Rating healthcare services: consumer satisfaction vs. health system performance

The complex healthcare services and the consumer’s lack of technical knowledge to assess them engender a debate over using consumer satisfaction ratings as a quality-of-care marker. This paper aims firstly to investigate the effect of socio-demographic, socio-economic and spatial characteristics on the perception of quality of healthcare and secondly to evaluate the relationship between consumer satisfaction and health system performance. Reporting a Eurobarometer survey and the scores of the Euro Health Consumer Index, the finding is that some socio-demographic groups are more likely to get unsatisfied with healthcare services than others (e.g. women, those over 24 years old, those who self-define themselves as working class). Moreover, a strong relationship is revealed between consumer satisfaction and health system performance. The higher the performance of a health system, the higher the propensity to have consumers with positive perception of the healthcare services (satisfied consumers). The implications of the findings are then discussed.     

Estimating the effects of nutrition label use on Canadian consumer diet‐health concerns using propensity score matching

The overarching goal of nutrition labelling is to transform intrinsic credence attributes into searchable cues, which would enable consumers to make informed food choices at lower search costs. This study estimates the impact of nutrition label usage on Canadian consumers’ (n = 8,114) perceived diet‐health concerns using alternative propensity score matching (PSM) techniques. We apply a series of tests and sensitivity analyses to overcome issues of endogeneity and selection bias frequently found in studies of diet‐health behaviour and to validate the impact of exposure to nutrition facts labels for users vs. non‐users. Our results support the notion that consumer uncertainty and related food‐health concerns are linked to their information behaviour, but not in straightforward manner. Dominant subjective food attributes, such as taste, convenience and affordability, may in fact outweigh the benefits of information about healthier, alternative food choices. In order to change dietary health behaviour, food manufacturer and policy makers alike need to adopt communication instruments that better account for differences in preferences, shopping habits and overall usage patterns of nutrition labelling information.     

The vulnerable healthcare consumer: an interpretive synthesis of the patient experience literature

The increased policy emphasis on the ‘patient experience’ places the health consumer in centre stage as the driver for healthcare delivery. This poses challenges for service providers to meet the needs of more vulnerable groups, notably those with disabilities, who are often more likely to be both in greater need of services and, at the same time, less able to access them. This paper reports an interpretive synthesis of qualitative research studies in the UK and US on the experience of vulnerable patient groups using a broad range of health services. An interpretive review method was adopted to capture the complexity of the data. Eighteen papers were identified as meeting the inclusion criteria for the review. Seven key themes were identified: life experience, service design, point of delivery, accessibility, availability, specialist education/training and consumer typology. Although policy makers and providers often refer to the need for greater consumerism in the development of health services, our review suggests that it may be appropriate to consider a model of ‘mediated consumerism’ for some groups of service users. While some concerns are common to both mainstream and vulnerable consumers, others such as accessibility of services, and the resulting experience of health care, are particular to specific vulnerable groups. Accessing the experiences of these more vulnerable groups therefore warrants close attention in the development of both policy and practice in health service delivery.     

Balancing health,harmony and hegemony: Parents' goals and strategies in children's food related consumer socialization

Parents play a pivotal role in socializing their children for healthy eating. The objectives of the present study were (1) to identify food socialization outcomes valued by parents, and (2) to study how parents socialize their children for (healthy) eating at home and during food shopping. Including both parents' perceptions of valued food socialization outcomes and associated processes addresses a significant gap in the food socialization literature. The study used semi‐structured, in‐depth interviews with parents of young children. Data were subsequently analysed by interpretive, thematic procedures. The sample consisted of middle‐ to high‐income families from two cities in Denmark. Findings reveal four main food socialization goals valued by parents: (1) Nutrition and Health, (2) Healthy Relationship with Food, (3) Food Assimilation and (4) Self‐Regulation and Autonomy. Parents prioritized children's acquisition of a healthy relationship with food which included preserving family relations and harmony, more than strictly attending a nutritious diet, contrasting the focus on the nutritional value of diet usually emphasised by public health authorities. The study therefore concludes that parents' notions of what constitutes healthy diets for their children is not completely aligned with common nutrition‐oriented recommendations. Also, fathers were found to play a very active role in their children's food‐related consumer socialization. The findings underline the importance of addressing the priorities and strategies of both mothers and fathers when marketers and policy makers target contemporary families regarding children's food socialization.     

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.     

高州医改模式“高”在何处——去行政化与高州模式的可复制性

去行政化的原则,已经为教育体制改革,尤其是各级公立学校特别是高等院校的改革,指明了方向。"高州模式"的经验告诉我们,推进去行政化,给公立医院更多的自主权,就能还患者更多的满意。坚持去行政化的原则,公立医院的改革就能大踏步前进;阻碍去行政化的实现,公立医院改革必然会举步维艰。     

There's an app for that: The impact of reminder apps on student learning and anxiety

Today's students experience increased anxiety around school and have difficulty keeping track of course assignments. The authors conceptually develop and empirically test a model of the impact of a homework reminder mobile application (app) on executive function skills and learning outcomes with undergraduate business students. The findings suggest that perceived usefulness of Homework Suite Planner app positively predicted students' executive functioning by increasing their organization and time management. Increases in executive functioning due to the Homework Suite app led to more completed assignments, lower anxiety about forgetting homework assignments, and greater overall learning satisfaction with the course. Future research and implications for higher education instructors are discussed.     

