Performance Measurement and Compensation Practices in Hospitals: An Empirical Analysis in Consideration of Ownership Types

Against the background of regulatory initiatives that put hospitals under increasing financial pressure, we explore performance measurement and compensation practices in hospitals through a multiple case study. We extend previous research by comparing practices among different ownership types (i.e. public, non-profit, and private) and by providing initial evidence on compensation schemes for the clinical staff. Our empirical investigation is embedded in the ‘stewardship–agency axis’ that allows the development of theoretical arguments about the interdependencies between ownership and performance measurement systems (PMS). We distinguish two primary levels of analysis – the types of measures implemented and their linkage with compensation and decision-making. Our findings suggest that the types of measures are primarily affected by regulatory pressures, while powerful internal actors considerably influence the linkage between these measures and compensation. Consistent with our theorised patterns, cross-case analyses indicate differences between ownership types concerning the performance dimensions that are prioritised and the linkage of performance measures with compensation of the clinical staff. Together, these findings provide evidence on the interdependent effects of the regulatory environment, the type of ownership and internal actors on a hospital's PMS. We also provide some tentative explanations for these findings based on insights from institutional and behavioural theory.     

Assessing emerging technologies—Methodological challenges and the case of nanotechnologies

Technology Assessment reflecting on R&D and technological trends in the area of nanotechnology and its implications is confronted with the problem that most scientific endeavours of nanotechnology can be allocated to basic research while most of the technological visions related to nanotechnology are far (> 10 years) in the future. Since technology assessment has to integrate the socio-economic context of a technical product in order to be comprehensive, in the case of nanotechnology a preparing step is necessary which connects the ongoing basic research with the visions communicated either by the scientist themselves or by the media. In this paper we propose to adapt the well known tool ‘roadmapping’ to contribute to the solution of this problem. This poses new challenges for roadmapping methodology in terms of level of aggregation and timeframe.     

Size effects and audit pricing: Evidence from Germany

Previous research into audit pricing has focused on the US and Australasian markets. This study aims to elaborate on the role played by various size effects on audit pricing using data from the German market.As previous research has shown, audit firms that provide additional non-audit services are able to charge higher fees for auditing. By contrast, our results show that only Big 4 auditors can earn an audit fee premium by providing non-audit services.Our findings also show that the Big 4 premium shown by previous German research is strongly affected by the premium for overall market leadership. Furthermore, we find that the influence of risk variables such as leverage or past losses is significant only for small auditees, while for large auditees size is the determining factor.Finally, this study proposes that using the logarithm of the number of employees is a better proxy for company size than is the more commonly used logarithm of total assets because it is more constant over time and does not bear the risk of interdependencies with other financial statement-based variables. Therefore, its further use in audit pricing research is strongly recommended.     

War,terror, and the tourism market in Israel

A supply and demand model of the Israeli hotel industry is developed, distinguishing between its domestic and foreign sectors. Model simulations are employed to examine the impacts of war and terrorist incidents on tourist activity and hotel revenues. Foreign demand for Israeli hotel stays is highly price-elastic and income-inelastic, and moderately sensitive to terrorist events. Domestic demand is price-inelastic, income-elastic, and terror-insensitive. In the wake of terror attacks, hotels' supply or minimum prices to Israeli tourists shift downward, reducing local market prices and encouraging more local tourism. However, the magnitude of these shifts is minor, and the local market thus provides little buffer for dropoffs in foreign tourism. By permitting excess capacity in such fashion, hotels respond rationally to the price inelasticity of local demand.     

Influence of women’s workload on their nutritional status in selected communities in Ghana

Abstract: A study was undertaken to assess the impact of women’s work on their health and nutritional status in Ghana. Using a combination of purposive sampling and cluster sampling techniques, 80 women were selected from Madina (suburban) and Boi (rural) communities in the Greater Accra Region of Ghana. Structured questionnaire and 24-h dietary recall methods were used to collect the information on the nature of the women’s work, the amount of time used for the activities, health problems and food intakes. Nutritional anthropometry (weight, height) was used to assess the nutritional status using body mass index (BMI) as an indicator. The results revealed that the women were involved in multiple activities and worked between 12 and 17.5 h daily. In an attempt to fulfil their multiple roles, the women suffered many physiological problems, with general weakness and tiredness, body pains, dizziness, headaches, arthritis and malaria being the most common ailments. For food intake and nutrition, it was observed that 70% of the women had only two meals in a day. The reasons attributed to this include lack of time, the need to leave home early and too much involvement in work. The diet of the rural residents were low in almost all the nutrients calculated, whereas that of the urban residents was slightly deficient in protein, energy, iron and calcium. Using BMI as a measure of nutritional status, 31% of the women were found to be at nutritional risk.     

What do Airbnb hosts reveal by posting photographs online and how does it affect their perceived trustworthiness?

The use of sellers' personal photographs online is ubiquitous in sharing economy platforms such as Airbnb. This paper addresses two questions. First, what type of personal photos do hosts choose to post on Airbnb? Second, which of the characteristics of their photos affects their perceived trustworthiness? We answer these questions by building a structural equation model of the relation between the characteristics of the photos and the perceived trustworthiness of the hosts. The antecedents of trust in this model were defined based on insights from psychology regarding first impressions. We found that the hosts' visual characteristics (e.g., gender) as revealed in their online photographs affect their perceived trustworthiness both directly and indirectly via attractiveness. We also found that image characteristics, which are not related directly to the traits of the host in the picture (e.g., photograph quality), play a significant role in trust inference. Interestingly, the hosts' choices of their personal photos suggest that they may not be aware of these effects.