Christine Jorm, Rick Iedema, Donella Piper, Nicholas Goodwin and Andrew Searles
The purpose of this paper is to argue for an improved conceptualisation of health service research, using Stengers' (2018) metaphor of “slow science” as a critical yardstick.
Abstract
Purpose
The purpose of this paper is to argue for an improved conceptualisation of health service research, using Stengers' (2018) metaphor of “slow science” as a critical yardstick.
Design/methodology/approach
The paper is structured in three parts. It first reviews the field of health services research and the approaches that dominate it. It then considers the healthcare research approaches whose principles and methodologies are more aligned with “slow science” before presenting a description of a “slow science” project in which the authors are currently engaged.
Findings
Current approaches to health service research struggle to offer adequate resources for resolving frontline complexity, principally because they set more store by knowledge generalisation, disciplinary continuity and integrity and the consolidation of expertise, than by engaging with frontline complexity on its terms, negotiating issues with frontline staff and patients on their terms and framing findings and solutions in ways that key in to the in situ dynamics and complexities that define health service delivery.
Originality/value
There is a need to engage in a paradigm shift that engages health services as co-researchers, prioritising practical change and local involvement over knowledge production. Economics is a research field where the products are of natural appeal to powerful health service managers. A “slow science” approach adopted by the embedded Economist Program with its emphasis on pre-implementation, knowledge mobilisation and parallel site capacity development sets out how research can be flexibly produced to improve health services.
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The purpose of this paper is to investigate how experience in insurance contracts may influence participation in the Italian crop insurance market.
Abstract
Purpose
The purpose of this paper is to investigate how experience in insurance contracts may influence participation in the Italian crop insurance market.
Design/methodology/approach
From Italian farm-level data, the author estimates a dynamic discrete choice model of participation to investigate the role of experience. The methodology, coupled with exploratory analysis of the data, allows one to compare the relevance of different sources of experience in the crop insurance decision-making process.
Findings
The author found that experience tends to be a catalyst for insurance participation. Policy implications are discussed, in particular, the author discusses on the importance of bolstering uptake to exploit the advantages of the inertia that emerge from experience, and the importance of initiatives to increase the knowledge of crop insurance instruments.
Originality/value
To the best of the author’s knowledge, the role of experience has been underinvestigated. The analysis has the specific contribution of modeling the potential role of experience (exploited after buying an insurance contract) on uptake in crop insurance programs.
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Mobile devices, through their capacity to enable anytime-anywhere learning as well as capture, annotate and share multimedia, offer entirely new ways for students to learn. This…
Abstract
Mobile devices, through their capacity to enable anytime-anywhere learning as well as capture, annotate and share multimedia, offer entirely new ways for students to learn. This chapter provides review of mobile learning with a particular focus on learning design. First various definitions and characteristics of mobile learning are examined in order to establish a common understanding of its boundaries and meaning. Example uses of mobile learning in schools and higher education are described as a way to provide a more concrete understanding of design possibilities. Benefits of mobile learning are unpacked, as distilled from the literature, including the ability to provide flexible, accessible, authentic, personalized, ubiquitous and seamless learning. Mobile learning issues are also examined, including technical problems, cognitive load issues, distraction, equity and safety. A primary school science and a university pre-service teacher education vignette are described so as to offer a more in-depth illustration of what mobile learning can look like and achieve in practice. Finally, mobile learning research findings and observations are synthesized into recommendations, to inform and guide evidence-based mobile learning design practices. Opportunities for future research and investigation are also discussed.
Bob Erens, Gerald Wistow, Sandra Mounier-Jack, Nick Douglas, Tommaso Manacorda, Mary Alison Durand and Nicholas Mays
Integrating health and social care is a priority in England, although there is little evidence that previous initiatives have reduced hospital admissions or costs. In total, 25…
Abstract
Purpose
Integrating health and social care is a priority in England, although there is little evidence that previous initiatives have reduced hospital admissions or costs. In total, 25 Integrated Care Pioneers have been established to drive change “at scale and pace”. The early phases of the evaluation (April 2014-June 2016) aimed to identify their objectives, plans and activities, and to assess the extent to which they have overcome barriers to integration. In the longer term, the authors will assess whether integrated care leads to improved outcomes and quality of care and at what cost. The paper aims to discuss these issues.
Design/methodology/approach
Mixed methods involving documentary analysis, qualitative interviews and an online key informant survey.
Findings
Over time, there was a narrowing of the integration agenda in most Pioneers. The predominant approach was to establish community-based multi-disciplinary teams focussed on (older) people with multiple long-term conditions with extensive needs. Moving from design to delivery proved difficult, as many barriers are outside the control of local actors. There was limited evidence of service change.
Research limitations/implications
Because the findings relate to the early stage of the 5+ years of the Pioneer programme (2014-2019), it is not yet possible to detect changes in services or in user experiences and outcomes.
Practical implications
The persistence of many barriers to integration highlights the need for greater national support to remove them.
Originality/value
The evaluation demonstrates that implementing integrated health and social care is not a short-term process and cannot be achieved without national support in tackling persistent barriers.
