Reverse exchange of healthcare devices: the case of hearing aid equipment in the UK

Abstract

Reverse exchange (RE) in dealing with the return, recycle and reuse of products is receiving a growing focus. When properly handled, RE in healthcare can deliver an economic benefit of cost minimisation and has extensive positive impacts on both human health and the environment (Li and Olorunniwo 2008 Li, X., and F. Olorunniwo. 2008. “An Exploration of Reverse Logistics Practices in Three Companies.” Supply Chain Management: An International Journal 13 (5): 381–386. doi:10.1108/13598540810894979[Crossref], [Web of Science ®] , [Google Scholar]) but to date, RE research is mostly limited to pharmaceutical return. This paper investigates the potential for RE benefits in the UK National Health Service (NHS) supply chain for medical devices. Hearing aids supplied to adults with hearing loss are used as an illustrative example. This research applied a consensus approach through the use of dispersed nominal groups in order to obtain qualitative data on information, barriers, solutions and priorities to support findings. Findings illustrate that the end user behaviour of returning the device, and the requirement by NHS Procurement for manufacturers to meet RE targets are secondary to the importance of audiology departments who have the autonomy to design RE processes and successfully implement initiatives. A schematic highlighting the information and materials flow of the supply chain and the barriers and facilitators to RE is presented for hearing aid devices with potential for transferability to other small medical device supply chains.     

‘Good faith and effort?’ Perspectives on educational inclusion

This paper considers what might ‘count’ as educational inclusion from the perspectives of six women who are both mothers of and teachers of children with special educational needs (SEN) and/or disabilities. The mother‐teachers draw on their own personal and professional experiences to consider meanings of inclusion in relation to ‘their’ children. Their voices suggest that it is the detail of daily interaction and the commitment to ‘good faith and effort’ on the part of both parents and educational professionals that matters. For the purposes of this paper I shall consider the discourses of SEN, learning difficulties and disability together, although I am aware of the danger of reductionism in doing so.     

Disciplinary knowledge revisited: The social construction of sociology

In Making Science (1992) I make the distinction between two types of knowledge: research frontier knowledge and core knowledge. Core knowledge is the small body of knowledge for which the entire scientific community treats as indisputable facts. The research frontier is all new knowledge which makes claim to being facts but in practice there is no consensus on this knowledge. The two types of knowledge are linked together by the evaluation process. Most frontier knowledge turns out to be insignificant and is ignored. A small part of frontier knowledge is taken as candidates for the core and evaluated. Most of this knowledge turns out to be “wrong.” Thus the important data of Jacobs ( 1989) loses a good deal of its impact because he forces it into a theory which he calls “social control”: a theory for which there is no evidence. Stephen Cole is professor of sociology at the State University of New York at Stony Brook. He is the author of Making Science: Between Nature and Society and, with Jonathan R. Cole, Social Stratification in Science. Stephen Cole is professor of sociology at the State University of New York at Stony Brook. He is the author of Making Science: Between Nature and Society and, with Jonathan R. Cole, Social Stratification in Science.     

Associations Between Family of Origin Climate,Relationship Self‐Regulation,and Marital Outcomes

Using dyadic data from 961 married couples from the Relationship Evaluation Questionnaire project, the current study explored the direct association between family of origin climate and marital outcomes and the indirect association via relationship self‐regulation (RSR). Results from the actor–partner interdependence model analysis indicated that family of origin climate was positively associated with marital stability directly and indirectly via the effects of RSR and marital satisfaction for both men and women. Results suggest that the experience one has in their family of origin is associated with their marital outcomes through their RSR. Actor–partner direct and indirect effects indicate that spouses' RSR may have important consequences for both partner's evaluation of the marriage. Implications for intervention and future research are discussed.     

Building partnerships with low-income families of students with Attention Deficit Hyperactivity Disorder: Implications for professional school counselors

Parental involvement is vital in helping students with attention deficit hyperactivity disorder (ADHD) perform successfully in schools. Often, low-income families are not involved in their children's education. Therefore, the school counselor's role in partnering with families of students with ADHD to work for their children's academic and social success in school is addressed. Effective ways professional school counselors can encourage parental involvement, such as trainings and family education programs, are also explored.     

Preschoolers' Emotion Regulation Strategy Understanding: Relations with Emotion Socialization and Child Self-regulation

Preschool-age children's ability to verbally generate strategies for regulating anger and sadness, and to recognize purported effective strategies for these emotions, were examined in relation to child factors (child age, temperament, and language ability) and maternal emotion socialization (supportiveness and structuring in response to child distress). The relation between strategy understanding and actual self-regulation was also examined. In a sample of 116 boys and girls, 4-year-olds recognized and generated strategies for anger more than 3-year-olds but 3- and 4-year-olds recognized and generated strategies similarly for sadness. Age effects for strategy generation were explained by expressive language skill. Maternal support in response to child distress was related to strategy recognition and generation but in different ways. Maternal structuring was related only to strategy generation for anger. Child strategy understanding of anger and sadness predicted different child behaviors when children had to deal with frustration alone. The findings suggest that emotion regulation strategy understanding can be assessed in young children and that such understanding has implications for self-regulatory behavior.     

Family Background in Relation to Deceptive Ability and Understanding of the Mind

The purpose of this study was to determine whether social factors might be linked with the development of certain aspects of deception. Fifty-seven children aged between 4 and 5 years were assessed for their ability to be convincing in an act of deception (expressive deception) and also for their understanding that minds are susceptible to deception (theory of mind). The mothers of 34 of the children completed a questionnaire which provided information on socio-economic status, parenting style, parental stress and family structure. The results revealed significant associations with family background and deceptive ability. Stepwise multiple regression analyses, controlling for age, identified socio-economic status as a predictor of understanding that the mind is susceptible to deception (theory of mind). In contrast, single parent stress emerged as the major predictor of variance in expressive deception. Deceptive socialisation practices specific to single parents were considered. Implications for the dissimilar developmental pathways of theory of mind and expressive performance in deception are discussed.     

Interventions for musculoskeletal disorders in computer-intense office work: a framework for evaluation

Workplace interventions for work-related musculoskeletal disorders (WMSDs) are usually multifaceted. These interventions tend to deal with multiple work organizational and physical risk factors and have components occurring at different organizational levels. The organizations are often changing, with shifting initiatives and priorities. Evaluation of such interventions poses challenges in documentation of implementation, reduction in exposures, and assessment of improved health outcomes. We describe a means-outcomes framework for evaluating field interventions that includes strategies, activities, objectives and metrics for outcomes using quantitative and qualitative methods. We demonstrate application of the framework to our work with a large newspaper, which builds on existing laboratory, aetiological and best practice evidence to improve musculoskeletal health. The newspaper had adopted several organizational strategies aimed at improving financial performance, including restructuring into teams, a major set of moves/renovations and introduction of new software. Concomitant WMSD-related organizational strategies include an ergonomics policy, human resources activities, promotion of team work, changes in environment and equipment specifications and development of information systems. We have found the framework useful for focusing the purpose of data collection and ensuring coverage of important components. At the same time, it provides sufficient flexibility to respond to the changing process of implementation.