Moving towards consumer involvement in maternity services in the north‐east of Ireland

This article uses a case‐study approach to focus on developments in maternity services in the north‐east of Ireland where there is occurring a planned move towards active consumer involvement. In a country with a poor record of consumer involvement, this is a very welcome and innovative development. The Health Service in Ireland is in crisis, characterized by a very prolonged and difficult restructuring, extreme difficulties in recruiting and retraining staff, lack of resources, long waiting times in accident and emergency units with the media reporting daily counts of those left lying on trolleys for extended periods. The north‐east of the country has been affected by the closure of two maternity units in Monaghan and Dundalk. The region has been rocked in recent years by a major health scandal with a long‐serving obstetrician being struck off the medical register for carrying out an excessive number of caesarean hysterectomies. Out of this, there is emerging an innovative woman‐centred maternity service in the north‐east of the country. This article evaluates these developments with a particular focus on consumer involvement.     

Business Ethics and E-learning: A contradiction in terms?

In seeking to stimulate the ethical awarenessof first year undergraduates on business andpublic sector courses, the potentialcontribution of e-learning should not beunderestimated. While ethics is traditionallyassociated with more discursive approaches,initially there is much to be gained fromproviding students with an interactiveelectronic facility which they can use at theirconvenience. If designed with due regard to thelimitations of educational technology andmodest aims, it can help students to becomemore ethically aware by familiarising them withthe language and concepts of ethical discourseand to acquire the skills needed to evaluatesituations from an ethical perspective.At Sheffield Hallam University, such afacility, based on the principles ofprogression and interactivity, is beingdeveloped within an action research framework.Involving close collaboration between tutors,those with relevant technical expertise andstudent volunteers, representing the interestsof potential users, all concerned are committedto enhancing the quality and rigour of thefirst year student learning experience.The challenges faced have included workingwithin the constraints imposed by the softwareplatform, Blackboard 5, and ensuring that thefacility is genuinely interactive rather thansimply the replication of a paper based system;is user friendly; enhances learning andencourages users to build on the foundationslaid. While face-to-face tuition must remain akey element in helping undergraduates becomemore aware of the ethical dimension of businesslife in its broadest sense, the projectdemonstrates that business ethics ande-learning are not a contradiction in terms.     

Ageing-related services as a key element for social cohesion

The aim of this article is to carry out an empirical analysis of certain factors related to dependence in Spain and additionally to study the intensity of the use of health resources by dependents. Age appears to be the main socio-demographic factor related to dependence, which confirms the need for measures to deal with the demographic changes taking place. Thus, providing services to cover long-term care could become an important instrument for social cohesion. Multivariate analysis does not reveal a strong link between the use of healthcare services and dependence that would justify the joint management of the two systems. This means that self-regulating management of dependence and healthcare systems may be adequate except in the case of severe dependency.     

Likeability as a measure of advertising effectiveness: the case of financial services

Television advertising for financial services accounts for over one-third of total financial services advertising expenditure, yet there is evidence to suggest it is not very well done. Given the difficulties advertisers have to overcome in terms of promoting an intangible product in accordance with tight restrictions on advertising content and format to a largely uninvolved audience, it becomes all the more imperative to study how viewers judge financial services commercials. This paper presents the findings of a study which seeks to establish which elements, if any, of a financial services commercial first make it likeable to its target audience, second motivate the viewer to seek more information about the service being advertised and, third, have an effect on the image the viewer has of the advertiser. Some interesting findings from the research point to the similarities between the emerging factors for viewers' affective reactions to fast-moving consumer goods (FMCG) and financial services commercials and the extent to which likeability mediates the influence which advertisement execution features have on subsequent behavioural intentions.     

Children as vulnerable consumers: a first conceptualisation

ABSTRACT

Understandings of consumer vulnerability remain contentious and despite recent developments, models remain unsuitable when applied to children. Taxonomic models, and those favouring a ‘state’- or ‘class’-based approach have been replaced by those attempting to tackle both individual and structural antecedents. However, these are still overly individualistic and fail to progress from an artificial view that these dimensions work separately and independently. In contrast, the new sociology of childhood conceptualises childhood as a hybridised, fluid combination of structure and agency. This paper introduces this approach, new to the consumer vulnerability field, and proposes that it has considerable implications for the way that children’s consumer vulnerability is theorised and researched, and for the formulation of policy.     

