VikalpaPub Date : 2021-09-01DOI: 10.1177/02560909211040692
C. Parsad, S. Prashar, Vinita Sahay
{"title":"Tata Nano: Case of Repositioning","authors":"C. Parsad, S. Prashar, Vinita Sahay","doi":"10.1177/02560909211040692","DOIUrl":"https://doi.org/10.1177/02560909211040692","url":null,"abstract":"177 Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-Commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub. com/en-us/nam/open-access-at-sage). Tata Nano: Case of Repositioning","PeriodicalId":35878,"journal":{"name":"Vikalpa","volume":"2015 1","pages":"177 - 187"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87947570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
VikalpaPub Date : 2021-09-01DOI: 10.1177/02560909211043184
D. Chattaraj, Seemita Mohanty, Archana Satpathy
{"title":"Communicating Through a Pandemic: Insights on Crisis Communication from Steel Authority of India Limited, Rourkela Steel Plant","authors":"D. Chattaraj, Seemita Mohanty, Archana Satpathy","doi":"10.1177/02560909211043184","DOIUrl":"https://doi.org/10.1177/02560909211043184","url":null,"abstract":"Executive Summary The year 2020 will go down in the annals of history as the year of COVID-19, the year the whole world was left devastated. Even in 2021, countries are being ravaged by the virus, with no immediate end in sight. In fast-moving and uncertain situations, leaders face many questions for which they might not have any answers (Argenti, 2020). Therefore, the question is how leaders can manage the communication environment with clarity, consistency and empathy during this period of extreme disruption (Glinska, 2020). Crisis communication is generally defined as the accumulation and dissemination of information during crisis situations to alleviate the severity of the crisis. This study outlines and analyses the communication strategies and measures adopted by the management of one of the biggest manufacturing industries of the country, the Steel Authority of India Limited, Rourkela Steel Plant (RSP), during this ongoing COVID-19 crisis. A survey on the efficacy of the communication measures adopted by the management was conducted on 345 employees. The results showed a high level of support for all the implemented communication measures. Yet employees at the junior level articulated a need for better communication exchange with the top management. They perceived their voices as going unheard and sought additional communication channels connecting them to the highest authority. Considering the feedback received from the employees, additional communication measures were adopted. RSP’s Mass Contact Exercise was revived in an online format. A mobile app was developed containing all information and guidelines that an employee would need regarding precautions, prevention, testing and treatment of COVID-19. Quick and clear communication at every juncture let RSP tide through arguably the toughest pandemic period. Thus, it should always be ensured that appropriate communication channels are effectively implemented for vital information to reach every corner of the organization.","PeriodicalId":35878,"journal":{"name":"Vikalpa","volume":"30 1","pages":"166 - 176"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74822853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
VikalpaPub Date : 2021-06-01DOI: 10.1177/02560909211027090
Payal Mehra, Anubhav A. Mishra
{"title":"Role of Communication, Influence, and Satisfaction in Patient Recommendations of a Physician","authors":"Payal Mehra, Anubhav A. Mishra","doi":"10.1177/02560909211027090","DOIUrl":"https://doi.org/10.1177/02560909211027090","url":null,"abstract":"As per the India Brand Equity Foundation, by 2022, India’s healthcare market is expected to reach US$372 billion. While exponential growth in the availability of private hospitals has been recorded in the past few years, many hospitals are not able to attract enough patients due to poor quality of services, unavailability of skilled healthcare workers, and unethical medical practices. These issues were painfully exposed during the COVID-19 pandemic. Patients rely on recommendations from friends and relatives to select a physician or hospital. This study undertakes a customer-oriented view of patients to explore patients’ perceptions of physicians’ communication and how it influences the recommendation of a physician. For the study, data are collected from 626 patients spread across three cities of North India. We find that physician communication leads to favourable recommendations, and the patient’s perceived influence and satisfaction play an important role in this process. The physician should display empathy and compassion while communicating to patients, which helps build a favourable perception of the physician. This leads to a higher level of satisfaction with the healthcare provider. Furthermore, the study also examines the effects of socio-demographic variables, such as patient’s income, patient’s gender, and physician’s gender. People with high (vs low) income are more satisfied with physician communication, whereas people with low (vs high) income are more likely to recommend a physician. Interestingly, female patients are more satisfied with a physician’s communication skills than males. Aligned with the patriarchal society, patients show more acceptance of male (vs female) doctors, but in contrast, patients are more likely to recommend a female (vs male) doctor. So, we recommend that healthcare providers ensure that patients get sufficient time to spend with their physicians to discuss problems and not ‘rush’ the patients to improve revenues.","PeriodicalId":35878,"journal":{"name":"Vikalpa","volume":"20 1","pages":"99 - 111"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82112659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
