Public or private job matching for immigrant workers – an outline of a Swedish social experiment

Evaluations of labour market programs and other related measures typically make use of observational data. This paper presents an outline for producing experimental data in the interest of testing a proposed measure targeted to un-employed immigrant workers. The idea is to offer them placement services provided by a private recruitment company as well as by public employment offices. The assignment of unemployed immigrants to the two providers will be random and the operating conditions kept as similar as possible.Unemployed immigrants; job matching; experiment

Structural conditions for business model design in new information and communication services : a case study of multi-play and MVolP in Denmark and Norway

The report analyses the structural conditions for the design of business models regarding new information and communication services. The services examined are mobile VoIP (MVoIP) and multi-play – services that already are on the market, however in their infancy, and which represent different kinds of services in terms of structural conditions market-wise and in regulatory terms. As the two service categories are relatively new on the market, dominating business model designs have not yet settled and the strategic choices of companies are very open. Being on the market, the discussion on the business model design, however, transcends the purely speculative stage. The structural conditions studied are the market conditions including the regulatory conditions. In addition, the different technological solutions are examined, as MVoIP as well as multi-play include different technology solutions for the delivery of services to users. This means that the analysis includes technological as well as market-based and regulatory elements. The aim of the analysis of the structural conditions is two-fold: On the one hand, to deepen the understanding of the structural condition and, on the other hand, to discuss the conditions for different business model design options. The report examines the regulatory policies and market characteristics in MVoIP and multi-play as a basis for a discussion on how these policies and characteristics affect the business model decisions of service providers in the two areas. Using empirical material from Norway and Denmark, the report presents a comparative analysis of the structural conditions and the business model choices made by actors in the market. The basic theoretical framework for the analysis is the Structure-Conduct-Performance (SCP) framework. The strength of this framework is that it stretches all the way from the structural conditions, through the conduct (business models and strategies) of companies seen in connection with these structural conditions, to the actual performance of companies in the market. The focus of the present report is on the structural conditions with a view to the framework that these conditions constitute for the business model design of companies. The empirical basis of the report consists primarily of interviews with representatives from IT and telecom industry organizations, policy makers and regulators in the telecom area in Norway and Denmark

Injection of CO2-saturated brine in geological reservoir: a way to enhanced storage safety

Injection of free-phase supercritical CO2 into deep geological reservoirs is associated with risk of considerable return flows towards the land surface due to the buoyancy of CO2, which is lighter than the resident brine in the reservoir. Such upward movements can be avoided if CO2 is injected in the dissolved phase (CO2aq). In this work, injection of CO2-saturated brine in a subsurface carbonate reservoir was modelled. Physical and geochemical interactions of injected low-pH CO2-saturated brine with the carbonate minerals (calcite, dolomite and siderite) were investigated in the reactive transport modelling. CO2-saturated brine, being low in pH, showed high reactivity with the reservoir minerals, resulting in a significant mineral dissolution and CO2 conversion in reactions. Over the injection period of 10 yr, up to 16% of the injected CO2 was found consumed in geochemical reactions. Sorption included in the transport analysis resulted in additional quantities of CO2 mass stored. However, for the considered carbonate minerals, the consumption of injected CO2aq was found mainly in the form of ionic trapping.Peer ReviewedPostprint (author's final draft

GPs’ prescription routines and cooperation with other healthcare personnel before and after implementation of multidose drug dispensing

Beskriver en survey hvor hensikten var å undersøke fastlegers holdninger til og erfaringer med multidose, og deres erfaringer knyttet til hvordan multidose påvirker foreskriving og rutiner for kommunikasjon med hjemmeboende pasienter.Background: this study addresses GPs’ attitudes towards multidose drug dispensing before and after implementation and their perceived experience of how multidose drug dispensing affects prescription and communication routines for patients in the home care services. This study contributes to a method triangulation with two other studies on the introduction of multidose drug dispensing in Trondheim. Methods: a controlled before-and-after study carried out in Trondheim (intervention) and Tromsø (control). A questionnaire was distributed to all GPs in the two towns in 2005 with a followup questionnaire in 2008. Results: the GPs in Trondheim showed a positive attitude to multidose drug dispensing both before and after the implementation. Increased workload was reported, but still the GPs wanted the system to be continued. Most of the GPs reported a better overview of the patients’ medication and a supposed reduction in medication errors. The GPs’ prescription- and communication routines were changed only for the multidose drug users and not for the other patients in the home care services. Conclusions: the study supports the results presented in two previous publications according to GPs’ positive attitude towards multidose drug dispensing, their better overview of the patients’ medications, and improved cooperation with the pharmacy. This study adds to our understanding of prescription routines among GPs and the use of the medication module in the electronic health record

Development of a patient-centred care pathway across healthcare providers: a qualitative study

BACKGROUND: Different models for care pathways involving both specialist and primary care have been developed to ensure adequate follow-up after discharge. These care pathways have mainly been developed and run by specialist care and have been disease-based. In this study, primary care providers took the initiative to develop a model for integrated care pathways across care levels for older patients in need of home care services after discharge. Initially, the objective was to develop pathways for patients diagnosed with heart failure, COPD and stroke. The aim of this paper is to investigate the process and the experiences of the participants in this developmental work. The participants were drawn from three hospitals, six municipalities and patient organizations in Central Norway. METHODS: This qualitative study used focus group interviews, written material and observations. Representatives from the hospitals, municipalities and patient organizations taking part in the development process were chosen as informants. RESULTS: The development process was very challenging because of the differing perspectives on care and different organizational structures in specialist care and primary care. In this study, the disease perspective, being dominant in specialist care, was not found to be suitable for use in primary health care because of the need to cover a broader perspective including the patient’s functioning, social situation and his or her preferences. Furthermore, managing several different disease-based care pathways was found to be unsuitable in home care services, as well as unsuitable for a population characterized by a substantial degree of comorbidity. The outcome of the development process was a consensus that outlined a single, common patient-centred care pathway for transition from hospital to follow-up in primary care. The pathway was suitable for most common diseases and included functional and social aspects as well as disease follow-up, thus merging the differing perspectives. The disease-based care pathways were kept for use within the hospitals. CONCLUSIONS: Disease-based care pathways for older patients were found to be neither feasible nor sustainable in primary care. A common patient-centred care pathway that could meet the needs of multi- morbid patients was recommended

Liver Elastography in Primary Sclerosing Cholangitis Patients Using Three Different Scanner Systems

The aim of the study described here was to characterize three different liver elastography methods in primary sclerosing cholangitis (PSC) patients, for the first time exploring 2-D shear wave elastography (2-D-SWE) in PSC patients and its putative advantages over point shear wave elastography (pSWE). Sixty-six adult PSC patients (51 males, 77%) underwent liver elastography: Transient elastography (TE), pSWE and 2-D-SWE were applied head-to-head after B-mode ultrasonography and blood tests. Liver stiffness measurements (LSMs) by pSWE yielded lower values than those by TE; 2-D-SWE had less steep slope but was overall not significantly different from TE. Correlation between LSMs by pSWE and TE was excellent (intraclass correlation coefficient = 0.92); correlation for 2-D-SWE with either pSWE or TE was moderate but improved with exclusion of overweight individuals. LSMs correlated with the Enhanced Liver Fibrosis test (ELF) across all scanner systems. Our study indicates that LSM by different systems is feasible in PSC patients and that 2-D-SWE tends to underestimate stiffness compared with TE.publishedVersio