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Managing coopetition dynamics: A longitudinal study of a multiparty alliance formation in a large utilities project 合作竞争动态管理:大型公用事业项目中多方联盟形成的纵向研究
IF 6.5 2区 管理学 Q1 MANAGEMENT Pub Date : 2024-06-29 DOI: 10.1002/joom.1320
Renate Taubeneder, Jens K. Roehrich, Beverly B. Tyler, Brian Squire, Devi R. Gnyawali

Multiparty alliances (MPAs) are increasingly used to deliver large utilities infrastructure projects on-time, on-budget, and to specified quality. In theory, MPAs should help buyers to coordinate suppliers, enable concurrent scheduling, and create process innovations. On the other hand, these governance structures are inherently less stable than dyadic relationships due to their additional complexity and greater opportunities for free riding. We conduct a multi-source, longitudinal study, investigating how a buyer actively manages the dynamics between competition and cooperation during the formation of an MPA consisting of a lead organization and directional relationships between all partners. We contribute to MPA and coopetition literature by exploring cooperation and competition dynamics that are associated with the MPA structure that would largely be absent in dyads, and unpack the process by which a buyer orchestrates these dynamics by sequentially introducing new initiatives that seek to balance coopetition. MPAs have been recommended by governments and industry bodies as one solution for time and cost overruns in the utilities infrastructure sector, our study also provides guidance to buyers on the management of the alliance during the critical formation stage of the relationship lifecycle.

多方联盟(MPA)越来越多地用于按时、按预算、按规定质量交付大型公用事业基础设施项目。从理论上讲,多方联盟应有助于买方协调供应商、实现并行调度和流程创新。另一方面,这些治理结构由于其额外的复杂性和更大的搭便车机会,在本质上不如二元关系稳定。我们开展了一项多来源纵向研究,调查买方如何在由牵头组织和所有合作伙伴之间的定向关系组成的 MPA 形成过程中积极管理竞争与合作之间的动态关系。我们探讨了与 MPA 结构相关的合作与竞争动态(这在二元结构中基本不存在),为 MPA 和合作竞争文献做出了贡献,并揭示了买方通过连续引入新举措来平衡合作竞争,从而协调这些动态的过程。MPA 已被政府和行业机构推荐为解决公用事业基础设施领域时间和成本超支问题的一种方法,我们的研究也为买方在关系生命周期的关键形成阶段管理联盟提供了指导。
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引用次数: 0
Causal inference under selection on observables in operations management research: Matching methods and synthetic controls 运营管理研究中可观测变量选择下的因果推断:匹配方法和合成控制
IF 6.5 2区 管理学 Q1 MANAGEMENT Pub Date : 2024-06-19 DOI: 10.1002/joom.1318
Övünç Yılmaz, Yoonseock Son, Guangzhi Shang, Hayri A. Arslan

The majority of recent empirical papers in operations management (OM) employ observational data to investigate the causal effects of a treatment, such as program or policy adoption. However, as observational data lacks the benefit of random treatment assignment, estimating causal effects poses challenges. In the specific scenario where one can reasonably assume that all confounding factors are observed—referred to as selection on observables—matching methods and synthetic controls can assist researchers to replicate a randomized experiment, the most desirable setting for drawing causal inferences. In this paper, we first present an overview of matching methods and their utilization in the OM literature. Subsequently, we establish the framework and provide pragmatic guidance for propensity score matching and coarsened exact matching, which have garnered considerable attention in recent OM studies. Following this, we conduct a comprehensive simulation study that compares diverse matching algorithms across various scenarios, providing practical insights derived from our findings. Finally, we discuss synthetic controls, a method that offers unique advantages over matching techniques in specific scenarios and is expected to become even more popular in the OM field in the near future. We hope that this paper will serve as a catalyst for promoting a more rigorous application of matching and synthetic control methodologies.

