The purpose of this paper is to explore the evolving of integrated care, focussing on developments in why what matters to the patient matters and how to better understand the…
Abstract
Purpose
The purpose of this paper is to explore the evolving of integrated care, focussing on developments in why what matters to the patient matters and how to better understand the value the patient brings to and anticipates from integrated care.
Design/methodology/approach
A descriptive piece that draws on relevant research findings, literature, reports and health policy.
Findings
Although integrated care is a contemporary policy agenda, it is bringing back to the forefront the benefits of a population health planning approach. The shift in the health systems focus from inward looking to outward looking is promising, albeit has taken 25 years and is still evolving. Leadership is being demonstrated, however, a shared vision is elusive and not all voices are being heard. The development of a narrative that defines integrated care from the patient’s point of view is an important step. Next is better understanding the immediate and anticipatory public value integrated care offers.
Originality/value
This is a novel perspective of an enduring health reform policy concept. Currently the literature is thin.
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David E. Cavazos, Karen D.W. Patterson and Mathew A. Rutherford
This study aims to examine conditions in which firm political market performance is associated with firm efforts to influence regulatory outcomes. Applying measures of political…
Abstract
Purpose
This study aims to examine conditions in which firm political market performance is associated with firm efforts to influence regulatory outcomes. Applying measures of political market performance based on firm performance in government enforcement actions and a firm’s ability to obtain favorable political outcomes, the authors make the case that political market performance is a key part of competitive political markets, which is associated with particular types of firm efforts to influence policy.
Design/methodology/approach
Longitudinal examination of nine automobile manufacturers during National Highway Traffic and Safety Administration crash tests reveals that firm performance in government enforcement activities is associated with greater efforts to cooperate with political suppliers, while declining firm performance in efforts to influence political outcomes is associated with increased firm opposition to political supplier actions.
Findings
Firm performance in government enforcement activities is associated with greater efforts to cooperate with political suppliers, while declining firm performance in efforts to influence political outcomes is associated with increased firm opposition to political supplier actions.
Research limitations/implications
Performance in regulatory enforcement results in increased firm actions to engage regulators in the policy-making process, while performance in obtaining desired policy outcomes is associated with a greater focus on opposition to proposed standards. These results suggest that political demanders can take deliberate actions to either engage or oppose supplier actions based on political market performance.
Originality/value
The primary contribution of this research is to begin to examine the implications of performance dynamics within political markets. Adding the construct of political market performance to the political markets framework reveals that variations in political market performance can be associated with specific types of corporate political activity.
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Karen D. W. Patterson, Michelle Arthur and Marvin Washington
Rigid environments, those with exceptionally strong cultural and traditional barriers to change, present unique challenges for institutional entrepreneurs attempting to initiate…
Abstract
Rigid environments, those with exceptionally strong cultural and traditional barriers to change, present unique challenges for institutional entrepreneurs attempting to initiate change. We utilize such a setting to examine what support mechanisms, both individual and contextual, have been utilized when attempting change in rigid environments. We examine the case of successful and unsuccessful attempts to make golf more inclusive to women. Our research supports the claim that rigid environments require more complex combinations of support mechanisms than other settings, illustrating the importance of institutions in both enabling and constraining change in such settings.
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Karen D.W. Patterson, Marvin Washington, David Cavazos and Keith Brigham
The purpose of this paper is to deal with the issue of market redefinition through an examination of a unique industry that has met with multiple obstacles: online gambling. The…
Abstract
Purpose
The purpose of this paper is to deal with the issue of market redefinition through an examination of a unique industry that has met with multiple obstacles: online gambling. The main research question is how markets get redefined when quantum technological change occurs, despite the lack of formal support and a highly fragmented industry structure, typical in online industries.
Design/methodology/approach
This industry lends itself to the analysis because of the intense competition for reconstruction of the field among state powers, professional associations, and global forces. The paper provides an archival and qualitative overview of the industry and identify the various forces competing for dominance in the market. It examines the competing logics in this industry and identify the sources and implications of such competition for emerging markets.
Findings
Both broad and specific contributions of this paper are discussed, namely the important role of professional and interest associations in industries without clear geographical boundaries, as well as the growing role for global moderating agencies.
Research limitations/implications
The paper provides a timely example of the ways in which firms organize in the modern business environment. In addition, it discusses the volatile and complex power structure in a global economy. While the research is necessarily processual and does not provide for multiple settings, the extent of legal implications here can be generalized to much smaller differences in global markets.
