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Agency theory is primarily concerned with the relationship between the principal (employer/purchaser) and the agent (employee/contractor) in the issue of goal‐aligned behavior. Jensen and Meckling and others were not referring to a knowledge worker agent in their conceptualization of the principal/agent relationship. The significance of having a knowledge worker agent is that the decision rights are no longer located with the principal but with the agent. This in turn has a tremendous bearing on goal alignment and agency problems. We propose that information systems/information technology (IS/IT), in particular enterprise wide systems, can alleviate these agency problems. We illustrate this through a case example from health care, an industry with a high proportion of knowledge worker agents.

This article is a descriptive revenue profile of Community and Migrant Health Centers providing preventive and primary health care services to underserved rural and urban populations throughout the United States. The study is a secondary data analysis of the 1994 Bureau Common Reporting Requirements (BCRR) reports of the 626 Community and Migrant Health Centers to the Bureau of Primary Health Care. The purpose of the analysis is to examine the sources of revenue of the centers and consider the implications for public policy. In 1994, the 626 centers generated more than $2 billion from all payment sources to care for more than 7 million users. The findings should guide and assist policy makers at the state and federal levels in first deciding the role of C/MHCs in developing managed health care strategies for underserved rural and urban populations and developing the appropriate funding policies to support these decisions.

(a) To examine “native-born/immigrant” (nativity) and “national/foreign professional credentials” (country of credentials) as status factors in terms of expectation states theory, and (b) to lay out a blueprint for a theory-based, experimental research agenda in this area.

(for (b) above). I propose a research program based on three types of expectation states experimental designs: the open group-discussion, the rejection-of-influence standardized setting, and the application-files format. All three incorporate measures of either biased evaluations or double standards for competence, or of both. I illustrate how these designs can be adapted to assess, through the presence/absence of one or the other of those practices, the separate impacts of nativity, country of professional credentials and selected additional factors on the inference of task competence. The need for and the advantages of systematic, experimental work on this topic are highlighted.

(from (a) above). I review evidence of the status value of nativity and country of credentials through data on evaluations, employment, and earnings. My evidence originates in contemporary Canadian studies that present results from surveys, interviews, census records, and – to a lesser extent – experiments, and these findings support my claim.

The proposed research will facilitate the development of interventions toward the standardized and unbiased assessment of immigrants’ foreign credentials.

The agenda I put forth constitutes a novel approach to the study of nativity and country of credentials. The work will extend the expectation states program, and enhance immigration research both theoretically and methodologically.

An analysis of community health, its history, successes and failures, depends on an understanding of its scope, but there is little consensus as to precisely what the discipline entails. Some view it as a strict scientific discipline, others see it as a social movement, and still others conceive of it as a conglomerate of various disciplines. It is useful initially to identify the medical components of community health, and then to approach its interdisciplinary aspects. Community health, strictly defined, includes such fields as disease control, environmental sanitation, maternal and child care, dental health, nutrition, school health, geriatrics, occupational health, and the treatment of drug and alcohol abuse. This limited definition, though accurate, does not differentiate the field from the much older area of public health. Within community health, the disease focus of traditional public health epidemiology, the total health focus of community medicine, and the outcome focus of health services research are interconnected. Community health combines the public health concern for health issues of defined populations with the preventive therapeutic approach of clinical medicine. An emphasis on personal health care is the result of this combination. Robert Kane describes the field accurately and succinctly: “We envision community medicine as a general organizational framework which draws upon a number of disciplines for its tools. In this sense, it is an applied discipline which adopts the knowledge and skills of other areas in its effort to solve community health problems. The tools described here include community diagnosis (which draws upon such diverse fields as sociology, political science, economics, biostatistics, and epidemiology), epidemiology itself, and health services research (the application of epidemiologic techniques on analyzing the effects of medical care on health).”

