Reverse exchange of healthcare devices: the case of hearing aid equipment in the UK

Abstract

Reverse exchange (RE) in dealing with the return, recycle and reuse of products is receiving a growing focus. When properly handled, RE in healthcare can deliver an economic benefit of cost minimisation and has extensive positive impacts on both human health and the environment (Li and Olorunniwo 2008 Li, X., and F. Olorunniwo. 2008. “An Exploration of Reverse Logistics Practices in Three Companies.” Supply Chain Management: An International Journal 13 (5): 381–386. doi:10.1108/13598540810894979[Crossref], [Web of Science ®] , [Google Scholar]) but to date, RE research is mostly limited to pharmaceutical return. This paper investigates the potential for RE benefits in the UK National Health Service (NHS) supply chain for medical devices. Hearing aids supplied to adults with hearing loss are used as an illustrative example. This research applied a consensus approach through the use of dispersed nominal groups in order to obtain qualitative data on information, barriers, solutions and priorities to support findings. Findings illustrate that the end user behaviour of returning the device, and the requirement by NHS Procurement for manufacturers to meet RE targets are secondary to the importance of audiology departments who have the autonomy to design RE processes and successfully implement initiatives. A schematic highlighting the information and materials flow of the supply chain and the barriers and facilitators to RE is presented for hearing aid devices with potential for transferability to other small medical device supply chains.     

The Detrimental Side Effects of Minimum Wage Laws

The adverse effects of minimum wage legislation demonstrate how a government policy presumably intended to help people worst off in society can actually end up causing far more harm than good. In this case, the victims are unskilled laborers. By making it illegal for employers to pay unskilled workers wages equal to their marginal revenue productivity, it causes unemployment for all workers whose productivity happens to be below the minimum wage. It also widens the wage gap between whites and minorities because there are disproportionate numbers of unskilled and uneducated minorities compared with whites.     

The Development of Entrepreneurial Leadership: The Role of Human,Social and Institutional Capital

This paper contributes to the literature on entrepreneurial leadership development. Leadership studies are characterized by an increasing emphasis given to an individual leader's social and organizational domain. Within the context of human capital and social capital theory, the paper reflects on the emergence of a social capital theory of leadership development. Using a retrospective, interpretivist research method, the authors present the experience of a cohort of business leaders on an executive development programme to uncover the everydayness of leadership development in practice. Specifically, they explore how entrepreneurial leadership develops as a social process and what the role of social capital is in this. The findings suggest that the enhancement of leaders’ human capital only occurred through their development of social capital. There is not, as extant literature suggests, a clear separation between leader development and leadership development. Further, the analysis implies that the social capital theory of leadership is limited in the context of the entrepreneurial small firm, and the authors propose that it should be expanded to incorporate institutional capital, that is, the formal structures and organizations which enhance the role of social capital and go beyond enriching the human capital stock of individual leaders.     

网店Woot的“一日交易模式”——24小时内只卖一样商品或售完为止

商品销售品种以百万计的亚马逊近日宣布,将购买网络折扣店Woot,这家店一天只卖一种商品。 近几年电子商务迎来了一股创新潮,其规模仅次于亚马逊和eBay的建立;Woot就是其间蹦出来的几个非主流购物网站之一。     

Taking stock: parents' reasons for and against having a third child

In developed countries with below-replacement fertility, the proportion of people who have at least three children make a substantial difference to the aggregate level of fertility. This study, based on 40 in-depth interviews with Australian parents of two children, analyses what factors influence the decision to have a third child. Using a grounded theory method of qualitative analysis, the study finds that parents who have decided to stop at two children are more able to articulate their reasons than are parents who are considering having a third child. The reasons for stopping include age and health; work and finances; and the capacity to parent another child. The weighing up of multiple factors is evidence of parents taking stock of personal and financial resources when making complex family formation decisions. The reasons for having a third child are expressed with far less elaboration and are more guarded and personal. We conclude that there is less shared or familiar language for articulating the value of family relationships. The contemporary context is one in which parents are attempting to manage risks related to having children, including the personal and financial implications of time out of the workforce. This study finds a persistent story of limited resources among parents of two children. Policies aimed at increasing fertility need to address this perception of limited resources through direct measures like affordable childcare and more generally through greater government and community support for families.     

Marginalized Children as Social Actors for Social Justice in South Asia

Correspondence to: Claire O'Kane, C/o Save the Children Norway, GPO Box 3394, Jawalakhel, Kathmandu, Nepal. Summary This contribution highlights the role that marginalized girlsand boys are themselves playing in varied contexts in SouthAsia to challenge inequalities and discrimination to ensurethat the rights of all children are realized. Notions of rightsare inextricably linked to the concept of social justice whichis concerned with equality, needs and entitlements. Whilst highlightingthe role of children and young people as social actors and activecitizens, this paper also explores broader contextual and discourseissues concerning social work practice, social justice and childrights in South Asia. Case examples and ethnographic materialfrom South Asia are shared. Furthermore, the changing natureand roles of social workers and development workers when enablingchildren's own protagonism are reflected upon, and lessons drawnfor social and community work practice and policy developmentin different parts of the world.     

RELIGIOUS HOMOPHILY IN A SECULAR COUNTRY: EVIDENCE FROM A VOTING GAME IN FRANCE

Homophily—the tendency individuals have to associate with similar‐others—is a powerful determinant of social networks. Yet research to date does not allow us to determine which dimension, e.g., ethnic, religious, gender, age, or class similarity, drives association. Tests demonstrating homophily are flawed by restricting the range of dimensions in the choice set. We introduce an experimental game in which we exogenously expose subjects to diverse partners to determine which dimension dominates. We find that in a socio‐demographically diverse district of Paris, despite expectations of secularization, religious similarity significantly predicts homophily. Moreover, we provide tentative evidence that religious homophily is taste‐based. (JEL C91, D03, D72, J71, Z12)     

The Pension Reform Process in France

The French old age security system was constructed progressively following the end of the Second World War in response to the pressing problem of old age poverty. In 1945 less than 40% of old people (4.5 million in total) had a pension. This was despite the existence of some pension systems dating back to the end of the nineteenth century and the beginning of the twentieth century. Monetary depreciation also meant that the pensions of those who enjoyed such benefits were very low. Historical factors explain the current pension system's organization and institutional division favouring pay-as-you-go schemes. While the French pension system has been largely successful in eliminating old age poverty, it today faces new challenges and constraints that make reform necessary. The debate as how best to reform the pension system is a long and winding one. Change is slow and incremental. Ideological, social and cultural factors and their interrelations help explain the difficulties in effecting reforms.