scholarly journals The Impact of Monetary Incentives on Physician Prosocial Behavior in Online Medical Consulting Platforms: Evidence From China (Preprint)

2019 ◽  
Author(s):  
Dong Jing ◽  
Yu Jin ◽  
Jianwei Liu
Keyword(s):  
Health Care ◽  
Prosocial Behavior ◽  
Monetary Incentives ◽  
Self Recognition ◽  
Physician Competence ◽  
Recognition Level ◽  
High Level ◽  
The Impact ◽  
Positive Effect ◽  
Answering Questions

BACKGROUND In online medical consulting platforms, physicians can get both economic and social returns by offering online medical services, such as answering questions or sharing health care knowledge with patients. Physicians’ online prosocial behavior could bring many benefits to the health care industry. Monetary incentives could encourage physicians to engage more in online medical communities. However, little research has studied the impact of monetary incentives on physician prosocial behavior and the heterogeneity of this effect. OBJECTIVE This study aims to explore the effects of monetary incentives on physician prosocial behavior and investigate the moderation effects of self-recognition and recognition from others of physician competence. METHODS This study was a fixed-effect specification-regression model based on a difference-in-differences design with robust standard errors clustered at the physician level using monthly panel data. It included 26,543 physicians in 3851 hospitals over 133 months (November 2006-December 2017) from a leading online health care platform in China. We used the pricing strategy of physicians and satisfaction levels to measure their own and patients’ degree of recognition, respectively. Physicians’ prosocial behavior was measured by free services offered. RESULTS The introduction of monetary incentives had a positive effect on physician prosocial behavior (β=1.057, P<.01). Higher self-recognition and others’ recognition level of physician competence increased this promotion effect (γ=0.275, P<.01 and γ=0.325, P<.01). CONCLUSIONS This study explored the positive effect of the introduction of monetary incentives on physician prosocial behavior. We found this effect was enhanced for physicians with a high level of self-recognition and others’ recognition of their competence. We provide evidence of the effect of monetary incentives on physicians’ prosocial behaviors in the telemedicine markets and insight for relevant stakeholders into how to design an effective incentive mechanism to improve physicians’ prosocial engagements.

scholarly journals The Impact of Monetary Incentives on Physician Prosocial Behavior in Online Medical Consulting Platforms: Evidence From China

10.2196/14685 ◽  
2019 ◽  
Vol 21 (7) ◽  
pp. e14685 ◽  
Author(s):  
Dong Jing ◽  
Yu Jin ◽  
Jianwei Liu
Keyword(s):  
Health Care ◽  
Prosocial Behavior ◽  
Monetary Incentives ◽  
Self Recognition ◽  
Physician Competence ◽  
Recognition Level ◽  
High Level ◽  
The Impact ◽  
Positive Effect ◽  
Answering Questions

Background In online medical consulting platforms, physicians can get both economic and social returns by offering online medical services, such as answering questions or sharing health care knowledge with patients. Physicians’ online prosocial behavior could bring many benefits to the health care industry. Monetary incentives could encourage physicians to engage more in online medical communities. However, little research has studied the impact of monetary incentives on physician prosocial behavior and the heterogeneity of this effect. Objective This study aims to explore the effects of monetary incentives on physician prosocial behavior and investigate the moderation effects of self-recognition and recognition from others of physician competence. Methods This study was a fixed-effect specification-regression model based on a difference-in-differences design with robust standard errors clustered at the physician level using monthly panel data. It included 26,543 physicians in 3851 hospitals over 133 months (November 2006-December 2017) from a leading online health care platform in China. We used the pricing strategy of physicians and satisfaction levels to measure their own and patients’ degree of recognition, respectively. Physicians’ prosocial behavior was measured by free services offered. Results The introduction of monetary incentives had a positive effect on physician prosocial behavior (β=1.057, P<.01). Higher self-recognition and others’ recognition level of physician competence increased this promotion effect (γ=0.275, P<.01 and γ=0.325, P<.01). Conclusions This study explored the positive effect of the introduction of monetary incentives on physician prosocial behavior. We found this effect was enhanced for physicians with a high level of self-recognition and others’ recognition of their competence. We provide evidence of the effect of monetary incentives on physicians’ prosocial behaviors in the telemedicine markets and insight for relevant stakeholders into how to design an effective incentive mechanism to improve physicians’ prosocial engagements.

scholarly journals Enhancing Employees’ Performance through Organizational Care Policies in the Health Care Context

