Strategy analysis in the health service

The operation of provider units, both NHS Trusts and Directly Managed Units, as competitive organizations in the market place, is as yet rudimentary. Although some have achieved notoriety through radical “business” behaviour, there is little evidence that they have adopted scientific business practices in order to strengthen or re‐orientate their position in the market place. Neither is there as yet any hard evidence that such behaviour would be beneficial in the long term.

This paper describes an exercise of strategic market analysis used as a device to lead and inform the business planning process for an NHS Trust. The primary objective of the analysis is to identify hitherto unrecognized strategies which would enhance the position of the organization in the market place and also to identify areas where business development is possible and desirable.     

Book reviews

Quality & Quantity -     

Prediction from binary choice models: A note

The results of Westin (1974) can be obtained, to a satisfactory approximation, without recourse to numerical integration. We also show how to attach a standard error to his point estimates.     

Pfizer and its competitive marketing challenges

Pfizer has been the preeminent global pharmaceutical company in recent years and much of their success can be attributed to their marketing responsiveness and innovation. Pfizer is committed to patients, the community and quality product development. As a model in marketing effectiveness they also show how to lead internal resources efficiently to maximize market place opportunities.     

Property Rights Reform in Rangeland China: Dilemmas On the Road to the Household Ranch

This paper contributes to the debate over land tenure in rural China by extending its spatial coverage to the country’s extensive rangeland regions. Key characteristics of pastoral tenure, identified from field appraisals in western China, include group tenure and fuzzy boundaries. Although these characteristics give rise to efficiency concerns, from a new institutional economics perspective they also facilitate the realization of certain benefits, benefits that could represent opportunity costs of further exclusiveness. The strengthening of rangeland co-management may constitute a more appropriate path to institutional improvement than the establishment of the household ranch, the current goal of national rangeland policy.     

Multinationals and changing national business systems in Europe: towards the ‘shareholder value’ model?

This article reviews recent development in employment relations in MNCs, within the context of the varied and changing business systems within Western Europe. Focusing on Germany, France, Sweden and the UK, we analyse both the effects of national corporate governance systems on MNCs, and the extent to which MNCs specifically, and globalisation more widely, have affected the nature of national business and employment systems. While elements of a move towards a more ‘Anglo‐Saxon’, economically liberal model of corporate governance and employment relations can be detected in all four countries, this is far from complete. Cross‐national differences in business systems within Europe therefore continue to exert effects upon MNCs.     

Risk Perception and Buying Behavior: An Examination of Some Relationships in the Context of Cruise Tourism in Jamaica

Cruise tourism continues to grow substantially, even as many other forms of travel stagnate. In this era of increasing worldwide violence against tourists, safety, security, and risk abatement are becoming principal components in travelers' decision-making processes. This work examines the issue of perceived risk and safety and what impact these perceptions have on shopping behavior. The research takes place in Jamaica, a country with a reputation for aggressive vendors. Findings indicate that those visitors who traveled with others spent more time shopping and purchased more. Additionally, it was found that first time visitors express higher levels of discomfort with their surroundings than did repeat visitors, thus inhibiting purchase behavior. Finally, it was found that levels of perceived risk and security did have an impact on a traveler's intention to return to Jamaica.     

Back to literacy

One of the seminal works in the development of British cultural studies was Richard Hoggart's The Uses of Literacy , in which he presents a vision of working class communities in the 40 years since the First World War. To do this he drew particularly on his experiences of Hunslet in South Leeds. In this paper we revisit South Leeds 40 years on to examine continuities and changes in the community as evidenced through people's leisure and compare this with Hoggart's analysis. To do this we have drawn on census and other official statistics and our own observation and interviews in the field. In order to interpret today's communities in South Leeds we make use of theoretical developments in the interim. We suggest that in what Bauman (1997) refers to as ‘two nations society mark two’ people try to reinvent community and it is through leisure in particular that this is evidenced. We therefore conclude that any attempt to understand ‘community’ at the millennium must place leisure centre stage.