Determinants of pharmaceutical innovation diffusion: social contagion and prescribing characteristics

This article studies the determinants of pharmaceutical innovation diffusion among specialists. To this end, it investigates the influences of six categories of factors—social embeddedness, socio-demography, scientific orientation, prescribing patterns, practice characteristics, and patient panel composition—on the use of new drugs for the treatment of type 2 diabetes mellitus in Hungary. Here, in line with international trends, 11 brands were introduced between April 2008 and April 2010, outperforming all other therapeutic classes. The Cox proportional hazards model identifies three determinants—social contagion (in the social embeddedness category) and prescribing portfolio and insulin prescribing ratio (in the prescribing pattern category). First, social contagion has a positive effect among geographically close colleagues—the higher the adoption ratio, the higher the likelihood of early adoption—but no influence among former classmates and scientific collaborators. Second, the wider the prescribing portfolio, the earlier the new drug uptake. Third, the lower the insulin prescribing ratio, the earlier the new drug uptake—physicians’ therapeutic convictions and patients’ socioeconomic statuses act as underlying influencers. However, this finding does not extend to opinion-leading physicians such as scientific leaders and hospital department and outpatient center managers. This article concludes by arguing that healthcare policy strategists and pharmaceutical companies may rely exclusively on practice location and prescription data to perfect interventions and optimize budgets.

Az e-business kooperatív turisztikai adaptációja : "A kicsi, a szép esélyei hazánkban" (The cooperative touristy adoption of e-business: "The chances of small beautiful in Hungary")

A cikk legfontosabb megválaszolandó kérdése: Milyen esélyekkel és milyen szükséges lépésekkel indulhatnak a nemzetközileg kevéssé ismert hazai célállomások és vállalkozásaik a turisztikai piac globális versenyében, melynek egyre jelentősebb színterét az internet adja? A turisztikai piacon az internet piacalakító hatása és az individualista, élmény, és értékközpontú kereslet megjelenése olyan változásokat indított el az elmúlt közel húsz évben, melyek befolyásolva a szereplők erőviszonyait a fejlődés lehetőségét hordozzák a regionális célállomások, a kevéssé ismert desztinációk számára. Mindezen trendek egyúttal kihívást jelentenek, mivel élesítik a versenyt, és megújulásra ösztönzik a globálisan ismert desztinációkat is, valamint számos nehézség megoldására késztetik a több szempontból hátrányban szenvedő vidéki régiókat. A cikkben ismertetendő kutatás célja az, hogy egy best practice-ként ismert osztrák és három hazai eset alapján felderítse azon tényezőket, melyek a desztinációfejlesztés kezdeti lépésétől az e-business sikeres adaptációjához, a desztinációmenedzsment-rendszerek bevezetéséhez és működtetéséhez vezetnek. __________ The main question of the paper: What kind of steps should the Hungarian less-known destinations take to meet the challenges of the global competition increasingly taking place on the internet? The trends of “new tourism” – driven by post-materialistic values –, and the growing role of internet in touristy activity have formed new conditions and changed the balance of forces in the touristy market. These two trends hand in hand have intensified the competition: on the one hand force global destinations to renew, on the other hand give great but challenging possibilities for regional destinations in comparative disadvantage. The aim of the paper is to identify the success-factors of adopting e-business solution called destination management system in the regional, undeveloped areas starting destination management from zero position. For this purpose case studies were examined by analyzing Hungarian regional destinations’ development and making a benchmark analysis through an Austrian best practice.

Innovation Management in Central and Eastern Europe: Technology Perspectives and EU Policy Implications

The purpose of this study is to investigate empirically the role of innovation activity in Central and Eastern Europea (CEE). We also identified those internal and external factors, which might cause improvements in innovation performance of CEE companies. Our main focus was on technology-based innovations within the healthcare industry. We applied qualitative research methods. Our findings demonstrate that CEE companies within the healthcare industry have significant contribution to European Union’s innovation performance. We found that key success factors of these organizations are based on four elements: knowledge management, access to financial resources, managing formal and informal networks, as well as achieving synergies between technological and non-technological innovations.