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1 – 10 of over 17000Scholarship has demonstrated important consequences of segregation on health and health care outcomes, yet the mechanisms behind this association remain poorly understood…
Abstract
Scholarship has demonstrated important consequences of segregation on health and health care outcomes, yet the mechanisms behind this association remain poorly understood. Several recent studies have shown inequities in the distribution of a wide variety of health-related organizations across urban neighborhoods, which may account for some portion of this negative health association. Though, within this literature, relatively little attention has been given to the distribution of health care facilities in particular.
Here, I consider how segregation is related to the distribution of several auxiliary health care practitioners in a series of spatial regression models of zip codes across the United States using data from the 2010 US Census and County Business Patterns (CBP).
I find that both Black and Latino segregation is negatively related to the density of a number of auxiliary health care practitioners, including mental health providers, dentists, physical/occupational/speech therapists, chiropractors, optometrists, podiatrists, and miscellaneous health care practitioners. However, this association is reduced (in certain instances to non-significance) with the inclusion of socioeconomic indicators, chiefly the percent of college educated individuals and the unemployment rate of the zip code. This is association is reduced for both Black and Latino segregation, with a larger reduction in the size of the effects for Latino segregation.
This research suggests that segregation plays an important role in the distribution of health care facilities, but that policy and public health interventions should focus on the intersection between racial residential segregation and socioeconomic considerations.
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Jennifer M. Brailsford, Jessica Eckhardt, Terrence D. Hill, Amy M. Burdette and Andrew K. Jorgenson
Although established theoretical models suggest that race differences in physical health are partially explained by exposures to environmental toxins, there is little…
Abstract
Purpose
Although established theoretical models suggest that race differences in physical health are partially explained by exposures to environmental toxins, there is little empirical evidence to support these processes. We build on previous research by formally testing whether black–white differences in self-rated physical health are mediated by the embodiment of environmental toxins.
Methodology/Approach
Using cross-sectional data from the National Health and Nutrition Examination Surveys (2007–2008), we employ ordinary least squares regression to model environmental toxins (from urine specimens) and overall self-rated health as a function of race and ethnicity. We employ the Sobel test of indirect effects to formally assess mediation.
Findings
Our results show that non-Hispanic black respondents tend to exhibit higher levels of total toxins, lead, and cadmium in their urine and poorer physical health than non-Hispanic whites, even with adjustments for age, gender, and socioeconomic status (SES). Our mediation analyses suggest that blacks may exhibit poorer physical health than whites because they tend to embody higher levels of cadmium.
Research Limitations/Implications
Research limitations include cross-sectional data and restricted indicators of SES.
Originality/Value of Paper
This study contributes to previous work by bridging the fields of social epidemiology and environmental inequality and by formally testing established theoretical models.
Christopher R. Reutzel, Jamie D. Collins and Carrie A. Belsito
The purpose of this paper is to examine the influence of business leader gender on the pursuit of innovation opportunities. Extant research suggests that leader gender…
Abstract
Purpose
The purpose of this paper is to examine the influence of business leader gender on the pursuit of innovation opportunities. Extant research suggests that leader gender represents an important characteristic that shapes firm behavior in various ways. The authors build upon this research by relating business leader gender, perceptions of environmental munificence and distributive justice to firm investment in innovation.
Design/methodology/approach
This study examines the survey responses of 469 business leaders in India. These individuals were primarily responsible for their firms. Their responses to survey questions were analyzed using ordinary least squares regression.
Findings
The results of this study suggest that female-led firms exhibit less investment in innovation than male-led firms. Results also suggest that female business leaders perceive less environmental munificence as well as distributive justice. Finally, study results suggest that the effect of gender on firm investment in innovation is mediated by perceptions of distributive justice.
Originality/value
This study provides an empirical link between business leader gender and firm investment in innovation. In doing so, it acknowledges and provides insight into the gendered nature of the initiation of innovation processes and leadership. Finally, the finding that business leader perceptions of distributive justice mediate the relationship between business leader gender and investment in innovation extends current understanding of the mechanisms underlying the lower investment in innovation rates exhibited by female-led firms.
