Search results

The purpose of this paper is to use theories of institutional logics and institutional entrepreneurship to examine how and why macro-, meso-, and micro-level influences inter-relate in the implementation of integrated transitional care out of hospital in the English National Health Service.

The authors conducted an ethnographic case study of a hospital and surrounding services within a large urban centre in England. Specific methods included qualitative interviews with patients/caregivers, health/social care providers, and organizational leaders; observations of hospital transition planning meetings, community “hub” meetings, and other instances of transition planning; reviews of patient records; and analysis of key policy documents. Analysis was iterative and informed by theory on institutional logics and institutional entrepreneurship.

Organizational leaders at the meso-level of health and social care promoted a partnership logic of integrated care in response to conflicting institutional ideas found within a key macro-level policy enacted in 2003 (The Community Care (Delayed Discharges) Act). Through institutional entrepreneurship at the micro-level, the partnership logic became manifest in the form of relationship work among health and social care providers; they sought to build strong interpersonal relationships to enact more integrated transitional care.

This study has three key implications. First, efforts to promote integrated care should strategically include institutional entrepreneurs at the organizational and clinical levels. Second, integrated care initiatives should emphasize relationship-building among health and social care providers. Finally, theoretical development on institutional logics should further examine the role of interpersonal relationships in facilitating the “spread” of logics between macro-, meso-, and micro-level influences on inter-organizational change.

Athens’ Radical Interactionism and Rorty’s neopragmatism represent two differing interpretations of pragmatist philosophy that are used to inform contemporary approaches to social inquiry. Athens’ and Rorty’s views differ greatly in their positions on the implications of a Darwinian worldview, leading to different perspectives on the value and role of truth, scientific method, and rationality in engaging in social inquiry and political reform. By tracing out the differences between Radical Interactionism and neopragmatism with respect to epistemology, social science, and political reform, I show that Athens’ Radical Interactionism accomplishes more to inform concrete social inquiry and political change. While Rorty’s neopragmatism helps readers to situate pragmatist-inspired inquiry in its evolutionary context, his work provided little guidance for social science. Conversely, Athens’ Radical Interactionism expands upon the value of a pragmatist version of rationality and scientific method, directing researchers’ attention to domination and dominance orders in contemporary social life. Furthermore, the Darwinian underpinnings of both Athens’ and Rorty’s pragmatist-inspired philosophies suggests that concepts in social inquiry are to be understood as sensitizing as opposed to definitive. As such, Athens’ Radical Interactionism remains true to the pluralistic thrust of pragmatist philosophy by conveying domination as a sensitizing concept in contrast to a more neo-positivist definitive concept.

This is the collection of papers read at the 1967 Melbourne symposium which had, as the main theme, design, economic and operational aspects. These are further summarised in two categories, the design and operational aspects of the fatigue problem in general aviation and transport aircraft and, of unusual interest, the economic aspects of the fatigue problem as it affects both operators and manufacturers. Altogether this covers the structural load measurement and analysis, design and certification programmes of a wide range of aircraft. At one extreme are the several papers on helicopters such as “The application of Ti‐6A1‐4V to fatigue loaded components”, “The fatigue and fail‐safe programme for the Lockheed 286” and also among light aircraft, “The design and certification for executive type aircraft”, “Agricultural aircraft flight loads”, “Typical spectra and some observations on airworthiness” and “The New Zealand light aircraft fatigue meter programme”. At the other extreme, there are papers on “Design and philosophy and fatigue testing of the Concorde” and “Fatigue design and test programme for the American SST”.

