Access to Hospice Care: Expanding Boundaries, Overcoming Barriers

This report looks at issues of social justice, access, and public policy in hospice and palliative care. As it examines the issues from the perspectives of social justice and fairness, it also recommends ways in which the definition of hospice can be expanded to include more Americans for a longer period of time than simply the days or months shortly before death

Promoting Men's Health: Addressing Barriers to Healthy Lifestyle and Preventive Health Care

The workshop upon which this report is based drew prominent behavioral and social researchers in men's health and related fields together to develop a consensus about men's health care needs and the ways society and our culture create barriers to the development of healthy lifestyles. It examines the sources of denial and how it and related attitudes can be changed, and develops recommendations to address clinical practice, intervention, communications, and policy issues related to men's health. Identifies gender as a significant factor influencing public health

Back on Track: Transforming Virginia's Child Welfare System

Describes how Casey helped the state reform the system in three years by focusing on results. Points to consistent leadership, teamwork and collaboration, best practice knowledge and on-the-ground innovation, and a focus on systemic weaknesses

Dropped? Latino Education and Arizona's Economic Future

Describes persistent barriers to educational opportunities and the achievement gap Latinos face; implications for incomes, health insurance coverage, and the economy; and strategies for improving the educational system and Latino educational attainment

Overcoming barriers and increasing independence: service robots for elderly and disabled people

This paper discusses the potential for service robots to overcome barriers and increase independence of elderly and disabled people. It includes a brief overview of the existing uses of service robots by disabled and elderly people and advances in technology which will make new uses possible and provides suggestions for some of these new applications. The paper also considers the design and other conditions to be met for user acceptance. It also discusses the complementarity of assistive service robots and personal assistance and considers the types of applications and users for which service robots are and are not suitable

The differentiated impact of role models and social fear of failure over the entrepreneurial activities of rural youths

The main objective of this study is to determine the differential impact of certain socio-cultural variables (such as entrepreneurial self-confidence, role models and fear of failure) on the entrepreneurial process of Spanish rural youths. In consonance with the new rural policy paradigm, the European Commission and the OECD are proposing entrepreneurship as a tool for economic diversification and endogenous rural development. Entrepreneurship is associated in rural areas with economic vitality and prosperity. Entrepreneurship in rural areas becomes a means for capturing and optimizing the true natural, social and human capital of a territory as well as a source of opportunity and welfare for the local population. However, in a context where many rural areas are suffering from an aging and retiring population, the emphasis on developing an entrepreneurially active community becomes especially important within the segment of rural youths. Environmental and social-cultural factors have been used to explain differences in entrepreneurship across territories, including the rural urban divide. This line of research has found that certain variables, such as the local presence of role models and the social stigma of failure, have a differential impact over entrepreneurial activity across certain segments of the population (gender, immigrant status). Therefore, this study has the objective to verify whether age affects the impact that certain socio-cultural variables have on the entrepreneurial process of rural and urban youths. The methodology used in this study is the logistic regression model for rare events, with a database of the Global Entrepreneurship Monitor in Spain for 2009, which has a sample of 26,990 adults. The study shows that young adults in Spain have a higher propensity for entrepreneurial activity than the rest of the population, but discriminating between urban and rural youth, the latter are less likely to be entrepreneurs. Amongst younger-aged individuals, social-cultural factors are found to have a differential impact on entrepreneurship across the rural-urban divide.Peer ReviewedPostprint (author’s final draft

The Veterans Health Administration: Taking Home Telehealth Services to Scale Nationally

Since the 1990s, the Veterans Health Administration (VHA) has used information and communications technologies to provide high-quality, coordinated, and comprehensive primary and specialist care services to its veteran population. Within the VHA, the Office of Telehealth Services offers veterans a program called Care Coordination/Home Telehealth (CCHT) to provide routine noninstitutional care and targeted care management and case management services to veterans with diabetes, congestive heart failure, hypertension, post-traumatic stress disorder, and other conditions. The program uses remote monitoring devices in veterans' homes to communicate health status and to capture and transmit biometric data that are monitored remotely by care coordinators. CCHT has shown promising results: fewer bed days of care, reduced hospital admissions, and high rates of patient satisfaction. This issue brief highlights factors critical to the VHA's success -- like the organization's leadership, culture, and existing information technology infrastructure -- as well as opportunities and challenges

Identification of drivers, benefits, and challenges of ISO 50001 through case study content analysis

An expanding body of research is defining drivers, benefits, and challenges of adopting ISO 50001 energy management systems. The Clean Energy Ministerial's Energy Management Leadership Awards program requires ISO 50001-certified organizations to develop case studies of their implementation experience. 72 recent case studies spanning multiple economic sectors provide a unique global look at implementation from certified organizations' perspectives. This dataset was investigated through content analysis of phrases related to motivations and goals, the role of management and the organization, benefits achieved, keys to success, and challenges. This paper presents findings from this quantitative analysis of “codes” assigned to phrases that capture their meaning. While organizations adopted ISO 50001 for different motives and saw myriad benefits beyond energy savings and associated greenhouse gas emissions reductions, commonalities exist. The most frequently identified drivers are existing values and goals, environmental sustainability, and government incentives or regulations. Findings also include: obtaining and sustaining top management support is critical; top benefits mentioned are cost savings, productivity, and operational improvements; and the primary barrier is lacking a culture of energy management. Policymakers and others looking to accelerate ISO 50001 uptake can use these findings to highlight benefits and incentives that will resonate with corporate decisionmakers worldwide

“Conditional scholarships” for HIV/AIDS health workers: educating and retaining the workforce to provide antiretroviral treatment in sub- Saharan Africa

In spite of recent large-scale efforts to roll out ART in developing countries, millions of people who need ART currently do not receive it. Without large increases in the number of health workers to treat HIV/AIDS (HAHW) in the next few years, most developing countries will be unable to achieve universal coverage with ART, leading to large numbers of potentially avoidable deaths. We investigate the economic value of a scholarship for health care education that is conditional on the recipient entering into a contract to work for a number of years after graduation delivering ART in sub-Saharan Africa. Such a scholarship could address two of the main reasons for the low numbers of health workers in developing countries. First, the “scholarship” could increase the number of health workers educated in the country. Second, the “condition” could decrease the probability of emigration of HAHW. We use Markov Monte Carlo microsimulation to estimate the expected net present value (eNPV) of “conditional scholarships” in sub-Saharan Africa. We find that under a wide range of plausible assumptions the scholarships are highly eNPV positive. “Conditional scholarships” for a team of health workers sufficient to provide ART for 500 patients have an eNPV of 1.23 million year-2000 US dollars, assuming that the scholarship recipients are in addition to the health workers who would have been educated without scholarships and that the scholarships reduce annual HAHW emigration probabilities from 15% to 5% for five years. When individual variable values are varied from this base case within plausible bounds suggested by the literature, eNPV of the “conditional scholarships” never falls below 0.5 million year-2000 US dollars. When we assume that the scholarships do not increase HAHW education output, but merely reduce annual HAHW emigration probabilities from 15% to 5% for five years, their eNPV remains highly positive at 0.29 million year-2000 US dollars. Although the “conditional scholarships” are a socially desirable investment, implementation success will likely depend on the sources of finance, selection of candidates, specification of the condition, enforcement mechanisms, and supporting interventions.AIDS, ART.