The influence of the economic crisis on quality of care for older people: system readiness for innovation in Europe

The aim of this study is to examine the influence of the recent economic crisis on the quality of long-term care for older people in Belgium and the Netherlands. A mixed-method approach was applied, primarily focused on conducting semi-structured qualitative interviews with health professionals working in a management role in organizations providing long-term care for older people. The results show that Dutch organizations seem to be prepared for the influences of the economic crisis on the quality of its care provision primarily in terms of a sound system readiness. At the same time, Belgian organizations seem to be prepared for the influences of the economic crisis on the quality of its care provision primarily in terms of a favorable sociopolitical context. Comparing two countries allows for reciprocal lesson-drawing. The conclusion drawn in this study is that a sustainable long-term care system requires above all stability and structure.     

The Multi-method Comprehensive Review: Synthesis and Analysis when Scholarship is International,Interdisciplinary, and Immense

VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations - This article presents a new strategy for reviewing large, multidisciplinary academic literatures: a multi-method...     

Bayesian Binomial Regression: Predicting Survival at a Trauma Center

Standard methods for analyzing binomial regression data rely on asymptotic inferences. Bayesian methods can be performed using simple computations, and they apply for any sample size. We provide a relatively complete discussion of Bayesian inferences for binomial regression with emphasis on inferences for the probability of “success.” Furthermore, we illustrate diagnostic tools, perform model selection among nonnested models, and examine the sensitivity of the Bayesian methods.     

HISPANIC MEDIA USE AND PERCEPTIONS OF DISCRIMINATION:

This study utilizes data from the Latino National Political Survey to evaluate the relationship between several social and cultural variables, media use, and Hispanic perceptions of discrimination. We examine the effects that level of income and education, personal experience, ethnicity, and political party preference and media exposure have on these perceptions. The examination builds on social-psychological theories and media framing/cultivation arguments. The cross-section, regression analysis considers Hispanics as a whole and as various subgroups (Mexicans, Puerto Ricans, and Cubans), respectively. Contrary to conventional wisdom that media use is positively related to perceived discrimination, we find that socioeconomic and ethnic conditions are of greater import for understanding perceptions. Further, it appears that media use has little impact on perceptions of discrimination.     

Developmental trends in proxemic spacing behavior between surrounding companions and strangers in casual groups

This study examined age differences in the pattern of proxemic behavior observed in casual groups frequenting public environments. Observations were made in the corridors of large shopping malls and along sidewalks of small towns. The relative positions of all walking subjects were inconspicuously recorded in photographs, and interpersonal distances were measured by projecting slides on a calibrated grid. Distances to first, second, and third nearest companions and first, second, and third nearest strangers were computed for subjects in six age classes: preschool children, grade school children, teenagers, young adults, middle adults, and senior adults. All classes showed significant age differences in the distances maintained to companions (p = .00001), but only senior adults differed in their spacing toward strangers, by maintaining significantly closer distances than the other age groups (p < .01). Tests of spatial patterns showed significant aggregations between first, second, and third nearest companions, and essentially random spacing toward first nearest strangers in all age groups. Senior adults showed a significant tendency to aggregate with their second and third nearest surrounding strangers. These results are discussed in the light of oer research and in the context of the ecology and development of proxemic behavior.Funding was provided by a National Science Foundation grant, BNS 79-06843, to J.W. Burgess. Additional fundint was provided by a grant from the Consumer Research Center, University of California (Robert Sommer, Director), and by Sigma Xi grants to J.W. Burgess. The author thanks Ms. Deanna Johnson for expert help in behavioral observation and decoding.     

Aquatic landscape change,extirpations, and introductions in the Chicago Region

Urban Ecosystems - Prior to European settlement, swamps, marshes, lakes, and streams were the major landscape features of the Chicago region. Much of this has been altered or lost in the past...     

ENVIRONMENTALISM,STIMULUS, AND INEQUALITY REDUCTION THROUGH INDUSTRIAL POLICY: DID CASH FOR CLUNKERS ACHIEVE THE TRIFECTA?

The 2009 American Cash for Clunkers program, which subsidized consumers who scrapped old vehicles and purchased new vehicles, was promoted by appealing to multiple constituencies. We evaluate the policy and alternatives according to its stated goals: emissions reductions, economic stimulus, and reducing inequality. We calibrate a dynamic partial equilibrium portfolio model to match consumer expenditure data from 1998 to 2011 focusing on heterogeneity across cars and trucks. We find the program generated $0.17 in environmental benefits, $0.28 in consumer surplus, and $0.31 in net discounted additional spending per subsidy dollar. Since subsidies largely went to middle-income infra-marginal consumers, the program exacerbated consumption inequality. We evaluate alternative policy designs and find no policy which simultaneously improves all outcomes. (JEL H23, L52, L92, D63)     

Personal Network Correlates and Predictors of Homelessness for Injection Drug Users in Baltimore, Maryland

Injection drug users are at high risk for homelessness and human immunodeficiency virus (HIV) infection. This study sought to examine incidence rates and the social and economic antecedents of homelessness of impoverished inner-city injection drug users. Of the 569 participants, from a nontreatment sample who participated HIV prevention study, interviewed at baseline, 324 (57%) were reinterviewed 5.2 months later. At baseline 48% of the participants reported that they had been homeless in the past 10 years. Of the 324, 18% reported that at both interviews they had been homeless within the prior 6 months, 12% reported homelessness at baseline but not at follow-up, and 8% reported homelessness at follow-up but not at baseline. At baseline personal social support network characteristic of size of material aid and size of sex network was found to be associated with self-reports of homelessness. Baseline reports of presence of mother in personal network, size of material aid network, and network density were found to be associated with reports of homelessness at follow-up. These result suggest the need for alternative approaches to addressing issues of homelessness injection drug users.     

More nonparametric Bayesian inference in applications

Discussion of “Nonparametric Bayesian Inference in Applications” by Peter Mueller, Fernando A. Quintana, Garritt Page: More Nonparametric Bayesian Inference in Applications.