Per case prospective payment for psychiatric inpatients: an assessment and alternatives

Psychiatric hospitals and clinics are exempted from the Medicare prospective payment system. In this paper we examine the appropriateness of the DRG classification system for psychiatric patients and argue that, using this system as the basis of payment, two types of problems are likely to arise. We categorize these problems as "risks to hospitals" and "risks to patients" and examine the existing literature to determine whether these risks are likely to be significant. We propose a different approach to paying prospectively for psychiatric care, and suggest modifications that could be made to the structure of PPS to mitigate negative incentives embedded in the current system. Although the main focus of the paper is on the unit of payment, we also make some observations about issues arising in connection with the level of payment.     

Bewertungskonstellationen. Theoretische Überlegungen zur Soziologie der Bewertung

The article discusses central research questions currently prevailing in the sociology of valuation. It argues that the perspective of “methodological situationalism”, which currently dominates within valuation studies, overemphasizes “moments” of valuation, and thus ignores trans-situational forces, which are highly consequential in processes of valuation. On the basis of this diagnosis, the article puts forth the concept of “valuation constellations” which allows observing valuations’ transsituativity in a systematical manner. The concept distinguishes different positions – valuee, valuator, and audience – and emphasizes the relevance of their relations in shaping valuations. Moreover, the article underscores that valuation constellations always unfold against the background of trans-situationally valid rules as well as technological infrastructures operating on a trans-situational level. Ultimately, the concept facilitates new research questions for the sociology of valuation.     

An ocean for the Global South: Brazil and the zone of peace and cooperation in the South Atlantic

In this article, we analyse an instance of revitalisation of a dormant interregional organisation dating back to the Cold War: the Zone of Peace and Cooperation of the South Atlantic (ZOPACAS), initially launched by South American and African states in 1986 through the UN General Assembly. Drawing on the concepts of “consensual hegemony” we argue that the current phase of ZOPACAS’ existence is characterised by Brazil's efforts to rekindle it, thus reflecting its aspiration to create a new space of influence. Rather than pursuing more traditional forms of regional leadership, Brazil uses ZOPACAS as part of a persuasion-based strategy based on regional multilateralism that is designed in antagonism to other international organisations and Western powers. However, this strategy also faces important limitations resulting from resource constraints, lack of institutionalisation and an excessive exclusionary focus on minimising the role of global powers with interests in the region.     

Perceived police legitimacy: investigating its association with college-based informal social controls

Research has found that when private citizens view law enforcement as legitimate authority figures, they are more likely to obey laws and voluntarily comply with police demands. Although procedural justice has shown to be an important predictor of perceived police legitimacy, a recent line of studies has found other significant correlates of this outcome, including media exposure, ethnic identity and strain. To date, however, few studies have explored the role collegiate-based informal social controls play in predicting law enforcement legitimacy evaluations. Using questionnaire data from a convenience sample of college students, linear regression equations were estimated to explore whether Hirschi's four social bond measures predict the obligation to obey and trust in police constructs of police legitimacy. Across both models and even after controlling for procedural justice, respondent beliefs were positively correlated with these measures. Theoretical and policy implications are discussed.     

Aggressive/intrusive behaviours,harassment and stalking of members of the United Kingdom parliament: a prevalence study and cross-national comparison

Politicians suffer intrusive and aggressive behaviours from members of the public, often lone actors fixated on personal grievances. Few explorations of intrusive behaviours towards politicians have been published; their results are not directly comparable. We surveyed intrusive/aggressive behaviours towards UK members of parliament (MPs); our survey instrument was then administered to MPs at three other parliaments (Queensland, New Zealand, and Norway), providing a cross-national, four-site comparison. 239 MPs completed the UK survey. This 38% response rate produced prevalence rates remarkably similar to the other sites, New Zealand having an 84% response rate. 81% of UK MPs had experienced one or more of the 12 behaviours specified, the mean being five. 18% had been subject to attack/attempted attack, 42% to threats to harm and 22% to property damage. In 53% of respondents, experiences met definitions of stalking or harassment. This has implications for the provision of risk assessment and management.     

Cross-sectoral strategies in global sustainability governance: towards a nexus approach

The recent shift from the Millennium Development Goals to the much broader Sustainable Development Goals has given further impetus to the debate on the nexus between the multiple sectors of policy-making that the Goals are to cover. The key message in this debate is that different domains—for instance, water, energy and food—are interconnected and can thus not be effectively resolved unless they are addressed as being fully interrelated and interdependent. Yet while this overall narrative is forcefully supported in the new UN 2030 Agenda for Sustainable Development and the 17 Sustainable Development Goals that are the main part of this agenda, many Goals still remain sectoral in their basic outlook. This now requires, we argue, a new focus in both policy and research on the nexus between different Sustainable Development Goals, especially with a view to reforms in the overall institutional setting that is required to sufficiently support such a nexus approach. This article thus examines the nexus approach in the context of the Sustainable Development Goals and identifies multiple avenues for its institutionalisation in global governance.