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Policy Relevance (policy + relevance)
Selected AbstractsThe Machakos Case Study: Solid Outcomes, Unhelpful HyperboleDEVELOPMENT POLICY REVIEW, Issue 1 2006Jules Siedenburg This article revisits the well-known study of Machakos District, Kenya reported in the book More People, Less Erosion by Tiffen et al., which found dramatic, compelling evidence of successful endogenous adaptation to changing circumstances by rural Africans. The article seeks to elucidate discrepancies between the Machakos findings and other findings in the interest of both scientific accuracy and policy relevance. It is suggested that the Machakos study comprises hopeful data, on the one hand, and problematic calculations and assertions, on the other. After exploring problems with the study, the article suggests an alternative interpretation of the data that is arguably more pertinent to contemporary concerns with rural poverty and environmental degradation as well as more widely applicable in sub-Saharan Africa. [source] A case study of publication bias in an influential series of reviews of drug educationDRUG AND ALCOHOL REVIEW, Issue 5 2007JIM McCAMBRIDGE Abstract There has been remarkably little demonstration of the deleterious impact of publication bias within addiction science or indeed in wider healthcare policy and practice. An account is provided here of how publication bias was identified in relation to a series of drug education reviews which have been very influential on subsequent research, policy and practice. Later data analyses unpublished by the same review team demonstrated earlier findings to be unreliable. These later findings were not published. The policy context in which evidence on drug education in schools is produced is considered and the need for unbiased evidence is emphasised. A broadened conception of publication bias is proposed which takes account of the environment in which publication decision-making occurs. It is suggested that this is particularly necessary for subjects with such direct policy relevance as the effectiveness of drug education in schools. [source] Bayes' Theorem to estimate population prevalence from Alcohol Use Disorders Identification Test (AUDIT) scoresADDICTION, Issue 7 2009David R. Foxcroft ABSTRACT Aim The aim in this methodological paper is to demonstrate, using Bayes' Theorem, an approach to estimating the difference in prevalence of a disorder in two groups whose test scores are obtained, illustrated with data from a college student trial where 12-month outcomes are reported for the Alcohol Use Disorders Identification Test (AUDIT). Method Using known population prevalence as a background probability and diagnostic accuracy information for the AUDIT scale, we calculated the post-test probability of alcohol abuse or dependence for study participants. The difference in post-test probability between the study intervention and control groups indicates the effectiveness of the intervention to reduce alcohol use disorder rates. Findings In the illustrative analysis, at 12-month follow-up there was a mean AUDIT score difference of 2.2 points between the intervention and control groups: an effect size of unclear policy relevance. Using Bayes' Theorem, the post-test probability mean difference between the two groups was 9% (95% confidence interval 3,14%). Interpreted as a prevalence reduction, this is evaluated more easily by policy makers and clinicians. Conclusion Important information on the probable differences in real world prevalence and impact of prevention and treatment programmes can be produced by applying Bayes' Theorem to studies where diagnostic outcome measures are used. However, the usefulness of this approach relies upon good information on the accuracy of such diagnostic measures for target conditions. [source] Older patients and delayed discharge from hospitalHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 6 2000Christina R. Victor BA M Phil PhD Hon MFPHM Abstract Older people (those aged 65 years and over) are the major users of health care services, especially acute hospital beds. Since the creation of the NHS there has been concern that older people inappropriately occupy acute hospital beds when their needs would be best served by other forms of care. Many factors have been associated with delayed discharge (age, sex, multiple pathology, dependency and administrative inefficiencies). However, many of these factors are interrelated (or confounded) and few studies have taken this into account. Using data from a large study of assessment of older patients upon discharge from hospital in England, this paper examines the extent of delayed discharge, and analyses the factors associated with such delays using a conceptual model of individual and organisational factors. Specifically, this paper evaluates the relative contribution of the following factors to the delayed discharge of older people from hospital: predisposing factors (such as age), enabling factors (availability of a family carer), vulnerability factors (dependency and multiple pathology), and organisational/administrative factors (referral for services, type of team undertaking assessments). The study was a retrospective patient case note review in three hospitals in England and included four hundred and fifty-six patients aged 75 years and over admitted from their own homes, and discharged from specialist elderly care wards. Of the 456 patients in the sample, 27% had a recorded delay in their discharge from hospital of three plus days. Multivariate statistical analysis revealed that three factors independently predicted delay in discharge: absence of a family carer, entry to a nursing/residential home, and discharge assessment team staffing. Delayed discharge was not related to the hypothesised vulnerability factors (multiple dependency and multiple pathology) nor to predisposing factors (such as age or whether the older person lived alone). The delayed discharge of older people from hospital is a topic of considerable policy relevance. Our study indicated that delay was independently related to two organisational issues. First, entry into long-term care entailed lengthy assessment procedures, uncertainty over who pays for this care, and waiting lists. Second, the nature of the team assessing people for discharge was associated with delay (the nurse-coordinated team made the fewest referrals for multidisciplinary assessments and had the longest delays). Additionally, the absence of a family carer was implicated in delay, which underlines the importance of family and friends in providing posthospital care and in maintaining older people in the community. Our study suggests that considerable delay in discharging older people from hospital originates from administrative/organisational issues; these were compounded by social services resource constraints. There is still much to be done therefore to improve coordination of care in order to provide a truly ,seamless service'. [source] Large-scale processes in ecology and hydrologyJOURNAL OF APPLIED ECOLOGY, Issue 2000R.W.G. Caldow 1. Several papers published in the 1980s stressed the importance of scaling issues, the inter-relatedness of patterns and processes at different scales of time and space, to our understanding of ecological systems. Scaling issues are of major theoretical interest and increasingly are of considerable applied importance. 