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1.
Environ Sci Pollut Res Int ; 30(55): 117288-117301, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37864702

RESUMO

Governments and professionals have recently tried to improve public environmental knowledge and laws in order to meet growing environmental concerns. As a result, most nations see corporate environmental initiatives like the circular economy and the green supply chain as important (GSCM) as the best ways to address environmental problems. As a result, this study tries to show how important GSCM and the circular economy are regarding the economy of China's relationship to environmental sustainability. This study uses the partial least square structural equation model (PLS-SEM) on data to obtain trustworthy results from 387 Chinese manufacturing companies. A favorable and statistically significant correlation between GSCM, environmental performance, and the circular economy was revealed using PLS-SEM analysis. To raise environmental standards, eco-friendly methods like buying and designing green items are widely regarded today. Imagine if manufacturing companies adopt green supply chain management, which would improve their economic performance and increase operational effectiveness. The secret to a successful corporation is having successful operations.


Assuntos
Desenvolvimento Econômico , Política Ambiental , Indústria Manufatureira , Desenvolvimento Sustentável , China , Comércio , Governo , Desenvolvimento Sustentável/economia , Política Ambiental/economia , Indústria Manufatureira/economia , Indústria Manufatureira/organização & administração , Indústria Manufatureira/normas
2.
PLoS One ; 18(8): e0289845, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37561759

RESUMO

With the rapid growth and wide application of digital technology, enterprises have entered the digital era with both opportunities and challenges existing. Mergers and acquisitions are one of the most efficient ways to integrate resources and achieve profit growth, giving enterprises advantages in competing in the new mode of economic growth. Based on this, this research tries to explore whether the development of digital finance will contribute to the emergence of M&As activities through combining M&As data of the Chinese stock market with the digital finance inclusion index between 2012 and 2020. The results show that the development of digital finance largely influences M&As activities through lower acquirers' financial constraints. We further replace digital finance with three sub-indexes including coverage breadth, usage depth, and digitalization level to explore the impact of different dimensions of digital finance on M&As. Results show that coverage breadth plays a more important role. In addition, heterogeneity tests reveal that the relationship between the development of digital finance and M&As activities varies significantly. The influences of digital finance on private and western and central enterprises are more significant compared with state-owned and eastern enterprises. According to the study, since the development of digital finance can be an efficient way to ease financial constraints and boost M&As activities, the government should promote the development of digital finance while companies strive to make the most use of it.


Assuntos
Tecnologia Digital , Desenvolvimento Econômico , Indústrias , China , Tecnologia Digital/economia , Tecnologia Digital/organização & administração , Pesquisa Empírica , Organização do Financiamento/economia , Organização do Financiamento/organização & administração , Indústria Manufatureira/economia , Indústria Manufatureira/organização & administração , Indústrias/economia , Indústrias/organização & administração
3.
Environ Sci Pollut Res Int ; 30(32): 78763-78775, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-37273049

RESUMO

In current years (environment, social, and governance), ESG activities in various countries have been focus more attention their stakeholders by enterprises. The world largest developing country China. The Chinese registered Enterprises ESG performance helps to apprehend the deficiencies of their sustainable ability and development for boost the organizations value. Furthermore, enterprises must balance the allocation of resources between green innovation investment and ESG activities in the future as a result of the interaction effect between these two factors. This research examines the effects of environmental, social, and governance issues on financial and non-financial performance at registered Chinese manufacturing firms since 2009 to 2019. Green innovation is also tested as a moderating factor. Results show that environment, common, and governance performance has negative influence on the firm financial performance. On the other hand, its negative effects on financial performance will be enhanced. The environmental activities have negatively affected financial performance but green innovation has positively regulated them. Non-financial performance is positively impacted by the ESG performance. The ESG general performance and the environmental performance have positive influence on corporate reputation with the improvement of green innovation levels increase. Corporate financial performance is influenced by green innovation and social activities in a substitutional manner.


