What difference does ("good") HRM make?

The importance of human resources management (HRM) to the success or failure of health system performance has, until recently, been generally overlooked. In recent years it has been increasingly recognised that getting HR policy and management "right" has to be at the core of any sustainable solution to health system performance. In comparison to the evidence base on health care reform-related issues of health system finance and appropriate purchaser/provider incentive structures, there is very limited information on the HRM dimension or its impact. Despite the limited, but growing, evidence base on the impact of HRM on organisational performance in other sectors, there have been relatively few attempts to assess the implications of this evidence for the health sector. This paper examines this broader evidence base on HRM in other sectors and examines some of the underlying issues related to "good" HRM in the health sector. The paper considers how human resource management (HRM) has been defined and evaluated in other sectors. Essentially there are two sub-themes: how have HRM interventions been defined? and how have the effects of these interventions been measured in order to identify which interventions are most effective? In other words, what is "good" HRM? The paper argues that it is not only the organisational context that differentiates the health sector from many other sectors, in terms of HRM. Many of the measures of organisational performance are also unique. "Performance" in the health sector can be fully assessed only by means of indicators that are sector-specific. These can focus on measures of clinical activity or workload (e.g. staff per occupied bed, or patient acuity measures), on measures of output (e.g. number of patients treated) or, less frequently, on measures of outcome (e.g. mortality rates or rate of post-surgery complications). The paper also stresses the need for a "fit" between the HRM approach and the organisational characteristics, context and priorities, and for recognition that so-called "bundles" of linked and coordinated HRM interventions will be more likely to achieve sustained improvements in organisational performance than single or uncoordinated interventions

Near-zero humidities on Ben Nevis, Scotland, revealed by pioneering 19th-century observers and modern volunteers

The weather on Ben Nevis – the highest mountain in the British Isles, 1345 m AMSL – sometimes shows episodes of remarkably low relative humidity (RH) with few precedents anywhere else in the British Isles. We are able to quantify this for the first time using a high-quality series of hourly dry- and wet-bulb observations, made on the summit. These observations were made between 1883 and 1904, but have only just become available to modern science, thanks to thousands of volunteers who worked to rescue this unique and exemplary dataset from published volumes. Careful examination and analysis of the original observations using modern psychrometric theory revealed several occasions where we are confident that the summit RH fell close to zero as a result of anticyclonic subsidence. Three case histories are examined in some detail. The nineteenth-century Ben Nevis humidity records are also compared with contemporary automatic weather station (AWS) data from two high-altitude Scottish mountain sites

Coordination in Distributed Agile Software Development: A Systematic Review

In order to decrease the consumer return transaction cost, e-commerce platform Alibaba invited an insurance company to develop a new type of insurance to compensate consumers for returns, which is called return-freight insurance. The new insurance has resulted in online return\u27s explosive growth. However, some online retailers still choose to offer complimentary return-freight insurance to signal their products\u27 quality. Using signaling theory, we build a conceptual economic model to explore what kind of online retailer should adopt this strategy under incomplete information. Based on the fact that each product\u27s return probability, profit, and insurance compensation are different, our main results show the separating equilibria, where only high-quality online retailers will offer complimentary return-freight insurance. Interestingly, return-freight insurance profit and compensation play different roles in the signal effect. The insurance premium plays a deep role while the compensation plays at the surface, because consumers could only observe the compensation when purchasing

International flow of Zambian nurses

This commentary paper highlights changing patterns of outward migration of Zambian nurses. The aim is to discuss these pattern changes in the light of policy developments in Zambia and in receiving countries

The elements of a computational infrastructure for social simulation

Applications of simulation modelling in social science domains are varied and increasingly widespread. The effective deployment of simulation models depends on access to diverse datasets, the use of analysis capabilities, the ability to visualize model outcomes and to capture, share and re-use simulations as evidence in research and policy-making. We describe three applications of e-social science that promote social simulation modelling, data management and visualization. An example is outlined in which the three components are brought together in a transport planning context. We discuss opportunities and benefits for the combination of these and other components into an e-infrastructure for social simulation and review recent progress towards the establishment of such an infrastructure

A three-phase interpenetrating continua approach for wave and porous structure interaction

This paper aims to propose a three-phase interpenetrating continua model for the numerical simulation of water waves and porous structure interaction

Polygenic threshold model with sex dimorphism in adolescent idiopathic scoliosis: The Carter effect

Background: Idiopathic clubfoot is approximately twice as common in males than in females. The reason for this discrepancy is unclear butmay represent an inherent difference in the susceptibility to thedeformity. If this difference is due to genetic factors it is predicted that in order to inherit clubfoot, females need to have a greater number of susceptibility genes than males. Females would also be more likely to transmit the disease to their children and have siblings with clubfoot. This phenomenon is known as the Carter effect, and the presence of such an effect supports a multifactorial threshold model of inheritance. Methods: Ninety-seven multiplex families with more than one individual with idiopathic clubfoot were studied. The study included1093 individuals: 291with clubfoot and802unaffected relatives. Ratesof transmissionby the thirty-seven affected fathers and twenty-six affected mothers were calculated, and the prevalence among siblings was determined in the nuclear families of affected persons

Integrated Application of Active Controls (IAAC) technology to an advanced subsonic transport project: Current and advanced act control system definition study. Volume 2: Appendices

The current status of the Active Controls Technology (ACT) for the advanced subsonic transport project is investigated through analysis of the systems technical data. Control systems technologies under examination include computerized reliability analysis, pitch axis fly by wire actuator, flaperon actuation system design trade study, control law synthesis and analysis, flutter mode control and gust load alleviation analysis, and implementation of alternative ACT systems. Extensive analysis of the computer techniques involved in each system is included