The global high-speed rail (HSR) market is growing rapidly. International joint ventures of HSR projects are also increasing. Although previous studies have claimed that HSR IJVs are a combination of cooperation and competition and that engaging in competition is important, it has been rare to find out how to improve their cooperation capabilities to create more common benefits and capture private benefits.
This study will identify the factors that influence coopetition capabilities in HSR IJVs and develop a model of the internal mechanism to bridge the gap. The study identified 19 factors and their categories using a literature study and a pilot study. It collected data by surveying HSR IJV practitioners. Five categories and six paths have been validated based on the path analysis and measurement model test. The research findings show that environmental and organizational factors have a positive impact on competition capabilities.
They also develop an analytical framework for competition in HSR IJVs. This study will add to the knowledge of coopetition theories and help HSR IJV members and other contractors with infrastructure projects to enhance their coopetition capabilities and complete successful projects.
When admin gets attention, it is usually to reduce bureaucracy, increase efficiency, and make the system better for the staff rather than the patients. The staff are traditionally seen as the primary users of admin, not patients. We’ve decided to focus more on admin. We want to continue to make the case for a patient-focused administration and the recognition of its role in delivering inclusive, high-quality care.
Our definition of great administration includes both the views of patients and health disparities. We’re looking for examples of great admin that is accessible, inclusive, and designed by both patients and staff. We want to show what’s possible and share learnings about how this can be done.
Change is not always easy to predict. When complaints are high or when new digital platforms like online booking systems are launched, you might expect organizations to pay more attention to the patient experience of administration. The desire to improve the patient experience in admin is also a factor. This could be due to the need to reduce the number of people who miss appointments, implement the accessible standard, or transform pathways of care better to serve specific groups like people with cancer or dementia. In recent years, the patient experience of administration has been scrutinized more due to the pressures placed on the NHS, such as managing a backlog of waiting patients or the role that admin plays in the successful introduction of new policies, such as Patient-initiated follow-up.
We are interested in understanding what it takes to change the mindset of organizations and individuals and put the patient experience at the center of administration. How has the NHS responded to Laura WadeGery’s recommendation for patients to ‘expect that services will be designed with their needs in mind.’
NHS organizations must take responsibility for removing as much burden as they can from patients who are worried about their health.
When we discuss patients’ experiences of administration, we also include the explicit understanding that both patients and caregivers have different capacities and abilities to compensate for poor admin. NHS organizations must recognize that they have a responsibility to reduce the burden that poor administration places on patients with communication difficulties, English as a second language, low (health) literacy, and digital exclusion.
Last but not least, I will end with three Rs: a reminder, a rallying cry, and a request.
- Reminder: The patient and user experiences of the admin deserve greater attention, especially if you aim to deliver integrated care that is seamless, addressing health inequalities.
- A rallying cry: It’s easy for us to be inspired by others’ achievements when it comes to great administration – this is just one example of how The COVID-19 vaccination booking system has been designed with inclusion in mind.
- Please get in touch with me. Please share your experiences of good admin, both patient-focused and inclusive. You can do this as a patient or professional. We’d love to learn more about great admin.