remaining outcomes, Medicaid patients seen by NPs were more likely to receive smoking cessation treatments than those seen by PCMDs (P ≤ .05). Medicaid patients seen by PAs were more likely to receive primary care ultrasounds and physician referrals than those seen by PCMDs (P ≤ .01).

Conclusions

Among the outcomes studied, primary care services provided by PCMDs, NPs, and PAs are comparable in ambulatory care settings in New York for Medicaid patients.

Implications for Policy or Practice

A greater use of NPs and PAs is likely to produce equivalent quality primary care services and may improve primary care in underserved areas where have difficulties hiring primary care physicians.