最近,运营管理(OM)领域的大多数实证论文都采用了观察数据来研究处理方法(如采用项目或政策)的因果效应。然而,由于观察数据缺乏随机治疗分配的优势,因此对因果效应的估算面临挑战。在可以合理假定所有混杂因素都被观察到的特定情况下,即对可观察因素的选择,匹配方法和合成控制可以帮助研究人员复制随机实验,这是得出因果推论最理想的环境。在本文中,我们首先概述了匹配方法及其在 OM 文献中的应用。随后,我们建立了倾向得分匹配和粗化精确匹配的框架,并为其提供了实用指导,这两种方法在最近的定向测量研究中得到了广泛关注。随后,我们进行了一项全面的模拟研究,比较了各种情况下的不同匹配算法,并从我们的研究结果中提出了实用的见解。最后,我们讨论了合成控制,这种方法在特定情况下比匹配技术具有独特的优势,预计在不久的将来会在 OM 领域变得更加流行。我们希望本文能成为促进更严格地应用匹配和合成控制方法的催化剂。
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引用次数: 0
Follow-suit or free-ride? A relational view of CSR diffusion in a supply chain with customer–supplier closure 跟风还是搭便车?从关系角度看企业社会责任在客户-供应商封闭供应链中的传播
IF 6.5 2区 管理学 Q1 MANAGEMENT Pub Date : 2024-06-09 DOI: 10.1002/joom.1319
Ellie C. Falcone, Tingting Yan, Brian S. Fugate

Embedded in networks of relationships, firms are who they buy from and sell to. As a result, a firm's corporate social responsibility (CSR) practices can be influenced by CSR practices of its customers and suppliers—known as CSR diffusion. This study examines how CSR diffuses in a supply chain that encompasses a focal firm, its suppliers, and customers. Adopting a relational view, this research hypothesizes that a firm's CSR is influenced by its customer-base CSR differently than its supply-base CSR. By analyzing panel data consisting of 1972 firm-year observations integrated from multiple data sources, the results offer evidence for a positive impact of customer-base CSR and a negative impact of supply-base CSR on firm CSR. Interestingly, when customers and suppliers of a focal firm establish direct business connections (i.e., customer–supplier closure), the positive follow-suit effect of customer-base CSR is enhanced. In contrast, the negative free-ride effect of supply-base CSR is diminished. This suggests that a focal firm is more likely to embrace CSR practices from CSR-active supply chain partners when embedded in closed triads. This research shows the need to consider the directionality and closure of relationships in understanding the diffusion of voluntary, ill-defined, costly operational practices within a supply chain.

企业植根于各种关系网络之中,向谁买,卖给谁。因此,企业的企业社会责任(CSR)实践会受到其客户和供应商的企业社会责任实践的影响,这就是所谓的企业社会责任扩散。本研究探讨了企业社会责任是如何在供应链中扩散的,其中包括一家重点企业、其供应商和客户。本研究采用关系观点,假设企业的企业社会责任受客户基础企业社会责任的影响不同于受供应基础企业社会责任的影响。通过分析由多个数据源整合而成的 1972 个企业年观测数据组成的面板数据,结果证明了客户基础企业社会责任对企业社会责任的积极影响和供应基础企业社会责任对企业社会责任的消极影响。有趣的是,当焦点企业的客户和供应商建立了直接的业务联系(即客户-供应商闭环)时,客户基础企业社会责任的正向追随效应就会增强。相反,供应方企业社会责任的负面搭便车效应则会减弱。这表明,在封闭的三方关系中,焦点企业更有可能接受积极履行企业社会责任的供应链合作伙伴的企业社会责任实践。这项研究表明,在理解供应链中自愿的、不明确的、代价高昂的运营实践的传播时,需要考虑关系的方向性和封闭性。
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引用次数: 0
Do mid-level providers enhance hospital cost per discharge or triple aim performance efficiency? An exploratory analysis 中级医疗服务提供者是否能提高医院的每次出院成本或三重目标的绩效效率?探索性分析
IF 6.5 2区 管理学 Q1 MANAGEMENT Pub Date : 2024-05-26 DOI: 10.1002/joom.1307
Aaron W. Bonnett, Gregory R. Heim

