bluuebunny/crossref_metadata_2025_split huggingface dataset:
Patterns of healthcare service utilisation by injured workers following medical certification
Authors: Ruseckaite Rasa 
Published: November 2014

Background: Medical certification of injured workers is a routine occurrence in most General Practitioners (GPs) offices. GPs play an important role in return-to-employment after a work-related injury.Objectives: To examine patterns of healthcare service utilisation (HSU) in injured workers by condition and type of medical certificate issued by the GP at the initial consultation.Methods: Zero-inflated negative binomial regression (ZINB) was conducted for major healthcare services accessed by injured workers over the 12-month period post-initial medical examination. Services included GP consultations, pharmacy, physiotherapy, occupational rehabilitation, psychology and others. Logistic regression was conducted for hospital and occupational therapy services. All models were adjusted for the injured worker's gender, age, injury type, certification type, occupation and residential location.Findings: HSU differed according to the type of initial medical certificate and worker condition. Compared to other conditions, for unfit for work (UFW) and alternate duties (ALT) certificates, the average number of physiotherapy services was greater in workers with musculoskeletal disorders (MSD), back pains and strains and fractures. In contrast, for both UFW and ALT certificates, the mean number of psychological services was greater in mental health conditions (MHC). Workers suffering from MHCs were more likely to access pharmacy and psychological services. Workers with ALT certificates were more likely to use GPs, pharmacy and physiotherapy services. They were less likely to access occupational rehabilitation, psychology or other services.Discussion: HSU in the 12 months post-initial medical certification varied substantially according to the worker's medical condition, certificate type, occupation, age, gender and residential location.Conclusion: Understanding these socio-demographic characteristics that influence HSU can facilitate more appropriate resource allocation, strategic thinking on optimal use of particular health services and enable better targeting of particular provider groups for more education on the health benefits of RTW and safe work.
Structural challenges to implementation of early intervention of the bio-psychosocial model
Authors: Brouwers Nikki 
Published: November 2014

Early intervention of the biopsychosocial model as a framework to achieve sustainable employment outcomes following injury, illness or disease is well documented in the International research. However in some areas of disability management the term early intervention is consistently applied exclusively within the medical model with early access to treatment and diagnostic tools.However in Australia, whilst the knowledge of the Health benefits of work consensus statement is gaining traction, we remain lagging in effective implementation of early intervention models of the biopsychosocial model to return to work and return to life. This paper explores the structural challenges associated with successful implementation of the model and provides International learnings and applications for consideration and adaption to the Australian context. Further this paper will provide learnings from a pilot program being run in NSW that has been successful in the early triage and referral into a structured Return to Work program that is achieving strong results.
Return to work - are we prepared for the future? Analysis of technological changes and future generations
Authors: Upegui Hector 
Published: November 2014

In addition to demographics and ongoing changes on structures of families and societies, the way in which persons are interacting with organizations is also changing. These interactions are defining service delivery and also the way in which we are and will be working. The power of digital information foster by cloud, mobility and social media is heavily influencing these changes. Twitter for instance, generates in one day more than 12 terabytes and Facebook more than 15 terabytes, while many organizations in the world are producing and processing petabytes of information.We are certainly facing a new way of doing things and a new work force generation with different values and certainly different ways of understanding prevention and rehabilitation. Do we need to add new strategies and data analysis to prevent accidents and diseases and to bring people back to work? How much information are we prepared to use to properly combine personal medical findings with socio-environmental variables? Can we see trends in our field or in other sectors that can show us where we might be heading? Where is the future heading?This presentation is about reflecting on some evidence with the aim of provoking discussions and motivate the participants to jointly keep on finding better ways to cope with the future.
Sovereignty, International Law, and the Uneven Development of the International Refugee Regime
Authors: PETERSON GLEN 
Published: November 2014