2018 ◽  
Vol 7 (1) ◽  
pp. 5
Author(s):  
Andrea Tomo ◽  
Lucio Todisco
Keyword(s):  
Health Care ◽  
Well Being ◽  
Employee Motivation ◽  
Performance Outcomes ◽  
Monetary Incentives ◽  
Work Involvement ◽  
Health Care Context ◽  
And Performance ◽  
Conceptual Study ◽  
The Impact

Literature is increasingly recognizing that organizations must combine themes of care and concern with more established economic objectives. This conceptual study will expand on this literature by considering how expressions of organizational care toward employees, by improving their well-being, may influence their motivation, work involvement and, in turn, improve performance. In more detail, by extending the conceptual framework developed by Bonner & Sprinkle (2001), it is argued that managers should take into account the impact, not only of monetary and non-monetary incentives, but even of other caring policies, on employee motivation and performance outcomes. On this ground, this study develops a theoretical model on how organizational care may help employees in expressing their work potential and enhancing their performance. The model is developed within the health care context since its particular setting that strongly affects employees’ well-being.

The Impact of Management and Leadership Roles in Building Competitive Healthcare Units

2018 ◽  
pp. 13-30
Author(s):  
Aleksandra Rosiek-Kryszewska ◽  
Anna Rosiek
Keyword(s):  
Health Care ◽  
Competitive Advantage ◽  
Healthcare Facility ◽  
Health Care Facilities ◽  
Leadership Roles ◽  
Care Facilities ◽  
High Level ◽  
Innovative Culture ◽  
The Impact

This chapter discusses the leadership features that support the creation of an innovative culture of the organization, with particular emphasis on the attributes that are essential to building a competitive advantage in the medical services market. According to the concept of new management, managers are the initiators of change and development within the healthcare facility where they work. They require professionalism and a high level of competence which allows them to create and implement creative management solutions. Thus, the influence of management and the role of the leader in building competitive health care units is undisputed. Due to the specific nature of health care facilities, the ability to build trust, as well as the clear and precise communication of plans and visions, is gaining importance, in addition to knowledge and experience.

scholarly journals Evaluating the impact of investing in the industry of clinical practice guidelines for health systems

2021 ◽  
Author(s):  
Amal Hassanien
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Clinical Practice ◽  
Literature Review ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Online Survey ◽  
Sustainable Investment ◽  
High Level ◽  
The Impact

Abstract Rationale: This research has been conducted to facilitate evidence-informed policymaking and to help health-care policymakers in Saudi Arabia to decide whether or not a sustainable investment in the CPG industry is socially and economically viable. Objectives: The objective is to investigate: (i) whether the clinical practice guidelines help to improve clinical practice and save costs, and (ii) the views in Saudi Arabia about implementing clinical practice guidelines. Methods: The study employs mixed methods, including: (i) a literature review to evaluate the benefits of implementing clinical practice guidelines, and (ii) an online survey to investigate views about implementing the guidelines' benefits. Results: (i) The clinical practice guidelines do help in improving clinical practice, but the evidence about their impact on saving costs is insufficient in the literature. (ii) The survey demonstrated a high level of awareness among health system actors in Saudi Arabia of the importance of having nationally unified clinical guidelines. Recommendations: Investment in the clinical practice guidelines industry seems socially and economically viable.

scholarly journals Exploring the Experiences of Changes to Support Access to Primary Health Care Services and the Impact on the Quality and Safety of Care for Homeless People During the COVID-19 Pandemic: A Study Protocol for A Qualitative Mixed Methods Approach.

2020 ◽  
Author(s):  
Kelly Howells ◽  
Martin Burrows ◽  
Mat Amp ◽  
Rachel Brennan ◽  
Wan-Ley Yeung ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Lived Experience ◽  
Health Care Services ◽  
Homeless People ◽  
Health Care Need ◽  
Seek Health Care ◽  
Care Services ◽  
High Level ◽  
The Impact

Abstract Background: Despite high level of health care need amongst people experiencing homelessness, poor access is a major concern. This is sometimes due to organisational and bureaucratic barriers, but also because they often feel stigmatised and treated badly when they do seek health care. The COVID-19 pandemic and the required social distancing measures have caused unprecedented disruption and change for the organisation of primary care, particularly for people experiencing homelessness. Against this back drop, there are many questions to address regarding whether the recent changes required to deliver services to people experiencing homelessness in the context of COVID-19 will help to address or compound problems in accessing care and inequalities in health outcomes. Methods: An action led and participatory research methodology will be employed to address the study objectives. Interviews with people experiencing homelessness were will be conducted by a researcher with lived experience of homelessness. Researchers with lived experience are able to engage with vulnerable communities in an empathetic, non-judgemental way as their shared experience promotes a sense of trust and integrity, which in turn encourages participation in research and may help people speak more openly about their experience. Interviews with health professionals and stakeholders exploring their experiences of delivering and facilitating care for homeless people during the pandemic will also be explored.Discussion: It is important to explore whether recent changes to the delivery of primary care in in response to the COVID-19 pandemic compromise the safety of homeless people and exacerbate existing health inequalities. This could have implications for how primary healthcare is delivered to those experiencing homelessness not only for the duration of the pandemic but in the future.