A collection of essays by a social economist seeking to balance economics as a science of means with the values deemed necessary to man′s finding the good life and society enduring as a civilized instrumentality. Looks for authority to great men of the past and to today′s moral philosopher: man is an ethical animal. The 13 essays are: 1. Evolutionary Economics: The End of It All? which challenges the view that Darwinism destroyed belief in a universe of purpose and design; 2. Schmoller′s Political Economy: Its Psychic, Moral and Legal Foundations, which centres on the belief that time‐honoured ethical values prevail in an economy formed by ties of common sentiment, ideas, customs and laws; 3. Adam Smith by Gustav von Schmoller – Schmoller rejects Smith′s natural law and sees him as simply spreading the message of Calvinism; 4. Pierre‐Joseph Proudhon, Socialist – Karl Marx, Communist: A Comparison; 5. Marxism and the Instauration of Man, which raises the question for Marx: is the flowering of the new man in Communist society the ultimate end to the dialectical movement of history?; 6. Ethical Progress and Economic Growth in Western Civilization; 7. Ethical Principles in American Society: An Appraisal; 8. The Ugent Need for a Consensus on Moral Values, which focuses on the real dangers inherent in there being no consensus on moral values; 9. Human Resources and the Good Society – man is not to be treated as an economic resource; man′s moral and material wellbeing is the goal; 10. The Social Economist on the Modern Dilemma: Ethical Dwarfs and Nuclear Giants, which argues that it is imperative to distinguish good from evil and to act accordingly: existentialism, situation ethics and evolutionary ethics savour of nihilism; 11. Ethical Principles: The Economist′s Quandary, which is the difficulty of balancing the claims of disinterested science and of the urge to better the human condition; 12. The Role of Government in the Advancement of Cultural Values, which discusses censorship and the funding of art against the background of the US Helms Amendment; 13. Man at the Crossroads draws earlier themes together; the author makes the case for rejecting determinism and the “operant conditioning” of the Skinner school in favour of the moral progress of autonomous man through adherence to traditional ethical values.

Wages have been spreading out across workers over time – or in other words, the 90th/50th wage ratio has risen over time. A key question is, has the productivity distribution also spread out across worker skill levels over time? Using our calculations of productivity by skill level for the United States, we show that the distributions of both wages and productivity have spread out over time, as the right tail lengthens for both. We add Organization for Economic Co-Operation and Development (OECD) countries, showing that the wage–productivity correlation exists, such that gains in aggregate productivity, or GDP per person, have resulted in higher wages for workers at the top and bottom of the wage distribution. However, across countries, those workers in the upper-income ranks have seen their wages rise the most over time. The most likely international factor explaining these wage increases is the skill-biased technological change of the digital revolution. The new artificial intelligence (AI) revolution that has just begun seems to be having similar skill-biased effects on wages. But this current AI, called “supervised learning,” is relatively similar to past technological change. The AI of the distant future will be “unsupervised learning,” and it could eventually have an effect on the jobs of the most highly skilled.

The purpose of this paper was to develop deeper insights into the practices enacted by entrepreneurial healthcare managers to enhance the implementation of a partnership logic in integrated care models for older adults.

A multiple case study design in two urban centres in two jurisdictions in Canada, Ontario and Quebec. Data collection included 65 semi-structured interviews with policymakers, managers and providers and analysis of key policy documents. The institutional entrepreneur theory provided the theoretical lens and informed a reflexive iterative data analysis.

While each case faced unique challenges, there were similarities and differences in how managers enhanced a partnership’s institutional logic. In both cases, entrepreneurial healthcare managers created new roles, negotiated mutually beneficial agreements and co-located staff to foster inter-organisational partnerships between public, private and community organisations in the continuum of care for older adults. In addition, managers in Ontario secured additional funding, while managers in Quebec organised biannual meetings and joint training to enhance inter-organisational partnerships.

This study has two main implications. First, efforts to enhance inter-organisational partnerships should strategically include institutional entrepreneurs. Second, successful institutional changes may be supported by investing in integrated implementation strategies that target roles of staff, co-location and inter-organisational agreements.

The purpose of this paper is to present and explore the findings of part of the author’s research study, an aim of which is to illuminate factors at policy, practice and procedural levels that contribute to the criminalisation of children in residential care in England.

This study utilises semi-structured interviews with children, young people, and professional adults in the care system.

Through analysis of the semi-structured interviews, the paper highlights how “system abuse” can contribute to poor outcomes, including involvement with the youth justice system.

The paper concludes by arguing that in order to successfully decrease criminalisation, it is necessary to employ an approach which, while acknowledging individual culpability, both recognises and focuses on the contribution of wider systemic failings.

A distinction must be drawn between a dismissal on the one hand, and on the other a repudiation of a contract of employment as a result of a breach of a fundamental term of that contract. When such a repudiation has been accepted by the innocent party then a termination of employment takes place. Such termination does not constitute dismissal (see London v. James Laidlaw & Sons Ltd (1974) IRLR 136 and Gannon v. J. C. Firth (1976) IRLR 415 EAT).