Purpose, development and use of injury indicators

Injury indicators can be used to give policy makers an estimate of the scale of injuries and their long-term effects. They can help compare injury levels in different areas and countries and can be used to help measure the effectiveness of interventions. Work on severity related indicators is promising. However there are no perfect indicators to date as many are hampered with difficulties in case definition and under reporting. For example, mortality rates are affected by improvements in care even if the incidence of an injury remains the same, the abbreviated injury scale (AIS) takes 10-20 minutes to code and so is not used in health service databases, surveys have problems with recall bias, definition of injury and response rates. If we accept that we need to make the best out of imperfect indicators and imperfect data then we should use multiple sources of data and accept that no one indicator can be used universally but needs to be selected for the purpose. For example, one possible new indicator of the incidence of non-fatal injury might be fracture data in the emergency department. Fractures are painful and so nearly always end up with a hospital attendance. This might give a means to compare incidence of non-fatal injury in different areas and countries. In conclusion, we need injury indicators to progress in injury prevention. Imperfect indicators can be used for targeting and evaluating interventions as long as we know and adjust for their limitations.     

The key risk indicators of road traffic crashes in Serbia,Niš region

Traffic crashes are a serious public health and socio-economic problem, and they are one of leading causes of death of males in Serbia. In order to determine the main causes of road traffic crashes in Ni? region, Republic of Serbia, nine key risk indicators of road traffic crashes are identified, organized into four groups (number and structure of crashes, consequences of traffic crashes, temporal and spatial location of traffic crashes, causes and sanctions), and described in detail. The indicators are ranked based on group fuzzy analytic hierarchy process (AHP), where experts from insurance companies, professionally engaged in the process of risk assessment, with different previous experience present different impact on the final ranking. In relation to the most influential factors in the assessment of traffic crashes, improper and unadjusted vehicle speed, overtaking and passing, as well as the physical condition of the driver have the highest effect.     

Cross-Cultural Methodological Issues in Ethical Research

Despite the fundamental and administrative difficulties associated with cross-cultural research the rewards are significant and, given an increasing trend toward globalisation, the move away from singular location studies to more comparative research is to be encouraged. In order to facilitate this research process it is imperative, however, that considerable attention is given to the methodological issues that can beset cross-cultural research, specifically as these issues relate to the primary domain or discipline of investigation, which in this instance is research on business ethics. Utilising the experience of a four country comparative study of both Asian and Western cultures in the field of business ethics, the following presents a discussion of methodological concerns under the three broad areas of operationalising culture, operationalising business ethics, and data interpretation.     

Implementing the Uruguay Round Agreements: Problems for Developing Countries

Unilateral removal of trade restrictions is good economics, but it is often bad domestic politics. GATT negotiations for 50 years provided a mechanism to overcome this political incorrectness. The Uruguay Round carried multilateral negotiations into many ‘new areas’ with more complex economics – areas of regulation that establish the basic business environment in the domestic economy, e.g., technical, sanitary and phytosanitary standards; intellectual property law. Doing these things is costly and you can get it wrong – the economic correctness is not so simple as the economic correctness of removing trade restrictions. Making economic sense in these areas requires cost‐benefit analysis, experimentation, projects tailored to specific problems. Some developing countries would benefit from reforms in the new areas, but the Uruguay Round requirements do not identify the problems that exist in developing countries and they consequently demand establishment of institutions and regulations that will impose higher costs than benefits on the countries that implement them. Implementation issues are development issues, not trade issues. The procedures of the World Bank are suited to taking on such matters, those of the WTO are not.     

Evaluation of community-based injury prevention programmes: methodological issues and challenges

The evaluation of comprehensive community-based injury prevention programmes is complex and poses many methodological challenges. There is little consensus in contemporary literature about the most appropriate methods of evaluating these programmes. This study employed a systematic literature review to examine evaluations of 16 community-based injury prevention programmes with regard to key methodological issues and challenges. Three aspects of the evaluated programmes were analysed: assessed elements (context, structure, process, impact, and outcome); study design; and methodological issues addressed. The results showed that context, structure and process assessments were the most neglected aspects of the evaluation studies. The programmes were typically described with minimal discussion of how the context may have influenced the effectiveness. The process (activities) was described rather than evaluated against appropriate standards of comparisons. Impact evaluations adhered more closely to documented guidelines, but half of the evaluations did not include impact variables. Outcome evaluations focused on injury incidence. Most evaluations employed some qualitative methods, but the vast majority of methods used were quantitative. This study indicated that the quasi-experimental study design has become an accepted norm for the evaluation of community-based injury prevention programmes. Most of the evaluations contained explicit details of the methodology used and of the choices related to the methodology. While threats to internal validity were identified in most studies, problems related to external validity and construct validity were largely overlooked by the evaluators.     

