bluuebunny/crossref_metadata_2025_split huggingface dataset:
Relationship between patient costs and patient pathways
Authors: Dahlin Sara , Raharjo Hendry 
Published: January 2019

Purpose
The purpose of this paper is to identify actual (as-is) patient pathway variation among breast cancer patients and to investigate the relationship between pathways and the cost incurred by patients.

Design/methodology/approach
Both quantitative and qualitative methods were employed to analyze data from four Swedish hospital groups. Quantitative methods include event-log data mining and statistical analyses on the related patient cost from the Swedish breast cancer quality registry and case-costing system. Qualitative methods included collaboration with and interviewing domain experts.

Findings
Unique pathways, followed by only one patient, were generally costlier than the most and less frequent pathways. Earlier study findings are confirmed for mastectomy patients, with more frequent pathways having a lower cost, whereas contradicting and inconclusive results emerged for the partial mastectomy patient groups. Highest variation in pathways was identified for patients receiving chemotherapy.

Practical implications
The common belief – if one follows a standardized patient pathway, then the cost will be lower – should be re-examined based on the actual pathways that occur in reality.

Originality/value
The relationships between patient pathways and patient cost allow more complex insights, beyond the general causal relationship between successfully implementing a “to-be” care pathway and lower cost. This highlights data-driven research’s importance, where actual pathways (as-is) provide more useful information than to-be care pathways.
The privatisation of healthcare system in Bangladesh
Authors: Rahman Redwanur 
Published: January 2019

Purpose
The purpose of this paper is to examine the factors that triggered the privatisation of Bangladesh’s health sector.

Design/methodology/approach
This study follows systematic reviews in its undertaking and is based on an extensive review of both published and unpublished documents. Different search engines and databases were used to collect the materials. The study takes into account of various research publications, journal articles, government reports, policy and planning documents, relevant press reports/articles, and reports and discussion papers from the World Health Organization, the World Bank and the Asian Development Bank.

Findings
While Bangladesh’s healthcare sector has undergone an increasing trend towards privatisation, this move has limited benefits on the overall improvement in the health of the people of Bangladesh. The public sector should remain vital, and the government must remobilise it to provide better provision of healthcare.

Research limitations/implications
The paper focusses only on the public policy aspect of privatisation in healthcare of a country.

Practical implications
The paper examines the issue of privatisation of healthcare and concludes that privatisation not only makes services more expensive, but also diminishes equity and accountability in the provision of services. The study, first, makes a spate of observations on improving public healthcare resources, which can be of value to key decision makers and stakeholders in the healthcare sector. It also discourages the move towards private sector interventions.

Originality/value
This study is an independent explanation of a country’s healthcare system. Lesson learned from this study could also be used for developing public policy in similar socio-economic contexts.
Organisational culture: the hidden operand in clinical laboratories
Authors: Chang Wee Leong , Meyer Jill , Merien Fabrice 
Published: January 2019

Purpose
The purpose of this paper is to present organisational cultural determinants that can influence total quality management (TQM) in clinical laboratories.

Design/methodology/approach
This is a viewpoint paper using evidence provided by a literature research about cultural patterns using Competing Values Framework to explain the relationship between organisational culture and TQM.

Findings
Cultural aspects likely to enhance creativity and innovation are considered as incentives in promoting cultural transformation. TQM in the average modern clinical laboratory requires a long overdue transformational change in values, culture and attitude.

Social implications
Valuing people, making up an organisation, is expected to enhance TQM.

Originality/value
This paper provokes a shift in thinking among traditional clinical laboratory managers and results in a win-win for both staff and total quality outcomes.
An investigation into the financial sustainability of
Islamic Saving, Credit Cooperative Society (SACCOS) in Tanzania
Authors: Said Mariam Swalehe , Annuar Hairul Azlan , Hamdan Hamdino Bin 
Published: January 2019

Purpose
The purpose of this paper is to assess the financial sustainability of
Islamic Saving Credit Corporative Society (SACCOS) and the factor(s)
affecting their financial sustainability in the Tanzanian context.

Design/methodology/approach
The data set used in this study comes from four SACCOS audited financial
reports from the year 2010 to 2014 and from interviews with SACCOS’s
management.

Findings
The study found that the IMFIs in Tanzania are not financially sustainable.
Additionally, having responsible staff members, regular review of financial
guidelines, education to members, cooperation between employees and
management and staff training are found to be highly contributing factors
towards SACCOS’s financial sustainability. Moreover, the findings
reveal that depending on the single source of income, i.e., charges on
members contributed much in these SACCOS’s not being financially
sustainable.

