Evaluating partnerships for community health improvement: tracking the footprints

Private-public partnerships are increasingly seen as an important mechanism for improving community health. Despite their popularity, traditional evaluations of these efforts have produced negative or mixed results. This is often attributed to weak interventions or an insufficient period of time to observe an impact. This study examines two additional possibilities--the need for a well-articulated shared vision and the governance and management capabilities of the partnership itself. We conducted a midstream process evaluation of twenty-five community partnerships associated with the Community Care Network (CCN) Demonstration Program. We examined how the roles of a common shared vision, strong governance, and effective management influence a partnership's ability to achieve its objectives. The findings, based on both qualitative and quantitative analyses, underscore the importance of membership organizations' perceived benefits and costs of participation and management capabilities to the partnership's progress toward a vision. Based on the qualitative data, six key governance and management characteristics are identified that separate the top performing partnerships from the lowest performing ones. We explore the implications of this research for future evaluations of public-private community health partnerships.     

Does orchestration in the Global Climate Action Agenda effectively prioritize and mobilize transnational climate adaptation action?

International Environmental Agreements: Politics, Law and Economics - Climate change adaptation is increasingly seen as a question that involves globally connected vulnerabilities and impacts which...     

An Unusual Cause of Headache and Sudden Death of a Young Sailor—Postmortem Computed Tomography and Histological Findings of a Fatal Retroperitoneal Malignant Mixed Germ Cell Tumor

A 26‐year‐old Caucasian sailor, with no past medical history aside from headache for the last 1 week, was found dead in his cabin. The body was stored in a refrigerator on board and disembarked for autopsy 3 days later. Autopsy showed a large, nodular, necrotic and hemorrhagic retroperitoneal mass, and smaller hemorrhagic nodules in the brain, lungs, liver, and left kidney, with the brain being markedly edematous. Both testes were descended and normal. Histologically, the retroperitoneal mass showed a malignant mixed germ cell tumor comprising choriocarcinoma, embryonal carcinoma, and teratoma components. Retroperitoneal extragonadal germ cell tumors are uncommon, and this case of a young male who presented with headache and sudden death due to metastases is extremely rare.     

No More “Local” Insurrection or Terrorism: The Dark Side of the Cobweb

World Society was the leitmotif of John Groom. It was a pluralist vision of International Relations set against Realism and state hegemonies. In this, it sought to establish an enhanced pluralism, citizen organisation and action, as a norm. It was a prescient forerunner of what we now commonly recognise as international civil society. Groom’s other resonant work on third-party and Track II mediation—citizen agency and intervention on behalf of norms of shared needs and equality—was an expression of that. However, all this took place within the context of an interlinked world system described as a cobweb. Not only did this model fail to predict the spiders and slaughter in today’s cobweb, it shared an Enlightenment view of civil society as secular. This paper talks about religious spiders and the sort of atrocious but anti-hegemonic pluralism that is now vexatiously glued to all we do internationally. However, the paper recognises that, reconfigured, Groom’s work laid first foundations for today’s International Relations.     

Development of a Computer‐Assisted Forensic Radiographic Identification Method Using the Lateral Cervical and Lumbar Spine

Medical examiners and coroners (ME/C) in the United States hold statutory responsibility to identify deceased individuals who fall under their jurisdiction. The computer‐assisted decedent identification (CADI) project was designed to modify software used in diagnosis and treatment of spinal injuries into a mathematically validated tool for ME/C identification of fleshed decedents. CADI software analyzes the shapes of targeted vertebral bodies imaged in an array of standard radiographs and quantifies the likelihood that any two of the radiographs contain matching vertebral bodies. Six validation tests measured the repeatability, reliability, and sensitivity of the method, and the effects of age, sex, and number of radiographs in array composition. CADI returned a 92–100% success rate in identifying the true matching pair of vertebrae within arrays of five to 30 radiographs. Further development of CADI is expected to produce a novel identification method for use in ME/C offices that is reliable, timely, and cost‐effective.     

Party Management of Talent: Building a Party‐led,Merit‐based Talent Market in China

This study examines major policy measures that the Chinese Communist Party (CCP) leaders have adopted to establish a party‐led, merit‐based talent management system to cope with a talent deficit in the reform era. It also assesses the effectiveness of these measures at both national and local levels. This study argues that although merit principles are never entirely missing from China's cadre personnel management, they have been given increasing priority in managing the cadre corps and recruiting global experts to China during the past three decades. This study shows that the CCP personnel management policies are in substantial and adaptive evolution, which is important for understanding the nature of human resource management in post‐Mao China.     

How Authoritarianism Intensifies Punctuated Equilibrium: The Dynamics of Policy Attention in Hong Kong

The punctuated equilibrium theory contends that government attention allocation is universally leptokurtic in that long periods of stability are punctuated by bursts of rapid and radical change; the empirical evidence in support of this claim is however exclusively drawn from democratic systems. The absence of electoral politics and institutional decentralization in authoritarian regimes could presumably affect institutional friction; whether and how this might pose as a qualification to the thesis is of major interest. By analyzing four streams of government actions in Hong Kong from 1946 to 2007 straddling the colonial and postcolonial regimes, we have found that government processes are generally leptokurtic even under authoritarian regime institutions, with the degree of the dispersion of decision‐making power across the streams of actions affecting the magnitude of punctuation. We have also found that punctuation was greater when the political system was more centralized but declined as the political system democratized.     

Predicting Organizational Actual Turnover Rates in the U.S. Federal Government

ABSTRACT

This study expands the level of analysis on turnover in public administration, especially in the U.S. federal government, from the individual level to the organizational level by using organizational actual turnover rates. Some scholars argue that public employees' turnover intention generally reflects actual turnover. However, very little empirical evidence supporting this argument has been provided in public administration, especially in a broad array of public agencies. This study has rejected this argument by showing insignificant or weakly significant correlations between organizational actual turnover and weighted turnover intention rates. In addition, overall, the two regression results for organizational actual turnover and turnover intention also show different results from those in the existing literature on individual-level turnover intention. The significant predictors of organizational actual turnover rates are goal ambiguity, pay satisfaction, and diversity policy satisfaction. The correlation and regression results imply that research on predictors of turnover may need to consider the differences that may result from using different units of analysis and to make a distinction between turnover intention and actual turnover.     

Reviews

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E. Wayne Nafziger, Learning From the Japanese: Japan's Pre‐war Development and the Third World, Armonk, NY: M.E. Sharpe, 1995. xv + 221pp. ISBN 1–56324–485–3, paperback 1–56324–486–1.

Richard J. Samuels ’Rich Nation Strong Army'; National Security and the Technological Transformation of Japan Ithaca and London: Cornell University Press, 1994. 455 pp. £38.50. ISBN 0–8014–2705–3.

Alan Burnett The Western Pacific: Challenge of Sustainable Growth London: Earthscan, 1993. 276 pp. £15.95. ISBN 1–85383–1581

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Atu Emberson‐Bain Labour and Gold in Fiji Cambridge: Cambridge University Press, 1994. 270 pp. £40.00. ISBN 0–521–36372–1.