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EXPRESS: Regulation of Privatized Public Service Systems 快讯对私有化公共服务系统的监管
IF 5 3区 管理学 Q1 Business, Management and Accounting Pub Date : 2024-02-14 DOI: 10.1177/10591478241235005
Ming Hu, Weixiang Huang, Chunhui Liu, Wenhui Zhou
To alleviate the financial shortage for public service provision, a government agency may jointly finance, own, and run a service system with a private firm (in the manner of a joint venture) or delegate service provision to the firm subject to regulation in service price or wait time. We model the service system as a queueing system in which customers are heterogeneous in service valuation and sensitive to price and delay. While the government aims to maximize social welfare, the firm's goal is to maximize profit. Hence, the joint venture has the objective of a mix of profit maximization and social welfare creation. Under the regulation, two types of interaction between the government and the firm, i.e., sequential move (in the absence of the government's myopic adjustment) and simultaneous move (in the presence of myopic adjustment), are considered. We find that while wait time regulation is more efficient than price regulation in the presence of myopic adjustment, the relationship is reversed in the absence of myopic adjustment. Somewhat surprisingly, price regulation with myopic adjustment may backfire. However, in some instances, the government must take a large share in a joint venture to achieve the same performance under price regulation without myopic adjustment. Our work uncovers whether the government adopts myopic adjustment plays a critical role in choosing the regulation instrument.
为了缓解提供公共服务的资金短缺问题,政府机构可以与私营企业(以合资企业的方式)共同出资、拥有和运营一个服务系统,或者委托私营企业提供服务,但服务价格或等待时间须受监管。我们将服务系统建模为一个排队系统,在这个系统中,客户对服务的评价是异质的,对价格和延迟也是敏感的。政府的目标是社会福利最大化,而企业的目标是利润最大化。因此,合资企业的目标是利润最大化和创造社会福利。在管制下,我们考虑了政府和企业之间的两种互动,即顺序移动(在政府不近视调整的情况下)和同时移动(在存在近视调整的情况下)。我们发现,在存在近视调节的情况下,等待时间调节比价格调节更有效率,但在不存在近视调节的情况下,两者的关系则相反。令人略感意外的是,有近视调节的价格监管可能会适得其反。然而,在某些情况下,政府必须在合资企业中占有较大份额,才能在不进行近视调整的价格监管下取得同样的绩效。我们的研究揭示了政府是否采取近视调整在选择调控工具时的关键作用。
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引用次数: 0
EXPRESS: Men at Work…Unsafely: Gender Differences in Compliance with Safety Regulations in the Trucking Industry 快讯男人工作......不安全:卡车运输业遵守安全法规的性别差异
IF 5 3区 管理学 Q1 Business, Management and Accounting Pub Date : 2024-02-14 DOI: 10.1177/10591478241235145
Alex Scott, Beth Davis-Sramek, D. Ketchen
Although safety within operational systems depends on compliance with regulations, non-compliance is common in many settings. Trucking is a meaningful industry for studying operational safety compliance given that the industry is large and important, truck accidents kill thousands annually, and such accidents collectively cost the U.S. economy billions of dollars. Although the truck driving occupation is dominated by men, significant efforts are underway to recruit more women into the profession. If women are safer behind the wheel than men, increasing their ranks could improve overall safety compliance. Building on theory and evidence suggesting that men have a greater willingness to take risky actions and break rules, we used data on 22 million truck inspections from 2010 to 2022 to identify an operational safety compliance gap between men and women truckers. Overall, men were 7.4% more likely to be cited for a major violation of rules governing working hours (known as hours-of-service or HOS rules) and 13.2% more likely to have a major unsafe driving violation. We then examined whether gap changes based on carrier size and type. We found that the HOS compliance gap is smaller for small carriers (vs. large) and private carriers (vs. for-hire), but not the unsafe driving gap. Finally, we tested whether the introduction of an intervention—electronic logging devices (ELDs) that automatically record truckers' driving hours—closes the gap by increasing men's compliance. In line with predictions, differences between men and women disappeared after the mandate; but again, only for HOS compliance. Surprisingly, women had significantly more HOS violations in 2021 and 2022 than men—an outcome that may be tied to women truckers' personal safety issues. In summary, the results and additional robustness checks indicate that men committed more unsafe driving violations (e.g., speeding) than women across the entire study period, while the pattern of HOS violations varied based on external events. We conclude by highlighting possible pathways for reducing the number of collisions involving trucks and thus lowering the number of fatalities and extent of economic losses.
