A two-stage approach to defining an affected community based on the directly affected population and the sense of community

Studies have demonstrated the inadequacy of relying on existing administrative boundaries or simple proximity to define an affected community. The proposal and siting of hazardous facilities can have a range of impacts upon people across wide areas, with some more affected than others as a result of living with the physical impacts of construction or the fear associated with perceived risk. We term those most affected the directly affected population and propose a two-stage model for identifying an affected community which places those most affected at the centre of the definition. The second stage is to identify the relationships those most affected have with the wider elements of the sense of community to discover the existing community or communities which are affected. Illustrated by the siting of a low-level radioactive waste disposal facility at Dounrey in the north of Scotland, we show that elements of the lived community experience may have very different shapes, extents and conflicting interests which pose challenges for their incorporation into a siting process. The two-stage model presented in this paper, by placing those most directly affected at the centre and working from there out into the existing communities, identifies issues early in any siting process to improve their incorporation and amelioration.     

Cost-utility analysis of the rehabilitation of patients with musculoskeletal problems

The objective of this study is to discuss the rehabilitation of patients in primary health care with problems in the musculoskeletal system from a socioeconomic perspective. A trial with coordinated rehabilitation in primary health care is compared with traditional rehabilitation. This trial, performed in Sweden in 1994, was a two-year prospective and comparative study of consecutively included patients with long-term illnesses due musculoskeletal problems (810 observations). A cost-utility analysis shows that the new rehabilitation program in primary health care is a cost-minimization program for society. There is no significant difference in the quality of life between the trial and control groups. The total cost is lower for rehabilitation in primary health care than for traditional rehabilitation (6 percent). The indirect costs are higher than the direct health care costs (60 percent), and payments from social insurance increased by 8 percent. The health economic results support rehabilitation in primary health care but also points out that this type of rehabilitation can be further improved.     

Strategic and Business Planning Practices of Fast Growth Family Firms

Fast-growth family firms were surveyed about their business and strategic planning practices. Of the 65 fast-growth family firms surveyed, the majority prepare written formal plans. The business plans are in sufficient detail to enable the business to tie planning to actual performance and to adjust management compensation accordingly. The majority of the firms regularly share information with employees regarding comparisons between actual company performance results and goals or planned performance. Further, the majority of the firms describe their business strategy as a high quality producer strategy rather than as a low-cost or time-based strategy. Further, when bringing new products to market, these fast-growth family firms adopt a first mover or early follower strategy. Implications of these findings for growth-oriented family firms are presented.     

Job accessibility and the modal mismatch in Detroit

Transportation scholars are challenging traditional formulations of the spatial mismatch hypothesis because previous studies have disregarded the considerable difference between travel modes. This case study of the Detroit metropolitan region uses 2000 census data and a gravity-based model of transportation accessibility to test differences in access to jobs among places and people, and provides support for recent calls for reconceptualizing spatial mismatch. It shows that even though Detroit experiences the greatest distance between African Americans and jobs of any region in the country, most central city neighborhoods offer an advantage in accessibility to jobs compared to most other places in the metropolitan region – as long as a resident has a car. Policies aimed at helping carless people gain access to automobiles may be an effective means of improving the employment outcomes of inner-city residents.     

Portuguese tour operators: A fight for survival

This article looks at the efficiency of Portuguese tour operators focusing on firm size, group ownership, and mergers and acquisitions. It has been argued that changed market conditions in Europe make it hard for tour operators to achieve economies of scale and market growth without increasing firm size or being part of a more high profile company.