The utilisation of health research in policy-making: Concepts, examples and methods of assessment

The importance of health research utilisation in policy-making, and of understanding the mechanisms involved, is increasingly recognised. Recent reports calling for more resources to improve health in developing countries, and global pressures for accountability, draw greater attention to research-informed policy-making. Key utilisation issues have been described for at least twenty years, but the growing focus on health research systems creates additional dimensions. The utilisation of health research in policy-making should contribute to policies that may eventually lead to desired outcomes, including health gains. In this article, exploration of these issues is combined with a review of various forms of policy-making. When this is linked to analysis of different types of health research, it assists in building a comprehensive account of the diverse meanings of research utilisation. Previous studies report methods and conceptual frameworks that have been applied, if with varying degrees of success, to record utilisation in policy-making. These studies reveal various examples of research impact within a general picture of underutilisation. Factors potentially enhancing utilisation can be identified by exploration of: priority setting; activities of the health research system at the interface between research and policy-making; and the role of the recipients, or 'receptors', of health research. An interfaces and receptors model provides a framework for analysis. Recommendations about possible methods for assessing health research utilisation follow identification of the purposes of such assessments. Our conclusion is that research utilisation can be better understood, and enhanced, by developing assessment methods informed by conceptual analysis and review of previous studies

More effective skills utilisation : shifting the terrain of skills policy in Scotland

This paper examines shifts in skills policy in Scotland towards emphasising the importance of effective skills utilisation. Turning policy into practice, however, requires a better understanding than currently exists of skills utilisation in order to facilitate better measurement, evaluation and intervention. This paper aims to contribute to such an understanding. We suggest that effective skills utilisation comprises two distinct elements: the use of better skills and the better use of skills, with the former crucial to the development of a high skills economy and the latter crucial to realising existing untapped workforce potential. We further argue that skills utilisation is most likely where workers have the ability, motivation and opportunity to deploy their skills effectively. We conclude by advocating greater collaboration in skills utilisation practice and research between relevant stakeholders, drawing on European experiences and an approach – which we call ASPiRRE – that envelops actors, structures, protocols, responsibilities, resources and expertise in order to align distinct stakeholder interests and encourage innovative practice in skills deployment

Re-conceptualising the link between research and practice in social work: a literature review on knowledge utilisation

Despite the recent movement towards greater research use in many areas of social work, criticisms persist that decision making in practice is seldom informed by sound research evidence. Discourse about the research-to-practice gap in social work has tended to focus on the feasibility of evidence-based practice for the profession, but has rarely drawn from the broader knowledge utilisation literature. There are important understandings to be gained from the knowledge utilisation field, which spans more than six decades of interdisciplinary research.This article introduces the wider knowledge utilisation literature to a social work audience. It considers the potential of this body of literature to facilitate research use in social work, as well as conceptual issues that may be hindering it from informing improvements to research utilisation in practice

Growth, Capital Scrapping, and the Rate of Capacity Utilisation

The aim of this short article is to build a model in order to take into account capital scrapping (or bankruptcies) in an income distribution and growth model. The reason to introduce capital scrapping results from the intuition of some inconsistencies between theoretical predictions and empirical facts: the rate of capacity utilisation data often exhibit a greater stability than it is expected after reading theoretical models. We think that capital scrapping might contribute to stabilise the utilisation rate. The idea is as follows: an increase of the profit share implies a decrease of the rate of capacity utilisation which then involves a rise in capital scrapping (or in the rate of bankruptcies).Income distribution ; Capital scrapping ; Rate of Capacity Utilisation ; Imperfect Competition ; Growth

Improved resource efficiency and cascading utilisation of renewable materials

In light of various environmental problems and challenges concerning resource allocation, the utilisation of renewable resources is increasingly important for the efficient use of raw materials. Therefore, cascading utilisation (i.e., the multiple material utilisations of renewable resources prior to their conversion into energy) and approaches that aim to further increase resource efficiency (e.g., the utilisation of by-products) can be considered guiding principles. This paper therefore introduces the Special Volume “Improved Resource Efficiency and Cascading Utilisation of Renewable Materials”. Because both research aspects, resource efficiency and cascading utilisation, belong to several disciplines, the Special Volume adopts an interdisciplinary perspective and presents 16 articles, which can be divided into four subjects: Innovative Materials based on Renewable Resources and their Impact on Sustainability and Resource Efficiency, Quantitative Models for the Integrated Optimisation of Production and Distribution in Networks for Renewable Resources, Information Technology-based Collaboration in Value Generating Networks for Renewable Resources, and Consumer Behaviour towards Eco-friendly Products. The interdisciplinary perspective allows a comprehensive overview of current research on resource efficiency, which is supplemented with 15 book reviews showing the extent to which textbooks of selected disciplines already refer to resource efficiency. This introductory article highlights the relevance of the four subjects, presents summaries of all papers, and discusses future research directions. The overall contribution of the Special Volume is that it bridges the resource efficiency research of selected disciplines and that it presents several approaches for more environmentally sound production and consumption

