83 research outputs found

    Use of Telehealth in NHSC Grantee Sites

    Get PDF
    Telehealth has long been viewed as an important pathway for increasing access to care for underserved populations, while providing high quality care at low cost. The spread of telehealth in the United States, however, has been hampered by a range of reimbursement, equipment costs, and licensure barriers. In this study we examined the extent to which telehealth is being used in settings that are among the locations most in need: the National Health Service Corps (NHSC) approved grantee sites. Key Questions To what extent and how are NHSC using telehealth and telemedicine services? What are the barriers to adoption and expansion from the perspective of NHSC scholars and loan repayment participants? What contextual factors are associated with high and low use

    Thatcher's Children, Blair's Babies, political socialization and trickle-down value-change: An age, period and cohort analysis

    Get PDF
    To what extent are new generations ‘Thatcherite’? Using British Social Attitudes data for 1985-2012 and applying age-period-cohort (APC) analysis and generalized additive models (GAMs) this paper investigates whether Thatcher’s Children hold more right-authoritarian political values compared to other political generations. We further examine the extent to which the generation that came of age under New Labour – Blair’s Babies – share these values. Our findings for generation effects indicate that this political generation is even more right-authoritarian, including with respect to attitudes to redistribution, welfare and crime. We support this view through evidence of cohort effects. Our results show the legacy of Thatcherism for left-right and libertarian-authoritarian values is to be found in its long-term shaping of public opinion through political socialisation

    Producing Adulthood: Adolescent Employment, Fertility, and the Life Course

    Get PDF
    Adolescent employment is typically framed as having either positive or negative effects. Yet cutting edge research yields apparently contradictory results; work lowers delinquency but also increases school dropout. Both opportunity cost and life course development theories could explain these results. This study investigates effects of employment on fertility among adolescent women, which pits life course development against opportunity cost theory. Using 2006 and 2007 American Community Surveys, individual instrumental variable and state-level difference-in-difference models (following the same cohort over time) control for self-selection and find a positive effect of employment on adolescent fertility. National Vital Statistics birth data confirm state-level results. Results for fertility (and some evidence for other early transitions) indicate that youth employment speeds the transition to adulthood, supporting life course theory. Findings suggest adolescent employment should be reconceived as promoting adult rather than positive or negative behavior

    Global Spatial Risk Assessment of Sharks Under the Footprint of Fisheries

    Get PDF
    Effective ocean management and conservation of highly migratory species depends on resolving overlap between animal movements and distributions and fishing effort. Yet, this information is lacking at a global scale. Here we show, using a big-data approach combining satellite-tracked movements of pelagic sharks and global fishing fleets, that 24% of the mean monthly space used by sharks falls under the footprint of pelagic longline fisheries. Space use hotspots of commercially valuable sharks and of internationally protected species had the highest overlap with longlines (up to 76% and 64%, respectively) and were also associated with significant increases in fishing effort. We conclude that pelagic sharks have limited spatial refuge from current levels of high-seas fishing effort. Results demonstrate an urgent need for conservation and management measures at high-seas shark hotspots and highlight the potential of simultaneous satellite surveillance of megafauna and fishers as a tool for near-real time, dynamic management

    A many-analysts approach to the relation between religiosity and well-being

    Get PDF
    The relation between religiosity and well-being is one of the most researched topics in the psychology of religion, yet the directionality and robustness of the effect remains debated. Here, we adopted a many-analysts approach to assess the robustness of this relation based on a new cross-cultural dataset (N=10,535 participants from 24 countries). We recruited 120 analysis teams to investigate (1) whether religious people self-report higher well-being, and (2) whether the relation between religiosity and self-reported well-being depends on perceived cultural norms of religion (i.e., whether it is considered normal and desirable to be religious in a given country). In a two-stage procedure, the teams first created an analysis plan and then executed their planned analysis on the data. For the first research question, all but 3 teams reported positive effect sizes with credible/confidence intervals excluding zero (median reported β=0.120). For the second research question, this was the case for 65% of the teams (median reported β=0.039). While most teams applied (multilevel) linear regression models, there was considerable variability in the choice of items used to construct the independent variables, the dependent variable, and the included covariates
    corecore