Hospital administrators are shifting care delivery models toward an approach that uses more caregivers in the form of mid-level providers (MLPs), such as nurse practitioners, physician assistants, and clinical nurse specialists. To date, however, healthcare operations management (OM) literature remains ambiguous about longitudinal empirical associations between mid-level providers and hospital costs, quality, and other performance measures. We analyze how the extent of MLP employment used by a hospital is associated with hospital operational outcomes, as reflected by hospital cost per discharge and Triple Aim Performance (TAP) efficiency metrics. Our findings indicate percent MLP usage is positively associated with efficiency metrics for hospital clinical quality, technical efficiency, and patient experience, but not associated with hospital costs. We also find percent MLP usage is associated with the likelihood that hospitals excel on all TAP metrics simultaneously. Post-hoc exploratory analyses suggest the associations exhibit differential outcomes across hospital efficiency quantiles, while sub-sample analyses motivate boundary conditions for some hypothesized MLP associations. We contribute to healthcare OM research by providing one of the first panel data analyses of MLPs, improving insights relative to extant work. By giving key stakeholders useful findings about outcomes associated with hospital staffing trends, our managerial contribution helps hospital administrators understand empirical consequences of the increasing use of MLPs.

医院管理者正在将医疗服务模式转向使用更多中层医疗人员(MLP)的方式,如执业护士、医生助理和临床护理专家。然而,迄今为止,医疗运营管理(OM)文献对中层医疗人员与医院成本、质量和其他绩效指标之间的纵向实证关联仍然含糊不清。我们分析了医院使用 MLP 的程度与医院运营结果之间的关系,医院每次出院成本和三重目标绩效(TAP)效率指标反映了这一点。我们的研究结果表明,MLP的使用比例与医院临床质量、技术效率和患者体验等效率指标呈正相关,但与医院成本无关。我们还发现,MLP的使用百分比与医院同时在所有TAP指标上取得优异成绩的可能性相关。事后探索性分析表明,这些关联在不同的医院效率量级上表现出不同的结果,而子样本分析则为一些假设的 MLP 关联提供了边界条件。我们提供了首批 MLP 面板数据分析,提高了对现有工作的洞察力,从而为医疗保健 OM 研究做出了贡献。通过向关键利益相关者提供与医院人员配置趋势相关的有用结果,我们在管理方面的贡献有助于医院管理者了解越来越多地使用 MLP 的经验性后果。
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引用次数: 0
Locking in overseas buyers amid geopolitical conflicts 在地缘政治冲突中锁定海外买家
IF 6.5 2区 管理学 Q1 MANAGEMENT Pub Date : 2024-05-26 DOI: 10.1002/joom.1316
Di Fan, Pengcheng Ma, Lin Cui, Daphne W. Yiu

Geopolitical conflicts, particularly economic ones, introduce significant uncertainties into the global supply chain. The impact of these conflicts on cross-border buyer–supplier transactions remains underexplored, as does the capability of global suppliers to mitigate such risks by locking in their foreign buyers. Employing a combined perspective of resource dependence theory and transaction cost economics, we examine a natural experiment to investigate the effects of the 2018 U.S.–China trade war on the transactional relationships between Chinese suppliers and their U.S. buyers. Our study reveals that the trade war generally adversely affected these buyer–supplier transactional relationships, leading to a negative abnormal transaction value in the affected dyads, which amounted to 18.42% of their pre-event level. However, we find that this adverse impact can be attenuated when Chinese suppliers demonstrate superior innovation capabilities, higher corporate social responsibility performance, or fewer local political ties. These findings yield insights for international suppliers and buyers on strategies to maintain buyer–supplier transactions and minimize the detrimental effects on global supply chain relationships during geopolitical conflicts.

地缘政治冲突,尤其是经济冲突,给全球供应链带来了巨大的不确定性。这些冲突对跨境买方-供应商交易的影响,以及全球供应商通过锁定外国买方来降低此类风险的能力,仍未得到充分探讨。我们综合运用资源依赖理论和交易成本经济学的视角,通过自然实验研究了 2018 年中美贸易战对中国供应商与其美国买家之间交易关系的影响。我们的研究发现,贸易战总体上对这些买方-供应商交易关系产生了不利影响,导致受影响的二元组出现负的异常交易价值,达到事件发生前水平的 18.42%。然而,我们发现,当中国供应商表现出卓越的创新能力、较高的企业社会责任表现或较少的当地政治关系时,这种不利影响会有所减弱。这些发现为国际供应商和买方提供了战略启示,以维持买方与供应商之间的交易,并在地缘政治冲突期间尽量减少对全球供应链关系的不利影响。
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引用次数: 0
The impact of project-based interorganizational networks: Evidence from the Chinese movie industry 基于项目的组织间网络的影响:来自中国电影业的证据
IF 6.5 2区 管理学 Q1 MANAGEMENT Pub Date : 2024-05-20 DOI: 10.1002/joom.1317
Lingjia Li, Yongyi Shou

