Autonomy and audit--striking the balance

The Data Protection Act 1998 purports to implement European legislation which aims to protect the privacy of individuals. There were such concerns about the implications of the Act for certain research and audit that it became necessary to enact further legislation to enable such essential activities to continue. Although this empowers the Secretary of State for Health to approve proposals for these purposes, there should still be a requirement that the use of identifiable personal information without consent must be justified on compelling public interest grounds. It is this that can confound those seeking to rely on such justification. There can either be too cavalier an approach to the issue, and/or there is little sense of what considerations should come into play. This paper attempts to highlight some of the difficulties that are theoretically raised by some audit activities and set out the legal framework within which they must operate. However, the key focus is on how ethical considerations might inform the public interest argument.     

Managerial Responsibility

The concept of managerial responsibility is a shining thread in the literature of public administration, but its definition within our constitutional scheme remains elusive. How will we know responsible public management when we see it? We propose one answer: Public administration should be conducted according to what we term a “precept of managerial responsibility,” which involves four interrelated elements derived from the classical literature of public administration: judgment, accountability, balance, and rationality. We apply this precept to one of the most vexing problems of public administration theory and practice, institutional reform litigation. This application illustrates how the precept solves a major theoretical problem of American public administration by defining a role for administrative officers that fully comports with the Madisonian scheme of separated institutions—legislative, executive, and judicial—sharing power.     

Electro-acupuncture to prevent prolonged postoperative ileus:A randomized clinical trial

AIM:To examine whether acupuncture can prevent prolonged postoperative ileus(PPOI)after intraperitoneal surgery for colon cancer. METHODS:Ninety patients were recruited from the Fudan University Cancer Hospital,Shanghai,China. After surgery,patients were randomized to receive acupuncture(once daily,starting on postoperative day 1, for up to six consecutive days)or usual care.PPOI was defined as an inability to pass flatus or have a bowel movement by 96 h after surgery.The main outcomes were time to first fl...     

Children’s and Adolescents’ Expectations about Challenging Unfair Group Norms

Youth often hold group norms that perpetuate inequality. One way these norms can be changed is by challenging these norms by choosing to include new members into these groups who hold morally just norms. In the current study, children’s and adolescents’ inclusion decisions and social reasoning about challenging group norms through inclusion were investigated. The sample included 9–10 (children) and 13–14 year-olds (adolescents) (N?=?673, 54.4% female). Participants supported including challengers into groups holding norms supporting relational aggression and unequal allocation of resources, but they were less likely to support including a challenger into a physically aggressive group. Age-related differences and gender differences were found: children and female participants were more likely to include challengers than were adolescents and male participants. The findings indicate that youth support including new members who would challenge morally questionable group norms, but that their support depends on the specific norm the group holds.     

Chinese Political Studies: Overview of the State of the Field

The range of questions of interest to scholars of Chinese politics has changed slowly over recent decades, but the depth of empirical probes to answer them has quickly improved. One reason is the rise of China-born and Chinese-American researchers. Another is greater access to local information in China after the start of reforms there. Future developments in this field are likely to enrich current American political science, which will require fresh methods for adequate study of the planet's most populous polity.     

Rejoinder to mead

As I understand him, Mead makes two arguments. First, he argues that relying on reasoning from general principles to answer practical questions of public management can be misguided if the policy analyst deliberately or inadvertently ignores available evidence. Of course he is right. As the purpose of the symposium was to invite public management scholars to use general principles to decide on the relative merits of mandatory and voluntary workfare, however, the authors, who are not experts in welfare reform, cannot be faulted for being unfamiliar with the evidence. It was their intellectual approaches to the problem that I sought to broach.