Engaging physicians in cost savings initiatives. Eliminating medication cost bias in the selection of inpatient medications

Higher cost medications pose a serious question for physician executives. Learn how common administrative databases can provide clinical resource utilization and identify success factors and barriers to devising cost-effective medical management strategies.     

Mitigation of musculoskeletal problems and body discomfort of agricultural workers through educational intervention

Farming is a physically arduous occupation that places farm workers' at potential risk of musculoskeletal disorders, which has been observed to impose a greater impact on their health. Each activity in agriculture brings about certain stress and strain on bones and muscles leading to work-related musculoskeletal disorders which can lead to several permanent diseases and disabilities. The purpose of analyzing musculoskeletal problems among male and female workers engaged in agriculture was to know about the risk factors dangerous to health so that interventions can be planned for mitigating them thereby increasing the efficiency of work. Educational intervention included audio-visual aids as well as printed literature. It was hoped that awareness of these factors through dissemination of information would contribute at preventing hazards amongst farmers and their families. The results revealed that the workers reported very severe to severe pain in low back while performing agricultural activities. Weeding was the most strenuous activity for females and threshing crop for males. Training and education on MSDs through educational intervention proved that the knowledge of the farm workers could be enhanced and can help reduce risk of many musculoskeletal problems. It can be help in empowering the community and mitigate MSDs in agriculture.     

Bridging the Gap - Contractor and Bureaucrat Conceptions of Contract Management in Outsourcing

Perceptions of bureaucrats and contractors and their contractual relationship underpin contracting success. They are important phenomena but have not been fully explored in the current contracting literature, particularly in a highly politicalized context, namely Hong Kong. Using the principal-agent theory and the transaction cost theory as the theoretical framework, this study examines the perceptions of the key stakeholders, conceptualizes five attributes of effective contract management, and offers recommendations on bridging their perceptions for success of contract administration in Hong Kong. The study helps readers comprehend the dynamics of contract management, and its implications of Hong Kong’s politicalized background.     

Seasonal migration of rural labor in India

The impact of seasonal migration has been overlooked by students of migration. A unique data set collected in Dungarpur – one of the less developed districts of India – allows us to closely examine both the determinants and impact of seasonal migration. Detailed information was gathered from all members of 624 households, thus enabling analyses at both individual and household levels. The findings indicate that seasonal migration among rural laborers is wide-spread. Rural households in India use migrant labor offered by their members to improve their well-being by both reducing the impacts of inferior conditions and by raising household's income levels. Migrant labor is a compensating mechanism used by households to reduce their disadvantageous position. Migrant households are characterized by lower education levels, lower levels of income from agriculture, and by an inferior geographical location. However, those households sending migrant labor are found to have higher income levels than those not sending migrant labor. Income from migrant labor accounts for almost 60% of total annual income of households sending at least one migrant laborer. Such findings are in accordance with explanations derived from the `new economics of migration'. We can thus learn that migration-related decisions should not evaluated only on the basis of utility maximization of individual migrants, but also on the basis of risk reducing by households.