Suchergebnisse

Hat ein Lieferant finanzielle Schwierigkeiten, steht auch das Krankenhaus vor einer Reihe von Managementherausforderungen. Hierzu zählen drohende Qualitätsprobleme (die bis zum kompletten Lieferstopp mit gravierenden Folgen für die Patientenversorgung führen können) sowie die eigene Wettbewerbsfähigkeit und Reputation. Der Beitrag erläutert, wie Krankenhäuser dem vorbeugen können und zeigt Lösungsansätze zum Umgang mit bereits angeschlagenen Lieferanten.

People differ in their personal commitment to fighting climate change and protecting the environment. The question is, can we validly measure people's commitment by what they say and what they claim they do in opinion polls? In our research, we demonstrate that opinions and reports of past behavior can be aggregated into comparable depictions of people's personal commitment to fighting climate change and protecting the environment (i.e., their environmental attitudes). In contrast to the commonly used operational scaling approaches, we ground our measure of people's environmental attitudes in a mathematically formalized psychological theory of the response process - the Campbell paradigm. This theory of the response process has already been extensively validated, and its relevance for manifest behavior has repeatedly been shown as well. In our secondary analysis of Eurobarometer data (N = 27,998) from 28 European countries, we apply the Campbell paradigm to a set of indicators that was not originally collected to be aggregated into a single scale. With our research, we propose a distinct way to measure behavior-relevant environmental attitudes that can be used even with a set of indicators that was originally atheoretically compiled. Overall, our study suggests that the Campbell paradigm provides a sound psychological measurement theory that can be applied to cross-cultural comparisons in the environmental protection domain.

Abstract. In this article, we introduce the "Campbell Paradigm" as a novel variant of Rosenberg and Hovland's (1960) tripartite model of attitudes. The Campbell Paradigm is based on a highly restricted measurement model that speaks of a compensatory relation between a person's latent attitude and the costs that come with any specific behavior. It overcomes the overarching weakness of the original tripartite model (i.e., its relative irrelevance for actual behavior) and offers a parsimonious explanation for behavior. Even though this seems attractive, we also discuss why the paradigm has not gained momentum in the 50 years since it was originally proposed by Donald T. Campbell. To demonstrate the paradigm's suitability even when implemented with an unrefined instrument in a domain where it has not been used previously, we apply the paradigm to a classic data example from attitude research from the 1984 US presidential election to account for the electorate's voting intentions and actual voting behaviors.

Within a traditional planned-behavior framework, the conditions remain ambiguous under which moral norms add to the overall intention to act. In this paper, we aim to provide insights into the circumstances that foster the impact of moral norms. Based on a minimal effort strategy, we predict that moral information is considered more strongly and, thus, is relatively more significant for people's motivation if a person's attitude is at odds with his or her subjective norms. To test our beliefs-conflict hypothesis, we conducted two surveys, one concerning organ donation (N = 639) and another concerning conservation behavior (N = 328). Structural equation analyses confirm that moral considerations have a stronger effect on a person's behavioral intention in cases of attitude-subjective norms conflicts compared to cases of harmonic attitudes and subjective norms.

AbstractPerceptual deterrence research has consistently found that criminal offending is inversely related to subsequent perceptions of the risk of being caught or arrested. This inverse relationship has been dubbed an "experiential effect," reflecting the idea that people learn by committing (undetected) crimes that the detection or arrest risk is lower than first feared. The current study explores the validity of this experiential argument. It relies on self-report data from 3,259 adolescent participants in the panel study Crime in the modern City (Duisburg, Germany). We computed detection rates and risk perceptions, and used fixed effects models to investigate the proposed experiential learning process. Most findings support the experiential argument: (1) juvenile offenses were rarely detected by the police, (2) juveniles (especially those inexperienced with crime) tended to overestimate the detection risk, (3) juveniles reduced their risk perceptions when they committed crimes, (4) this reduction occurred primarily among those who overestimated the detection risk in periods when they were not committing crimes. However, the study also produced the surprising finding that the experiential effect seems to be short-lived: people appeared to return to initial risk perception levels when they stopped committing crimes. Overall, the results corroborate the experiential argument. However, they also indicate that the argument may need revision to account for the potential short-term nature of the experiential effect. This "ephemerality effect" is good news for policy, as lowered risk perceptions will in most cases only temporarily increase the likelihood of future delinquency.

Ökonomen haben die Finanzen im Blick, Mediziner das Wohl ihrer Patienten – so lautet eine weitverbreitete Sichtweise. Doch wer ist besser geeignet, Krankenhäuser zu leiten? Eine empirische Untersuchung aus Deutschland liefert neue Erkenntnisse und zeigt, dass diese pauschalierte Sichtweise in der Praxis nur bedingt nachgezeichnet werden kann.

AbstractDuring pandemics, regular service provisioning processes in medical care may be disrupted. Digital health promises many opportunities for service provisioning during a pandemic. However, a broad penetration of medical processes with information technology also has drawbacks. Within this work, the authors use the COVID-19 pandemic to analyze the chances and the risks that may come with using digital health solutions for medical care during a pandemic. Therefore, a multi-methods approach is used. First we use a systematic literature review for reviewing the state of the art of digital health applications in healthcare. Furthermore, the usage of digital health applications is mapped to the different processes in care delivery. Here we provide an exemplary process model of oncological care delivery. The analysis shows that including digital health solutions may be helpful for care delivery in most processes of medical care provisioning. However, research on digital health solutions focuses strongly on some few processes and specific disciplines while other processes and medical disciplines are underrepresented in literature. Last, we highlight the necessity of a comprehensive risk-related debate around the effects that come with the use of digital healthcare solutions.