AbstractWhen we think about the history of the international refugee regime, why is it that—with a few carefully delineated exceptions—there were no non-European ‘refugees’ until the 1950s? This article offers a critical examination of existing scholarship on the history of the international refugee regime and suggests some alternative pathways for future research. The article has three broad objectives. The first is to propose an outline for an alternative history of the international refugee regime, one in which the non-European and colonial worlds are not invisible or peripheral but rather central to the main narrative. The second is to ask what place Chinese migrants might occupy in such an alternative history of human displacement, stretching over the course of the twentieth century. Finally, this article tries to show that the period from 1945 to the early 1960s was an especially critical one in the history of the international refugee regime, one in which refugee movements bothout ofandintothe People's Republic of China were critical in generating the kinds of tensions and contradictions that emerged when the international refugee regime was transposed from Europe onto colonial and post-colonial Asia.
A longitudinal twin study of cluster A personality disorders
Authors: Kendler K. S. , Aggen S. H. , Neale M. C. , Knudsen G. P. , Krueger R. F. , Tambs K. , Czajkowski N. , Ystrom E. , Ørstavik R. E. , Reichborn-Kjennerud T. 
Published: November 2014

BackgroundWhile cluster A personality disorders (PDs) have been shown to be moderately heritable, we know little about the temporal stability of these genetic risk factors.MethodParanoid PD (PPD) and schizotypal PD (STPD) were assessed using the Structured Interview for DSM-IV Personality in 2793 young adult twins from the Norwegian Institute of Public Health Twin Panel at wave 1 and 2282 twins on average 10 years later at wave 2. Using the program Mx, we fitted a longitudinal latent factor model using the number of endorsed criteria for PPD and STPD.ResultsThe stability over time of the criteria counts for PPD and STPD, estimated as polychoric correlations, were +0.34 and +0.40, respectively. The best-fit longitudinal model included only additive genetic and individual-specific environmental factors with parameter estimates constrained to equality across the two waves. The cross-wave genetic and individual-specific environmental correlations for a latent cluster A factor were estimated to equal +1.00 and +0.13, respectively. The cross-time correlations for genetic and environmental effects specific to the individual PDs were estimated at +1.00 and +0.16–0.20, respectively. We found that 68% and 71% of the temporal stability of PPD and STPD derived, respectively, from the effect of genetic factors.ConclusionShared genetic risk factors for two of the cluster A PDs are highly stable in adults over a 10-year period while environmental risk factors are relatively transient. Over two-thirds of the long-term stability of the common cluster A PD liability can be attributed to genetic influences.
9. A method for analysing the dynamics of naming from a monolingual and multilingual perspective
Authors: Fernández-Silva Sabela , Freixa Judit , Cabré Castellví M. Teresa 
Published: November 2014

Today, term variation is commonly accepted to be a widespread phenomenon in specialised communication. Although some degree of arbitrariness is inevitable, the expert’s choice of a term variant is generally motivated to some extent, reflecting the way he or she views a concept. This work presents a methodology for describing the conceptually motivated patterns of term variation in a corpus of special language use. This method – which analyses the conceptual information displayed on the term’s form – represents an attempt to provide a framework which accounts for the flexibility of concepts and conceptual structures in a systematic way, adopting a perspective which is relevant for both monolingual and multilingual studies. Using data from a bilingual (French and Galician) corpus of texts related to coastal fishing and aquaculture, the applicability of the analysis method is illustrated with a description of the variation patterns pertaining to terms designating human entity concepts within the corpus. Furthermore, this study points out common trends and differences across languages. The linguistic differences are related to the culture-boundness of specialised knowledge and its terminology.
Medical Harm: Patient Perceptions and Follow-up Actions
Authors: Lyu Heather G. , Cooper Michol A. , Mayer-Blackwell Brandan , Jiam Nicole , Hechenbleikner Elizabeth M. , Wick Elizabeth C. , Berenholtz Sean M. , Makary Martin A. 
Published: November 2014

Objectives
Much research has been conducted to describe medical mistakes resulting in patient harm using databases that capture these events for medical organizations. The objective of this study was to describe patients’ perceptions regarding disclosure and their actions after harm.

Methods
We analyzed a patient harm survey database composed of responses from a voluntary online survey administered to patients by ProPublica, an independent nonprofit news organization, during a 1-year period (May 2012 to May 2013). We collected data on patient demographics and characteristics related to the acknowledgment of patient harms, the reporting of patient harm to an oversight agency, whether the patient or the family obtained the harm-associated medical records, as well as the presence of a malpractice claim.

Results
There were 236 respondents reporting a patient harm (mean age, 49.1 y). In 11.4% (27/236) of harms, an apology by the medical organization or the clinician was made. In 42.8% (101/236) of harms, a complaint was filed with an oversight agency. In 66.5% (157/236) of harms, the patient or the family member obtained a copy of the pertinent medical records. A malpractice claim was reported in 19.9% (47/236) of events.