Research
limitations/implications
Only two available registered Islamic SACCOS was used. Additionally,
conventional SACCOS have been in service provision for a long time as
compared to Islamic ones; hence, caution must be taken for comparison
purposes.

Practical implications
Based on these findings, the Islamic SACCOS needs to initiate productive
projects that can enable them to have other income sources apart from
charges on members.

Originality/value
This study traces the financial trend of Islamic SACCOS in Tanzania since its
establishment in 2010. Such trace enables Islamic SACCOS and other
stakeholders to be aware on the financial progress of Islamic SACCOS and act
accordingly to ensure sustainability.
When is helping considered helping? The recipient’s view of helping during the stages of receiving help
Authors: Chou Shih Yung , Ramser Charles , Chang Tree 
Published: January 2019

PurposeThe purpose of this paper is to develop a theoretical model that describes when helping is considered helping from the recipient’s point of view.Design/methodology/approachThe theoretical model was conceptually developed by drawing upon attribution theory, self-consistency theory and social cognitive theory, as well as relevant literature.FindingsThe authors propose that receiving help encompasses three sequential stages: the pre-help-receiving stage, the help-receiving stage and the post-help-receiving stage. Additionally, the authors theorize that the more other-oriented helping motives are attributed by the recipient, the more likely the recipient views the helper’s help as helping, that the more self-esteem preserving behaviors along with helping actions the recipient receives from the helper, the more likely the recipient views the helper’s help as helping and that the more gaps between actual and desired level of task performance are closed by the helper’s help, the more likely the recipient views the helper’s help as helping.Originality/valueFrom a theoretical standpoint, this paper offers a process approach that may guide future research on help receiving in organizations.
Explaining socially responsible consumption
Authors: Prendergast Gerard Paul , Tsang Alex S.L. 
Published: January 2019

PurposeConsumers are becoming increasingly socially conscious when making their purchasing decisions, which in turn is providing an incentive for firms to integrate social responsibility considerations into their product offerings. Explaining the various categories of socially responsible consumption (SRC) is therefore important. The purpose of this paper is to explain the various categories of socially responsible consumption.Design/methodology/approachGrounded in the theory of planned behavior (TPB), this paper surveyed a sample of 1,202 Hong Kong consumers.FindingsThe findings indicate that attitude towards the behavior, subjective norms and perceived behavioral control are all significant predictors of three categories of SRC (i.e. intention to purchase from firms based on their CSR performance, intention to practice recycling and intention to try to avoid or minimize their use of products based on their environmental impact). Intention to engage in SRC was then shown to be a significant predictor of SRC behavior.Research limitations/implicationsThis paper relied on only the single-factor test as a measure of socially desirable responding. Furthermore, while the quota sampling was designed for broad representativeness, it is difficult to verify if the well-controlled quota controls entirely removed the possibility of a biased selection of respondents within each cell.Practical implicationsRecommendations are made for public policy-makers and marketers to devise ways to shape consumer behavior to facilitate more responsible consumption.Originality/valuePrevious research relating to SRC has not explained the various categories of SRC and often failed to test the relationship between intention and behavior, representing a considerable gap in the literature. This paper applied the theory of planned behavior (TPB) to explain intention and behavior with regards to the various categories of SRC.
Nourish what you own: psychological ownership, materialism and pro-environmental behavioral intentions
Authors: Felix Reto , Almaguer Jacob 
Published: January 2019

PurposeResearchers have become increasingly interested in the construct of psychological ownership in recent years. The purpose of this paper is to extend the target of psychological ownership to planet Earth as a whole and investigate its relationship with materialism and pro-environmental behavioral intentions.Design/methodology/approachThe paper is based on a survey with 236 college students from a public university in the Southeast of the USA. The model fit from a confirmatory factor analysis is very satisfactory. Mediation of psychological ownership for the planet is formally tested using structural equation modeling (SEM) and Hayes’ (2013) macro for SPSS.FindingsThe findings of this paper support the expectation that both the individual (my planet) and the collective-oriented dimensions (our planet) of individual-level psychological ownership are positively related to recycling intentions and the intention to purchase green products. Further, formal mediation tests show that psychological ownership for my planet, but not for our planet, mediates the relationship between material values and pro-environmental behaviors.Practical implicationsCompanies that aim to gain competitive advantage through green citizenship can highlight the individual or shared ownership of the planet to align the political agenda of government officials with their company mission, vision and brand positioning.Originality/valueThe current paper contributes to the emerging body of literature on psychological ownership by extending its target to planet Earth as a whole. It is the first paper to explain the previously observed negative relationship between materialism and pro-environmental behaviors through the mechanism of psychological ownership.
Comparison of fire resistance of damaged fireproofed steel beams under hydrocarbon pool fire and ASTM E119 fire exposure
Authors: Mahamid Mustafa , Taghipour Anvari Ataollah , Torra-Bilal Ines , Brindley Tom , McNallan Michael 
Published: January 2019