Project-based interorganizational networks are temporary and dynamic, and significantly different from stable networks for mass production. However, empirical studies on project-based interorganizational networks are scant. Drawing upon the network literature and distinguishing between production and distribution networks, we investigate how the centrality of a project in industry networks and tie strength of the project's member firms affect project performance in terms of product quality and sales. Using data of 821 Chinese movie projects during 2015–2018, we find empirical evidence that a project's centrality in the production network enhances product quality and that in the distribution network elevates product sales. Interestingly, weak ties in the production team contribute to product quality while strong ties in the distribution team improve product sales. This study advances the literature on project-based industries and interorganizational networks. It highlights the distinction between production and distribution networks in project-based industries and sheds light on the differential roles of a project's centrality and tie strength in both networks. These findings also offer novel insights to managers in project-based industries.

基于项目的组织间网络是临时的、动态的,与稳定的大规模生产网络有很大不同。然而,有关基于项目的组织间网络的实证研究却很少。借鉴网络文献,区分生产网络和销售网络,我们研究了项目在行业网络中的中心地位和项目成员企业的绑定强度如何影响项目在产品质量和销售方面的绩效。通过使用 2015-2018 年间 821 个中国电影项目的数据,我们发现实证证据表明,项目在生产网络中的中心地位会提高产品质量,而在发行网络中的中心地位会提升产品销量。有趣的是,制作团队中的弱联系有助于提高产品质量,而发行团队中的强联系则能提高产品销量。这项研究推动了有关项目型产业和组织间网络的文献的发展。它强调了项目型产业中生产网络和分销网络之间的区别,并揭示了项目中心性和纽带强度在这两种网络中的不同作用。这些发现也为项目型产业的管理者提供了新的见解。
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引用次数: 0
Holding North: Recognizing identity and advancing contribution in operations management 坚守北方:在运营管理中确认身份和提升贡献
IF 7.8 2区 管理学 Q1 MANAGEMENT Pub Date : 2024-05-01 DOI: 10.1002/joom.1306
Elliot Bendoly, Rogelio Oliva

Across universities, agencies and corporate institutions, attention is often drawn to the value of interdisciplinary translational research. For good reason. Interdisciplinary approaches can provide the means by which to accomplish the most impactful and practical of academic, social and commercial advancements. They imply a capitalization on integrative problem-solving, benefiting from the insights of various perspectives and knowledge bases. While motivating and coordinating such collaborations can be challenging, at the core of the argument for interdisciplinary effort is the presumption that individual disciplines bring unique value to the table. Just as interdisciplinary research cannot exist without unique disciplinary contributions, individual disciplines have no hope of advancing their unique contributions without a clear understanding of their identity relative to other disciplines. In other words, they need to know and hold-to their own ‘true North.’

Although the Journal of Operations Management (JOM) is open to diversity in empirical approaches, methods, and epistemologies, the journal's Aims and Scope are clear in articulating that at the core of the work that JOM aims to publish is empirical research motivated by relevant operations management problems. Indeed, historically, the journal has published everything from ethnographic work to econometric studies of secondary data. It has showcased interview-based field work, case studies, field and lab experimental work, as well as intervention studies. Developmentally, the work has ranged from exploratory research reporting new regularities to formal testing of established hypotheses.

Good research design would have us assemble the data required to develop, test, and refine our hypotheses or to answer our research questions. Recent developments in information technology and governmental reporting requirements, however, have created a wealth of data, to the point that it is now sensible for researchers to consider how to leverage it. At the same time, this availability of easily accessible data, together with the desirability of interdisciplinary work, has yielded an increasing number of submissions out of the journal's scope. While we recognize the potential usefulness of these data to explore and expand the boundaries and interfaces of Operations Management with other disciplines, we believe it is important to remind ourselves of our own ‘true North.’

