Outsourcing Public Health Laboratory Services: A Blueprint for Determining Whether to Privatize and How

In a continuing effort to reform and reinvent the way public organizations do business, the outsourcing of services has become a popular tool, particularly as resource constraints limit options available to governments. All too often, the decision is made, for reasons of ideology or resource constraints, to outsource services without giving careful consideration to the impact of privatization on the core missions of an agency, or whether privatization, in fact, offers real cost savings. Purchasing tools designed for traditional commodity purchases are often grossly unsuited for making decisions on specialized technical services.
This article suggests a process for the evaluation of an option to outsource laboratory services. It suggests that, prior to contracting or privatizing services, the concerned agency should evaluate:
the impact on the agency's core mission
the availability, stability, and reliability of private sector service providers
the relative costs of internal and external (public or private sector) service providers
the potential impact on regulatory enforcement
the ability to monitor the performance of external providers
potential conflicts of interest
Based on this model, the ongoing internal evaluation of services offers public agencies management tools to obtain the best value for the taxpayer dollar, not only in terms of the raw cost per test, but also in managing the quality of the services.     

Justice in relationships: Calgary community conferencing as a demonstration project

Contemporary and alternative justice paradigms lead to definitions of wrongdoing as "lawbreaking" and "harm to social relationships" respectively. The retributive model within the contemporary justice paradigm results in strategies to accomplish justice that focus almost exclusively on the wrongdoer. In contrast, the restorative model within the alternative justice paradigm yields justice practices that focus on the relationships among all individuals harmed by the wrongdoing. Calgary Community Conferencing is an example of a restorative approach to wrongdoing. The relational emphasis of this program is operationalized through its organizational location, intended outcomes, and program activities. The challenges faced by Calgary Community Conferencing provide other agencies with ideas about dilemmas they might encounter in attempting to develop restorative justice programs.     

Teaching China in college: Nine texts

Abstract

When I began teaching in the fall of 1971 at a small liberal arts college, I was greeted by a team-taught, one-semester introductory history course, two-thirds of which outlined the past few centuries of European history. As the one and only “Asia expert” around, I was asked to come up with a book which would present “the Chinese case” in one week's time. I've been searching for a suitable introductory text ever since.     

2009 H1N1 Fatalities: The New Mexico Experience

Abstract: Histopathologic features of New Mexico 2009 H1N1 fatalities have not been representative of those reported nationwide. We retrospectively reviewed medical records of all New Mexico 2009 pandemic influenza A (pH1N1) fatalities (n = 50). In cases in which autopsy was performed (n = 12), histologic sections and culture results were examined. In contrast to previously published studies, the majority of our fatalities did not have diffuse alveolar damage (DAD) (2/12; 16.7%). Common findings included pulmonary interstitial inflammation and edema, tracheobronchitis, and pneumonia. Two cases had significant extra‐pulmonary manifestations: myocarditis and cerebral edema with herniation. The majority had a rapid disease course: range from 1 to 12 days (median, 2 days), and Native Americans were disproportionately represented among fatalities. These findings suggest that New Mexico H1N1 fatalities generally did not survive long enough to develop the classic picture of DAD. Pathologists should be aware that H1N1 may cause extra‐pulmonary pathology and perform postmortem cultures and histologic sampling accordingly.     

Decade differences in rural adolescents' views of life possibilities

In a small-town high school ninth-graders were administered the same research instrument in 1967 and 1979. They listed events they thought would happen to them in the future, occupations, free-time activities, and people known, and answered questions related to perceptions of autonomy and family decision making. Except for the time span of future events, which remained between four and five years ahead, the later group showed many significant increases in cognitive possibilities, especially for occupations and free-time activities. Boys in 1979 perceived less family cohesiveness and girls more autonomy than their 1967 counterparts. Content analyses showed expansion of the girls' possibilities into formerly male-stereotyped occupations and an increase in perceptions of sexual and possibly antisocial activities, particularly among boys.Received his Ph.D. from the University of Minnesota. Main research interests are cross-cultural psychology, personality assessment, and community psychology.Main interest is the development of theory and research about human possibility and choice. Received her Ph.D. from University of Minnesota.Research interests are developmental and cross-cultural psychology. Received her Ph.D. from Latrobe University.