Search results1 – 8 of 8
Results of a previous study showed that use of health information technology (HIT) significantly reduced potential medication prescribing errors. However, the results also…
Results of a previous study showed that use of health information technology (HIT) significantly reduced potential medication prescribing errors. However, the results also revealed a less than 100% rate of HIT adoption by primary care physicians. The current study reports on personal interviews with participating physicians that explored the barriers they faced when attempting to fully adopt a particular HIT. Content analysis of qualitative interviews revealed three barrier themes: time, technology, and environment. Interviews also revealed two other areas of concern; specifically, the compatibility of the HIT with the physician's patient mix and the physician's own attitude toward the use of HIT. A theoretical model of technology acceptance and use is used to discuss and further explain the data derived from the physician interviews. With a better understanding of these issues, health care administrators can develop successful strategies for adoption of HIT across their health care organizations.
This mixed methods multiple case study examines the knowledge, understanding, and awareness of 25 health board/facility oversight managers and 20 health professional…
This mixed methods multiple case study examines the knowledge, understanding, and awareness of 25 health board/facility oversight managers and 20 health professional association directors about privacy and security issues important to achieving health information exchange (HIE) in the state of Nebraska. Within case analyses revealed that health board/facility oversight managers were unaware of key elements of the federal agenda; their concerns about privacy encompassed broad definitions both of what constituted a “health record” and “regulations centeredness.” Alternatively, health professional association leaders were keenly aware of national initiatives. Despite concerns about HIE, they supported information exchange believing that patient care quality and safety would improve. Cross-case analyses revealed a perceptual disconnect between board/facility oversight managers and professional association leaders; however, both favored HIE. Understanding state-level stakeholder perceptions helps us further understand our progress toward achieving the national health information interoperability goal. There is an ongoing need to assure adequate patient privacy protection. Licensure and facility boards at the state level are likely to have a major role in the assurance of patient protections through facility oversight and provider behavior. The need for these boards to take an active role in oversight of patient rights and protections is imminent. Similarly, professional associations are the major vehicles for post-graduate education of practicing health professionals. Their engagement is essential to maintaining health professions knowledge. States will need to understand and engage both of these key stakeholders to make substantial progress in moving the HIE agenda forward.
The goal of this paper is to explore how an approach upfronting the notion of crisis and related restructuring processes may yield certain strategic stakes and anchor…
The goal of this paper is to explore how an approach upfronting the notion of crisis and related restructuring processes may yield certain strategic stakes and anchor points by which to identify and measure the forms and extent of unfolding changes or innovations broadly understood. One key objective of this exploratory project is to undertake a comparative investigation of the major commonalities and differences between the specific forms, features and manifestations of “crisis” tendencies and counter‐tendencies in two sub‐sectors of mediated “content”: the music industry and the news media industry.
The paper engages with issues and concerns relating to these two particular sub‐sectors of the media and cultural industries and considers relevant concepts and indicators of crisis and recent developmental trends in these domains. It introduces the background setting and implications of “crisis” and introduces some distinctive concepts and other aspects of the approach of this exploratory study. It identifies key concepts in research literature surrounding deep economic crises akin to the current crisis and applies and advances initial conceptual frames further in light of manifest developmental trends and relevant indicators of crisis in the two sectors.
Drawing on recently completed research studies in the music and news media industries by the current authors, the paper highlights differences and specificities across the two media domains under study. This highlights the form, features and extent of some key changes and challenges unfolding in the media sector.
Its upfront engagement with the idea of “crisis” and related concepts of creative destruction, restructuring, multiple innovation and paradigm shifts makes this exploratory project distinctive, as does its efforts to conduct a comparative analysis of the relevant dimensions of “crisis” and restructuring based on the authors' primary research in two distinct sub‐sectors within the media “content” layers.
The late Nancy Jay described a striking feature of animal sacrifice: in many different cultures it functions to establish paternity. This article develops a theoretical…
The late Nancy Jay described a striking feature of animal sacrifice: in many different cultures it functions to establish paternity. This article develops a theoretical framework for understanding just what it is about animal sacrifice that makes it so cross‐culturally well‐suited for establishing paternity. The main premise of this framework is that sacrifice communicates menace – not so much towards the domesticated animals ritually killed, but primarily towards those subordinated humans (children in particular) who are similarly disempowered vis‐à‐vis the class of male sacrificers. By demonstrating their willingness and ability to kill, sacrificing men gain a material basis for claiming credit for human reproduction, namely, that children live only by virtue of the sacrificers’ decision to kill animals in their stead. This framework is explicated through reference to Old and New Testament discourses of sacrifice.
Plato and Aristotle would have found the modern effort to fuse ethics and ecology to be incomprehensible. Despite the fact that oikos—meaning house or household—is a Greek word, Greek science did not entertain a concept of ecology. Nor did Greek philosophy regard nature as morally considerable. Etymology aside, the word ecology in anything like its modern sense of “biospheric house” did not appear in European thought until 1873 when Ernst Heinrich Haeckel, a German biologist and philosopher, used it, with the spelling “Oekologie,” in his The History of Creation. Furthermore, the words “ecology” and “ecological” always had exclusive reference, until quite recently, to a scientific discipline and not to a branch of philosophy. As with the Classical Greek philosophers, so it was also with modern thinkers. Ethics, they held, were concerned solely with interpersonal relations. They could not, therefore, recognize a duty to nature. That we do owe a duty to nature, however, is the carefully considered conclusion of most of the environmental ethicists.
The purpose of this study is to explore spatiotemporal factors that affect the empirical analysis of whether crime rates in buffer areas surrounding abandoned properties…
The purpose of this study is to explore spatiotemporal factors that affect the empirical analysis of whether crime rates in buffer areas surrounding abandoned properties transferred to a Land Bank that differed among three regimes: before transfer, during Land Bank stewardship and after disposition and whether those differences were associated with differences in relative crime activity in the neighborhoods in which they were located.
This study analyzed crime incidents occurring between 2010 and 2018 in 0.1-mile buffer areas surrounding 31 abandoned properties sold by the Land Bank and their neighborhoods in which those properties were located. Using Copulas, researchers compared concordance/discordance in the buffer areas across the three regime states for each property and approximately matched time periods for associated neighborhoods.
In a substantial number of cases, the relative crime activity levels for buffer areas surrounding individual sold properties as measured by the Copulas shifted from concordant to discordant states and vice versa. Similarly, relative crime activity levels for neighborhoods shifted from concordant to discordant states across three matched regimes. In some cases, the property and neighborhood states matched, while in other cases they diverged. These cross-level interactions indicate that criminal behavioral patterns and target selection change over time and relative criminal activity. The introduction of Copulas can improve the reliability of such models over time and when and where they should be customized to add more granular insights needed by law enforcement agencies.
The introduction of Copulas can improve the spatiotemporal reliability of the analysis of criminal activity over space and time.
Spatiotemporal considerations should be incorporated in setting interventions to manage criminal activity.
This study provides support for policies supporting renovation of abandoned properties.
To the best of authors’ knowledge, this research is the first application of Copulas to crime impact studies. As noted, Copulas can help reduce the risk of applying intervention or enforcement programs that are no longer reliable or lack the precision provided by insights into convergent/divergent patterns of criminal activity.