Organizational Model Research Articles

Budaya Organisasi Penanganan Pembiayaan Murabahah Bermasalah

This research examines the factors that cause problematic murabahah financing at BMD Syariah Barat Magetan, and discusses the organizational work culture that is effective in finding solutions to resolve them. This research is field research using qualitative methods. The results of the research show that there are 2 factors that cause financing problems, namely internal factors originating from managerial and governance from the institution, and external factors originating from the customer's economic conditions. This research explains that there is an effective organizational work culture model to reduce the number of problematic murabahah financing, namely rescheduling and the most dominant one is billing customers' homes outside of working hours

Multiple Stakeholder Perspectives of Implementing Work-Related Cognitive Behavioral Therapy (WCBT) in Vocational Service Settings: A Qualitative Exploration of Intervention Acceptability and Sustainability.

Growing mental health treatment access disparities elevate the urgency for identifying and implementing innovative approaches for delivering evidence-supported interventions. Work-related cognitive behavioral therapy (WCBT), a technology-assisted CBT (t-CBT) designed to address social anxiety and employment outcomes among job seekers at vocational service centers and for delivery by vocational service professionals, offers a promising way to increase access to needed mental health care. This qualitative study, guided by the Organizational Transformation Model (OTM), explored factors related to WCBT's implementation at two Jewish Vocational Services (JVS) Human Service sites in Detroit, MI and Los Angeles County, CA. Twenty-seven staff-stakeholders across the two JVS sites completed in-depth, semi-structured interviews focused on their experiences with WCBT over the four-year study period. Thematic analysis identified five core codes that most broadly captured participants' perceptions of WCBT implementation and the factors influencing implementation, including: (1) Need, (2) Buy-in and engagement, (3) Communication, (4) Sustainability concerns, and (5) Implementation facilitators. Core codes aligned with OTM factors related to impetus to transform, improvement initiatives, integration across boundaries, alignment from top to bottom, and leadership. Findings identify implementation strategies likely to optimize uptake and sustainability of WCBT within JVS sites that can be tested in a larger, multi-site implementation trial.

Construction Project Organizational Capabilities Antecedent Model Construction Based on Digital Construction Context

In the context of high-quality development and the digital age, digital technology-enabled construction projects have become the only choice to promote organizational capabilities and innovation. However, the micro foundation of the organizational capabilities of construction projects has not been clarified, and its formation path is even less clear. This paper focuses on the characteristics of the times when digital technology and engineering construction are deeply integrated, conducts in-depth research on typical projects in the context of digital construction, and uses the qualitative research method of grounded theory to explore the antecedents of the formation of organizational capabilities. The results of the study establish a systematic antecedent model framework, including value integration, data traction, resource integration, technology integration, digital collaboration, and digital routines, and find out the “black box” process of the formation of construction project organizational capacities under the digital construction context. The conclusion of this study provides a theoretical basis and practical enlightenment for the construction of organizational capabilities of construction projects to cope with technological turbulence.

A história da assistência médica no Rio de Janeiro: a implantação e desenvolvimento da Policlínica de Botafogo (1889-1939)

This research sought to investigate the trajectory of the Polyclinic of Botafogo (PB), a care institution founded in 1900 by the physician Luiz Pedro Barbosa, showing its organizational model inspired by European and North American dispensaries, role in providing health care to the urban poor and functioning as a space for the development of medical education. The objective of the work was to reconstruct the trajectory of BP, between 1900 and 1939, highlighting the importance of its medical and social role, investigating the implementation, organization, maintenance and evolution of health care, analyzing the statistical data related to donations, the number consultations and the medical staff, and bringing to the debate the social and urban transformations that made the institution's development possible. The study of the origin of this institution not only brought to light issues related to health care in the midst of social, political, economic and cultural transformations between the end of the 19th century and the beginning of the 20th century in Brazil and contribution to knowledge for the historiography of science and health in the country.

