Perceptions Of Value Research Articles

DOES PERCEIVED VALUE ACCOMPANIED BY SATISFACTION INFLUENCE GOJEK'S CUSTOMER LOYALTY?

Technological advancements in business have significantly transformed the domains of business operations and finance, particularly in the context of customer loyalty towards online transportation services such as Gojek. This study addresses the challenges faced by customer loyalty amidst intense business competition and underscores the necessity for business processes to remain uninterrupted regardless of external conditions. The primary objective of this research is to investigate the determinants of customer loyalty, focusing specifically on value perception and customer satisfaction. Building upon the research conducted by Diallo, Diop-Sall, Djelassi, and Godefroit-Winkel (2018), which highlighted the influence of perceived benefits and positive experiences on customer loyalty, this study extends the theoretical framework to examine the interplay between value perception and customer satisfaction in the context of Gojek. Methodologically, the study employed a sample of 100 respondents and utilized Partial Least Squares (PLS) for hypothesis testing. The findings reveal that both value perception and satisfaction have a significant impact on customer loyalty towards Gojek in Yogyakarta. This study illustrates that Gojek's customer loyalty in Yogyakarta remains robust despite the prevailing competitive pressures. Consequently, it is imperative for Gojek’s management to continuously nurture and enhance customer loyalty irrespective of competitive challenges. Furthermore, the research contributes valuable insights for scholars in the fields of business and finance, particularly in the realm of customer loyalty research

Sensing physical properties for subjective meanings: Putting Emergent Consumer Perceived Value (ECPV) into the marketers’ toolbox

AbstractMarketers need to understand consumers in both theory and practice to create offerings that are valuable to them. Hence, the marketing discipline has conceptualized consumers’ subjectively perceived value in various ways, using multiple paradigms. Nevertheless, its constituents remain unclear. We argue that this is because the ontological and epistemological premises are both vague and narrow. Consequently, consumers’ value perceptions are still difficult to study or manage. With the aim of making a conceptual leap, our paper is the first to apply a critical realist (CR) approach to the phenomenon. CR’s stratified ontology and subjectivist/pluralist epistemology reconcile the positivist and interpretivist/constructionist paradigms, allowing the simultaneous existence of external socio-natural and internal subjective realities. Using these premises, we examine, from a marketer’s perspective, how consumers perceive value, which is a subjective, phenomenological, and socially constructed act embedded in the natural world. Our CR theorizing deploys Bhaskar’s (2010) RRREIC schema and includes a review of the extant subjective value conceptualizations (consumer perceived value, value-in-use, value-in-experience) and retroduction of the key mechanisms generating the phenomenon: meaning-making and sensory perception. Finally, we propose a novel conceptualization for Emergent Consumer Perceived Value formation (ECPV) as an open system. As its integral component, we introduce the concept of Sensory Value Affordance, explaining how consumers transform physical properties into subjective meanings. These conceptual tools cater especially to B2C managers and account for both the phenomenological and sociocultural as well as the corporeal and perceptual. Finally, we present broader implications for value research, the field of marketing, and society.

FAKTOR-FAKTOR YANG MEMPENGARUHI PILIHAN KONSUMEN TERHADAP KOPI TOMORO DIBANDINGKAN MEREK LAIN (STUDI PENELITIAN GROUNDED THEORY)