The identity of the Operations Management discipline can occasionally appear nebulous to those outside the field. Though supply chain disruptions have made numerous headlines in the recent years, the field hasn't benefited from the many decades of notoriety and personal exposure that other management fields have. Adults with experience filing taxes, maintaining bank accounts, applying for and paying off loans, and investing for retirement all have some sense, as skewed as it may be, of disciplines s

相比之下,运营管理领域的研究人员往往发现自己对流程细节的了解相对有限,而这些细节正是我们推动本领域发展的核心所在。对于一门与工业设计和建模有着深厚渊源的学科来说,在这个 "大数据 "时代,接受过高级分析培训的研究人员可能会感到沮丧,因为相对而言,他们的经验之手似乎被束缚住了。在下面的章节中,为了说明问题,我们将重点讨论 OM 中消费者偏好和消费者行为数据的使用。然而,这里提出的要素和论点同样适用于上述其他数据环境(如金融、交易、环境、社会和治理)。使用其他学科近年来充分利用的大量金融或消费者数据。毕竟,何乐而不为呢?从表面上看,至少在过去二十年的 OM 研究中,似乎出现了一些偏向消费者导向的研究。图 1 显示了在已发表的文章中提及消费者的百分比。剔除那些仅将 "消费者 "作为修饰词(如 "消费品 "或 "消费品")的论文,对这些数字的影响不大。在迄今为止提及'消费者'的 7% 的 JOM 文章中,此类情况约占 1%,在迄今为止提及'消费者'的 16% 的 MSOM 文章中,此类情况不到 0.2%。虽然这种增长的部分原因可能是自 20 世纪 90 年代末开始,人们对服务领域的兴趣日益浓厚所产生的滞后影响,但如果不考虑消费者服务的内容,消费者参考文献的趋势在很大程度上也能保持稳定(如果不考虑 "服务 "参考文献,消费者参考文献每十年的增长率为 5.6%,而原来每十年的增长率为 5.8%)。虽然这些数字只是粗略的信号,但过去 23 年来的变化是一致的,也是惊人的。如果 OM 研究的核心问题是消费者行为,那么获取和探索消费者行为数据也无可厚非。有关消费者行为的具体数据,以及财务业绩数据,都可以为 OM 研究提供大量信息。当然,我们可以从 OM 与其他学科的交叉研究中获益,正如其他学科也可以从这种交叉研究中获益一样。但是,如果我们要声称我们正在进行 OM 研究,那么在某些时候,我们实际上需要进行 OM 研究。我们不能试图在没有特定的 OM 研究动机和核心的情况下进行消费者行为或财务业绩分析。不幸的是,从编辑的角度来看,从许多仅仅因为与 OM 学科不符而被拒之门外的文章中,我们偶尔会感觉到,这种偏离与 OM 无关的数据和研究的现象正在发生。这种现象很难被忽视,而且坦率地说,这样做也是不负责任的。这种偏移并不局限于大数据类研究。我们还看到,在获取用于分析的数据和明显的研究问题焦点的一系列方法中都出现了这种情况。其中最容易识别的一种方法是从作为消费者或 "扮演 "消费者角色的个人那里收集数据。遗憾的是,回到我们之前所关注的问题,我们应该清楚地认识到,消费者群体所做的选择,以及可能影响这种选择的因素,虽然为价值增值过程提供了重要的输入,但其本身并不能让我们深入了解这些过程中的机制,而这正是管理学家所感兴趣的。对消费者行为的研究往往是直奔运营管理的大门而去,并没有深入其中。在运营流程之外对消费者行为进行研究固然诱人,但这样的研究并不是对运营流程的研究。其中最重要的可能是消费者在将投入(其中有些是他们自己提供的)转化为产出的过程中扮演共同生产者的角色。例如,考虑让消费者与工人或自动化设备合作,不仅仅是选择,而是共同管理或共同处理商品和服务的创造。这可能涉及在从制造业到医疗保健,再到酒店服务业等各种环境中设计定制的解决方案;也可能需要通过他们自己在过程中的行动来促进增值步骤。
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引用次数: 0
Effects of feedback in manufacturing: A field experiment using smartwatch technology 制造业中的反馈效果:使用智能手表技术的现场实验
IF 6.5 2区 管理学 Q1 MANAGEMENT Pub Date : 2024-04-20 DOI: 10.1002/joom.1305
Daniel Kwasnitschka, Henrik Franke, Torbjørn H. Netland

