Finding common cause in quality: confronting the physician engagement challenge

Although it's difficult to achieve, physicians can be engaged and supportive of quality improvement efforts, if the activity is presented and managed effectively.     

Increasing productivity in global firms: The CEO challenge

In a highly competitive environment global firms face the challenge of increasing productivity to compete with firms sourcing production in low-wage developing countries. This paper presents a new paradigm of production which provides a solution to the productivity challenge. The new paradigm is both a philosophy of management and a set of methods that draw upon the experiences of firms employing quality management and lean production. This approach has proven to yield substantial gains in quality, productivity, and competitiveness. The methods and the requirements to successfully implement it are discussed. How to transplant these systems to developing countries is also considered. The role of the CEO in successful implementation of the New Productivity Paradigm is discussed in the final section.     

Moral guidelines for international corporations: The Vesper-Hinksey challenge

The quest continues for a Code of Conduct embracing universal principles which will provide guidelines and norms for corporate decision making in our increasingly complex world of global business. The search continues to identify those criteria which will enable the corporate leadership, especially those engaged in international business to be more morally sensitive and to make better ethical decisions. This article will report on an ambitious initiative designed to achieve that goal: to develop through consultation and consensus new Guidelines for International Corporations.     

Environmental issues: the challenge for the chief executive

Businesses are under pressure to adopt environmental policies and incorporate them into their strategic business planning as a matter of routine. These pressures are coming from at least five sources--stricter legislation, consumer demand, competitive advantage, staff concerns and community pressure. The challenge is enormous but there is growing evidence that sound environmental management provides pay-off in bottom line results. Business organizations have a vital role to play and its good for them. There are opportunities for new business as well as threats to those organizations which continue to ignore the trends.     

Energy modelling: A new challenge for management science

The Arab oil embargo in 1973 and the subsequent price rises and production restrictions have given birth to a distinct branch within Management Science: energy modelling. This paper gives a critical and selective review on energy modelling, an industry which though thriving in an era of general economic anxiety, is showing signs of arrogant immaturity. After giving a historical background, the paper classifies energy models into three groups: open loop demand or supply models; energy closed loop models; energy-economy closed loop models. For each group the problem area is analysed and some illustrative examples are described. In the last sections, an attempt is made to sum up the experience that has been gained with energy modelling: the basic deficiencies, the impact of this activity on policy formulation and its position within Management Science. It is concluded that energy models, though very poor forecasting devices, can be very useful to policy makers as tools for analysis; energy model developers must convince potential model users and for that purpose they can benefit immensely from the 35-year-long experience accumulated by their colleagues in Management Science.     

Being flexible and accommodating diversity: The challenge for multinational management

This article presents an opposing view to the current populist position that corporate culture can be utilised to bind the multinational together. It critically examines the appropriateness of corporate culture as a ‘soft’ control mechanism, concluding that highly committed, inculcated managers (believers) may actually be a barrier to the goals of flexibility, responsiveness and innovativeness in the face of rapidly changing, diverse global operations. However, the calculatively compliant manager is not proferred as an alternative. Rather, we argue that the quest for conformity to a given corporate culture may be counterproductive. The real challenge for multinationals is to develop mechanisms that encourage mixed voices and messages, and support a diversity of perspectives. It is suggested that multinationals might even look at the university model, in which it has long been recognised that knowledge advances in a climate of critique and dissent.     

The challenge of introducing low-carbon industrial practices: Institutional entrepreneurship in the agri-food sector

Contemporary agricultural practices account for a significant share of greenhouse gas emissions. Inspired by the emergent literature on institutional entrepreneurship, we seek to explore mechanisms that affect an actor’s propensity to act in ways that imply suggesting and promoting emission-reducing practice changes. As influences originating outside the organizational field are assumed to constitute such mechanisms, the paper explores their role through a case study of a project run by a public agency. Unlike extant theory, results show that the agency’s propensity to act is not necessarily enhanced by extra-field influences but that such influences also limit the scope for suggesting change that challenges existing industrial practices.     

Cross-national distance as an explanatory variable in international management: Fundamental challenge and solution

Although recent work provides insightful theoretical and practical suggestions for improving contextual distance research in international management, the fundamental problem with using distance indicators as explanatory variables remains too little recognized and largely unaddressed. This problem is that cross-national distance metrics partially identify host and/or home countries in one's sample, what I term location-identification. Location-identification can occur irrespective of the number of home/host countries considered and means that a distance indicator partly captures country fixed effects when used as an independent or explanatory variable. As a result, in empirical distance research, genuine distance effects are often confounded with country-specific measurement error in the dependent variable as well as with direct effects due to various home- or host-country features. I present empirical evidence on the pervasiveness of this critical challenge to cross-national distance research and propose a practical and effective solution for addressing it, which is to use “pure” distance indicators that are cleansed from confounding home- and host-location influences.     

Life cycle impact assessment: a challenge for risk analysts.

