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- December 4, 2023
- Comment
The Great Resignation, Employment, and Wages in Health Care
By: Amitabh Chandra and Louis-Jonas Heizlsperger
Notwithstanding concerns about staffing levels and burnout in health care, federal wage and employment data does not support the suggestion that a COVID-19 pandemic-related spike in quitting has had an enduring impact for hospitals or physician offices. Employment in... View Details
- December 2023
- Article
Association of Hospital System Affiliation with COVID-19 Capacity Burden
By: Zachary Levin, Pinar Karaca-Mandic, Richard J. Boxer and Regina E. Herzlinger
What is the message? The COVID-19 pandemic exposed the highly variable and uncoordinated responses by hospitals. The authors found that while the non-top ten system affiliated hospitals had a larger COVID-19 share index relative to independent hospitals, top-ten system... View Details
- 2023
- Article
Benchmarking Large Language Models on CMExam—A Comprehensive Chinese Medical Exam Dataset
By: Junling Liu, Peilin Zhou, Yining Hua, Dading Chong, Zhongyu Tian, Andrew Liu, Helin Wang, Chenyu You, Zhenhua Guo, Lei Zhu and Michael Lingzhi Li
Recent advancements in large language models (LLMs) have transformed the field of question answering (QA). However, evaluating LLMs in the medical field is challenging due to the lack of standardized and comprehensive datasets. To address this gap, we introduce CMExam,... View Details
- November 2023 (Revised July 2024)
- Case
'Care in Every Drop': Ayala Corporation and Manila Water (A)
By: Debora L. Spar, Paul Healy, Tricia Peralta and Julia M. Comeau
Since 1834, eight generations of the Ayala family have used their conglomerate to fund nation-building projects in the Philippines, including investments in tramcars, telecommunications, hospitals, and schools. In 1997, Ayala’s subsidiary, Manila Water, took control of... View Details
- November 2023
- Supplement
'Care in Every Drop': Ayala Corporation and Manila Water (B)
By: Debora L. Spar, Paul Healy, Tricia Peralta and Julia Comeau
Since 1834, eight generations of the Ayala family have used their conglomerate to fund nation-building projects in the Philippines, including investments in tramcars, telecommunications, hospitals, and schools. In 1997, Ayala’s subsidiary, Manila Water, took control of... View Details
- November 2023
- Case
Open Source Machine Learning at Google
Set in early 2023, the case exposes students to the challenges of managing open source software at Google. The case focuses on the challenges for Alex Spinelli, Vice President of Product Management for Core Machine Learning. He must set priorities for Google’s efforts... View Details
- November 2023 (Revised July 2024)
- Case
Aviva plc: Examining Net Zero
By: Peter Tufano, Brian Trelstad and Matteo Gasparini
The board of Aviva Plc, one of the world’s largest insurers, must review its climate risk exposures and evaluate next steps. Risk experts at the firm have conducted a robust set of analyses prepared for its regulator, the Bank of England, simulating how various climate... View Details
- 2023
- Working Paper
Coordinated R&D Programs and the Creation of New Industries
By: Daniel P. Gross and Maria P. Roche
Complex systems technologies—including “deep tech”—are prone to numerous frictions that stymie commercial development. Yet technologies with these features underpin some of the most valuable industries of the past century. We examine how large, mission-oriented... View Details
- 2023
- Book
How the Harvard Business School Changed the Way We View Organizations
By: Jay W. Lorsch
The story of the field of organizational behavior (which overlaps considerably with the origin story of Harvard Business School) and how it created the “medical model” of systems thinking—anchored in the practices of listening, observing, testing, and only then... View Details
Keywords: Organizational Behavior; Systems Thinking; Medical Model; Organizations; Behavior; System; History
- November–December 2023
- Article
Look the Part? The Role of Profile Pictures in Online Labor Markets
By: Isamar Troncoso and Lan Luo
Profile pictures are a key component of many freelancing platforms, a design choice that can impact hiring and matching outcomes. In this paper, we examine how appearance-based perceptions of a freelancer’s fit for the job (i.e., whether a freelancer "looks the part"... View Details