微藻在能源、环保及食品保健中的应用

生物能源作为一种可再生的绿色能源,有望解决能源危机与环境污染等问题,以微藻为代表的第二代生物能源的出现引起了人们的极大关注,是解决能源危机的长远之计。对微藻在生物能源生产中的利用现状进行了总结,并介绍了其在CO2生物固碳、污水处理以及食品保健领域的应用价值。     

The effects of consumer empowerment on risk perception and satisfaction with food consumption

This study intends to measure consumer empowerment related to food consumption and determine its effect on food risk perception and satisfaction with food consumption. Data were derived from an analysis of the “2017 Research on Food Consumption Behaviour” by the Korea Rural Economic Institute. Consumer empowerment, risk perception and satisfaction with food consumption were measured using a 5‐point Likert scale. The differences in consumer empowerment according to gender, age, educational level and monthly income were statistically significant. The factors that affected risk perception were information use, healthy eating, consumer rights, consumer responsibility and monthly income. The higher the scores for information use, healthy eating and consumer responsibility, the higher the score for satisfaction with food consumption.     

基于集聚印象理论的商业街文化属性与消费者关系研究

要想创立独具特色且富有竞争力的商业街,只重视其功能价值是不够的,消费者的心理和审美等精神层面的需求理应得到重视。本文深入探讨了商业街潜在魅力、文化属性、消费者需求和消费者价值之间的理论关系,以期对商业街魅力提升有所帮助。     

Country-of-origin, animosity and consumer response: Marketing implications of anti-Americanism and Francophobia

Anti-Americanism and Francophobia express a consistent hostility toward the government, culture, history or people of the US and France or the Francophonie (the global community of French-speaking peoples). This study explores interactions between country-of-origin (COO) effects and animosity expressed through anti-Americanism and Francophobia through analysis of scholarly studies, several decades of articles from the general and online press in the US and France, and ethnographic fieldwork in France and the US results reveal interesting inconsistencies and variability in national expressions of consumer animosity and response to COO cues over the time of the study, underlining the need for further longitudinal study of animosity, COO effects and consumer response. Implications of findings are examined with reference to theory development, marketing practice, and public policy.     

Understanding the effect of stigmatization on food consumer knowledge,perception and behaviour in Northern Ireland

Stigmatization has only recently been linked with the perception of risk, and research into this area has mainly concentrated on measuring the differences between nationalities, gender and socio‐economic status. The concept of stigmatization helps us understand why the public views certain places, products, technology and environments as dangerous and in a negative manner. To date, little has been done to assess the relationships between the effects of stigmatization on situations and people's decision‐making capabilities with regard to food. The aim of this research is to examine food consumers’ knowledge of food‐related risk issues to provide insight into the process of stigmatization and its relationship to food risk management, thereby improving awareness of the information consumers require from food risk communication. To meet this aim, two phases of data collection were implemented. Phase 1 used a baseline survey to investigate consumer knowledge of food‐risk‐related issues, identify how much attention consumers pay to information and what they remember about the particular issues. Factors affecting participant's recollection included how recently the event associated with the issue occurred, the level of media coverage and the reported severity of risk outcome. Phase 2 involved a follow‐up survey to investigate consumer knowledge of food risk issues and determine any changes in consumer behaviour. Research results and conclusions of Phases 1 and 2 of the study will be presented to highlight the relationships between participant recollection of particular food issues and whether knowledge of such issues caused any change in behaviour.     

Microaggression,anxiety, trigger warnings,emotional reasoning,mental filtering,and intellectual homogeneity on campus: A study of what students think

College campus life is changing based on pressures to create safe environments for students to learn. Much of this change has been outlined in an article by Lukianoff and Haidt entitled “The Coddling of the American Mind.” The authors of the present article asked 188 students from two universities if microaggressions, trigger warnings, emotional reasoning, and mental filtering are prevalent on campus and whether colleges are promoting these concepts. The results show that the majority of students believe that universities must change the way these concepts are addressed to prevent intellectual homogeneity and to adequately prepare them for their business professions.     