The research aims to capture the voices of Indonesian coffee consumers and develop a nuanced understanding of their preference for Tomoro Coffee. This will contribute valuable knowledge to the existing body of research on consumer behavior in the Indonesian coffee market and provide actionable insights for Tomoro Coffee's future marketing strategies. The approach utilized in this research employs a qualitative method based on grounded theory principles, enabling researchers to develop constructs and theories directly from data collected firsthand, rather than relying on pre-existing theories. Furthermore, the classification of categories into broader themes was carried out to identify the relationships among the compiled categories. Based on the study results, three major themes emerged from interviews with three business actors: Product Characteristics, Brand Image and Marketing, and Price and Value Perception. It can be concluded from the study results that the factors influencing consumer choice of Tomoro Coffee over other brands include the price and the value of the service and products obtained from Tomoro Coffee. Brand image and marketing also influence consumer choice because attractive marketing and promotions draw consumers to purchase Tomoro Coffee. Meanwhile, the variety of the menu, although not dominant, still serves as a reference for consumers to purchase Tomoro Coffee, particularly due to the delicious coffee flavors and affordable prices for consumers. In summary, the research highlights that the key factors driving consumer preference for Tomoro Coffee are competitive pricing, perceived value, effective marketing, and the quality of the product offerings. These insights can help Tomoro Coffee refine its marketing strategies and product development to better meet the needs and preferences of Indonesian coffee consumers. Keywords: Indonesian Coffee Market; Tomoro Coffee; Marketing Strategies; Qualitative Research; Grounded Theory.

A rational exploration of personalist bioethics: understanding its foundations

The aim of this article is to elucidate the rational foundations upon which personalist bioethics is built, thereby enhancing understanding regarding its place within the broader discourse of secular bioethics. Personalist bioethics, as a dynamic pursuit, actively engages with scientific discoveries, periodically revisiting them and considering contemporary individuals' diverse perceptions of identity and values. It integrates two foundational trunks: personalism and Aristotelian-Thomistic theology with metaphysical reference. The method employed by personalist bioethics is illustrated through triangulation: the exposition of biomedical reality, an in-depth study of anthropological significance, and the identification of values at stake. Rooted in a substantialist concept of the human person, it follows a systematic interaction of various knowledge spheres, aiming not only to describe problematic relations but also to propose prescriptive solutions. Personalism maintains that the human person is valuable for who he is and not only for the choices he makes; he is a source from which the choices proceed. According to personalist ethics, the ethical value of an act will have to be considered under the subjective aspect of intentionality, but it will also have to be considered in terms of its objective content and its consequences. The natural moral law that urges every conscience to do good and avoid evil, therefore, becomes concrete in respect for the human person in all the fullness of his values, his essence, and ontological dignity.

Evaluation of perceived value and behavioral intentions of citizens in Chinese commercially open communities: A case study of Liuyun Community

As urban development shifts from the incremental era to the stock era, urban design is becoming increasingly focused on high-quality living and human needs. However, the opening of traditional communities has been insufficiently examined. This study took Liuyun Community, a typical open community in Guangzhou (China) that has undergone a transformation from residential to commercial use, as its research object. First, more than 300 residents, tourists, and merchants were surveyed via questionnaires administered in field investigations and interviews. Next, the data from the completed questionnaires were used to construct a structural equation model consisting of five dimensions, namely commercial service value, cost value, risk value, perceptual value, and social value. The data were then analyzed to determine the correlations between perceived value and behavioral intention, satisfaction, and other psychological attributes. The following results were obtained: (1) As commercial activities in the community increased, the influence of social value, cost value, and commercial service value on behavioral intention decreased. (2) The open community inevitably had negative impacts on its citizens. However, these negative impacts were mitigated to some extent by high levels of social value. (3) Perceptions of commercial service value varied between groups.

Exploring the Effects of Low-Carbon Labels on Purchase Intentions for Green Agricultural Products