Creating consumer satisfaction in maternity care: the neglected needs of migrants,asylum seekers and refugees

An estimated 190 million people are now living outside their countries of birth or citizenship, and the rate of this migration is expected to remain high. The resulting growing cultural and ethnic diversity in societies adds specific challenges to the requirement of delivering public services such as health care to consumers. Globally, about half of the migrant population are women. Migrants’ outcomes of pregnancy are known to be poor, showing significant disparities when compared with those of native populations. Although these disparities have been noted, knowledge is limited regarding the availability and accessibility of healthcare services, as well as the acceptability of maternity care for women with experiences of free and forced migration. Healthcare research in general, and maternity care research specifically, have often neglected this population. This paper examines the existing international guidelines intended to address inequities in health outcomes, policies which have been introduced at national levels, and the widely used concepts of ‘patient‐centred’ and ‘woman‐centred’ health services. The ideals implicit in those guidelines and concepts are contrasted with the available evidence of many overseas nationals’ experiences with healthcare provisions in general, and maternity care in particular. This is followed by reflections on deficiencies in current studies and on those methodological problems which make research on maternity care for migrant women particularly challenging. The conclusion considers the appropriateness and relevance of guidelines currently promoting equity in maternity care and suggests a future agenda for priority research.     

Finnish polytechnics as providers of knowledge-intensive services

Polytechnics are newcomers in companies' regional innovation environments in Finland. Particularly in regions with no university of their own or with only few knowledge-intensive business services (KIBS) providers, they may become, and in some cases already are, important providers of science-and-technology-related services. The aim of this article is to analyse the roles, possibilities and challenges of polytechnics as public KIBS providers. Also, the position of polytechnics as a tool of Finnish innovation policy will be discussed.     

Pricing of card payment services in Scandinavian banking: a comment

Willesson [(2009). Pricing of card payment services in Scandinavian banking. The Service Industries Journal, 29(3), 387–399] purports to demonstrate that when it comes to pricing of card payment services, Scandinavian banks with foreign operations will typically align themselves with the ‘pricing tradition’ in their foreign market(s). Unfortunately, a problem with Willesson's approach is that for several banks in his sample the foreign pricing tradition happens to coincide with the pricing strategy that the bank uses in its home market. As a result, it is impossible to determine whether these banks have really opted for a strategy of national responsiveness.     

Internationalization of services: The case of intra‐multinational enterprise trade

Increased tradability of services, made possible by the information and communications technology (ICT) revolution, has been at the heart of the internationalization of services. Although rapid growth of the services trade between parents of multinational enterprises (MNEs) and their overseas subsidiaries has contributed to the internationalization of services, empirical studies examining the determinants of intra‐MNE trade in services are few. This article, using the ownership, location, and internalization (OLI) framework, attempts to explain intra‐MNE trade in services. The results provide strong support for the OLI perspective, and posit a complementary relationship between manufacturing foreign direct investment and intra‐MNE services trade. The results also suggest the importance of subsidiaries' absorptive capacity and breadth of global connectedness for intra‐MNE trade.     

Measurement of innovation activities in the knowledge-intensive services industry: a trademark approach

Innovation measurement in the knowledge-intensive services (KIS) industry is very complex, due to a lack of adequate innovation indicators. A rather new empirical approach involves the analysis of trademarks for the measurement. This paper aims to explore the use and relevance of trademarks for service firms. Data from the German section of the ‘Community Innovation Survey’ are used, and a survey with 278 participating firms is conducted. The results of the two independent empirical studies demonstrate that a trademark can be used as an innovation indicator, at least for knowledge-intensive business services (KIBS) and product innovations. The results also illustrate which firm-inside and environmental features explain the use of trademarks as an intellectual property protection measure.     

Buyer behavior in business-to-business services: The case of foreign exchange

Empirical regularities in buying behavior observed in mostly consumer markets have been linked into a comprehensive model, the Dirichlet. No attempt has yet been made to see if this model applies to services in general or to business-to-business services in particular. In this paper, we examine the purchasing behavior of large multinational corporations from four countries who purchase foreign exchange contracts from the major banks. We highlight similarities to the patterns of buying behavior observed in consumer markets. Implications for the management of business-to-business services firms are discussed.     

Trade in tourism services: Explaining tourism trade and the impact of the general agreement on trade in services on the gains from trade

The article addresses two questions related with tourism as a service trade. Can tourism be explained as other export activities? Does service liberalisation have a positive or negative impact on tourism receipts in destination countries? Previous research has either focused on the demand side factors (i.e. factors of demand in the origin countries) or on tourism as a long-run factor of economic growth. The research shows that a complementary perspective such as that offered by trade in a supply side perspective can render additional insights towards understanding tourism. This approach can explain why countries have absolute and comparative advantage. Another finding is that tourism as an export can be explained by some of the same destination factors that explain other service exports. Using different panel estimators the importance of supply side factors that are to some extent exclusive to tourism are demonstrated: the general price competitiveness of the destination, tourism infrastructure and the provision of safety. The econometric models also confirm the relevance of other conventional explanatory factors of trade in services such as GDP per capita and internet usage. The last part of the article analyses the welfare gains from trade under the general agreement on trade in services (GATS). The revenue (tourism receipt) effect is decomposed into a volume (arrival) and price effect. Results suggest that liberalisers under the GATS gained especially from a volume effect with average higher growth rates in the number of arrivals. There is also found to be a positive effect on the average income earned per tourist from being a liberaliser.     

