65,351 research outputs found

    Outcomes and Effectiveness of Family Support Services: a research review

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    Users' perception of relevance of spoken documents

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    We present the results of a study of user's perception of relevance of documents. The aim is to study experimentally how users' perception varies depending on the form that retrieved documents are presented. Documents retrieved in response to a query are presented to users in a variety of ways, from full text to a machine spoken query-biased automatically-generated summary, and the difference in users' perception of relevance is studied. The experimental results suggest that the effectiveness of advanced multimedia information retrieval applications may be affected by the low level of users' perception of relevance of retrieved documents

    Promoting Competition in Telecommunications

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    There is a growing recognition of the importance of competition for the success of market economies, and of the need for government action both to maintain competition and to regulate industries where competition remains limited. In the area of telecommunications, upon which I shall focus today, we have seen examples where privatization has not delivered on its promises: in some cases access in certain vital areas has actually been reduced. Competition and regulatory policy are vital for a market economy. The fundamental theorems of welfare economics, assume that both private property and competitive markets exist in the economy. Until recently, however, emphasis was placed almost exclusively on creating private property, and privatization of public assets. A well designed privatization, where there is a good regulatory framework in place, can raise enormous revenues and at the same time increase services and lower prices.market economies; government; competition; regulate industries; telecommunications

    Mobile satellite service in the United States

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    Mobile satellite service (MSS) has been under development in the United States for more than two decades. The service will soon be provided on a commercial basis by a consortium of eight U.S. companies called the American Mobile Satellite Consortium (AMSC). AMSC will build a three-satellite MSS system that will offer superior performance, reliability and cost effectiveness for organizations requiring mobile communications across the U.S. The development and operation of MSS in North America is being coordinated with Telesat Canada and Mexico. AMSC expects NASA to provide launch services in exchange for capacity on the first AMSC satellite for MSAT-X activities and for government demonstrations

    Large-scale educational telecommunications systems for the US: An analysis of educational needs and technological opportunities

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    The needs to be served, the subsectors in which the system might be used, the technology employed, and the prospects for future utilization of an educational telecommunications delivery system are described and analyzed. Educational subsectors are analyzed with emphasis on the current status and trends within each subsector. Issues which affect future development, and prospects for future use of media, technology, and large-scale electronic delivery within each subsector are included. Information on technology utilization is presented. Educational telecommunications services are identified and grouped into categories: public television and radio, instructional television, computer aided instruction, computer resource sharing, and information resource sharing. Technology based services, their current utilization, and factors which affect future development are stressed. The role of communications satellites in providing these services is discussed. Efforts to analyze and estimate future utilization of large-scale educational telecommunications are summarized. Factors which affect future utilization are identified. Conclusions are presented

    Travel Demand Growth: Research on Longer-Term Issues. The Potential Contribution of Trip Planning Systems

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    INTRODUCTION 1.1 The growth in demand for travel Over the 20 years hm 1965, National Travel Survey (NTS) data shows a 61% growth in total person - km of travel. More detailed analysis suggests that this is made up roughly as follows:- due to increased population 4% due to more journeys 22% due to longer journeys 35% This implies that around 60% of the growth in travel has been due to people travelling further, rather than making more journeys. It is interesting to note, too, that the same phenomenon occurs even in the most congested areas. Between 1975 and 1985, NTS shows an 11% growth in person -km by London residents, at a time when population fell by 5%. In this case, the growth is made up roughly as follows:- due to lost population -5% due to more journeys 4% due to longer journeys 12% It is of course difficult to estimate the extent to which future growth in travel will be generated by longer journeys. The NRTF, which predicts a growth in car-km of between 120% and 180% between 1985 and 2025, is not based on a procedure which enables the effects of journey making and journey length to be separated. However, it is worth noting that if the same pattern were to exist at a national level in future, the predicted growth in car travel due to longer journeys could be equivalent to between 75% and 100% of today's car travel. It seems appropriate to ask whether it is a wise use of scarce resources to provide the infrastructure and energy needed to enable people to carry out their activities further from home. (Continues...

    Universal Broadband: Targeting Investments to Deliver Broadband Services to All Americans

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    Suggests ways to implement Knight's 2009 recommendation for universal broadband access, including repurposing and distributing existing funds via a transparent, market-based approach and supporting adoption by low-income and other non-adopter communities

    Unintended Consequences of Incentive Provision for Behaviour Change and Maintenance around Childbirth

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    Financial (positive or negative) and non-financial incentives or rewards are increasingly used in attempts to influence health behaviours. While unintended consequences of incentive provision are discussed in the literature, evidence syntheses did not identify any primary research with the aim of investigating unintended consequences of incentive interventions for lifestyle behaviour change. Our objective was to investigate perceived positive and negative unintended consequences of incentive provision for a shortlist of seven promising incentive strategies for smoking cessation in pregnancy and breastfeeding. A multi-disciplinary, mixed-methods approach included involving two service-user mother and baby groups from disadvantaged areas with experience of the target behaviours as study co-investigators. Systematic reviews informed the shortlist of incentive strategies. Qualitative semi-structured interviews and a web-based survey of health professionals asked open questions on positive and negative consequences of incentives. The participants from three UK regions were a diverse sample with and without direct experience of incentive interventions: 88 pregnant women/recent mothers/partners/family members; 53 service providers; 24 experts/decision makers and interactive discussions with 63 conference attendees. Maternity and early years health professionals (n = 497) including doctors, midwives, health visitors, public health and related staff participated in the survey. Qualitative analysis identified ethical, political, cultural, social and psychological implications of incentive delivery at population and individual levels. Four key themes emerged: how incentives can address or create inequalities; enhance or diminish intrinsic motivation and wellbeing; have a positive or negative effect on relationships with others within personal networks or health providers; and can impact on health systems and resources by raising awareness and directing service delivery, but may be detrimental to other health care areas. Financial incentives are controversial and generated emotive and oppositional responses. The planning, design and delivery of future incentive interventions should evaluate unexpected consequences to inform the evidence for effectiveness, cost-effectiveness and future implementation

