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Book part
Publication date: 10 April 2019

Geoffrey R. Gerdes and Xuemei Liu

We survey banks to construct national estimates of total noncash payments by type, payments fraud and related information. The survey is designed to create aggregate total…

Abstract

We survey banks to construct national estimates of total noncash payments by type, payments fraud and related information. The survey is designed to create aggregate total estimates of all payments in the United States using data from responses returned by a representative, random sample. In 2016, the number of questions in the survey doubled compared with the previous survey, raising serious concerns of smaller bank nonparticipation. To obtain sufficient response data for all questions from smaller banks, we administered a modified survey design which, in addition to randomly sampling banks, also randomly assigned one of several survey forms, subsets of the full survey. This case study illustrates that while several other factors influenced response outcomes, the approach helped ensure sufficient response for smaller banks. Using such an approach may be especially important in an optional-participation survey, when reducing costs to respondents may affect success, or when imputation of unplanned missing items is already needed for estimation. While a variety of factors affected the outcome, we find that the planned missing data approach improved response outcomes for smaller banks. The planned missing item design should be considered as a way of reducing survey burden or increasing unit-level and item-level responses for individual respondents without reducing the full set of survey items collected.

Details

The Econometrics of Complex Survey Data
Type: Book
ISBN: 978-1-78756-726-9

Keywords

Abstract

Details

The Online Healthcare Community
Type: Book
ISBN: 978-1-83549-141-6

Book part
Publication date: 6 December 2007

Abby L. Bloom

Increasing the productivity of publicly funded infrastructure and human capital is an imperative faced by every nation, especially in the health sector, where most nations are…

Abstract

Increasing the productivity of publicly funded infrastructure and human capital is an imperative faced by every nation, especially in the health sector, where most nations are struggling with almost continuous increases in the proportion of national budgets spent each year on health and health care. Efficiency is one aspect of the broader issue of productivity within the health sector. This case study examines how a generic Government-funded body, with no specific health or health care mandate, can stimulate improvements in efficiency in Government-funded hospitals and healthcare and thereby contribute to improved productivity in these vital services.

Details

Evaluating Hospital Policy and Performance: Contributions from Hospital Policy and Productivity Research
Type: Book
ISBN: 978-0-7623-1453-9

Book part
Publication date: 23 January 2023

Caitlin McArthur, Reem T. Mulla, Luke A. Turcotte, Jessica Chi-Yen Chu, Micaela Jantzi and John P. Hirdes

Long-term care (LTC) homes are highly regulated settings that provide care to people living with complex health conditions who are often at the end of their lives. Mental health

Abstract

Long-term care (LTC) homes are highly regulated settings that provide care to people living with complex health conditions who are often at the end of their lives. Mental health and quality of life are important concepts in LTC given the inherent poor health and diminished autonomy of residents living in this setting. The COVID-19 pandemic had the potential to further compound these issues through lockdowns limiting movement within and outside of LTC homes, increased fear of severe COVID-19 infections, staff shortages, and impaired communication through personal protective equipment. However, the evidence describing the effect of the pandemic on mental health and quality of life is mixed, with some studies describing increased rates of mental health concerns and others presenting modest increases or decreases. Creative strategies to mitigate negative mental health consequences of lockdown included technology supported and window or outdoor visits, increased access to volunteers, and supports for families. However, the evidence in this area continues to evolve as subsequent waves of the pandemic progress. Future research may present new evidence about other strategies that became important in different stages of the pandemic.

Details

COVID-19, Frontline Responders and Mental Health: A Playbook for Delivering Resilient Public Health Systems Post-Pandemic
Type: Book
ISBN: 978-1-80262-115-0

Keywords

Book part
Publication date: 7 July 2006

Ros Madden

The International Classification of Functioning, Disability and Health (ICF) was published in 2001 after over a decade of international discussion and field testing (see, for…

Abstract

The International Classification of Functioning, Disability and Health (ICF) was published in 2001 after over a decade of international discussion and field testing (see, for instance, Bickenbach, Chatterji, Badley, & Ustun, 1999). Its ratification by the World Health Assembly was keenly awaited in Australia, by people interested in working with a model of disability attuned to a human rights and equal opportunities approach, and by people wanting to use the new model in disability and health policy and information systems. This paper outlines developments being implemented and ideas being discussed in Australia, particularly with the Australian Collaborating Centre (ACC).1

Details

International Views on Disability Measures: Moving Toward Comparative Measurement
Type: Book
ISBN: 978-1-84950-394-5

Book part
Publication date: 12 October 2011

Thomas R. Konrad

Over 3 million intermittently employed and socially disadvantaged workers receive low wages and limited benefits in diverse long-term care settings and employment arrangements as…

Abstract

Over 3 million intermittently employed and socially disadvantaged workers receive low wages and limited benefits in diverse long-term care settings and employment arrangements as they try to become a positively valued unified occupation: “direct care workers.” Before this occurs, these workers must overcome negative definitions imposed by three powerful institutions: professional guilds, employers, and states. Care workers’ legitimacy is challenged as nursing labels them “unlicensed, assistive personnel,” defining them in terms of their task relationship to nurses rather than their social relationship to clients. Care workers’ identity is obscured as corporate rationalization nullifies their unique contributions with task unbundling, part-time work, short staffing, and turnover undermining bonding with colleagues and clients. State regulation impedes care workers’ integration, segmenting similar workers under different regulatory regimes, defining workers negatively rather than by their educational attainments and competencies. Overcoming this triple negation will require not just cultural change, but also real structural changes, and can occur only through concerted actions involving coalitions. Labor market intermediaries, public authorities, labor unions, workforce investment boards, philanthropic organizations, and government interagency groups are among those supporting direct care workers’ advancement by strategically coordinating licensing, purchasing, and developing the workforce. Recent federal policy changes and health reform legislation have enhanced recognition of this occupation and are providing new resources for its development.

