管理学最新文献

{"title":"On the Importance of Field Studies for Testing Theory-Driven Behavioral Change Interventions in (Sustainable) Tourism.","authors":"Emil Juvan, Oscar Yuheng Zhu, Bettina Grün, Sara Dolnicar","doi":"10.1177/00472875241253009","DOIUrl":"10.1177/00472875241253009","url":null,"abstract":"<p><p>Practical measures to entice tourists to behave in environmentally sustainable ways are urgently needed. The effectiveness of such measures is typically tested in survey experiments. This study demonstrates that this approach can be misleading. We test two messages aimed at reducing buffet food waste. One builds on established theories of human behavior (theory of planned behavior, value-belief-norm theory); it assumes that changing beliefs by providing information triggers behavior change. The second message builds on hedonic psychology; it attempts to change behavior through humor, presenting the pro-environmental behavior as enjoyable. In the survey experiment, the belief-based message significantly increases intentions to reduce plate waste; but both messages fail to change behavior in a real hotel. These insights have methodological and practical implications: the effectiveness of new practical measures developed to trigger specific tourist behaviors must be tested in the field before reliable managerial recommendations can be derived.</p>","PeriodicalId":48435,"journal":{"name":"Journal of Travel Research","volume":"64 6","pages":"1449-1463"},"PeriodicalIF":8.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12121902/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adoption of artificial intelligence in healthcare: survey of health system priorities, successes, and challenges.","authors":"Eric G Poon, Christy Harris Lemak, Juan C Rojas, Janet Guptill, David Classen","doi":"10.1093/jamia/ocaf065","DOIUrl":"10.1093/jamia/ocaf065","url":null,"abstract":"<p><strong>Importance: </strong>The US healthcare system faces significant challenges, including clinician burnout, operational inefficiencies, and concerns about patient safety. Artificial intelligence (AI), particularly generative AI, has the potential to address these challenges, but its adoption, effectiveness, and barriers to implementation are not well understood.</p><p><strong>Objective: </strong>To evaluate the current state of AI adoption in US healthcare systems, assess successes and barriers to implementation during the early generative AI era.</p><p><strong>Design, setting, and participants: </strong>This cross-sectional survey was conducted in Fall 2024, and included 67 health systems members of the Scottsdale Institute, a collaborative of US non-profit healthcare organizations. Forty-three health systems completed the survey (64% response rate). Respondents provided data on the deployment status and perceived success of 37 AI use cases across 10 categories.</p><p><strong>Main outcomes and measures: </strong>The primary outcomes were the extent of AI use case development, piloting, or deployment, the degree of reported success for AI use cases, and the most significant barriers to adoption.</p><p><strong>Results: </strong>Across the 43 responding health systems, AI adoption and perceptions of success varied significantly. Ambient Notes, a generative AI tool for clinical documentation, was the only use case with 100% of respondents reporting adoption activities, and 53% reported a high degree of success with using AI for Clinical Documentation. Imaging and radiology emerged as the most widely deployed clinical AI use case, with 90% of organizations reporting at least partial deployment, although successes with diagnostic use cases were limited. Similarly, many organizations have deployed AI for clinical risk stratification such as early sepsis detection, but only 38% report high success in this area. Immature AI tools were identified a significant barrier to adoption, cited by 77% of respondents, followed by financial concerns (47%) and regulatory uncertainty (40%).</p><p><strong>Conclusions and relevance: </strong>Ambient Notes is rapidly advancing in US healthcare systems and demonstrating early success. Other AI use cases show varying degrees of adoption and success, constrained by barriers such as immature AI tools, financial concerns, and regulatory uncertainty. Addressing these challenges through robust evaluations, shared strategies, and governance models will be essential to ensure effective integration and adoption of AI into healthcare practice.</p>","PeriodicalId":50016,"journal":{"name":"Journal of the American Medical Informatics Association","volume":" ","pages":"1093-1100"},"PeriodicalIF":4.