13 research outputs found

    Strength of Strong Ties in Intercity Government Information Sharing and County Jurisdictional Boundaries

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    Studies have found that information sharing between city governments can be easily observed within the same county jurisdiction, but less attention has been paid to the reasons why the jurisdictional boundary matters. This article fills this lacuna, drawing on the insight of the "strength of strong ties" argument that "people help their friends first." The analysis reveals that city governments in the Orlando, Florida, metropolitan area are more likely to share economic development information (EDI) with governments in the same county as the collective demand for such information in that area increases. This study additionally finds that the greater the demand for EDI, the more likely it is that city governments will seek the information from their county members. As a result, as the demand for information increases among city governments in a metropolitan area, the likelihood that it will be shared by all members of the area beyond the county boundaries decreases

    Age-related differences in diabetes care outcomes in Korea: a retrospective cohort study

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    BACKGROUND: Age-related differences in diabetes outcomes are important both for clinical and policy considerations. To clarify the basis of such differences, we investigated patterns of associations for age in relation to hospitalization and glycemic control and examined the role of other factors. METHODS: 4471 patients with diabetes aged 40–79 years were drawn from a retrospectively retrieved National Health Insurance Cohort. Using logistic regression, risk factors measured over the two years (2007–2008) were examined for their associations with hospitalization and poor glycemic control during the last year (2009) of follow-up. RESULTS: Compared to the middle-aged patients, older patients were more likely to have been hospitalized (Adjusted odds ratio (OR(adjusted)) = 1.97(95% CI = 1.28, 3.04) for the oldest group (ages 70–79) vs youngest group (ages 40–49)) but less likely to have poor glycemic control (OR(adjusted) = 0.45 (95% CI = 0.37, 0.56) for the oldest group vs youngest group). Older patients were also less likely to be obese but had more complications, longer duration of diabetes, lower continuity of care, and higher blood pressure and total cholesterol level. The pattern of associations for hospitalization and glycemic control was not uniform across the risk factors, sharing only a few common factors such as the duration of diabetes and blood pressure. In general, poor glycemic control was affected predominantly by metabolic management, while hospitalization was strongly related to functional status (i.e., number of complications) and care quality measures (i.e., continuity of care). CONCLUSION: Hospitalization was higher among the older diabetic patients, despite better glycemic control. Factors were differently associated with the two diabetes-related outcomes, providing more comprehensive risk profiles for hospitalization. The co-existence of improved glycemic control and increased hospitalization among older diabetic patients suggests an extension of a geriatric evaluation to wider functional and comorbidity status
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