Socially disadvantaged women's views of barriers to feeling safe to engage in decision-making in maternity care

BackgroundAlthough midwifery literature suggests that woman-centred care can improve the birthing experiences of women and birth outcomes for women and babies, recent research has identified challenges in supporting socially disadvantaged women to engage in decision-making regarding care options in order to attain a sense of control within their maternity care encounters.ObjectiveThe objective of this paper is to provide an understanding of the issues that affect the socially disadvantaged woman's ability to actively engage in decision-making processes relevant to her care.Research designThe qualitative approach known as Interpretative Phenomenological Analysis was used to gain an understanding of maternity care encounters as experienced by each of the following cohorts: socially disadvantaged women, registered midwives and student midwives. This paper focuses specifically on data from participating socially disadvantaged women that relate to the elements of woman-centred care-choice and control and their understandings of capacity to engage in their maternity care encounters.FindingsSocially disadvantaged women participants did not feel safe to engage in discussions regarding choice or to seek control within their maternity care encounters. Situations such as inadequate contextualised information, perceived risks in not conforming to routine procedures, and the actions and reactions of midwives when these women did seek choice or control resulted in a silent compliance. This response was interpreted as a consequence of women's decisions to accept responsibility for their baby's wellbeing by delegating health care decision-making to the health care professional.ConclusionThis research found that socially disadvantaged women want to engage in their care. However without adequate information and facilitation of choice by midwives, they believe they are outsiders to the maternity care culture and decision-making processes. Consequently, they delegate responsibility for maternity care choices to those who do belong; midwives. These findings suggest that midwives need to better communicate a valuing of the woman's participation in decision-making processes and to work with women so they do have a sense of belonging within the maternity care environment. Midwives need to ensure that socially disadvantaged women do feel safe about having a voice regarding their choices and find ways to give them a sense of control within their maternity care encounters.     

USING CONJOINT ANALYSIS TO PREDICT TRIAL AND REPEAT-PURCHASE PATTERNS OF NEW FREQUENTLY PURCHASED PRODUCTS*

A new approach is proposed to evaluate new-product opportunities. This approach uses the distribution of brand-purchase probability of the new product over a population of potential customers and the outputs from conjoint analysis. The heterogeneous distribution of brand-purchase probability is expressed by a beta binomial brand-choice model compounded with a negative binomial product-class purchase-incidence model. The resulting model provides a way to predict trial and repeat-purchase patterns of new-product concepts. The paper discusses the development of the model. It also discusses issues of measurement, estimation, testing, and implementation of the proposed approach based on actual empirical data.     

Rhetoric or reality? An economic analysis of the effects of religion in Sweden

On the basis of simple rational-choice theory, it is argued that Christian religious involvement influences the divorce, abortion, non-payment, and children-born-out-of-wedlock rates negatively. This influence stems from an expectation that a god punishes certain forms of action and from social reprimands of devotees. Regression analysis is then used to test the theory in the case of Sweden in the year 1990, and the importance of religion, in its negative effect on all of these rates, is strongly confirmed. A particularly interesting result: the marginal effect on three of these rates of increasing the fraction of people active in the Church of Sweden is clearly larger than the marginal effect of increasing the fraction of more conservative free-church members.     

Prospects for Examining Perceived Choice and Control Among Older Adults Living With Family

This review aims to advance the field of aging research by examining coresidence with family, race, and other characteristics as potential determinants of choice and control in older adults. Living with family likely impacts perceived choice and control, as household members often work together to make decisions about care. Race may also influence choice and control, as an accumulation of challenges and opportunities create unique life experiences. This review considers human agency in its examination of choice and control. Suggestions for future research will be discussed.     

The effects of information form and domain-specific knowledge on choice deferral

Three studies examined the effect of information form on choice deferral in consumer choice and explored the moderating role of knowledge about the product domain. Two theoretical approaches were contrasted: (1) The process approach predicting that choice deferral varies as a function of information form, and (2) the communication approach predicting an interaction of information form and domain-specific knowledge. Participants were presented with different laptops described in an absolute (e.g. ‘300 GB hard disc’), evaluative-numerical (e.g. ‘hard disc with 30 out of 100 points in an expert rating’) or evaluative-verbal (e.g. ‘bad hard disc’) information form, and they could choose to buy one of the laptops or defer. Domain-specific knowledge was also assessed. In Study 1, evaluative-numerical and evaluative-verbal values led to more deferral in people with high domain-specific knowledge. The pattern for evaluative-numerical and evaluative-verbal values was replicated for a different information organization in Study 2. Study 3 showed that absolute values led to more deferral the less knowledgeable participants were and demonstrated that domain-specific knowledge and deferral were unrelated when absolute and evaluative-verbal values were presented in combination. In sum, the results support the communication approach and have methodological implications for decision research and theoretical implications for understanding choice deferral in real-life decisions.     