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Entrepreneurial resourcefulness and new venture creation: Mediating role of sensing capability among early and late starter youth entrepreneurs","authors":"Ayodotun Stephen Ibidunni ,&nbsp;Paulinus Iyika ,&nbsp;Tomisin James Aruleba ,&nbsp;Obaloluwa Obed Oyewo ,&nbsp;Chioma Glory Nnaemeka","doi":"10.1016/j.ijme.2025.101227","DOIUrl":"10.1016/j.ijme.2025.101227","url":null,"abstract":"<div><div>This study investigated entrepreneurial resourcefulness (ER) and new venture creation intention (NVCI) among early and late starter youth entrepreneurs. It also examined the mediating role of sensing capability on the ER-NVCI relationship. We utilized data gathered from 320 early starter entrepreneurs (ESE) and late starter entrepreneurs (LSE) in an entrepreneurial higher education setting in Nigeria. The PLS-SEM was used to determine the direct relationship between ER and NVCI, and mediating role of sensing capability on the ER-NVCI relationship. Across the three sample levels including ESE, LSE, and the full-sample, the results show that frugality and self-control resourcefulness behaviour directly impact on sensing capability. Also, there is a direct impact of sensing capability on NVCI. The mediating effect of sensing capability is stronger on the relationship between frugality and NVCI. Our study extends the existing literature by spotlighting ER within the context of ESE and LSE in explaining time differentials among student entrepreneur's new venture creation intention.</div></div>","PeriodicalId":47191,"journal":{"name":"International Journal of Management Education","volume":"23 3","pages":"Article 101227"},"PeriodicalIF":6.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144518733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dynamic few-shot prompting for clinical note section classification using lightweight, open-source large language models.","authors":"Kurt Miller, Steven Bedrick, Qiuhao Lu, Andrew Wen, William Hersh, Kirk Roberts, Hongfang Liu","doi":"10.1093/jamia/ocaf084","DOIUrl":"10.1093/jamia/ocaf084","url":null,"abstract":"<p><strong>Objective: </strong>Unlocking clinical information embedded in clinical notes has been hindered to a significant degree by domain-specific and context-sensitive language. Identification of note sections and structural document elements has been shown to improve information extraction and dependent downstream clinical natural language processing (NLP) tasks and applications. This study investigates the viability of a dynamic example selection prompting method to section classification using lightweight, open-source large language models (LLMs) as a practical solution for real-world healthcare clinical NLP systems.</p><p><strong>Materials and methods: </strong>We develop a dynamic few-shot prompting approach to classifying sections where section samples are first embedded using a transformer-based model and deposited in a vector store. During inference, the embedded samples with the most similar contextual embeddings to a given input section text are retrieved from the vector store and inserted into the LLM prompt. We evaluate this technique on two datasets comprising two section schemas, including varying levels of context. We compare the performance to baseline zero-shot and randomly selected few-shot scenarios.</p><p><strong>Results: </strong>The dynamic few-shot prompting experiments yielded the highest F1 scores in each of the classification tasks and datasets for all seven of the LLMs included in the evaluation, averaging a macro F1 increase of 39.3% and 21.1% in our primary section classification task over the zero-shot and static few-shot baselines, respectively.</p><p><strong>Discussion and conclusion: </strong>Our results showcase substantial performance improvements imparted by dynamically selecting examples for few-shot LLM prompting, and further improvement by including section context, demonstrating compelling potential for clinical applications.</p>","PeriodicalId":50016,"journal":{"name":"Journal of the American Medical Informatics Association","volume":" ","pages":"1164-1173"},"PeriodicalIF":4.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12203503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Drivers of stealth luxury: Fashion capital on inconspicuous luxury consumption","authors":"Jin Jeong ,&nbsp;Yuri Lee","doi":"10.1016/j.jretconser.2025.104401","DOIUrl":"10.1016/j.jretconser.2025.104401","url":null,"abstract":"<div><div>The rise of stealth luxury consumption has reshaped consumer behavior in the luxury fashion market. This study introduces fashion capital as a novel predictor of stealth luxury consumption, distinguishing it from traditional economic and cultural capital influences. Drawing on Bourdieu's capital theory, we propose that fashion capital plays a crucial role in shaping consumers' preference for inconspicuous luxury. Following Churchill's scale development paradigm, we conducted interviews with eight fashion experts and two surveys of 300 luxury consumers each (totaling 600 respondents). Findings reveal that fashion capital significantly influences stealth luxury consumption, fully mediating the effects of economic and cultural capital. This study contributes to the literature by refining the concept of fashion capital, introducing a robust measurement scale, and demonstrating its theoretical and methodological relevance. Managerially, this study offers insights for luxury brands aiming to adapt their consumer segmentation strategies and marketing communications to align with evolving, taste-driven preferences associated with higher levels of fashion capital.</div></div>","PeriodicalId":48399,"journal":{"name":"Journal of Retailing and Consumer Services","volume":"87 ","pages":"Article 104401"},"PeriodicalIF":11.