尽管运营系统的安全有赖于对法规的遵守,但在许多情况下,不遵守法规的现象却很普遍。卡车运输业是研究运营安全合规性的一个重要行业,因为该行业规模大、地位重要,每年因卡车事故死亡的人数达数千人,此类事故给美国经济造成的损失高达数十亿美元。虽然卡车司机这一职业以男性为主,但美国正在大力招募更多女性加入这一行业。如果女性驾驶比男性更安全,那么增加女性驾驶员的数量就能提高整体的安全合规性。有理论和证据表明,男性更愿意采取冒险行动和违反规则。基于这一理论和证据,我们利用 2010 年至 2022 年期间 2200 万次卡车检查的数据,找出了男女卡车司机在操作安全合规性方面的差距。总体而言,男性因严重违反工作时间规定(即服务时间规定或 HOS 规定)而被处罚的可能性要高出 7.4%,严重违反不安全驾驶规定的可能性要高出 13.2%。然后,我们研究了差距是否会因承运商的规模和类型而发生变化。我们发现,小型承运商(相对于大型承运商)和私营承运商(相对于出租承运商)在遵守 HOS 方面的差距较小,但在不安全驾驶方面的差距则不大。最后,我们测试了干预措施的引入--自动记录卡车司机驾驶时间的电子记录仪(ELDs)--是否能通过提高男性遵守率来缩小差距。与预测的结果一致,男性和女性之间的差距在强制规定实施后消失了;但同样地,仅在遵守 HOS 方面。令人惊讶的是,在 2021 年和 2022 年,女性违反 HOS 规定的情况明显多于男性--这一结果可能与女性卡车司机的个人安全问题有关。总之,研究结果和额外的稳健性检验表明,在整个研究期间,男性违反不安全驾驶规定(如超速)的次数多于女性,而违反 HOS 规定的模式则因外部事件而异。最后,我们强调了减少涉及卡车的碰撞数量,从而降低死亡人数和经济损失程度的可能途径。
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引用次数: 0
EXPRESS: Racial Bias in Pain Measurement Frequency in ICUs and Its Impact on Early Readmission 快讯重症监护室疼痛测量频率的种族偏见及其对早期再入院的影响
IF 5 3区 管理学 Q1 Business, Management and Accounting Pub Date : 2024-02-14 DOI: 10.1177/10591478241235003
Gaurav Jetley, He Zhang
A significant portion of hospitalizations result in readmissions, many of which are preventable. Additionally, over a quarter of admissions necessitate intensive care unit (ICU) stays. These trends impose significant strain on healthcare systems, leading to penalties and reduced reimbursements for healthcare facilities. Consequently, reducing readmissions stands as a critical priority for healthcare institutions, with a specific focus on ICU processes and procedures. While some healthcare processes, such as vital sign monitoring, are consistent across patient cohorts, disparities in pain management have been well-documented. Existing research predominantly explores biases in outpatient settings, particularly in the underestimation and undertreatment of pain for Black patients. However, these biases can extend to the frequency of pain measurements in ICUs, where continuous monitoring plays a pivotal role in patient care. This study investigates disparities in pain measurement frequencies in ICUs for patients of different races and their impact on early readmission rates. Utilizing a dataset of ICU stays from a major U.S. healthcare institution, we employ mediation analysis with instrumental variables by performing a 2-step mediation analysis using IV-Probit estimator to answer these research questions. Our findings reveal that the frequency of pain measurements in ICU stays partially mediate the relationship between a patient's race and the probability of early readmission. Specifically, Black patients receive fewer pain measurements during their ICU stays compared to White patients, increasing their likelihood of 30-day readmission. This study represents the first to demonstrate that bias in pain management extends to the frequency of pain measurements in intensive care settings, shedding light on a critical aspect of healthcare disparities and their impact on readmission rates. The implications of our findings span healthcare practice, operations, and the growing body of literature on healthcare equity, offering valuable insights into addressing these disparities.