Assuntos
Desenvolvimento Econômico , Indústria Manufatureira , Corporações Profissionais , Política Pública , China , Comércio , Investimentos em Saúde , Organizações/organização & administração , Organizações/normas , Desenvolvimento Sustentável/economia , Invenções , Corporações Profissionais/organização & administração , Corporações Profissionais/normas , Política Pública/economia , Indústria Manufatureira/economia , Indústria Manufatureira/organização & administração
4.
Environ Sci Pollut Res Int ; 30(31): 77784-77797, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-37261696

RESUMO

Green innovation is an important way for manufacturing enterprises to achieve green and high-quality development. The existing literature has ignored the heterogeneous motivations for enterprise green innovation. The strategic green innovation behavior (SGIB) aiming at seeking strategic differences and building core competitiveness is the necessary measure for enterprises to realize green transformation. Furthermore, the existing research studies the influencing factors of green innovation from a single perspective, ignoring the interaction of institutional and resource factors. Based on this, this study uses QCA to identify the driving mechanism of enterprise SGIB. The research collected questionnaire data from 199 manufacturing enterprises in China. The main results show that a single factor will not constitute a necessary condition for positive SGIB, but the not-high green dynamic capability is a necessary condition for negative SGIB. Positive SGIB includes four configuration paths: institution-ethics synergy, normative pressure oriented, environmental ethics oriented, and institutional incentive oriented. Lack of institutional pressure is the only configuration path that leads to negative SGIB. Further analysis found that environmental ethics and institutional pressure are the main forces to promote SGIB. After a series of robustness tests, the above basic conclusions did not change significantly. Based on the above conclusions, we believe that government departments, industry associations, and enterprises should form a joint force to enhance the level of institutional pressure and enterprise environmental ethics, promoting the implementation of strategic green innovation.


Assuntos
Política Ambiental , Indústria Manufatureira , Desenvolvimento Sustentável , China , Comércio , Indústrias , Motivação , Pesquisa Qualitativa , Indústria Manufatureira/organização & administração
5.
Environ Sci Pollut Res Int ; 30(18): 53847-53861, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-36867336

RESUMO

The construction of supplier transaction is one of the strategic choices of many firms. However, the impact of business strategies on the persistence of earnings remains to be further investigated. The innovation of this paper lies in interpreting the impact of supplier transaction on earnings persistence from the perspective of characteristics of the top management team (TMT). We consider Chinese listed manufacturing firms from 2012 to 2019 to examine the relationship between the supplier transaction and the persistence of earnings. Statistical results show that supplier transaction characteristics of the TMT have a significant moderating effect on the relationship between the supplier transaction and the persistence of earnings. This implies that the behavior of TMT can be vital to the firm in maintaining sustainable performance. The higher age level or longer average tenure of TMT can significantly improve the positive effect of the supplier transaction tenure heterogeneity of TMT that will significantly improve the negative effect. This paper expands the literature on supplier relationship, and corporate earnings from a new perspective that improves the empirical evidence of the upper echelons theory, and also provides evidence support for the construction of supplier relationship and TMT.


Assuntos
Comércio , Equipes de Administração Institucional , Indústria Manufatureira , Humanos , Comércio/economia , Comércio/organização & administração , Renda , Indústria Manufatureira/economia , Indústria Manufatureira/organização & administração , China , Equipes de Administração Institucional/economia , Equipes de Administração Institucional/organização & administração , Equipes de Administração Institucional/normas
6.
Artigo em Inglês | MEDLINE | ID: mdl-36982026

