Unequally Unemployed: Labor Market Stratification After the Great Recession

Thesis (Ph.D.)--University of Washington, 2016-06

A national survey of telehealth activity in Australian hospitals

We conducted a national survey of Australian hospitals to assess their use of telehealth. Information was sought from the 814 hospitals with 10 or more beds, excluding the small number that provided only day surgery and seven for which we could not identify a contact person. A total of 564 replies were received (a 69% response rate). Nationally, nearly half (49%) reported that they were engaged in some telehealth activity. However, there was a significant difference across jurisdictions. Hospitals in the public sector were significantly more likely to report the use of telehealth than those in the private sector (62% vs 14%). Hospital remoteness was measured according to the Accessibility/Remoteness Index of Australia (ARIA). The highest levels of use were reported by hospitals in 'very remote' and 'remote' areas (90% and 88%, respectively), with moderate levels of use in 'moderately accessible' and 'accessible' areas (67% and 52%, respectively) and the lowest level of use in 'highly accessible' areas (35%). This trend was significant.

The paradox of managerial downsizing

Delayering and the flattening of organizational hierarchies was a widespread trend through the 1990s. Peters (1992) in the USA promoted flattening as an organizational strategy and Keuning and Opheij (1994) promoted the prescriptions in Europe. Despite these strategies and apparent structural changes, the number and ratio of managers appears to have grown. This paradox of managerial downsizing has not been adequately probed in the literature. The predominant explanation, that there has been a 'myth of managerial downsizing', is associated with Gordon (1996). However, this debate has been shaped by the US experience and data. There is a need to reassess the dynamics of the 1990s in relation to other economies. This article focuses on a semi-peripheral economy, that of Australia. A study of the population of firms over time is necessary in order to resolve the issues. The article utilizes a comprehensive range of data, including several national surveys and a longitudinal database of all larger private-sector firms in Australia during the 1990s. The results indicate that the 'myth of managerial downsizing' must be rejected. There were dramatic effects on managers through the course of the 1990s in larger Australian firms. The dynamics of the process are analysed, tracking 4,153 firms across the decade and the paradox explained. The theoretical implications are discussed.

Fragmented coherence: Solid waste management in Colombo

Notwithstanding the increasingly fragmented organizational relationships within Colombo's urban governance system, the cooperative nature of stakeholder relationships lends a high level of coherence to the overall system. Since 1995, Colombo's solid waste management system has been characterized by the increased role of the private sector, community-based organizations and NGOs. Whilst the increasingly fragmented nature of this system exhibits some deeply ingrained problems, there are also a number of positives associated with the increased role of civil society actors and, in particular, the informal sector. Reforming regulatory frameworks so as to integrate some of the social norms that are integral to the lives of the majority of urban residents will contribute to regulatory frameworks being considerably more enforceable than is currently the case. Such reform requires that institutional and regulatory frameworks need to be flexible enough to adapt to the changing social, political and economic context. In the Colombo case, effective cooperation between public sector and civil society stakeholders illustrates that adaptive institutional arrangements grounded in pragmatism are feasible. The challenge that arises is to translate these institutional arrangements into adaptive regulatory frameworks - something that would require a significant mind shift on the part of planners and urban managers.

Adult mental health needs and expenditure in Australia

Background Relatively little international work has examined whether mental health resource allocation matches need. This study aimed to determine whether adult mental health resources in Australia are being distributed equitably. Method Individual measures of need were extrapolated to Australian Areas, and Area-based proxies of need were considered. Particular attention was paid to the prevalence of mental health problems, since this is arguably the most objective measure of need. The extent to which these measures predicted public sector, private sector and total adult mental health expenditure at an Area level was examined. Results In the public sector, 41.6% of expenditure variation was explained by the prevalence of affective disorders, personality disorders, cognitive impairment and psychosis, as well as the Area's level of economic resources and State/Territory effects. In the private sector, 72.4% of expenditure variation was explained by service use and State/Territory effects (with an alternative model incorporating service use and State/Territory supply of private psychiatrists explaining 69.4% of expenditure variation). A relatively high proportion (58.7%) of total expenditure variation could be explained by service utilisation and State/Territory effects. Conclusions For services to be delivered equitably, the majority of variation in expenditure would have to be accounted for by appropriate measures of need. The best model for public sector expenditure included an appropriate measure of need but had relatively poor explanatory power. The models for private sector and total expenditure had greater explanatory power, but relied on less appropriate measures of need. It is concluded that mental health services in Australia are not yet being delivered equitably.