Working conditions in OOH-PC centres in Romania: an interview study with healthcare professionals

Abstract Considering the amplifying primary care workforce shortage, the existing knowledge gaps in out-of-hours primary care delivery (OOH-PC) in Romania, as well as the extreme county-to-county variation in the number of functioning OOH-PC centers across the country, from 0 to 32, we set out to document health workers’ perspectives on existing challenges in after hours primary care. Using a qualitative study design, we conducted semi-structured interviews with a purposive sample of 20 healthcare professionals (HCPs): family doctors and nurses providing clinical services in urban and rural OOH-PC centres, family doctors with coordinating and administrative roles, representatives of professional associations and health authorities, as well as emergency doctors and paediatricians. We examined interview transcripts employing thematic analysis. The data collected and analysed revealed several challenges in the provision of care, including physician shortages, increasing workload, low payments, and an organisational model that lacks coordination with other levels of care and services. The analysis of the interview data identified five key themes related to adverse working conditions in OOH-PC: working hours and shift length, increasing workload and patient influx, obstacles to achieving work-life balance, inconveniences related to OOH centre premises (rest space, security), and insufficient financial compensation for after-hours health service provision. Working conditions in OOH-PC centers in Romania constitute a drawback to after hours primary care service provision. Health workers shortage and extreme variation in the number of functioning centres across the country suggest inconsistencies in the governance of OOH-PC. Improving working conditions to recruit and retain health professionals in OOH-PC, combined with targeted policies to optimise organisation and coordination of OOH-PC with other levels of care are as timely as ever to ensure equitable services to the population. Key messages • Current working conditions in OOH-PC Romania impact negatively the health workforce and lead to uneven access for the population. • Improvements in working conditions, service integration, and organisation model are timely for the alleviation of OOH-PC provision.

‘Positive disruption’: catalysing system-wide work on health inequalities through embedded research

Abstract Background This presentation explores embedded research as an innovative model for bridging system-level knowledge to action gaps in public health. Embedded researchers (ERers) are university-employed researchers co-located in public health organisations, who work to boost capacity in these organisations to tackle inequalities by better use of evidence in decision-making, evaluation and service improvement Methods Drawing on the initial phase of the role and wider literature, we qualitatively reflect on strengths and limits of a system-level ERer model. Most ERer evidence draws on a one-to-one organisational model. This presentation explores a different model of an ERer embedded in and working across a public health system (health services, municipality, third sector) in a large city in north England Results Our focus is on catalytic features of the ERer role (1) positionality: being embedded at system-level gives fuller understanding of inter-organisational connections and of the implications of emergent system changes; (2) convening: bringing together partners improves mutual awareness and builds interest in collectively pursuing research aligned to identified population health needs and public health priorities in the city; (3) co-production to build capacity: working with a new cross-organisational partnership to collectively address issues constraining opportunities to pursue system-level research; working with the municipality to explore the production/use of research to inform decisions on approaches towards health inequalities. This includes work on links between public health and other functions focused on social determinants of health Conclusions This presentation outlines distinctive consequences of system-level embedded research in a city-wide public health system. It critically appraises the transferability of this model of knowledge production and mobilisation at the intersection of system and cross-organisational action on health inequalities. Key messages • System-level embedded research is an innovative model for helping to bridge system-level knowledge to action gaps in public health. • The model has catalytic benefits and transferability potential, although this needs to be considered in relation to the specific context for proposed system-level embedded research.

Influence of process-focused patient care on clinical outcomes among hospitalized heart failure patients in the cardiology ward