RESUMO

In today's business environment, contributions made by the manufacturing sector to the economy and social development is evident. With a focus on long-term development, the manufacturing sector has adopted advanced operating strategies, such as lean manufacturing, industry 4.0, and green practices in an integrated manner. The integrated impact of circular economy, industry 4.0, and lean manufacturing on sustainability performance has not been adequately addressed and investigated. Therefore, the aim of this study is to investigate the integrated impact of circular economy, industry 4.0, and lean manufacturing on the sustainability performance of organizations in Saudi Arabia. Data were collected through a questionnaire-based survey as a primary data instrument. A total of 486 organizations have responded to the survey within the timeframe. Moreover, the structural equation modeling method is utilized for data analysis through SmartPLS tool for the developed hypotheses of the research. The findings highlight the positive impact of circular economy on the sustainability of the organizations. Furthermore, the results indicate that industry 4.0 and lean manufacturing have positive mediating impacts as enablers for the successful implementation of circular economy toward the sustainable performance of organizations in Saudi Arabia. The study finding confirms that lean manufacturing is a substantial mediating variable that is essential for the successful implementation of industry 4.0 technologies. Moreover, the study indicates the recognition and acknowledgment of companies on circular economy principles, industry 4.0 technologies, and lean manufacturing tools to achieve the desired sustainability.


Assuntos
Indústria Manufatureira , Desenvolvimento Sustentável , Análise de Classes Latentes , Indústria Manufatureira/economia , Indústria Manufatureira/organização & administração , Arábia Saudita
7.
PLoS One ; 17(2): e0263565, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35143547

RESUMO

It has great significance for improving the logistics service ability of the Yangtze River economic belt, optimizing the industrial structure of manufacturing industry, and realizing the integrated development of the Yangtze River economic belt to explore the collaborative evolution of logistics industry and manufacturing industry in the Yangtze River economic belt, and identify the leading position of the collaborative development of the two industries, so as to. Based on the Haken Model, this paper summarizes the coevolution law of logistics industry and manufacturing industry in the Yangtze River economic belt through two-stage empirical analysis, and identifies the order parameters of the co-development of logistics industry and manufacturing industry. The results show that the overall degree of coordination between the logistics industry and the manufacturing industry in the Yangtze River economic belt is high. And the order parameter has been changed from manufacturing industry in 2003-2009 to logistics industry in 2010-2017. The gap between regions has been reduced, and the western region has the advantage of post development.


Assuntos
Desenvolvimento Econômico , Indústrias/organização & administração , Indústria Manufatureira , Modelos Econômicos , China , Economia , Processamento Eletrônico de Dados , Indústria Manufatureira/organização & administração , Indústria Manufatureira/tendências , Rios
8.
Environ Sci Pollut Res Int ; 29(26): 39622-39637, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35107730

RESUMO

The Mexican maquiladora industry is applying Lean Manufacturing Tools (LMT) in its production lines; however, few studies have investigated its relationship with sustainability (social, economic, and environmental). This paper presents a second-order structural equation model (SEM) relating 8 LMT integrated into three independent latent variables: continuous improvement (Kaizen and Gemba), supporting tools (Andon, visual management, and Poka-yoke), and machinery and equipment (total productive maintenance, overall equipment effectiveness, and Jidoka) that are related to social, economic, and environmental sustainability as dependent variables. The model is validated with information obtained from 249 companies using partial least squares. Findings show that the application of LMT in the Mexican maquiladora industry avoids the generation of waste and reprocessing. Likewise, the improvement of production processes reduces the waste emitted into the environment and reduces energy consumption. Also, when companies have environmental programs, the work environment is safe, and labor relations are improved, increasing morale and the commitment to work for the company, gaining economic and ecological benefits.


Assuntos
Comércio , Indústria Manufatureira , Desenvolvimento Sustentável , Comércio/métodos , Comércio/organização & administração , Indústrias/métodos , Internacionalidade , Indústria Manufatureira/instrumentação , Indústria Manufatureira/métodos , Indústria Manufatureira/organização & administração , México , Modelos Organizacionais , Melhoria de Qualidade , Energia Renovável , Gerenciamento de Resíduos , Local de Trabalho/organização & administração , Local de Trabalho/normas
9.
PLoS One ; 16(8): e0256162, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34407153