相当一部分住院病人会再次入院,其中许多是可以避免的。此外,超过四分之一的入院患者需要入住重症监护室 (ICU)。这些趋势给医疗系统造成了巨大压力,导致医疗机构受到处罚和报销额度减少。因此,降低再入院率成为医疗机构的当务之急,而重症监护室流程和程序则是其中的重点。虽然某些医疗流程(如生命体征监测)在不同的病人群体中是一致的,但疼痛管理方面的差异已被充分证明。现有研究主要探讨门诊环境中的偏差,尤其是低估和治疗黑人患者疼痛的偏差。然而,这些偏差可能会延伸到重症监护室的疼痛测量频率,因为在重症监护室中,持续监测在患者护理中起着至关重要的作用。本研究调查了重症监护室中不同种族患者疼痛测量频率的差异及其对早期再入院率的影响。我们利用美国一家大型医疗机构的 ICU 住院数据集,通过使用 IV-Probit 估计器进行两步中介分析,采用工具变量中介分析来回答这些研究问题。我们的研究结果表明,在重症监护室住院期间进行疼痛测量的频率在一定程度上调节了患者的种族与提前再入院概率之间的关系。具体来说,与白人患者相比,黑人患者在重症监护室住院期间接受疼痛测量的次数较少,这增加了他们 30 天内再次入院的可能性。这项研究首次证明了疼痛管理中的偏差延伸到重症监护环境中的疼痛测量频率,揭示了医疗差异的一个重要方面及其对再入院率的影响。我们的研究结果对医疗实践、运营和日益增多的医疗公平文献都有影响,为解决这些差异提供了宝贵的见解。
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引用次数: 0
EXPRESS: Seeking and Exploiting Synergies among the UN Sustainability Development Goals: Research Opportunities for Operations Management 快讯:寻求和利用联合国可持续发展目标之间的协同作用:运营管理的研究机会
IF 5 3区 管理学 Q1 Business, Management and Accounting Pub Date : 2024-02-14 DOI: 10.1177/10591478241235004
M. Sodhi, Christopher S. Tang
In 2015, the United Nations countries signed up to achieve 17 Sustainable Development Goals (SDGs) for people, planet, prosperity, peace, and partnership by 2030. However, the trend of progress toward achieving these goals indicates that none of the 17 goals may be achieved by 2030 globally. We first provide a foundation for OM researchers to help shape the interventions for countries and companies to help achieve the SDGs by (1) identifying the synergies among the SDGs so that interventions can impact multiple SDGs positively and (2) linking some of the extant OM research with the synergies among the various SDGs. This way, researchers can understand the complexity of the challenges ahead and build on the OM research to influence the interventions of governments and organizations to maximize the attainment of the SDGs. We also provide some research opportunities to help OM researchers develop research agendas.
2015 年,联合国各国签署了到 2030 年实现 17 个可持续发展目标(SDGs),即人、地球、繁荣、和平与伙伴关系。然而,实现这些目标的进展趋势表明,到 2030 年,全球可能无法实现 17 项目标中的任何一项。我们首先为可持续发展管理研究人员提供了一个基础,帮助他们为国家和公司制定干预措施,以帮助实现可持续发展目标,具体方法是:(1)确定可持续发展目标之间的协同作用,使干预措施能够对多个可持续发展目标产生积极影响;(2)将一些现有的可持续发展管理研究与不同可持续发展目标之间的协同作用联系起来。这样,研究人员就能了解未来挑战的复杂性,并以可持续发展目标研究为基础,影响政府和组织的干预措施,最大限度地实现可持续发展目标。我们还提供了一些研究机会,以帮助海洋管理研究人员制定研究议程。
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引用次数: 0
Restaurants’ Platform Partnership for Social Promotion and Resilient Revenue: Is Reward-Based Traffic Really Rewardful? 餐饮平台合作促进社交推广和弹性收入:基于奖励的流量真的值得奖励吗?
