The transformation of a health care system: An ecology perspective

Beginning in the early 1980s, the health care system experienced momentous realignments. Fundamental changes in structures of traditional health care organizations, shifts in authority and relationships of professionals and institutions, and the increasing influence of managed care contributed to a relatively stable industry entering into a state of turbulence. The dynamics of these changes are recurring themes in the health services literature. The purpose of this dissertation was to examine the content of this literature over a defined time period and within the perspective of a theory of organizational change. ^ Using a theoretical framework based upon the organizational theory known as Organizational Ecology, secondary data from the period between 1983 and 1994 was reviewed. Analysis of the literature identified through a defined search methodology was focused upon determining the manner in which the literature characterized changes that were described. Using a model constructed from fundamentals of Organizational Ecology with which to structure an assessment of content, literature was summarized for the manner and extent of change in specific organizational forms and for the changes in emphasis by the environmental dynamics directing changes in the population of organizations. Although it was not the intent of the analysis to substantiate causal relationships between environmental resources selected as the determinants of organizational change and the observed changes in organizational forms, the structured review of content of the literature established a strong basis for inferring such a relationship. ^ The results of the integrative review of the literature and the power of the appraisal achieved through the theoretical framework constructed for the analysis indicate that there is considerable value in such an approach. An historical perspective on changes which have transformed the health care system developed within a defined organizational theory provide a unique insight into these changes and indicate the need for further development of such an analytical model. ^

The impacts of volcanic aerosol on stratospheric ozone and the Northern Hemisphere polar vortex: separating radiative-dynamical changes from direct effects due to enhanced aerosol heterogeneous chemistry

After major volcanic eruptions the enhanced aerosol causes ozone changes due to greater heterogeneous chemistry on the particle surfaces (HET-AER) and from dynamical effects related to the radiative heating of the lower stratosphere (RAD-DYN). We carry out a series of experiments with an atmosphere–ocean–chemistry–climate model to assess how these two processes change stratospheric ozone and Northern Hemispheric (NH) polar vortex dynamics. Ensemble simulations are performed under present day and preindustrial conditions, and with aerosol forcings representative of different eruption strength, to investigate changes in the response behaviour. We show that the halogen component of the HET-AER effect dominates under present-day conditions with a global reduction of ozone (−21 DU for the strongest eruption) particularly at high latitudes, whereas the HET-AER effect increases stratospheric ozone due to N2O5 hydrolysis in a preindustrial atmosphere (maximum anomalies +4 DU). The halogen-induced ozone changes in the present-day atmosphere offset part of the strengthening of the NH polar vortex during mid-winter (reduction of up to −16 m s-1 in January) and slightly amplify the dynamical changes in the polar stratosphere in late winter (+11 m s-1 in March). The RAD-DYN mechanism leads to positive column ozone anomalies which are reduced in a present-day atmosphere by amplified polar ozone depletion (maximum anomalies +12 and +18 DU for present day and preindustrial, respectively). For preindustrial conditions, the ozone response is consequently dominated by RAD-DYN processes, while under present-day conditions, HET-AER effects dominate. The dynamical response of the stratosphere is dominated by the RAD-DYN mechanism showing an intensification of the NH polar vortex in winter (up to +10 m s-1 in January). Ozone changes due to the RAD-DYN mechanism slightly reduce the response of the polar vortex after the eruption under present-day conditions.

Deforesting Europe: pollen-inferred Holocene land cover change using the 'pseudobiomization' approach

