Computerization of a medium-sized hospital without an internal DP department

The conventional approach to computerization in a large hospital is to establish an internal data processing (DP) department and DP professionals then begin to develop computer-based information systems (CBIS). For medium-sized hospitals, however, this approach is doubtful. The limitation of financial resources and the lack of skilled systems professionals force the medium-sized hospital to consider different approaches. In this paper, we present a conceptual framework for the computerization of a medium-sized hospital based upon the viewpoint of top management. Based on the conceptual framework presented, a PC-based application software package has been developed, tested, and implemented at Cheng-Ching Hospital in Taiwan. Our study shows that a medium-sized hospital can initiate and conduct computerization in very short time with low cost and without an internal DP department.     

On the Use of Paradox for Generating Theoretical Contributions in Management and Organization Research

Although research relating to paradox has burgeoned throughout the past decades, how paradox has been used in generating theoretical contributions remains largely tacit. Hinging on the systematic analysis of 476 publications, this literature review uncovers how scholars have leveraged paradox in demarcating theoretical contributions in the area of management and organization research. First, scholars can make use of paradox as a means to theorize, adding to the core conceptual conversation on paradox. Second, scholars can make use of paradox as a means to understand or advance insight on particular phenomena, drawing from paradox's conceptual knowledge to push forth discussions or debates in other strands of the management and organization field. Finally, scholars can make use of paradox as a way to verbalize something puzzling or surprising, supporting how readers are to appreciate or make sense of theoretical contributions advanced. Denoting approaches identified as highly complementary, this paper offers explicit handholds for academics to develop theoretical contributions through paradox, supporting the consolidation and further elevation of scholarly impact for the paradox community as such.     

Strategic planning in Tanzania

The Tanzania Wood Industry Corporation is one of the very few parastatal organizations that have developed and introduced a strategic corporate planning process. The novelty of the idea, the many operational problems that surround the managers and the lack of adequate training are some of the problems that have retarded the development and introduction of corporate planning in Tanzania. In 1980 the new CEO of TWICO contracted a Finnish management consulting firm to audit the whole corporation and to recommend a better management practice. Systems manuals were then developed and a grassroots based strategic corporate planning process was then introduced. Now in its third year, the impact on management is very encouraging.     

实践导向的管理理论研究:内涵、机制与成果评价——2011’“中国·实践·管理”论坛观点述评

2011’"中国·实践·管理"论坛以"直面中国的管理实践"为主题,从实践导向的管理研究的内涵、机制和成果评价进行了丰富而有启发性的探讨。论坛强调"中国实践导向的管理理论研究"的价值,认真探索中国情境理论化的方法和实例,达成了源于中国管理实践的理论研究基本共识,呼吁正确评价实践导向的管理理论研究,强化了"直面中国管理实践"的学术导向的影响,期望学术界与实践界的合作更加紧密。     

The value of information concept applied to data systems

Cost-benefit analysis has a considerable literature in which information systems have been patently ignored. This reflects the considerable difficulties of applying the theory to information systems, and the state-of-the art remains relatively as Koopmans described it some 19 years ago (1957). A bar to further development would appear to be the lack of an applicable value-of-information concept. This paper seeks to clarify the issues and provide a robust theoretical and data analysis framework that will cover most situations. The approach here is to separate explicitly the dimensions of cost from those of information benefit, and examine the implications. The Null Information Benefit condition emerges as a special theoretical case, but potentially a most important one in applications. This case together with the Pareto optimum defines a large class of such problems that can be handled by the decision criteria and data analysis techniques tabulated and discussed here. The selection of input data techniques defines the limits of later project justification and may be crucial to the political viability of the projects throughout its life. Finally, the general management vs information systems management relationships are discussed in terms of this situation.     

