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Reclaiming Healthcare’s Healing Mission for a Sustainable Future 为可持续发展的未来,再造医疗保健的治愈使命
IF 12.4 2区 管理学 Q1 BUSINESS Pub Date : 2023-09-05 DOI: 10.1177/10946705231198024
Leonard L. Berry, M. Yadav, Michael K. Hole
Healthcare in the United States has reached a point where it is unsustainable for the long term, particularly for the poor, the elderly, and healthcare workers (HCWs) themselves. We propose a framework for making U.S. healthcare more sustainable, whereby the service returns to its core mission of healing. The framework casts that healing mission in broadly applicable, practical terms, whereby leaders of healthcare organizations and in the wider for-profit, not-for-profit, and governmental healthcare ecosystem take concrete steps to improve outcomes for patients and HCWs. Those steps involve aligning healthcare resources, incentives, and policies with the core mission of healing and then implementing change in specific ways that particular organizations have already shown are achievable and sustainable. We use those examples to illustrate how healing-oriented innovations in healthcare delivery get deployed and how progress toward sustainability then ensues. Lessons from these efforts can be tailored to individual healthcare contexts and institutions—and then applied on a national scale. The discussed initiatives can also guide the direction of future research on healthcare sustainability.
美国的医疗保健已经达到了长期不可持续的程度,特别是对穷人、老年人和医疗工作者(HCWs)本身而言。我们提出了一个框架,使美国医疗保健更可持续,从而服务回到其核心使命的愈合。该框架以广泛适用的、实际的术语来表达治疗使命,从而使医疗保健组织以及更广泛的营利性、非营利性和政府医疗保健生态系统的领导者采取具体步骤来改善患者和卫生保健工作者的结果。这些步骤包括将医疗保健资源、激励措施和政策与治疗的核心任务结合起来,然后以特定组织已经证明可以实现和可持续的特定方式实施更改。我们使用这些例子来说明如何在医疗保健服务中部署以治疗为导向的创新,以及如何在可持续性方面取得进展。从这些努力中获得的经验可以根据个人医疗环境和机构进行调整,然后在全国范围内应用。所讨论的举措也可以指导未来医疗保健可持续性研究的方向。
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引用次数: 0
Does the Label Fit the Channel? How “Bricks” and “Clicks” Influence Demand for Environmental and Social Sustainability Labels 标签是否适合渠道?“砖块”和“点击”如何影响对环境和社会可持续性标签的需求
IF 12.4 2区 管理学 Q1 BUSINESS Pub Date : 2023-08-25 DOI: 10.1177/10946705231198027
Emelie Fröberg, S. Kolesova, S. Rosengren
Service firms are increasingly trying to make their offers more sustainable. In this paper, we contribute to the literature on sustainability in service by investigating the impact of the shopping channel on consumer purchases of alternatives labeled as environmentally and socially sustainable. We theorize that the salience of self-oriented (vs. other-oriented) motives in the online (vs. in-store) channel has a higher fit with self-oriented (vs. other-oriented) benefits signaled by environmental (vs. social) labels, especially for utilitarian (vs. hedonic) products. To test this expectation, we conduct three studies using real-world grocery and beauty retailer datasets that include almost 900,000 purchases either in-store (“bricks”) or online (“clicks”). Using both between-consumer and within-consumer analysis, we find empirical support for our hypotheses. Our conceptual framework and findings suggest that service firms that want to promote environmentally and socially sustainable alternatives will benefit from adapting their strategies to different domains of sustainability labels and shopping channels.