IF 5 3区 管理学 Q1 Business, Management and Accounting Pub Date : 2024-02-13 DOI: 10.1177/10591478231224919
Baozhuang Niu, Lei Chen, Qiyang Li, Fanzhuo Zeng
Restaurants have traditionally operated offline only, but the growth of food delivery platforms has prompted a shift toward online sales. In practice, consumers who share digital coupons offered by the platforms (e.g. Uber Eats and Meituan) in social networks (e.g. Facebook, Twitter, and WeChat) will be rewarded for the social traffic, which effectively attracts many restaurants to open online store. However, this also leads to intensified competition with the restaurant's physical (offline) store. In this article, we formulate the restaurant's tradeoffs among platform traffic benefits, consumers’ heterogeneous utility, and the platform's commission in the online selling decision. Interestingly, we find that the increased platform traffic may be harmful to the restaurant, and even the entire channel system. The platform offering high subsidies may trap restaurants in a pricing dilemma. We also find that restaurants’ online selling will induce a negative externality due to online/offline order congestion, but it will not qualitatively change the main findings.
餐馆传统上只在线下经营,但送餐平台的发展促使其向在线销售转变。实际上,消费者只要在社交网络(如 Facebook、Twitter 和微信)上分享平台(如 Uber Eats 和美团)提供的数字优惠券,就能获得社交流量奖励,这有效地吸引了许多餐馆开设网店。然而,这也导致与餐厅实体店(线下)的竞争加剧。在本文中,我们提出了餐厅在网络销售决策中对平台流量收益、消费者异质性效用和平台佣金之间的权衡。有趣的是,我们发现平台流量的增加可能对餐厅甚至整个渠道系统有害。提供高额补贴的平台可能会使餐厅陷入定价困境。我们还发现,由于线上/线下订单拥堵,餐厅在线销售会诱发负外部性,但这不会从本质上改变主要结论。
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引用次数: 0
Restaurants’ Platform Partnership for Social Promotion and Resilient Revenue: Is Reward-Based Traffic Really Rewardful? 餐饮平台合作促进社交推广和弹性收入:基于奖励的流量真的值得奖励吗?
IF 5 3区 管理学 Q1 Business, Management and Accounting Pub Date : 2024-02-13 DOI: 10.1177/10591478231224919
Baozhuang Niu, Lei Chen, Qiyang Li, Fanzhuo Zeng
Restaurants have traditionally operated offline only, but the growth of food delivery platforms has prompted a shift toward online sales. In practice, consumers who share digital coupons offered by the platforms (e.g. Uber Eats and Meituan) in social networks (e.g. Facebook, Twitter, and WeChat) will be rewarded for the social traffic, which effectively attracts many restaurants to open online store. However, this also leads to intensified competition with the restaurant's physical (offline) store. In this article, we formulate the restaurant's tradeoffs among platform traffic benefits, consumers’ heterogeneous utility, and the platform's commission in the online selling decision. Interestingly, we find that the increased platform traffic may be harmful to the restaurant, and even the entire channel system. The platform offering high subsidies may trap restaurants in a pricing dilemma. We also find that restaurants’ online selling will induce a negative externality due to online/offline order congestion, but it will not qualitatively change the main findings.