Abstract Background The implementation of a process-oriented organizational structure in patient care allows for a comprehensive and optimized approach. In the context of heart failure (HF), it remains uncertain whether the establishment of a specialized hospitalisation team can contribute to improved major clinical outcomes. Purpose To analyse the rates of all-cause hospitalisation, cardiovascular hospitalization, HF hospitalization and overall mortality at 180 days among patients admitted to the Cardiology ward for HF, both prior to and after the implementation of a specialized HF hospitalisation team. Methods The study included all patients discharged from the Cardiology department with HF as the primary diagnosis and subsequent outpatient follow-up by the Community HF Unit in both 2019 and 2022. Clinical outcomes were compared between two distinct periods: the pre-implementation year of 2019 and the subsequent year of 2022, characterized by process-oriented HF care. Statistical analyses were performed using Kaplan-Meier and adjusted Cox proportional-hazards models. Results A total of 140 patients were enrolled in the study, comprising 55 individuals receiving care from a conventional ward team in 2019 and 85 under the specialized HF team in 2022. The mean age of the cohort was 69.4 years (+/-11.8), with a mean LVEF of 40.6%. The pre-implementation group showed a higher percentage of male patients (73% vs. 47%; p=0.003) and LVEF was lower in the HF team period (38.9% vs. 43.4%; p=0.045), with no statistically significant differences in other baseline variables. As shown in figure 1, over 180 days of follow-up, 15 patients (27.6%) were admitted to hospital in the conventional ward team period and 13 (15.3%) in the HF team period (hazard ratio [HR] 0.44; 95% confidence interval [CI] 0.19 to 0.99; P=0.047). Of these hospitalisations, 13 patients (23.6%) in pre-implementation period and 10 (11.8%) in post-implementation period were attributed to cardiovascular events (HR 0.40; 95% CI 0.16 to 0.99; P=0.049). Additionally, there was a reduction in the rate of heart failure admissions in the post-implementation period compared to the pre-implementation time (HR 0.30; 95% CI 0.09 to 0.94; P=0.039). Furthermore, a significant decline in all-cause of death was observed in patients treated by HF-team in 2022 compared to patients receiving care from the conventional ward team (log-rank test, p=0.015). Conclusions The implementation of a process-oriented organizational model within the Cardiology unit consisting in the provision of patient care by a team specialized in HF management, is associated with a statistically significant reduction in major clinical outcomes such as all-cause hospitalization, cardiovascular hospitalization and HF readmission, alongside a reduction in overall mortality rates at 180 days.

Risks, Resilience and Performance of Financial Mechanisms During the Health Crisis

Is there an “optimal resilience” model for organizations? Due to its status, the company is de facto concerned and regularly confronted with the constraints of the environments in which it operates. The latter are juxtaposed with regulatory, institutional and recently totally unprecedented health constraints. The antagonism of the « Risk/Return » couple on which financial theories are based is a model that has imposed itself in the terms of exchange between the bank and the company, thus resulting in a persistent informational asymmetry. But the repetition of financial shocks and the violent health crisis that occurred in January 2020 on a planetary scale forced the two parties to review their strategies. In this context, many systems have been put in place to enable organizations to stay on course. In particular, the loans guaranteed by the State distributed by the banks, which are at the same time active by the device and passive to bear the risk. Nevertheless, the banking sector has been able to develop in recent years a powerful architecture of operational resilience to fight against crises. What about the operational resilience model of companies that are suffering this double blow of external financial and health constraints for which they were not prepared? How these organizations were able to use financial devices for their profits. This is the analysis that is made under the triple report of effectiveness, efficiency and equity. Operational, theoretical and empirical resilience should also be analyzed. Theory to confront models of resilience. Empirical to analyze the reality of a given geographical area in order to identify a result. It emerges that the first « Toxi-Handler » (catalysts of their own suffering) are business leaders, a triple approach based on observation: individual, organization, means.

Copycats? Do right-wing groups emulate left-wing digital advocacy organizations?

ABSTRACT In 1998 MoveOn pioneered a new and powerful form of digitally enabled, multi-issue, member-driven, rapid response, advocacy organization. This model quickly spread around the world as progressive activists emulated it in twenty other countries. These digital advocacy organizations share progressive values and have been influential actors in their national contexts. What is surprising is that right-wing actors have replicated this new organization model. We examine four right-wing digital advocacy organizations: Grassfire (United States), Advance (Australia), Patriot Petition (Germany), and CitizenGo (transnational). We find that all four ‘copycat’ organizations are rapid-response, multi-issue, on-line campaigning organizations, like their left-wing counterparts. However, none appear to be fully-member driven in their funding and decision-making, rather the right has a tendency towards “astroturfing”. We also find that these right-wing organizations explicitly sought to emulate the organizational model of their left-wing counterparts, and there was no evidence of transnational diffusion on the right. This article enriches our understanding of right-wing digital advocacy organizations, and how learning and emulation occur across partisan divides.

Building labour power in the platform economy: A comparative analysis of worker struggles in German and Norwegian food and grocery delivery

AbstractThis study undertakes a comparative analysis of delivery workers’ struggles in Norway and Germany. Through the theoretical lens of the power resources approach, we analyse how delivery workers in Berlin and Oslo combine associational, structural, institutional, coalitional and discursive power resources, responding to different institutionalised frameworks of industrial relations. We make three contributions to debates on worker agency and resistance in the platform economy. First, we show that delivery workers need to actively combine different power resources to overcome barriers to organising and exercising structural power, resulting from platforms’ model of work organisation. Second, we highlight the role of institutional contexts in shaping workers’ collective organising strategies. Finally, our analysis stresses that the power resources that food delivery workers have built are often contested and circumvented by counter‐practices from the platform companies.

