Factors affecting perceptions of medical errors

The purpose of the study was to assess how three factors affect subjects' perceptions of a medical error made in a hypothetical scenario. The factors were (i) type of compensation system, (ii) degree of procedural “voice” present in the physician-patient relationship, and (iii) magnitude of damage sustained by the patient. Perceptions were defined to include subjects' (i) emotional reactions to the incident, (ii) causal attributions about the incident, (iii) evaluations of the faimess of the compensation systems, and (iv) compensation demands. Results indicated that damage magnitude was the only factor that affected subjects' emotional reactions to the described incident and their compensation requests. When damage was severe, subjects reacted more negatively to the event and demanded greater compensation. Subjects rated the no-fault system and greater voice conditions as more fair. In general, subjects causally analyzed the error incident in a manner that was less blameworthy of the physician when procedural justice was high, especially if this was combined with a no-fault compensation system. Results were discussed in terms of Wexler and Winick's (1991) model of therapeutic jurisprudence.     

Chinese migration: still the major focus of Russian Far East/Chinese North East relations?

Abstract

In contrast to Sino-Russian relations at the state-level, regional cooperation between the contiguous Russian Far East and Chinese North East has been difficult to achieve, despite the existence of seemingly natural economic complementarities. This article asks why this is the case and argues that one important stumbling block, i.e. negative reactions to Chinese labour migration, has become less problematic. Situating Russian Far East/Chinese North East relations in a regionalist framework the article compares the salience and framing of major issues in regional relations in Chinese and Russian media at the national and regional levels. Contrary to earlier research, the findings suggest that economic and regional development issues, and not Chinese migration into the Russian Far East, are by far the most salient sets of issues on both sides. However, significant differences in the framing of these issues suggest that a convergence of opinion on the desirability of regional cooperation masks contradictory expectations for the direction of regional development.     

The Effects of Legal and Extralegal Factors on Detention Decisions in US District Courts

The Bail Reform Act of 1984 changed the law dictating release and detention decisions in federal court. Since its passage, few studies have examined judicial decision-making in this context. Legal research enables us to account for the structure and interpretation of federal detention laws and to analyze previously neglected measures of legal factors in our analyses. We use US Sentencing Commission data on a sample of defendants who were sentenced in 2007 (N?=?31,043). We find that legal factors—particularly length of criminal history, having committed a violent or otherwise serious offense, and having committed the offense while under supervision of the criminal justice system—have the strongest relationships with the presentence detention outcome. A defendant’s age, race, and ethnicity have weaker relationships with detention. When we compare defendants who are similarly situated with respect to legal factors, the probability of detention is similar regardless of age, race, and ethnicity.     

The things a man once saw (and was): an appreciation of Richard Quinney

Richard Quinney ranks among the noted criminologists of the twentieth century, especially among progressives. He is also a photographer of note, drawing on scenes from his native Wisconsin to reflect his deep inner life. Things once seen, published in 2009 by Borderland Books, is a 40‐year retrospective of his photographic work. It is a deeply religious work that celebrates the requirements of life lived by a “radical realism”. In June 2009 Doctor Quinney was presented with the Sullivan–Tifft Vanguard Award at the annual meeting of the Justice Studies Association.     

Investigating the Functional Form of the Self-control–Delinquency Relationship in a Sample of Serious Young Offenders

Objective

This work further examines the functional form of the self-control–delinquency relationship as an extension of recent work by Mears et al. (J Quant Criminol, 2013). Given the importance of the authors’ conclusions regarding the nonlinear relationship between these two variables and the recognition that there are some potential limitations in the sample and assumptions required for the analytic methods used, we apply both similar and alternative techniques with a data set comprised of serious youthful offenders to determine whether key findings can be replicated.

Methods

Data from the Pathways to Desistance study, which comprise extensive individual and social history interviews with 1,354 offenders over multiple waves spread out over 84 months, is utilized in this analysis. These data are well-suited to investigating the questions of interest as the target population comprises youth with offending histories that are more extensive than those likely to be found in general surveys of adolescents. The analyses consider the self-control–delinquency relationship in an alternative sample with the previously used Generalized Propensity Score (GPS) procedure, which requires strong assumptions, as well as nonparametric regression which requires far weaker assumptions to consider the functional form of the self-control–delinquency relationship.

Results

The results generally show that the identified functional form of the self-control–delinquency relationship seems to be at least partly dependent on aspects of the modeling of dose–response associated with GPS procedures. When nonparametric general additive models are used with the same data, the relationship between self-control and delinquency seems to be approximately linear.

Conclusions

Identifying functional form relationships has importance for many criminological theories, but it is a task that requires that the balance of model assumptions to exploratory data analysis falls toward the latter. Nonparametric approaches to such questions may be a necessary first step in learning about the nature of mechanisms presumed to be at work in important explanations for crime and criminality.     

Access to expensive anti-cancer drugs

Expensive anti-cancer drugs expose controversy underlying the process for resource allocation decisions, and intermittently result in marked publicity, emotive discussions about access to novel and expensive treatments, and political involvement which may override existing processes. This column outlines the methods of determining whether or not a treatment is considered appropriate to fund, and focuses upon the evidence of patient and doctor wishes. The existing research illustrates the complexity of patient and oncologist decision-making when these drugs are to be considered. Past litigation to obtain access to expensive treatments is discussed, along with the interactions between patients, pharmaceutical companies, health services and oncologists. This evolving field is being transformed by developments in molecular biology enabling targeted drugs, and amply demonstrates the complexity of funding decisions and how expensive treatments are considered by a range of stakeholders.