Creating a healthy working environment with leadership: the concept of health-promoting leadership

In this paper, a concept of health-promoting leadership is presented that focuses on the interaction between working environment and leadership behavior. Seven key aspects define health-promoting leadership: health awareness, low workload, control, reward, community, fairness, and values. The self-assessment version of the questionnaire was used in this study for the first time. Analyzing the data of 299 leaders, the results showed satisfactory reliability and validity coefficients for all dimensions. Structural equation modeling indicates that all dimensions can be assigned on a main factor of health-promoting leadership. The questionnaire offers two main advantages: first, it is possible to measure health-promoting behavior strategies of leaders and thus show their leadership potential. Second, the instrument allows analyzing critical aspects in the working environment and further helps establish basic conditions in the workplace, where a health-promoting workplace can be created.     

Shifting from Undersupply to Oversupply: Does NHS Workforce Planning Need a Paradigm Shift?

The National Health Service in England is currently halfway through the most austere decade in its history. Finding ways to improve health care efficiency is crucial to ensure the sustainability of the health system. While evidence of supply‐induced demand (SID) has often been used as an economic argument to restrict labour supply, in the UK the risks of SID may be much less than in health care systems with more deregulated entry into the market post‐qualification and with fee‐for‐service payment systems. This article focuses on the problem of staff shortages in nursing. We argue that, although an oversupply of some types of labour can add to cost pressures by increasing demand for health care services and that the cost of training staff is high, undersupply and poor labour planning lead to unintended consequences such as poor labour productivity. As a result there is a case for public policy to target an oversupply of nurses in the future. If government reforms to nurse funding help, they are to be welcomed.     

Measuring the Effects of Film and Television on Tourism to Screen Locations: A Theoretical and Empirical Perspective

It is generally believed that consumption of film and television products can induce tourism to destinations featured. We review the literature relating to this, examine it from the perspective of mass communications theory and develop a general causal model to measure the influence of screen products on visitor numbers. The model is quantified by way of a survey at two popular UK destinations. Our conclusions are that the contributions of screen products to visitor numbers are fractional, diffuse and substantial. We further find that the magnitude of the effect differs greatly between destinations and that this is related to background causes independent of screen effects.     

Marketing and the law

Marketing decisions are particularly vulnerable to legal rulings made in both the courts and the legislatures. The effective management of those legal implications challenges the modern marketing professional. Grasping marketing’s overall legal environment, including its governing case law, regulatory statutes, and future trends, is essential. This review will provide analysis of recent court cases and legislation, with particular emphasis on creatively assisting the marketer’s management of the legal factor.     

Market entry,privatization and bank performance in transition1

This paper examines how market entry and privatization have affected the margins and marginal costs of banks in the post‐communist transition. We estimate bank revenue and cost functions, allowing the estimated parameters to change over time. In the first sub‐period (1995–98), we find that privatized banks earned higher margins than other banks, while foreign start‐ups had lower marginal costs. In the third sub‐period (2002–2004), foreign banks remained low marginal cost service providers, while privatized domestic banks had the widest margins. Subtracting marginal costs from margins to calculate mark‐ups, an indication of demand for services, shows that initially privatized banks had the largest mark‐ups. However, by the third sub‐period, differences among private banks diminished. In comparison to private banks, state banks persistently under‐performed in controlling costs and attracting demand. Our evidence therefore indicates that foreign bank entry promoted lower costs and that privatization and market entry encouraged more demand for services.     

MODELING INTERNATIONAL CONSUMPTION PATTERNS

This article addresses a number of key problems commonly confronted in the literature on international demand analysis. These include data issues and requirements, multistage budgeting, outliers, group heteroskedasticity, and model selection. A two-stage demand system is fit to International Comparison Programme data for 114 countries for nine aggregate categories and eight food sub-categories of goods. Outliers are identified and omitted from the sample. Parameter estimates for the two stages are obtained with a maximum-likelihood procedure that corrects for group heteroskedasticity. Country-specific income and own-price elasticities are calculated and indicate that poor countries are more responsive to changes in income and prices than rich countries. We also find evidence for the strong version of Engel's law; when income doubles, the budget share of food declines by approximately 0.10.     

