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51.
Health Policy and the Politics of Evidence 总被引:1,自引:0,他引:1
National decisions on the drugs, treatments and medical devices that should be funded through public expenditure are a fundamental element of health policy. But despite a political emphasis upon evidence‐based policy, the results of rigorous clinical trials and statistical modelling techniques rarely speak for themselves. So, does the pre‐eminence traditionally accorded to quantitative data in the medical field underpin policy decisions on a consistent basis? Or are more subtle, less transparent characteristics of context and interaction evident in the shaping of attendant decisions? This article considers these questions by drawing on a study of decision‐making in the National Institute for Health and Clinical Excellence (NICE)—an organization established by the British government in 1999 to decide whether selected health technologies should be made available throughout the National Health Service in England and Wales. In broad terms, the findings point to the primacy of arguments based on quantitatively oriented, experimentally derived data but also to a discursive hegemony of clinicians and health economists in mediating, including or debarring more qualitative, experientially based evidence. A more complex, dynamic understanding of policy governance in the field of health technology appraisal—founded on a discursive appropriation of the idea of the “common good”—goes some way to explaining the persistence of this hegemony despite an avowedly inclusive, plural approach to decision‐making. 相似文献
52.
Stephanie M. Pickle Timothy J. Robinson Jeffrey B. Birch Christine M. Anderson-Cook 《Journal of statistical planning and inference》2008
Parameter design or robust parameter design (RPD) is an engineering methodology intended as a cost-effective approach for improving the quality of products and processes. The goal of parameter design is to choose the levels of the control variables that optimize a defined quality characteristic. An essential component of RPD involves the assumption of well estimated models for the process mean and variance. Traditionally, the modeling of the mean and variance has been done parametrically. It is often the case, particularly when modeling the variance, that nonparametric techniques are more appropriate due to the nature of the curvature in the underlying function. Most response surface experiments involve sparse data. In sparse data situations with unusual curvature in the underlying function, nonparametric techniques often result in estimates with problematic variation whereas their parametric counterparts may result in estimates with problematic bias. We propose the use of semi-parametric modeling within the robust design setting, combining parametric and nonparametric functions to improve the quality of both mean and variance model estimation. The proposed method will be illustrated with an example and simulations. 相似文献
53.
Timothy Dickinson Volkan Topalli Richard Wright 《The British journal of sociology》2023,74(4):624-637
In this study, we investigate the meanings active armed robbers give to money before, during, and after their crimes and how these meanings shape their offending. We do so by examining interviews undertaken from 1994 to 1995 with robbers in St. Louis, Missouri, USA. Prior to their robberies, the interviewees' desperation leads them to define money as essential to survival. Immediately following robberies and in looking back on them, they come to view this essential money in other ways as well—as too time-consuming to get, as “easy,” or as guilt-free. These meanings facilitate the contradictory way robbers see money as “fast” after offences. We discuss how these shifting meanings of money shape and are shaped by robbers' structural positions, cultural outlooks, and social relations. In doing so, we also help to explain how the shifting meanings of money play into criminogenic cycles of predatory offending. 相似文献
54.
Timothy Berard 《Journal for the theory of social behaviour》1998,28(2):193-213
In explaining human actions, scholars and laypeople alike employ explanatory devices such as 'motives'. This paper critically reevaluates the relationship between 'professional' and 'lay' invocations of motive, proposing a general reorientation of theory and research. This reorientation emphasizes the mundane 'practical grammar' of motives, and argues that motive deployment is inextricably tied to deviance, and therefore irremediably moral. It is argued, therefore, that motives should serve as a topic for scholarship, not a resource for scholarly use. Several landmark theories of motives, deviance, and explanations are critically reviewed from the proposed vantage. Finally, a brief survey of similarly-minded work is offered, focussing on ethnomethodological arguments and findings, as illustrations of the heuristic power and promise of the outlined approach. 相似文献
55.
