Local government reform between ‘exogenous’ and ‘endogenous’ driving forces

Abstract

Configuration is an appealing concept to help understanding the complex arrangements that guide organizations' actions and contribute to their coherence. Although health care organizations are often described as professional bureaucracy a deep understanding of their structure and systems is still lacking. In this article, we draw on empirical data gathered in a Canadian teaching hospital to expose the nature of interdependencies and themes that drive some of its configurations at health care unit level. Five clinical activities were investigated (ocular surgery, brachytherapy, vascular surgery, rheumatology and geriatrics) using direct systematic observation. Four sub-orchestrating themes emerged. Based on the findings it is argued that the operating core of health care organizations is not homogeneous but rather heterogeneous. Therefore it is our contention that hospitals and other public organizations where professionals control the activities at operating level might be better regarded as ‘diversified professional federation’ than as professional bureaucracy.     

The impact of primary service and servicescape on customer satisfaction in a leisure service setting: an empirical investigation among theatregoers

• This paper investigates the effects of perceived primary service and perceived servicescape on customer satisfaction in theatres. According to a questionnaire study, among n = 2897 theatregoers in 12 German‐speaking theatres, factors pertaining to the perceived primary service are most influential on customer satisfaction (in particular, the perceived artistic quality, followed by visitors' emotional and cognitive response to the performance). Contrariwise, factors pertaining to the perceived servicescape (i.e. seating and view; other customers' behaviour) are only of minor relevance for customer satisfaction. Furthermore, the influence of both perceived primary service quality and perceived servicescape quality on customer satisfaction is subject to moderating individual factors, such as visitors' theatrical competence and their motivation for attending a theatre performance.

Copyright © 2015 John Wiley & Sons, Ltd.     

The Relation Between Leadership and Perceived Well‐Being: What Role Does Occupational Self‐Efficacy Play?

Current research confirms the link between leadership behavior and subordinates’ health. However, only a few longitudinal surveys have been carried out. The present longitudinal study examined whether occupational self‐efficacy moderates the impact of transformational leadership on perceived negative well‐being. The sample consisted of 339 employees working in the health‐care sector. The correlations between transformational leadership at the first time of measurement (Time 1) and emotional exhaustion and perceived strain at the second time of measurement (Time 2) were negative and significant, but the correlation with depersonalization was not significant. Regression analyses revealed that the effect of transformational leadership behavior on perceived negative well‐being was not moderated by the level of occupational self‐efficacy. Implications for future research are discussed.     

‘Personal memory tourism’ and a wider exploration of the tourism−memory nexus

This paper investigates the varied intersections between tourism and memory. It begins with a brief consideration of the parallel developments between the emergence of the ‘memory boom’ and that of the ‘tourism boom’, as well as the academic fields of memory studies and tourism studies, respectively. Memory is a crucial factor in choosing a destination; it impacts on the tourist experience at the destination and on the sharing of the experience with others after the trip, notably through narration, photography, and memory objects, such as souvenirs. Both memory and tourism rely on media and representation and on audience and consumption; both are allied with processes of identity formation. It is argued that tourism drives the memory boom as much as memory drives tourism. Bartoletti's [(2010). “Memory tourism” and the commodification of Nostalgia. In P. Burns, C. Palmer, & J.-A. Lester (Eds.), Tourism and visual culture (pp. 23–42), Vol. 1. Wallingford: CABI] conceptualization of ‘memory tourism’ as overlapping but distinct from ‘heritage tourism’ and Timothy's [(1997). Tourism and the personal heritage experience. Annals of Tourism Research, 24(3), 751–754] concept of ‘personal heritage tourism’ are discussed as foundations for what is then defined as ‘personal memory tourism’. The latter revolves around travel associated with personal memories – not only the revisiting of places associated with happy memories, but also the return to sites of personal trauma and suffering in a quest for healing.     

E-Health: Brücke zwischen IT und Gesundheitswesen

E-Health/IT im Gesundheitswesen (M.A./M.Sc.) — Die neuen Informations- und Kommunikationstechnologien haben das Gesundheitswesen l?ngst erobert. IT-Unterstützung ist Standard – bei der Verwaltung von Patientendaten, in Diagnose und Therapie oder beim interdisziplin?ren Austausch. Ein Aufbaustudium schafft die Voraussetzungen für zukunftsf?hige L?sungen.     

The liberalisation of air transport: Lessons from the USA

The planned liberalisation of European air transport has run up against the problem that there is little scope for further expansion of airport infrastructure. If liberalisation is to be a success, the available infrastructure will have to be used more intensively. This means introducing efficient procedures for awarding take-off and landing slots in Europe. The policy pursued hitherto in Germany and the EC and lessons from the USA do not nurture hopes that the liberalisation of European air transport will be a huge success.     

Making a first impression as a start-up: Strategies to overcome low initial trust perceptions in digital innovation adoption

High failure rates of digital innovations by start-ups indicate that consumers' initial trust perceptions are make-or-break for their survival. Hence, start-ups have to design adequate business models to manage consumers' initial trust perceptions of digital innovations. Five experiments explore how start-ups can signal trustworthiness in order to overcome low initial trust perceptions and boost adoption. We find three specific design strategies of start-ups' digital business models – customer ratings, benefit communication, and revenue model – to be effective to overcome low initial trust perceptions and to increase adoption of digital innovations. The findings demonstrate that initial trust serves as a critical mediator in the relationship between these design strategies and consumers' adoption intentions. Additionally, the chosen revenue model has differential effects on privacy concerns, which mediate the relationship between revenue model and initial trust. The present empirical insights help start-ups to craft business model design strategies for successful digital innovation launch.