Evolution Paths of Business Models in Personalized Medicine

Mrak, Marija Kaštelan; Sokolić, Danijela

doi:10.1007/978-3-030-16465-2_12

Cited by 2 publications

(4 citation statements)

References 2 publications

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“…(Sukhal et al, 2017;www.elso.org/covid19). In some countries, COVID-19 patients over the age of 60 are denied access to ventilators and beds (Mrak and Sokolic, 2019).…”

Section: Discussionmentioning

confidence: 99%

“…Extracorporeal Membrane Oxygenation (ECMO) 6 , heart-lung bypass in intensive care (ICU) for potentially reversible acute respiratory failure (Sukhal et al, 2017; https://www.elso.org/covid19). In some countries, COVID-19 patients over the age of 60 are denied access to ventilators and intensive care beds (Mrak and Sokolic, 2019). 5 As an example, the Victorian hospital budget (2019-2020) is $14,667.2 million, allocated to each hospital in the form of WAUs.…”

Section: Insert Figure 1 Appendix Herementioning

confidence: 99%

“…A patient’s medical record is used to generate the DRG payment code. Some hospitalised influenza A (H1N1) and COVID-19 patients receive very expensive extracorporeal membrane oxygenation (ECMO) [6], heart–lung bypass in ICU for potentially reversible acute respiratory failure (Sukhal et al , 2017; www.elso.org/covid19). In some countries, COVID-19 patients over the age of 60 are denied access to ventilators and beds (Mrak and Sokolic, 2019).…”

Section: The Technical Social and Moral Issues With Abf And Covid-19 ...mentioning

confidence: 99%

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Accounting, valuing and investing in health care: dealing with outdated accounting models

Vesty

Kokshagina

Jansson

et al. 2022

MEDAR

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Purpose Despite major progress made in improving the health and well-being of millions of people, more efforts are needed for investment in 21st century health care. However, public hospital waiting lists continue to grow. At the same time, there has been increased investment in e-health and digital interventions to enhance population health and reduce hospital admissions. The purpose of this study is to highlight the accounting challenges associated with measuring, investing and accounting for value in this setting. The authors argue that this requires more nuanced performance metrics that effect a shift from a technical practice to one that embraces social and moral values. Design/methodology/approach This research is based on field interviews held with clinicians, accountants and administrators in public hospitals throughout Australia and Europe. The field research and multidisciplinary narratives offer insights and issues relating to value and valuing and managing digital health investment decisions for the post-COVID-19 “value-based health-care” future of accounting in the hospital setting. Findings The authors find that the complex activity-based hospital funding models operate as a black box, with limited clinician understanding and hybridised accounting expertise for informed social, moral and ethical decision-making. While there is malleability of the health economics-derived activity-based hospital funding models, value contestation and conflict are evident in the operationalisation of these models in practice. Activity-based funding (ABF) mechanisms reward patient throughput volumes in hospitals but at the same time stymie investment in digital health. Although classified as strategic investments, there is a limit to strategic planning. Research limitations/implications Accounting in public hospitals has become increasingly visible and contested during the pandemic-driven health-care crisis. Further research is required to examine the hybridising accounting expertise as it is increasingly implicated in the incremental changes to ABF in the emergence of value-based health care and associated digital health investment strategies. Despite operationalising these health economic models in practice, accountants are currently being blamed for dysfunctional health-care decisions. Further education for practicing accountants is required to effect operational change. This includes education on the significant moral and ethical dilemmas that result from accounting for patient mix choices in public hospital service provision. Originality/value This research involved a multidisciplinary team from accounting, digital health, information systems, value-based health care and clinical expertise. Unique insights on the move to digital health care are provided. This study contributes to policy development and the limited value-based health-care literature in accounting.

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“…(Sukhal et al, 2017;www.elso.org/covid19). In some countries, COVID-19 patients over the age of 60 are denied access to ventilators and beds (Mrak and Sokolic, 2019).…”

Section: Discussionmentioning

confidence: 99%

Section: Insert Figure 1 Appendix Herementioning

confidence: 99%

Section: The Technical Social and Moral Issues With Abf And Covid-19 ...mentioning

confidence: 99%

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Accounting, valuing and investing in health care: dealing with outdated accounting models

Vesty

Kokshagina

Jansson

et al. 2022

MEDAR

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“…Career development policies, such as training, mentoring, and skill diversification initiatives, are essential for shaping employees' professional growth and improving their performance [14]- [16]. These policies provide employees with opportunities to acquire new skills, expand their knowledge, and develop their careers within the organization [17], [18].…”

Section: Introductionmentioning

confidence: 99%

Analysis of the Effect of Career Development Policy and Work Motivation on Employee Productivity and Job Satisfaction Level in Service Companies in Indonesia

Haslindah,

Arisanti,

Suardi

et al. 2023

WSIS

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This study investigates the dynamic interaction between career development policies, work motivation, and employee outcomes in service companies in the Indonesian context. Using a quantitative approach, this study employed Structural Equation Modeling with Partial Least Squares (SEM-PLS) to analyze survey data from 158 employees. The measurement model robustly validated the constructs, revealing significant relationships. Career development policies emerged as a key driver of work motivation, which in turn influenced productivity and job satisfaction. The structural model achieved a good fit index, confirming its validity. This study underscores the critical role of strategic human resource management, offering actionable insights for organizations aiming to optimize employee development, motivation, and overall well-being.

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Evolution Paths of Business Models in Personalized Medicine

Cited by 2 publications

References 2 publications

Accounting, valuing and investing in health care: dealing with outdated accounting models

Accounting, valuing and investing in health care: dealing with outdated accounting models

Analysis of the Effect of Career Development Policy and Work Motivation on Employee Productivity and Job Satisfaction Level in Service Companies in Indonesia

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