What motivates adherence to medical recommendations? The procedural justice approach to gaining deference in the medical arena

Although it is within their long‐term interest, patients often fail to follow health care recommendations made by medical experts. This failure results in the widespread occurrence of preventable health problems and a significant increase in health care costs. Taking a new approach to confronting this issue, this paper examines whether the procedural justice model, which has been useful in explaining cooperation with legal and managerial authorities, can provide a basis for increasing patients' willingness to voluntarily adhere to health care recommendations. Three studies tested and supported this proposition. Study 1 experimentally manipulated physicians' procedural fairness or unfairness to explore its influence on patients' acceptance of doctors' recommendations. Study 2 used patients' reports about the fairness of their personal physicians and linked those evaluations to their willingness to follow their doctor's recommendations. Finally, study 3 explored the role of general procedural justice judgments in promoting willingness to accept health policies when they are advocated by private doctors and government health care authorities. The results of all three studies support the argument that when health care authorities use fair procedures, patients are more likely to accept their recommendations. Importantly, this procedural justice effect is distinct from, and in some cases stronger than, the influence of competence.     

Exposure to Political Discussion in College is Associated With Higher Rates of Political Participation Over Time

While individuals who are exposed to political discussion are more politically active, analytical biases make it difficult to show evidence of causation. It is also uncertain how long the relationship between discussion and participation lasts. Here both questions are addressed with panel data collected from individuals who were randomly assigned to their college dormitories. The data show that exposure to political discussion in college leads to higher levels of participation, immediately while still in college and years into the future after graduation. As political behavior is habitual, the initial increase in participation after being exposed to political discussion is a mechanism underlying the long-run relationship between discussion and participation.     

Debt crisis of the less developed countries and the transfer debate once again

In the perspective of substantial amount of net transfers from the debtor less developed countries (LDCs) to the creditor developed countries (DCs) in the recent debt crisis years, there is a renewed debate (that started in the context of German reparation payments after the First World War) on the question of transfer burden of debt. The present study assembles some evidence to show that the LDCs in general expanded their export‐volumes and faced losses in their export unit values in the process of their debt repayments. Many LDCs faced this transfer burden of debt irrespective of whether their export drive was in the field of primary products or manufactures. Thus the Keynesian analysis for German transfer problems seems to be relevant in the context of the present experience of the LDCs. For some debtor countries, the ‘insoluble’ transfer problem mentioned by Keynes exists as they are facing ‘Fisher's paradox’: The more the debtors pay, the more they owe.     

Models of Public Service Provision—When Will Knights and Knaves Be Responsive to Pawns and Queens?

This article extends the framework of Le Grand (2003 Le Grand, J. 2003. Motivation, agency and public policy, Oxford: Oxford University Press. [Crossref] , [Google Scholar], 2010 Le Grand, J. 2010. Knights and knaves return: Public service motivation and the delivery of public services. International Public Management Journal, 13(1): 56–71. [Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]) to encompass responsiveness, and the main argument is that the combination of employee motivation, user capacity, and models of public service provision potentially has serious implications for responsiveness across service areas. Although research on employee motivation thrives, especially in the public service motivation (PSM) literature, few studies have investigated user capacity empirically, and we know little about the combination of PSM, user capacity and models of service provision. Analyzing four central service areas (day care, schools, hospitals, and universities), we find variations in both user capacity and PSM. Taking this variation as a point of departure we discuss what implications different combinations of employee motivation, user capacity, and models of public service provision may have for responsiveness.     

What We Talk About When We Talk About Management Effects: A Substantively Motivated Approach to Panel Data Estimation

In recent years, the field of public management has begun to make use of panel data sets in quantitative research about governance and public policy. While panel data permit researchers to undertake more advanced and nuanced analyses than cross-sectional data, these benefits are not realized if methods designed for cross-sectional data are used instead. This article outlines different approaches to panel data estimation, illustrating differences in the estimates produced by each approach using data from 1,000 Texas public school districts drawn across 11 years. Our findings suggest that researchers should be cautious in differentiating between relationships that occur “between” organizations and those that occur “within” an organization.     

