Gabriela Uribe, Carmen Huckel Schneider, Ferdinand Mukumbang, Hueiming Liu, Susan Woolfenden, Tabitha Jones, James Gillespie, Harriet Hiscock, Fiona Haigh, Sharon Goldfeld, Ilan Katz, Andrew Page, Vicki Giannopoulos, Paul Haber, Nick Goodwin, Teresa Anderson, John Eastwood and Michelle Cunich
In this paper, we aim to test the usefulness and contribute to the further development of analytical frameworks that guide research into integrated health and social care…
Abstract
Purpose
In this paper, we aim to test the usefulness and contribute to the further development of analytical frameworks that guide research into integrated health and social care initiatives.
Design/methodology/approach
This study uses case studies based in decentralised administrative areas within the New South Wales state health system using (1) the Innovative Policy Supports for Integrated Health and Social Care Programs Framework, (2) the Consolidated Framework for Implementation Research and (3) the Framework on the Emergence and Effectiveness of Global Health Networks to assess the quality of international policies and/or strategies and integrated health and social care networks.
Findings
This study facilitates and advances integrated health and social care knowledge, moving from the study of local initiatives to a higher-level taxonomy of integrated care initiatives and exploring the emergence and effectiveness of global integrated care knowledge exchange networks. This paper proposes the use of three different frameworks to assess enhancement of the integrated health and social care using an array of multi-level innovation efforts as case studies.
Research limitations/implications
This paper highlights the need for further research, and additional supports for formulating a single unified integrated health and social care framework that can assess innovations at multiple levels beyond local settings.
Practical implications
A stronger partnership with key stakeholders to enhance integrated health and social care research capabilities would be a feasible way to increase care and research capabilities in all sectors.
Social implications
Health and social care clinicians, consumer representatives, service managers, policymakers and network knowledge partners must co-design a unified framework that better reflects the large multi-level agenda for integrated health and social care system change.
Originality/value
This novel study examines the level of integration of local space-based health and social care interventions, develops a taxonomy of local health district and/or primary care network integrated care initiatives to locate the “local” within a broader policy context and evaluates the quality of international policies and/or strategies and integrated health and social care networks.
Details
Keywords
Haotian Cao, Zhenghao Zhang, Xiaolin Song, Hong Wang, Mingjun Li, Song Zhao and Jianqiang Wang
The purpose of this paper is to investigate the influence of driver demographic characteristics on the driving safety involving cell phone usages.
Abstract
Purpose
The purpose of this paper is to investigate the influence of driver demographic characteristics on the driving safety involving cell phone usages.
Design/methodology/approach
A total of 1,432 crashes and 19,714 baselines were collected for the Strategic Highway Research Program 2 naturalistic driving research. The authors used a case-control approach to estimate the prevalence and the population attributable risk percentage. The mixed logistic regression model is used to evaluate the correlation between different driver demographic characteristics (age, driving experience or their combination) and the crash risk regarding cell phone engagements, as well as the correlation among the likelihood of the cell phone engagement during the driving, multiple driver demographic characteristics (gender, age and driving experience) and environment conditions.
Findings
Senior drivers face an extremely high crash risk when distracted by cell phone during driving, but they are not involved in crashes at a large scale. On the contrary, cell phone usages account for a far larger percentage of total crashes for young drivers. Similarly, experienced drivers and experienced-middle-aged drivers seem less likely to be impacted by the cell phone while driving, and cell phone engagements are attributed to a lower percentage of total crashes for them. Furthermore, experienced, senior or male drivers are less likely to engage in cell phone-related secondary tasks while driving.
Originality/value
The results provide support to guide countermeasures and vehicle design.