We investigate the impact of performance feedback delivered to front-line workers through new digital technologies in the manufacturing sector. Our study takes place in a globally operating manufacturing company that employs smartwatches for real-time control on the shop floor. In a large-scale and multi-site field experiment, we examine 29,669 machine status reports to assess the productivity effects of providing near real-time feedback to workers via smartwatches. We develop our hypotheses drawing on construal-level theory and its central idea of psychological distance. Initially, we observe production without feedback to establish comparability between treatment groups. Subsequently, we allocate various combinations of feedback to workers in four separate areas in two manufacturing plants. We manipulate whether the feedback is targeted at individuals with psychologically close feedback (“you did…”) or targeted at the team with relatively psychologically distant feedback (“your team did…”). Furthermore, we vary the message framing: positive framing emphasizes completed tasks, while negative framing emphasizes unfinished tasks. Our findings indicate that positively framed feedback, targeting individuals directly, enhances productivity more than other feedback combinations. Our study contributes new theoretical insights into the interplay between feedback framing and targets in fast-paced and highly automated batch production environments.

我们研究了制造业通过新数字技术向一线工人提供绩效反馈的影响。我们的研究发生在一家全球运营的制造公司,该公司采用智能手表对车间进行实时控制。在一项大规模、多地点的现场实验中,我们检查了 29,669 份机器状态报告,以评估通过智能手表向工人提供近乎实时的反馈对生产率的影响。我们借鉴构想级理论及其核心思想--心理距离,提出了我们的假设。首先,我们观察没有反馈的生产情况,以建立处理组之间的可比性。随后,我们在两家制造工厂的四个不同区域为工人分配不同的反馈组合。我们操纵反馈是针对个人的心理距离较近的反馈("你做了......"),还是针对团队的心理距离相对较远的反馈("你们团队做了......")。此外,我们还改变了信息的框架:积极的框架强调已完成的任务,而消极的框架强调未完成的任务。我们的研究结果表明,直接针对个人的正面反馈比其他反馈组合更能提高工作效率。我们的研究为快节奏和高度自动化的批量生产环境中反馈框架与目标之间的相互作用提供了新的理论见解。
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引用次数: 0
When do part-time workers increase effectiveness? A study of food banks and the SNAP program outreach 兼职员工何时能提高效率?食品银行和 SNAP 计划推广研究
IF 7.8 2区 管理学 Q1 MANAGEMENT Pub Date : 2024-04-09 DOI: 10.1002/joom.1304
Luv Sharma, Pelin Pekgün, Orgül D. Öztürk, Sanjay L. Ahire

The use of part-time employees to support operations has been a contentious topic in the literature. While part-time employees add cost-effective flexibility to operations, their impact on operational outcomes has largely been documented as negative. However, there are a number of sectors (e.g., non-profit) which rely heavily on part-time employees, with anecdotal evidence supporting their role in improving outcomes. Through this research, we seek to shed light on these contradicting perspectives. We do so by investigating the impact of the percentage of part-time employees in the workforce dedicated to the Supplemental Nutrition Assistance Program (SNAP) outreach efforts at United States (U.S.) food banks on the effectiveness of this initiative. SNAP is the largest domestic hunger program in the U.S., assisting over 42 million individuals, and food banks play a critical role in outreach and enrollment for SNAP. We utilize data on the operational characteristics and SNAP activities of food banks that are members of the Feeding America network and U.S. Census data on the demographic characteristics of their service area. We find that an increased percentage of part-time FTEs (full-time equivalent) in a food bank's workforce dedicated to SNAP outreach efforts increases its effectiveness, particularly in relation to operational and contextual factors that can benefit from a more flexible workforce. Based on these findings and our review of the literature, we propose a conceptual framework on the effectiveness of part-time employees in different settings.