Caste discrimination in the Indian urban labour market: An econometric analysis

This paper uses Degree Holders and Technical Personnel Survey of India to examine the wage gap between Non-Scheduled Castes/Tribes(NSC) and Scheduled Castes/Tribes(SC/ST). Separate wage equations, corrected for selection bias, are estimated for NSC and SC/ST. The parameter estimates of the wage equations were decomposed into ‘endowment’ and ‘treatment’ components using the familiar Oaxaca Decomposition Method. A separate account was also made to analyze the interaction between occupational attainment and the wage differential using the extended decomposition method. The main conclusion from the econometric results are: (a) the endowment difference is higher and discrimination causes 15 per cent lower wages for SC/ST as compared to NSC; (b) the discrimination coefficient is negative in the public sector whereas it is positive in the private sector; (c) intraoccupational wage effects dominate. The higher endowment difference in developing countries like India implies that the pre-market discriminatory practice with respect to education, health and nutrition are more crucial than labour market discrimination. (JEL: J3)     

Integrating Cross-Border Knowledge for Transnational New Product Development

Multi‐source knowledge integration, though widely regarded as fundamental for developing new products, remains obscurely understood and a significant challenge for organizations to accomplish. Prior research provides many insights on the approaches by which organizations transfer knowledge; however, how such transferred knowledge gets effectively embodied in products remains uncertain. Also unclear is whether different approaches for knowledge transfer differ in their effectiveness at realizing integration. This study analytically separates the transfer of cross‐border knowledge from its embodiment into products. It examines cross‐border knowledge transfer based on three different approaches: namely, the use of cross‐national teams, cross‐national communication, and cross‐national collaboration in the development of new transnational products. It examines cross‐border knowledge embodiment based on the extent to which new transnational products developed balance standardization with adaptation. The study uses a cross‐sectional survey administered to key members of transnational new product development teams in leading multinational companies across the world. The survey focuses on manufactured products that were developed across several industries: consumer products, consumer durables, and industrial products. Results from 90 new transnational product introductions surveyed reveal that knowledge integration is effective only when knowledge is transferred through cross‐national collaboration, and not when transferred through cross‐national teams and cross‐national communication. As integrating cross‐border knowledge in the development of transnational products involves making difficult trade‐offs for balancing standardization with adaptation, transferring knowledge through cross‐national collaboration stands out as being critical for successful outcomes. Although cross‐national teams and cross‐national communication enhance knowledge flows, they do not result in effective knowledge integration when developing new transnational products. These findings highlight an important point: All knowledge transfer approaches may not necessarily achieve knowledge integration. Hence, it is essential to systematically probe into the interrelationships between knowledge transfer and its effective integration and to identify an underlying set of contingencies that provide insights into when and why some knowledge transfer approaches are better than others at integrating knowledge.     

Long-term health-related burden of adult congenital heart diseases in Hong Kong

Aims: This study aimed to examine the long-term clinical and economic burden of adults with congenital heart disease (ACHD) in Hong Kong.

Methods: It retrospectively analyzed 336 consecutive ACHD patients who attended the Adult Congenital Heart Clinic between January 1, 2009 and December 31, 2014. Direct medical costs and clinical outcomes over the 5 years were calculated and documented. The economic evaluation was from the hospital’s perspective.

Results: The median age of ACHD patients was 47 (31–62) years old, with female predominance (61.5%). Ventricular and atrial septal defects accounted for 70% and severe ACHD for 10% of the study cohort. The prevalence of arrhythmia and heart failure increased with the complexity of CHD. The total mean annual cost for managing each ACHD patient was USD 2,913. The annual cost of management of simple ACHD was USD 2,638 vs complex ACHD (USD 6,425) (p?=?0.013).

Conclusions: This study demonstrated severe ACHD patients accounted for higher cardiovascular morbidities in arrhythmias and heart failure with a higher cost of management.