Modern technology, together with an advanced economy, can provide a good or service in myriad ways, giving us choices on what to produce and how to produce it. To make those choices more intelligently, society needs to know not only the market price of each alternative, but the associated health and environmental consequences. A fair comparison requires evaluating the consequences across the whole "life cycle"--from the extraction of raw materials and processing to manufacture/construction, use, and end-of-life--of each alternative. Focusing on only one stage (e.g., manufacture) of the life cycle is often misleading. Unfortunately, analysts and researchers still have only rudimentary tools to quantify the materials and energy inputs and the resulting damage to health and the environment. Life cycle assessment (LCA) provides an overall framework for identifying and evaluating these implications. Since the 1960s, considerable progress has been made in developing methods for LCA, especially in characterizing, qualitatively and quantitatively, environmental discharges. However, few of these analyses have attempted to assess the quantitative impact on the environment and health of material inputs and environmental discharges Risk analysis and LCA are connected closely. While risk analysis has characterized and quantified the health risks of exposure to a toxicant, the policy implications have not been clear. Inferring that an occupational or public health exposure carries a nontrivial risk is only the first step in formulating a policy response. A broader framework, including LCA, is needed to see which response is likely to lower the risk without creating high risks elsewhere. Even more important, LCA has floundered at the stage of translating an inventory of environmental discharges into estimates of impact on health and the environment. Without the impact analysis, policymakers must revert to some simple rule, such as that all discharges, regardless of which chemical, which medium, and where they are discharged, are equally toxic. Thus, risk analysts should seek LCA guidance in translating a risk analysis into policy conclusions or even advice to those at risk. LCA needs the help of RA to go beyond simplistic assumptions about the implications of a discharge inventory. We demonstrate the need and rationale for LCA, present a brief history of LCA, present examples of the application of this tool, note the limitations of LCA models, and present several methods for incorporating risk assessment into LCA. However, we warn the reader not to expect too much. A comprehensive comparison of the health and environmental implications of alternatives is beyond the state of the art. LCA is currently not able to provide risk analysts with detailed information on the chemical form and location of the environmental discharges that would allow detailed estimation of the risks to individuals due to toxicants. For example, a challenge for risk analysts is to estimate health and other risks where the location and chemical speciation are not characterized precisely. Providing valuable information to decisionmakers requires advances in both LCA and risk analysis. These two disciplines should be closely linked, since each has much to contribute to the other.     

Success in managed care: improving clinical quality

What are the economic elements for success in managed care? Although they are quite simple, achieving them can be difficult. The criteria for success in the fee-for-service medical delivery system, generally characterized as "see more--do more--get more," are no longer valid for delivering care in a managed care system. This article identifies the economic elements for success in managed care, and offers a disciplined approach to achieving them, combining both actuarial and clinical expertise.     

When stressors make you work: Mechanisms linking challenge stressors to performance

Based on previous empirical findings, “challenge stressors” (Cavanaugh, Boswell, Roehling, & Bouderau, 2000 Cavanaugh, M. A., Boswell, W. R., Roehling, M. V., & Boudreau, J. W. (2000). An empirical examination of self-reported work stress among U.S. managers. Journal of Applied Psychology, 85, 65–74. doi:10.1037/0021-9010.85.1.65[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]; Lepine, Podsakoff, & Lepine, 2005 LePine, J. A., Podsakoff, N. P., & LePine, M. A. (2005). A meta-analytic test of the challenge stressor hindrance stressor framework: An explanation for inconsistent relationships among stressors and performance. Academy of Management Journal, 48, 764–775. doi: 10.5465/AMJ.2005.18803921[Crossref], [Web of Science ®] , [Google Scholar]), such as the amount and scope of responsibility, can be loosely considered as “good stressors” that are consistently and positively related to job satisfaction and performance. We introduce the role of appraisal to further examine how challenge stressors are connected to performance. Structural equation modelling analyses using an applied sample of 284 employee–supervisor dyads showed that affective commitment to the organization mediated the relationship between both opportunity and threat appraisal and performance (in-role and extra-role). The mediating role of increased psychosomatic distress was supported only for the relationship between threat appraisal and in-role performance. The findings indicate the importance of taking into account the actual appraisal of “challenge stressors”, as it carries implications for performance, and reveals the key role of affective commitment and induced distress mechanisms in this relationship. In conclusion, “challenge stressors” are not always positively related to performance, but only when they are perceived as opportunities.     

Ageing, health and productivity: A challenge for the new millennium

The economic implications of Europe's ageing population are considerable. Without an increase in the size of the working population, reducing the possible fiscal deficits will be difficult. This paper reviews this area of increasing concern for basic, applied and strategic researchers, namely how to increase the age at which people typically stop working, without damaging health or productivity. Chronological age per se may not be a good predictor of health and job performance; rather we should examine various mediating and moderating factors. It is argued that attention should focus on national and organizational policies, management attitudes, training, work demands, the working environment, work organization, the psychosocial environment and health promotion. Older workers may currently be subject to discriminatory practices and to stereotypical and inappropriate attitudes which may adversely affect their health and performance. Flexible and intelligent solutions are required. Many organizations, perhaps reflecting western culture, have not yet evolved to the point where the potential contribution of older people is recognized and allowed to flourish. Once current barriers are removed, and existing and developing knowledge applied, an optimistic picture for older workers emerges.     

Service quality in the legal profession: a review

Research into the management of professional service quality, other than in health care, has been very limited, despite being particularly problematical. This paper focuses on the interactive, highly customized and labour-intensive service offered by solicitors to their commercial and corporate clients. The intangible nature of legal services, the natures of the professionals themselves and the firms within which they operate, and the perceptions of risk brought to the service by the client create additional difficulties in managing the service and measuring client perceptions of it. Yet solicitors must understand the requirements of the group of clients they seek to serve in order to design their service to match those needs. Clients have to assume the technical competence of their solicitor. Moreover, they seek confidence when buying legal services. Our research, therefore, sought to gain an understanding of the process used by commercial and corporate clients when evaluating legal service, and of the factors that are key drivers in the creation of confidence.