“Healing Alone?”: Social Capital, Racial Diversity and Health Care Inequality in the American States

2017 ◽  
Vol 45 (6) ◽  
pp. 1059-1087 ◽  
Author(s):  
Ling Zhu
Keyword(s):  
Health Care ◽  
Social Capital ◽  
Health Care Access ◽  
Racial Diversity ◽  
Care Access ◽  
American States ◽  
The Social ◽  
High Level ◽  
Domain I ◽  
The Impact

There is an influential tradition in political science that social capital, defined as mutual trust and civic engagement, is linked to better substantive outcomes for citizens in democracies. Recently, scholars who link social capital to race and inequality have challenged this favorable picture of social capital. This study draws from the scholarly discussion on how social capital affects inequality in diverse societies. Focusing on the health care domain, I use a new dynamic measure of social capital to evaluate the “social capital thesis” and “racial diversity thesis” of inequality. Moreover, I explore how these two political forces are intertwined with each other in shaping the unequal health care access across American states. Key empirical findings confirm that social capital and racial diversity are counterbalancing forces shaping health care inequality. Despite it reduces health care inequality, the impact of social capital is tempered with high level of racial diversity.

scholarly journals AB0673 THE ROUTINE HEALTH CARE OF PATIENTS WITH RHEUMATIC DISEASES DURING THE PANDEMIC OF COVID-19

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1368.2-1368
Author(s):  
S. Mariem ◽  
M. Yasmine ◽  
S. Miladi ◽  
A. Fazaa ◽  
L. Souebni ◽  
...  
Keyword(s):  
Health Care ◽  
Rheumatic Diseases ◽  
Treatment Modalities ◽  
Protective Measures ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
The Mean ◽  
Hospital Visits ◽  
High Level ◽  
The Impact

Background:The coronavirus pandemic poses a great threat to patients with rheumatic diseases (RD). Because of the state of immunodepression, they are perceived as vulnerable and at high risk of contracting the virus. This may lead to a delay in the health care routine.Objectives:The aim of our study was to assess the routine of patients with rheumatic diseases in the era of covid-19.Methods:We conducted a prospective study after the outbreak of Covid-19 including patients with RD: rheumatoid arthritis (RA) and Spondylarthritis (SpA). All of them were invited to answer a questionnaire about adherence to protective measures, health services, hospital visits, treatment modalities, as well as the level of satisfaction with the medical support or information received for COVID-19. We also evaluated the post-traumatic state (PTS) with the Impact of Event Scale-Revised (IES-R). A cut-off point fixed at 33 provided the best diagnostic accuracy for PTS. The level of significance was fixed at 0.05.Results:The study included 60 patients with a female predominance (sex ratio=1.7). The mean age was 51.3 ± 13.1 years [18-75] and the mean disease duration was 11.9 ±5.6 [1-23] years. Forty-two patients had RA and 18 patients had SpA. The majority of respondents were women (63.3%), married (81.7%), with a household size of 3–5 people (67.9%). The mean DASS depression and anxiety subscale was 9.5 ±7.6 [2-32] and 12.6 ± 8.2 [1-35] respectively. PTS was found in 25% of cases. Twenty-two patients stopped working in the second outbreak. The adherence to protective measures was as follows: compliance with lock-down (92.5%), adherence to stay home warnings (82%), wearing masks (96.3%), social distancing (68%), and washing hands immediately after sneezing (59.3%). Information was mainly sourced from both social media and the Internet in 78.2% of cases. Most of the patients were satisfied with the information provided and only 5 demanded more information about vaccination protocol. Of the patients having direct contact with a person affected with Covid-19 (20%), seven patients experienced symptoms. Three patients were diagnosed with SARS-COV2 and three other patients were hospitalized because of flares. The majority of the respondents (98.2%) had confidence in their own doctors’ ability to recognize Covid-19. The majority of patients (91%) were afraid of getting sick and 83.1% feared stigma and discrimination after the infection. Fifty patients did attend their consultation appointment and 13.3% had a phone consultation. About a third of patients (26.7%) of patients experienced a delay in treatment. A positive correlation was found between marital status and the fear of other family members getting Covid-19 (p=0.029). Patients who did not consult experienced more PTS and severe anxiety than those who did not delay hospital visits (p=0.07, p=0.04 respectively).Conclusion:Our study showed that during the outbreak of Covid-19, patients with RD exhibited a high level of protection towards the virus. Despite these precautionary measures, a delay in hospital routine was observed.Disclosure of Interests:None declared

scholarly journals Is there a moderate range of impact of financialization on corporate R&D?

