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1 – 10 of 268Wei Wang, Shoujian Zhang and Andrew Philip King
The engineering construction standards in China play an important role in protecting the safety of the construction projects. They are the basic principles that standardize the…
Abstract
Purpose
The engineering construction standards in China play an important role in protecting the safety of the construction projects. They are the basic principles that standardize the construction activities and guarantee the quality of projects. However, there are many barriers that affect the adoption of the engineering construction standards. Therefore, the purpose of this paper is to investigate the barriers that challenge the adoption of the engineering construction standards in China.
Design/methodology/approach
The research reveals the barriers that affect the implementation of the engineering construction standards in China through a literature review. Then this study uses factor analysis to analyze 12 indices which we get from a questionnaire to build explanations from the results.
Findings
According to this paper, four main brands of uncorrelated variables are derived which are the main challenges in implementing the engineering construction standards in China: management barriers, policy barriers, knowledge barriers and market barriers. This paper gives a clear classification of the barriers that the enterprises face while adopting the engineering construction standards in China.
Originality/value
This paper makes a contribution to the understanding of the barriers that affect the adoption of the engineering construction standards in China.
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Andrew Healey, Alexandra Melaugh, Len Demetriou, Tracey Power, Nick Sevdalis, Megan Pritchard and Lucy Goulding
Many patients referred by their GP for an assessment by secondary mental health services are unlikely to ever meet eligibility thresholds for specialist treatment and support. A…
Abstract
Purpose
Many patients referred by their GP for an assessment by secondary mental health services are unlikely to ever meet eligibility thresholds for specialist treatment and support. A new service was developed to support people in primary care. “the authors evaluate” whether the phased introduction of the Lambeth Living Well Network (LWN) Hub to a population in south London led to: a reduction in the overall volume of patients referred from primary care for a secondary mental health care assessment; and an increase in the proportion of patients referred who met specialist service eligibility criteria, as indicated by the likelihood of being accepted in secondary care.
Design/methodology/approach
The evaluation applied a quasi-experimental interrupted time series design using electronic patient records data for a National Health Service (NHS) provider of secondary mental health services in south London.
Findings
Scale-up of the Hub to the whole of the population of Lambeth led to an average of 98 fewer secondary care assessments per month (95% CI −118 to −78) compared to an average of 203 assessments per month estimated in the absence of the Hub; and an absolute incremental increase in the probability of acceptance for specialist intervention of 0.20 (95% CI; 0.14 to 0.27) above an average probability of acceptance of 0.57 in the absence of the Hub.
Research limitations/implications
Mental health outcomes for people using the service and system wide-service impacts were not evaluated preventing a more holistic evaluation of the effectiveness and cost-effectiveness of the LWN Hub.
Practical implications
Providing general practitioners with access to service infrastructure designed to help people whose needs cannot be managed within specialist mental health services can prevent unnecessary referrals into secondary care assessment teams.
Social implications
Reducing unnecessary referrals through provision of a primary-care linked mental health service will reduce delay in access to professional support that can address specific mental-health related needs that could not be offered within the secondary care services and could prevent the escalation of problems.
Originality/value
The authors use NHS data to facilitate the novel application of a quasi-experimental methodology to deliver new evidence on whether an innovative primary care linked mental health service was effective in delivering on one of its key aims.
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