Details

Access to Care and Factors that Impact Access, Patients as Partners in Care and Changing Roles of Health Providers
Type: Book
ISBN: 978-0-85724-716-2

Keywords

Book part
Publication date: 8 October 2018

Christin L. Munsch and Elizabeth S. Zack

An accelerometer is a device that measures force due to gravity or a change in speed or direction of travel. This paper describes accelerometers and their application in other…

Abstract

Purpose

An accelerometer is a device that measures force due to gravity or a change in speed or direction of travel. This paper describes accelerometers and their application in other disciplines and, by way of an example, explores the utility of accelerometers for studying aggression. We end with a discussion of additional ways accelerometers might be used in group processes research.

Methodology

We first review the use of accelerometers in other disciplines. We then present the results of four studies that demonstrate the use of accelerometers to measure aggression. Study 1 establishes the measure’s concurrent validity. Study 2 concerns its stability and representative reliability. Study 3 seeks to establish the measure’s predictive validity by associating it with an existing measure. Study 4 demonstrates the ability of accelerometers to address a sociological research question.

Findings

In Studies 1 and 2, we find that accelerometers can be used to differentiate between distinct levels of aggression. In Study 3, we find that men’s average peak acceleration correlates with a previously validated measure of aggression. Study 4 uses accelerometers to reproduce a well-established finding in the aggression literature.

Practical Implications

We conclude that accelerometers are a flexible tool for group processes’ researchers and social scientists more broadly. Our findings should prove useful to social scientists interested in measuring aggression or in employing accelerometers in their work.

Book part
Publication date: 29 July 2009

Charles Lockhart, Kristin Klopfenstein and Jean Giles-Sims

Nursing facility inspections routinely produce statistics revealing sharp disparities in care at both the facility and the state level. But whether high rates of deficiencies are…

Abstract

Nursing facility inspections routinely produce statistics revealing sharp disparities in care at both the facility and the state level. But whether high rates of deficiencies are more indicative of stringent enforcement of standards, leading to improved care, or ongoing poor quality care remains unclear. Until this question is answered, families of nursing facility residents, responsible public officials and interested professionals, are all unable to make sound decisions about long-term care quality. We employ cross-sectional, panel data to compare states on multiple indices of both care quality and enforcement stringency. We use the multi-method-multi-trait approach to distinguish these concepts. We find that low rates of deficiencies are positively associated with independent measures of high quality care. But, a prominent nursing facility enforcement index likely registers poor quality care more than stringency of enforcement since it is associated positively with independent indices of poor quality care and negatively with independent measures of enforcement. Attentive publics can have reasonable confidence that low rates of deficiencies indicate high quality care. High rates tend to reflect glaring deterioration in care quality. They are less signals of stringent enforcement than of obviously poor care which prompts more visible enforcement activities. Sadly, there is little evidence suggesting that these enforcement measures improve state-level care quality and thus reduce cross-state disparities in the quality of nursing facility long-term care. However, at least some of the factors responsible for sharp disparities in nursing facility care lie within the capacity of states to rectify even in the short term.

Details

Social Sources of Disparities in Health and Health Care and Linkages to Policy, Population Concerns and Providers of Care
Type: Book
ISBN: 978-1-84855-835-9

Book part
Publication date: 31 July 2013

Marc Verschueren, Johan Kips and Martin Euwema

The purpose of the study was to explore in literature what different leadership styles and behaviors of head nurses have a positive influence on the outcomes of patient safety or…

Abstract

Purpose

The purpose of the study was to explore in literature what different leadership styles and behaviors of head nurses have a positive influence on the outcomes of patient safety or quality of care.

Design/methodology/approach

We reviewed the literature from January 2000 until September 2011. We searched Pubmed, Embase, Cinahl, Psychlit, and Econlit.

Findings

We found 10 studies addressing the relationship between head nurse leadership and safety and quality. A wide array of styles and practices were associated with different patient outcomes. Transformational leadership was the most used concept in the studies. A trend can be observed over these studies suggesting that a trustful relationship between the head nurse and subordinates is an important driving force for the achievement of positive patient outcomes. Furthermore, the effects of these trustful relationships seem to be amplified by supporting mechanisms, often objective conditions like clinical pathways and, especially, staffing level.

Value/originality

This study offers an up-to-date review of the limited number of studies on the relationship between nurse leadership and patient outcomes. Although mostly transformational leadership was found to be responsible for positive associations with outcomes, also contingent reward had positive influence on outcomes. We formulated some comments on the predominance of the transformational leadership concept and suggested the application of complexity theory and political leadership for the current context of care. We formulated some implications for practice and further research, mainly the need for more systematic empirical and cross cultural studies and the urgent need for the development of a validated set of nurse-sensitive patient outcome indicators.

Details

Leading in Health Care Organizations: Improving Safety, Satisfaction and Financial Performance
Type: Book
ISBN: 978-1-78190-633-0

Keywords

Abstract

Details

Occupational Therapy With Older People into the Twenty-First Century
Type: Book
ISBN: 978-1-83753-043-4

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