The problem with knowledge ambiguity

This paper proposes a new conceptualisation of the construct of knowledge ambiguity. This new conceptualisation is essential because (1) past researchers have tended to narrowly define and operationalise knowledge ambiguity in terms of causal ambiguity or tacitness and (2) the prevalent non-comprehensive conceptualisation constrains our ability to overcome the problem of knowledge ambiguity. Knowledge ambiguity has been identified as a major obstacle to effective knowledge transfer and to the implementation of overall knowledge management systems. The new conceptualisation proposes that knowledge ambiguity is composed of two types of ambiguity: component ambiguity and causal ambiguity. Component ambiguity is uncertainty about knowledge content, whereas causal ambiguity is uncertainty about how to use the knowledge. This re-conceptualisation is supported by previous studies on knowledge characteristics, absorptive capacity and cognitive learning. In this paper, theoretical propositions are developed to demonstrate the compatibility of the new conceptualisation with the current understanding of these concepts. The present paper not only advances our understanding of knowledge ambiguity, it also points towards solutions for overcoming the problems associated with knowledge ambiguity. Different measures are required to overcome problems created by component ambiguity vs. causal ambiguity. This paper’s re-conceptualisation of knowledge ambiguity makes it easier to theorise about and operationalise the concept. It aligns the definition of knowledge ambiguity with current definitions of related constructs such as absorptive ambiguity and cognitive learning that are used in the broader knowledge transfer and knowledge management literatures.     

Personnel planning and information systems

Today the need for long-range planning is seen by most private and public organizations. Therefore growing attention to it is required of management in companies, in public services, in the armed services and in the school and university area. Some parts of the long-range planning problems have been widely discussed and practised. But there are some parts, which have received less attention in the business world. One of the relatively neglected areas, but one of special importance is long-range planning for personnel from the shop-floor up to top-management. This lack is remarkable, as one finds a lot of research and practical work on the use of other operations research planning systems, which cover for example queueing, inventory, production or investment problems. But in no field, is planning ahead more important than in personnel. Company growth and effectiveness depend on it. For unless a business organization has people with skill, imagination and a capacity for leadership, at the right time, its other plans may well be worthless.     

几种精益生产方式的混合应用

精益思想已逐渐被国内许多企业所接受,5S、均衡化生产、看板管理和价值流管理等精益生产方法均已被广泛使用。企业在实施精益生产过程中．如果孤立的使用某些精益生产方法,往往顾此失彼,导致实施效果不佳。本文通过某公司的实际案例,研究这几种精益生产方式的应用,并分析它们之间的相互关联和影响     

Developing an information systems strategy

The pervasiveness of information technology and the development of information economies has been heralded as an ‘information’ revolution. Few organizations can avoid the implications of this revolution and, with the falling cost of hardware and the increased scope of applications, the number of firms needing a strategy for information systems has increased by an order of magnitude. An awareness of the benefits of planning, the dangers of technology which can trap the unwary, and the general characteristics of the DP development cycle, should all convince management of the need for a strategy for information systems. However, while information systems literature has many references to information systems strategy, definitions are elusive. This article describes a basic planning model for developing an information systems strategy. The model is specifically structured to ensure that the necessary strategic issues have been examined, before information systems management are asked to draw up detailed tactical and operational plans.     

中国农村公共支出及其绩效分析——基于农民收入增长和城乡收入差距的经验研究

本文运用1978～2004年的数据,采用多变量回归和Granger因果检验方法对农村公共支出、农民收入增长以及城乡收入差距之间的关系进行实证研究。结果显示,国家财政的农村支出对农民收入增长起到了一定的促进作用,但由于公共支出的管理、运用效率低下,其作用在统计上并不十分显著;从支出结构看,与农业生产直接相关的生产性支出和基本建设支出占比过高,而农业科研和社会福利等方面的支出过低,而且,由于政府重视程度不够和目标偏差,使得政府公共支出在降低城乡收入差距上的作用不甚明显,从而限制了政府增进社会福利功能的发挥,进而不利于公平增长的实现。在此基础上,本文进一步讨论了如何改变农村公共支出结构以及如何将公共支出政策与农村金融政策相结合等问题。     