The risk premium for equity: implications for resource allocation, welfare and policy

Analysis of the equity premium puzzle has focused on private sector capital markets. The object of this paper is to consider the welfare and policy implications of each of the broad classes of explanations of the equity premium puzzle. As would be expected, the greater the deviation from the first-best outcome implied by a given explanation of the equity premium puzzle, the more interventionist are the implied policy conclusions. Nevertheless, even explanations of the equity premium puzzle consistent with a general consumption-based asset pricing model have important welfare and policy implications.

Government relations, government regulations: jumping through the hoops

Over the last decade, telehealth in Australia has been primarily facilitated and driven by government funding. The government now has a major policy initiative in online health. However, in pursuing the broad initiative there is a danger that some of the smaller components can get lost, and this is probably what has happened to telehealth. There appear to be a number of steps required if telehealth in Australia is to keep up the pace of development that occurred in the 1990s, as we move into what is now being called the era of e-health, involving broadband Internet health service delivery. This area is changing extremely rapidly and is increasingly migrating away from the public sector in Australia, where most of the developmental work has occurred, and into the private sector. Many of the issues that require consideration within the domain of e-health in Australia are also relevant to other countries. E-health will significantly change the way that health-care is practised in future, and it is clear that it is the human factors that are more difficult to overcome, rather than the technological ones.

Government relations, government regulations: Jumping through the hoops

Over the last decade, telehealth in Australia has been primarily facilitated and driven by government funding. The government now has a major policy initiative in online health. However, in pursuing the broad initiative there is a danger that some of the smaller components can get lost, and this is probably what has happened to telehealth. There appear to be a number of steps required if telehealth in Australia is to keep up the pace of development that occurred in the 1990s, as we move into what is now being called the era of e-health, involving broadband Internet health service delivery. This area is changing extremely rapidly and is increasingly migrating away from the public sector in Australia, where most of the developmental work has occurred, and into the private sector. Many of the issues that require consideration within the domain of e-health in Australia are also relevant to other countries. E-health will significantly change the way that health-care is practised in future, and it is clear that it is the human factors that are more difficult to overcome, rather than the technological ones.

QUALIDADE DE VIDA NO TRABALHO: COM A PALAVRA OS FUNCIONÁRIOS PÚBLICOS

O tema desta pesquisa é a Qualidade de Vida no Trabalho dos funcionários públicos da Secretaria de Saúde de Barra Mansa/RJ. Trata-se de um estudo de caso de natureza quanti-qualitativa, exploratória e descritiva que tem como objetivos compreender o que é a QVT na ótica do funcionário público, verificar que percepções ele possui acerca de sua própria QVT e, a partir daí, compreender se na esfera pública é possível construir um novo sentido para a QVT que se aproxime de um compromisso com a coletividade e com a vida. O modelo de QVT de Walton, a análise dos instrumentos de onze outras pesquisas realizadas em diversas instituições brasileiras e a coleta de sete depoimentos dos sujeitos pesquisados, acerca de suas histórias profissionais, suas impressões gerais sobre a QVT, orientaram a elaboração do instrumento utilizado nesta pesquisa. Coletaram-se 205 questionários válidos quantidade suficiente para a utilização da análise fatorial como método estatístico, por meio do software SPSS , além de mais dois depoimentos, em entrevistas abertas, os quais, somados aos sete já obtidos por ocasião da preparação do instrumento de pesquisa, foram utilizados na análise qualitativa que também se fez. Os principais resultados encontrados apontam que a QVT dos funcionários públicos pesquisados é de razoável a boa e que eles associam QVT a uma série de aspectos objetivos e subjetivos da vida no trabalho. Muitos deles estão presentes no modelo de Walton, porém emergiram alguns que vão além do que o modelo abrange. É exatamente nesta lacuna que parece ser possível construir novos sentidos para a QVT que a aproximam de um compromisso com a coletividade e com a vida, numa lógica diferente daquela individualista e instrumental que marcam sua origem no setor privado. A partir daí se abre a possibilidade de se pensar em políticas públicas participativas.