Expedited economic expansion and innovative technological advancement have precipitated considerable environmental predicaments, giving rise to extensive ecological conundrums worldwide. In response to the pressing situation, numerous countries have implemented policies aimed at reducing carbon emissions. One such initiative is the “low-carbon label”, which signifies a commitment to lowering carbon emissions. On one hand, it offers consumers an effective means to identify low-carbon products, thereby enhancing their willingness towards green consumption. On the other hand, it motivates businesses to transition towards greener practices, thereby guiding the market towards more environmentally friendly directions. This transition has had a significantly positive impact on reducing carbon emissions and promoting the development of a low-carbon economy, highlighting its critical value within the broader environmental movement. This study focuses on exploring whether the low-carbon label can influence consumers’ willingness to purchase green agricultural products. The theoretical framework was developed based on the theory of perceived value and SOR theory. The data were gathered through a randomized survey conducted in China. The research findings suggest that the perceived environmental value, functional value, and emotional value have significant impacts on consumers’ willingness to purchase green agricultural products. Trust in low-carbon labels plays a critical role in mediating the relationship between perceived value and consumers’ purchasing intentions for green agricultural products. Our research yielded the following conclusions. (1) Consumers are progressively cultivating an independent pro-environmental persona and increasingly aligning themselves with sustainable development, as indicated by their affinity towards carbon labels. (2) The selection of low-carbon agricultural products by consumers is contingent upon sensory perception, emphasizing environmental spillover value, functional enhancement, and emotional support. (3) Consumer confidence in green low-carbon agricultural products stems from an intuitive perception perspective, suggesting that low-carbon labels should accentuate functional and emotional values. The study suggests proactive measures to enhance the role of low-carbon labels in the consumption of green agricultural products. These measures include three parts: (1) Improving the content system of low-carbon labels and integrating digital technologies to reconstruct trust systems; (2) strengthening promotional efforts focusing on enhancing consumers’ intrinsic value perceptions; and (3) establishing a national-level low-carbon labels certification system, raising standards, and strengthening supervision.

Video Consultations and Environmental Sustainability - Usability's Impact on Long-Term Use.

The rapid shift to digital healthcare, accelerated by the COVID-19 pandemic, holds promise for sustainable healthcare delivery and climate change mitigation. This study evaluates the Alltid öppet application through the lens of usability and patient satisfaction and their correlation with the intention for continued use. A cross-sectional analysis of primary care patients revealed that alignment with user needs significantly predicts long-term adoption, while frustration during use discourages it. Ease of use did not significantly affect the intention to continue, suggesting that usability alone is insufficient to drive sustained engagement. These findings highlight user-centred design's importance in digital healthcare solutions, suggesting that enduring adoption hinges on value perception and reducing user frustration. As the healthcare sector navigates its digital future, this study offers crucial insights into the design and implementation strategies that could underpin the environmental sustainability and resilience of healthcare systems.

Unveiling the dynamics of revisit intention and word-of-mouth: an attribution theory approach to Halal-friendly hotel attributes and service encounter evaluation

PurposeThis study examined the revisit intention of tourists in Muslim-friendly hotels in nexus with Halal-friendly hotel attributes (social environment, facilities, food and beverage, locals and staff, and services), corporate image, customer engagement, perceived value, and service encounter evaluation. It further examined the mediating role of corporate image, customer engagement and perceived value between Halal-friendly hotel attributes and service encounter evaluation.Design/methodology/approachUsing a structured survey instrument, 390 valid responses were gathered from international tourists who visited Malaysia. The collected data were analyzed using Partial Least Squares – Structural Equation Modeling (PLS-SEM) to test the assumed relationships.FindingsThe research shows that corporate image (CI), customer engagement (CE), and perceived value (PV) are directly influenced by Halal-friendly hotel attributes (HFHA) and exert influence on service encounter evaluation (SEE). Findings also suggest the mediating effect of CI, CE, and PV between HFHA and SEE. SEE further positively and significantly enhances the revisit intention and positive word-of-mouth.Practical implicationsThe findings of this study stipulate that hotel owners should ensure the presence of HFHA in their offers to retain their existing guests and ensure their positive communication towards potential visitors through developing a fascinating image, engagement, and lucrative value.Originality/valueGrounded on the attribution theory, this study contributes to the Halal tourism literature by exploring the role of Halal-friendly hotel attributes in enhancing the hotel’s image, customer engagement, and perceived value to enhance positive service encounter evaluation and revisiting intention for the hotel.