Operations research in the management of the airlines

This paper is intended to present an introduction to the use of operations research in the international airline industry, and to demonstrate the scope and significance of the airline OR activities. First, the special reasons for the viability and spread of airline OR are discussed. Then a functional framework for an airline is outlined, to be used in analyzing the problems of an airline and relating the OR work to it. Four major applications are described, corresponding to four major components of the framework. These applications are: schedule development, overbooking control, crew scheduling and engine management, respectively. In each case we describe the problem and its significance, indicate the types of solution techniques which have been developed, and assess the implemented solutions. The paper concludes with comments on the current state-of-the-art and the future of airline OR. A detailed bibliography is given.Both of the authors have been operations research directors in major airlines and more recently have focused their attention upon the industry as academic researchers. This background has provided us with an unusual opportunity to analyze the role of OR in the airlines, and our paper seeks to share with the reader some of the insights we have gained thereby.     

Feeling at Risk Matters: Water Managers and the Decision to Use Forecasts

Experts contend that weather and climate forecasts could have an important role in risk management strategies for community water systems. Yet, most water managers make minimal use of these forecasts. This research explores the determinants of the use of weather and climate forecasts by surveying managers of community water systems in two eastern American states (South Carolina and the Susquehanna River Basin of Pennsylvania). Assessments of the reliability of weather and climate forecasts are not driving their use as water managers who find forecasts reliable are no more likely to use them than are managers who find them unreliable. Although larger systems and those depending on surface water are more likely to use forecasts for some (but not all) purposes, the strongest determinant of forecast use is risk perceptions. Water managers who expect to face problems from weather events in the next decade are much more likely to use forecasts than are water managers who expect few problems. Their expectations of future problems are closely linked with past experience: water managers who have had problems with specific types of weather events (e.g., flood emergencies) in the last 5 years are likely to expect to experience problems in the next decade. Feeling at risk, regardless of the specific source of that weather-related risk, stimulates a decision to use weather and climate forecasts.     

Health promotion/disease prevention guideline development: process and results

As part of its strategic plan, Physician Plus Insurance Corp. (PPIC), an 80,000-enrollee, provider-owned, network-model, prepaid insurance plan has targeted improvement in enrollee and community health. Health promotion/disease prevention (HP/DP) guidelines were developed as one tool to promote health screening and to close identified gaps between desired and actual rates of health screening. Additional efforts within the health plan have focused on identifying barriers to health screening and on identifying and implementing solutions to overcome these barriers. Opportunities in health screening are identified from in-house data: mammography, Pap smear, cholesterol screening, immunization rates, and the like. Note that these screening topics are among those that the Health Plan Employer Data and Information Set (HEDIS) has selected. This article will describe the processes to develop HP/DP guidelines, obtain provider participation, obtain buy-in from providers, and educate enrollees and employers. It will also show the results that have been obtained in the form of HP/DP Guidelines and outcomes measures.     

Workplace Bullying,Mobbing and General Harassment: A Review

Research into workplace bullying has continued to grow and mature since emerging from Scandinavian investigations into school bullying in the late 1970s. Research communities now exist well beyond Scandinavia, including Europe, the UK, Australia, Asia and the USA. While the terms ‘harassment’ and ‘mobbing’ are often used to describe bullying behaviour, ‘workplace bullying’ tends to be the most consistently used term throughout the research community. In the past two decades especially, researchers have made considerable advances in developing conceptual clarity, frameworks and theoretical explanations that help explain and address this very complex, but often oversimplified and misunderstood, phenomenon. Indeed, as a phenomenon, workplace bullying is now better understood with reasonably consistent research findings in relation to its prevalence; its negative effects on targets, bystanders and organizational effectiveness; and some of its likely antecedents. However, as highlighted in this review, many challenges remain, particularly in relation to its theoretical foundations and efficacy of prevention and management strategies. Drawing on Affective Events Theory, this review advances understanding through the development of a new conceptual model and analysis of its interrelated components, which explain the dynamic and complex nature of workplace bullying and emphasize current and future debates. Gaps in the literature and future research directions are discussed, including the vexing problem of developing an agreed definition of workplace bullying among the research community, the emergence of cyberbullying, the importance of bystanders in addressing the phenomenon and the use of both formal and informal approaches to prevention and intervention.     