传染病类突发公共卫生事件风险评估与应对

突发公共卫生事件会冲击社会经济运行,特别是具备传染性时这种冲击的程度和范围会更深更广,而通过建立模型来模拟传染病类突发公共卫生事件,将为传染病评估和应对提供积极有效的依据。故以SEIR模型为基准,针对SEIR模型存在的不足,将重大传染病事件分为三个阶段发展三阶段模型,将相关参数由静态参数改进为动态参数,分类模拟"封城"以及传染病存在复发可能性的情形,并利用2020年新冠肺炎疫情数据进行动态模拟。对经典SEIR模型以及改进的三阶段模型分别进行参数估计和系统仿真发现,在无人为干预的自然传播情况下,传染病感染数量峰值会出现在1~2个月后;加强隔离、加大医疗资源投入能显著减小传播规模;改进的三阶段模型能对传染病类事件起到很好的预测作用,可为未来传染病评估和应对提供有效依据。由此,为有效应对传染病类突发公共卫生事件,建议从加强隔离、加大医疗资源投入、疫情后期持续关注等角度着手完善我国传染病应急防控体系,在传染病发生时能够对相关人员做到尽早隔离,提高治愈率,减少传染数量,从源头上降低突发公共卫生事件对经济的负面影响。     

Australian businesses in China: searching for synergy

This article reports on an empirical, interpretive study conducted in 2001-2002 in the Beijing region of China. The case of the ‘Australians managing in Northern China’ is reported here. This research explores two major areas. First, it investigates the imilarities similarities and differences between Australian and Chinese cultures both at the national and corporate levels as the actors – the Australian managers and their Chinese colleagues – see them. Secondly, it studies how the actors are interacting to manage cultural issues in their organizations and whether synergies are emergent from their interactions. The article attempts to help managers and researchers gain a deeper understanding of the questions: what major cultural similarities and differences do Australian and Chinese managers perceive both inside and outside of their organizations; how do managers interact to effectively manage cultural issues in Australian businesses in China and how is synergy possible?     

A Multi-level Investigation of Authentic Leadership as an Antecedent of Helping Behavior

We develop and test a trickle-down model of how authentic leadership at the department level flows down the organizational hierarchy to encourage team leader authentic leadership and consequently, promotes team and individual-level supervisor-directed helping behavior. Analyses of multi-level and multi-source data collected from a total of 487 employees comprising 122 teams, 47 departments, and 4 different working areas of a major public sector organization in Taiwan show that team leaders’ authentic leadership mediates the relationship between departmental authentic leadership and individual-level leader–member exchange (LMX). We also found that intra-team trust completely mediates the influence of team authentic leadership on both team helping behavior and individual-level supervisor-directed helping behavior. Finally, the results reveal that self-concordance mediates the influence of team authentic leadership on individual-level supervisor helping behavior as well as the influence of individual-level LMX on individual-level supervisor-directed helping behavior. Theoretical and practical implications of these findings are discussed.     

Trends in fatal motorcycle injuries in the Americas, 1998–2010

Injuries, disabilities and deaths among motorcyclists have been rising worldwide but what is happening in the American Continent is not completely known. Deaths from motorcycle crashes of the Pan American Health Organization database (PAHO/WHO, 1998–2010) were included in an ecologic multi-national study to quantify the temporal trends and to estimate the association between motorcycle riders’ deaths and selected socio-economic indicators. Mortality rates increased in all sub-regions. The highest increase was reported in the countries of the Andean sub-region (Ecuador, 78.3%) and Mesoamerica (Costa Rica, 60.0%). Poorer countries fared worse in terms of motorcycle mortality relative to richer countries, as did more unequal ones. Recent economic changes, rapid increment of motorisation rates, affordability of motorcycles over public transportation, lack of adequate public transportation policies and other insufficient measures aimed at improving safety can explain these trends.     

Developing the evidence-base for Safe Communities: a multi-level, partly randomised, controlled trial

Safe Communities, representing a global activation of the public health logic, may be strengthened through theoretical, methodological and empirical support. In the spirit of this Special Issue that aims to analyse the achievements and challenges inherent to Safe Communities, we offer our contribution in the form of a methodology of a multi-country child safety, peace and health promotion study. The study, situated within an African-centred initiative called Ukuphepha - an isiZulu word meaning demonstrating African safety - is underpinned by four theoretical claims that frame injury and violence prevention as a multi-disciplinary issue to be addressed through a suite of interventions to family and extended social systems. The interventions, sensitive to the priorities of each participating country, have been informed by the literature on effective interventions and the authors' joint experiences of community development. The study is designed as a population-based, multi-level, multi-intervention partly randomised controlled trial, and there are potentially 24 participant communities representing South Africa, Mozambique, Egypt, Zambia, Uganda, Bangladesh, Malaysia and Australia - over three commencement phases. Whereas process evaluation will focus on community engagement, impact evaluation will consider risk and protective factors, and outcome evaluation will examine the overall effectiveness of the interventions. Notwithstanding the many challenges, the study will provide insights into the methodology and mechanisms of ecologically-oriented interventions that locate injury and violence prevention as an activity arising from safety, peace and health promotion.     