The impact of PACK on the adoption of Metaverse in Oman

In the rapidly evolving digital landscape, e-learning methods have emerged as a highly influential phenomenon in higher educational institutions. The adoption of e-learning has transformed traditional face-to-face teaching environments into flexible and collaborative modes of education through the utilization of the metaverse platform. However, limited research has addressed the educational aspect of students' adoption of the metaverse platform. This study aims to bridge this gap by examining a conceptual model that incorporates crucial factors such as Technological Pedagogical Content Knowledge (TPACK), Technology Self Efficacy (TSE), Perceived Enjoyment (PE), Perceived Complexity (PC), Perceived Value (PV), and Controlled immersion, interaction, and imagination (III). A survey involving 342 students from Omani universities was conducted, revealing that TPACK positively influences metaverse adoption. The noteworthy impact of perceived enjoyment, perceived complexity, and perceived value were also observed. These findings underscore the significance of these factors in shaping the adoption of the metaverse and enhancing the e-learning experience. The practical implication of this study emphasizes the need for educational institutions to develop strategies enhancing technological skills, engagement, and content relevance in e-learning, particularly in the metaverse, to improve student adoption and learning experiences. This involves focusing on technological pedagogy, student confidence in technology use, and creating immersive, enjoyable, and valuable learning environments.

Almanya'da Çok Kültürlü Ortamda Yetişen Türk Kökenli Çocuklara Türkçe Öğreten Öğretmenlerin Değer Yargıları

The value judgments held by teachers responsible for instructing Turkish to children of Turkish origin in Germany’s multicultural context warrant rigorous analysis. This study seeks to critically examine the role these educators play in perpetuating the Turkish language among new generations, following the mass migration of Turkish citizens to Germany since 1961, and to evaluate the impact of these value judgments on the students’ linguistic and cultural development. The value judgments of teachers are posited as a significant factor in the formation of students’ cultural identities and the preservation of their mother tongue, underscoring the profound influence of educators’ attitudes on students’ language acquisition and cultural integration. In a diverse society like Germany, the preservation and development of cultural identity among Turkish students is imperative for their social integration and personal development. This research aims to contribute to the formulation and enhancement of educational policies for teachers of Turkish abroad by elucidating the effect of teachers’ cultural value judgments on students’ value perceptions. Furthermore, this study aspires to serve as a critical reference for shaping educational strategies for children of Turkish origin in Germany. Keywords: Germany, Turkish, Bilingualism, Value Judgments, Turkish Language Teachers

Comparison of Use Rates of Telehealth Services for Substance Use Disorder During and Following COVID-19 Safety Distancing Recommendations: Two Cross-Sectional Surveys.

The COVID-19 social distancing guidelines resulted in a dramatic transition to telephone and video technologies to deliver substance use disorder (SUD) treatment. Before COVID-19, the question was "Will telehealth ever take hold for SUD services?" Now that social distancing guidelines have been lifted, the question is "Will telehealth remain a commonly used care modality?" The principal purpose of this investigation was to examine the extent to which telehealth use in SUD service settings persisted following the lifting of COVID-19 safety distancing recommendations. Additionally, the study aimed to explore practitioners' perceptions of telehealth convenience and value after its regular implementation during the pandemic. Specifically, the goal of this study was to compare telehealth activity between time intervals: May-August 2020 (during peak COVID-19 safety distancing recommendations) and October-December 2022 (following discontinuation of distancing recommendations). Specifically, we compared (1) telehealth technologies and services, (2) perceived usefulness of telehealth, (3) ease of use of telephone- and video-based telehealth services, and (4) organizational readiness to use telehealth. An online cross-sectional survey consisting of 108 items was conducted to measure the use of telehealth technologies for delivering a specific set of SUD services in the United States and to explore the perceived readiness for use and satisfaction with telephonic and video services. The survey took approximately 25-35 minutes to complete and used the same 3 sets of questions and 2 theory-driven scales as in a previous cross-sectional survey conducted in 2020. Six of 10 Regional Addiction Technology Transfer Centers funded by the Substance Abuse and Mental Health Services Administration distributed the survey in their respective regions, collectively spanning 37 states. Responses of administrators and clinicians (hereafter referred to as staff) from this 2022 survey were compared to those obtained in the 2020 survey. Responses in 2020 and 2022 were anonymous and comprised two separate samples; therefore, an accurate longitudinal model could not be analyzed. A total of 375 staff responded to the 2022 survey (vs 457 in 2020). Baseline organizational characteristics of the 2022 sample were similar to those of the 2020 sample. Phone and video telehealth utilization rates remained greater than 50% in 2022 for screening and assessment, case management, peer recovery support services, and regular outpatient services. The perceived usefulness of phone-based telehealth was higher in 2022 than in 2020 (mean difference [MD] -0.23; P=.002), but not for video-based telehealth (MD -0.12; P=.13). Ease of use of video-based telehealth was perceived as higher in 2022 than in 2020 (MD-0.35; P<.001), but no difference was found for phone-based telehealth (MD -0.12; P=.11). From the staff's perspective, patients had greater readiness for using telehealth via phone than video, but the staff perceived their personal and organizational readiness for using telehealth as greater for video-based than for phone-based telehealth. Despite lower telephone and video use in 2022 for telehealth services than in 2020, both modalities continue to be perceived positively. Future research may further determine the relative cost and clinical effectiveness of video-based services and thereby help to address some sources of the noted challenges to implementation by SUD organizations.