在文献中,使用兼职员工支持运营一直是一个有争议的话题。虽然兼职员工为运营增加了具有成本效益的灵活性,但他们对运营结果的影响大多被认为是负面的。然而,也有一些部门(如非营利机构)非常依赖兼职员工,并有传闻证据支持他们在改善结果方面的作用。通过这项研究,我们试图揭示这些相互矛盾的观点。为此,我们调查了美国粮食银行专门从事补充营养援助计划(SNAP)推广工作的兼职员工比例对这一举措效果的影响。SNAP 是美国国内最大的饥饿计划,为 4200 多万人提供帮助,而食品银行在 SNAP 的推广和注册方面发挥着至关重要的作用。我们利用 "喂养美国 "网络成员中的食品银行的运营特点和 SNAP 活动数据,以及美国人口普查关于其服务区域人口特征的数据。我们发现,增加食品银行专门从事 SNAP 外联工作的兼职 FTE(全职等同人员)的比例可以提高其效率,特别是在与运营和环境因素相关的方面,更灵活的劳动力可以使其受益。基于这些研究结果和我们对文献的回顾,我们提出了一个关于兼职员工在不同环境中的有效性的概念框架。
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引用次数: 0
An empirical analysis of process improvement from best practice adoption: A study of stroke care best practices 对采用最佳实践改进流程的实证分析:中风护理最佳实践研究
IF 7.8 2区 管理学 Q1 MANAGEMENT Pub Date : 2024-04-03 DOI: 10.1002/joom.1301
Brandon Lee, Lawrence Fredendall, Aleda Roth, Shannon Sternberg, Bernardo F. Quiroga

This study empirically examines how induced learning through adopting a set of best practices and learning-by-doing improved a hospital's care of ischemic stroke patients using ad hoc teams. While previous studies in healthcare operations management conducted in ad hoc team environments predominantly focused on volume-based learning (learning by doing, team familiarity via interactions among team members), our study focuses on induced learning in ad hoc teams through best practice adoptions. The analysis uses secondary data (Data period: January 2009–March 2017) about stroke patients from a comprehensive stroke center (CSC) in a U.S. tertiary teaching hospital as it adopted the U.S. American Heart Association/American Stroke Association (AHA/ASA) Target:Stroke best practices. The ad hoc stroke teams provide the initial care and their performance is measured using “Door-to-Needle (DTN)” time and its sub-time segments. The DTN time is measured as the time elapsed between the stroke patient's arrival at the hospital's emergency department (ED) and the appropriate infusion of “Tissue Plasminogen Activator (TPA)” (i.e., a thrombolytic medication informally referred to as a “clot buster”). We found that adopting these best practices improved ischemic stroke care beyond improvement due to repetition. We also found that the neurologist's recent experience providing stroke care for the prior patient is positively associated with meeting the time performance goal for the current patient. This study provides insights into the use of management mechanisms to adopt and sustain best practices in healthcare that are generalizable to other organizations with ad hoc team environments.

本研究通过实证研究,探讨了如何通过采用一套最佳实践和边做边学来提高医院对缺血性中风患者的护理水平。以往在特设团队环境下进行的医疗运营管理研究主要关注基于数量的学习(边做边学、通过团队成员之间的互动来熟悉团队),而我们的研究则侧重于通过采用最佳实践来诱导特设团队的学习。分析使用的是美国一家三级教学医院综合卒中中心(CSC)采用美国心脏协会/美国卒中协会(AHA/ASA)Target:Stroke 最佳实践时卒中患者的二手数据(数据时间:2009 年 1 月至 2017 年 3 月)。特设卒中团队提供初始救治,其绩效通过 "门到针(DTN)"时间及其子时间段来衡量。DTN 时间是指从中风病人到达医院急诊科(ED)到适当输注 "组织浆蛋白酶原激活剂(TPA)"(即一种非正式称为 "血块克星 "的溶栓药物)之间的时间。我们发现,采用这些最佳实践改善了缺血性脑卒中护理,而不是因为重复而有所改善。我们还发现,神经科医生近期为之前患者提供中风护理的经验与当前患者达到时间绩效目标正相关。本研究为医疗保健领域采用和维持最佳实践的管理机制提供了启示,可推广到其他具有临时团队环境的组织。
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Journal of Operations Management
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