Disabled People,Health Professionals and the Social Model of Disability: Can there be a research relationship?

The social model of disability is proposed as an alternative to models that have viewed disability as an individual, rather than a socio-political issue. The use of this model to guide both research theory and practice is proposed in order to equalise research power relationships, and involve and empower disabled people. Health professionals have traditionally reinforced the medical model of disability in both research and practice, and this has been seen as contributing to the oppression and marginalisation of disabled people. If the social model is to achieve wider dissemination, it would appear important to develop a dialogue between disabled people and health professionals. However, because of negative perceptions it can be difficult for health professionals to find an appropriate position in relation to disabled people, research and the social model of disability. While not denying the past, it appears essential to look at ways in which disabled people and health professionals can work together to overcome the oppression and marginalisation that has been linked to the provision of health services.     

Comments on zacks' recent paper on one-sided cusum procedures

The goal of this paper is to propose approximations for the cdf and the inverse cdf of the normal sample median. The presented methodology, which seems to not have been investigated before, suggests to fit the normal sample median distribution with a symmetrical Johnson S_U: distribution having ap-proximatively the same second and fourth moments. The results obtained with this approach, compared with the normal approximation, are very impressive, especially for the inverse cdf. One important application of the inverse cdf approximation of the normal sample median is the computation of accurate α‐level median/range control limits for any value of α (and not only for the popular value α = 0.0027). This paper can be also viewed as an homage to Professor N.L. Johnson's works by making a link between two of his major papers.     

Propinquity and educational homogamy

Education is one of the most important dimensions in patterns of assortative marriage. It is unclear whether the pronounced and persistent evidence of educational homogamy is an outcome of educational propinquity, that is, individuals' attendance at the same school during the same time, or of individuals' general preferences for spouses with educational attainments similar to their own. This study first describes some aspects of educational propinquity and then investigates the association between spouses' educational attainments after considering whether or not the bride and the groom attended an educational institution in common. The results clearly show that the strong association between spouses' educational attainments should not be attributed to educational propinquity.     

Reducing bias in ecological studies: an evaluation of different methodologies

Summary.  Statistical methods of ecological analysis that attempt to reduce ecological bias are empirically evaluated to determine in which circumstances each method might be practicable. The method that is most successful at reducing ecological bias is stratified ecological regression. It allows individual level covariate information to be incorporated into a stratified ecological analysis, as well as the combination of disease and risk factor information from two separate data sources, e.g. outcomes from a cancer registry and risk factor information from the census sample of anonymized records data set. The aggregated individual level model compares favourably with this model but has convergence problems. In addition, it is shown that the large areas that are covered by local authority districts seem to reduce between-area variability and may therefore not be as informative as conducting a ward level analysis. This has policy implications because access to ward level data is restricted.     

Political Exhortation, Patient Expectation and Professional Execution: Perspectives on the Consumerization of Health Care

A central theme underpinning the reform of public-sector services in western economies since the 1980s has been the emphasis on reorienting service provision around the user. Public-sector organizations have been forced to reappraise the design of the service delivery process, in particular the service encounter, to take account of the resultant changes in service users' expectations. Such focus on the service user has fundamental implications for public-sector professionals, specifically challenging the dominance of service professionals in the design and delivery of services. Based on a survey of patient attitudes towards service provision in the National Health Service in Scotland (NHSiS) and in-depth interviews with senior hospital clinicians and managers, the paper critically examines the reaction of both patients and professionals to politically driven initiatives to reorientate the delivery of health-care services. Specifically the paper explores the emerging perspectives of both patients and professionals towards the consumerization of health care and the changing nature of the relationship between patients and professionals within a publicly funded health-care system.     

Duration of Leave and Resident Fathers' Involvement in Infant Care in Australia

This article uses time‐diary data from the Longitudinal Study of Australian Children (LSAC; N = 2,157 weekday diaries; N = 2,110 weekend diaries) to examine differences in infants' time with a resident father at age 4–19 months according to fathers' duration of leave around the birth. Results showed that those infants whose fathers took 4 weeks' leave or longer spent no more time with their father than did infants whose fathers took a shorter leave or no leave. We observed a positive association between any leave and sole father care on weekend days but not weekdays. The findings suggest that moderate increases in leave duration may not promote greater father involvement in Australia.