VikalpaPub Date : 2021-06-01DOI: 10.1177/02560909211027089
Rohit Kumar, Aditya Duggirala
{"title":"Health Insurance as a Healthcare Financing Mechanism in India: Key Strategic Insights and a Business Model Perspective","authors":"Rohit Kumar, Aditya Duggirala","doi":"10.1177/02560909211027089","DOIUrl":"https://doi.org/10.1177/02560909211027089","url":null,"abstract":"This study provides strategic insights and a business model perspective on health insurance as a vehicle for financing healthcare. It uses both primary (expert interview) and secondary data to investigate the overall disease burden and healthcare industry trends and track healthcare financing through the health insurance mechanism in India. To identify the critical success factors and to gain a business model perspective within the health insurance industry, telephonic and face-to-face interviews were held with 27 experts in the healthcare, insurance, and strategic management field. The study’s findings suggest that the growth of health insurance as a healthcare financing mechanism in India has been challenged continuously and impacted by multiple changes in the health insurance and healthcare industry over the last decade. One of the critical challenges faced by insurance companies is the high incurred claim ratio. We find the Indian health insurance industry to be very competitive and that the focus on critical success factors can help insurance companies gain a competitive advantage. The health insurance business model is unique, with varying configurations, and broadly comprises strategic choices and consequences. In this article, drawing from the strategic management literature on the resource-based view (RBV) and insights gained from the interviews of healthcare and health insurance experts, we highlight the six critical success factors relevant for competing in the health insurance business. We also list five strategic choices that can help health insurance companies improve their profitability and gain a sustained competitive advantage. We recommend that the insurance companies design and develop an innovative business model centred around lowering the claim ratio and simultaneously increasing the customer willingness to pay. To increase the customer willingness to pay and reduce the claim ratio, the insurance companies should focus on the six critical success factors and invest in the five strategic choices.","PeriodicalId":35878,"journal":{"name":"Vikalpa","volume":"30 1","pages":"112 - 128"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83380908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
VikalpaPub Date : 2021-06-01DOI: 10.1177/02560909211023163
Smeeta Mishra
{"title":"Looking for Medical Advice in Everyday Digital Spaces: A Qualitative Study of Indians Connecting with Physicians on Facebook","authors":"Smeeta Mishra","doi":"10.1177/02560909211023163","DOIUrl":"https://doi.org/10.1177/02560909211023163","url":null,"abstract":"In a world afflicted by COVID-19, many people consult doctors through a digital interface or over the phone, as face-to-face consultations are almost impossible during a lockdown. The Medical Council of India and the NITI Aayog, a policy think tank, formulated new guidelines to empower medical practitioners to practice telemedicine in India in March 2020. Even before the COVID-19 pandemic gripped the world and made digital consultations a necessity in specific cases, academic studies located within a health promotion framework in Western contexts indicated that patients have been very much interested in using social media tools to communicate with their physicians. Previous studies have also highlighted the advantages of information and communication technologies for patient–doctor interaction. Since changes introduced by digital health technologies have primarily been analysed from such health promotion perspectives that often adopt a ‘techno-utopian’ lens (Lupton, 2013), it becomes imperative to critically interrogate how such changes construct specific subjectivities and shape our understandings of health and normative healthcare practices. Specifically, scholars have highlighted how social media platforms and apps act as ‘performative devices’ (Johnson, 2014) that influence ‘everyday management of illness and health’ and help create the ideal of the ‘digitally engaged patient’ (Lupton, 2013). In the Indian context, media reports highlight a growing trend in the use of social media platforms and apps by physicians and patients. However, academic research on such emerging phenomena in this country is still scarce. This exploratory study examines why some Indians connect with physicians on a social media platform such as Facebook, the nature of communication between them and their understandings of