This paper investigates differential customer racial reaction to negative and positive publicity related to professional athletes. In terms of negative publicity, it analyzes the effect of mention in the Mitchell Report on the price of baseball cards. In regards to positive publicity, it considers the impact of having been identified as a member of the United States Olympic or national team. After controlling for player productivity with performance statistics, the effects of being mentioned in the Mitchell Report are isolated within regression analysis to draw conclusions concerning customer racial attitudes toward the steroids scandal. Similar analysis is conducted to see the impact of being seen as a baseball representative of the United States. Regression results are consistent with the conclusion that negative publicity devalues the cards of nonWhite players but not of White players. Positive publicity, however, increases the value of a player's card regardless of ethnicity. 相似文献
56.
Timothy Rutzou 《Journal for the theory of social behaviour》2017,47(4):402-417
This article examines the reception of Roy Bhaskar amongst some contemporary Deleuzians. It proceeds by rejecting the all too often predilection of opposing realism to ‘postmodernism’ or ‘post‐structuralism’ arguing instead for the need to bring one into dialogue with the other. To this end, the paper explores the resonances and points of departure between the work of Gilles Deleuze and Roy Bhaskar. In particular, it examines the language of causation, object‐oriented versus process‐oriented ontologies, as well as the charge by Deleuzians that Bhaskar is an essentialist. Through this engagement it attempts to develop and rethink explanation and causation in terms of a more chaotic ontology of machines, centered around the concept of structure, process, and production in an open, heterogeneous, and dynamic world. The end result is a more chaotic concept of realism. 相似文献
57.
58.
Archival data on over 15,000 contributors to 33management journals are used to examine productivitydifferences among scholars in different areas ofmanagement. The results suggest that a fragmentedpublication network offers specialists from different areasdissimilar publication opportunities and experiences,and may contribute to varying levels of publicationproductivity among authors. The implications of our results for future research and facultyevaluation processes are explored. 相似文献
59.
Kevin Richard Timothy Baghurst J. Michael Faragher Erin Stotts 《Journal of gambling studies / co-sponsored by the National Council on Problem Gambling and Institute for the Study of Gambling and Commercial Gaming》2017,33(1):265-281
Reviews of problem gambling (PG) literature increasingly recognize the ways in which different ethnic groups are affected by gambling behaviors, yet discourse, which considers sociocultural factors within PG, remains limited. Literature on this topic is influenced by large inconsistencies amongst research studies, overlapping terminology, and variability in the validity of research studies, making conclusions difficult to draw. Despite these discrepancies, this paper explores how sociocultural factors influence PG among diverse cultural groups and provides specific practical implications for treating PG disorders in culturally diverse populations. Notable factors that exacerbate PG behavior cross-culturally include substance abuse, low socioeconomic status, lack of social activities, and geographic location. Culturally sensitive treatment options such as Motivational Interviewing and Cognitive Behavioral Therapy have been identified as effective treatments for PG with culturally diverse populations. This paper extends current thought by providing practical treatment recommendations that consider the subtle nuances of diverse populations. It explains how treatment providers and behavioral addiction professionals can increase their understanding and skills when conceptualizing PG clients from a diverse background. 相似文献
60.
Timothy Broady 《The Australian journal of social issues》2014,49(3):285-307
Person‐centred approaches place individuals with a disability at the centre of decision making, with their carers and family invited to be partners in the process. Rather than being required to fit within existing service programs, person‐centred approaches enable individuals to choose the support options that best meet their needs. In order to facilitate this, person‐centred approaches will be accompanied by the introduction of individualised funding. This means the individual will be provided with funding to purchase services of their choosing. Given these significant changes occurring in the disability sector, Carers NSW surveyed informal carers of people with a disability to identify what they knew about person‐centred approaches and how they felt about their introduction. Survey results indicate that there is a need to increase the capacity and willingness of carers significantly in order to engage with person‐centred approaches and individualised funding. Carers require targeted and comprehensive information about these concepts in order to understand fully the changes occurring within the disability sector. These findings also indicate specific areas that need to be addressed in order to increase carers' awareness of these concepts and also to address existing negativity and confusion. 相似文献