服务公司正越来越多地尝试使他们的报价更具可持续性。在本文中,我们通过调查购物渠道对消费者购买被标记为环境和社会可持续的替代品的影响,为服务可持续性的文献做出贡献。我们的理论是,在线(与实体店相比)渠道中自我导向(与他人导向)动机的显著性与环境(与社会)标签所显示的自我导向(与他人导向)利益更契合,特别是对于功利(与享乐)产品。为了验证这一预期,我们使用现实世界的杂货和美容零售商数据集进行了三项研究,其中包括近90万次实体店(“砖块”)或在线(“点击”)购买。使用消费者之间和消费者内部的分析,我们发现实证支持我们的假设。我们的概念框架和研究结果表明,想要推广环境和社会可持续替代品的服务公司将从调整其战略以适应可持续性标签和购物渠道的不同领域中受益。
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引用次数: 0
Commentary: Using Language to Improve Health 评论:用语言改善健康
IF 12.4 2区 管理学 Q1 BUSINESS Pub Date : 2023-08-25 DOI: 10.1177/10946705231194075
Jonah A. Berger, Grant Packard
Communication plays an integral role in service interactions and language shapes how service agents talk to customers, salespeople talk to prospects, and chatbots talk to consumers. But as Danaher, Berry, Howard, Moore, and Attai (2023) note, given healthcare’s impact on quality of life, it’s a particularly important domain to study effective communication. Their useful review and framework should help medical professionals improve patient interactions and encourage future research. That said, one paper can only cover so much ground, and there are several additional areas that deserve further attention. Building on their framework, we offer some additional areas for future work, including how to use language to better understand patients, how communication mediums (e.g., writing vs. speaking or online portals vs. email) shape what gets communicated, and how effective communication depends on the interaction’s goals (e.g., persuasion vs. medical adherence).
沟通在服务互动中扮演着不可或缺的角色,语言决定了服务代理如何与客户交谈,销售人员如何与潜在客户交谈,以及聊天机器人如何与消费者交谈。但正如Danaher, Berry, Howard, Moore和Attai(2023)所指出的那样,鉴于医疗保健对生活质量的影响,研究有效沟通是一个特别重要的领域。他们有用的评论和框架应该有助于医疗专业人员改善与患者的互动,并鼓励未来的研究。也就是说,一篇论文只能涵盖这么多领域,还有一些其他领域值得进一步关注。在他们的框架的基础上,我们为未来的工作提供了一些额外的领域,包括如何使用语言来更好地了解患者,沟通媒介(例如,书面与口头或在线门户与电子邮件)如何塑造沟通的内容,以及有效的沟通如何取决于互动的目标(例如,说服与医疗依从性)。
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引用次数: 0
Commentary: The Bumpy Road to Achieving High-Quality Cancer Conversations 评论:实现高质量癌症对话的坎坷之路
IF 12.4 2区 管理学 Q1 BUSINESS Pub Date : 2023-08-19 DOI: 10.1177/10946705231194074
J. Jacobson
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引用次数: 0
The Role of Customer Relationship Vulnerability in Service Recovery 客户关系脆弱性在服务恢复中的作用
IF 12.4 2区 管理学 Q1 BUSINESS Pub Date : 2023-08-18 DOI: 10.1177/10946705231195008
Sadrac Cenophat, M. Eisend, Tomás Bayón, A. Haas
The effectiveness of service recovery initiatives has primarily been explained by exchange theories implicitly assuming that the customer desires beneficial relationships. The present research extends studies in this tradition by emphasizing the crucial role of the customer’s vulnerability. Drawing on crisis theory, we argue that the effectiveness of service recovery initiatives is contingent on customer relationship vulnerability (CRV), which is defined as a customer predisposition to psychological harm in relationships with service firms. The findings show that a full-service recovery is not always possible among vulnerable customers. We discuss the implications for theory and service management practice.