RESUMO

The development of China's manufacturing industry has received global attention. However, research on the distribution pattern, changes, and driving forces of the manufacturing industry has been limited by the accessibility of data. This study proposes a method for classifying based on natural language processing. A case study was conducted employing this method, hotspot detection and driving force analysis, wherein the driving forces industrial development during the "13th Five-Year plan" period in Jiangsu province were determined. The main conclusions of the empirical case study are as follows. 1) Through the acquisition of Amap's point-of-interest (POI, a special point location that commonly used in modern automotive navigation systems.) data, an industry type classification algorithm based on the natural language processing of POI names is proposed, with Jiangsu Province serving as an example. The empirical test shows that the accuracy was 95%, and the kappa coefficient was 0.872. 2) The seven types of manufacturing industries including the pulp and paper (PP) industry, metallurgical chemical (MC) industry, pharmaceutical manufacturing (PM) industry, machinery and electronics (ME) industry, wood furniture (WF) industry, textile clothing (TC) industry, and agricultural and food product processing (AF) industry are drawn through a 1 km× 1km projection grid. The evolution map of the spatial pattern and the density field hotspots are also drawn. 3) After analyzing the driving forces of the changes in the number of manufacturing industries mentioned above, we found that manufacturing base, distance from town, population, GDP per capita, distance from the railway station were the significant driving factors of changes in the manufacturing industries mentioned above. The results of this research can help guide the development of manufacturing industries, maximize the advantages of regional factors and conditions, and provide insight into how the spatial layout of the manufacturing industry could be optimized.


Assuntos
Algoritmos , Desenvolvimento Econômico/tendências , Produto Interno Bruto/estatística & dados numéricos , Indústria Manufatureira/organização & administração , Processamento de Linguagem Natural , Políticas , Meios de Transporte/métodos , China , Cidades , Eficiência
10.
Toxicol Ind Health ; 37(6): 353-364, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33973821

RESUMO

According to the health regulations, industrial environments due to the gathering of people are considered as one of the highest-risk places during the COVID-19 pandemic. Thus, planning with regard to health concerns can decisively help in infection control and continuity of businesses during the pandemic. The aim of this study was to evaluate the COVID-19 control management measures in the Sepid-farab Kavir Steel Complex (SKS complex) located in Isfahan province (Iran) using strengths, weaknesses, opportunities, and threats (SWOT) matrix. After a literature review and field surveys, all weak, strong, threatening, and opportunity points were collected and were listed using the internal factor evaluation (IFE) and external factor evaluation (EFE) matrices and then were prioritized and weighted. Next, given the sum of scores of IFE and EFE, the SWOT matrix was constructed, the disease prevention and control strategies in the complex was determined, and finally, experts proposed corrective measures to improve the current situation. The results of the IFE matrix (IFE) analysis showed that in terms of corona control, there are more weaknesses than strengths within the company (the score of this matrix was 201.12). Also the score of 165 on the EFE matrix indicated that external threats were predominant, compared to external opportunities of company. SWOT analysis showed that despite some external problems and challenges, the existence of a favorable internal decision-making system had an important role in developing appropriate health strategies and implementing effective prevention measures in SKS complex against the COVID-19.


Assuntos
COVID-19/epidemiologia , COVID-19/prevenção & controle , Controle de Infecções/organização & administração , Indústria Manufatureira/organização & administração , Aço , Humanos , Irã (Geográfico)/epidemiologia , Indústria Manufatureira/normas , Saúde Ocupacional , Pandemias , SARS-CoV-2
11.
Artigo em Inglês | MEDLINE | ID: mdl-33171853

RESUMO

Most studies focus on the empirical investigation of the relationship between environment and trade, but they lack a systematic theoretical framework. To fill this gap, this study constructs an analytical framework of export competitiveness from the perspective of product quality, and reveals the theoretical mechanism of environmental regulation affecting export quality. We empirically examine the impact of environmental regulation on the export quality of China's manufacturing industry, as well as its possible mechanism. Our findings show that environmental regulation can significantly promote the export quality upgrading of the manufacturing industry and that process and product productivity are two possible channels through which such regulation affects export quality, although their mediating effects are in opposite directions. The mediating effect of product productivity is greater than that of process productivity, indicating that environmental regulation mainly has an innovation offset effect on China's manufacturing industry. For pollution-intensive industries, environmental regulation plays a significant promoting role through the channel of product productivity, but, for clean industries, environmental regulation has an inhibitory effect through the channel of process productivity. These findings provide important enlightenment for the coordinated development of China's ecological civilization and trade power.