Inclusão via TV digital interativa brasileira: um estudo de caso no estado do Maranhão

Este trabalho discorre sobre o processo de implantação da TV digital interativa no Brasil, tendo como estudo de caso o estado do Maranhão e foca as possibilidades de inclusão social e digital em regiões com fragilidades de prestação de serviços públicos como Previdência Social, atendimento médico, bancário e de ensino a distância. Para tanto, aborda políticas públicas que conduziram ao SBTVD Sistema Brasileiro de Televisão Digital no país. O estudo apresenta as discussões na esfera pública e privada com a participação de organizações reconhecidamente qualificadas dentro e fora do país. Mostra também o complexo processo de articulação governamental com entidades da indústria eletroeletrônica e de grupos de telecomunicações privados instalados no Brasil, bem como a resistência de radiodifusores do setor privado em adotar o modelo proposto pelo Decreto 5.820/06 que prevê distribuição e acesso gratuito da população a serviços públicos essenciais por meio da televisão aberta. As consequências refletidas na permanência do atraso e baixo desenvolvimento do estado do Maranhão abrem possibilidades de superação com os novos programas disponibilizados pela Secretaria de Inclusão Digital (SID), do Ministério das Comunicações para responder à enorme demanda que priva regiões do Brasil como o Maranhão de desenvolvimento social e inclusão digital.

A INCLUSÃO SOCIAL E AS MEDIAÇÕES NA RECEPÇÃO DA COMUNICAÇÃO MERCADOLÓGICA TELEVISIVA POR PESSOAS COM DEFICIÊNCIA VISUAL

Este trabalho é estimulado pela reflexão sobre a recepção da comunicação mercadológica televisiva por pessoas com deficiência visual, assim como sobre a percepção quanto às iniciativas do governo e das empresas em prol da inclusão. O estudo busca, com base na Teoria das Mediações, que é estudada por teóricos dos Estudos de Recepção, entender de que forma as pessoas com deficiência visual interagem com as diferentes categorias de comerciais de televisão, a partir de seus valores, percepções de mundo e condições em que se encontram. Deste modo, observa-se ainda o nível de sentimento de pertencimento das pessoas com deficiência visual quanto à preocupação do governo e das empresas em causas sociais. Os procedimentos que dirigem a investigação caracterizam-se por uma reflexão a partir de dados decorrentes de pesquisa bibliográfica, articulada a uma pesquisa de campo de natureza qualitativa. O trabalho conclui que a percepção das pessoas com deficiência visual se distancia do que está sendo proposto, feito e aparentemente sendo bem divulgado em prol da inclusão; bem como, observa a necessidade de aprimoramento da conscientização da sociedade, e consequentemente dos comunicadores, sobre a importância da aproximação entre as pessoas com deficiência visual e a comunicação mercadológica televisiva. Nesta percepção, o trabalho apresenta sugestões no âmbito comunicacional que poderiam tornar as causas sociais realmente expressivas na vida das pessoas com deficiência visual.

DE PROFESSOR A EMPRESÁRIO: CONTRIBUIÇOES DE ANTONIO VERONEZI AO ENSINO SUPERIOR

A história da fundação e desenvolvimento de uma instituição educacional, não pode ser desvinculada dos acontecimentos do país, sobretudo se ocorrida no último meio século, período ímpar na história, em que o ensino superior se expandiu de forma acelerada, sobretudo o privado. Este estudo do ensino superior brasileiro, contemplando a história da Universidade Guarulhos, tem como pano de fundo a história de vida de seu fundador e atual Chanceler Antonio Veronezi, como método de investigação qualitativa, construído por meio de entrevistas autobiográficas. Identificando nas narrativas momentos marcantes da história da educação brasileira, foram eles contextualizados no aspecto político, econômico e social. As transformações do processo de industrialização foram também pesquisadas procurando apresentar o desenvolvimento da própria cidade de Guarulhos, geradora da demanda por ensino superior desde a década de 1970 mantida até o momento. A trajetória educacional, a entrada no setor de educação, o desenvolvimento de habilidades de gestão e a transformação do professor do ensino médio em um dos mais importantes empresários e representante do setor, dotam de sentido as questões suscitadas, que poderão ser respondidas por pesquisadores da história, da pedagogia, da linguística ou da administração, entre as quais: a democratização do acesso, a qualidade do ensino superior, as representações sociais dos gestores e a mercantilização do setor.

