The Use of Lay Assessors

This paper reports on some findings from a research study conductedby the authors for the Commission for Social Care Inspection.It examines the reasons for the involvement of lay assessorsand perceptions of the effectiveness of lay assessors in specificregulatory functions.     

Medical Negligence and Resource Allocation in the NHS

The recent growth in medical malpractice claims and in awards for damages has created concern both amongst doctors and health administrators. Steps which have been taken by the Review Body on Doctors’and Dentists’Remuneration and policy now advocated by the BMA suggest a movement away from the current system of negligence and towards a stricter no-fault system of liability. Under the current system, medical negligence occurs when doctors have not met the standards of treatment expected by reference to current professional standards. Under a no-fault system patients would be entitled to compensation for losses which arise from treatment, irrespective of whether negligence had occurred; although the implication is that the amounts of compensation would necessarily be limited. While there are reasons to believe that financial difficulties for doctors and pressures on NHS budgets may be ameliorated by a no-fault system, there are other criteria against which the current system of negligence should be judged. This article attempts to provide a framework within which a negligence system may be assessed. In particular, attention is drawn to the educative role of a negligence system and to the provision of information which may improve decisions on resource allocation. A critique of the current system of medical negligence in the UK suggests that a package of reforms to improve the system would be better than further movements towards non-market solutions.     

EFFECTS ON THE PRIMARY CAREGIVER WHEN A FAMILY MEMBER EXPERIENCES ACQUIRED BRAIN INJURY

This pilot study examines a random sample of 20 families with adults who have experienced acquired brain injury. Information about family structure pre and post accident is obtained by structured and open ended interview along with identification of the role of the primary caregiver. Analysis of the role of primary caregiver demonstrates the importance of the role of mothers and wives and the extent to which greatly increased responsibilities are acquired post accident. These increased responsibilities are a burden and alter the women's lifestyle such that their quality of life, like that of the person with brain injury, is severely impaired. This is a distinct but often unheralded outcome of acquired brain injury.     

Social Trust,Social Partner Time and Television Time

Social trust is an important phenomenon, but the influence of important time-based measures upon trust has not been examined. Such measures include social contact and anti-social activity, such as television watching, which allows for the co-presence of other people. This paper reports on associations between trust and weighted means of co-present ‘social’ time (defined as time spent in various ‘social’ activities) and co-present time spent watching television, using the Australian Time Use Survey, 2006. It finds that trust is associated with social time spent in the co-presence of ‘strangers’ predominately from outside the household, and that TV watching in the co-presence of ‘familiars’—friends and family—is negatively associated with trust.     

A general method of constructing E(s2)-optimal supersaturated designs

There has been much recent interest in supersaturated designs and their application in factor screening experiments. Supersaturated designs have mainly been constructed by using the E ( s ²)-optimality criterion originally proposed by Booth and Cox in 1962. However, until now E ( s ²)-optimal designs have only been established with certainty for n experimental runs when the number of factors m is a multiple of n-1 , and in adjacent cases where m = q ( n -1) + r (| r | 2, q an integer). A method of constructing E ( s ²)-optimal designs is presented which allows a reasonably complete solution to be found for various numbers of runs n including n ,=8 12, 16, 20, 24, 32, 40, 48, 64.     

Intensity and persistence of individuals' social exclusion in Australia

We construct a measure of social exclusion that recognises its multidimensionality at the individual level, including its potential variability in intensity at a point in time and in persistence over time. We distinguish seven dimensions or domains of social exclusion: material resources; employment; education and skills; health and disability; social; community; and personal safety. For each of these seven domains, several indicators of social exclusion are produced. Our exclusion measure identifies 20 to 30 per cent of the Australian population aged 15 years and over as experiencing ‘marginal’ or worse levels of exclusion at any given point in time. However, there is considerable variation in both the extent and persistence of exclusion among the excluded. We further find that, although there are commonalities in the demographic composition of the socially excluded and the income poor, there are also some important differences. For example, persons 65 years and over represent a much smaller share of the most ‘excluded’ group than they do of the ‘poorest‘; and – adopting a household‐level measure of exclusion – children represent a larger share of the excluded than they do of the poor.     

Are elderly drivers a road hazard?: Problem definition and political impact

Elderly drivers are increasing in number and some statistics show they are more likely to be involved in fatal accidents than all other age groups but those under 25. States have attempted to address the problem in various ways, but very few have required mandatory retesting at license renewal for those beyond a particular age. Why have so few states chosen to act? The key is how the issue is framed for the public and decision makers. Several phases of problem definition are explored to explain the political dynamics of the older driver issue: incidence, causality, severity, crisis labeling, problem population characteristics, and linkage of values to the issue and solutions. Based upon this analysis, it is not surprising that elder interest groups have been successful in containing policy initiatives designed to restrict elderly driving.     

Diversity in sociology: Problem or solution?

Some of sociology’s recent internal critics (e.g., Turner and Turner, 1990; Halliday and Janowitz, 1992; Collins, 1986; Gans, 1990; Crane and Small, 1992) suggest that the discipline's diversity of theoretical, methodological and substantive foci leave it in a weakened position for achieving individual and collective ends. Other sociologists (e.g., D'Antonio, 1992; Roos and Jones, 1993; Stacey and Thorne, 1985) argue that substantive diversity has made the discipline attractive to a greater variety of previously underrepresented groups, particularly women, groups that have, in turn, contributed to sociology’s substantive diversity. This paper reports on a content analysis of 2,016 articles from North American sociology journals in 1936, 1956, 1976, and 1996 as well as from chemistry, anthropology, economics, political science, and psychology journals in 1996. The analysis focused on a number of, often contradictory, hypotheses drawn from the competing views of sociology's diversity with respect to its substantive concerns and its gender composition. It finds, for instance, that there is more substantive diversity in today's sociology journal articles than there was earlier, at least when diversity is measured in terms of fields that are reputed to be attractive to women. This may not be surprising, since more women are writing sociology journal articles than ever before. Moreover, the substantive diversity seems to be related to more, not less, funding of sociological research. It is, of course, a trite remark — one made more frequently by sociologists than by their gibing critics — that sociology has not yet come to the development which commands from its adherents wholehearted agreement as to the objectives to be aimed at, the field to he limited, and the methods to be used. Gladys Bryson, 1936     

Extracting a revised labor supply theory from Becker's model of the household

Conflicting assumptions about labor supply behavior lie at the nexus of ideological and theoretical debates regarding the reality of involuntary unemployment, the efficacy of Keynesian macro-policy, and the appropriate nature of welfare policy. This can in part be attributed to the fact that orthodox theory is effectively predicated upon describing the behavior of individuals whose level of affluence enables them to voluntarily withhold their labor from the market. Ironically, a means of resolution appears if we extend Gary Becker's utility producing model of the household to recognize two latent behavioral concerns: (1) the ‘need’ of households for money income in order to produce utility, and (2) the presence of work activity in the home. The resulting generalized labor supply model extends Becker's analysis to explicitly encompass both the behavior of the affluent, and the behavior of the poor who need to work in order to sustain their existence.