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We examine a recent dispute regarding the Centers for Medicare and Medicaid Services’ (CMS) refusal to unconditionally pay for amyloid positron emission tomography (PET) imaging for Medicare beneficiaries being assessed for Alzheimer’s disease. CMS will only pay for amyloid PET imaging when patients are enrolled in clinical trials that meet certain criteria. The dispute reflects CMS’s willingness in certain circumstances to require effectiveness evidence that differs from the Food and Drug Administration’s standard for pre-market approval of a medical intervention and reveals how stakeholders with differing perspectives about evidentiary standards have played a role in attempting to shape the Medicare program’s coverage policies. 相似文献
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Ruth Bailey Karen Bell Wouter Kalle Manohar Pawar 《Journal of Social Work Practice》2014,28(4):479-495
The establishment of a cross-discipline peer consultation group in regional Australia is described. A research project, which explored the impact of the peer consultation on participants, using pre-group and post-group evaluation surveys along with data from an externally facilitated group evaluation session is discussed. Key findings reveal the value of access to varied modes of supervision; the importance of supervision not feeling like being subjected to surveillance; and the contribution that positive experiences of peer consultation have for our participants' well-being. The potential for improved connection and mutual benefits for practice and academia in sponsorship of professional peer consultation by regional universities also emerges from this research. The effectiveness of contemporary workplace counselling supervision arrangements, and of what, precisely, the enjoyment of engaging in case discussions in peer consultation groups is constituted are areas for more exploration. 相似文献
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Bernie Carter Janette Grey Elizabeth McWilliams Zoe Clair Karen Blake Rachel Byatt 《Disability & Society》2014,29(6):938-952
Children who use wheelchairs have few opportunities to play sport with their able-bodied peers and siblings. This appreciative, qualitative study explored the experiences of children, families and stakeholders at a wheelchair sports club. Participant observation, research activities, focus groups and interviews were used. Sixty-three people participated (37 children, 14 stakeholders, 10 parents, two older siblings). Thematic analysis identified one unifying theme (realising potential) and four main themes: invisibility of disability; ambivalence and attraction of the chair; fun and fellowship; and thrills and skills. The Cheetahs created opportunities for meaningful participation in wheelchair sports for children with and without disabilities. 相似文献
86.
The conduct of a participatory research investigation into the everyday literacy of adults with intellectual disability within the context of a PhD thesis highlighted issues related to the ethics of participatory research and the need to revisit and reconsider ethical guidelines around working with individuals with intellectual disability. Tensions were identified between participatory research ideology and the reality of research experiences, with additional issues arising due to disability in the first author. 相似文献
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Perceptions of injustice rely upon a sense-making process in which individuals attempt to understand why and how it occurs. We draw from the attribution-of-blame model of justice judgments to examine how two work groups of disparate status make sense of the treatment and outcomes engendered by their interactions. Data from 27 in-depth interviews with custodians and teachers reveal that when custodians perceive disrespect from teachers and teachers perceive that custodians do not fulfill properly their duties, their attributions are shaped by their status position. Although both make internal attributions to each other for their injustice, teachers do not recognize how they perpetrate injustice against custodians and custodians perceive greater injustice by identifying how external factors affect their performance and blame. This unjustified blame fosters counterproductive work behaviors, illustrating how interdependencies fuel a cycle of injustice. We discuss the implications of these findings for the school and justice processes. 相似文献
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