Improving performance? The adoption and implementation of quality systems in U.K. nonprofits

There are increasing and multiple pressures on nonprofit organizations to demonstrate excellence in performance. Although there is a growing literature on the various approaches to performance improvement taken by nonprofits, little is known about the processes involved in the adoption and implementation of specific approaches. This article is about the adoption and use of one approach to performance improvement, “quality systems,” in the U.K. nonprofit sector. We report findings about factors that encourage nonprofits to adopt quality systems. We also analyze the distinctive challenges of implementing quality approaches in a nonprofit sector context and suggest critical success factors. The article concludes with a discussion of the organizational and policy implications of applying the management concepts of quality and performance to the nonprofit sector.     

Survival Analysis For A Sequenced Clinical Trial With Covariates

In this paper we discuss the survival analysis for a clinical trial in which treatment categories and general prognostic data are realised at different stages during a patient's survival time. In the light of possible strategies for the parsimonious modelling of such data, a corresponding sequence of illustrative analyses is presented. Detailed results are given for a weighted least squares analysis and these generally agree with those obtained by maximum likelihood.     

REVIEWS

Bailey, C. E. (Ed.) (2000). Children in therapy: Using the family as a resource. Doherty, W. J. (2001). Take back your marriage: Sticking together in a world that pulls us apart. New York: Guilford. Larson, J. H. (2000). Should we stay together? A scientically proven method for evaluating your relationship and improving its chances for long‐term success. Weiner‐Davis, M. (2001). The divorce remedy: The proven 7‐step program for saving your marriage.     

Dealing with Toxicity in the Risk Society: The Case of the Hamilton,Ontario Plastics Recycling Fire*

Une perspective de la construction sociale sert de cadre a l'analyse des controverses sur la gestion des risques qui ont été provoquées à la suite d'un incendie majeur dans une usine de recyclage de matières plastiques à Hamilton, en Ontario. En mettant l'accent sur les processus de réclamation au c?ur de l'interaction entre les représen‐tants du gouvernement, les acteurs environnementaux, les experts techniques et les résidants, il a été révélé qu'un accent trop limité aux questions d'ordre technique avait mené a l'exclusion des préoccupations fondées sur la rationalité culturelle ayant ainsi entraine un cadre d'interaction très litigieux divisant profondément. Les conséquences des conclusions empiriques de la thése de la société des risques ainsi que de la théorie sur la communication des risques sont explorées. A social construction perspective is applied in the analysis of the risk management controversies that arose in response to a large toxic fire that occurred at a Hamilton, Ontario plastics recycling facility. By focussing on the claimsmaking processes involved in the interaction of government officials, environmental movement actors, technical experts, and residents, it was found that an overly narrow focus on technical matters led to the exclusion of lay concerns based on cultural rationality, thereby resulting in a very contentious and divisive setting for interaction. Implications of the empirical findings for the risk society thesis and risk communication theory are explored.     

Large scale communication networks—Design and analysis

The paper discusses the problem of design and analysis of large scale communication systems. An iterative process, composed of a minimum cost network design algorithm and a network performance algorithm, is presented for the solution of these problems. Computational considerations, using these algorithms, are discussed.     

The effects of breastfeeding and pace of childbearing on mortality at early ages

The effects of the pace of childbearing and breastfeeding practices on infant mortality have rarely been considered together. In this paper, we design and use a set of methodological tools to test a variety of hypotheses postulating the effects of breastfeeding and pace of childbearing on mortality in infancy and early childhood, the mechanisms through which those effects operate, and the contingencies that strengthen or weaken them. The strong effects of both length of breastfeeding and the pace of childbearing on the risks of child death suggest that neither of them exerts an impact on mortality totally mediated by the other. Social and demographic factors (such as age of child, education of mother, and region of residence) also condition the impact of breastfeeding and pace of childbearing on mortality.