Fruit Variation in Yellow-Fleshed Actinidia (Actinidia chinensis Planch) Plants Grown in Southern Italy as a Function of Shoot Type

One of the goals of modern orcharding is to produce a high volume of fruits with uniform size, organoleptic parameters, and health characteristics. The aim of this work was to study various shoot types and their prevailing positions along the cane and to identify how shoot type can influence the quality of fruit from the Actinidia tree. The experiment was conducted over a two-year period in a commercial orchard of Actinidia chinensis, cv. Gold 3. The shoots along the cane were classified as follows: spur shoots (SPs), terminated shoots (TEs), non-terminated shoots (NTs), and cut non-terminated shoots (CNTs). The data were statistically processed using ANOVA and Principal Component Analysis (ACP). Four different categories of fruit were obtained from the four shoot types, and their various attributes were compared. The prevailing category (comprising 55% of the studied fruits) was TEs, which are characterised by a higher soluble solid content, sweetness, and excellent health characteristics, as well as the reduced hardness of their pulp, which would support the hypothesis that harvesting could be brought forward. The second most common category (comprising 19% of total fruit) with the lowest soluble solid content, but a high antioxidant capacity, was that which was detached from the CNTs, while 13% of the fruit was produced from NTs, which had the lowest health value but good sweetness perception. Finally, the category with the lowest fruit percentage over the total fruit harvested (10%) was SPs, which are characterised by their smaller size. It has yet to be determined what the performance of each category will be post-harvest; whether it is possible to assign the quality categories while harvesting the fruit or to differentiate the harvest time accordingly remains subject to debate.

In-store augmented reality experiences and its effect on consumer perceptions and behaviour

PurposeThis study aims to explore the impact of augmented reality (AR) technologies on consumer information processing and value perceptions in physical stores. Specifically, it investigates how the vividness, novelty and interactivity of AR shape utilitarian and hedonic value perceptions, and influence consumer purchase and continuance behaviour.Design/methodology/approachThe study used the store intercept survey method at 15 retail outlets across four metro cities in India, representing nine prominent retail brands deploying AR technologies. The data collected (n = 650) were subjected to exploratory and confirmatory factor analysis.FindingsMajor findings confirm a significant effect of vividness, novelty and interactivity on utilitarian and hedonic value perceptions of in-store AR experiences of customers in physical stores. Hedonic value was found to affect continuance intention but not purchase intention, while utilitarian value was found to affect purchase intention but not continuance.Research limitations/implicationsThis study extends the stimulus–organism–response model’s application to AR in physical stores by integrating the impact of vividness, novelty and interaction on both utilitarian and hedonic values and revealing their significance in influencing purchase intentions and continuance.Practical implicationsMajor findings advise retailers to increase AR experience adoption in stores and illustrate the process through which purchase and continuance intentions may be influenced.Originality/valueThis is one of the few studies that explore the impact of AR on consumer attitudes and intentions in physical stores. In addition, the study explores the effect of AR tools as a process that passes through value perceptions and then affects the consumer.

