Difficult decisions on care and services for elderly people: the dilemma of setting priorities in the welfare state

The aging of the population combined with restricted economic resources is leading to an increasing gap between care needs and care resources. The first strategy to cope with this growing disparity is often the rather non-controversial attempt to optimize the use of the resources. At some point in time, however, more crucial decisions are needed. Four levels of decision-making in the system of care services may be identified - from decisions regarding national resource allocation to decisions regarding individual users. The different conditions for making decisions and setting priorities at each level must be considered when studying the decision-making process and the consequences - including the repercussions for other levels and sectors. With Sweden as a case, four trends in decision-making can be seen: decentralization of many controversial decisions; redefining of the lines of responsibility between sectors; increasing inequality in the accessibility, cost, and quality of care; and a general lack of public discussion and debate about central welfare issues.     

Triangulation of self-report and investigator-rated coping indices as predictors of psychological stress: a longitudinal investigation among public utility workers

The aims of the present study were to: (a) determine if self-reported coping is consistent with conceptually-equivalent investigator-rated coping indices; (b) establish which types of coping are associated with psychological stress; and (c) establish whether using investigator-rated in addition to self-report coping indices to predict stress outcomes is beneficial in a real life context of worker's stressors. To fulfil these aims, a longitudinal investigation was conducted among 40 Canadian workers from the public utility sector. Results from semi-structured interviews about their worst current stressors revealed main effects for some coping types as assessed with investigator-rated indices, whereas no main effects were observed with self-report coping indices. Still, self-report and investigator-rated coping indices together significantly predicted follow-up stress. Psychological stress was most strongly predicted by investigator-rated behavioural approach. While self-report cognitive approach predicted lower psychological stress, investigator-rated cognitive approach predicted greater stress. Findings underline the importance of using both types of coping indices to predict outcome.     

Strategy implementation and organizational change: How formal reorganization affects professional networks

Strategy implementation is difficult, particularly as it often requires changes in formal organization structures. Prior research has shown that change in the formal structure may affect employee networks. Yet, we know relatively little about how such changes affect different network ties. This paper considers how formal structural change affects senior managers’ ability to maintain their intraorganizational networks. The hypotheses are tested on sample of 884 work-related relationships of 96 partners in a global professional services firm. This firm had recently implemented a new strategy, which led to a change in the product-market focus and the resulting formal structure. Our findings reveal that the characteristics of a specific network tie determine whether it is affected by formal structural change. In particular, we find that network ties that are highly embedded in the social structure are more likely to be affected by change in the formal structure. In contrast, ties that are relationally embedded are less likely to be affected by change in the formal structure. We discuss the theoretical and practical implications of these results. In particular, the findings may have consequences for the success of strategy implementation and strategic transformation efforts.     

Qualitative Risk Assessment of the Acquisition of Meticillin‐Resistant Staphylococcus aureus in Pet Dogs

This article presents a qualitative risk assessment of the acquisition of meticillin‐resistant Staphylococcus aureus (MRSA) in pet dogs, representing an important first step in the exploration of risk of bidirectional MRSA transfer between dogs and humans. A conceptual model of the seven potential pathways for MRSA acquisition in a dog in any given 24‐hour period was developed and the data available to populate that model were considered qualitatively. Humans were found to represent the most important source of MRSA for dogs in both community and veterinary hospital settings. The environment was found to be secondary to humans in terms of importance and other dogs less still. This study highlights some important methodological limitations of a technique that is heavily relied upon for qualitative risk assessments and applies a novel process, the use of relative risk ranking, to enable the generation of a defensible output using a matrix combination approach. Given the limitations of the prescribed methods as applied to the problem under consideration, further validation, or repudiation, of the findings contained herein is called for using a subsequent quantitative assessment.     

UK Competition Policy and Shareholder Value: The Impact of Merger Inquiries

Some previous studies have suggested that competition régimes can destroy shareholder value. This study examines data on 50 mergers in the UK between 1989 and 2002. The study confirms the finding from earlier studies of greater gains to shareholders in target than bidding companies, but does not find evidence supporting overall loss of shareholder value to target company shareholders when a merger is prohibited. It finds evidence that when the regulatory régime is stable and well understood the capital market behaves efficiently in response to new information. However, for a subgroup of the mergers involving companies with a new regulatory régime, where the industry and the stock market had little or no experience with respect to mergers, the capital market operated less efficiently.