服务补救措施的有效性主要是通过交换理论来解释的,交换理论隐含地假设客户希望建立有益的关系。本研究通过强调客户脆弱性的关键作用,扩展了这一传统的研究。根据危机理论,我们认为服务恢复计划的有效性取决于客户关系脆弱性(CRV),它被定义为客户在与服务公司的关系中容易受到心理伤害。研究结果表明,在脆弱的客户中,提供全面服务的恢复并不总是可能的。我们讨论了对理论和服务管理实践的启示。
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引用次数: 0
In Reply: Where Reshaping Communications in Healthcare Service Begins 回复:从何处开始重塑医疗保健服务中的沟通
IF 12.4 2区 管理学 Q1 BUSINESS Pub Date : 2023-08-12 DOI: 10.1177/10946705231194610
L. Berry, Tracey S. Danaher, Sarah G. Moore, Chuck Howard, D. Attai
Any act of communication involves decision-making: what to say, how to say it, what to omit. Our biggest decision in writing “Improving How Clinicians Communicate with Patients: An Integrative Review and Framework” was to focus on the communication of clinicians rather than giving equal attention to patients’ communication. To be sure, patients co-create the healthcare service experience, including its communications, as our article discusses. However, we saw our greatest potential value in helping clinicians envision how they can improve their own communications: verbal, nonverbal, and listening. Our article’s Figure 2 presents the dynamic interplay between clinician and patient communication, a dyad rich with potential for further academic research. Both sides of that dyad merit much more study, and service researchers are well positioned to lead the way. The commentaries by Joseph Jacobson and by Jonah Berger and Grant Packard enrich the content of our paper, and we greatly value their care and thought in responding to it. An experienced medical oncologist, Jacobson has had many emotional, difficult conversations in sharing bad news with patients and family members. It is gratifying that our article resonated with him. Marketing professors Berger and Packard, leading communications researchers, offer excellent suggestions for future work, and we appreciate their affirmative remarks. To extend the dialog, we now reply to those two commentaries.
任何沟通行为都涉及决策:该说什么,怎么说,该省略什么。我们在撰写“改善临床医生与患者的沟通方式:一个综合回顾和框架”时,最大的决定是关注临床医生的沟通,而不是同等关注患者的沟通。可以肯定的是,正如我们的文章所讨论的,患者共同创造了医疗保健服务体验,包括其通信。然而,我们看到我们最大的潜在价值在于帮助临床医生设想如何改善他们自己的沟通:语言,非语言和倾听。我们文章的图2展示了临床医生和患者交流之间的动态相互作用,这是一个具有进一步学术研究潜力的二元关系。这两方面都值得进行更多的研究,而服务研究人员在这方面处于领先地位。约瑟夫·雅各布森、乔纳·伯杰和格兰特·帕卡德的评论丰富了我们论文的内容,我们非常重视他们对评论的关心和思考。作为一名经验丰富的肿瘤学家,雅各布森在与患者和家属分享坏消息时经历了许多情绪激动、困难的对话。令人欣慰的是,我们的文章引起了他的共鸣。营销学教授伯杰和帕卡德是领先的传播学研究人员,他们对未来的工作提出了极好的建议,我们对他们的肯定言论表示赞赏。为了扩展对话框,我们现在回复这两个注释。
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引用次数: 0
Thirty Years of Service Failure and Recovery Research: Thematic Development and Future Research Opportunities From a Social Network Perspective 服务故障与恢复研究三十年:社会网络视角下的专题发展与未来研究机遇
IF 12.4 2区 管理学 Q1 BUSINESS Pub Date : 2023-08-07 DOI: 10.1177/10946705231194006
Dong Liu, Yanhui Zhao, Guocai Wang, Wyatt A. Schrock, Clay M. Voorhees
Service failure and recovery (SFR) is a well-established area of research that has made considerable progress over the past 30 years. In this study, we used a combination of text mining, co-word analysis, and social network analysis (SNA) to explore the relationships among keywords in SFR research. We analyzed a dataset of 533 SFR articles published between 1990 and 2020, extracting the most frequently used keywords using text-mining techniques. These keywords were then subjected to co-word analysis and SNA to understand the development of themes and topics in SFR research. By examining changes in network centrality measures, we gained insights into the evolution of research in this field. Furthermore, by identifying gaps or disconnections in the keyword networks, we identified future research opportunities related to the impact of service recovery strategies on customer reactions, employee reactions, and firm outcomes, as well as the relationship between customer and employee responses.
