Fraudster’s and victims’ profiles and loss predictors’ hierarchy in the mental healthcare industry in the US

Abstract

Background

Fraud- or theft-related crimes account for the highest number of crimes in the mental health industry in the US.     

Examination of Multiple Criteria in Health Technology Assessment for Application to Instrumental Analysis

Abstract:

The instrumental-ceremonial dichotomy is the analytical concern emphasized in instrumental analysis by original institutional economists for making welfare decisions. Paul Dale Bush and Wolfram Elsner explained that warranted criteria are required in order to conduct instrumental analysis. The concern for criteria led to an examination of multiple criteria decision analysis in health technology assessment in order to improve instrumental analysis. Health technology assessment (HTA) is one of the most active and extensive areas of analysis for policy making because medical technology changes very rapidly, expenditures on it are high and growing, it can harm as well as help, and there is intense personal concern by citizens who want wellness. Although HTA, especially with regard to the analysis of multiple criteria, has made considerable progress, its appraisal has been a disappointment. Thus, the purpose of this paper is to critique aspects of multiple criteria HTA in order to further develop instrumental analysis.     

Small system dynamics model for alleviating the general practitioners rural care gap in Ontario,Canada

The disproportionate concentration of healthcare professionals in urban areas is a concern in many countries, including Canada. A need to address this rural care gap has driven a large number of government led initiatives worldwide over the years. This paper presents a model that can be used as a tool to examine the efficacy of such policies on the workforce distribution in the long term. A small system dynamics model is employed to simulate the current and future distribution of general physicians at a jurisdictional level. The model represents the transition of general practitioners to provide insight into the dynamics of care provision over time. The movement, and competition, between rural and urban areas is modeled to enable detailed exploration of the ability for proposed measures to alleviate the care gap in the future. Among the tested policies are such commonly used initiatives as financial incentives to rural professionals, promotion of medical education in rural areas, expansion of rural education programs and the engagement of international medical graduates etc. We demonstrate how the model can be used as a tool to determine an efficient and well-chosen combination of policies which can help alleviate the rural care gap in the future, given that some policies are more effective than others alone but also combined with other initiatives. The presented small system dynamics model is tested on Canada's reality, but its simple nature lends itself to easy application to other countries that experience a similar problem.     

转型时期人民当家作主主体自觉性缺失与构建探讨

党的十八大强调夺取中国特色社会主义新胜利,必须坚持人民主体地位。笔者分析了我国转型时期主体自觉性缺失对人民当家作主的制约,提出了通过健全各项民主制度扩大人民当家作主的群众基础、加强法制宣传教育以增强人民依法维权自觉性、建设社会主义核心价值体系提供精神动力和思想保证等措施来构建人民当家作主的主体自觉性。     

Defining Capitalism

This article aims to incorporate the essential features of capitalism in an operational definition that identifies capitalism per se (pure laissez‐faire capitalism), and clearly excludes variations such as welfare capitalism and crony capitalism. By concisely highlighting the fundamental structures and mechanisms of capitalism, this essential definition facilitates defences of it that are more robust than those ordinarily offered. It also clarifies the relation between capitalism and phenomena with which it is frequently associated, and suggests a straightforward way of identifying and measuring the extent of capitalism in mixed economies.     

Cultivating sustainability consciousness through mindfulness: An application of theory of mindful-consumption

Achieving sustainable development is a significant hurdle that societies around the world face in the present era. The on-going global discourse on sustainability revolves around the dual objective of developing sustainability consciousness while fostering social and economic progress. However, despite its relevance to humankind, little is known about the mechanisms and boundary conditions that explain what influences an individual's sustainability consciousness. To fill this void, we borrow from the theory of mindful-consumption and explain why and how mindfulness impacts sustainability consciousness. Besides, given that material wealth is experiencing an unprecedented boom, we examine the moderating role of materialism on the aforesaid relationship. Demographic factors such as age (Gen Y vs Gen Z) and gender (male vs female) were also employed as moderators in the study. A sample of 726 was collected through a survey instrument and analysed using SMART PLS to test the hypothesized relationships. Findings reveal that there is a significant positive relationship between mindfulness and sustainability consciousness with materialism acting as a significant moderator. The model relationships did not vary across the two generational cohorts (Gen Y and Gen Z) significantly. The results further revealed that the impact of materialism was stronger for females than males, depicting gender to be a significant moderator on the proposed relationships. The current work is among the very few studies that empirically validate the influences of mindfulness on the entire gamut of sustainability (including environmental, economic, and social aspects); and has major implications for academicians, practitioners, and policy makers passionate about sustainability.     

Substantial effect of voluntary policy interventions on aircraft ground handling safety

Managing safety and health matters require comprehensive policy intervention to change the existing culture in the ground handling operations and reducing the safety performance outcomes. This study aims to investigate the relationship between safety culture and safety performance outcome with voluntary policy intervention as the moderating effect of the relationship. The study employed a quantitative method through a survey instrument, which was participated by 423 ground handling workers from six international airports in Malaysia. The results indicated seven hypotheses in direct relationships have positive association between safety culture and safety performance construct. While for moderator relationships, there were five hypotheses found to be statistically significant and supported. The presence of voluntary policy interventions were found to be beneficial or detrimental elements for the insignificant relationships of the study. The ground handling organisation is expected to utilise these results by strengthening their organisation safety culture and prioritise safety and health matters over demand and cost.     

Unconscious Processes of Organizing: Intergroup Conflict in Mental Health Care

A critical but overlooked issue in Weick’s seminal work, The Social Psychology of Organizing (1969/1979), concerns ‘the heat’ of organizing processes, namely, the underground emotional processes underpinning the organizing of conflictual work relationships. We present a qualitative case study of psychiatric agencies mandated by public policy to collaborate but instead engaged in persistent conflict despite its deleterious effects on their working relationship and on the wellbeing of the clients they intended to serve. To explain these conflictual features of organizing, we integrate Weick’s organizing theory with systems psychodynamics to deepen the understanding of emotions in organizing, specifically the motivational forces underpinning sensemaking and actions between interacting psychiatric agencies. This integration of theories reveals a critical feature of the relationship between the conscious and unconscious organizing processes: When a threat is involved, sensemaking and action are overtaken by social defences, resulting in dysfunctional organizing of the primary task. Drawing on these findings, we enrich Weick’s seminal work by developing a model that portrays organizing as the ritualized interaction of emotions, sensemaking and behavioural responses.