Assuntos
Comércio , Eficiência , Regulamentação Governamental , Indústrias/métodos , China , Conservação dos Recursos Naturais , Meio Ambiente , Monitoramento Ambiental , Poluição Ambiental , Humanos , Indústrias/legislação & jurisprudência , Indústria Manufatureira/economia , Indústria Manufatureira/organização & administração
12.
Pan Afr Med J ; 33: 313, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31692862

RESUMO

The role of a Medical Science Liaison (MSL) is of growing importance to pharmaceutical, biotechnology, diagnostic and medical device companies. Through scientific engagement MSLs add value to clinical practice, ultimately benefiting patients. The MSL role is dynamic and encompasses in-depth product and disease knowledge together with the ability to communicate relevant, unbiased scientific information concisely and timely. Tasks are focused on contributing towards the advancement of medical knowledge, scientific data generation and dissemination. Professional relationships are developed, fostering collaboration between external experts and typically the medical affairs departments of pharmaceutical companies through a credible liaison. Through such relationships, critical insights are shared that shape the development pipeline, promote successful clinical translation and guide the market deployment strategy of therapeutic interventions through-out their life cycle. Despite the rising number of MSLs in the field and the implicit medical value of the role, there remains a lack of understanding for what the roles of a MSL entails. In Africa, where exponential growth of the pharmaceutical industry is expected, the number of MSLs will increase rapidly. Given the complexities of the African continent, the MSLs in this burgeoning environment will face various challenges including remote locations, time-constraints, regulatory and bureaucratic hurdles and importantly physician misperception of the MSL role that collectively may thwart the goal of meaningful scientific engagement; but these challenges can be surmounted through astute proactive planning and utilization of opportunities including digital communication strategies.


Assuntos
Comunicação , Comportamento Cooperativo , Indústria Farmacêutica/organização & administração , África , Humanos , Indústria Manufatureira/organização & administração , Papel Profissional
13.
Artigo em Inglês | MEDLINE | ID: mdl-31357426

RESUMO

Building upon institutional theory and the concept of openness to external sources in terms of breadth and depth, this study investigates the following three understudied drivers of eco-innovation in terms of external and internal factors: Anticipated regulation and self-regulation as external drivers, and information sourcing openness comprised of breadth and importance as internal drivers. Toward this end, this study employs a sample of 1824 Korean manufacturing firms collected from the Korean Innovation Survey 2010, which is compatible with the Oslo Manual and the Eurostat Community Innovation Survey (CIS). The current research adopts a multivariate probit model for the nine binary outcome variables and a zero-inflated negative binomial (ZINB) regression model for a count variable. It is found that, both anticipated regulation and self-regulation positively affect eco-process innovation and eco-product innovation across all of the nine eco-innovation types. The empirical findings on the effects of the breadth of external sources and the importance of used information acquired from external sources for innovative activities indicate that both the breadth and the importance have positive impacts on the number of types of eco-innovation with which a firm is engaged.


Assuntos
Acesso à Informação , Conservação dos Recursos Naturais , Invenções , Indústria Manufatureira/organização & administração , Inovação Organizacional , Humanos , Modelos Estatísticos , Análise Multivariada , República da Coreia , Inquéritos e Questionários
15.
Crit Rev Biotechnol ; 39(1): 114-136, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30372626

RESUMO

Innovation is a key determinant of sustainable growth. Biotechnology (BT) is one such industry that has witnessed a revolution in innovative ideas leading to the founding of many new companies based on providing products, solutions and services, stretching from the food industry to environmental remediation, and new medicines. BT holds much promise for the development of national and local economies, however, this requires a strategic approach involving actors within government, industry, and academia working in concert to maximize this potential. This first article reviews the current "state of play" in the field of BT within the Central Eastern European (CEE) countries. For the purposes of this article, CEE refers to the countries of Czech Republic, Hungary, Poland, and Slovakia (the so-called Visegrad - V4 countries). We examine the components that support the creation and development of a BT sector in CEE and also highlight the barriers to these objectives. Clearly setting priorities for the countries' policy agenda, as well as the alignment of Smart Specialization Strategy will help to focus efforts. Recent investments in R&D infrastructure within CEE have been substantial, but conditions will need to be optimized to harness these largely European investments for effective use towards SME high-tech development.