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Azra Rafique, Kanwal Ameen and Alia Arshad
The purpose of this study is to examine the evidence-based use patterns of Higher Education Commission (HEC) subscribed e-books databases by the academic community at institutions…
Abstract
Purpose
The purpose of this study is to examine the evidence-based use patterns of Higher Education Commission (HEC) subscribed e-books databases by the academic community at institutions of higher education in Pakistan. The study also investigates the differences in usage based on points of access, scholarly disciplines and gender of users.
Design/methodology/approach
A transaction log analysis (TLA) method was used to explore the use patterns of HEC e-books databases at the University of the Punjab, utilizing the SAWMILL analytical software and MS Excel.
Findings
The results of the study showed that the use of e-books was at a growing stage at the university. Male boarding students of the university were more active users of e-books as compared to their female counterparts. The Central Library of the University of the Punjab, the Department of Zoology and the Institute of Communication Studies were the most frequently used access points for the e-book users, and the Faculties of Sciences, Life Sciences, Economics and Management Sciences had the most active e-book readers. Furthermore, it was found that the HEC e-books databases were only being used during the four months of summer vacations at the university.
Research limitations/implications
The study provides only descriptive use frequencies rather than a deep log analysis of e-books usage.
Practical implications
This research provides important practical implications for examining the evidence-based use patterns of e-books databases' users at the higher educational level. The research suggests that HEC should maintain subscriptions of the most required e-books databases and that the information professionals should conduct orientations and information literacy programs to enhance the utilization of these subscribed databases among female boarder students and those faculties where they were being used less frequently.
Originality/value
The study is the second part of the first phase of a Ph.D. project. This is the first large scale study conducted in a developing country which reports the close to actual, approximate use patterns of e-books based on raw transaction logs of local cache servers at the higher academic level.
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Julia I. Borman, Barry K. Goodwin, Keith H. Coble, Thomas O. Knight and Rod Rejesus
The purpose of this paper is to be an academic inquiry into rating issues confronted by the US Federal Crop Insurance program stemming from changes in participation rates as well…
Abstract
Purpose
The purpose of this paper is to be an academic inquiry into rating issues confronted by the US Federal Crop Insurance program stemming from changes in participation rates as well as the weighting of data to reflect longer‐run weather patterns.
Design/methodology/approach
The authors investigate two specific approaches that differ from those adopted by the Risk Management Agency, building upon standard maximum likelihood and Bayesian estimation techniques that consider parametric densities for the loss‐cost ratio.
Findings
Both approaches indicate that incorporating weights into the priors for Bayesian estimation can inform the distribution.
Originality/value
In most cases, the authors' results indicate that including weighting into priors for Bayesian estimation implied lower premium rates than found using standard methods.
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Nicholas D. Paulson, Bruce Babcock and Jonathan Coppess
The purpose of this paper is to discuss the growth and rising costs association with the Federal Crop Insurance program in the USA, justifications for public support, and recent…
Abstract
Purpose
The purpose of this paper is to discuss the growth and rising costs association with the Federal Crop Insurance program in the USA, justifications for public support, and recent reforms that have been implemented or proposed to reduce program costs. It also analyzes a specific policy to reduce premium assistance spending.
Design/methodology/approach
Data from the Risk Management Agency are used to illustrate historical trends in crop insurance program costs and to analyze the impacts of imposing a per acre cap on premium assistance.
Findings
Imposing a per acre cap on premium assistance could achieve significant savings. A $20 per acre cap is estimated to reduce premium subsidy expenditures by more than 40 percent. However, the impact of such a policy would be most severe on crops currently receiving the largest subsidies per acre, which happen to be some of the largest program crops in the USA.
Originality/value
This paper adds to the literature analyzing potential reform in crop insurance industry. The subsidy cap considered has been proposed and considered by policy makers, and this paper provides estimates for its potential savings.
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S. Mostafa Rasoolimanesh and Mastura Jaafar
This paper aims to investigate the positive and negative perceptions of residents towards tourism development in Bujang Valley (Lembah Bujang), an underdeveloped rural area that…
Abstract
Purpose
This paper aims to investigate the positive and negative perceptions of residents towards tourism development in Bujang Valley (Lembah Bujang), an underdeveloped rural area that is targeted for world heritage site inscription because of its archaeological value.
Design/methodology/approach
A questionnaire survey was conducted to collect data among residents and 143 questionnaire were returned.
Findings
The results demonstrated that the residents of Bujang Valley have generally positive perceptions towards tourism development and are agreeable with supporting tourism development. Moreover, these results were highly correlated with one another, with residents’ positive perceptions having a positive effect on their support for tourism development, and negative perceptions have a negative effect on their support for tourism development.
Practical implications
The findings of this study can assist the Bujang Valley local authorities to improve the support and participation of residents in tourism planning and conservation programmes, thereby contributing to sustainable development.
Originality/value
This study contributes to the resident perception literature by examining the effects of residents’ perceptions on their support for tourism in an underdeveloped rural area in the developing world.