Adaptive culture and product/service innovation outcomes

Organizational culture has been used and defined extensively as a relatively stable, enduring set of values, beliefs, assumptions, and symbols shared in the organization. Based on this conception, researchers have studied the relationship between different types of cultures and innovation outcomes. In contrast to this static perspective, the dynamic systems perspective views culture as not necessarily determined by internalized and shared values. Rather, as cultures are constantly receiving environmental pressures that require continuous adaptation, they have an inherent attribute of change, which has been called adaptive culture. We focus on adaptive culture as an antecedent of product/service innovation outcomes, since innovations require a progressive upgrading of shared values, assumptions, and beliefs. Based on the thinking and acting schema, we propose two determinants of adaptive culture that help us to understand how culture can evolve to facilitate product/service innovation outcomes. We propose that structural flexibility and reflexive learning positively affect product/service innovation outcomes by creating an adaptive culture. A 190-company sample is used to analyze the theoretical model variables’ relationship to a culture that can change its values to improve product/service innovation outcomes. The results support the theoretical model, and lead to some implications for the management of culture.     

A framework for optimizing managerial decision

There have been numerous attempts to analyze and formulate management problems within the general framework of Management Science and Operations Research, so as to help managers in their decision making problems. This paper focuses on the fundamental aspects of management decision making and introduces a conceptual framework in which problems of management and its different levels of functioning are systematically identified. Management problems are considered within two major categories: Enterprise and Operations problems. In spite of the difficulties in defining a clear-cut boundary between Enterprise and Operations problems, such a broad classification leads to three basic levels of management functioning, namely: Policy making, coordinating and implementation. The universal relationship among these three basic levels of functioning provides a basic functional element called the Management Triad. In contrast to classical higherarchial structure, triad structure provides a methodology to analyze relationships among different levels of management functions in terms of a given decision problem. It is demonstrated that for different decision making problems individuals can shift from one end of the triad to another and perform a different management function.A quantitative approach has been introduced for operations management decision making by adapting Shewhart's control chart philosophy which in turn provides for quasi-automated decisions for corrective action and also for filtering significant signals of change to appropriate management functioning levels.     

中国管理学的效用:基于四维矛盾的解析

随着中国经济的快速发展以及中国企业竞争力的增强,中国管理学建构与发展成为管理学者关注的重要议题。从以往研究看,关于中国管理学的建构效用问题,一直缺少应有的重视,尤其是忽视了涉及中国管理学效用的一些深层次的矛盾悖论问题。为此,从时间、空间、思维方式、路径方向等方面梳理出影响中国管理学效用的4组矛盾,即历史经验与现实经验的矛盾、理论借鉴的准确性与艺术性的矛盾、直觉思维与逻辑思维的矛盾、由外向内与由内向外的矛盾。通过对这4组矛盾的系统剖析,并提出相应的平衡和协调策略,旨在推动中国管理学提高自身效用,并对国际管理知识库做出贡献。     

Strategies for planning

In recent years there has been a good deal of discussion amongst planning specialists and academics about the gap which exists between the theory of planning as set out in journals and textbooks, and the practice of planning in private and public organizations. Planners are continually complaining about the resistance to planning by top management and operating managers in divisions and departments.In this article the author aims to produce a reconciliation between theory and practice and to discuss what alternative strategies are open to planners in devising planning systems for their organizations.He suggests that the problem has its origin in the fact that corporate planning theory was first developed by management scientists as a total systems approach. Corporate planners have failed to sell an integrated planning system either as programme budgeting or as corporate planning. Research suggests that a management team can only adopt and implement a comprehensive planning system in very special circumstances, e.g. when the organization's survival is threatened, a new management team has been appointed and the staff of the organization are ready to accept radical change.In normal circumstances the planner is wrong to advocate a ‘root and branch’ solution. He must diagnose the planning needs of the organization and his objective must be not merely to establish a particular planning procedure but rather to discover how he can best improve the quality of management decisions.Recent studies on strategy formation indicate that the introduction of a formal planning procedure is only a partial answer to the problem of improving the quality of management decisions.The paper reviews various approaches to planning and considers how they relate to organizations with different strategic problems, with differing organization structures and various management styles.