Journal Articles
Permanent URI for this collectionhttps://mro.massey.ac.nz/handle/10179/7915
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Item Developing a model for primary care quality improvement success: a comparative case study in rural, urban and Kaupapa Māori organisations(CSIRO Publishing on behalf of The Royal New Zealand College of General Practitioners, 2023-08-14) Cullen J; Childerhouse P; Jayamaha N; McBain L; Goodyear-Smith FIntroduction: Primary care is under pressure to achieve accessible, equitable, quality health care, while being increasingly under resourced. There is a need to understand factors that influence quality improvement (QI) to support a high-performing primary care system. Literature highlights the impact of context on QI but there is little primary care research on this topic. Aim: This qualitative case study research seeks to discover the contextual factors influencing QI in primary care, and how the relationships between contextual factors, the QI initiative, and the implementation process influence outcomes. Methods: The Consolidated Framework for Implementation Research was used to frame this qualitative study exploring primary care experiences in depth. Six sites were selected to provide a sample of rural, urban and Kaupapa Māori settings. Qualitative data was collected via semi-structured interviews and compared and contrasted with the organisational documents and data provided by participants. Results: Cases reported success in achieving improved outcomes for patients, practices, and staff. Strong internal cultures of 'Clan' and 'Adhocracy' typologies supported teamwork, distributed leadership, and a learning climate to facilitate iterative sensemaking activities. To varying degrees, external network relationships provided resources, knowledge, and support. Discussion: Organisations were motivated by a combination of patient/community need and organisational culture. Network relationships assisted to varying degrees depending on need. Engaged and distributed leadership based on teamwork was observed, where leadership was shared and emerged at different levels and times as the need arose. A learning climate was supported to enable iterative sensemaking activities to achieve success.Item Enabling sustainable agrifood value chain transformation in developing countries(Elsevier Ltd, 2023-04-01) Hidayati DR; Garnevska E; Childerhouse P; Tong XAs agri-food value chains in developing countries transform to serve higher value markets, they are coming increasing under pressure to embrace sustainable practices. Many key players, particularly smallholders, find it difficult to comply with sustainable practice requirements. They face various barriers in the chain's operation (in terms of governance and value addition), while their primary focus is on increasing incomes to alleviate poverty. Therefore, this study empirically identifies and analyses the factors that enable sustainable value chain transformation in developing countries. A total of three key dimensions (sustainability, governance, and value addition) were used to explore the factors that enable sustainable value chain transformation. Furthermore, the existing practice as well as future intentions towards sustainable value chain practices are evaluated. A quantitative method was employed within Indonesia's cashew sector, and structured interviews were conducted with 159 smallholders from the key production area on Madura Island. The analysis was performed using a combination of descriptive and principal component analyses (PCA). A total of eight factors that enable sustainable transformation were identified. Farm practices and information communication were identified as the most significant enabling factors, as well as stakeholder support, certification motivation, and market expansion. Conversely, the most challenging factors were pre-harvesting value, value capturing, and value adding activities. The results reveal the current practices, barriers, and enablers, and provide policy and practice insights for transforming sustainable value chains in developing countries.Item Sustainable agrifood value chain—transformation in developing countries(MDPI (Basel, Switzerland), 2021-11-09) Hidayati DR; Garnevska E; Childerhouse P; Testa R; Migliore G; Schifani G; Tóth JTo service high-value international markets, many agrifood value chains in developing countries are required to transform to meet the strict quality and safety standards. This transformation process has become further complicated by increased sustainability expectations. The key players in these countries, typically smallholders, are struggling to meet this new sustainability value focus. Economic drivers pervade in this context, whilst the lack of integration often decouples producers from the end market. To address these challenges, this paper develops a framework to enable sustainable agrifood value chain transformation in developing countries. A narrative review was used to analyse the major enablers and barriers in sustainable agrifood value chain transformation specifically in developing countries. The framework novelty lies in the synthesis and prioritisation of transformations actions, by integrating three central dimensions: sustainability, governance, and value addition. The incorporation of sustainability drivers into value chain governance provides a holistic approach that balances profit maximization with social and environmental impacts, thus enabling smallholders in developing countries to access higher value markets. The framework can assist these value chain actors in identifying their transformation trajectory and guide policymakers, along with the public sector, in prioritising their intervention to overcome barriers.Item Transforming Developing Countries Agrifood Value Chains(CENTMA Research, Germany, 2021-09) Hidayati DR; Garnevska E; Childerhouse PThe global agrifood trade is highly reliant on developing countries, which affects value chain transformation and which often results in an imbalance of governance and value addition. In order to address this imbalance and increase the overall value creation, this paper develops and empirically tests a framework for agrifood value chain transformation in developing countries. The research employs a qualitative methodology to explore the proposed framework, which is based on a value chain maturity assessment of current practice and identification of a transformation route. Three primary value chain maturity levels in developing countries are established: traditional, managed, and best practice. Each level is determined using key indicators relating to governance (vertical-horizontal coordination, and information flow) and value addition (value orientation, safety, and quality). The application of this framework to Indonesia’s cashew nuts value chain reveals a mix of traditional and managed practices. The short-medium term transformation focuses on enabling farmers, as the decoupled actors, to advance from a traditional to a more managed chain. Further, the major wholesaler and exporter are identified as highly influential in driving the transformation process. The long-term transformation focuses on developing best practices regarding branded value addition and collaborative governance. This framework offers a novel value chain transformation approach based on a maturity assessment technique leading to the identification of transformation routes. This method takes a holistic transformation approach via the evaluation all the value chain actors’ governance and value-addition capabilities. Follow-up research is required to identify the enablers and barriers of globalised value chain transformation, especially with respect to sustainability.