价格促销对消费者品牌选择的影响研究

本文通过实验方法探索性地研究了价格促销对消费者品牌选择的非对称影响。研究表明:消费者对不同产品的价格敏感性有所不同;较贵重的笔记本电脑、手机等耐用消费品行业中的低端品牌在与高端品牌的短期价格竞争中会获得更多市场份额,而对较廉价的洗发水等非耐用消费品来说,高端品牌将会在降价促销时获益更多。本文研究结论与国外同类研究结论有所不同,对企业的定价决策有重要的理论指导意义。     

Understanding Cumulative Risk Perception from Judgments and Choices: An Application to Flood Risks

Catastrophic events, such as floods, earthquakes, hurricanes, and tsunamis, are rare, yet the cumulative risk of each event occurring at least once over an extended time period can be substantial. In this work, we assess the perception of cumulative flood risks, how those perceptions affect the choice of insurance, and whether perceptions and choices are influenced by cumulative risk information. We find that participants' cumulative risk judgments are well represented by a bimodal distribution, with a group that severely underestimates the risk and a group that moderately overestimates it. Individuals who underestimate cumulative risks make more risk‐seeking choices compared to those who overestimate cumulative risks. Providing explicit cumulative risk information for relevant time periods, as opposed to annual probabilities, is an inexpensive and effective way to improve both the perception of cumulative risk and the choices people make to protect against that risk.     

Trade-offs in Online Purchase Decisions:: Two Empirical Studies in Europe

The Internet offers firms a new way to market their products and services and to interact with their end-consumers. While many firms have developed websites, very little is known about the trade-offs consumers are willing to make when making online purchases. With millions of websites competing for attention, online firms need to know in what way consumers make purchase decisions online. Consumers mainly evaluate websites on the basis of choice and convenience. In this paper, we present the results of two European studies that examine what consumers actually value in an online environment. In study 1, we assess choice-related trade-offs in terms of number of product categories, variety of products within a given category and product-related information. Conjoint analysis revealed that product-related information represents an important decision-making variable. In study 2, we assess convenience-related trade-offs in terms of logistics, fulfilment and security. Conjoint analysis revealed that fulfilment is the most important variable related to online handling. Finally, our study clearly indicates that firms have to distinguish different consumer segments on the basis of their preferences. This knowledge enables online firms to use their resources more effectively.     

A Framework for Examining the Interface between Operations and Information Systems: Implications for Research in the New Millennium*

Even though much research has been published in operations and information systems, both functional areas find their roots in other disciplines. While operations management evolved from operations research in the 1960s, the field of information systems is of more recent vintage and traces its original roots to computer science. Both disciplines now naturally have come closer together as information and process-technology-based changes force manufacturing firms to become more efficient and customer focused. Market and technology-driven e-commerce initiatives that are likely to dominate business strategies in the future cannot be successfully achieved without a successful integration of operations and information systems. In this paper, we present a unifying framework that can be used to better understand the management of the functional interface between operations and information systems. We also categorize and highlight the contributions of the articles that appear in this special research focus issue. Finally, research directions that emerge from our understanding of this interface are outlined in an effort to stimulate further thinking and research that can advance our knowledge of this interface area.     

Media Appropriateness: Effects of Experience on Communication Media Choice

Organizations are faced with a myriad of emerging advanced information technologies. Management may be anxious about the numerous choices while simultaneously yearning for instant realization of benefits promised by the adopted technologies. Management should also be aware that the eventual institutional use of these technologies is dependent upon the learning and training opportunities presented to individuals. Individual approval or established perceptions toward technology appropriateness are mostly idiosyncratic and contingent upon numerous factors such as task goals or prior technology experience. This paper examines the effect of learning experiences with nine communication media, based on perception changes of media appropriateness. Two hundred and ninety-five MBA students participated in a longitudinal quasi-experimental study. Results indicate that traditionally rich media such as face-to-face, group meetings, and telephone were consistently perceived to be more appropriate than emerging new media over time. However, an individual's specific experience with communication media affects perceptions of media appropriateness, and this is particularly evident in computer-based communications. In addition, changes in perception of media appropriateness were directly related to the participants' learning experience and were particularly salient with new media. Furthermore, increased use of some media was found to be associated with decreased use of other media. This study demonstrates that deliberate technology-use mediation can be an effective management mechanism to facilitate an individual's ability to gain experience in the use of new technologies. This paper also suggests that an individual's media experiences and temporal factors are two important but underemphasized factors in understanding and studying technology choice and use.