A Paradigm Shift in Healthcare: An Open Door for Organizational Behavior Management

The United States spends more money on healthcare each year than any other country in the world (OECD, 2015). Despite high costs, the quality of healthcare is below average, resulting in a society that is far from “getting what it pays for.” High costs and poor quality have resulted in a recent paradigm shift from traditional fee-for-service systems where hospitals and providers were paid by volume of patients to value-based care, to where they are now paid by quality of care (Andel, Davidow, Hollander, & Moreno, 2012). This shift has pressured organizations to improve quality of care at a rapid pace. This paper seeks to assess how Organizational Behavior Management has helped address the quality of healthcare thus far and discuss avenues for future research and practice.     

Characteristics of precollege sexual violence victimization and associations with sexual violence revictimization during college

Abstract

Objective: To examine the prevalence and characteristics of precollege sexual victimization (SV) experiences and associations with revictimization and recent substance use behaviors among a sample of college students who reported precollege SV. Participants: A sub-sample of 931 college students who reported precollege SV at baseline data collection for an ongoing multi-site clinical trial. Methods: Data were collected via electronic surveys between September 2015 and March 2017. Measures included precollege and during college SV, recent substance use, and alcohol-related harm reduction behaviors. Results: Precollege SV characteristics associated with revictimization included: Nonpenile penetration (aOR: 1.51, 95%CI: 1.04–2.19); pressured sex (aOR: 1.46, 95%CI: 1.06–2.01); and stranger assault (aOR: 2.03, 95%CI: 1.22–3.40). Past 30-day binge drinking was also associated with revictimization (aOR: 1.86, 95%CI: 1.36–2.54). Conclusions: The relationship between precollege SV and alcohol, especially binge drinking, may require a more integrated approach to preventing subsequent revictimization.     

Segregation and Fragmentation: Extending Landscape Ecology and Pattern Metrics Analysis to Spatial Demography

Though demography’s roots involve a strong spatial component, recent attention to capitalizing on widely available spatially referenced demographic data has returned the focus to spatially enabled analyses. Landscape ecology offers a theoretical framework and concomitant methodology in pattern metric analysis well suited for extracting process through the examination of spatial patterns. Applied on the environmental side of population–environment interaction research, pattern metric analysis has not been brought to bear on population data per se. This research illustrates the utility of a pattern metric approach utilizing U.S. Census data from 1990 and 2000 to document changes in spatial configuration of race and class in South Carolina. The results corroborate similar findings elsewhere of exurban growth as well as an increasing income gap and spread of Hispanic population, both statistically and spatially. Further insight into the forces related to these processes is gained from explicit assessment of spatial configuration. The method is offered as a complementary tool to the richly evolving field of spatial demography.     

Politics and fertility: a new approach to population policy analysis

This paper aims to explain why divergentpopulation policies and programs arise in otherwisesimilar countries and to clarify how such policiesrelate to fertility decline. An analysis wasundertaken of demographic and policy change over a 30year period in four pairs of developing countries: Algeria and Tunisia; Bangladesh and Pakistan; thePhilippines and Thailand; and Zambia and Zimbabwe. Insome countries, popular demand for family planningfacilitated changing policy. In others, independentfactors, such as economic crisis or internationalpressure, pushed policy makers into action onpopulation policy, often in the absence of populardemand. In these countries, governments whichidentified a coherent rationale, usually economic, forreducing population growth, tended to develop moresuccessful policies. Strong and financially securecoalitions of policy elites were important in sharingthe political risk associated with such policies. Analysis of these processes has lessons for policymakers and researchers interested in expeditingimplementation of new approaches to population andreproductive health.     

A Content Analysis of Sexual Consent and Refusal Communication in Mainstream Films

Young adults have limited access to comprehensive sex education. As such, they may seek sexuality information through such alternative sources, such as mass media. Previous research suggests that media, including films and television shows, can influence sexual behaviors and attitudes. Because sexual consent communication is important to sexual experiences, the purpose of this study was to assess how sexual consent and refusal communication were depicted in films. We also examined contextual factors that influence consent and refusal communication, such as gender, relationship status, location, and types of sexual behaviors. Four researchers analyzed popular mainstream films (N = 50) from 2013 based on a codebook developed inductively and deductively. The most common consent and refusal communication cues were nonverbal or implicit. The majority of scenes portrayed consent immediately before sexual activity. We also conducted chi-squared analyses to assess differences in consent and refusal communication based on gender and relationship status. There were no gender differences in the portrayal of consent cues; however, characters in established relationships used nonverbal cues more often than those in novel relationships. Mass media can normalize behaviors, and our results suggest that films may further normalize nonverbal or implicit consent cues.     

Midwestern Women’s Farm Business Roles and Farm Business Financial Satisfaction: An Exploratory Study

The roles of women have been and remain central to the functioning of the family farm business. However, a gap in recent literature on farm women, in general, exists and research is limited regarding women’s farm business roles and their satisfaction with their farm business financial situation. The purpose of this study was to explore factors that impact farm women’s perceptions of farm business financial satisfaction. Results indicated that the importance of financial solvency and satisfaction with one’s farm role were positively associated with women’s farm business financial satisfaction. Holding a primary decision-making role was negatively associated with farm business financial satisfaction. Implications for educators, professionals who work with farm women, and researchers are discussed.     

Erratum to: Does National Income Inequality Affect Individuals’ Quality of Life in Europe? Inequality,Happiness, Finances,and Health

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