    Formative Evaluation of Job Clubs Operated by Faith- and Community-Based Organizations: Findings From Site Visits and Options for Future Evaluation

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    Over the past several decades, job search support groups, commonly referred to as “job clubs,” have evolved into one of several important activities used by the public workforce system and faith- and community-based organizations to enhance worker readiness and employability, as well as to provide ongoing support to unemployed and underemployed individuals as they search for jobs. The U.S. Department of Labor\u27s (DOL) Chief Evaluation Office (CEO) contracted in September 2012 with Capital Research Corporation, Inc. and George Washington University to conduct an assessment of job clubs sponsored by faith-based and community-based organizations (FBOs/CBOs). The overall purpose of this evaluation effort was to systematically describe the key characteristics of job clubs being offered by a range of faith- and community- based organizations, document how they differ from and are similar to the job clubs operated by publicly-funded workforce agencies (such as at American Job Centers [AJCs]), and identify potential approaches that might be used for more rigorous formal evaluation of impacts and effectiveness. Findings from the telephone interviews with stakeholders and in-person interviews with facilitators during the site visits indicate that job clubs operated by FBOs, CBOs and public workforce agencies are alike in many ways, with all of them emphasizing the critical importance of: (1) networking during the job search; (2) offering ongoing peer support and sharing of similar experiences among participants; and (3) providing instruction and guidance on the basics of the job search process (e.g., elevator pitches, resume development, job interview practice). Noteworthy differences between the FBO/CBO job clubs and those operated by public workforce agencies are related to staffing patterns and available resources for program operations and services. While public workforce agency job clubs are led by paid professional staff, supported by the full complement of workshops, activities, and other services typically available through AJCs/One-Stop Centers, FBO/CBO job clubs, in most cases, operate with limited budgets or no funding whatsoever. Additionally, compared with public sector agencies, FBOs/CBOs typically collect little in the way of participant-level data, such as participant identifiers, demographic characteristics, service receipt, or outcomes. Finally, although this report suggests several approaches to future rigorous experimental/non-experimental and process/implementation evaluation of FBO/CBO-sponsored job clubs, there are likely to be formidable challenges to implementation of rigorous evaluation methods because these job clubs rarely collect identifying information on participants, such as Social Security numbers, and are generally opposed to random assignment for their programs

    EVALUATING TELEMEDICINE TECHNOLOGIES IN RURAL SETTINGS

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    Changes in health care policies, demographics, and technology have presented new opportunities for the delivery of medical care services and information to rural communities. Telemedicinethe use of electronic information and communications technologies to provide and support health care when distance separates the participantshas significantly impacted the delivery of rural health care services. This paper presents an overview of the telemedicine technologies, government involvement in support of telemedicine, and issues that need to be addressed in designing an economic framework to evaluate the net benefits of telemedicine to rural communities and consumers. Federal and state governments have invested millions of support dollars in the form of equipment, infrastructure, and incentives for consumers and providers to expand the use of telecommunications in medical care. Since disbursement of these funds is already underway, it only makes sense to develop a method to determine both where and whether an additional dollar of funding for telemedicine development would be of the greatest benefit to society. If telemedicine can prove itself as a useful method for improving the likelihood of survival of rural hospitals, then, in the interest of rural development, it may be a technology worth investing in; i.e., the social benefits, measured as the sum of the private and public benefits, may outweigh the costs. According to its supporters, telemedicine systems have the potential to simultaneously address several problems characteristic of health care in rural areas, including access to care, cost containment, and quality assurance. Access can be improved by linking providers in remote areas with specialists in metropolitan centers or peers in rural areas. Telemedicine not only enables a wider range of services to be offered in the local community but may have the added effect of improving physician retention in isolated areas, one of the primary challenges in maintaining access for frontier medical centers. Telemedicine can promote cost containment through the substitution of lower-cost rural providers and facilities. Ideally, improved quality will be achieved by the ready availability of consultations and referrals. These are the potential benefits of telemedicine implementation, but they have not yet been verified by research in a field setting. An evaluation framework for telemedicine needs to be capable of modeling changes in the behavior of health care consumers (i.e., altered visitation patterns), recognizing differences in quality of service, and finally, quantifying the value of these changes. This is no small task, and obtaining the required data will likely require the cooperation of many parties, including health care providers, patients, hospital and program administrators, and policymakers. These are the same groups that could benefit greatly from a better understanding of how telemedicine technologies affect health care delivery, but a meaningful framework for analysis needs to capture the many aspects of telemedicine implementation.rural health care, telemedicine, averted costs, economic benefits, telecommunications technology, R0, Community/Rural/Urban Development, Health Economics and Policy, Research and Development/Tech Change/Emerging Technologies, I1,
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