Reducing health care costs: a case for quality

Today, it is not quality or access but cost that has become the primary motivator for change in the U.S. health care delivery system. Cost, as the driver, has created a frenzy of nationwide activity, searching, examining, and testing any and all ways that offer promise of financial health care stability. And cost, not quality or access, is the principal motivator for the ever accelerating national health care policy debate. But there is a relationship between costs and quality that has to be addressed if quality is to be maintained.     

Mapping IS failure factors on PRINCE2® stages: an application of Interpretive Ranking Process (IRP)

The social, political and cultural issues faced by organisations and their senior management team in the delivery and adoption of strategic projects, is highly complex and problematic. Despite a mature body of literature, increasing levels of practitioner certification, application of standards and numerous government initiatives, improvements in success have been minimal. In this study, we analyse the key underlying factors surrounding the failure of Information Systems (IS) projects and explore the merits of articulating a narrative that focuses on senior management embracing practical pessimism. Specifically, we develop a hypothesis supported by empirical study that leverages expert’s views on the dominance and interrelationships between failure factors within PRINCE2® project stages using an Interpretive Ranking Process. Our findings establish how the concept of dominance between individual failure factors can necessitate senior management to make key informed and timely decisions that could potentially influence project outcomes based on an empirical derived, interpretive predictive framework.     

Analysis of Australian Research Council Grants Awarded for Social Work Projects 2008–2017

ABSTRACT

The quantity and quality of social work research is central to creating knowledge for the profession and maintaining social work’s presence and status in universities. This study examines Australian Research Council grants awarded for social work projects for the 10-year period 2008–2107. It investigates the quantum of grants and the topics addressed, and compares social work to related social sciences. The field of social work was awarded 84 research grants over the 10-year period, a total of $23 million and an average of 8.4 grants per year. However, this did not match the grant successes of the two comparator fields of criminology and social policy and administration. Having a clear picture of research achievements, including grants, is necessary to enable the discipline to plot a strategic way forward, addressing gaps and deficits, and building on strengths.

IMPLICATIONS

• Increasing research grant success is vital to the ongoing development of the social work knowledge base, and bolsters the standing of social work in universities.

• Maximising the use of social work Field of Research codes will increase the visibility of social work research, especially in multidisciplinary projects.

• Social work researchers should publicise competitive grant successes

     

Re-approaching interview data through qualitative secondary analysis: interviews with internet gamblers

ABSTRACT

This paper addresses two interrelated questions concerning what interview data are and how researchers might use them. The first considers the value of a shift from a predominant or exclusive focus upon how data are constructed and produced at interview, and towards how such data might be apprehended through different forms of engagement. The second question relates to how and what qualitative secondary analysis (QSA) might be used to tell about the social world. In exploring this, we advance a critique of the divide between primary and secondary analysis, recasting the debate in terms of different degrees and qualities of ‘proximity’ and ‘distance’ from the formative contexts of data generation, and the distinctive analytical affordances that relate to these. Using QSA of interview data from a study of problem internet gambling as an empirical crucible, we consider the kinds of participation that interviewees develop through reciprocal engagement with interviewers. We illustrate how participants reflexively negotiate the affordances and limits to the narratives through which they frame and recount their experiences. Finally, we show how interview data can be used both to speak of the temporal, relational, spatial, epistemic contexts of their production, and also to contexts and questions beyond these.     

Global value chains for medical gloves during the COVID-19 pandemic: Confronting forced labour through public procurement and crisis

This paper evaluates ways in which labour issues in global value chains for medical gloves have been affected by, and addressed through, the COVID-19 pandemic. It focuses on production in Malaysia and supply to the United Kingdom's National Health Service and draws on a large-scale survey with workers and interviews with UK government officials, suppliers and buyers. Adopting a Global Value Chain (GVC) framework, the paper shows how forced labour endemic in the sector was exacerbated during the pandemic in the context of increased demand for gloves. Attempts at remediation are shown to operate through both a reconfigured value chain in which power shifted dramatically to the manufacturers and a context where public procurement became higher in profile than ever before. It is argued that the purchasing power of governments must be leveraged in ways that more meaningfully address labour issues, and that this must be part of value chain resilience.     

