Search results for "Systemic."
showing 10 items of 756 documents
Why do Traditional Performance Management Systems in Healthcare not always lead to Improved Performance? Outlining the Unintended Consequences of the…
2021
Researchers all around the globe have not yet come to an end as regards the supposed positive impact of traditional performance management systems in healthcare, and some research has shown that, paradoxically, performance management policies do not always lead to improved hospital performance. Despite the extensive research identifying the “pitfalls” of the NPM reforms around Europe and the unintended consequences for hospital staff and patients, little is known about the mechanisms that caused those negative effects, which essentially creates a research gap worth investigating. This PhD study tries to address this gap and show why do traditional PM Systems in healthcare not always lead to…
Inter-organizational relationships in agri-food sector: a bibliometric review and future directions
2022
PurposeThe current competitive system, complex and rapidly changing, knowledge represents one of the main strategic resources for organizations. Agri-food organizations, traditionally characterized by low-knowledge management (KM) practices, are facing several challenges that require new knowledge to improve performance and their ability to survive. Since agri-food organizations are low-propensity R&D, they are forced into a collaborative approach and the creation of inter-organizational relationships (IORs) for knowledge transfer. The purpose of this study is to offer an overview of the academic literature on knowledge transfer within scientific institutions and agri-food organizations…
A dynamic model to value the economic impact and the economic sustainability of tourism in a resort area
2007
The systemic approach in studying tourism is firmly accepted in literature because of the complexity of the topic both from the supply side (the heterogeneity of goods and services making the tourism product) and the demand side (not every operator in the tourism network chain has a direct contact with tourists). To face this complexity the Input-Output analysis, theorized by Wassily Leontief, is widely used in empirical studies of tourism. Yet, in spite of such a diffusion and importance in tourism literature, the Input-Output models have several limits. In order to overcome some of these limits, the static Input-Output analysis is translated into a dynamic one by making use of System Dyna…
The Uncertain Role of Banks’ Corporate Governance in Systemic Risk Regulation
2011
This paper examines how corporate governance reform of banks relates to systemic risk. Although there has been substantial emphasis on the importance of corporate governance of banks, it is not entirely clear how this enterprise relates to the goal of financial stability. The first part of the paper differentiates between kinds of risk that arise from the structure of the firm, such as shareholder ownership, limited liability and the separation between control and ownership, and kinds of risk that arise from interactions at the systemic level. It highlights why the risk-taking of banks presents, in many respects, a special case not only because of the structure of their business but also becau…
Higher Brain Centers for Intelligent Motor Control in Insects
2011
The higher control of orientation, walking and gap climbing behavior in the fruit fly Drosophila is studied by neurogenetic means. An insect brain model is presented for the control of object approaches. The model comprises learning abilities of flies at two different time scales. A short-term orientation memory allows for the continued approach of objects that disappeared from sight. Flies can come back to the still invisible object even after a detour to a distracter object. A long-term memory allows for the storage of experience with particular types of objects in order to trigger avoidance behavior in the future instead of the default approach behavior. Moreover, we provide evidence tha…
Systemic approach of the links between urban dynamics, life environment and insecurity : situational prevention as a tool and stake of urban sustaina…
2008
International audience; Managing and controlling city whilst guaranteeing the social cohesion and the life quality is an objective of the urban sustainable development. Thus, the life environments and urban atmospheres that include a security dimension imply a geographical and town-planning thinking. These research activities concern the importance the city-dweller attributes to the security issues. Insecurity can sometimes explain some places repellentness and consequently the daily and residential mobilities. These displacements impact on the places economic and social functioning. Urban insecurity produces negative externalities that can be quantified. Aware of the differential attractiv…
Ādas izmaiņas pacientiem ar sistēmisku sarkano vilkēdi (SSV)
2018
Pētījuma nosaukums: Ādas izmaiņas pacientiem ar sistēmisku sarkano vilkēdi (SSV) Vispārēja informācija: Sistēmiska sarkanā vilkēde ir multifaktoriāla slimība ar plašu klīnisko izpausmju spektru. Ādas slimības ir svarīgs sarkanās vilkēdes klīniskais aspekts, jo āda ir otrs visbiežāk skartais orgāns pēc muskuļu un skeleta sistēmas. Saistībā ar to ādas izmaiņas var būt izšķirošas, lai agrīni atklātu sistēmisko slimību un to pienācīgi ārstētu.Mērķi. Galvenais pētījuma mērķi ir atrast, vai pastāv korelācija starp ādas izmaiņām, kuras var parādīties pacientiem ar sistēmisku sarkano vilkēdi un slimības aktivitāti. Un noteikt ādas bojājumus, kuriem ir saistība ar slimības aktivitāti. Materiāli un m…
Monoclonal gammopathy of ocular significance (MGOS) – a short survey of corneal manifestations and treatment outcomes
2021
Monoclonal gammopathy of ocular significance (MGOS) is a rare subset of monoclonal gammopathy of clinical significance occurring secondary to plasma cell disorders and causing ocular manifestations. We identified 23 patients with paraproteinemic keratopathy (PPK) in the setting of monoclonal gammopathy of unknown significance (MGUS, 10), smoldering multiple myeloma (SMM, 3) or multiple myeloma (MM, 10). Many of these patients with PPK (11/23) presented decreased vision. All patients with MM and 40% of those with other diagnoses such as SMM and MGUS received systemic therapy with or without autologous stem cell transplantation. Four eyes of four patients were treated by penetrating keratopla…
Fidelity and influencing factors in the Systemic Practice Model of children's social care in Finland
2020
Given that multiple countries have recently adopted social work practice models in children’s services, it is striking that only a few studies have systematically analysed both the level of fidelity and potential implementation barriers and facilitators. The aim of this study is to provide an in-depth analysis of how and why the Reclaiming Social Work (RSW) model works in different settings. The study context was the implementation in Finland of an adaptation of the model, the Systemic Practice Model (SPM). This mixed-methods study evaluates 1) fidelity to the SPM and 2) the possible influencing factors. The results reveal high variability in the extent of fidelity in 23 implementation site…
Evaluating the effectiveness of the systemic practice model of children’s social care – A pilot study on child- and family-level outcomes
2023
The Systemic Practice Model (SPM) is a Finnish adaptation of the Reclaiming Social Work (RSW) model, which incorporates systemic ideas and practice into children’s social care. This study is the first attempt to evaluate the effectiveness of the RSW model outside England. The study employed a quasi-experimental repeated measures design. Questionnaires assessing child- and family-level outcomes and the quantity (i.e., number of meetings) and quality (i.e., service user feedback) of the practice were administered to social workers, children and parents twice over a six-month follow-up period. Outcome data comprise 112 cases (SPM cases n = 56, service-as-usual cases n = 56) from 18 child prote…