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144517617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When digital platforms meet tradition: Phygital innovation in the cultural heritage","authors":"Danilo Pesce ,&nbsp;Claudia Franzè","doi":"10.1016/j.jengtecman.2025.101896","DOIUrl":"10.1016/j.jengtecman.2025.101896","url":null,"abstract":"<div><div>The digitalization of cultural and creative industries has often followed a path of convergence between physical and digital artefacts, leading to the rise of digital platforms that reshape value chains. However, the cultural heritage sector has undergone a different form of digital transformation. Digital platforms in this field create a “phygital” experience that blends tradition with innovation. This study examines the role of digital platforms in fostering social and economic development in the cultural heritage sector, focusing on Google Arts &amp; Culture, launched by Google in 2011. Through a longitudinal case study, we explore how digital platforms create value for multiple stakeholders—museums, users, and the platform itself—by enhancing efficiency, complementarities, novelty, and lock-in mechanisms. Our findings indicate that digital platforms introduce a more dynamic and complex ecosystem that drives growth and innovation while shifting cultural organizations from integrated supply chains to networks of strategic partnerships. The success of digital platforms in promoting social and economic development depends on museums’ ability to internalize legacy knowledge and platforms’ capacity to reinterpret this knowledge using advanced digital tools. This research contributes to the literature on innovation and strategic management by demonstrating that, rather than disrupting tradition, digital platforms enhance the cultural heritage experience. Additionally, while platforms like Google Arts &amp; Culture operate under a non-profit model to democratize culture, they capture significant value through data aggregation, which may play a key role in training artificial intelligence systems.</div></div>","PeriodicalId":50209,"journal":{"name":"Journal of Engineering and Technology Management","volume":"77 ","pages":"Article 101896"},"PeriodicalIF":3.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144518523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The administrative burden of medication affordability resources: an environmental scan with implications for health informatics to advance health equity.","authors":"Marcy G Antonio, Jennylee Swallow, Rachel Richesson, Christine Carethers, Antoinette B Coe, Divya Jahagirdar, Yung-Yi Huang, Tammy Toscos, Mindy Flanagan, Tiffany C Veinot","doi":"10.1093/jamia/ocaf087","DOIUrl":"10.1093/jamia/ocaf087","url":null,"abstract":"<p><strong>Objective: </strong>To characterize and demonstrate how to reduce the administrative burden experienced by patients when navigating medication affordability resources in the United States.</p><p><strong>Materials and methods: </strong>Informed by administrative burden theory, we conducted an environmental scan of medication affordability resources for atrial fibrillation, and four common comorbidities (diabetes, heart failure, hypertension, and lipid disorder). We systematically searched for resources (eg, patient assistance programs, savings cards and nonprofit support) and extracted information about types, eligibility criteria, needed documentation, and application processes.</p><p><strong>Results: </strong>We identified 66 resources across 12 categories across the five conditions. The resources' varied eligibility criteria, application processes, and requirements for providing sensitive financial documents could introduce multiple administrative costs for patients.</p><p><strong>Discussion: </strong>The volume and complexity of medication affordability resources and related application processes may create substantial administrative burden for patients that could prevent their use-especially when prescribed multiple medications.</p><p><strong>Conclusion: </strong>Medication affordability resource informatics tools that reduce administrative burden could advance equitable medication access.</p>","PeriodicalId":50016,"journal":{"name":"Journal of the American Medical Informatics Association","volume":"32 7","pages":"1206-1218"},"PeriodicalIF":4.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"‘Gospel’ or ‘Curse’: How Tourism Resource Endowment Affects Human Capital","authors":"Hui Zhang,&nbsp;Qiao Zhou,&nbsp;Liqi Tian,&nbsp;Yueyue Tan,&nbsp;Mengxiu Zeng,&nbsp;Chao Luo","doi":"10.1002/jtr.70073","DOIUrl":"https://doi.org/10.1002/jtr.70073","url":null,"abstract":"<div>\u0000 \u0000 <p>Tourism resources and human capital have an important impact on regional sustainable development. Based on the resource curse theory, this paper combines the characteristics of the industry to analyze in depth the role of tourism resources on the level of human capital and the mechanism of influence. The results show that tourism resource endowment significantly relates to regional human capital in an inverted U-shaped. The mediating effect analysis suggests that industrial structure mediates the relationship. The heterogeneity test indicates this relationship is evident only in the eastern regions. This research expands the application scope of the resource curse theory and the three-step test method. It helps understand how tourism resources affect human capital through industrial structure and offers suggestions for sustainable tourism development and regional economic growth in China.