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The study considers annual health care utilization and costs associated with human immunodeficiency virus (HIV) infection and the autoimmune disease syndrome (AIDS) complex by applying the previously developed disease and disease combination-specific cost of illness methodology. This study documents changes in age-specific mortality rates indicating the decline in age groups “20–39”. We estimate annual economic losses resulting from twenty-four HIV/AIDS-related diseases among the U.S. population to be $18.2 billion. This estimate includes direct medical cost of almost $9.2 billion, 80% of which is compensated by Medicaid. We demonstrate that an add-on therapy with additional mean cost of $7,100 per person per year would be justifiable if it could reduce the risk of progression to AIDS by 19%.

This chapter proposes an optimized innovative information technology as a means for achieving operational functionalities of real-time portable electronic health records, system interoperability, longitudinal health-risks research cohort and surveillance of adverse events infrastructure, and clinical, genome regions – disease and interventional prevention infrastructure. In application to the Dod-VA (Department of Defense and Veteran's Administration) health information systems, the proposed modernization can be carried out as an “add-on” expansion (estimated at $288 million in constant dollars) or as a “stand-alone” innovative information technology system (estimated at $489.7 million), and either solution will prototype an infrastructure for nation-wide health information systems interoperability, portable real-time electronic health records (EHRs), adverse events surveillance, and interventional prevention based on targeted single nucleotide polymorphisms (SNPs) discovery.

We study changes in age-specific diabetes-related mortality and annual health care utilization. We find that half of the estimated 16% increase of diabetic mortality falls within employable age groups. We estimate that disease combination-specific increase in case fatality has resulted in premature diabetic mortality costing $3.2 billion annually. The estimated annual direct cost of treating high-risk diabetics reaches $36 billion, of which Medicare and Other Federal Programs compensate 54%. Respiratory conditions among diabetics comprise the same proportion of high-risk diabetics as do the disease combinations including coronary heart diseases. Treating of general diabetic conditions has become more efficient as indicated by the estimated declines in per unit health care costs.

This paper reviews Pacific Accounting Review, 1988–96. Against the background of an historical overview of the journal's development, the paper includes analyses of publications and citations in the journal. The paper looks forward to the future progress of Pacific Accounting Review.

This paper aims to explore the content of Safeguarding Adult Reviews (SARs) from older adult care homes to understand how safety is understood and might be measured in practice.

SARs relevant to older adult care homes from 2015 onwards were identified via the Social Care Institute of Excellence SARs library. Using thematic analysis, initial inductive coding was mapped to a health-derived safety framework, the Safety Measurement and Monitoring Framework (SMMF).

The content of the SARs reflected the dimensions of the SMMF but gaining a deeper understanding of safety in older adult care homes requires additional understanding of how this unique context interacts with these dimensions to create and prevent risks and harms. This review identified the importance of external factors in care home safety.

This study provides an insight into the scope of safety issues within care homes using the SARs content, and in doing so improves understanding of how it might be measured. The measurement of safety in care homes needs to acknowledge that there are factors external to care homes that a home may have little knowledge of and no ability to control.

Mobile loafing, or non-work-related mobile computing, is deviant workplace behavior that can reduce productivity and increase cybersecurity risks. To thwart mobile loafing, organizations often adopt formal controls that encompass rules and policies. These formal controls can serve as a phase-shifting event. Phase shifting is a process where individuals reevaluate and revise their perceptions of the regulation of deviant behaviors. Despite the importance of understanding this process, little research has examined the announcement of formal controls as an impetus for phase shifting. The primary objectives of this study were to induce a phase-shifting perception in an organizational setting and explore its determinants and moderating role in the context of mobile loafing.

The authors proposed and tested a model using two-wave data collected from 231 Amazon Mechanical Turk workers. To test the research hypotheses, they used covariance-based structural equation modeling and logistic regression.

The authors found that peer's mobile loafing and neutralization positively influence mobile-loafing intention before and after the announcement of formal controls. This research also shows that the higher an employee's neutralization, the likelier they perceive the announcement of formal controls as phase shifting. Also, the authors found that the moderating effect of phase-shifting perceptions functions in such a way that the relationship between T1 and T2 mobile-loafing intention is weaker when employees perceive the announcement of formal controls as a phase-shifting event.

The authors’ results provide managers with useful insights into effectively using formal controls to mitigate employees' deviant behavior. To effectively use formal controls, managers should articulate formal controls that can trigger employees to revise their perceptions of counterproductive workplace behavior policies.

This study is one of the first in information systems research to empirically examine the announcement of formal controls as a phase-shifting event and explore its antecedents and moderating role in the context of deviant workplace behavior in general and mobile loafing in particular.

Where is the Life we have lost in living?Where is the wisdom we have lost in knowledge?Where is the knowledge we have lost in information? Thomas Stearns Eliot.This book is a collection of multi-author contributed research devoted to exploring the synergy of new science-based health-risks approaches, innovative information technologies, and innovation in outcomes research. Time and again we find evidence that logistics of health care delivery calls for innovative approaches in every aspect of intervention, prevention, discovery, and insurance. Without transparency and real-time availability of adequate, multipurpose, reliable, health-risks and outcomes data, the needs of consumer safety, disease management, regulatory research, and targeted discovery will remain poorly equipped for either individual health system quality assurance or nation-wide decision-making. Each chapter in this collection strives to create knowledge by creating adequate data and advancing, at least, one step forward in the relevant field.

I MUST SAY, I was astonished to read in the editorial in the November issue of Assistant librarian the bald declaration that AL ‘is broke’. I mean, whatever will the printers think?