In my original efforts, I designated and depicted no less than nine “men” of economics. Essentially, I contended, as man has always tended to create God in his own image and likeness, so economists have fashioned man largely in their discipline's perceived nature and scope. These generic homines economici, that is, have thus been and perhaps cannot really be other than economists' “men”, and the study thereof provides accordingly a meaningful alternative approach to the history, nature and scope of economics itself.

Knowledge management systems and related initiatives have become a popular focus in many firms, yet many knowledge management systems initiatives fail to achieve their goals. Focuses on systems that are implemented to achieve deliberate performance improvement objectives in organizations, rather than to support discretionary communication. Employs constructs from system dynamics – a discipline that recognizes that the relationships between complex organizing technologies and human behavior are dynamic, evolving, and interconnected. Drawing from recent studies employing system dynamics, proposes a framework to analyze the implementation challenges posed by knowledge management systems adopted as part of a deliberate performance improvement program. Illustrates the framework with a case study of an initiative within a university “help desk” department where conflicting incentives hindered employees’ efforts to leverage the systems. The framework underscores the complex and interdependent effects triggered by managers’ actions and cognitions, in conjunction with users’ actions and cognitions. Offers insights for practitioners and researchers to recognize the downward spiral that can occur when conflicting incentives thwart the behavioral changes required for performance improvement initiatives to succeed.

In April 1988, the National Reference Center for Bioethics Literature (NRC) (see sidebar) published “AIDS: Law, Ethics and Public Policy.” As part of the NRC's Scope Note Series, the paper offered a current overview of issues and viewpoints related to AIDS and ethics. Not meant to be a comprehensive review of all AIDS literature, it contained selected citations referring to facts, opinion, and legal precedents, as well as a discussion of different ethical aspects surrounding AIDS. Updating the earlier work, this bibliography provides ethical citations from literature published from 1988 to the present.

Chris Provis (2017) has discussed Aristotle’s Doctrine of the Mean and its counterpart in Confucianism. The Doctrine of the Mean informs an agent that ‘acting as a virtuous person will often be constituted by avoidance of choosing excess or deficiency’ (Provis, 2017, p. 118). Indeed, Provis (2017) argues against any act ‘oriented towards maximisation’ (p. 127). Provis’s (2017) focus is the encounter ‘between European and East Asian ethical traditions’ (p. 116). Our chapter is a response to Provis (2017). We respond to Provis (2017) by exploring a debate amongst Jewish scholars which originated in North Africa. Some of these scholars advocated Aristotle’s Mean. But others advocated forsaking that Mean and pursuing the extreme.

The cardinal point to note here is that the development (and unfortunately the likely potential) of area policy is intimately related to the actual character of British social policy. Whilst area policy has been strongly influenced by Pigou's welfare economics, by the rise of scientific management in the delivery of social services (cf Jaques 1976; Whittington and Bellamy 1979), by the accompanying development of operational analyses and by the creation of social economics (see Pigou 1938; Sandford 1977), social policy continues to be enmeshed with the flavours of Benthamite utilitatianism and Social Darwinism (see, above all, the Beveridge Report 1942; Booth 1889; Rowntree 1922, 1946; Webb 1926). Consequently, for their entire history area policies have been coloured by the principles of a national minimum for the many and giving poorer areas a hand up, rather than a hand out. The preceived need to save money (C.S.E. State Apparatus and Expenditure Group 1979; Klein 1974) and the (supposed) ennobling effects of self help have been the twin marching orders for area policy for decades. Private industry is inadvertently called upon to plug the resulting gaps in public provision. The conjunction of a reluctant state and a meandering private sector has fashioned the decaying urban areas of today. Whilst a large degree of party politics and commitment has characterised the general debate over the removal of poverty (Holman 1973; MacGregor 1981), this has for the most part bypassed the ‘marginal’ poorer areas (cf Green forthcoming). Their inhabitants are not usually numerically significant enough to sway general, party policies (cf Boulding 1967) and the problems of most notably the inner cities has been underplayed.