Purpose
The purpose of this paper is to investigate different types of fire on structural steel members with damaged fireproofing. Two types of fire scenarios are considered, ASTM E119 fire and Hydrocarbon fire. In industrial facilities such as oil refineries, certain units maybe subjected to hydrocarbon fire, and its effect might be different than standard fire. The purpose of this study is to compare both types of fire scenarios on steel beams with damaged fireproofing and determine the fire rating of the damaged beams under each fire scenario.

Design/methodology/approach
The study is performed using computational methods, thermal-stress finite element analysis that is validated with experimental results. The results of practical beam sizes and typical applied loads in such structures have been plotted and compared with steel beams with non-damaged fireproofing.

Findings
The results show significant difference in the beam fire resistance between the two fire scenarios and show the fire resistance for beam under each case. The study provides percentage reduction in fire resistance under each case for the most commonly used cases in practice under different load conditions.

Originality/value
Extensive literature search has been performed by the authors, and few studies were found relevant to the topic. The question this study answers comes up regularly in practice. There are no standards to codes that address this issue.
ANN prediction of fire temperature in timber
Authors: Cachim Paulo 
Published: January 2019

PurposeFire degradation is an extremely important risk that threatens timber structures. It is therefore normal that timber design codes include provisions for the design and verification of structures under fire loading. Eurocode 5 is no exception to this, but the simplified methods presented in the code show some inconsistencies, and the advanced method is not practical to use for design purposes. Artificial neural networks (ANNs) have the ability to model complex problems and have been used in a variety of construction engineering problems. They can learn from a subset of data, and then they can be used to predict the results for other input parameters. The purpose of this study is to present the possibility of the use of ANNs for the prediction of temperatures in rectangular timber cross sections, under fire exposure.Design/methodology/approachIn this work, a multilayer feedforward ANN has been trained to predict the temperatures within a timber cross section, using as input the size of the cross section, the timber density, the time of exposure and the coordinates of the point within the cross section.FindingsThe results obtained clearly indicate that ANN can be used to predict the temperatures in a timber cross section subjected to fire.Originality/valueANNs have not been used for the prediction of temperatures in timber cross sections. The use of ANN makes the temperature prediction under a standard fire loading in a cross section extremely easy to implement in any code. These results can be used to calculate the strength of the elements after fire.
Perspectives on the relationship between records management and information governance
Authors: Brooks Julie 
Published: January 2019

PurposeThe increasing prominence of the use of the term information governance (IG) raises fundamental questions about the role and relevance of records management in today’s organisations. As a starting point, this paper aims to explore the relationship between records management and IG by considering both recordkeeping and non-recordkeeping perspectives.Design/methodology/approachThe research discusses literature chiefly from 2013 to the present to shed light on how discussion of the relationship between records management and IG has evolved over the past few years.FindingsA range of perspectives on the relationship between records management and IG was evident and, notably, a lack of direct engagement from the records management community. Taking the positive perspectives that emerged, IG was seen as an opportunity for records management. By contrast, others regarded it as a necessary successor to records management, the latter perceived as too associated with the paper era to be capable of meeting the organisational information needs of today. Equally, others were sceptical about the real difference IG offered, suggesting it was in part a rebranding exercise, which did not necessarily articulate anything fundamentally new.Originality/valueDefining literature in the broadest sense, this paper offers a high-level review of some of the recent discussions that have taken place in a wide variety of contexts around the relationship between records management and IG. It includes journal articles, books, online discussions from professional forums and listservs, vendor contributions, opinion-pieces and blogs and in particular focuses on presenting a range of viewpoints from individuals operating within various information-related spaces, including records and information management, IG, and information technology. It is hoped that this preliminary research will encourage further engagement on the subject from recordkeeping professionals.
Leadership and political will for implementation of the access to information (ATI) Act (2016) in Kenya
Authors: Kabata Victor , Garaba Francis 
Published: January 2019

