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1.
The author argues that the burden of proof for the safety and efficacy of some medical devices properly lies with the manufacturers of the devices and with the providers who use them. The controversy over breast implants is used as a case for this shift in the burden of proof of safety and effectiveness.  相似文献   

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Because of a trend toward increased cost escalation outside of the hospital, in the ambulatory care setting, Metropolitan Life Insurance Company initiated an Ambulatory Utilization Review ("AUR") program in 1986. This is an overview of the lessons learned since that time. Some of what was learned was simply--or not so simply--"how to," the subject of this first article in a two-part series. Once this deceptively difficult technology was understood, there were two additional categories of lessons to learn: the extent of expected program results and some unexpected results. This second set of lessons is reviewed in Part II of the article.  相似文献   

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Concepts and theories of corporate social responsibility (CSR) have been examined and classified by scholars since the mid‐1970s. However, owing to the evolving meaning of CSR and the huge number of scholars who have begun to analyze the issue in recent years fresh efforts are needed to understand new developments. Since there is a great heterogeneity of theories and approaches, the task remains a very hard one, mainly because heterogeneity derives from multi‐disciplinary diversity. The criterion for selection is to consider the role that theorists confer to the firm. Following this idea, three groups of theories have been discerned: (1) the utilitarian group, in which the corporation is intended as a maximizing ‘black box’ where problems of externalities and social costs emerge; (2) the managerial category, where problems of responsibility are approached from inside the firm (internal perspective); (3) relational theories, or those in which the type of relations between the firm and the environment are at the center of the analysis. The three perspectives allow the reader to understand the most significant differences between the various theories of CSR. The objective is to classify the theories and to draw a map in which group specificities can be made available. This allows scholars to reach a better understanding of corporate–society relations, and enhances developments both in theoretical and empirical terms.  相似文献   

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Journal of Management and Governance -  相似文献   

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The paper examines the factors that influence socially responsible decision making by individuals. The study found four social responsibility styles: Playing it Safe, Weather The Storm, Problem to Solve, and Hope it Goes Away. These styles describe individuals on the basis of decision style, propensity for risk, and coping style. The styles explain why people with different values might come to the same decision in the same circumstances.  相似文献   

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Designing strategies for corporate social responsibility (CSR)-practice nowadays has become essential for organizations. Notwithstanding, how organizations appear internally in a socially responsible context toward their employees has been insufficiently investigated. This study aims at ascertaining how Internal CSR can be conceptualized as well as how it affects employees’ commitment. To do so, the manifestations of Internal CSR are discussed based on social identity theory and further literature, while the developed research model is checked for suitability through a survey generating 2081 employee responses from an international pharmaceutical company. As one result, it can be stated that the factors proposed to constitute Internal CSR are confirmed. Further, the findings entail the following conclusions: Internal CSR has a notable influence on employees’ Affective Organizational Commitment whilst relatively moderate impacting Normative Organizational Commitment. Additionally, Affective Organizational Commitment adopts a mediating function regarding Normative Organizational Commitment.  相似文献   

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Journal of Management and Governance - This article examines the relationship between the social performance of companies and their financial performance, analyzed from the systematic risk...  相似文献   

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Part I of this article ("Six Design and Implementation Lessons," Physician Executive, Sept.-Oct. 1993, pp. 46-50) described an ambulatory utilization review (AUR) program designed and implemented by Metropolitan Life Insurance Company and reviewed some of the lessons learned over the past five years. Those lessons pertained to the tasks of inventing a new information technology to measure and evaluate ambulatory care and some of the practical implementation issues associated with review of 30,000 small dollar value claims per day in 19 claim offices nationwide. This article turns to the basic purpose of AUR--to review the medical necessity and appropriateness of ambulatory utilization. One lesson learned about AUR in this context is that AUR works: savings from the program outweigh costs by almost 5:1. The more important lessons, however, stem from understanding how the savings are achieved, and what some of the other unintended benefits of the program are.  相似文献   

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In the period leading up to and following local government reorganization there came to light a disturbingly large number of cases of corrupt behaviour by officers and members of local authorities. As a consequence there has been much speculation about the causes of this upsurge and the integrity of the public service generally, but there has been relatively little discussion of some of the wider ethical issues present in public service. This paper does not attempt to establish either the causes or the extent of corrupt practices. It takes attitudes to corruption as a starting point for looking at some of the ethical dilemmas that face people in local government at the present time. It then considers how these dilemmas may have come about and ways in which they might be made more manageable.  相似文献   

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The concept of the social responsibility is discussed starting with a short review of the literature. New elements are introduced into the discussion about the concept and about the sources of norms from the theories of justice of v. Wright and Rawls. The possibilities of total evaluation of social responsibility of firms using scales developed in assessing the level of moral thought of individuals are explored.  相似文献   