Evaluation of Cocurricular Learning and the Influence of Student Choice

ObjectiveThe primary objective of this study was to evaluate the students’ choice of activities and perception of a cocurricular program (CCP). Attitude and skill development and areas for program improvement were also assessed. MethodsData were evaluated from 2 sources: a student survey administered to all Doctor of Pharmacy students to determine student perceptions of the CCP and barriers to success and student activity reporting data from postexperience submissions to evaluate the CCP. Data were stratified by student demographics to identify trends. A comparison of data was conducted from both sources on the students’ perception of learning value. ResultsData for 405 students were available for analysis. The highest preference overall from students for hosts of activities were professional student organizations; the highest preference of location was online, asynchronous. The most meaningful benefits were learning information about a new subject (n = 258, 63.7%), ability to extend learning from the classroom to real life (n = 247, 61%), and networking opportunities (n = 218, 53.8%). The top barriers for completion of the program included scheduling challenges (n = 296, 73.1%), lack of time (n = 249, 61.5%), and lack of interest (n = 187, 46.2%). Subpopulations identified different benefits and barriers to completion. ConclusionStudents have overall positive perceptions of the CCP and its value for skill development. Findings were applied to adjust the CCP at the institution, including a reduction in total hours required. The continuous evaluation of CCPs is important to optimize student learning and address curricular overload.

On the role of “tactile value” in cultural consumption: an empirical research in the live music industry

ABSTRACT To what extent does the sense of touch matter in cultural consumption? After an extended period of limited social gathering due to COVID-19, it is vital to assess the importance of physical contacts in cultural events. Focused on the live music industry, our paper addresses the following question: How important is the perception and experience of tactile value amongst festival- and concertgoers? For this purpose, we conducted a survey between September and November 2021 and collected 142 exploitable questionnaires. Our goal was to detect structural relationships between latent variables related to touch through a Structural Equation Model. The latter reveals the relative pleasantness of tactile value experienced by our respondents, with effects on their live music experience. In view of the importance of tactile value in live music events, we formulate several recommendations to practitioners and cultural policy in order to further take into account this variable in decision making.

Student-scientist interactions: student value perceptions in science communication meetings

ABSTRACT The dissemination and acceptance of misinformation/disinformation and the denial of scientific claims and facts have become increasingly common practices in the post-truth era. The recent global pandemic has reaffirmed the importance of science communication (Sci-Comm) in a dialogical model that supports public engagement with science. Sci-Comm may promote scientific literacy by sharing knowledge and attitudes about science and is considered an important strategy for public engagement, but it requires evaluation based on participants’ motivations. This mixed-methods study examined middle school students’ subjective task values regarding Sci-Comm meetings with scientists. Seventh-grade students (N = 80) attended five meetings aligned with science curriculum topics. Based on the expectancy-value theory, students completed surveys assessing the meetings’ utility, attainment, and intrinsic value. Results showed that value ratings increased significantly across meetings, varying by topic. Qualitative themes highlighted meeting scientists, asking questions, and the interactive structure as valuable aspects. This research provides important insights into the current body of knowledge regarding the influential role of Sci-Comm within the expectancy-value theory framework. Additionally, it may guide educators and researchers in designing effective Sci-Comm sessions to increase student motivation and engagement in science, thereby enhancing the existing literature in science education and Sci-Comm.

