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Health care, chains and networks 医疗保健,连锁和网络
Pub Date : 2010-05-17 DOI: 10.3920/JCNS2010.X111
T. Camps, P. Kenis
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引用次数: 1
Governance in Dutch hospitals 荷兰医院的管理
Pub Date : 2010-05-17 DOI: 10.3920/JCNS2010.X115
Rebecca van der Pennen, H. Berden, E.C.A. Castelijns, W. L. Vreeman, T. Camps
In this article we have characterised Dutch hospitals as organizational networks. They operate in a blurred context, which is the interference of principles from market and hierarchy. Based on these principles we questioned the optimal way governance can be organised. The context for governance is explained along two pathways: First, specific issues of the Dutch healthcare system and current trends in society force hospitals to react and respond in a certain way. Second, the typical organisational position of physicians in Dutch healthcare makes governance a challenge. In this context one can look at governance twofold: control or learn. We argue that each type of risk should be countered with the best applicable instrument. This means, that control or learn never can be the only convenient governance instrument. The board's choice for the proper action therefore is always ambivalent. However, the profound role of control and the neglected role of learning principles is obvious. Notwithstanding the effect...
在本文中,我们将荷兰医院定性为组织网络。他们在一个模糊的背景下运作,这是来自市场和等级制度的原则的干涉。基于这些原则,我们质疑治理的最佳组织方式。治理的背景可以从两个方面解释:首先,荷兰医疗保健系统的具体问题和当前社会趋势迫使医院以某种方式作出反应和回应。其次,荷兰医疗保健中医生的典型组织地位使治理成为一项挑战。在这种情况下,可以从两个方面来看待治理:控制或学习。我们认为,每一种风险都应该用最适用的工具来应对。这意味着,控制或学习永远不可能是唯一方便的治理工具。因此,董事会对适当行动的选择总是矛盾的。然而,控制的深刻作用和被忽视的学习原则的作用是显而易见的。尽管效果……
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引用次数: 1
Innovations and networks: the case of mental health care reforms in Belgium 创新和网络:比利时精神卫生保健改革的案例
Pub Date : 2010-05-17 DOI: 10.3920/JCNS2010.X116
M. Leys
This article discusses mental health care reforms in Belgium from an interorganisational perspective. In 2007 a three year experiential government programme was launched seeking for alternative organisation models in mental health care, labeled as 'care circuits' and 'networks'. The target population is 'persons with chronic and complex mental disorders'. This article reports some of the observations based of an ongoing evaluation process. The research evaluates the plan and implementation processes of these collaboration and networking models (the TP). The qualitative approach aims at developing, testing and refining insights in the dynamics of developing collaboration and networks by exploring the complex and dynamic interaction among context, mechanism, and outcome. The article uses insights form health care innovation literature, interorganisational network theories and literature on organisational fields. Health care innovations take place in a complex multi-agent environment. The implementation (ado...
本文从跨组织的角度讨论了比利时的精神卫生保健改革。2007年,启动了一个为期三年的政府经验方案,寻求精神卫生保健的其他组织模式,称为"护理回路"和"网络"。目标人群是“患有慢性和复杂精神障碍的人”。本文报告了基于正在进行的评估过程的一些观察结果。该研究评估了这些协作和网络模型(TP)的计划和实施过程。定性方法旨在通过探索环境、机制和结果之间复杂而动态的相互作用,开发、测试和改进发展协作和网络的动态见解。本文运用了医疗创新文献、组织间网络理论和组织领域文献的见解。医疗保健创新发生在复杂的多代理环境中。实现(ado…)
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引用次数: 2
'And if I by Beelzebub cast out devils, …': an essay on the diabolics of network failure “如果我通过别西卜驱除魔鬼,……”:一篇关于网络故障的恶魔的文章
Pub Date : 2010-05-17 DOI: 10.3920/JCNS2010.X113
G. Teubner
Following a first euphoric phase about the advantages of commercial networks, there is now a host of reports attesting to their confusing over-complexity. Network failures are manifold: overwhelming environment information, coordination blockades, severe interface problems, permanent decision conflicts, a-symmetric power relations, opportunistic behaviour of nodes and centre, as well as negative externalities of net activities. In order to overcome network failure this article pursues an institutional analysis of networks: Where can the 'opportunity structure' be found, the social potential for an increasingly non-hierarchical coordination within the net? Is there a 'conceptual readiness' of the law which would enable it to set this potential free? The article suggests to develop organisational forms and responsibility rules for the law of networks that will hold on to the advantages of the decentralised organisation of nodes while decisively strengthening their mutual coordination. This will drastically ...