Conclusions
In this sample of self-reported patient harms, we found a perception of inadequate apology. Nearly half of patient harm events are reported to an oversight agency, and roughly one-fifth result in a malpractice claim.
A multi‐agent architecture to support B2C e‐Marketplaces: the e‐ZOCO case study
Authors: Jesús Castro‐Schez José , Miguel Raúl , Vallejo David , Herrera Vanesa 
Published: November 2014

PurposeThe purpose of this paper is to introduce a multi‐agent architecture, which offers services to be applied in B2C e‐Marketplaces and to present the core system: the search agent.Design/methodology/approachThe different parts that compose an e‐commerce portal are naturally performed through intelligent agents, which have the ability to communicate with one another and autonomously act depending on defined goals.FindingsThe search agent returns the more relevant results in direct shopping than others previously used. It is based on a usability‐improved fuzzy searching mechanism that allows the specification of uncertain and vague searching preferences.Research limitations/implicationsMore empirical research efforts need to be directed to study the efficiency over time. This work is based on a prototype, which is its main limitation.Practical implicationsIntelligent agents can be useful to improve e‐commerce services in B2C portals.Originality/valueThe research extends previous authors' work on the application of intelligent agents to e‐commerce fields.
The four situations: a framework for responding to concerns of adult abuse or neglect
Authors: Ingram Ruth 
Published: November 2014

PurposeThis paper aims to present a simple conceptual framework, outlining four pathways for guiding multi‐agency involvement in different situations of adult abuse.Design/methodology/approachThe essential elements of best practice for each pathway are described.FindingsThe four situations is a framework that, together with the seven‐stage safeguarding adults pathway, has been evidenced through practice to provide a conceptual tool on which to base multi‐agency activity in response to a large variety of concerns about safeguarding adults.Originality/valueThe four situations framework creates a straight‐forward template that provides guidance to all concerned as to which organisations will be involved in the steps of developing the safeguarding pathways and what their roles and responsibilities will be.
Enabling risk and ensuring safety: self‐directed support and personal budgets
Authors: Carr Sarah 
Published: November 2014

PurposeThis paper aims to present a digest of the main discussion points and key findings from a recent Social Care Institute for Excellence report on risk enablement and safeguarding in the context of self‐directed support and personal budgets.Design/methodology/approachThe paper explores how the personalisation agenda and adult safeguarding can work together in policy and practice and addresses some of the frontline concerns about empowerment and duty of care.FindingsEvidence on how self‐directed support and personal budgets can be used to enable people to take positive risks while staying safe and emerging practice is examined. It suggests that person‐centred working in adult safeguarding, along with the mechanism of self‐directed support planning and outcome review, can support the individual to identify the risks they want to take and those they want to avoid in order to stay safe. It is clear that if frontline practitioners are overly occupied with protecting organisations and individuals from financial abuse, this will impact on the capacity of those practitioners exercising their duty of care at the front line. This means that practitioners are less able to engage with individuals to identify safeguarding issues and enable positive risk taking. Defensive risk management strategies or risk‐averse frontline practice may then result in individuals not being adequately supported to make choices and take control and, therefore, being put at risk. Practitioners need to be supported by local authorities to incorporate safeguarding and risk enablement in their relationship‐based, person‐centred working. Good quality, consistent and trusted relationships and good communication are particularly important for self‐directed support and personal budget schemes.Originality/valueThe use of “risk enablement panels” and “personalisation and safeguarding frameworks” are two ways to address some of the issues in practice.
Health and wellbeing boards
Authors: Dow John 
Published: November 2014

PurposeThis paper seeks to look at proposals in the Health and Social Care Bill for the establishment of health and wellbeing boards.Design/methodology/approachThe paper looks at one part of the Health and Social Care Bill, the provisions in Chapter 2 of Part 5 relating to the establishment and functions of health and wellbeing boards.FindingsThe paper considers the functions of health and wellbeing boards, particularly in relation to encouraging integrated working, and suggests that the proposed legislation does not yet clearly spell out what steps the boards should take to encourage integrated working or how commissioners of services should be encouraged to work more closely together.Originality/valueThis paper offers a legal perspective on the possible establishment of health and wellbeing boards.
Actor or arena: contrasting translations of a law on interorganizational integration
Authors: Andersson Johanna , Löfström Mikael , Bihari Axelsson Susanna , Axelsson Runo 
Published: November 2014