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253380
Author(s):  
Zhenghui Li ◽  
Yan Wang
Keyword(s):  
Research And Development ◽  
Threshold Effect ◽  
Real Economy ◽  
Promoting Effect ◽  
Dynamic Relationship ◽  
High Level ◽  
Moderate Range ◽  
Threshold Regression Model ◽  
The Impact ◽  
Positive Effect

How to promote corporate research and development is a particularly important issue under the background of the economy being diverted out of the real economy. By selecting samples of 1221 Chinese A-share non-financial listed companies from 2010 to 2019, this paper examines the impact of financialization on research and development through the panel threshold regression model. Then, the moderate range of the impact of financialization on corporate research and development is measured, as well as their heterogeneity is also analyzed. The research shows the following results: first, there is a dynamic relationship and moderate range between financialization and corporate research and development. Financialization has a positive effect on corporate research and development when the level of financialization exceeds 0.4748. Secondly, from further heterogeneous research, financialization has a threshold effect on research and development among enterprises with a high level of research and development. In addition, there is a promoting effect on corporate research and development only when their financialization level exceeds 0.0097 in enterprises with a high level of research and development. Therefore, in order to promote corporate research and development, financialization of non-financial enterprises should make adjustment and regulation according to the action and direction of moderate range.

scholarly journals SELF-EFFICACY: STAIRCASE TO THE INTENTION OF EMPLOYEES’ TURNING-OVER

2017 ◽  
Vol 1 (01) ◽  
pp. 23-32
Author(s):  
Johansyah Anwar ◽  
R. Madhakomala R. Madhakomala
Keyword(s):  
Turnover Intention ◽  
Employee Turnover ◽  
Self Efficacy ◽  
Well Being ◽  
Employee Turnover Intention ◽  
Effective Manner ◽  
High Level ◽  
Level Of Motivation ◽  
The Impact ◽  
Positive Effect

The aim of this study is to explore and to analyze the impact of self efficacy to employees, mostly considered as those performing ones who have their own certain level of self efficacy, and its effect to turnover intention.Attempting to assess the influence of self efficacy on the intention of individuals to leave the organization, it is observed that individuals having high level of self-efficacy, though reveal in such a positive effect in their cooperation to attain the objectives of the organization, appears to be one among the reasons why they intend to leave the organization and to look for entering a new one.The writer has put his best effort to identify the main implications of self efficacy of employees and following up to increase the level of motivation to more perform in such an efficient and effective manner, and at the same time to minimize employee turnover. It is all for the sake of retaining those employees with high level of self efficacy for the well-being of the organization to achieve its sustainable corporate competitive advantage.Keywords: self efficacy, employee turnover intention.

scholarly journals Perceptions of Prominent Animal Welfare and Veterinary Care Organizations in the United States

Animals ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. 472
Author(s):  
Mario Ortez ◽  
Courtney Bir ◽  
Nicole Olynk Widmar ◽  
Christopher A. Wolf
Keyword(s):  
Health Care ◽  
Animal Welfare ◽  
Online Survey ◽  
Well Being ◽  
The United States ◽  
Likert Scale ◽  
Perceived Impact ◽  
American Society ◽  
High Level ◽  
The Impact

U.S. residents’ perceptions of the impact of prominent animal welfare and veterinary care organizations on pet animal well-being and health care may not be linked to the organization’s stated mission and effectiveness in advancing it, but to the level of recognition people have for the groups. An online survey of 1000 U.S. residents was used to understand the perceived impact of organizations with self-stated dedication to pet animal well-being. Using a Likert-scale, respondents ranked 13 prominent organizations as having a low to high impact on pet animal well-being and health care. The American Society for the Prevention of Cruelty to Animals (ASPCA) had the highest perceived average impact, while People for the Ethical Treatment of Animals (PETA) had the lowest. A best–worst scaling (BWS) choice experiment was conducted with 7 of the initial 13 organizations to elicit relative rankings by forcing tradeoffs by respondents. Consistent with the Likert-scale results, the ASPCA was ranked as the most impactful organization. The ASPCA’s perceived impact on pet animal well-being and health care may be linked to their high level of recognition among respondents, as this was the organization that respondents most frequently reported having seen/heard stories related to animal well-being and health care.

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