在对商业网络优势的第一个乐观阶段之后,现在有大量报告证明了它们令人困惑的过度复杂性。网络故障是多种多样的:压倒性的环境信息、协调阻塞、严重的接口问题、永久的决策冲突、非对称的权力关系、节点和中心的机会主义行为,以及网络活动的负外部性。为了克服网络失败,本文对网络进行了制度分析:在哪里可以找到“机会结构”,即网络内日益非等级协调的社会潜力?法律是否有一种“概念上的准备”,使它能够释放这种潜力?本文建议制定网络法的组织形式和责任规则,既要保持节点分散组织的优势,又要果断加强节点间的相互协调。这将彻底……
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引用次数: 0
Relationship characteristics and performance in fresh produce supply chains: the case of the Mexican avocado industry 生鲜农产品供应链中的关系特征与表现:以墨西哥鳄梨产业为例
Pub Date : 2010-05-17 DOI: 10.3920/JCNS2010.X101
J. Coronado, J. Bijman, Onno S. W. F. Omta, A. Lansink
Inter-organisational relations research has shown that relationship characteristics can influence performance in seller-buyer transactions. Using a transaction cost economics approach, this research shows that relational elements such as expectation of continuity reduce the transaction risks related to behavioural uncertainty or asset specificity. However, transaction costs are not only caused by transaction risks but also by the need to coordinate the individual activities of the buyer and the seller. Inter-organisational coordination is important in transactions with perishable products and products with credence attributes, such as in fresh produce supply chains. To study the impact of different relationship characteristics on the efficiency of transactions in a fresh produce supply chain, we collected and analyzed data from 122 avocado producers in Mexico. We found that information exchange and producer expectation of continuity of the relationship positively affect performance in the seller-buyer tra...
组织间关系研究表明,关系特征会影响买卖双方交易的绩效。使用交易成本经济学方法,本研究表明,连续性期望等关系因素降低了与行为不确定性或资产专用性相关的交易风险。然而,交易成本不仅是由交易风险引起的,而且是由协调买卖双方个人活动的需要引起的。在易腐产品和具有信用属性的产品交易中,例如在新鲜农产品供应链中,组织间协调非常重要。为了研究生鲜农产品供应链中不同关系特征对交易效率的影响,我们收集并分析了墨西哥122家鳄梨生产商的数据。我们发现,信息交换和生产者对关系连续性的期望对买卖双方交易的绩效有正向影响。
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引用次数: 22
Strategies for coping with uncertainty: the adaptation of food chains to volatile markets. 应对不确定性的策略:使食物链适应不稳定的市场。
Pub Date : 2010-05-17 DOI: 10.3920/JCNS2010.X102
M. Heyder, L. Theuvsen, Z. V. Davier
The objective of this paper is to identify the strategies and instruments that agribusiness companies currently use to cope with the volatility of agricultural markets. This aim is achieved by means of presenting the empirical results of an online survey that was undertaken between April and August 2009 with the participation of 140 German agribusiness firms. The majority of respondents expect increasing volatilities and higher prices for agricultural produce. For managing this uncertainty, comparatively simple instruments such as long-term contracts with suppliers or customers are most widely used. But more elaborated instruments to hedge price risks will probably affect the food chain as a whole and will lead to food chain adaptations to volatile markets.
本文的目的是确定农业综合企业目前用于应对农业市场波动的策略和工具。这一目标是通过展示2009年4月至8月期间由140家德国农业综合企业参与的在线调查的实证结果来实现的。大多数受访者预计农产品的波动性会增加,价格会上涨。为了管理这种不确定性,最广泛使用的是相对简单的工具,例如与供应商或客户签订的长期合同。但更精细的对冲价格风险的工具可能会影响整个食物链,并将导致食物链适应波动的市场。
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引用次数: 18
The influence of power in supply chain innovation: a case study of the Dutch wheat chain 权力对供应链创新的影响——以荷兰小麦链为例
Pub Date : 2010-05-17 DOI: 10.3920/JCNS2010.X106
H. Pol, K. Visscher
The purpose of this article is to clarify the relation between the power structure of a supply chain and the possibilities to realize supply chain innovations. In an in-depth case study of the faltering start of an innovation trajectory in the Dutch wheat supply chain, we show that supply chain innovations should be in line with the interests of the powerful actors in the chain. The direct interests of the actors in the innovation are naturally relevant, but the less visible, indirect effects of the innovation on the power structure of the chain are also especially important. We show that if a chain innovation is expected to decrease the value of a resource on which the current power position of an actor in the chain is based, this actor is likely to resist it. Furthermore, an actor that derives power from the flexibility to choose among suppliers is likely to resist an innovation that requires collaboration and increased mutual commitment. This article also proposes strategies to overcome the resistance of powerful actors to such innovations.