</p>\u0000 </div>","PeriodicalId":51375,"journal":{"name":"International Journal of Tourism Research","volume":"27 4","pages":""},"PeriodicalIF":4.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144519660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"External validation of a proprietary risk model for 1-year mortality in community-dwelling adults aged 65 years or older.","authors":"Erica Frechman, Byron C Jaeger, Marc Kowalkowski, Jeff D Williamson, Kristin M Lenoir, Jessica A Palakshappa, Brian J Wells, Kathryn E Callahan, Nicholas M Pajewski, Jennifer L Gabbard","doi":"10.1093/jamia/ocaf062","DOIUrl":"10.1093/jamia/ocaf062","url":null,"abstract":"<p><strong>Objective: </strong>To examine the discrimination, calibration, and algorithmic fairness of the Epic End of Life Care Index (EOL-CI).</p><p><strong>Materials and methods: </strong>We assessed the EOL-CI's performance by estimating area under the receiver operating characteristic curve (AUC), sensitivity, and positive and negative predictive values in community-dwelling adults ≥65 years of age in a single health system in the Southeastern United States. Algorithmic fairness was examined by comparing the model's performance across sex, race, and ethnicity subgroups. Using a machine learning approach, we also explored local re-calibration of the EOL-CI considering additional information on past hospitalizations and frailty.</p><p><strong>Results: </strong>Among 215 731 patients (median age = 74 years, 57% female, 12% of Black race), 10% were classified as medium risk (15-44) and 3% as high risk (≥45) by the EOL-CI. The observed 1-year mortality rate was 3%. The EOL-CI had an AUC 0.82 for 1-year mortality, with a positive predictive value of 22%. Predictive performance was generally similar across sex and race subgroups, though the EOL-CI displayed better performance with increasing age and in older adults with 2 or more outpatient encounters in the past 24 months. Local re-calibration of the EOL-CI was required to provide absolute estimates of mortality risk, and calibration was further improved when the EOL-CI was augmented with data on inpatient hospitalizations and frailty.</p><p><strong>Discussion: </strong>The EOL-CI demonstrates reasonable discrimination, albeit with better performance in older adults and in those with greater health system contact.</p><p><strong>Conclusion: </strong>Local refinement and calibration of the EOL-CI score is required to provide direct estimates of prognosis, with the goal of making the EOL-CI a more a valuable tool at the point of care for identifying patients who would benefit from targeted palliative care interventions and proactive care planning.</p>","PeriodicalId":50016,"journal":{"name":"Journal of the American Medical Informatics Association","volume":" ","pages":"1110-1119"},"PeriodicalIF":4.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12199354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supporting rapid innovation in research data capture and management: the REDCap external module framework.","authors":"Alex C Cheng, Stephany N Duda, Kyle McGuffin, Mark McEver, Rob Taylor, Günther A Rezniczek, Andrew Martin, Eduardo Morales, Paul A Harris","doi":"10.1093/jamia/ocaf073","DOIUrl":"10.1093/jamia/ocaf073","url":null,"abstract":"<p><strong>Objectives: </strong>Establishing a robust and secure framework allowing creation and sharing of custom features within the REDCap electronic data capture platform.</p><p><strong>Materials and methods: </strong>In partnership with REDCap Consortium members, we developed a framework for creating external modules enabling project-specific REDCap custom functionality (EM Framework). The EM Framework includes guidance and standard processes for developers to ensure basic functionality, compatibility, and security across REDCap instances. The EM Framework also includes an optional dissemination mechanism, the REDCap Repository of External Modules (Repo), for developers to easily share their work with other institutions in the REDCap Consortium.</p><p><strong>Results: </strong>From the EM Framework's launch in 2017 through 2024, 356 external modules have been published to the Repo by software developers at 59 institutions. These modules have been used on 29 485 projects at 2107 institutions in 67 countries. Over time, features from 22 of these external modules have been integrated into the core REDCap code serving 7700+ REDCap Consortium members in 160 countries.</p><p><strong>Discussion: </strong>The EM Framework permits developers to create, test, and deploy custom features to their local REDCap platform. It further enables a process to distribute these features to other REDCap administrators across the Consortium.</p><p><strong>Conclusion: </strong>The EM Framework has enhanced innovation in electronic data capture and dissemination of those innovations to a global research community.</p>","PeriodicalId":50016,"journal":{"name":"Journal of the American Medical Informatics Association","volume":" ","pages":"1149-1156"},"PeriodicalIF":4.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}