餐馆传统上只在线下经营,但送餐平台的发展促使其向在线销售转变。实际上,消费者只要在社交网络(如 Facebook、Twitter 和微信)上分享平台(如 Uber Eats 和美团)提供的数字优惠券,就能获得社交流量奖励,这有效地吸引了许多餐馆开设网店。然而,这也导致与餐厅实体店(线下)的竞争加剧。在本文中,我们提出了餐厅在网络销售决策中对平台流量收益、消费者异质性效用和平台佣金之间的权衡。有趣的是,我们发现平台流量的增加可能对餐厅甚至整个渠道系统有害。提供高额补贴的平台可能会使餐厅陷入定价困境。我们还发现,由于线上/线下订单拥堵,餐厅在线销售会诱发负外部性,但这不会从本质上改变主要结论。
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引用次数: 0
Leveraging the Social Fabric to Improve Rural E-Commerce Access 利用社会结构改善农村电子商务准入条件
IF 5 3区 管理学 Q1 Business, Management and Accounting Pub Date : 2024-02-11 DOI: 10.1177/10591478231224974
Zihao Zhang, Aravinda Garimella, Ming Fan
Motivated by recent developments aimed to address last-mile delivery challenges in rural areas of Indonesia and China, we develop a theoretical model to study how to lower participation barriers to the e-commerce market. We analyze how stage stations lower the cost of last-mile delivery by leveraging the preexisting social fabric in rural communities, including local stores, as well as social technologies such as chat services and virtual groups. Specifically, we examine two models, a decentralized model with stage stations run by independent agents, and a centralized model, similar to the one pioneered by Alibaba Taobao. We find that when the delivery cost in rural areas is high, the decentralized model can lower the participation cost and increase both platform profit and social welfare. In general, the centralized model outperforms the decentralized one. One reason is that the decentralized model suffers from a double marginalization problem. The centralized model has more flexibility, for example, in determining the pricing policies for both sellers and buyers. It could offer free service to rural customers if the participation of fresh rural customers can attract many additional sellers. However, a centralized model may not be feasible in many countries. Therefore, we explore whether the platform can implement a coordination mechanism for decentralized stage stations. We find that our proposed coordination mechanism can improve the performance of the decentralized model. Our results have important implications for how e-commerce platforms can leverage stage stations and social technologies to lower participation barriers for rural customers, thereby creating a more inclusive development model.
受印尼和中国农村地区为解决最后一英里配送难题而取得的最新进展的激励,我们建立了一个理论模型,以研究如何降低电子商务市场的参与门槛。我们分析了驿站如何利用农村社区原有的社会结构(包括当地商店)以及聊天服务和虚拟群组等社会技术来降低最后一英里配送成本。具体而言,我们研究了两种模式,一种是由独立代理商运营驿站的分散模式,另一种是类似于阿里巴巴淘宝网开创的集中模式。我们发现,当农村地区的配送成本较高时,分散模式可以降低参与成本,增加平台利润和社会福利。总体而言,集中模式优于分散模式。原因之一是分散模式存在双重边缘化问题。例如,集中模式在决定卖方和买方的定价政策方面更具灵活性。如果新鲜农村客户的参与能吸引更多卖家,集中式模式就可以为农村客户提供免费服务。然而,集中模式在许多国家可能并不可行。因此,我们探讨了该平台能否为分散的驿站实施协调机制。我们发现,我们提出的协调机制可以提高分散模式的性能。我们的研究结果对于电子商务平台如何利用驿站和社交技术降低农村客户的参与门槛,从而创建更具包容性的发展模式具有重要意义。
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引用次数: 0
Leveraging the Social Fabric to Improve Rural E-Commerce Access 利用社会结构改善农村电子商务准入条件
IF 5 3区 管理学 Q1 Business, Management and Accounting Pub Date : 2024-02-11 DOI: 10.1177/10591478231224974
Zihao Zhang, Aravinda Garimella, Ming Fan
Motivated by recent developments aimed to address last-mile delivery challenges in rural areas of Indonesia and China, we develop a theoretical model to study how to lower participation barriers to the e-commerce market. We analyze how stage stations lower the cost of last-mile delivery by leveraging the preexisting social fabric in rural communities, including local stores, as well as social technologies such as chat services and virtual groups. Specifically, we examine two models, a decentralized model with stage stations run by independent agents, and a centralized model, similar to the one pioneered by Alibaba Taobao. We find that when the delivery cost in rural areas is high, the decentralized model can lower the participation cost and increase both platform profit and social welfare. In general, the centralized model outperforms the decentralized one. One reason is that the decentralized model suffers from a double marginalization problem. The centralized model has more flexibility, for example, in determining the pricing policies for both sellers and buyers. It could offer free service to rural customers if the participation of fresh rural customers can attract many additional sellers. However, a centralized model may not be feasible in many countries. Therefore, we explore whether the platform can implement a coordination mechanism for decentralized stage stations. We find that our proposed coordination mechanism can improve the performance of the decentralized model. Our results have important implications for how e-commerce platforms can leverage stage stations and social technologies to lower participation barriers for rural customers, thereby creating a more inclusive development model.