Antisocial Propensity,Adolescent School Outcomes,and the Risk of Criminal Conviction

Data from the 1986 Northern Finland Birth Cohort Study (n = 4,645) were used to examine the influence of mid‐adolescent (age 15) school outcomes on late‐adolescent (ages 17–19) risk of criminal conviction. Consistent with social‐developmental theories of offending, we found that poor academic performance and reduced school attachment increase the risk of criminal conviction independently of pre‐existing differences in antisocial propensity and other confounding factors identified in prior research. Moreover, in support of an integrated model, our research suggests that academic performance and school attachment mediate the effects of childhood antisociality and learning difficulties on late‐adolescent risk of criminal conviction. The implications of findings for policy and future research are discussed.     

‘Something to Deal With’: Customer Sexual Harassment and Women's Retail Service Work in Canada

While sexual harassment in the workplace has been extensively researched over the past two decades, the majority of studies have focused on employer–employee or co-worker relationships. In contrast, the issue of ‘customer sexual harassment’ (i.e. the sexual harassment of employees by customers) has been less explicitly explored. This paper examines customer sexual harassment in the Canadian context, drawing on a study of 63 female retail service workers and 20 security workers. It focuses on the nature, prevalence, and consequences of this form of harassment for women who work in various jobs in retail sales (e.g. flower shops, book shops). Findings from the study suggest that customer sexual harassment is a significant problem. Not only have a majority of women been sexually harassed by customers in their current job, but they appear to be highly constrained in dealing with such behaviour. To the extent that the work environment privileges the customer, through its emphasis on customer satisfaction, women are reluctant to confront harassers and may engage in behaviours (e.g. avoiding male customers, being less friendly) which potentially impact their performance on the job. The paper examines the dilemmas facing female workers and the policy issues raised.     

Why do people agree to participate in social research? The case of drug injectors

Social research brings costs and benefits to people who agree to take part as respondents. This research note considers why people agree to participate in research with special reference to drug injectors. It is based on asking a small sample of drug injectors why they agreed to participate in a qualitative study that explores their perceptions of drug using and sexual behaviours related to the spread of HIV. The following broad themes are used to present respondents' reasons for participating in the study: 1) The research being interesting, relevant and worthwhile; 2) the timing of the fieldwork and respondents' concerns and priorities; 3) a belief that participating is beneficial to the individual participant; 4) a feeling that participating benefits people in general; 5) participation was influenced by referrers, agency staff or other drug injectors who introduced people to the researcher; 6) respondents' first impressions of the researcher; 7) the importance of confidentiality, and finally; 8) the use of tangible rewards and incentives in relation to participation. These findings are discussed throughout this research note.     

The Role of Implied Motion in Engaging Audiences for Health Promotion: Encouraging Naps on a College Campus

Abstract

Objective: Lack of sleep among college students negatively impacts health and academic outcomes. Building on research that implied motion imagery increases brain activity, this project tested visual design strategies to increase viewers’ engagement with a health communication campaign promoting napping to improve sleep habits. Participants: Participants (N = 194) were recruited from a large southwestern university in October 2012. Methods: Utilizing an experimental design, participants were assigned to 1 of 3 conditions: an implied motion superhero spokes-character, a static superhero spokes-character, and a control group. Results: The use of implied motion did not achieve the hypothesized effect on message elaboration, but superheroes are a promising persuasive tool for health promotion campaigns for college audiences. Conclusions: Implications for sleep health promotion campaigns and the role of implied motion in message design strategies are discussed, as well as future directions for research on the depiction of implied motion as it relates to theoretical development.