对中国育龄妇女生育健康指标的探讨

90年代以来生育健康的提出为人口研究领域扩展了新的方向。但生育健康的包罗万象和难以定量制约了对其定量研究的深入。本文提出了一套适用于中国的衡量育龄妇女个人生育健康的描述性个体指标 ,把健康作为具有生理、心理和社会三方面的整体加以考虑 ,从安全孕产、有生育能力、生育调节、生殖系统疾病、性健康和婴儿 6个方面测量育龄妇女生育健康的结果。指标的选择和设计试图不单从妇幼保健或计划生育的目的出发 ,而是全面、准确地描述某时期内育龄妇女生育健康的状况 ,以利于为制定政策和规划项目提供有价值的、较全面的参考信息     

Long-term mortality following injury in working-age adults: a systematic review

Priorities for prevention activities and planning for services depend on comprehensive knowledge of the distribution of the injury-related burden in the community. The aim of this systematic review was to quantify the effect of being injured, compared with not being injured, on long-term mortality in working age adults. Cohort studies were selected that were population-based, measured mortality post-discharge from inpatient treatment, included a non-injured comparison group and related to working-age adults. Data synthesis was in tabular and text form with a meta-analysis not being possible because of the heterogeneity between studies. Eleven studies met the inclusion criteria. All studies found an overall positive association between injury and increased mortality. While the greatest excess mortality was evident during the initial period post-injury, increased mortality was shown in some studies to persist for up to 40 years after injury. Due to the limited number of injury types studied and heterogeneity between studies, there is insufficient published evidence on which to calculate population estimates of long-term mortality, where injury is a component cause. The review does suggest there is considerable excess mortality following injury that is not accounted for in current methods of quantifying injury burden, and is not used to assess quality and effectiveness of trauma care.     

The transfer of training at macro level in least developed countries: a case study of the ‘brain‐drain’ in Eritrea

Over the past four decades, governments in the least developed countries (LDCs – a categorization adopted by the United Nations) have been attempting to improve the skills and knowledge of their public servants by providing local and international training programs. Despite these training activities, however, many LDCs continue to experience acute shortages of high‐level technical and managerial skills. This is because LDCs are increasingly unable to retain trained personnel employed in the public sector, resulting in a ‘brain‐drain’. The present study critically assesses that part of a major human resource development project implemented in Eritrea, an LDC, between 1998 and 2005, which provided overseas scholarships for 674 public servants. Almost two‐thirds did not return to Eritrea, and the study seeks to establish the reasons for nonreturn. It identifies from the literature five factors that appear to influence return and examines the relationship between these and nonreturn. Economic and political conditions and lack of peace and stability were significant in explaining changes in nonreturn. The results point to the areas of change needed to enable LDCs to retain highly qualified nationals. These areas involve significant changes in government policy, but training providers themselves may be able to take some steps to minimize the lack of benefit from their human resource development investment. The conclusion is that the retention and effective utilization of trained people by LDCs remains challenging. In theoretical terms, the concern of this study can be seen as a macro‐level expression of the transfer problem.     

‘China-focused’ human resource management? A critical analysis of a decade of journal-published research, 2008–2017

This article seeks to provide reliable insights into current trends of ‘China-focused’ Human Resource Management (HRM) vis-à-vis the need for a more ‘contextualized’ framework. It tries to capture the status quo of the literature in the field – in terms of evaluating quality indicators (such as citation rates), author information (such as affiliations), methodological data (such as sample foci) and content-related facts (such as subject matters), amongst others. Ten SSCI-indexed journals were systematically selected for the study, as they explicitly focus on HRM and/or on Asian management issues. The findings are based on an in-depth analysis of 159 articles published between 2008 and 2017. A rich content analysis is presented to illustrate current trends. Although the results have to be treated with caution, I provide some evidence for what numerous scholars recently point out may be the case for the field of China-focused HRM: A contextual and methodological narrowing. It is hoped that the present article may add to the debate on the future of the field.     