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Carrie A. Belsito, Christopher R. Reutzel and Jamie D. Collins
The purpose of this paper is to examine the relationship between human resource (HR) executive representation in top management and the growth of newly public firms. It…
Abstract
Purpose
The purpose of this paper is to examine the relationship between human resource (HR) executive representation in top management and the growth of newly public firms. It draws upon research on strategic leadership, strategic HR management and Penrose’s theory of firm growth to consider the role of HRs executives in addressing demands placed upon top managers in the pursuit of firm growth. This study attempts to extend the focus of research on the influence of HR executives on organizational outcomes
Design/methodology/approach
In order to test study hypotheses, this study analyses data from a sample of US newly public firms that underwent initial public offerings (IPO) during the 2007 calendar year. Study data were analyzed using ordinary least squares regression in order to test study hypotheses.
Findings
This study provides general support for study hypotheses. First, HR executive presence in top management was found to be positively related to post-IPO firm growth. Second, upper echelon size and the number of firm employees were found to weaken the positive effect of HR executive presence in top management on post-IPO firm growth.
Research limitations/implications
As a consequence of study design, the results found in this study may be limited with respect to their external validity. Therefore, researchers and practitioners are encouraged to use caution before generalizing study findings to other contexts.
Practical implications
This study provides implications for top management team staffing and the pursuit of firm growth. Newly public firms appear to benefit in terms of firm growth by including HR executives in top management. The benefits of doing so appear to be reduced for newly public firms as the size of their upper echelons and number of employees increase.
Originality/value
This study extends research on the firm level consequences of HR executive presence in top management as well as research on factors which influence firm growth.
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William A. Kerler, A. Scott Fleming and Christopher D. Allport
The purpose of this study is to investigate the effects of attribute frames and justifications on capital budgeting decisions and to examine whether the requirement to…
Abstract
Purpose
The purpose of this study is to investigate the effects of attribute frames and justifications on capital budgeting decisions and to examine whether the requirement to provide justification for a capital budgeting decision moderates the effect of attribute frames.
Methodology
One-hundred and eleven participants made a capital budgeting decision in an experimental case that manipulated the frame of the financial evidence provided and the requirement to provide a justification.
Findings
Results suggest that both attribute frames and justifications affect capital budgeting decisions but the requirement to provide justifications did not moderate the effect of attribute frames.
Originality/value
This study contributes to the capital budgeting literature by identifying two factors that may bias judgments. This study also contributes to the framing literature by examining one potential method of moderating framing effects – requiring justification for decisions.
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Christopher R. Reutzel, Carrie A. Belsito and Jamie D. Collins
This study aims to draw upon research from strategic human resource management (HRM) and strategic management to examine how HRM demands influence the likelihood that…
Abstract
Purpose
This study aims to draw upon research from strategic human resource management (HRM) and strategic management to examine how HRM demands influence the likelihood that chief executive officers (CEOs) will staff top management with a human resource (HR) executive.
Design/methodology/approach
The theory and hypotheses developed in this study are tested on a sample of US initial public offering firms from the calendar year 2007, using logistic regression.
Findings
The results of hypothesis tests suggest that HR executive presence in top management is positively related to the HRM demands faced by a CEO stemming from product/service innovation strategies, the number of HRs employed by the firm and CEO’s financial orientation.
Research limitations/implications
The results of this study may not generalize to other settings. This study does not simultaneously consider the role of other structural forms which may increase or reduce the degree of HRM demands faced by the CEO. This study extends prior research on executive job demands by expanding the understanding of factors which give rise to HRM sources of executive job demands. Study results suggest that CEOs with financial orientations are more likely to staff their top management teams with an HR executive, which suggests that in the face of executive job demands stemming from a particular functional area, CEOs delegate responsibility for that function to another member of top management. This finding suggests that CEOs can, and in fact do, recognize the limitations engendered by their experiences and that when confronted with a specific type of executive job demand that does not align with their expertise, they take steps to address their individual limitations by appointing others that are more capable of addressing the particular source of executive job demand.