受印尼和中国农村地区为解决最后一英里配送难题而取得的最新进展的激励,我们建立了一个理论模型,以研究如何降低电子商务市场的参与门槛。我们分析了驿站如何利用农村社区原有的社会结构(包括当地商店)以及聊天服务和虚拟群组等社会技术来降低最后一英里配送成本。具体而言,我们研究了两种模式,一种是由独立代理商运营驿站的分散模式,另一种是类似于阿里巴巴淘宝网开创的集中模式。我们发现,当农村地区的配送成本较高时,分散模式可以降低参与成本,增加平台利润和社会福利。总体而言,集中模式优于分散模式。原因之一是分散模式存在双重边缘化问题。例如,集中模式在决定卖方和买方的定价政策方面更具灵活性。如果新鲜农村客户的参与能吸引更多卖家,集中式模式就可以为农村客户提供免费服务。然而,集中模式在许多国家可能并不可行。因此,我们探讨了该平台能否为分散的驿站实施协调机制。我们发现,我们提出的协调机制可以提高分散模式的性能。我们的研究结果对于电子商务平台如何利用驿站和社交技术降低农村客户的参与门槛,从而创建更具包容性的发展模式具有重要意义。
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引用次数: 0
EXPRESS: Environmental Regulation Design: Motivating Firms’ Clean Technology Investments With Penalties and Subsidies EXPRESS:环境法规设计:用惩罚和补贴激励企业的清洁技术投资
IF 5 3区 管理学 Q1 Business, Management and Accounting Pub Date : 2024-02-06 DOI: 10.1177/10591478231224911
Mina Mohammadi, H. Sebastian Heese, Tim Kraft
The recently enacted Inflation Reduction Act (IRA) includes a number of incentive-based programs (e.g., tax credits) designed to motivate firms to develop new clean technologies for fighting climate change. However, the IRA also includes a fee firms incur for excessive methane emissions. This represents the first time the United States government has ever levied a fee on greenhouse gas emissions, and it raises an interesting research question—how should a budget-constrained regulator balance the use of both incentive and penalty-based levers for stimulating investment in clean technology development? In this paper, we examine a regulator’s optimal penalty and subsidy decisions for motivating firms to invest in clean technology development. We illustrate how the level of competitive intensity in the market can influence a budget-constrained regulator with multiple competing objectives—the environment, firm profits, and consumer welfare. We find that a subsidy is always beneficial, irrespective of the regulator’s objective. While imposing a firm penalty always benefits the environment, it always negatively impacts the sum of firm profits and consumer welfare. However, depending on the level of competition in the market, instances can occur where imposing a high penalty actually benefits total firm profits or consumer welfare (separately). Interestingly, a regulator that cares about all three dimensions of its objective equally, should always set the penalty to either its minimum or maximum value, depending on whether the environmental cost of the harmful product is high or low.
