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21 – 30 of over 105000Compiled by K.G.B. Bakewell covering the following journals published by MCB University Press: Facilities Volumes 8‐17; Journal of Property Investment & Finance Volumes 8‐17;…
Abstract
Compiled by K.G.B. Bakewell covering the following journals published by MCB University Press: Facilities Volumes 8‐17; Journal of Property Investment & Finance Volumes 8‐17; Property Management Volumes 8‐17; Structural Survey Volumes 8‐17.
Compiled by K.G.B. Bakewell covering the following journals published by MCB University Press: Facilities Volumes 8‐18; Journal of Property Investment & Finance Volumes 8‐18;…
Abstract
Compiled by K.G.B. Bakewell covering the following journals published by MCB University Press: Facilities Volumes 8‐18; Journal of Property Investment & Finance Volumes 8‐18; Property Management Volumes 8‐18; Structural Survey Volumes 8‐18.
Patrick Callaghan and Andrew Grundy
The purpose of this paper is to examine empirical, epistemological and conceptual challenges and clinical narratives in the application of risk assessment and management in mental…
Abstract
Purpose
The purpose of this paper is to examine empirical, epistemological and conceptual challenges and clinical narratives in the application of risk assessment and management in mental health.
Design/methodology/approach
The authors used a narrative review of empirical, conceptual and clinical literature.
Findings
The worldwide prevalence of violence in mental health settings remains high. Risk assessment and management approaches, while well intentioned as an attempt to reduce harm and increase people’s safety, have negligible effect on both. They are invariably individual centric, ignore wider environmental, societal and behavioural influences that foment violence and have a stigmatising effect on people using mental health services. They also reinforce the myth that people who are mentally unwell threaten society and that through current risk assessment and management approaches, we can minimise this threat.
Research limitations/implications
There is a need to reconsider the study and application of violence risk assessment in mental health.
Practical implications
The practice of risk assessment and management in mental health is marred by an overuse of risk assessment measures that are limited in their predictive efficacy. As a result, they have little value in preventing, reducing and/or managing harm. The language of risk punishes and stigmatises service users and reinforces the image of menace. An alternative language of safety may nourish and protect. A collaborative approach to safety assessment based upon recovery-focussed principles and practices may fuse professionals and service users’ horizons. Combining service users’ self-perception, professionals’ sound clinical judgement, assisted by electronically derived risk algorithms and followed by evidence-based risk management interventions, may lessen the threat to service users, reduce harm and transform the practice of violence risk assessment and management.
Social implications
Risk appraisals discriminate against the small number of people who have a mental illness and are risky, an example of preventive detention that is ethically questionable. On the basis of the limitations of the predictive efficacy of actuarial measures, it is ethically dubious to subject people to interventions with limited benefits. Risk assessment processes tend to reinforce stigma by classifying individuals as risky, sanctioning society’s prejudices and fear through scientific authority.
Originality/value
The increasing focus on risk assessment and management to tackle violence in mental health is fraught with empirical, conceptual and practical concerns; the authors have suggested ways in which these concerns can be addressed without compromising people’s safety.
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Alberto Sardi, Enrico Sorano, Anna Guerrieri and Umberto Fiandra
To improve the performance both in terms of patient safety and quality of treatments, this research studies one of the most delicate processes of health organizations, that is to…
Abstract
Purpose
To improve the performance both in terms of patient safety and quality of treatments, this research studies one of the most delicate processes of health organizations, that is to say, the clinical risk management in maternal and child pathway. This paper aims to analyze the accidents that occurred in a complex health facility through the standard mapping of this pathway included in the CartoRisk, i.e. a risk assessment tool for the a priori analysis.
Design/methodology/approach
The research uses the case study methodology, as it explores a complex process in which a lot of variables and actors are involved. It analyzes the accidents occurred in the largest health facility at national and European level.
Findings
After a presentation of the regulatory framework and the studied health organization, the research analyzes the accidents occurred in maternal and child pathway from 2014 to 2018. It showed the main risks according to the standard mapping of the maternal and child pathway. Furthermore, it identified 11 new risks mainly associated with physiologic birth and Caesarean birth.