服务故障和恢复(SFR)是一个成熟的研究领域,在过去的30年里取得了相当大的进展。在本研究中,我们采用文本挖掘、共词分析和社会网络分析(SNA)相结合的方法来探索SFR研究中关键词之间的关系。我们分析了1990年至2020年间发表的533篇SFR文章的数据集,使用文本挖掘技术提取了最常用的关键词。然后对这些关键词进行共词分析和SNA,以了解SFR研究的主题和主题的发展。通过研究网络中心性度量的变化,我们深入了解了该领域研究的演变。此外,通过识别关键字网络中的差距或脱节,我们确定了与服务恢复策略对客户反应、员工反应和公司结果的影响以及客户和员工反应之间的关系相关的未来研究机会。
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引用次数: 0
Affect-as-Information: Customer and Employee Affective Displays as Expeditious Predictors of Customer Satisfaction 情感作为信息:顾客和员工情感表现作为顾客满意的快速预测因子
IF 12.4 2区 管理学 Q1 BUSINESS Pub Date : 2023-08-04 DOI: 10.1177/10946705231194076
Shelly Ashtar, G. Yom-Tov, A. Rafaeli, Jochen Wirtz
This study introduces affect-as-information theory to the service encounter, integrates it with the peak and end model of affect, and thereby shows that these dynamic customer and employee affective displays can be used to estimate post-encounter customer satisfaction. A large-scale dataset of 23,645 real-life text-based (i.e., chat) service encounters with a total of 301,280 genuine messages written by customers and employees were used to test our hypotheses. Automatic sentiment analysis was deployed to assess the affective displays of customers and employees in every individual text message as a service encounter unfolded. Our findings confirm that in addition to customers’ overall (mean) affective display, peak (i.e., highest positive or least negative), and end (final) affective displays explain customer satisfaction. Further, as customer displays may not fully capture their satisfaction process and employees understand the service quality they deliver, we propose and confirm that employee displayed affect explains further variance in customer satisfaction. We also find that the predictive power of affective displays is more pronounced in service failure than non-failure encounters. Together, these findings show that automatic monitoring beyond customer overall affect (i.e., adding customer peak and end, and employee affective displays) can expedite the evaluation of customer satisfaction.
本研究将情感作为信息的理论引入到服务相遇中,并将其与情感的峰值和终点模型相结合,从而表明这些动态的顾客和员工情感表现可以用来估计顾客相遇后的满意度。我们使用了23,645个基于真实文本(即聊天)服务的大型数据集,以及客户和员工编写的301,280条真实消息来测试我们的假设。自动情绪分析被用于评估客户和员工在每条短信中的情感表现。我们的研究结果证实,除了顾客的整体(平均)情感表现外,峰值(即最高的积极或最少的消极)和最终(最终)情感表现解释了顾客满意度。此外,由于顾客表现可能不能完全捕捉他们的满意过程,员工理解他们提供的服务质量,我们提出并确认员工表现的影响解释了顾客满意度的进一步差异。我们还发现,情感表现的预测能力在服务故障中比在非故障遭遇中更为明显。总之,这些发现表明,超越客户整体影响的自动监控(即,增加客户峰值和结束,以及员工情感显示)可以加快客户满意度的评估。
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引用次数: 0
A Lagged Experience Sampling Methodology Study on Spillover Effects of Customer Mistreatment 顾客不当对待溢出效应的滞后经验抽样方法研究
IF 12.4 2区 管理学 Q1 BUSINESS Pub Date : 2023-08-02 DOI: 10.1177/10946705231190872
Fu Yang, Zihan Zhou, Xiaoyu Huang
As a normative and ubiquitous nuisance in the service industry, customer mistreatment has received extensive attention for its profound impacts on front-line employees’ (FLEs) lagged reactions. Drawing upon the Conservation of Resources theory, our results of multilevel path analysis reveal that FLEs encountering daily customer mistreatment experience poor nightly sleep quality, which in turn drives them away from next-day customer-oriented prosocial behavior. These predictions are further contingent upon the levels of service rule commitment, defined as FLEs’ commitment to organizational service rules. In Study 2 and Study 3, we replicate the findings of Study 1 and expand the range of outcomes to cast FLEs’ turnover intention as another consequence triggered by customer mistreatment on the previous day. Furthermore, we incorporate optimal rule control and empathetic leadership into our analyses to propose the three-way interactions. The results unpack that the aggravating effect of high service rule commitment on the relationship between customer mistreatment and nightly sleep quality is buffered when rule control is optimal or when empathetic leadership is high. Taken together, our findings uncover the spillover-depleting effects of daily customer mistreatment and how the strength of such process is bound by personal and contextual factors.