PurposeA Swedish framework law has enabled integration between public agencies in vocational rehabilitation. With the support of this law, coordination associations can be formed to fund and organize joint activities. The purpose of this study is to describe and analyze how the law has been interpreted and translated into local coordination associations and how local institutional logics have developed to guide the organization of these associations.Design/methodology/approachData was collected through observations of meetings within two coordination associations and supplemented with documents. The material was analyzed by compilation and examination of data from field notes, whereupon the most important aspects were crystallized and framed with institutional organization theory.FindingsTwo different translations of the law were seen in the associations studied: the association as an independent actor, and as an arena for its member organizations. Two subsequent institutional logics have developed, influencing decisions on autonomy, objectives and rationality for initiating and organizing in the two associations and their activities. The institutional logics are circular, further enhancing the different translations creating different forms of integration.Research implications/limitationsBoth forms of integration are legitimate, but the different translations have created integration with different degrees of autonomy in relation to the member organizations. Only a long‐term analysis can show whether one form of integration is more functional than the other.Originality/valueThis article is based on an extensive material providing insights into a form of interorganizational integration which has been scarcely researched. The findings show how different translations can influence the integration of welfare services.
Organisational change in the context of recovery‐oriented services
Authors: Ramon Shula 
Published: November 2014

PurposeThis paper aims to focus on the process of organisational change in the implementation of recovery principles into everyday NHS mental health practice, in order to highlight the centrality of this process in enabling implementation.Design/methodology/approachSeveral recent good practice examples are given below of relevant projects in which similar challenges have been met and the methods of doing so.FindingsThe organisational change process for recovery‐oriented services needs to be a win‐win situation, in which all of the participants would be able to recognise that each of them can win from the implementation of a recovery‐oriented service, even if they are in for some losses (in status, in having to share power, being indirectly criticised for the way they have worked up to now, having to unlearn). This implies that the losses need to be recognised by the leaders of the change process and addressed as much as possible, but that the emphasis should remain on what the participants stand to gain in the new culture and structure.Originality/valueConceptual framework of such a process and its significant components are linked to the challenges inherent in recovery implementation for the workforce. The challenges are expanded upon in terms of their implications for the specificity of the organisational change required and its complexity. Organisational change is both differentiated from the change in the content and structure of services necessary for implementing recovery yet related to it.
The performative institutional embrace
Authors: Jeffrey Bob , Troman Geoff 
Published: November 2014

PurposeThis ESRC‐based research article aims to investigate the effects of performativity on primary schools and the teachers therein. It also aims to show how performativity to maintain and improve the school's position in an educational market affects the teacher relations with their institution and how the school works to embrace its teachers in developing the school's market position.Design/methodology/approachFour researchers carried out this ESRC (RES‐000‐23‐1281) research, to a greater or lesser extent. The researchers in all of the schools, except City, carried out interview/conversations in the main, with observational field notes accounting for just over 50 per cent of their total data. They then began progressive focusing on City school where the rest of the observational field notes were carried out and in particular the bulk of conversations with young learners. This focus also included the largest group of teacher interview/conversations. This progressive focusing bears the weight of the ethnographic data and the analysis for this article, in line with a grounded theory approach. The whole database included 52 days’ observational field notes, 54 recorded conversations with teachers and other significant adults, and 32 recorded conversations with learners. All recorded conversations with management, teachers, pupils and parents that were seen as being of theoretical significance were transcribed.FindingsThe paper outlines some of the similarities with these institutions, but also shows how this new model differs and how it could be applied to a much wider constituency than the earlier three models – that of the public and private sector. It shows how the embracing performative institution in a marketised environment influences the practices of its teachers and changes to their professional commitment, which focuses more on the institutional development than broader professional values. At the same time it can be seen how supportive professional cultures encourage teachers to embrace the school's performative development and how this influences teacher identity. The findings suggest that institutional members both constitute, and are constituted by, the influence of the embracing institution and performative regulation and that their professional identities are constantly readjusted to ensure their interests coincide with the institutions interests.Originality/valueThis article provides useful formation on how performativity to maintain and improve the school's position in an educational market affects the teacher relations with their institution and how the school works to embrace its teachers in developing the school's market position.