health. It uses in-depth interviews and draws upon neoliberal governmentality as a theoretical anchor. The findings show how the internalization of neoliberal values and assumptions are associated with participants’ search for lifestyle and medical advice in everyday digital spaces such as Facebook. This study strives to extend the concept of neoliberal governmentality to performances in everyday digital spaces such as Facebook. In terms of practical implications, the results of the study highlight the critical need for policies that regulate the medical content available in social media spaces. Most importantly, some of the issues highlighted by the participants in this study can help policymakers take adequate precautions while formulating guidelines on digital consultations, especially during pandemics and their aftermath when there is tremendous pressure to promote telemedicine.","PeriodicalId":35878,"journal":{"name":"Vikalpa","volume":"56 1","pages":"86 - 98"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76774631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
VikalpaPub Date : 2021-06-01DOI: 10.1177/02560909211030356
R. Chandwani
{"title":"Stakeholders in the Indian Healthcare Sector","authors":"R. Chandwani","doi":"10.1177/02560909211030356","DOIUrl":"https://doi.org/10.1177/02560909211030356","url":null,"abstract":"65 Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-Commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub. com/en-us/nam/open-access-at-sage). Stakeholders in the Indian Healthcare Sector","PeriodicalId":35878,"journal":{"name":"Vikalpa","volume":"35 1","pages":"65 - 70"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83034211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
VikalpaPub Date : 2021-06-01DOI: 10.1177/02560909211025361
A. Panda, Sanjay Mohapatra
{"title":"Online Healthcare Practices and Associated Stakeholders: Review of Literature for Future Research Agenda","authors":"A. Panda, Sanjay Mohapatra","doi":"10.1177/02560909211025361","DOIUrl":"https://doi.org/10.1177/02560909211025361","url":null,"abstract":"The rise of online platforms for health information exchange is changing the traditional healthcare delivery practices. With Internet technologies, online healthcare practices are continuously growing through their diversified delivery functionalities with better and faster reachability. Participants use such forums for various purposes, for instance, to gather information, seek medical assistance, connect with other users, and purchase healthcare products or services. The need for a consolidated study, considering all key aspects of virtual healthcare, is crucial. We aim to examine the existing literature to study stakeholders of online healthcare and their behaviour dynamics, available functionalities and service delivery approaches during different phases. We have identified five key stakeholders who are vital for online healthcare deliveries and explored their contributions across life-cycle stages of online healthcare community (OHC) in India. The PRISMA reporting approach was used to select suitable literature for this study. About 78 articles were identified, which were shortlisted to 67 articles, keeping in mind the objectives of this study. Key findings from all these articles are segregated according to identified themes and systematically presented to enlarge the visibilities of associated functionalities. This study is one of the initial studies on India’s OHC that has defined associated stakeholders, functionalities and association dynamics during different life-cycle phases. People are proactively emerging towards OHC to acquire knowledge, share experience and decide their healthcare drives. Being operated virtually, information technology (IT) is the driving factor of OHC, and we have addressed the diversified IT aspects applicable in an OHC set-up. We also have accumulated all key attributes of OHC and produced a theoretical framework through this study, which academic researchers can use to understand the present approaches better and derive futuristic studies. Similarly, service providers can use the findings to evaluate their services, identify the present loopholes in the operational approaches and effectively manage the deliverables to meet end-user needs.","PeriodicalId":35878,"journal":{"name":"Vikalpa","volume":"54 1","pages":"71 - 85"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78628543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
VikalpaPub Date : 2021-06-01DOI: 10.1177/02560909211023167
Abhishek Singh, S. Rangnekar
{"title":"Hospital Management Text and Cases","authors":"Abhishek Singh, S. Rangnekar","doi":"10.1177/02560909211023167","DOIUrl":"https://doi.org/10.1177/02560909211023167","url":null,"abstract":"VIKALPA • VOLUME 46 • ISSUE 2 • APRIL-JUNE 2021 135 Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons AttributionNonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-Commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https:// us.sagepub.com/en-us/nam/open-access-at-sage). B O O K R E V I E W Hospital Management","PeriodicalId":35878,"journal":{"name":"Vikalpa","volume":"18 1","pages":"135 - 136"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77744808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}