Enabling Adaptive Grid Scheduling and Resource Management

Wider adoption of the Grid concept has led to an increasing amount of federated computational, storage and visualisation resources being available to scientists and researchers. Distributed and heterogeneous nature of these resources renders most of the legacy cluster monitoring and management approaches inappropriate, and poses new challenges in workflow scheduling on such systems. Effective resource utilisation monitoring and highly granular yet adaptive measurements are prerequisites for a more efficient Grid scheduler. We present a suite of measurement applications able to monitor per-process resource utilisation, and a customisable tool for emulating observed utilisation models. We also outline our future work on a predictive and probabilistic Grid scheduler. The research is undertaken as part of UK e-Science EPSRC sponsored project SO-GRM (Self-Organising Grid Resource Management) in cooperation with BT

Capital Utilisation and Retirement

This empirical analysis aims at assessing the effect of the economic climate and the intensity of capital utilisation on companies' capital retirement behaviour. It is conducted using individual company data, as well as original data on the degree of utilisation of production factors. The sample includes 6,998 observations over the period 1996-2008. This database is, to our knowledge, unique for the empirical analysis of the intensity of capital utilisation on firms' capital retirement behaviour. We adjust for endogeneity biases by means of instrumental variables. The main results obtained from the estimation of capital retirement models may be summarised as follows: i) The retirement rate decreases with the variations in cyclical pressures measured by the changes in output and the workweek of capital; this relation corresponds to a countercyclical decelerator effect on capital retirement; ii) The capital retirement rate increases with the structural intensity of capital utilisation; this effect, which corresponds to a wear and tear one, is nevertheless small compared to the decelerator one; iii) The profit rate does not have a significant impact on the retirement rate. Compared with the existing literature, here mainly Mairesse and Dormont (1985), the contribution of these results is to show, through the use of unique survey data, that the effect of the intensity of capital utilisation on capital retirement is structurally positive, via a wear and tear effect, and cyclically negative, via a decelerator effect which completes that already taken into account via the effect of changes in value added.Capital; Capital measure; Capital retirement; Capital utilisation

The psychological impact of motor vehicle accidents : a New Zealand study : a thesis presented in partial fulfilment of the requirements for the degree of Master of Science in Psychology at Massey University

PLEASE NOTE Pages 72-73 are missing from the original copyThe present research attempted to identify those factors which predispose victims of severe motor vehicle accidents to develop PTSD, and explored the relationship between mental health and health care utilisation. A multistage probability sample of 167 New Zealand victims of motor vehicle accidents were included for analysis, the data being obtained as part of a larger nation-wide study looking at trauma and health care utilisation. Past research has identified factors which predispose the development of PTSD, such as prior psychological disorders, prior trauma, intensity, and extent of injury. The main statistical technique employed was multiple regression analysis, with the dependant variables being mental health and health care utilisation of the victims. Findings indicated that victims of MVAs are more likely to experience physical and mental health difficulties. The results showed a relationship between experience of trauma and the existence of PTSD, with victims of motor vehicle accidents suffering from more ill-health and PTSD-related symptoms than non-victims. Adverse life events, disclosure of feelings, extent of injury, and especially physical symptoms were all significant predictors of PTSD symptoms, however experience of previous trauma and intensity of the accident were not. A relationship between PTSD symptoms and health care utilisation also exists, with accident victims having more days confined to bed

Diaries or questionnaires for collecting self-reported healthcare utilisation and patient cost data? CHERE Project Report No 20

The literature comparing diaries and questionnaires was reviewed in order to identify the most appropriate method of collecting patient self-reported data, on health service utilisation and out-ofpocket costs, for a longitudinal study. Nine published studies met the review inclusion criteria; four compared the diary method with a self-completed questionnaire and five with an interviewer administered questionnaire. None of the eligible studies measured patient costs, and only two measured some aspects of health service utilisation. Most of the studies reported higher response rates for questionnaires than for diaries, and there was some evidence of selection bias. There was a tendency to report more symptoms, symptom intensity or health care utilisation by questionnaires compared to diaries, and compared to physician reports (included in only two studies). The review provides some information about the two approaches for collecting self-reported data, but does not provide sufficient evidence to favour either approach.diaries, health care utilisation