Assuntos
Biotecnologia , Desenvolvimento Industrial , Indústria Manufatureira , Projetos de Pesquisa , Biotecnologia/economia , Biotecnologia/educação , Biotecnologia/legislação & jurisprudência , Biotecnologia/organização & administração , República Tcheca , Meio Ambiente , Europa (Continente) , Governo , Humanos , Hungria , Indústria Manufatureira/organização & administração , Polônia , Eslováquia
16.
Artigo em Inglês | MEDLINE | ID: mdl-30518096

RESUMO

Information concerning carbon reduction efficiency is of great significance to supply chain operations. Considering the impact of information asymmetry on the performance of low-carbon supply chain, we therefore analyze a chain system with a single product designer and a single manufacturer. The manufacturer owns information on carbon reduction efficiency, whereas the product designer only knows that the carbon reduction efficiency of the manufacturer is either high or low. To induce the manufacturer to reveal his true private information of carbon-reduction efficiency to the product designer, we devise the pooling and separating equilibrium models to compare the impacts of these two models on supply chain performance, respectively. We find that the high-efficiency manufacturer gets his first-best choice at the equilibrium decision in the separating model, and obtains the information rent in the pooling model. The information rent increases in the efficiency difference between the two emission-reduction types. Additionally, we examine how the probability of the high (or low)-efficiency manufacturer being chosen impacts on both the profits of chain members and carbon-reduction levels. The research provides a reference for companies about how to cooperate with partner who possess private information of carbon emissions.


Assuntos
Pegada de Carbono/economia , Conservação de Recursos Energéticos/métodos , Revelação , Indústria Manufatureira/economia , China , Conservação de Recursos Energéticos/economia , Eficiência Organizacional , Política Ambiental , Indústria Manufatureira/organização & administração , Modelos Econômicos
18.
Artigo em Inglês | MEDLINE | ID: mdl-30347639

RESUMO

This paper adopts 2009 to 2015 panel data from 27 manufacturing industries in China. A Super-SBM model is used to measure the green innovation efficiency (GIE) of China's manufacturing industry. A panel data model is then built to systematically examine the impact of environmental regulation (ER) and two-way foreign direct investment (FDI) on the GIE of China's manufacturing industry under a unified analysis framework. The results are as follows: (1) the overall level of the green innovation efficiency in China's manufacturing is low, and there is still great potential for improvement. Considering industry heterogeneity, the green innovation efficiency of patent-intensive manufacturing is significantly higher than that of non-patent-intensive manufacturing; (2) in terms of the whole manufacturing industry, ER and the interaction between ER and outward foreign direct investment (OFDI) have significantly negative effects on GIE, OFDI has significantly positive effects on GIE. (3) when considering industry heterogeneity, for patent-intensive manufacturing, ER and the interaction between ER and inward foreign direct investment (IFDI) have significantly negative effects on GIE, while IFDI has significantly positive effect on GIE. For non-patent-intensive manufacturing, ER and the interaction between ER and OFDI have significantly negative effects on GIE, while IFDI and the interaction between ER and IFDI have significantly positive effects on GIE.


