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The purpose of this paper is to introduce a special issue on boundary organising in healthcare bringing together a selection of six leading papers accepted for presentation at the 12th Organisational Behaviour in Health Care (OBHC 2020) Conference.

In this introductory paper, the guest editors position the special issue papers in relation to the theoretical literature on boundaries and boundary organising and highlight how these contributions advance our understanding of boundary phenomena in healthcare.

Three strands of thinking – practice-based, systems theory and place-based approaches – are briefly described, followed by an analytical summary of the six papers included in the special issue. The papers illustrate how the dynamic processes of boundary organising, stemming from the dual nature of boundaries and boundary objects, can be constrained and enabled by the complexity of broader multi-layered boundary landscapes, in which local clinical and managerial practices are embedded.

The authors set the scene for the papers included in the special issue, summarise their contributions and implications, and suggest directions for future research.

The authors call for interdisciplinary and multi-theoretical investigations of boundary phenomena in health organisation and management, with a particular attention to (1) the interplay between multiple types of boundaries, actors and objects operating in complex multi-layered boundary systems; (2) diversity of the backgrounds, experiences and preferences of patients and services users and (3) the role of artificial intelligence and other non-human actors in boundary organising.

Developing strategies of reflection, mitigation, justification and relational work is crucial for the success of boundary organising initiatives.

Applying concepts from the theory of complex adaptive systems, we investigated the emergence over time of a local foods system that embodies values of traditional agriculture and the preservation of the earth and its biodiversity, community, and equitable access to food. The purpose was to learn, from this place-based transformation, the process of self-organization that can underpin a transition from an unsustainable food system primarily based on values of wealth creation to one where resources are used in a sustainable manner.

The local foods system of Northeast Ohio was examined through interviews with key agents in the system at three points in time ranging from 2007 to 2016, and through the collection of archival data chronicling various aspects of the system. Qualitative data were coded and analyzed in a multi-dimensional manner that focused on variation and interaction (exchange of resources) of agents through time.

The system has evolved to be increasingly complex both in numbers and kinds of agents. Collective agency has enabled increased capacity in the system to address the diverse purposes of participants. Yet in this self-organizing system, securing resources for longer term, collective focuses required to advance the local food system has proved to be a challenge.

This longitudinal and qualitative approach shines a light on how common and diverse purposes shape the unfolding of complex social systems with expanded capabilities.

THE beneficent work of the Carnegie United Kingdom Trust in connection with libraries continues to demand the attention of everyone concerned with them. This year it is evidenced by the publication of the Report of the County Library Conference held last November, the papers by the delegates to America last year now gathered under the title Aspects of the American Public Library Service, and by the Thirteenth Annual Report of the Trust itself. These excellent publications, which are distributed with a generosity that we cannot too warmly appreciate, show undoubtedly that the Trust is the most active force in the library world at the present moment. This has been due not merely to the command of financial means which the Trust possesses, but also to a strong and consistent policy in which it has implicit faith. When it is remembered that ten years ago what are now called County Libraries were almost unknown in this country, the pace will be seen to have been remarkable. In no small measure has this been due to the eloquence, tact and abundant energy of Colonel Mitchell, who has been possessed with a missionary spirit of a quite unusual type.

The purpose of this paper is twofold. First, it proposes a basic organizing framework for when a plaintiff’s race, ethnicity, or sex may impact civil jury awards. The framework takes into account psychological and structural sources of bias and the ways in which they may interact when jurors have more or less discretion. Second, the paper employs a methodological innovation to overcome one of the primary barriers to empirical field research on bias in civil legal decisions: the absence of plaintiff demographic information.

The data set is comprised of jury verdicts in tort cases combined with information from the US Census Bureau regarding race and ethnicity. Statistical tests measure the relationships between race, ethnicity, sex, and awards for economic damages and pain and suffering.

Overall, the results were consistent with the psycho-structural framework. Where jurors had discretion (i.e. pain and suffering damages), they awarded less to black plaintiffs than to white plaintiffs, indicating potential psychological bias. Where jurors had little discretion (i.e. lost income) they awarded less to female plaintiffs and more to Asian plaintiffs than to male and white plaintiffs, respectively, a potential reflection of structural income disparities. Thus, the framework and method have promise for exploring relationships between structural and psychological bias and differential civil jury awards.

Because demographic information is not easily available, there is very little research on race and gender bias in civil cases. This study introduces and provides a conceptual test of a novel framework for when bias is most likely to impact damage awards in these cases and tests it using advances in social demography that can help researchers overcome this barrier.