PurposeThe purpose of this paper is to demonstrate the importance of leadership and political will towards successful implementation of an access to information (ATI) legislation.Design/methodology/approachThe paper adopted a mixed methods approach with a bias towards a quantitative survey, complemented by a qualitative follow-up and triangulation during data collection. A complement of theoretical models underpinned the paper, thus enhancing understanding of the multifaceted phenomenon of ATI.FindingsThe paper revealed that the state has demonstrated leadership and political will for ATI by developing government-wide records management manual for public entities; developing an ATI implementation action plan and availing resources for ATI. However, there is need to review laws that perpetuate secrecy; formulate regulations to operationalize the Act and allocate adequate finances for ATI activities.Research limitations/implicationsThe paper focused on assessing the extent of leadership and political will on the executive arm of the government excluding the Judiciary and the legislature.Practical implicationsThe paper proposes an ATI implementation roadmap, which can be adopted by other countries with comparable contexts.Social implicationsThe proposed action plan if adopted will result in an informed citizenry that understands and leverages ATI to claim their socio-economic rights.Originality/valueThe paper provides empirical evidence on some aspects of leadership such as the ministries with ATI policy; level of engagement of policy-makers in ATI matters and the availability of resources for ATI. Further, the paper adopted a multidisciplinary approach by including the concept of ‘meaningful engagement’ whose theoretical foundation is in law to the concept of access to information.
Measuring hospital‐specific disparities by dual eligibility and race to reduce health inequities
Authors: Lloren Anouk , Liu Shuling , Herrin Jeph , Lin Zhenqiu , Zhou Guohai , Wang Yongfei , Kuang Meng , Zhou Sheng , Farietta Thalia , McCole Kerry , Charania Sana , Dorsey Sheares Karen , Bernheim Susannah 
Published: January 2019

ObjectiveTo propose and evaluate a metric for quantifying hospital‐specific disparities in health outcomes that can be used by patients and hospitals.Data Sources/Study SettingInpatient admissions for Medicare patients with acute myocardial infarction, heart failure, or pneumonia to all non‐federal, short‐term, acute care hospitals during 2012‐2015.Study DesignBuilding on the current Centers for Medicare and Medicaid Services methodology for calculating risk‐standardized readmission rates, we developed models that include a hospital‐specific random coefficient for either patient dual eligibility status or African American race. These coefficients quantify the difference in risk‐standardized outcomes by dual eligibility and race at a given hospital after accounting for the hospital's patient case mix and proportion of dual eligible or African American patients. We demonstrate this approach and report variation and performance in hospital‐specific disparities.Principal FindingsDual eligibility and African American race were associated with higher readmission rates within hospitals for all three conditions. However, this disparity effect varied substantially across hospitals.ConclusionOur models isolate a hospital‐specific disparity effect and demonstrate variation in quality of care for different groups of patients across conditions and hospitals. Illuminating within‐hospital disparities can incentivize hospitals to reduce inequities in health care quality.
Histological and anatomical variations of septomarginal trabecula in bovine hearts
Authors: Nascimento Sérgio Ricardo Rios , Ruiz Cristiane Regina , de Oliva Samara Urban 
Published: January 2019

AbstractThe use of hearts from different animals as models in the experimental pharmacology and surgical clinic has led, in recent years, to an increase on interest of research with this organ. The heart’s conducting system, from the septomarginal trabecula, presents several variations, which generates numerous controversies in the literature. So, the objective of the present study is to analyse the morphology of the septomarginal trabecula of bovine hearts, identifying possible macro‐ and microscopic variations. Thirty‐four bovine hearts were analysed. Each trabecula was analysed macroscopically to obtain an anatomical description and measurements of its length and thickness. For histological and morphometric analysis, the samples were fixed in Bouin’s solution and then subjected to histological processing. In all the analysed bovine hearts, the septomarginal trabecula presented itself as a smooth, tubular meaty structure of muscular consistency, with variable length and diameter. The anatomical variations observed included a trabecula with forked marginal fixation, and single septal fixation, in addition to a trabecula with extremely reduced or excessively thick caliber. The septomarginal trabecula consists of cardiac muscle fibres, connective tissue, vascular tissue and conduction myofibrils or Purkinje fibres. In the samples of smaller thicknesses, there was a predominance of connective tissue and scarce cardiac muscle tissue, whereas in the thicker samples the predominance was of cardiac striated muscle tissue. Therefore, there are significant macro‐ and microscopic differences between the bovine septomarginal trabecula concerning their diameter and constituent tissue, and that can lead to possible changes in cardiac physiology.