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Article
Publication date: 12 January 2018

Serena Yu, Kees van Gool, Karen Edwards, Sue Kirby, Karen Gardner, Louise Robinson, Tricia Linehan, Mark Harris and Jane Hall

The Western New South Wales Integrated Care Strategy (ICS) was rolled out from November 2014 across three rural sites. The purpose of this paper is to assess its impact on general…

416

Abstract

Purpose

The Western New South Wales Integrated Care Strategy (ICS) was rolled out from November 2014 across three rural sites. The purpose of this paper is to assess its impact on general practices, and examine the feasibility of implementing an ICS, within a predominantly fee-for-service delivery model.

Design/methodology/approach

Mixed methods were used to analyse the implementation of the ICS, including practice-level patient data on changes in service provision. This includes unit-record data on 130 enroled patients across three rural sites, as well as qualitative data collection from providers.

Findings

There were significant increases in both revenue-generating and non-revenue-generating activities (primarily care coordination activities) associated with implementing the ICS. Each occasion of service involved greater contact time with practice staff other than GPs, as well as greater administration time. There is evidence that ICS activities such as case conferencing and team care planning substitute for traditional GP consultations. Overall, the study found that a significant investment of resources – namely staff time devoted to a range of activities – was required to support the implementation of the ICS. Such an investment was supported both externally and through revenue-generating practice-level activities.

Research limitations/implications

The data collection and evaluation project is ongoing, with analysis based on the first wave of data from three sites.

Practical implications

At the practice level, a substantial commitment of resources is required to invest in, and sustain, a new model of integrated care (IC). This commitment can currently be supported both through higher revenue generation at the practice level, and externally by health system stakeholders, but changes in financial settings could impact on financial viability.

Originality/value

This paper provides evidence on the role of blended payment mechanisms in facilitating the implementation of IC in a rural setting where there are medical workforce constraints.

Details

Journal of Integrated Care, vol. 26 no. 1
Type: Research Article
ISSN: 1476-9018

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Publication date: 15 July 2009

Ella Miron-Spektor and Anat Rafaeli

Most anger research has adopted a within-person view, focusing on the effects of experienced anger on a person's feelings, cognition, and behavior. Less research has examined the…

Abstract

Most anger research has adopted a within-person view, focusing on the effects of experienced anger on a person's feelings, cognition, and behavior. Less research has examined the effects of anger expressed by one person on other people in the workplace. We review available literature on the interpersonal effects of anger and propose a theoretical framework that addresses two main questions (1) What mechanisms can explain the effects of observed anger on other people? and (2) What factors may strengthen or attenuate these effects? We propose that observed anger affects observers’ performance via emotional and cognitive routes that are interrelated, and that this effect depends on the properties of the expressed anger, the situation in which the anger occurs, and the task being performed by the observer.

Details

Research in Personnel and Human Resources Management
Type: Book
ISBN: 978-1-84855-056-8

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Article
Publication date: 1 January 2005

Amy McMillan‐Capehart and Orlando Richard

A laboratory experiment explores the perceived fairness of hiring decisions with regards to justifications that might reduce the negative reactions of job recipients. In…

1625

Abstract

A laboratory experiment explores the perceived fairness of hiring decisions with regards to justifications that might reduce the negative reactions of job recipients. In particular, we examine the effects of no justification, and the affirmative action argument on the perceived fairness of the hiring of women and minorities. Results indicate that the hiring decision is perceived to be fairer when no justification is given than when affirmative action is used to justify the decision. The perception of decision was further moderated by proportional values with stronger effects for men than women.

Details

Equal Opportunities International, vol. 24 no. 1
Type: Research Article
ISSN: 0261-0159

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Article
Publication date: 8 July 2014

Chris S. Hodkinson and Arthur E. Poropat

The purpose of this paper is to provide for Western educators of international Chinese and Confucian Heritage Culture (CHC) students the first integrated review of kiasu, the…

3317

Abstract

Purpose

The purpose of this paper is to provide for Western educators of international Chinese and Confucian Heritage Culture (CHC) students the first integrated review of kiasu, the “fear of missing out”, and its consequences for learning, teaching, and future research.

Design/methodology/approach

A review of the economic importance of international Chinese students is provided, followed by consideration of the pedagogical consequences of restricted participation in educational activities by the so-called “silent Chinese student”. Examination of research on international Chinese students and their source cultures established significant gaps and misunderstandings in the generally accepted understandings of CHCs, especially with respect to the actual practices used in Western and Chinese teaching. More importantly, the participation-related implications of kiasu within the context of broader cultural characteristics are described and implications drawn for teaching practices and research.

Findings

While many Western university teachers are aware of the “silent Chinese student” phenomenon, few understand its underlying reasons, especially the kiasu mindset and its relationship to other cultural elements. Kiasu actively impedes the interaction of international Chinese students with their teachers and restricts collaboration with peers, thereby limiting educational achievement. Specific tactics for amelioration are reviewed and recommendations are provided, while an agenda for future research is outlined.

Practical implications

Western teachers need to normalise and encourage Chinese student participation in class activities using tactics that have been demonstrated to improve outcomes for Chinese students, but that also assist students generally. These include both within-class and electronic interaction tools.

Social implications

More culturally sensitive understanding of the impact of cultural differences on teaching effectiveness. While some effective responses to these already exist, further research is needed to expand the skill-set of Western teachers who work with international Chinese students.

Originality/value

This paper provides the first systematic integration of the kiasu phenomenon with educational practice and research.

