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Full-Text Articles in Business
Health Systems In Transition: Professional Identity Work In The Context Of Shifting Institutional Logics, Yiannis Kyratsis, Rifat Atun, Nelson Phillips, Paul Tracey, Gerard George
Health Systems In Transition: Professional Identity Work In The Context Of Shifting Institutional Logics, Yiannis Kyratsis, Rifat Atun, Nelson Phillips, Paul Tracey, Gerard George
Research Collection Lee Kong Chian School Of Business
We investigate how established professionals manage their identities in the face of identity threats from a contested shift in the professional logic that characterizes their field. To do so, we draw on interviews with 113 physicians from five European transition countries who faced pressure for change in their professional identities due to a shift in the logic of healthcare from a logic of "narrow specialism" in primary care that characterized the Soviet health system to a new logic of "generalism" that characterizes primary care in the West. We found three important forms of professional identity threats experienced by physicians during …
Institutional Entrepreneurship, Governance And Poverty: Insights From Emergency Medical Response Services In India, Gerard George, Rekha Rao-Nicholson, Christopher Corbishley, Rahul Bansal
Institutional Entrepreneurship, Governance And Poverty: Insights From Emergency Medical Response Services In India, Gerard George, Rekha Rao-Nicholson, Christopher Corbishley, Rahul Bansal
Research Collection Lee Kong Chian School Of Business
We present an in-depth case study of GVK Emergency Management and Research Institute, an Indian public–private partnership (PPP), which successfully brought emergency medical response to remote and urban settings. Drawing insights from the case, we investigate how the organization established itself through institutional entrepreneurship using a process conceptualized as opportunity framing, entrenchment, and propagation. The case and context highlight the need for innovation in organizational design and governance modes to create a new opportunity that connects state actors, private healthcare providers, and the public at large. We consider the role of open innovation and novel business models in creating these …
A Universal Appointment Rule With Patient Classification For Service Times, No-Shows And Walk-Ins, Cayirli Tugba, Kum Khiong Yang
A Universal Appointment Rule With Patient Classification For Service Times, No-Shows And Walk-Ins, Cayirli Tugba, Kum Khiong Yang
Research Collection Lee Kong Chian School Of Business
This study evaluates patient classification for scheduling and sequencing appointments for patients differentiated by their mean and standard deviation of service times, no-show, and walk-in probabilities. Alternative appointment systems are tested through simulation using a universal Dome rule and some of the best traditional appointment rules in the literature. Our findings show that the universal Dome rule performs better in terms of reducing the total cost of patient’s waiting time, doctor’s idle time, and overtime, and its performance improves further with the right sequencing of patient groups. Although it is a challenge to find the best sequence, we propose a …