Practical implications
Study results suggest that product/service innovation strategies, CEO’s financial background and the number of HRs employed by the firm increase the likelihood of HR functional representation in top management.
Originality/value
The theory and results of this study extend the focus of extant research on factors giving rise to HRM’s functional representation in top management. Although prior research has emphasized the role of ownership characteristics and risk preferences in the adoption of this structural form, this study examines the role of CEO HRM demands. This approach allows for the integration of the upper echelons theory with the strategic HRM literature and provides an empirical examination of CEO job demands arising from the HRM function.
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This review integrates and builds linkages among existing theoretical and empirical literature from across disciplines to further broaden our understanding of the…
Abstract
This review integrates and builds linkages among existing theoretical and empirical literature from across disciplines to further broaden our understanding of the relationship between inequality, imprisonment, and health for black men. The review examines the health impact of prisons through an ecological theoretical perspective to understand how factors at multiple levels of the social ecology interact with prisons to potentially contribute to deleterious health effects and the exacerbation of race/ethnic health disparities.
This review finds that there are documented health disparities between inmates and non-inmates, but the casual mechanisms explaining this relationship are not well-understood. Prisons may interact with other societal systems – such as the family (microsystem), education, and healthcare systems (meso/exosystems), and systems of racial oppression (macrosystem) – to influence individual and population health.
The review also finds that research needs to move the discussion of the race effects in health and crime/justice disparities beyond the mere documentation of such differences toward a better understanding of their causes and effects at the level of individuals, communities, and other social ecologies.
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The “Social Determinants of Health” construct is well-entrenched in the way that both health care providers and researchers think about the effects of social conditions on…
Abstract
Purpose
The “Social Determinants of Health” construct is well-entrenched in the way that both health care providers and researchers think about the effects of social conditions on health. Although there are a number of theories that fall under this rubric for the social production of health and illness, the core of this construct is the idea that social stratification leads to health disparity. In this chapter we show how such a mechanism might work for relating social stratification and job stress.
Methodology/approach
We used the pooled 2002, 2006, 2010 Quality of Work Life modules of the General Social Survey to test a model of the relationships between gender, age, education, and nativity with “bad jobs” and indicators of health status.
Findings
Findings show that social status is positively associated with job quality and with health in turn. Lower social status characteristics are related to bad jobs and poorer health.
Research limitations/implications
Health disparities are thus “explained” by the consequences of social status for occupation and job quality, thereby depicting exactly how health disparities arise in normal social life. The theory and results underscore the importance of explicitly modeling social status factors in explanations of health disparities.
Social implications
It is common to relate health disparities to social status but it is not common to show the mechanisms whereby social status actually produces health disparities. Addressing health disparities means addressing the consequences of social inequalities for normal activities of social life such as work. Improving job quality would be a health “treatment” that addresses health disparities.
Originality/value
This chapter demonstrates the value of explicitly tracing the consequences of status differences on differences in social context such as work conditions and then health. In the study of health disparities this is not often done. In this chapter we show how social inequality leads to occupational and job quality differences that, in turn, lead to health differences.
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Planning surgical services in the NHS needs to take account of thefinite capacity of the consultant and his/her team to carry out work ofa standard which does not…
Abstract
Planning surgical services in the NHS needs to take account of the finite capacity of the consultant and his/her team to carry out work of a standard which does not compromise the quality of care of the individual patient. Pressure is increasingly towards a consultant‐provided service. Current working practice suggests that one consultant could see 600‐650 new out‐patients per year and carry out 600‐650 case weighted operations per year. This would meet the general surgical needs of a population of about 30,000. Recom‐mends that this approach is considered in planning surgical services in the future rather than the historic workloads which are likely to perpetuate the present compromises in the quality of patient care.
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