Originality/value
This paper provides support for the idea that, contrary to many concepts of industry acceptance and growth, legitimacy is not a requisite condition for an industry to prosper.
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The legalization of same-sex marriage changed the parenting landscape for LGBTQ parents in a variety of ways. Parenthood is presumably different now that same-sex marriage is…
Abstract
The legalization of same-sex marriage changed the parenting landscape for LGBTQ parents in a variety of ways. Parenthood is presumably different now that same-sex marriage is officially legal. Experiences among LGBTQ couples in the post-legalization of same-sex marriage era raise questions about the context of growing recognition and cultural acceptance of same-sex relationships. I conducted in-depth interviews with LGBTQ parents to learn how they navigate parenting and the construction of parenting roles in the context of a society that has legalized same-sex marriage, yet still is rooted in heteronormative notions of family and parenthood. Specifically, I ask: How do LGBTQ couples construct and make sense of their roles as parents, particularly within the contemporary context of the legalization of same-sex marriage? Understanding the contexts that shape LGBTQ parents’ experiences aids in not only understanding the lives of LGBTQ parents and their families better, but also developing a deeper understanding of contemporary parenting identities and experiences more broadly.
Karen D. Hill and Brian J. Hill
The purpose of this paper is to examine the development of family protective factors in participants of Help Me Grow Utah (HMGU), a community-based system that promotes child…
Abstract
Purpose
The purpose of this paper is to examine the development of family protective factors in participants of Help Me Grow Utah (HMGU), a community-based system that promotes child development, seeks early detection of developmental delays, and links families to services.
Design/methodology/approach
In this paper, standard quasi-experimental survey design was utilized. HMGU and control group participants completed the FRIENDS Protective Factors Survey, which was slightly modified into a retrospective pre-test and post-test format to address previous survey concerns of response-shift bias, self-serving assessments, and family maturation. Participants were asked to respond to ten questions at present and then again from the perspective of two years previous.
Findings
Participants in HMGU had statistically significant increases in protective factor scores in all but one subscale, with dramatic increases in two subscale questions on knowledge of parenting and child development. Control group scores statistically increased in four subscales, albeit at lower rates than HMGU participants. Interestingly, control group scores on two subscale questions relating to child maltreatment risk were significantly lower on post-tests as compared to their retrospective pre-test scores.
Research limitations/implications
Participants in HMGU clearly increased in the development of protective factors. Replication of this study is recommended and the need for a control group in protective factor studies is imperative.
Practical implications
Findings from this study suggest that child services focused on enhancing knowledge of parenting and child development might also expect to improve protective factors. One-on-one care coordination with families seems particularly effective. The findings might also benefit other social programs as they utilize retrospective pre-test, post-test, and control groups in their evaluations.
Originality/value
HMGU is the first affiliate to utilize retrospective pre-test/post-test methodology, which can overcome confounding results attributable to response-shift bias. Also, the use of a control group affords inclusion of natural maturation in considering findings.
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Marvin Washington, Harry J. Van Buren and Karen Patterson
Megachurches represent an interesting empirical and conceptual phenomenon. Empirically, megachurches (Protestant churches with average weekly attendance of greater than 2,000…
Abstract
Megachurches represent an interesting empirical and conceptual phenomenon. Empirically, megachurches (Protestant churches with average weekly attendance of greater than 2,000 members) are growing at a time when overall church participation in the United States is steady or declining. Conceptually, megachurch pastors can be viewed as institutional leaders who attempt to reconcile new technologies and large congregations within a highly institutionalized setting. While many of these megachurches have a denominational affiliation, some do not. In this essay, we describe the literature on megachurches and offer observations about the megachurch as an institution. Drawing from preliminary analysis of a sample of over 1,400 megachurches (identified from the Hartford Institute for Religious Research), we also draw tentative conclusions about the characteristics of the pastors of megachurches, and one growing institutional maintenance practice: writing texts. We propose that examining megachurches can help extend the current research on institutional leadership, institutional work, and institutional support mechanisms.
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Diane L. Barlow and Ann E. Prentice
This chapter presents a brief history of the James Partridge Award from its founding in 1997 to the present day.
Abstract
Purpose
This chapter presents a brief history of the James Partridge Award from its founding in 1997 to the present day.
Methodology/approach
The history of the James Partridge Award is told as a narrative account. Both authors were personally involved in the founding and early development of the award.
Findings
The James Partridge Award has celebrated the accomplishments of African American information professionals since the first award was presented in 1998. The award is an important part of the Conference on Inclusion and Diversity in Library and Information Science.