Communist and non-communist Europe: Functional differentiation, 1970–1985

Examining four variables related to quality of life in the respective societies — the value of international trade in U.S. dollars, air passenger mileage, total school enrollments and life expectancy — this study distinguishes several Communist Eastern European states from several Non-Communist Western European states over four time intervals: 1970, 1975, 1980 and 1985. The method employed is discriminant analysis. The degree of distinction achieved with the four variables is remarkably clearcut and does not appear to be the simple consequence of different levels of economic development.     

Status differences in cross-functional teams: effects on individual member participation, job satisfaction, and intent to quit

Cross-functional teams (CFTs) play an increasingly important role in health care. However, despite their potential, CFTs often fail to function effectively. This paper contributes to the literature in medical sociology by examining how the steep and well-defined hierarchy characteristic of the health occupations proves to be dysfunctional in the CFT setting. Previous research has shown that status differences among members of work teams negatively affect their functioning. Yet the specific mechanisms that connect variations in status to poor team functioning remain unclear. We hypothesize that it is the suppression of participation among low status team members that leads to poor CFT functioning. Our theoretical model integrates status characteristics theory and the value attainment theory of job satisfaction to link team members' statuses to participation in team decision-making and, ultimately, to their attitudes about the job. We use causal modeling to test our hypotheses. Our results indicate that relationships between health professionals defined in broader social contexts affect status, roles, and functions within CFTs, and these, in turn, affect the team's interpersonal processes. We suggest changes in organizational structure and in team leadership styles that might make CFTs more effective.     

Validation of the subtle and overt psychological abuse scale: an examination of construct validity

The Subtle and Overt Scale of Psychological Abuse (Marshall, 1999a) is a measure designed to examine previously unevaluated forms of psychological abuse. The scale was originally divided into seven subscales (overt: dominance, indifference, monitoring and discrediting; subtle: undermining, discounting, isolating). A sample of 172 women was used to evaluate the construct validity of this measure. In other words, the internal structure of the measure, its relation to other measures of physical and psychological abuse, and its relationship to other psychological outcomes. Empirical and theoretical approaches were used to replicate and examine the dimensions of this scale. Results revealed that this scale represents a unidimensional construct that is highly correlated to other measures of psychological abuse. Implications for future research and practice are discussed.     

Why do drug treatment organizations use contingent staffing arrangements? An analysis of market and social influences

Contingent staffing arrangements are defined as conditional and transitory work arrangements. In the drug abuse treatment sector, contingent staffing arrangements have the potential to improve treatment if they are used to increase access to needed services. Alternatively, such arrangements could interfere with the development of consistent, long-term client-staff relationships. Unfortunately, little is known about the consequences of or influences on contingent staff arrangements in this sector. The goal of this study is to examine the conditions under which outpatient substance abuse treatment organizations are more likely to use contingent staffing arrangements. Building on previous research on the social organization of health care structures and practices, we develop a conceptual model based in market economics and institutional perspectives to suggest that treatment organizations choose contingent arrangements in response to market conditions and uncertainty, institutional demands, and client needs. Using data from a nationally representative study conducted in 1988, 1990, and 1995, we find limited evidence that drug treatment units use contingent staff in response to market pressures. Labor market and demand uncertainty, however, are systematically associated with greater use of contingent staff. Study results suggest that expectations and norms from the institutional environment, particularly the organizational context of the treatment unit are strong predictors of the use of contingent staff. By considering both market and social influences of contingent staffing, we contribute to a growing body of research on how markets and institutions interact to influence organizational structures and practices in the health care system.     

Very Public Scandals: Nongovernmental Organizations in Trouble

This paper analyzes, from a cross-national perspective, publicized incidents of alleged wrongdoing on the part of nongovernmental organizations (NGOs). Data were derived from daily, weekly, or monthly newspapers and special nonprofit newsletters accessible through websites. Analysis of media reports of scandals involving NGOs was conducted to identify issues and trends in governance and management problems associated with this sector. The paper focuses on NGOs involved in the financing or delivery of health and human services. After highlighting some of the precedent-setting cases of NGO improprieties in the United States during the 1990s, prominent global cases of wrongdoing during the period 1998–2000 are reviewed. The underlying problems that allowed these cases to occur and their implications regarding NGO credibility and public trust are identified, and strategic options for enhancing accountability presented.