A critical review of primary health care reform in Bulgaria: impact on consumers

The Health Care System in Bulgaria is in a period of transition and is undergoing profound changes in financing, organization and ownership. A priority of this reform is to shift the focus of healthcare to the primary sector and to emphasize general practice. New legislation in support of this health care reform has been passed over the last few years. However, this legislation, although consistent with the global aims to be achieved, has proven to be contradictory in terms of its practical implementation. This has had a negative impact on health care consumers’ interests and rights. This paper evaluates the effects of primary health care reform in Bulgaria from the perspective of patient satisfaction. For this purpose, a major task to be fulfilled is to identify the contradictions emerging between the legislation outlining the reforms and the realities of practical implementation with respect to its impact on consumers. The methods applied include: a review of the legislation, a review of the practical progression of the reform process, and an assessment of the new developments in health care consumers’ interests and rights. Considerable contradictions have been found between the legal framework of health care reform in primary care and existing experiences, traditions and expectations. The legislation is inconsistent with the existing realities of healthcare provision. This is leading to turmoil in the health care system during its present transformation and is infringing upon consumers’ rights. Problems emerging in the process of reform need to be identified, and solutions need to be found and worked out as the reforms progress. An assessment system has to be developed to monitor the overall reform process and to evaluate the effectiveness and efficiency of the changes introduced. The impact on consumer and patient satisfaction should be an area of prime concern during these assessments.     

The panic buying behavior of consumers during the COVID-19 pandemic: Examining the influences of uncertainty,perceptions of severity,perceptions of scarcity,and anxiety

The lack of a vaccine for COVID-19 and the limited amount of reliable data on the cessation of the disease have made people feel more vulnerable to the disease. As a result, people in many countries have been found to engage in panic purchasing, which has adversely affected the supply system for the retail market. Applying behavioral inhibition system theory, reactance theory, and expectancy theory, this research examines how psychological factors such as uncertainty, perceptions of severity, perceptions of scarcity, and anxiety affected the panic purchasing behavior of consumers. This study was conducted in Malaysia in light of the 2020 outbreak of the COVID-19 pandemic. The results from structural equation modeling indicate that uncertainty, and perceptions of scarcity are positively associated with anxiety but not with the panic purchasing behavior of consumers. In addition, anxiety fully mediates the relationship among these variables and the panic purchasing behavior of consumers. Taken together, these findings provide support for doing more empirical research in order to develop a more resilient retail strategy and to improve consumer service.     

Interacting with background music engages E-Customers more: The impact of interactive music on consumer perception and behavioral intention

The current study investigates the potential of applying interactive music to the design of e-commerce websites, aiming to create more engaging consumer experience. The model of Theory of Interactive Media Effects (TIME) is applied to propose two psychological mechanisms – heightened consumer control and perceived vividness of the website – that explain the effect of interactive music on consumer engagement. A single-factor experiment with three conditions (the control condition without background music, the static background music condition, and the interactive background music condition) was conducted and data from 248 consumers were collected. Results found that consumers in the interactive music condition were more affectively engaged in the shopping task compared to those in the other two conditions due to a higher level of novelty. The novelty dimension of affective engagement subsequently led to stronger behavioral intention and more positive perception toward the website and its brand. Whereas consumer control explained only affective engagement with the online store, perceived vividness of the website predicted both cognitive and affective engagement. In conclusion, the present study contributes to scholarship by addressing limited discussion on interactive music under the context of consumer behavior and drawing attention to perceived control and vividness as critical mediators of consumer engagement in the digital retailing environment.     

Brand preference in the face of control loss and service failure: The role of the sound of brands

This research shows that consumers compensate for a loss of perceived control inherent to service failure by extracting sensory information from brand names, and specifically from plosive consonants. Across three experimental studies, we show that in contexts of reduced control, which characterizes service failure, consumers prefer brand names containing plosives (versus fricatives) as a way of reasserting personal control because plosive sounds elicit a disposition to act. In doing so, we highlight the use of brand name innovation to anticipate low control state, and thus, the psychological discomfort experienced by customers following service failure.     

The Labor Market and Long-term Health Care: A Perspective on Nursing Aides

The aging of the baby boom generation underlies anticipated rapid growth in jobs for nurses and support personnel for longer-term care. Research on help-wanted advertising shows strong recruiting activity for nurses. However, for nursing aides and related positions, there is substantially less intensity, although there are regional differences. This overall finding conflicts with demand-based expectations and may imply a market that will not adequately fulfill projected needs.JEL Classification J240, I120     

Return freight strategies and selling formats in e-commerce supply chain: The perspective of consumer fairness concerns and online shopping returns

Returns and consumer fairness concerns put a huge pressure on manufacturers who sell their products online. The optimal selling format and return freight strategy become particularly important for manufacturers in an e-commerce supply chain. Therefore, we build game models for the following scenarios under different selling formats: the seller bearing the return freight costs or the return-freight insurance premiums, consumers buying insurance for themselves, and no one buying insurance. By comparing the optimal solutions of the game models under reselling and agency formats, several conclusions are derived. In the agency format, if the return-freight insurance premium is higher than a particular threshold, then the optimal strategy of the manufacturer is to decrease the selling price to encourage consumers to purchase the insurance, otherwise, the manufacturer should purchase the insurance. As the level of consumer fairness concerns and platform commission rates increase, the manufacturer should gradually move from the agency to reselling format. In the reselling format, if the return-freight insurance premium is lower than a particular threshold, then consumers will purchase insurance and this will make the platform more profitable, and conversely, the platform should bear the return freight costs.