Originality/value
This study presents the regulatory framework, the health facility and the accidents of a health organization. Moreover, besides the accident analysis, the research integrates further risks into the standard mapping adopted to carry out this study and proposes a risk management approach. Therefore, the value of the research for operators will consist of the integration of the standard mapping used for a priori analysis to be reused in the hospitals where they work, while for researchers it will represent a deep knowledge of a real case.
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Pham Tien Thanh, Hanh Thi Hong Nguyen, Le Thi Bao Ngan, Doan My Duyen Nguyen, Gia Han Phan and Thi My Nhung Nguyen
COVID-19 presents a serious and unprecedented challenge around the globe. Street vendors are the most vulnerable group during this pandemic regarding livelihood loss and contagion…
Abstract
Purpose
COVID-19 presents a serious and unprecedented challenge around the globe. Street vendors are the most vulnerable group during this pandemic regarding livelihood loss and contagion risk. This research aims to examine the roles of risk communication work in enhancing COVID-19 risk perceptions and adoption of COVID-19 preventive behaviors among street vendors.
Design/methodology/approach
The data were collected from the street vendors in urban Vietnam. A binary probit model was used for analyzing the relationships among exposure to risk communication, risk perception and adoption of preventive behaviors.
Findings
The analysis reveals the outreach of risk communication work to the street vendors. A rather large proportion of the respondents perceive high risks associated with COVID-19. All respondents adopt COVID-19 preventive behaviors; however, the proportion of regular adoption is moderate and even very low for most behaviors. Their frequent exposure to risk communication significantly raises their risk perceptions and encourages their regular adoption of preventive behaviors, particularly regarding the measures that are affordable and less detrimental to their livelihood.
Originality/value
This research is among the first attempts to examine risk communication to the vulnerable group, how they perceive risks and the extent to which they adopt preventive behaviors during a public health crisis. This research draws some implications for risk communication and social welfare policies to obtain sustainable development goals.
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The aim of the paper is to investigate the impact of pre‐existing audience mood on responses to health public service advertisements (PSAs). The paper also aims to show the…
Abstract
Purpose
The aim of the paper is to investigate the impact of pre‐existing audience mood on responses to health public service advertisements (PSAs). The paper also aims to show the practical and theoretical importance of mood as a variable in health communication.
Design/methodology/approach
Hypotheses regarding the impact of audience mood on the outcome of health PSAs were tested experimentally using health PSAs about vaccination and virus detection behaviors.
Findings
The influence of pre‐existing mood was mediated by the perceived risk of contracting the illness mentioned in the health advertisement. Personal estimations of risk mediated the impact of audience mood on behavioral intent and actual behavior. The more negative one's mood, the higher the perceived risk of contracting the disease mentioned in the message, and the more likely one was to adopt the precautionary behavior recommended by the PSA. Positive mood had opposite effects.
Practical implications
The findings suggest a novel media planning approach to maximizing the effectiveness of health risk messages. Due to the impact of context‐induced mood on perceptions of risk, messages could be more effective if placed in editorial contexts which induce negative mood (e.g. crime investigation reports) versus environments which induce positive mood (e.g. sitcoms), because negative mood makes people think they are more at risk and motivates them to act.
Originality/value
The mood‐and‐risk mediation hypothesis proposed here has never been examined in public health marketing. Findings call for further research on the impact of contextual affect on responses to public health communication. The paper suggests a new placement technique for media planners working in public health advertising.
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Compiled by K.G.B. Bakewell covering the following journals published by MCB University Press: Facilities Volumes 8‐17; Journal of Property Investment & Finance Volumes 8‐17;…
Abstract
Compiled by K.G.B. Bakewell covering the following journals published by MCB University Press: Facilities Volumes 8‐17; Journal of Property Investment & Finance Volumes 8‐17; Property Management Volumes 8‐17; Structural Survey Volumes 8‐17.
Haitham Bashier Abbas and Jayant K. Routray
The purpose of this paper is to analyze flood vulnerability vis-à-vis flood-induced health risks, and understand the relationship between them to suggest measures to reduce health…
Abstract
Purpose
The purpose of this paper is to analyze flood vulnerability vis-à-vis flood-induced health risks, and understand the relationship between them to suggest measures to reduce health risks in Sudan.