本文的目的是阐明供应链的权力结构与实现供应链创新的可能性之间的关系。在对荷兰小麦供应链创新轨迹蹒跚起步的深入案例研究中,我们表明供应链创新应符合供应链中强大参与者的利益。参与者在创新中的直接利益自然是相关的,但创新对链条权力结构的不太明显的间接影响也尤为重要。我们表明,如果一项链创新预期会降低某一资源的价值,而该资源是链中某一参与者当前权力地位的基础,那么该参与者很可能会抵制创新。此外,从供应商选择的灵活性中获得权力的参与者可能会抵制需要合作和增加相互承诺的创新。本文还提出了克服强大行动者对这种创新的阻力的策略。
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引用次数: 7
Managerial responses to transaction cost disequilibrium in food supply chains and networks 管理对食品供应链和网络中交易成本不均衡的反应
Pub Date : 2010-05-17 DOI: 10.3920/JCNS2010.X104
H. Bremmers, B. Meulen, K. Poppe, J. Wijnands
Differences in transaction costs (i.e. costs of information processing, monitoring and control) between firms in local supply chains as well as in an international setting may have a negative impact on competitiveness and on creation of value added. Transaction cost disequilibrium is defined as a state in which transaction costs exceed the transaction benefits from the exchange of assets. The goal of this article is to assess whether such a disequilibrium exists for European food supply chains; if so, what its effects are and how it can be reduced. Transaction cost disequilibrium will be investigated at two levels: international competition and within local supply chains. The first focuses on the competitiveness of supply chains in global markets, the second especially regards the competitive position of companies within a single supply chain. To address our research question, we gathered empirical data by means of survey questionnaires and interviews in 2007 and 2008. The results show that internationall...
企业在当地供应链以及国际环境中的交易成本(即信息处理、监测和控制的成本)的差异可能对竞争力和附加值的创造产生负面影响。交易成本不均衡被定义为交易成本超过交易收益的状态。本文的目的是评估欧洲食品供应链是否存在这种不平衡;如果有,它的影响是什么以及如何减少它。交易成本不均衡将在两个层面进行研究:国际竞争和本地供应链。第一个侧重于全球市场中供应链的竞争力,第二个特别关注公司在单一供应链中的竞争地位。为了解决我们的研究问题,我们在2007年和2008年通过调查问卷和访谈的方式收集了实证数据。结果表明,国际上……
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引用次数: 5
Chain member perception of chain performance: the role of relationship quality 链成员对链绩效的感知:关系质量的作用
Pub Date : 2010-05-17 DOI: 10.3920/JCNS2010.X103
A. Molnar, X. Gellynck, R. Weaver
The purpose of the paper is to measure perceived performance of bilateral relationships in the chain. Therefore, quantitative data were collected from 270 chain members from 3 EU countries in 6 traditional food product categories. First, perceived performance of bilateral relationships was analysed which revealed a generally high perceived contribution of each chain member to its partners' performance. Second, cluster analysis was conducted resulting in 4 clusters: 1) Low performing chains; 2) Low perceived food manufacturer's (FM) performance by supplier (S) and customer (C); 3) High perceived FM performance by S and C; 4) High performing chains. Third, binary logistic regression was used to identify 7 relationship constructs that significantly predict cluster membership: trust, economic satisfaction, social satisfaction, dependency, coercive power, reputation, conflict and integration.
本文的目的是衡量供应链中双边关系的感知绩效。因此,我们收集了来自3个欧盟国家的270个连锁成员的6个传统食品类别的定量数据。首先,对双边关系的感知绩效进行了分析,揭示了每个链成员对其合作伙伴绩效的普遍高感知贡献。其次,进行聚类分析,得出4个聚类:1)低绩效链条;2)供应商(S)和顾客(C)对食品制造商(FM)绩效的认知较低;3) S和C对FM绩效的感知较高;4)高绩效链条。第三,采用二元逻辑回归方法确定了7个显著预测集群成员的关系结构:信任、经济满意度、社会满意度、依赖、强制权力、声誉、冲突和整合。
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引用次数: 15
Market orientation of Dutch hospitals 荷兰医院的市场定位
Pub Date : 2010-05-17 DOI: 10.3920/JCNS2010.X112
Anne-Marie Laeven
This paper states that external orientation of Dutch hospitals consist of an institutional orientation and a market orientation. The paper describes how we developed an instrument to measure the external orientation of hospitals. The results are based on a cross-sectional survey. Not only the level of external orientation, market orientation and institutional orientation are described. Also the relationship between assumed influencing factors on market orientation is analysed, as well as the assumed influence of market orientation on some performance indicators of hospitals.
本文认为,荷兰医院的外部导向包括制度导向和市场导向。本文介绍了我们如何开发一种测量医院外部定位的仪器。这些结果是基于横断面调查得出的。不仅从外部导向层面,还从市场导向层面和制度导向层面进行了阐述。分析了市场导向的假设影响因素之间的关系,以及市场导向对医院某些绩效指标的假设影响。
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引用次数: 1
期刊
Journal on Chain and Network Science
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