Atos Healthcare withdraws from the Work Capability Assessment: a comment

In March 2014 Atos Healthcare withdrew a year early from its contract to provide the UK’s health assessment – the Work Capability Assessment (WCA) – that is supposed to sort disabled people into administrative categories according to their adjudged capability to do paid work. This move was welcomed by political elites, with, for example, UK Coalition Government Minister for Disabled People Mike Penning using it to criticise previous Labour governments for the contractual arrangements they put in place – although while the Coalition may have been concerned with the contractual arrangements soon after being formed, it extended the contract for five years. For the UK disability movement, the withdrawal of Atos Healthcare early from the WCA contract was a victory and, at least in part, a consequence of disabled activists’ resistance to the Employment and Support Allowance generally, and the WCA in particular.     

The ranking assumption

This paper is an attempt to raise some general objections to the whole concept of making decisions on teleological principles. Its scope is finally the whole concept of how we rationally decide, on a teleological basis, to do any act at all. However the arguments developed here arise from the recent discussions about one particular species of teleological decision-making - utilitarianism. Therefore, while I hope that the paper has consequences that are important far beyond this one ethical theory, my objections are phrased in terms of direct arguments about utilitarianism. The recent lively debates on this topic make it easy to ask some interesting questions about this sort of goal-oriented theory. However, if my objections are correct, the scope of these questions is much wider than any one utilitarian theory (or cluster of theories) because my objections are about an assumption that is common to all teleological theories and not just to classical utilitarianism.     

A Generalized Class of Ratio Type Exponential Estimators of Population Mean Under Linear Transformation of Auxiliary Variable

Recently, Shabbir and Gupta [Shabbir, J. and Gupta, S. (2011). On estimating finite population mean in simple and stratified random sampling. Communications in Statistics-Theory and Methods, 40(2), 199–212] defined a class of ratio type exponential estimators of population mean under a very specific linear transformation of auxiliary variable. In the present article, we propose a generalized class of ratio type exponential estimators of population mean in simple random sampling under a very general linear transformation of auxiliary variable. Shabbir and Gupta's [Shabbir, J. and Gupta, S. (2011). On estimating finite population mean in simple and stratified random sampling. Communications in Statistics-Theory and Methods, 40(2), 199–212] class of estimators is a particular member of our proposed class of estimators. It has been found that the optimal estimator of our proposed generalized class of estimators is always more efficient than almost all the existing estimators defined under the same situations. Moreover, in comparison to a few existing estimators, our proposed estimator becomes more efficient under some simple conditions. Theoretical results obtained in the article have been verified by taking a numerical illustration. Finally, a simulation study has been carried out to see the relative performance of our proposed estimator with respect to some existing estimators which are less efficient under certain conditions as compared to the proposed estimator.     

A Correction Note on Improvement in Variance Estimation Using Auxiliary Information

ABSTRACT

In this paper, the testing problem for homogeneity in the mixture exponential family is considered. The model is irregular in the sense that each interest parameter forms a part of the null hypothesis (sub-null hypothesis) and the null hypothesis is the union of the sub-null hypotheses. The generalized likelihood ratio test does not distinguish between the sub-null hypotheses. The Supplementary Score Test is proposed by combining two orthogonalized score tests obtained corresponding to the two sub-null hypotheses after proper reparameterization. The test is easy to design and performs better than the generalized likelihood ratio test and other alternative tests by numerical comparisons.     