健康性别不平等与政府卫生预算的社会性别分析

从社会性别的角度分析了我国不同性别之间的健康需求、预算配置和服务受益情况。（1）我国女性人口卫生服务需求高于男性,且经济欠发达地区女性卫生服务利用受到一定程度抑制;（2）性别问题并非当前预算体制下卫生预算分配的主要关注点,但目前已有促进两性平等利用卫生服务的实际行动和措施;（3）在当前公共卫生投入政策下,两性公共卫生服务受益差异不明显。（4）现有统计信息系统大多不归集分性别资料,尤其是预算数据,因此尚无法对政府卫生预算开展深入的性别分析。要推进性别预算观念和分性别统计工作,逐步建立和完善我国的性别预算框架和操作规范．将社会性别纳入健康政策主流,使健康政策和政府卫生预算增加社会性别公平。     

‘The price is different depending on whether you want a receipt or not’: examining the purchasing of goods and services from the informal economy in South-East Europe

ABSTRACT

Research on the informal economy has largely focussed on supply-side issues, addressing questions like what motivates individuals to work in the informal economy and how can governments tackle this phenomenon. To date, much less attention has been given to demand-side aspects, examining issues around who purchases goods and services from the informal economy, why, and to what extent there are variations according to demographic, socio-economic and geographic dimensions. This paper addresses this imbalance by examining the purchasing of goods and services from the informal economy in South-East Europe. Firstly, this paper identifies the prevalence of such informal purchasing in South-East Europe as well as who undertakes such purchasing. Next, it examines the relative significance of cost factors, social factors and failures in the formal economy, in motivating such purchasing. Finally, it explores variability in the significance of these motivators based on individual-level factors, within and across three South-East European countries.     

Equity dimensions of road traffic injuries in low- and middle-income countries

Globally, poorer population groups bear a disproportionate burden of avoidable morbidity and mortality from road traffic injuries. The distribution of road traffic injuries is generally influenced by socioeconomic factors. Poor countries bear a disproportionate burden of injuries and fatalities, and within countries, poor people account for a disproportionate portion of the ill health due to road traffic injuries. The main source of data for this paper was the road traffic injury database of the WHO World Health Report for 1999 supplemented by the WHO Global Burden of Disease Study 2000 report, and published and unpublished works. Fatality rates for 0-4 and 5-14 year olds in low- and middle-income regions, measured as deaths per 100,000 population, were six times the rates for high-income regions, while within low- and middle-income regions the rates varied widely. Within poor countries, poor people – represented by pedestrians, passengers in buses and trucks, and cyclists – suffer a higher burden of morbidity and mortality from traffic injuries. In rich countries, children from poor socioeconomic classes suffer more injuries and deaths from road crashes than their counterparts from highincome groups. The disproportionate burden of morbidity and mortality in low- and middle-income countries, and among low socioeconomic groups in those countries, illustrates problems of global inequities in health. The problems can be addressed through policies that focus on the road safety of vulnerable groups.     

Understanding the formation of psychic distance perceptions: Are country-level or individual-level factors more important?

This study investigates individual managers’ formation of psychic distance perceptions to foreign countries. Adopting a social psychological perspective, we propose that three social-cognitive mechanisms—social comparison, mere exposure, and social learning—help explain why and how country- and individual-level characteristics affect the formation of these perceptions. Based on an international survey of 1591 managers located in 25 countries undertaken between 2003 and 2008, we find that country-specific international experience, formal education, and the use of common language reduce psychic distance perceptions. Surprisingly, and in contrast to conventional wisdom, managers’ international experience and overall work experience do not seem to affect their distance perceptions. Moreover, individual-level antecedents seem to have limited explanatory power relative to country-level factors as predictors of overall psychic distance perceptions, which lends support to the widely-employed practice of operationalizing psychic distances through country-level indicators. In addition to these empirical findings, the study provides a theoretical social psychological framework useful for understanding how psychic distance perceptions are formed.     

‘I send the wife to the doctor’– Men's behaviour as health consumers

This paper explores men's behaviour and attitudes in relation to health matters. While there has been some practical and research progress in engaging with users of health services, there is less development in the area of engaging non‐users. In effect, all members of the society can be the consumers/users of health promotion, though not all are. This paper reports on the first stage of a wider project aimed at increasing the effectiveness of skin cancer awareness messages aimed at men. The project focuses on men over 50 from an area of socio‐economic disadvantage, since these men tend to have the lowest life expectancies in general, and the highest incidences of mortality for skin cancer both at a national and international level. The research was conducted through community‐based focus groups and while the sample was relatively, small it produced some interesting outcomes in terms of how this cohort audited and responded to public health promotion campaigns; how they perceive cancer and health issues in general; how they respond to health issues; and how they view both the public health service in Ireland and the ways health professionals relate to them. It confirms many theories about how men view their health and how they respond to health promotion campaigns. Among other points, it raises questions about the possible mixed benefits of testimonial‐based advertising. It also indicates that there may be further layers of complexity connected to identity, fatalism, problem solving and respectful treatment that have not been sufficiently articulated in the literature. It points to the need for greater engagement by service planners and providers with the needs of their target audience, which may require a more encompassing definition of service user.