Purposive Social Change and Interorganizational Networks: The Case of Three Prepaid Health Programs

An important perspective emerging in the areas of community and organizational analysis is the political economy approach to interorganizational relations. This approach treats organizations as seekers of basic political and economic resources which are found in their environments. This approach has special implications for persons interested in the study and/or .implementation of programs of change, because it sensitizes the observer to the problems of political and economic conflict in interorganizational relations. The perspective also offers useful insights into the development of. intervention strategies that minimize the conflicts often associated with social change. In order to demonstrate the usefulness of this approach to socia, change and interorganizational relations, three attempts at create prepaid health care programs in rural areas of the midwest are considered

The Job-Profession Continuum

Professions, occupations, and jobs are classified on the basis of particular attributes of each category, rather than by the usual labelling process adopted from popular usage. The theoretical criterion is the location of decisions concerning the allocation of work activities, i.e., whether within the local work organization or externally controlled. The degree of local determination functions inversely with a general consensus as to the level of skill and amount of knowledge required to perform the work. Ten varieties are selected to measure the degree of consensus on task determination of a sample of 86 occupations. Gamma and chi square scores are used to measure association between the variates and preliminary Guttman and numerical scales are constructed to demonstrate the job-profession continuum. Modal characteristics of profession, occupations, and jobs are derived.http://web.ku.edu/~starjrn

Blocked isocyanates:from analytical and experimental considerations to non-polyurethane applications

In this review we aim to provide an introductory guide to blocked isocyanates, through discussion on different examples of blocking groups, along with experimental considerations for their application. The review brings together updated examples of functionalities used and places specific emphasis on the analytical techniques used for the determination of deblocking temperature, updating previous reviews with the newly applied technique of X-ray photoelectron spectroscopy (XPS). Additionally, we put forward a brief update on the use of blocked isocyanates for other non-traditional polyurethane based polymer applications. We also highlight the importance of matching the analytical technique to the application of the blocked isocyanate, with differences in material state and experimental parameters having a great impact on the deblocking temperature reported

Forced Sexual Relations Among Young Women in Developing Countries

Recent research in developing countries suggests that a considerable number of young women may experience forced sex within marriage, but most women may be inhibited from reporting these experiences due to shame, fear of reprisal or deep-rooted unequal gender norms.The consequences of domestic violence can be severe, and in fact, intimate partner violence is one of the leading causes of death among women 15-44 years of age.(1) Papers highlighting the nature and prevalence of coercion among married young women were presented at a global consultative meeting in New Delhi.Evidence comes from small-scale studies and large population-based surveys, such as Demographic and Health Surveys (DHS), from some developing countries. Many women may under report coercion by a partner within marriage, and there are variations in the framing of questions posed, methods of data collection and the reference period, making findings of small-scale studies difficult to compare. However, available data give an idea of the extent and nature of coercion that married young women experience. Studies reveal that sexual coercion within marriage includes deception, verbal threats or psychological intimidation to obtain sex, attempted rape and forced penetrative sex.(2)Forced marital sex can be accompanied by physical or emotional violence. Sexual coercion is observed in marital partnerships in diverse settings such as South Asia, Latin America, Africa and the Middle East. Although cultural settings and contexts condition the nature of coercion among married young women, there are striking similarities across different settings

Culture change in elite sport performance teams: Examining and advancing effectiveness in the new era

Reflecting the importance of optimizing culture for elite teams, Fletcher and Arnold (2011) recently suggested the need for expertise in culture change. Acknowledging the dearth of literature on the specific process, however, the potential effectiveness of practitioners in this area is unknown. The present paper examines the activity's precise demands and the validity of understanding in sport psychology and organizational research to support its delivery. Recognizing that sport psychologists are being increasingly utilized by elite team management, initial evidence-based guidelines are presented. Finally, to stimulate the development of ecologically valid, practically meaningful knowledge, the paper identifies a number of future research directions

Change management: The case of the elite sport performance team

The effective and efficient implementation of change is often required for both successful performance and management survival across a host of contemporary domains. However, although of major theoretical and practical significance, research to date has overlooked the application of change management (hereafter CM) knowledge to the elite sport performance team environment. Considering that the success of ‘off-field’ sports businesses are largely dependent on the performances of their ‘on-field’ team, this article explores the application of current CM theorizing to this specific setting and the challenges facing its utility. Accordingly, we identify the need and importance of developing theory specific to this area, with practical application in both sport and business, through examination of current knowledge and identification of the domain's unique, dynamic and contested properties. Markers of successful change are then suggested to guide initial enquiry before the article concludes with proposed lines of research which may act to provide a valid and comprehensive theoretical account of CM to optimize the research and practice of those working in the field

Lack of confidence among trainee doctors in the management of diabetes: the Trainees Own Perception of Delivery of Care (TOPDOC) Diabetes Study

Background: There is an increased prevalence of diabetes. Doctors in training, irrespective of specialty, will have patients with diabetes under their care

Health care providers' attitudes towards termination of pregnancy: A qualitative study in South Africa

<p>Abstract</p> <p>Background</p> <p>Despite changes to the abortion legislation in South Africa in 1996, barriers to women accessing abortion services still exist including provider opposition to abortions and a shortage of trained and willing abortion care providers. The dearth of abortion providers undermines the availability of safe, legal abortion, and has serious implications for women's access to abortion services and health service planning.</p> <p>In South Africa, little is known about the personal and professional attitudes of individuals who are currently working in abortion service provision. Exploring the factors which determine health care providers' involvement or disengagement in abortion services may facilitate improvement in the planning and provision of future services.</p> <p>Methods</p> <p>Qualitative research methods were used to collect data. Thirty four in-depth interviews and one focus group discussion were conducted during 2006 and 2007 with health care providers who were involved in a range of abortion provision in the Western Cape Province, South Africa. Data were analysed using a thematic analysis approach.</p> <p>Results</p> <p>Complex patterns of service delivery were prevalent throughout many of the health care facilities, and fragmented levels of service provision operated in order to accommodate health care providers' willingness to be involved in different aspects of abortion provision. Related to this was the need expressed by many providers for dedicated, stand-alone abortion clinics thereby creating a more supportive environment for both clients and providers. Almost all providers were concerned about the numerous difficulties women faced in seeking an abortion and their general quality of care. An overriding concern was poor pre and post abortion counselling including contraceptive counselling and provision.</p> <p>Conclusion</p> <p>This is the first known qualitative study undertaken in South Africa exploring providers' attitudes towards abortion and adds to the body of information addressing the barriers to safe abortion services. In order to sustain a pool of abortion providers, programmes which both attract prospective abortion providers, and retain existing providers, needs to be developed and financial compensation for abortion care providers needs to be considered.</p