Design/methodology/approach
This study compares the vulnerability to flood and health consequences in two communities in Aroma. This study compares the vulnerability of Aroma semi-urban vicinity and Tendellei rural village, in Sudan, to flood and health consequences. A set of socioeconomic and health indicators were studied in 251 households. Households were classified according to their calculated vulnerability composite index. The index was validated through comparing the vulnerability values with the level of impact in each household.
Findings
About 30 percent of households are highly/very highly vulnerable to flood risk. On the other hand, 41 percent of the rural households and 25 percent of the semi-urban houses are highly/very highly vulnerable to health risks. The main determinants of flood vulnerability are; the number of earning family members, level of education and economic activity of the household's head. The rural households are found to be more vulnerable to health risks while semi-urban households are more vulnerable to flooding. Flood and health vulnerabilities are positively correlated. Factors like urbanization, poverty and education directly affect the vulnerability of communities.
Research limitations/implications
The methodology could be strengthened through the running of multi-various regression to relate selected vulnerability indicators to incidence of malaria and diarrhea in each household.
Practical implications
The method described in this paper is flexible; applicable and can be reproduced for other areas and risks.
Social implications
Vulnerability determinants affect the two communities differently and this necessitates specific consideration when developing policy. The policy should tackle the root causes of vulnerability to cut the vicious circle of poverty, illiteracy and illness. Those root causes should be managed by integrating multi-hazard approaches for effective and efficient interventions.
Originality/value
The method described in this paper is original, flexible; applicable and can be reproduced for other areas and risks.
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Zhiyu Dong, Ruize Qin, Ping Zou, Xin Yao, Peng Cui, Fan Zhang and Yizhou Yang
The occupational health risk associated with the production of prefabricated concrete components is often overlooked. This paper will use a damage assessment and cyclic mitigation…
Abstract
Purpose
The occupational health risk associated with the production of prefabricated concrete components is often overlooked. This paper will use a damage assessment and cyclic mitigation (DACM) model to provide individualized exposure risk assessment and corresponding mitigation management measures for workers who are being exposed.
Design/methodology/approach
The DACM model is proposed based on the concept of life cycle assessment (LCA). The model uses Monte-Carlo simulation for uncertainty risk assessment, followed by quantitative damage assessment using disability-adjusted life year (DALY). Lastly, sensitivity analysis is used to identify the parameters with the greatest impact on health risks.
Findings
The results show that the dust concentration is centered around the mean, and the fitting results are close to normal distribution, so the mean value can be used to carry out the calculation of risk. However, calculations using the DACM model revealed that there are still some work areas at risk. DALY damage is most severe in concrete production area. Meanwhile, the inhalation rate (IR), exposure duration (ED), exposure frequency (EF) and average exposure time (AT) showed greater impacts based on the sensitivity analysis.
Originality/value
Based on the comparison, the DACM model can determine that the potential occupational health risk of prefabricated concrete component (PC) factory and the risk is less than that of on-site construction. It synthesizes field research and simulation to form the entire assessment process into a case-base system with the depth of the cycle, which allows the model to be continuously adjusted to reduce the occupational health damage caused by production pollution exposure.
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Matteo M. Galizzi, Glenn W. Harrison and Marisa Miraldo
The use of behavioral insights and experimental methods has recently gained momentum among health policy-makers. There is a tendency, however, to reduce behavioral insights…
Abstract
The use of behavioral insights and experimental methods has recently gained momentum among health policy-makers. There is a tendency, however, to reduce behavioral insights applications in health to “nudges,” and to reduce experiments in health to “randomized controlled trials” (RCTs). We argue that there is much more to behavioral insights and experimental methods in health economics than just nudges and RCTs. First, there is a broad and rich array of complementary experimental methods spanning the lab to the field, and all of them could prove useful in health economics. Second, there are a host of challenges in health economics, policy, and management where the application of behavioral insights and experimental methods is timely and highly promising. We illustrate this point by describing applications of experimental methods and behavioral insights to one specific topic of fundamental relevance for health research and policy: the experimental elicitation and econometric estimation of risk and time preferences. We start by reviewing the main methods of measuring risk and time preferences in health. We then focus on the “behavioral econometrics” approach to jointly elicit and estimate risk and time preferences, and we illustrate its state-of-the-art applications to health.
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