最近颁布的《减少通货膨胀法案》(IRA)包括许多激励性计划(如税收减免),旨在激励企业开发新的清洁技术以应对气候变化。然而,《减少通货膨胀法案》还包括一项企业因过量排放甲烷而产生的费用。这是美国政府首次对温室气体排放征收费用,并提出了一个有趣的研究问题--预算有限的监管机构应如何平衡使用激励和惩罚两种杠杆来刺激清洁技术开发投资?在本文中,我们研究了监管机构激励企业投资清洁技术开发的最佳惩罚和补贴决策。我们说明了市场竞争激烈程度如何影响预算受限的监管者,使其面临多重竞争目标--环境、企业利润和消费者福利。我们发现,无论监管者的目标如何,补贴总是有益的。对企业进行处罚总是有利于环境,但对企业利润和消费者福利的总和总是有负面影响。然而,根据市场竞争程度的不同,也会出现高额罚款实际上有利于企业总利润或消费者福利的情况(单独计算)。有趣的是,如果监管者对其目标的所有三个方面都同样关心,那么就应该根据有害产品的环境成本是高还是低,将处罚设为最小值或最大值。
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引用次数: 0
EXPRESS: Towards Achieving Mental Health Equity for the Underserved Population: Evaluating the Potential of Mobile Apps 快讯EXPRESS:努力实现未获服务人口的心理健康平等:评估移动应用程序的潜力
IF 5 3区 管理学 Q1 Business, Management and Accounting Pub Date : 2024-02-06 DOI: 10.1177/10591478231224914
Yi Tang, Kingshuk K. Sinha, Adam Moen, Necati Ertekin
The underserved population—i.e., individuals who identify themselves as non-female, non-heterosexual, or non-White—have long faced inequities when accessing traditional clinic-based mental health services. Individuals from the underserved population tend to use and benefit from these services less than their better-served counterparts (i.e., those who identify themselves as female, heterosexual, and White). This study investigates whether similar inequities exist within the context of mobile apps specifically designed to provide self-support and peer-support. To this end, we conduct an empirical analysis using longitudinal user-level data collected from a mental health mobile app (MHMA). Our results indicate that: (i) in contrast to the traditional clinic-based mental health services, in a MHMA setting, users from the underserved population engage with the app services and derive similar benefits as much as their better-served counterparts; and (ii) there is a positive relationship between app usage frequency and the mental condition of app users. Our post-hoc analysis uncovers that the MHMA promotes equitable usage and benefit for users: (i) from the underserved population via self-management functions that enable self-support; and (ii) from the better-served population via online community functions that facilitate peer-support. These findings suggest that MHMAs have the potential to achieve equity through both user engagement and the benefits derived from such engagement. We conclude by discussing the implications for mobile app firms, policymakers, and organizations in their efforts to achieve mental health equity for the underserved population.
长期以来,得不到充分服务的人群--即那些自认为非女性、非异性恋或非白人的人--在获得传统的诊所心理健康服务时一直面临着不平等。与服务较好的同类人群(即自认为是女性、异性恋者和白人)相比,服务不足人群往往更少使用这些服务并从中受益。本研究调查了专门用于提供自我支持和同伴支持的移动应用程序是否存在类似的不平等现象。为此,我们使用从心理健康移动应用程序(MHMA)中收集的纵向用户数据进行了实证分析。我们的研究结果表明(i) 与传统的以诊所为基础的心理健康服务不同,在 MHMA 环境中,服务不足人群的用户参与了应用程序服务,并获得了与服务较好人群类似的益处;(ii) 应用程序的使用频率与应用程序用户的精神状况之间存在正相关关系。我们的事后分析发现,精神健康管理软件促进了用户的公平使用和获益:(i) 来自服务不足人群的用户通过自我管理功能实现了自我支持;(ii) 来自服务较好人群的用户通过在线社区功能促进了同伴支持。这些研究结果表明,MHMA 有可能通过用户参与和参与带来的益处实现公平。最后,我们将讨论移动应用公司、政策制定者和组织机构在努力为服务不足人群实现心理健康公平方面的意义。
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引用次数: 0
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Production and Operations Management
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