Assuntos
Regulamentação Governamental , Internacionalidade , Invenções , Investimentos em Saúde , Indústria Manufatureira , China , Eficiência Organizacional , Investimentos em Saúde/economia , Investimentos em Saúde/legislação & jurisprudência , Indústria Manufatureira/economia , Indústria Manufatureira/organização & administração
19.
J Occup Environ Med ; 60(1): 29-35, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-29309362

RESUMO

OBJECTIVES: Noise-induced hearing loss (NIHL) remains one of the most prevalent occupational diseases. Occupational hearing conservation programs (HCPs) can reduce the risk of NIHL, but there remains no consensus on assessing HCP effectiveness. We conducted a multisite, mixed-method assessment of HCP programs. METHODS: At 13 manufacturing plants, we performed assessments, including interviews with program staff and worker focus groups and surveys. We analyzed the association between these assessments and age-corrected NIHL rates. RESULTS: Only a few items from the HCP staff interviews correlated with NIHL rates. For the employee survey, management commitment to NIHL prevention and being counseled about NIHL were strongly associated with NIHL rates. CONCLUSION: Management commitment and counseling of workers about NIHL may be key factors in program effectiveness. A combination of qualitative and quantitative methods appears to be useful for assessing HCPs.


Assuntos
Perda Auditiva Provocada por Ruído/prevenção & controle , Indústria Manufatureira , Doenças Profissionais/prevenção & controle , Exposição Ocupacional/análise , Saúde Ocupacional , Adulto , Feminino , Grupos Focais , Educação em Saúde , Humanos , Entrevistas como Assunto , Liderança , Masculino , Indústria Manufatureira/organização & administração , Pessoa de Meia-Idade , Avaliação de Programas e Projetos de Saúde , Fatores de Risco , Inquéritos e Questionários
20.
JAMA Netw Open ; 1(8): e186343, 2018 12 07.
Artigo em Inglês | MEDLINE | ID: mdl-30646328

RESUMO

Importance: Payments from pharmaceutical and device manufacturers to physicians may influence the advice physicians give patients and peers. Objectives: To investigate the nature and amounts of monetary and other benefits that gastroenterologists received and to determine the participation of those receiving benefits in the formulation of clinical practice guidelines. Design, Setting, and Participants: This cohort study analyzed information from the Centers for Medicare & Medicaid Services Open Payments database, including all reports about payments that pharmaceutical and device manufacturers gave to adult or pediatric gastroenterologists in 2016. PubMed was used to examine the professional affiliations and publication records of top payment recipients. Panelists of clinical guidelines who also received personal financial rewards listed in the Open Payments database were identified. Main Outcomes and Measures: Payments made to gastroenterologists by pharmaceutical company and device manufacturers. Results: Of 15 497 gastroenterologists, 13 467 (86.9%) received a total of 432 463 payments accounting for a total expenditure of $67 144 862. Direct financial payments for consultations, talks, or other services were made to 2055 physicians and were responsible for 4.2% of payments (18 179 of 432 463), but for 62.7% of total expenditures ($42 086 207 of $67 144 862). Although a significant number of submissions were for food and beverages, they constituted only a small amount of total expenditure. For gastroenterologists treating adult patients, 10 products were linked to 63.8% of payments (11 221 of 17 588) related to direct financial rewards and 37.1% of the total expenditures ($24 892 643 of $67 144 862). Twenty-nine of 36 clinical practice guidelines included panelists who had received honoraria or consultation fees from industry sources, with amounts exceeding $10 000 in 8 of them (22%). Conclusions and Relevance: Most gastroenterologists accept meals or gifts from industry, with 2055 of 15 497 gastroenterologists receiving direct payments and 8 of 36 clinical practice guidelines panelists having received more than $10 000. Considering the known impact of such benefits on prescribing patterns and other professional behaviors, policy makers should consider revising regulations governing interactions with industry and disclosure formats alerting others to their potential biasing impact.


Assuntos
Indústria Farmacêutica , Gastroenterologistas , Indústria Manufatureira , Padrões de Prática Médica , Indústria Farmacêutica/economia , Indústria Farmacêutica/organização & administração , Indústria Farmacêutica/estatística & dados numéricos , Equipamentos e Provisões/economia , Gastroenterologistas/economia , Gastroenterologistas/estatística & dados numéricos , Doações , Humanos , Indústria Manufatureira/economia , Indústria Manufatureira/organização & administração , Indústria Manufatureira/estatística & dados numéricos , Refeições , Padrões de Prática Médica/economia , Padrões de Prática Médica/organização & administração , Padrões de Prática Médica/estatística & dados numéricos
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