- November 2023
- Article
Psychological Factors Underlying Attitudes toward AI Tools
By: Julian De Freitas, Stuti Agarwal, B. Schmitt and N. Haslam
What are the psychological factors driving attitudes toward AI tools, and how can resistance to AI systems be overcome when they are beneficial? In this perspective, we first organize the main sources of resistance into five main categories: opacity, emotionlessness,... View Details
- 2023
- White Paper
The 2023 American Opportunity Index: Measuring Who Moves Ahead
By: Matthew Sigelman, Joseph B. Fuller, Nik Dawson, Alex Martin and Gad Levanon
- 2023
- Working Paper
Toward a Better Understanding of Open Ecosystems: Implications for Policymakers
By: Feng Zhu and Carmelo Cennamo
The digital realm is undergoing a significant transformation, marked by the emergence of platform
business models and the concept of open ecosystems. This paper delves into the intricate nature of
ecosystem openness, underscoring the point that the openness of... View Details
- 2023
- White Paper
Unlocking Economic Prosperity: Career Navigation in a Time of Rapid Change
By: Joseph B. Fuller, Kerry McKittrick, Sherry Seibel, Cole Wilson, Vasundhara Dash and Ali Epstein
- October 2023 (Revised March 2024)
- Case
KOKO Networks: Bridging Energy Transition and Affordability with Carbon Financing
By: George Serafeim, Siko Sikochi and Namrata Arora
The problem was massive: two million hectares of African forests were lost annually to charcoal production for cooking, an area equivalent to 13 times Greater London, resulting in one billion tons of carbon emissions yearly. At the same time, an estimated 700,000... View Details
Keywords: Clean Tech; Digital; Carbon Credits; Carbon Offsetting; Climate Change; Entrepreneurship; Energy Sources; Environmental Sustainability; Health; Market Design; Business Startups; Transition; Environmental Regulation; Policy; Energy Industry; Consumer Products Industry; Africa; Kenya; Rwanda
- October 2023
- Case
Fixie and Conversational AI Sidekicks
By: Jeffrey J. Bussgang and Carin-Isabel Knoop
In March 2023, Fixie Co-Founder and Chief Architect Matt Welsh and co-founders had the kind of meeting no founders want to have. The president of leading artificial intelligence (AI) research and deployment firm OpenAI, which had catapulted into fame with its ChatGPT... View Details
- October 2023 (Revised November 2023)
- Teaching Note
The Miccosukee Tribe and the Battle to Save the Everglades: A Miami Climate Action Story
By: Rosabeth Moss Kanter and Jacob A. Small
Teaching Note for HBS Case No. 324-002. "Miccosukee" explores the challenges of coordinating actions to solve a complex systems problem—from individuals, small organizations, and coalitions of multiple organizations. The case discusses the impact of climate change and... View Details
- October 2023
- Case
Taiwan After Globalization: Twilight of the Developmental State?
By: Debora L. Spar and Julia M. Comeau
In the last 70 years, the small island of Taiwan has achieved what many believe to be a “miracle”: its economy has grown at a record-setting pace, driven and guided by one of the world's most successful set of industrial policies, and it has become one of the richest... View Details
- October 2023
- Article
Health System Perspective on Cost for Delivering a Decision Aid for Prostate Cancer Using Time-Driven Activity-Based Costing
By: David R. Ho, Robert S. Kaplan, Jonathan Bergman, David F. Penson, Benjamin Waterman, Kristin C. Williams, Jefersson Villatoro, Lorna Kwan and Christopher S. Saigal
Previsit decision aids (DAs) have been shown to improve decisional quality. But the cost to deploy a DA has not been previously estimated. We interviewed or observed relevant personnel at three institutions that had implemented DA programs for men with prostate cancer.... View Details
- 2023
- Working Paper
Interest-Rate Risk and Household Portfolios
By: Sylvain Catherine, Max Miller, James Paron and Natasha Sarin
How are households exposed to interest-rate risk? When rates fall, households face lower future expected returns but those holding long-term assets—disproportionately the wealthy and middle-aged—experience capital gains. We study the hedging demand for long-term assets... View Details