On the assessment of various factors effecting the improvement in CD4 count of aids patients undergoing antiretroviral therapy using generalized Poisson regression

An important marker for identifying the progression of human immunodeficiency virus (HIV) infection in an individual is the CD4 cell count. Antiretroviral therapy (ART) is a treatment for HIV/AIDS (AIDS, acquired immune-deficiency syndrome) which prolongs and improves the lives of patients by improving the CD4 cell count and strengthen the immune system. This strengthening of the immune system in terms of CD4 count, not only depends on various biological factors, but also other behavioral factors. Previous studies have shown the effect of CD4 count on the mortality, but nobody has attempted to study the factors which are likely to influence the improvement in CD4 count of patients diagnosed of AIDS and undergoing ART. In this paper, we use Poisson regression model (GPR) for exploring the effect of various socio-demographic covariates such as age, gender, geographical location, and drug usage on the improvement in the CD4 count of AIDS patients. However, if the CD4 count data suffers from under or overdispersion, we use GPR model and compare it with negative binomial distribution. Finally, the model is applied for the analysis of data on patients undergoing the ART in the Ram Manohar Lohia Hospital, Delhi, India. The data exhibited overdispersion and hence, GPR model provided the best fit.     

An exploratory study of the influence of the IS function and organizational context on business process reengineering project initiatives

To help evaluate the risk of process reengineering failure and enhance the prospect of its success, three potential sources of influence on BPR initiatives and success are examined in this study. These include the innovative capacity of the organization, IS maturity and strategy-IS interface. It was found that while factors related to IT maturity and influence such as experience in mainframe and client/server computing may facilitate the decision to reengineer, they are not critical in the later stages of the initiative. On the other hand, factors having significant relationships beyond the initial decision include variables pertaining to innovative capacity of the organization and strategy-IS interface. These findings suggest that technical IT competence as a critical enabler is necessary but not sufficient for reengineering success. Based on study findings regarding the innovative capacity of the organization, guidelines for reengineering risk assessment are proposed. In addition, implications of the findings, limitations of the study and opportunities for further research are also discussed.     

A process-oriented perspective on differential business value creation by information technology: An empirical investigation

The relationship between information technology investments and firm value as an area of inquiry has sustained interest among IS researchers over the past decade. More recently, some have challenged the notion differential value among firms through Information Technology (IT) as it evolves into a ubiquitous utility-like set of technologies. This study examines the relationship between IT and business value from a process-oriented perspective, and also helps to identify the underlying links between IT and its differential business value to firms. By drawing upon economic and organizational theories, this paper develops a process framework to assess the intermediate organizational process capabilities and overall performance of firms that effectively deploy and use IT. Using data from over 80 firms, the study finds empirical support for the differential business value created by IT along a number of process oriented dimensions. These findings are discussed as these results set an optimistic tone for IT as a major causal driver of differentiation.     

Loaning Supplementary Benefit and the Introduction of the Social Fund

This paper discusses an episode in social security policy making that has until now remained unexplored. This is the review, at the request of then Labour Secretary of State for Social Services, Richard Crossman MP, in the latter months of 1969 and early 1970 into the possibility of introducing loans to the Supplementary Benefit system as a replacement for some exceptional needs and exceptional circumstances payments. The paper examines files held at the National Archives to discuss the nature and extent of the proposed scheme and the objections of civil servants to loaning Supplementary Benefit. The paper demonstrates how the worst‐case scenario outlined by civil servants in 1970 was introduced some 15 years later as Social Fund loans. The paper then discusses economic, ideological and social change that provided the context for the introduction of loans as part of the Social Fund in the 1980s.     

The Role of Organizational and Information Technology Antecedents in Reengineering Initiation Behavior*

Business Process Reengineering (BPR) has been a major catalyst of the pervasive organizational change we have witnessed over the past decade. Although one can speculate on the reasons for the popularity of this phenomenon, it is important that we carefully examine its underlying antecedents for initiation, implementation, and ultimately success, if we are to add value to practitioners of this concept. This study empirically examines the importance of facets of the organizational structure, IT knowledge resources and infrastructure, and the IS function in the initiation of BPR. Data from 313 corporations were gathered using a carefully validated survey, and initiators were compared with noninitiators. The results strongly suggest that client-server architectures, the strategic integration of IS, and cross departmental interaction are among the more important factors facilitating initiation and can be important inputs in a BPR decision-making process. The study attempts to build a contingent theory for BPR, and the more sustainable notion of fundamental process change.