The UK's Prudential Borrowing Framework: Professional Discipline and Control

Since 2004, governance and accountability arrangements for UK local government borrowing under the new Prudential Borrowing Framework (PBF) have been based on the professional discipline and control model of governance. It supplements the earlier centralised discipline and control model whereby municipal borrowing had to be specifically approved by central government and provides an alternative to Private Finance Initiatives (PFIs) and Public-Private Partnerships (PPPs) for capital procurement. Incorporating a case study of the use of PBF by Glasgow City Council, this paper considers the strengths and weaknesses of the PBF as a control mechanism for borrowing.     

Biased Budgeting in the Public Sector: Evidence from Italian Local Governments

Abstract

The purpose of this paper is to analyse, in terms of presence, determinants and purposes, the misrepresentation of expected revenues during budget formulation and the misrepresentation of actual revenues during budget execution. To this end, we use six-year panel data from Italian municipalities with populations above 15,000. Our results suggest that overestimations of current revenues are more frequent than underestimations, during both budget formulation and budget execution. In terms of determinants, our results highlight the impact on revenue misrepresentation of both political orientation and fiscal stress. Finally, in terms of purposes, we show that revenue underestimation during budget formulation and revenue overestimation during budget execution may contribute to the formation of surpluses. The former, in particular, may allow mayors to create a ‘war chest’ in non-election years, which can then be used to increase net borrowing on the eve of elections.     

Applicability of Cranial Models in Urethane Resin and Foam as a Substitute for Bone: Are Synthetic Materials Reliable?

As literature is poor in functional synthetic cranial models, in this study, synthetic handmade models of cranial vaults were produced in two different materials (a urethane resin and a self‐hardening foam), from multiple bone specimens (eight original cranial vaults: four human and four swine), in order to test their resemblance to bone structure in behavior, during fracture formation. All the vaults were mechanically tested with a 2‐kg impact weight and filmed with a high‐speed camera. Fracture patterns were homogeneous in all swine vaults and heterogeneous in human vaults, with resin fractures more similar to bone fractures. Mean fracture latency time extrapolated by videos were of 0.75 msec (bone), 1.5 msec (resin), 5.12 msec (foam) for human vaults and of 0.625 msec (bone), 1.87 msec (resin), 3.75 msec (foam) for swine vaults. These data showed that resin models are more similar to bone than foam reproductions, but that synthetic material may behave quite differently from bone as concerns fracture latency times.     

Note takers who review are less vulnerable to the influence of stereotypes than note takers who do not review

Abstract

The current research investigated whether the opportunity to review reduced note takers' vulnerability to the influence of stereotypes when making decisions. Participants were presented with a trial in which a man or a woman had been charged with a stereotypically masculine crime. Results revealed that note takers who did not review were more likely to find a man guilty than a woman, and attributed a higher degree of offender relevant traits to a man than to a woman. Non-note takers and note takers who reviewed did not engage in stereotype-based processing. It was concluded that the provision of dedicated review periods reduced the extent to which note takers were influenced by stereotypes during decision making. Future research may consider investigating whether the benefit of dedicated review periods remains when jurors are presented with longer trials and when they are required to engage in deliberation.     

A review of dynamic variables and their relationship to risk prediction in sex offenders

In recent years, a good deal of attention has been paid to the question of recidivism in sex offenders, with an emphasis on the pool of identified static variables associated with risk. The paper aims to review the developing evidence-base for dynamic (changeable) variables, describing their clinical and research characteristics. It also considers the relationship between dynamic domains and apparently fixed developmental variables, such as attachment and victimization experiences. Three main models are presented, and examined in terms of their ability to enhance static prediction models. Results would suggest that there are four dynamic domains, which can predict sexual recidivism independently of static risk prediction, and that these domains should be of central consideration in the continuing development of treatment programmes.