Maps of continental-scale land cover are utilized by a range of diverse users but whilst a range of products exist that describe present and recent land cover in Europe, there are currently no datasets that describe past variations over long time-scales. User groups with an interest in past land cover include the climate modelling community, socio-ecological historians and earth system scientists. Europe is one of the continents with the longest histories of land conversion from forest to farmland, thus understanding land cover change in this area is globally significant. This study applies the pseudobiomization method (PBM) to 982 pollen records from across Europe, taken from the European Pollen Database (EPD) to produce a first synthesis of pan-European land cover change for the period 9000 BP to present, in contiguous 200 year time intervals. The PBM transforms pollen proportions from each site to one of eight land cover classes (LCCs) that are directly comparable to the CORINE land cover classification. The proportion of LCCs represented in each time window provides a spatially aggregated record of land cover change for temperate and northern Europe, and for a series of case study regions (western France, the western Alps, and the Czech Republic and Slovakia). At the European scale, the impact of Neolithic food producing economies appear to be detectable from 6000 BP through reduction in broad-leaf forests resulting from human land use activities such as forest clearance. Total forest cover at a pan-European scale moved outside the range of previous background variability from 4000 BP onwards. From 2200 BP land cover change intensified, and the broad pattern of land cover for preindustrial Europe was established by 1000 BP. Recognizing the timing of anthropogenic land cover change in Europe will further the understanding of land cover-climate interactions, and the origins of the modern cultural landscape.

United Kingdom, 1826 (Image 1 of 3) (Raster Image)

This layer is a georeferenced raster image of the historic paper map entitled: Cary's six sheet map of England and Wales, with part of Scotland : on which are carefully laid down all the direct and principal cross roads, the course of the rivers, and navigable canals, cities, market and borough towns, the principal villages, parks, &c., compiled from the most recent surveys. It was published by J. Cary in 1826. Scale [ca. 1:510,000]. This layer is image 1 of 3 total images of the three sheet source map, representing the northern portion of the map. Covers portions of England, Scotland, North Ireland, and Isle of Man.The image inside the map neatline is georeferenced to the surface of the earth and fit to the 'British National Grid' coordinate system. All map collar and inset information is also available as part of the raster image, including any inset maps, profiles, statistical tables, directories, text, illustrations, index maps, legends, or other information associated with the principal map. This map shows features such as drainage, cities and other human settlements, mail roads, turnpike roads, bye roads, territorial and administrative boundaries, parks, shoreline features, and more. Relief shown by hachures.This layer is part of a selection of digitally scanned and georeferenced historic maps from the Harvard Map Collection. These maps typically portray both natural and manmade features. The selection represents a range of originators, ground condition dates, scales, and map purposes.

England and Wales, 1863 (Raster Image)

This layer is a georeferenced raster image of the historic paper map entitled: Cruchley's travellers companion through England and Wales, shewing the railways and stations to the present time. It was published by G.F. Cruchley in 1863. Scale [ca. 1:950,400]. Covers also Isle of Man and shoreline of Northern Ireland.The image inside the map neatline is georeferenced to the surface of the earth and fit to the Europe Lambert Conformal Conic coordinate system. All map collar and inset information is also available as part of the raster image, including any inset maps, profiles, statistical tables, directories, text, illustrations, index maps, legends, or other information associated with the principal map. This map shows features such as drainage, cities and other human settlements, territorial boundaries, roads, railroads, ferry lines, telegraph lines, shoreline features, and more.This layer is part of a selection of digitally scanned and georeferenced historic maps from the Harvard Map Collection. These maps typically portray both natural and manmade features. The selection represents a range of originators, ground condition dates, scales, and map purposes.

Social science and institutional change /

Mode of access: Internet.

Development techniques and organizatinal change : an overview of results from the Michigan inter-company longitudinal study : technical report /

"Funded by the Office of Naval Research, Group Psychology Programs, under Contract no. N00014-67-A-0181-0013, NR 170-719/7-29-68 (Code 452)"

Results-oriented cultures : implementation steps to assist mergers and organizational transformations : report to Congressional subcommittees /

GAO-03-669.

The influence of perceptions of social identity on information technology-enabled change

Growth in the sophistication of information technology (IT) has led to the increasing importance of information accessibility in the workplace. The pervasiveness of the resultant knowledge-based economy has centered attention on issues of employee group identity. In this article we explore how employee perceptions of group membership guide the change outcomes of an organization implementing new information technology. Using a social identity framework, we investigate the salient intergroup relationships of two groups of employees (management and IT implementation teams) and how employees use their different group memberships to reframe positions of authority or knowledge around technology change. We discuss the extent to which perceptions of social identity legitimate institutional structures already in place despite the potential of new technology.