Bifurcations in a Model of Criminal Organizations and a Corrupt Judiciary

Let a population be composed of members of a criminal organization and judges of the judicial system, in which the judges can be co-opted by this organization. In this article, a model written as a set of four nonlinear differential equations is proposed to investigate this population dynamics. The impact of the rate constants related to judges’ co-optation and ex-convicts’ recidivism on the population composition is explicitly examined. This analysis reveals that the proposed model can experience backward and transcritical bifurcations. Also, if all ex-convicts relapse, organized crime cannot be eradicated even in the absence of corrupt judges. The results analytically derived here are illustrated by numerical simulations and discussed from a crime-control perspective.

Do You Dare to Speak Up at Work? A Study on Organizational Conditions Enabling or Discouraging Employee Voice

ABSTRACT Employee voice is part of internal communication, and this study extends current knowledge concerning the organizational conditions conducive to employee voice, namely: participation in decision making, consultation, information sharing, sensemaking and interactive communication, voice systems, formal policies regulating employees’ freedom of speech, solicitation of informal voice, implementation of corrective actions and feedback to employees voicing concerns. This study specifically examines the organizational and environmental characteristics that shape these organizational conditions that promote employee voice. A SEM analysis shows: the positive influence of the organizational and environmental characteristics of business strategy, organizational model, labor market conditions and company size. In addition, the mediating role of managers’ implicit beliefs that employees are self-interested, that management knows best and that dissent is undesirable was clearly emphasized.

Adoption of cloud-based accounting solutions in micro, small and medium-sized enterprises: insights from the Kingdom of Saudi Arabia

Purpose This study aims to explore the extent to which micro, small and medium-sized enterprises (MSMEs) in Saudi Arabia are adopting cloud-based accounting systems, what cloud accounting technologies MSMEs are using and the factors that affect cloud accounting system adoption. The technology, organizational and environmental model was used to assess the factors that affect the adoption of cloud accounting systems. Design/methodology/approach Data were collected via a survey distributed to MSME owners, directors and chief executives in Saudi Arabia. The final sample comprised 174 participants. Descriptive statistics, multiple response analysis and logistic regression were used to analyze the data. Findings This study’s findings show that many MSMEs currently do not use cloud accounting. The findings also show that Sage One and Xero Accounting are the main cloud accounting technologies MSMEs use. Perceived benefits, security concerns, organizational readiness, government support and vendor support were found to significantly influence the adoption of cloud accounting systems, while compatibility, firm size, top management support and intensity of the competition were not found to affect MSMEs adoption of cloud accounting technologies. Originality/value To the best of the authors’ knowledge, this study is the first to explore cloud accounting adoption by MSMEs in Saudi Arabia. It empirically shows the extent to which cloud-based accounting systems are used in MSMEs and the significant factors influencing the adoption of these systems.

Mobilising for organising?: Momentum’s distributed centralization and Labour Left strategy under Corbyn (2015–2020)

The Corbyn regency of the Labour Party has been marked by an apparent paradox. On one hand, the Left proved able to activate impressive processes of mobilisation during general elections and in confrontations with intraparty adversaries; on the other, it left little if any organisational legacy, rapidly retreating to a position of low relevance shortly after Corbyn’s demise. This article aims to explain such a paradox by referring to Momentum, the collective arm of the intraparty Left, and in particular to the consequences of the organisational logic it adopted, namely distributed centralization. After proposing a novel conceptualisation of distributed centralization, the article analyses, making use of 24 interviews with Momentum activists, how Momentum innovated repertories of mobilisation while proving organisationally fragile. After relating Momentum’s organisational vicissitudes with the distributed centralization logic, this study interprets the choice for this organisational model within the Left’s intraparty strategy.

Cost analysis of technological vs. conventional upper limb rehabilitation for patients with neurological disorders: an Italian real-world data case study.