Establishing a system for innovation in a professional services firm

Professional service firms are facing new competitive challenges in a global market with more value-focused clients, service commoditization, regulatory changes, and new Internet-enabled business models. They increasingly need to improve competitiveness through sustained innovation of the value they provide and the efficiency with which they provide it. But how can firms establish an effective and sustainable innovation system? This Executive Digest shares a best practice model for innovation based on academic research and honed by a decade of practical experience in application across professional service firms in consulting projects. This work covers how to develop innovation strategies by establishing processes and organization to support innovation, providing innovation training, developing new services, and re-engineering existing services. The author, Alastair Ross, details the practices required and shares some of the challenges encountered in realizing them. This article draws heavily on his latest book, Innovating professional services: Transforming value and efficiency.     

A pragmatic service typology: capturing the distinctive dynamics of services in time and space

Many service classifications have provided helpful yet partial perspectives on the heterogeneity of services. This paper reconciles and integrates different earlier classifications into a new holistic typology of the service economy which is based on detailed statistical service sectors. Moreover, the paper assesses the empirical value of this taxonomy to capture the diversity of services development in time and space. A regional analysis of employment data in Germany provides evidence that knowledge intensive as well as business services follow very different sectoral and spatial dynamics than operational and consumer services. This typology yields differential insights in longitudinal and comparative regional analysis of the service economy.     

Relatedness of decisions in business services outsourcing

The literature of service outsourcing is mainly focused on case studies or specific service activities. However, there is no evidence about the pattern of relatedness among outsourcing of services. This paper analyses this issue by a relatedness index previously applied in the framework of product and technological diversification. The index is applied to analyse the degree of relatedness for outsourcing decisions among an array of fourteen services in a large data set of Spanish manufacturers in 1990–2006, detecting four time-constant clusters. An econometric analysis tests the alternative explanations about this pattern of joint decisions, based on shared knowledge and on workers' expertise.     

Innovation dialectics: an extended process perspective on innovation in services

Services are characterised by the involvement of customers and other interest groups in the innovation process. The aim of this study is to understand how and why, in the service context, tensions and potential conflicts between heterogeneous interest groups unfold during processes of innovation. The empirical field in which the investigation was set is facility services, a type of business-to-business support services. The findings were extracted from a longitudinal, in-depth case study of a Danish, multi-national organisation over 13 years, complemented with an explorative study in the Danish facility service context. The findings suggest that tensions and conflicts between heterogeneous interest groups are an intrinsic element of innovation processes in services, and that emphasising them might actually support a clearer understanding of processes of innovation in services. The outcome of the analysis is a process model, which proposes innovation dialectics as one of the driving mechanisms of innovation in services.     

Involvement, satisfaction, and brand loyalty in a small business services setting

Considerable resources are expended annually on building business brands, yet the literature is virtually silent on brand loyalty in a business setting. This study examines the relationship between attitudinal loyalty and behavioral loyalty in a business services context, and attempts to identify two key antecedents of loyalty in this context. In particular, little is known about small businesses as customers, despite their significant contribution to the economies of developed nations. A longitudinal design is implemented, and data are captured on both attitudinal loyalty and subsequent loyalty behaviors (i.e., actual purchase behavior). The findings demonstrate the value of conceptualizing and measuring both attitudinal and behavioral components of brand loyalty. Specifically, the results indicate that attitudinal loyalty mediates the effects of the antecedents studied (category involvement and purchase satisfaction) on behavioral loyalty. Implications for marketing theory and practitioners are discussed, and possible directions for future research are sketched.     

Foreign environments: The internationalisation of environmental producer services

The ‘greening’ of manufacturing firms has created new markets for environmental producer services. Environmental service providers from industrialised countries are more and more forced to internationalise, often due to the international activities of their client firms or to an insufficient offer of such services in the host countries. While knowledge-intensive services in general face problems entering foreign markets, environmental producer services are particularly confronted with specific non-tariff barriers. The latter are not only related to regulatory frameworks, accreditation problems (‘neo-protectionism’) or missing cultural skills, but also to specific aspects such as confidence between service provider and client firm.     

Producer services: growth and roles in long-term economic development

This paper deals with the varying roles of producer services in economic transformation during the last 30 years in Sweden, and analyses unique longitudinal data on eight service sectors. The theoretical background for the analysis is inspired by the technology shift thesis of economic historians, and we show that the renewal and transformation of producer services has taken place later than for the manufacturing sector. The importance of producer services in national growth increased enormously towards the end of the period, but we also note that this growth has been accompanied by a divergence in growth between service sectors.