Details

Education + Training, vol. 56 no. 5
Type: Research Article
ISSN: 0040-0912

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Article
Publication date: 1 June 1911

In the second part of this report the action of nitrogen peroxide on flour is discussed at some length in an account of a series of researches that have been carried out by DR…

30

Abstract

In the second part of this report the action of nitrogen peroxide on flour is discussed at some length in an account of a series of researches that have been carried out by DR. MONIER‐WILLIAMS. His conclusions may be briefly stated as follows. The maximum bleaching effect is obtained when each kilogram of flour is treated with from 30 to 100 cubic centimetres of nitrogen peroxide. The bleaching effect becomes more pronounced after keeping for several days. The amount of nitrous acid or nitrites that are present in bleached flour corresponds to about 30 per cent. of the total nitrogen absorbed, the proportion of nitrites present remaining nearly constant after the lapse of several days in the more slightly bleached samples. After the lapse of a short time it is still possible to extract about 60 per cent. of the nitrogen absorbed by the flour by means of cold water, but after several days the nitrogen that can be extracted by this means decreases. This may perhaps be attributed to the “absorption” of nitrous acid by the glutenin and gliadin. In highly bleached flour (300 cubic centimetres of nitrogen peroxide per kilogram of flour) a considerable increase in the amounts of soluble proteins and soluble carbohydrates takes place. In highly bleached flour, after some time, about 6 or 7 per cent. of the nitrogen introduced as nitrogen by the nitrogen peroxide is absorbed by the oil, which acquires the characteristics of an oxidised oil. No evidence is forthcoming as to the formation of diazo compounds nor the production of free nitrogen. Bleaching was found to exercise an inhibitory action on the salivary digestion of flour.

Details

British Food Journal, vol. 13 no. 6
Type: Research Article
ISSN: 0007-070X

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Article
Publication date: 1 August 2002

Norman A. Katter

This article examines and highlights the potential ambit of liability for educational negligence within universities. While the absence of any existing body of case law on the…

1507

Abstract

This article examines and highlights the potential ambit of liability for educational negligence within universities. While the absence of any existing body of case law on the liability of universities necessarily requires a degree of speculation as to the attitude of the courts, some guidance can be obtained from the principles and policy underpinning the existing case law and commentary on the negligence of teachers and schools. This article draws on recent developments in the United Kingdom with respect to educational negligence. The common law in Australia has traditionally developed alongside United Kingdom law and legal developments in the United Kingdom are indicative and pre‐empt or parallel developments in Australia.

Details

Journal of Educational Administration, vol. 40 no. 4
Type: Research Article
ISSN: 0957-8234

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Article
Publication date: 31 May 2011

Stuart Kirby and Sue Penna

The purpose of this paper is to consider how the national intelligence model (NIM) of policing in Britain has been affected by changing patterns of mobility, since its inception…

2317

Abstract

Purpose

The purpose of this paper is to consider how the national intelligence model (NIM) of policing in Britain has been affected by changing patterns of mobility, since its inception in 2004.

Design/methodology/approach

Conceptually, the paper draws on the “new mobilities paradigm”. Empirically, it is based on a small, exploratory study, comprising analysis of investigations carried out over a three‐month period in 2007 and 2008, by a serious and organised crime unit in a police force in England, and 11 interviews carried out in three police forces in England. The data are used for illustrative purposes only.

Findings

It is argued that increased levels of mobile criminality are impacting significantly on British police forces, placing considerable strain on the practical structures which underpin the NIM, and posing serious challenges to operational efficiency and effectiveness.

Originality/value

This paper makes a contribution by linking the social changes documented in the emergent social science field of “mobilities study” with changes in the organisation of criminality, particularly evident in the organisation of mobile criminality, which have presented routine opportunities for organised, transnational as well as “lower level” crime. Examining this phenomenon enables us to see that despite the attention paid to transnational policing in the organised crime literature, the burden of policing both organised and opportunistic crime continues to fall upon local police forces.

Details

Policing: An International Journal of Police Strategies & Management, vol. 34 no. 2
Type: Research Article
ISSN: 1363-951X

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Article
Publication date: 1 February 1985

IN A LETTER to the Daily Telegraph last month, it was left to Mr J. Kirby, director of Kirby (Oldham) Ltd to underline the prime cause why statistics of those out of work go down…

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Abstract

IN A LETTER to the Daily Telegraph last month, it was left to Mr J. Kirby, director of Kirby (Oldham) Ltd to underline the prime cause why statistics of those out of work go down so slowly if indeed at all.

Details

Work Study, vol. 34 no. 2
Type: Research Article
ISSN: 0043-8022

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Article
Publication date: 1 September 1913

My Lord, in this case, if you brush away—as I invite you to brush away—all the irrelevancies introduced by my friend, Mr. Hume‐Williams, I submit to you with confidence that this…

22

Abstract

My Lord, in this case, if you brush away—as I invite you to brush away—all the irrelevancies introduced by my friend, Mr. Hume‐Williams, I submit to you with confidence that this case is reasonably clear; but the elaborate argument he has delivered requires me, I am afraid, to repeat what I said in opening, that the only way to approach a case of this kind is to look at the Section of the Statute, and to see what the Section of the Statute was intended to prohibit. I am not going to trouble you with the earlier cases decided under the Food and Drugs Act. I know there have been decisions by the Divisional Court, but they cannot be looked to because the Act under which these proceedings were taken was avowedly intended to meet the difficulties that had arisen in the administration of the earlier Acts. The purpose of the Act is absolutely clear, especially in regard to Section 3, but let me remind you again that this Act contains several different offences, provided with appropriate defences, and guarded by certain specific conditions.

Details

British Food Journal, vol. 15 no. 9
Type: Research Article
ISSN: 0007-070X

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Article
Publication date: 1 February 1984

The project competition which was organised by the ICT for young people in the industry has now been judged.

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Abstract

The project competition which was organised by the ICT for young people in the industry has now been judged.

Details

Circuit World, vol. 10 no. 3
Type: Research Article
ISSN: 0305-6120

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