Extensão Universitária: o jogo entre as teorias institucionais e as motivações pessoais

A temática desta pesquisa refere-se ao estabelecimento de relações entre o institucional e o pessoal, a partir das teorias e práticas de Extensão Universitária, contextualizadas em uma determinada instituição de Ensino Superior, da rede particular do Estado de São Paulo. O seu objetivo é, através da explicitação da política institucional de Extensão Universitária, analisar e comparar as motivações pessoais e o perfil psicossocial dos alunos extensionistas, e observar como estes se relacionam, por meio da extensão, com o ensino, com a pesquisa e com as políticas institucionais estabelecidas. Foram entrevistados o PróReitor de Extensão, Coordenadores de Programas de Extensão e alunos extensionistas e utilizou-se o método da análise comparativa dos conteúdos. Como procedimento metodológico de análise tomouse o conjunto de informações recolhidas junto aos entrevistados, que foram organizadas em três grandes categorias: Política Institucional; Extensão, Pesquisa e Ensino; e Motivações. Concluiuse que as especificidades das políticas institucionais e das características pedagógicas da Extensão Universitária da Instituição influenciam e podem determinar formas de atuação dos alunos extencionistas, que são movidos por fatores motivacionais que transitam entre o olhar assistencial filantrópico, a motivação profissional e a militância política, tendo como norte o contexto cultural, político e socia, no qual estão inseridos, dentro e fora da Universidade, e que se manifestam no contato com o trabalho extencionista.(AU)

External audit in the National Health Service in England and Wales:a study of an oversight body's control of auditor remuneration

In the National Health Service (NHS) in England and Wales an oversight body, the Audit Commission (AC), defines the scope of the external auditors’ work, appoints the auditors and has oversight of their fees and audit quality. This heavily regulated audit regime mitigates some of the deficiencies observed in high profile corporate failures. Independence, it has been argued, is influenced by the total auditor remuneration paid by the client. In this study we examine total auditor remuneration in a regulated market which seeks to ensure audit independence and audit quality. In particular we undertake rigorous analysis of auditor remuneration by the type of auditor: We place emphasis on the differentiation between private sector firms and the AC’s in-house auditors (District Audit). Individual private audit firms charge premiums (up to 16%) for particular audit work in identified locations, but no premiums were found when we examined total auditor remuneration. The regime appears to permit efficient operation of the audit market while safeguarding both audit independence and standards.

Editorial

This second issue of Knowledge Management Research & Practice (KMRP) continues the international nature of the first issue, with papers from authors based on four different continents. There are five regular papers, plus the first of what is intended to be an occasional series of 'position papers' from respected figures in the knowledge management field, who have specific issues they wish to raise from a personal standpoint. The first two regular papers are both based on case studies. The first is 'Aggressively pursuing knowledge management over two years: a case study a US government organization' by Jay Liebowitz. Liebowitz is well known to both academics and practictioners as an author on knowledge management and knowledge based systems. Government departments in many Western countries must soon face up to the problems that will occur as the 'baby boomer' generation reaches retirement age over the next decade. This paper describes how one particular US government organization has attempted to address this situation (and others) through the introduction of a knowledge management initiative. The second case study paper is 'Knowledge creation through the synthesizing capability of networked strategic communities: case study on new product development in Japan' by Mitsuru Kodama. This paper looks at the importance of strategic communities - communities that have strategic relevance and support - in knowledge management. Here, the case study organization is Nippon Telegraph and Telephone Corporation (NTT), a Japanese telecommunication firm. The third paper is 'Knowledge management and intellectual capital: an empirical examination of current practice in Australia' by Albert Zhou and Dieter Fink. This paper reports the results of a survey carried out in 2001, exploring the practices relating to knowledge management and intellectual capital in Australia and the relationship between them. The remaining two regular papers are conceptual in nature. The fourth is 'The enterprise knowledge dictionary' by Stuart Galup, Ronald Dattero and Richard Hicks. Galup, Dattero and Hicks propose the concept of an enterprise knowledge dictionary and its associated knowledge management system architecture as offering the appropriate form of information technology to support various different types of knowledge sources, while behaving as a single source from the user's viewpoint. The fifth and final regular paper is 'Community of practice and metacapabilities' by Geri Furlong and Leslie Johnson. This paper looks at the role of communities of practice in learning in organizations. Its emphasis is on metacapabilities - the properties required to learn, develop and apply skills. This discussion takes work on learning and core competences to a higher level. Finally, this issue includes a position paper 'Innovation as an objective of knowledge management. Part I: the landscape of management' by Dave Snowden. Snowden has been highly visible in the knowledge management community thanks to his role as the Director of IBM Global Services' Canolfan Cynefin Centre. He has helped many government and private sector organizations to consider their knowledge management problems and strategies. This, the first of two-part paper, is inspired by the notion of complexity. In it, Snowden calls for what he sees as a 20th century emphasis on designed systems for knowledge management to be consigned to history, and replaced by a 21st century emphasis on emergence. Letters to the editor on this, or any other topic related to knowledge management research and practice, are welcome. We trust that you will find the contributions stimulating, and again invite you to contribute your own paper(s) to future issues of KMRP.