Innovation and change in organizational relationships: interdisciplinary contexts

From July 13–15 of 1988 individuals from nine countries gathered at the Manchester Business School for the fifth international conference of INTERSTUDY (the International Association for the Study of Interdisciplinary Research). Entitled Interdisciplinary Research and the World Marketplace, the conference was co-sponsored by the Manchester Business School and the journal R&D MANAGEMENT. Founded in 1980, Inter-study has endeavoured to advance the art and science of IDR (interdisciplinary problem-focussed research) by organizing international meetings for representatives of the academy, industry, and government. Its major accomplishment has been publication of the results of those meetings in four books. These books, along with other publications in the growing field of IDR, provide a valuable collection of resources for scholars, managers, researchers, and practitioners.     

Business Continuity in the Face of Fraud and Organisational Change

We examine business continuity in the context of fraud and accounting for an organisation as a going concern. The issues addressed are timely and focus on two points. First, fraudulent activities in business are increasing worldwide with related costs reaching trillions of US dollars. Second, the conventional accounting concept of a going concern that typically signifies business continuity is arguably formed on a static view of business. As such, this view does not help mitigate opportunities for fraudulent statements of account. We contribute to the accounting literature by emphasising the dynamic nature of business and in doing so extend the discussion on Type 1 and Type 2 going concern errors. In that context we provide evidence of a possible Type 3 going concern error in an organisation's financial reporting. Drawing on an international fraud case involving an Indian company, Satyam, we illustrate the adaptive behaviour of resilient business organisations. The findings of our study show that even in the face of fraud dynamic, adaptive organisations can achieve business continuity.     

Labor–Management Partnership and Employee Voice: Evidence from the Healthcare Setting

This paper examines the relationship between labor–management partnership (LMP) and employee voice in the healthcare setting. We argue that the ability of LMP to deliver gains to employees is contingent on the quality of the procedural infrastructure on which it is established. We maintain that the quality of LMP processes influences employee trust in their employer and perceptions of union effectiveness and that these perceptions, in turn, are related to employee patient‐care voice.     

Cost-effectiveness of droxidopa in patients with neurogenic orthostatic hypotension: post-hoc economic analysis of Phase 3 clinical trial data

Objective:

Falls are associated with neurogenic orthostatic hypotension (nOH) and are an economic burden on the US healthcare system. Droxidopa is approved by the US FDA to treat symptomatic nOH. This study estimates the cost-effectiveness of droxidopa vs standard of care from a US payer perspective.

Methods:

A Markov model was used to predict numbers of falls and treatment responses using data from a randomized, double-blind trial of patients with Parkinson’s disease and nOH who received optimized droxidopa therapy or placebo for 8 weeks. The severity of falls, utility values, and injury-related costs were derived from published studies. Model outcomes included number of falls, number of quality-adjusted life-years (QALYs), and direct costs. Incremental cost-effectiveness ratios (ICERs) were calculated. Outcomes were extrapolated over 12 months.

Results:

Patients receiving droxidopa had fewer falls compared with those receiving standard of care and gained 0.33 QALYs/patient. Estimated droxidopa costs were $30,112, with estimated cost savings resulting from fall avoidance of $14,574 over 12 months. Droxidopa was cost-effective vs standard of care, with ICERs of $47,001/QALY gained, $24,866 per avoided fall with moderate/major injury, and $1559 per avoided fall with no/minor injury. The main drivers were fall probabilities and fear of fall-related inputs.

Limitations:

A limitation of the current study is the reliance on falls data from a randomized controlled trial where the placebo group served as the proxy for standard of care. Data from a larger patient population, reflecting ‘real-life’ patient use and/or comparison with other agents used to treat nOH, would have been a useful complement, but these data were not available.

Conclusion:

Using Markov modeling, droxidopa appears to be a cost-effective option compared with standard of care in US clinical practice for the treatment of nOH.     

REGULATION OF POLLUTION IN THE LABORATORY: RANDOM INSPECTIONS,AMBIENT INSPECTIONS,AND COMMITMENT PROBLEMS

We compare experimentally a traditional random inspection policy and a variant where the agency may carry out a preliminary inspection of the level of ambient pollution before implementing any individual inspection. Since the agency may have an incentive to announce high inspection probabilities and then secretly renege on its announcement to avoid implementing costly inspections, we are also interested in the agency's commitment power. We find that overall, ambient inspections increase efficiency but the effect is weaker than expected when the agency has no commitment power; and polluters' reactions to the lack of commitment power of the agency vary depending on whether the agency uses ambient inspections or not.     

Art,Geopolitics and Metapolitics at Tate Galleries London

Art galleries and museums have often been considered as sites at which the international and the political are both enacted and reworked. But how exactly does art ‘do’ geopolitics? Taking existing work on art and geopolitics in the gallery and museum as its departure point, this article advances a specific conceptual argument for how art does geopolitics that connects thinking in this area with broader debates in aesthetics and politics. Building on Jacques Rancière’s account of art as a dispositif, it explores the aesthetic politics – or metapolitics – through which artistic interventions have raised questions of oil within the Tate Galleries in London. Drawing out its ambiguities as well as potential critical implications, the article illustrates distinct ways in which the metapolitics of art may be activated via a discussion of The Robinson Institute, 2012, and of a series of interventions conducted since 2010 by the group Liberate Tate. In conclusion, the article draws out connections between the metapolitics of art and questions of governmentality.     

Intensive tour guide training in regional Australia: an analysis of the Savannah Guides organisation and professional development schools

A number of authors believe that tour guide training may hold a key to passing on the concept of sustainable tourism to tourists. Savannah Guides Limited (SGL) is an organisation for tour guides interpreting and protecting the tropical savannahs of northern Australia. This paper examines the provision of intensive professional development schools, which the SGL organisation provides, to raise standards of professionalism for nature-based tour guides in remote regions. Its framework is based on Schein's three levels of organisational culture model, and Black and Ham's 10-element performance-based tour guide certification programme. Active participant observation of the development school process and a self-administered questionnaire to SGL members were used to understand the organisation's success. The main motivations for tour guiding are explored, as are the ways in which tour guides acquire knowledge. It is suggested that the provision of professional development schools in nature-based tourism regions benefits the guide and the tour guiding industry, and contributes to the protection of the natural environment. It is proposed that the SGL training model of professional development schools and certification be adopted by tour guiding organisations in other regional destinations as a way of nurturing and advancing quality tour guiding and professionalism.     

The New Geopolitics of Disease: Between Global Health and Global Security

This article describes the emergence of a new geopolitics of disease following the end of the Cold War and offers a framework for thinking about it. Three main questions are asked. First, why is disease now a geopolitical issue? Second, how has this new geopolitics emerged? And third, what are the implications of the emergence of disease as a geopolitical issue for the meaning and practice of global health? It is argued that disease is now seen as a geopolitical issue in terms of four main dimensions: destabilisation, sovereignty, the instrumentalisation of health, and geopolitical economy. Second, this new geopolitics has emerged in the context of larger debates about globalisation, development and security, and has emanated primarily from Northern institutions. Third, drawing on critical approaches to security, it is suggested that while the securitisation of health offers certain benefits, it also carries risks. The article identifies a number of critical tensions in the new geopolitics of disease as a way of negotiating these risks and anchoring the concept of global health security in a larger vision of health in an era of globalisation.