Most patients suffering from neurological disorders endure varying degrees of upper limb dysfunction, limiting their everyday activities, with only a limited number regaining full arm use. Robotic and technological rehabilitation has been demonstrated to be a feasible solution to guarantee an effective rehabilitation to recover upper limb performance or to prevent complications of upper limb immobility. However, there is currently a lack of studies which analyze the sustainability of robotic and technological rehabilitation by comparing its costs to conventional rehabilitation pathways. Since technology-based and conventional rehabilitation of the upper limb have been demonstrated to have comparable efficacy when the rehabilitation dose is matched, our study concentrates on a cost minimization analysis. The aim of the study is to compare the costs of a "mixed" rehabilitation cycle, which combines conventional and technology-based treatments (the latter delivered with a single therapist supervising several patients), with a cycle of purely conventional treatments. This has been done by developing a cost model and retrospectively analyzing the costs sustained by an Italian hospital which has adopted such a mixed model. A sensitivity analysis has been done to identify the parameters of the model that have the greatest influence on cost difference and to evaluate their optimal values in terms of efficiency of mixed rehabilitation. Finally, probabilistic simulations have been applied to consider the variability of model parameters around such optimized values and evaluate the probability of achieving a given level of savings. We found a cost difference of 49.60 € per cycle in favor of mixed rehabilitation. The sensitivity analysis demonstrated that, in the situation of the hospital under investigation, the parameter having the largest influence on the cost difference is the number of robotic treatments in a mixed rehab cycle. Probabilistic simulations indicate a probability higher than 98% of an optimized mixed rehabilitation cycle being less expensive than a pure conventional one. Through a retrospective cost analysis, we found that the technology-based mixed rehabilitation approach, within a specific organizational model allowing a single physiotherapist to supervise up to four patients concurrently, allowed cost savings compared to the conventional rehabilitation model.

Evaluating the World Health Organization's HEARTS Model for Hypertension and Diabetes Management: A Pilot Implementation Study in Guatemala.

The World Health Organization HEARTS Technical Package is a widely implemented global initiative to improve the primary care management of cardiovascular disease risk factors. The study's objective is to report outcomes from a pilot implementation trial of integrated hypertension and diabetes management based on the HEARTS model in Guatemala. We conducted a single-arm pilot implementation trial over 6 months from October 2023 to May 2024 in 11 Guatemalan Ministry of Health primary care facilities in two districts. The pilot evaluated a package of five HEARTS-aligned implementation strategies to improve the pharmacological treatment of hypertension and diabetes. The primary outcomes were feasibility and acceptability, measured through 20 structured interviews with Ministry of Health employees and by examining enrollment and retention. Secondary outcomes included a suite of implementation and clinical outcomes, including treatment rate. The study enrolled 964 patients, of whom 58.8% had hypertension only, 30.4% had diabetes only, and 10.8% had both conditions. Surveys on feasibility and acceptability among Ministry of Health staff had a median score of 5.0 (IQR: 5.0 to 5.0) and 5.0 (IQR range: 4.8 to 5.0), respectively, exceeding the prespecified benchmark of ≥3.5. Both districts achieved the prespecified benchmark of enrolling ≥25 hypertension patients and ≥25 diabetes patients. Only 36% of patients attended a follow-up visit within three months, lower than the prespecified benchmark of ≥75%. M treatment rates during the pilot increased by 22.3 (95% CI: 16.2 to 28.4; P<0.001) and 3.5 (95% CI: -1.6 to 8.7; P=0.17) patients per month for hypertension and diabetes, respectively. Implementation of an integrated hypertension and diabetes model based on HEARTS was generally feasible and acceptable in the Ministry of Health in Guatemala. Findings can refine national scale-up in Guatemala and inform HEARTS implementation projects in other settings.

Improving organisation to improve care: ERN ReCONNET organisational reference model for systemic sclerosis patients’ care pathway