顾客不当对待作为服务业中一种规范的、普遍存在的滋扰行为,因其对一线员工滞后反应的深刻影响而受到广泛关注。根据资源保护理论,我们的多层次路径分析结果显示,日常遭遇客户虐待的员工夜间睡眠质量较差,这反过来又驱使他们远离第二天以客户为导向的亲社会行为。这些预测进一步取决于服务规则承诺的水平,服务规则承诺被定义为客户对组织服务规则的承诺。在研究2和研究3中,我们复制了研究1的研究结果,并扩大了结果的范围,将员工的离职意愿作为前一天客户不当对待引发的另一个后果。此外,我们将最优规则控制和共情领导纳入我们的分析,提出三方互动。结果表明,当规则控制达到最优或共情领导水平较高时,高服务规则承诺对顾客虐待与夜间睡眠质量关系的恶化效应得到缓冲。综上所述,我们的研究结果揭示了日常客户虐待的溢出损耗效应,以及这种过程的强度如何受到个人和情境因素的约束。
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引用次数: 0
Gamification Myopia: Satiation Effects in Gamified Activities 游戏化近视:游戏化活动中的满足效应
IF 12.4 2区 管理学 Q1 BUSINESS Pub Date : 2023-08-01 DOI: 10.1177/10946705231190873
Wafa Hammedi, T. Leclercq, Nadia Steils
Despite the popularity of gamification to improve the quality of experience in a variety of services, there is a lack of evidence on its effective integration into service design and the long-term impact of repeated gamified activities on customer experience. Using 10 studies, including behavioral data, survey, field, and laboratory experiments, this research investigates the effects of repeated gamified activities on customer experience quality and behavioral engagement. We examine the phenomenon through the lens of satiation theory, which explains the declining enjoyment for initially pleasurable activities. Supported by this theory, our results show evidence for a negative impact of gamified services that are highly repeated on experience quality and behavioral engagement. Further, we demonstrate strategies to compensate for such satiation by introducing mechanism and reward variety, a recovery period, and a sense of being near-to-winning. This research makes theoretical and managerial contributions by showing the potential backfire effects of gamification when gamified activities are repeated. Furthermore, this paper feeds the ongoing debate on standardization and personalization of service experiences. This paper demonstrates how high exposure to the same service experience can become counterproductive and increase risks of satiation.
尽管游戏化在提高各种服务的体验质量方面很受欢迎,但缺乏将其有效整合到服务设计中的证据,以及反复游戏化活动对客户体验的长期影响。通过10项研究,包括行为数据、调查、现场和实验室实验,本研究调查了重复游戏化活动对客户体验质量和行为参与的影响。我们通过满足理论的镜头来研究这一现象,该理论解释了最初令人愉快的活动的乐趣下降。在这一理论的支持下,我们的研究结果证明了游戏化服务对体验质量和行为参与度的负面影响。此外,我们还展示了通过引入机制和奖励多样性、恢复期和接近胜利的感觉来补偿这种满足感的策略。本研究通过展示当游戏化活动重复时游戏化的潜在反作用,做出了理论和管理贡献。此外,本文还为正在进行的关于服务体验标准化和个性化的争论提供了素材。这篇论文展示了高度暴露于相同的服务体验是如何适得其反的,并增加了满足的风险。
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引用次数: 0
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