scholarly journals Symposium on Health Care Reform

1994 ◽  
Vol 8 (3) ◽  
pp. 3-11 ◽  
Author(s):  
Joseph P Newhouse
Keyword(s):  
Health Care ◽  
Labor Market ◽  
Individual Choice ◽  
Public And Private ◽  
Health Security ◽  
Community Rating ◽  
Market Effects ◽  
Private Spending ◽  
Ambiguous Effect ◽  
Dependent Coverage

The papers in this symposium focus on two major issues of health economics in the context of President Clinton's Health Security Act: cost containment and labor market effects of financing insurance. The act proposes to limit public and private spending; a key issue is the extent to which, without a limit but with a standardized basic plan, supplementary insurance will exist to allow scope for individual choice. The act's financing will have an ambiguous effect on labor supply but will encourage formation of small, low-wage firms. Several features, including community rating and standardization of dependent coverage, imply substantial redistribution.

scholarly journals Navigating change – managers’ experience of implementation processes in disability health care: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Anette Granberg ◽  
Marie Matérne ◽  
Lars-Olov Lundqvist ◽  
Anna Duberg
Keyword(s):  
Health Care ◽  
Health Care Organizations ◽  
Contextual Factors ◽  
Implementation Process ◽  
Public And Private ◽  
Implementation Processes ◽  
Telephone Interviews ◽  
External Conditions ◽  
The Many ◽  
Dance Intervention

Abstract Background Effective implementation processes play a central role in health care organizations and affect the care of patients. Managers are pivotal in facilitating the use of new practices, but their experience and how it affects the implementation outcome are still largely unknown. In the field of disability health care in particular, managers experiences have scarcely been investigated. Therefore, the aim of this study is to explore managers’ experiences of the implementation process when transferring new practices into disability health care settings. Methods Semi-structured individual telephone interviews were conducted with managers at disability health care organizations in four administrative regions in central Sweden. A total of 23 managers with formal managerial responsibility from both public and private health care were strategically selected to be interviewed. The interviews were analysed using reflexive thematic analysis with an inductive approach. Results The analysis resulted in two themes about factors influencing the implementation process: firstly, Contextual factors set the agenda for what can be achieved, which highlighted aspects that hinder or enable the implementation process, such as internal and external conditions, the workplace culture, the employees and managers’ attitudes and openness to change: secondly, Leadership in the winds of change, which described the challenges of balancing managerial tasks with leading the change, and the importance of a leadership that involves the participation of the employees. Conclusions This study explored how and to what extent managers address and manage the implementation process and the many associated challenges. The findings highlight the importance of leadership support and organizational structure in order to transfer new practices into the work setting, and to encourage an organizational culture for leading change that promotes positive outcomes. We suggest that identifying strategies by focusing on contextual factors and on aspects of leadership will facilitate implementation processes. Trial registration The SWAN (Structured Water Dance Intervention) study was retrospectively registered on April 9, 2019 and is available online at ClinicalTrials.gov (ID: NCT03908801).

Labor Market Effects of Marijuana and Cocaine Use among Young Men

ILR Review ◽  
1992 ◽  
Vol 45 (3) ◽  
pp. 435-448 ◽  
Author(s):  
Charles A. Register ◽  
Donald R. Williams
Keyword(s):  
Labor Market ◽  
Drug Use ◽  
Longitudinal Survey ◽  
National Longitudinal Survey ◽  
Productivity Effect ◽  
Cocaine Use ◽  
Market Effects ◽  
Net Productivity ◽  
Using Data

Using data on marijuana and cocaine use from the 1984 National Longitudinal Survey of Youth, the authors examine the hypothesis that drug use reduces labor market productivity, as measured by wages. From an analysis that controls for the probability of employment and the endogeneity of drug use, they find that although long-term and on-the-job use of marijuana negatively affected wages, the net productivity effect for all marijuana users (both those who engaged in long-term or on-the-job use and those who did not) was positive. No statistically significant association was found between cocaine use and productivity.

Sign in / Sign up

Export Citation Format

Share Document