Objective: To optimise the organisation of care and encourage the adoption of good clinical practices, the RarERN Path© methodology was designed within ERN ReCONNET. The aim of our work was to report the application of RarERN Path© on systemic sclerosis within the ERN ReCONNET centres, providing a feasible and flexible organisational reference model for optimising the systemic sclerosis care pathway in different countries. Methods: RarERN Path© is a six-phase methodology which enables the creation of a reference organisational model co-designed on the basis of the expertise of different stakeholders. It foresees six phases, ranging from the map of existing patients’ care pathways and patients’ stories, to the consensus on a common organisational patient care pathways, and its key performance indicators definition. Results: The agreed reference model highlights the importance of having an organisational flow for referrals that foresees how patients may access directly the specialised unit from the different referrals. Specific specialised visits were considered as mandatory to be organised and they included cardiologist, pneumologist, gastroenterologist, psychologist, nephrologist, dermatologist, wound care specialist/nurses and other healthcare professionals (such as nurses, social workers and nutritional counselling). Moreover, specific services related to therapy were highlighted as strongly recommended to be organised, mainly represented by infusion therapy and wound care, as well as occupation therapy and physiotherapy. Conclusion: The organisational model emerged from our investigation emphasises that the organisation of specific services for systemic sclerosis treatment should be organised as a solid support for implementing the existing recommendations on systemic sclerosis management in real life.

Legal and organizational problems of development and production of innovative medicines in Russia

The article outlines the range of problems facing the Russian pharmaceutical industry as a segment of the real sector of the economy that ensures the health of the population. The necessity of an integrated approach to the formation of a model for the organization of scientific research, innovation and production activities in the designated area is substantiated; an organizational model is proposed that ensures the development and production of innovative medicines; individual legal measures aimed at increasing the effectiveness of state support for the development and production of innovative medicines (normative consolidation of the concept of an innovative drug and a scientific and technological consortium, the inclusion of scientific and educational organizations of higher education among the subjects of industrial clusters). The results of the research can be used in law-making activities and public administration practice.

Strategic Innovation in Crisis Management Converting into Opportunity: A Case Study of the Dubai Government

Purpose: The conventional crisis management framework, which is characterized by predetermined protocols and reactive actions, has proven ineffective in the face of the complex circumstances of today. The Dubai Government has acknowledged this and adopted a paradigm shift toward strategic innovation, marking a break from the status quo and a readiness to accept uncertainty as a necessary step toward advancement. The strategic innovation framework used by the Dubai Government's crisis management plan will be thoroughly examined in this research. The purpose of the study is to elucidate the guiding principles that have placed this forward-thinking organization at the forefront of crisis resilience via the prism of this progressive organization. It aims to understand the mechanics of crisis management and to draw general lessons that may be used in other organizational contexts by probing the methodology, technologies, and cultural shifts that support this novel approach (Alketbi, del Rio and Fernández, 2022). Methodology: To encapsulate, this research utilizes a qualitative triangulation approach that focuses on the relationship between strategic innovation and crisis management, specifically examining the Dubai Government. By combining qualitative interviews, quantitative surveys, and content analysis, the study provides a comprehensive view of the topic, enabling a thorough investigation of the research questions and objectives. Findings: Based on prior research and global trends, the main finding is to understand the Dubai Government who has seamlessly merged innovation into its crisis management tactics. The focus is on how the Dubai Government integrates advanced technological tools and fosters a culture where challenges are viewed as opportunities for growth. For instance, the adoption of AI-based predictive analytics in crisis anticipation and response is a testament to this innovative approach. Unique Contribution to Theory, Practice and Policy: The study anticipates that these practices not only enhance crisis management effectiveness but also serve as a model for other organizations globally.

Model Komunikasi Organisasi Pemberdayaan Kesejahteraan Keluarga (PKK) Dalam Mengimplementasikan Program Bank Sampah Duren

The organizational communication model functions as a tool to ensure that communication is on target in accordance with the objectives of the PKK RT 08 Kampung Padurenan organization, namely to advance the environment by facilitating the community in managing waste banks. This study aims to determine the Organizational Communication Model (PKK) in Implementing the Duren Waste Bank Program. The organizational communication model in this study uses the Stimulus-Response model and the Aristotle model with upward, downward and sideways communication directions. Flor's environmental communication theory is used to complement the organizational communication model. The research method used is descriptive qualitative. Data collection techniques include interviews, observations, documentation and literature studies. The results of this study indicate that the organizational communication model carried out by the PKK RT 08 organization in implementing the Duren Waste Bank was declared successful. This can be seen from a clear understanding of communication so that it can be ensured that all organizations involved understand what is being said. This Organizational Communication Process can also be declared unsuccessful due to the lack of active participation in communication from the head of the waste bank in each of his work program activities, so that members often feel that leaders can only give orders without giving examples.