Order prescriptions online: Determinants of purchase satisfaction in an emerging Indian e‐pharmacy sector

AbstractThe burgeoning Indian e‐pharmacy sector, spurred by digital commerce growth and affordable Internet access, presents a promising solution to distribution challenges, especially during the pandemic. Despite doubling online sales within a few months of lockdown and significant investments, understanding consumer behaviour in this novel domain remains crucial. This research addresses this gap by employing the stimuli–organism–response (SOR) model to conceptualize and empirically validate the determinants of customer purchase satisfaction in e‐pharmacies. In the e‐pharmacy context, stimuli encompass online cues like the perception of honesty (PH), convenience value (CV), perceived risk and quality perception. The organismic state embodies the user's propensity to purchase medications online (PPMS), whereas the response represents their customer purchase satisfaction (CPS). Employing partial least squares structural equation modelling on data from 220 consumers, this study reveals significant relationships between stimuli and PPMS and CPS. Furthermore, subjective norm moderates the influence of PH and CV on PPMS, highlighting the importance of social influence in online pharmacy decisions. These findings enrich the understanding of consumer behaviour in e‐pharmacies and demonstrate the utility of the SOR model in this context. This research contributes to both theory and practice. Theoretically, it pioneers applying the SOR model to e‐pharmacies, uncovering the interplay between environmental cues, internal states, and purchase satisfaction. Practically, the study offers valuable insights for e‐pharmacy platforms to enhance user experience and promote customer satisfaction.

Perceptions of Certification Value by Nurses in an Orthopedic Hospital

Perceptions of Certification Value by Nurses in an Orthopedic Hospital

The impact of capping health system cost savings on the projected cost-effectiveness of etranacogene dezaparvovec compared with factor IX prophylaxis for the treatment of hemophilia B.

This viewpoint discusses cost-effectiveness estimates for EtranaDez, a gene therapy for hemophilia B, using the Institute for Clinical and Economic Review's (ICER) framework for single and short-term therapies (SSTs). EtranaDez offers long-term benefits from a single administration, in contrast to the high costs and frequent dosing required by current factor IX prophylaxis. However, the projected gains in health from EtranaDez are small relative to the cost implications of the therapy, and consequently, how the cost offsets associated with EtranaDez are counted has a substantial impact on assessing its cost-effectiveness. Strategies for assessing cost offsets used in the ICER SST framework include a 50/50 cost-sharing model between the health care system and the manufacturer and a cap of $150,000 annually on health care cost offsets. Results from the standard full cost-offset analysis as reported by ICER depicted EtranaDez as a dominant therapy with substantial cost savings compared with factor IX prophylaxis. However, while considering the ICER SST framework, particularly the $150,000 annual cap scenario, the cost-effectiveness was significantly reduced. The incremental cost-effectiveness ratio varied notably between these scenarios, challenging the conventional perception of value of gene therapy in health care. These cost-sharing scenarios highlight the potential of the ICER SST framework to help curtail inefficient health care spending. In cases in which the cost of existing treatment is exceedingly high, the application of such frameworks would improve efficiency in resource allocation, fostering a balance between incentives for innovation and economic sustainability in managed care systems.

Factors that influence consumers’ inclination to acquire counterfeit luxury goods

This study investigates the influence of perceived value and perceived risk on consumer intentions to purchase counterfeit luxury goods, drawing upon an integrated theoretical framework encompassing perceived value theory, risk perception theory, and consumer behavior models. Through a quantitative research design involving a structured survey and Structural Equation Modeling (SEM), the study examines the relationships among perceived value dimensions (functional, emotional, social, economic), perceived risk factors (financial, social, performance), consumer attitudes, and purchase intentions. The findings reveal that perceived value positively influences purchase intentions, with consumer attitudes acting as a critical mediating mechanism. Conversely, perceived risk negatively impacts purchase intentions, with this relationship also mediated by consumer attitudes. Furthermore, Bayesian Network analysis uncovers the indirect pathways through which perceived risk shapes purchase intentions via its influence on consumer attitudes. By integrating these theoretical frameworks and employing advanced analytical techniques, this study contributes to a comprehensive understanding of the complex decision-making processes underlying counterfeit luxury goods consumption. The findings provide valuable insights for policymakers, luxury brand managers, and consumer protection agencies in devising targeted strategies to address consumer perceptions of value and risk, ultimately mitigating the proliferation of counterfeit luxury goods.