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This paper addresses the growing importance of ethics in today's society. Many professional societies have adopted formal codes of ethics for their organization and members. However, the engineer as a manager has an obligation not only to his profession but to his employees, organization, and the public as well to enforce ethical decisions and behavior at all times.  相似文献   

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This paper aims to contribute to the empirical evidence relating corporate social responsibility (CSR), board composition, and firm performance. Using a sample of Spanish listed firms included in the IBEX 35 over the period 2005–2010 the results show that the percentage of independent directors affect firm CSR activities, and that this effect is moderated by the resources available to the firm (measured by return on assets). Also, the CSR has a mediating role on the relation between the independence of the board of directors and firm value. These results hold for other board characteristics (board size and women as directors).  相似文献   

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Journal of Management and Governance - The original version of this article contained a mistake. The list of the authors was incorrect. The authors of this article are: Jean-Michel Sahut, Marta...  相似文献   

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This study used two randomized experiments in a prospective design (Study 1 N = 297, Study 2 N = 296) to examine how multilevel causal attribution dimensions (internal vs. external to an individual or a country) shape domestic and foreign policy support to counter transboundary risk. Results from Study 1 and 2 showed that external-country (vs. internal-country) causal attribution reduced perceptions of internal-country attributions of responsibility, which had a cross-lagged effect on support for domestic-industry policies to mitigate the risk. In contrast, perceptions of external-country attributions of responsibility increased support for foreign policies in a 2-week follow up. This study offers theoretical insights into the demarcation of multilevel causal attribution dimensions in studying media framing effects. It also highlights some important causal mechanisms of how media frames shape public support for policies aimed at transboundary risk mitigation.  相似文献   

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Australia corporate boards and senior management have been spirited from the Land of Milk and Honey (profit) to the Land of OZ. They are to embark on a journey, following the “yellow-brick road”, a proverbial path to a promised land of one’s hopes and dreams, in order to find brains, a heart and courage. The effect of new regulations introduced in Australia to curtail corporate misbehaviour is detailed by storytelling. The Wizard of OZ is the title of a story written by L. Frank Baum and published in 1899. In 1939, Metro Goldwyn Mayer Studios made a movie of the story. I have used The Wizard of Oz to argue that corporate boards and senior management need to make decisions using a balance of intellect (brains), emotionality (heart), and a sense of purpose (courage). The inspiration for using Baum’s story, as an analogy for the transformation needed in corporate boards and senior management, comes from Biberman and Whitty (Journal of Organisational Change Management 10(2):130–188, 1997). This research is based on interviews with Board members and non-executive directors from five companies listed in the Business Review Weekly (BRW) Top Twenty-five Companies in Australia (2007) and a range of secondary data sources. The financial and reputational success of the organisation and its members is out of balance with the human and social costs and benefits. Respondents confirmed that board members and senior management should willingly provide information about the corporation and its activities to its stakeholders, that information and data should be transparent, the true extent of director remuneration should be revealed and that financial reporting should be true and accurate. Board members and senior management can be assisted to operate in a way that observes socially responsible values and balances the obligation for profit maximisation with corporate social responsibilities (CSR). This study provides steps that organisations can take to achieve a balance of intellect, emotionality and sense of purpose and therefore realise their corporate social responsibility. The results of this empirical and secondary research suggest a method that may be used to make board members and senior managers more aware of their corporate social responsibilities and curtail corporate misbehaviour where the introduction of a range of new regulations has had little effect.  相似文献   

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This study considers the moderating role of family ownership, taking into account information differences between family and minority investors, and corroborates the existence of a two-way relation between CSR disclosure and information asymmetry. Our analysis of international corporate financial data for the period 2003–2009 shows there is an adverse selection effect by which family owners take advantage of insider information, thus attenuating any reduction of information asymmetry achieved by CSR disclosure.  相似文献   

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In this article the author argues that one of the prime organizational imperatives for the development of a responsive, operational, ‘corporate social policy’ must be reform of the strategic planning process. Indeed he argues that this reform is the essential pre-requisite to making the true integration of social responsibility and business needs.  相似文献   

20.
This study explored the perception of value similarity between employees and top management. Three types of organizational values were identified including values concerning the use of human resources, the competitiveness of the firm, and the importance of social responsibility. Two organizations and two subpopulations within one organization were examined to determine if differences exist in the way different groups configure their values. The results revealed that the importance of value similarity on the use of human resources was univocal or common to both organizations and subpopulations. In contrast, similarity on competitiveness values and social responsibility values were found to vary and thus operate uniquely for different organizations and subgroups. The implications of these findings for the universality versus uniqueness debate within the culture literature and the future measurement of organizational value constructs are discussed.  相似文献   

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