2. In recognition of this, the Natural Environment Research Council, in partnership with the Scottish Executive Rural Affairs Department, funded a Thematic Programme entitled ,Large-scale Processes in Ecology and Hydrology'. The principal aim of this Programme was to integrate recent major developments in information resources and technologies with current theory in order to improve understanding of large-scale patterns and processes and their relationship to patterns and processes at smaller scales. 3. The Thematic Programme, which ran from 1995 until 1999, funded six research projects that have generated a large body of published papers. This volume, dedicated to the findings of the Programme, brings together outputs from all six projects with the aim of ensuring a rapid and widespread dissemination of the Programme's findings. A brief résumé of each of the papers is presented. 4. The papers in this volume cover a wide variety of subjects ranging from ions to the flora and fauna of the United Kingdom. Nonetheless, each study has sought in various ways to quantify observed spatio-temporal patterns at a range of scales, to determine whether those patterns are consistent across scales and to identify the interactions between small-scale patterns and processes and those at larger scales. The importance of the spatial and temporal scales at which studies are conducted, the key role played by dispersal in spatial population dynamics, and the diversity of ways in which large-scale patterns and processes relate to those at smaller scales are highlighted in many of the papers. 4. All of the papers presented here have direct relevance to applied issues. These issues are diverse and include the control of invasive alien species, the conservation of declining, threatened or endangered species, the development of survey techniques, strategies for farmland, woodland and forestry management, and the assessment of pollution sensitivity. Thus, the Thematic Programme has addressed issues of considerable theoretical interest and has at the same time generated results and predictive models that are of considerable practical and policy relevance. [source] Debt, democratization, and development in Latin America: How policy can affect global warmingJOURNAL OF POLICY ANALYSIS AND MANAGEMENT, Issue 1 2008René W. Aubourg The environmental Kuznets curve (EKC) hypothesis conjectures a nonlinear relationship between pollution and economic growth, such that pollution per capita initially increases as countries economically develop, but then reaches a maximum point before ultimately declining. Much of the EKC literature has focused on testing this basic hypothesis and, in studies that find evidence of an EKC, estimating the "turning point" level of development at which the per capita pollution-growth relationship changes sign. This approach has not emphasized the policy relevance of specification issues or the potential role of policy variables. This research explores a modified EKC specification which conditions the pollution-growth relationship on a country's level of debt and degree of democratization. These variables turn out to be significant, implying that different political and economic contexts can shift EKCs and their turning points. These findings suggest that policies to relieve debt burdens and institute political reform, in addition to their usual justifications, also could be used as a strategy to reduce carbon emissions from developing countries. © 2008 by the Association for Public Policy Analysis and Management. [source] Anthropology and Environmental Policy: What Counts?AMERICAN ANTHROPOLOGIST, Issue 3 2010Susan Charnley ABSTRACT, In this article, we call for enhanced quantitative and environmental analysis in the work of environmental anthropologists who wish to influence policy. Using a database of 77 leading monographs published between 1967 and 2006, 147 articles by the same authors, and a separate sample of 137 articles from the journal Human Organization, we document a sharp decline over the last ten years in the collection and use of quantitative and environmental data within environmental anthropology. These declines come at the same time that environmental anthropologists are aiming at greater policy relevance. We use the case of the Polonoroeste Project in the Brazilian Amazon and its impact on World Bank policy as a concrete example of the advantages of fortifying the quantitative and environmental side of our work. We conclude by discussing ways to strengthen environmental anthropology to further enhance its policy relevance and impact. [source] Competition, corporate governance and selection in emerging markets*THE ECONOMIC JOURNAL, Issue 491 2003Ajit Singh The paper introduces the three articles in this Feature, concerned respectively with competition, corporate governance and selection in emerging markets. Apart from being important in their own right, it is shown how these topics have recently acquired urgent domestic and international policy significance. This overview also provides the intellectual background to the issues raised in the papers and examines their interrelationships in analytical, empirical and methodological terms. It outlines a research programme which would not only have direct policy relevance for both emerging and mature countries but would also have broader analytical significance for many areas of economic theory. [source] Enhancing the effectiveness of policy-relevant integrative research in rural areasAREA, Issue 4 2009Piran C L White There has been much debate about the importance of policy-relevant research in geography over the last decade. There has also been an increasing recognition by policymakers of the importance of integrative (interdisciplinary and transdisciplinary) approaches to policy-relevant research. However, geographers have been more reluctant than their colleagues in other social and natural sciences to embrace integrative research collaborations. For integrative research to achieve its full potential and to encourage greater participation from the geographical research community, we need to increase our understanding of its potential value, but also some of the challenges that it poses, and how these can be overcome. In this paper, we consider the processes involved in conducting successful integrative research from the perspective of researchers involved in these projects. We base our analysis on the results of a questionnaire survey of international integrative research programmes on environmental issues in rural areas, combined with our own experiences of working in integrative research. We conclude that effective integrative research depends on the establishment of a clear conceptual framework, the use of appropriate temporal and spatial scales in the research, effective language and communication, time and commitment, and trust and respect. We also highlight the value of stakeholder involvement in integrative research to ensure the policy relevance of the work and provide a mechanism to assist with effective knowledge transfer of the results. [source] Lawyers, trees and money: British Columbia forest policy and the convergence of international and domestic trade considerationsCANADIAN PUBLIC ADMINISTRATION/ADMINISTRATION PUBLIQUE DU CANADA, Issue 4 2005Christopher J. Kukucha At the domestic level, the BC government maintains significant control over softwood lumber as a result of provincial land ownership, executive dominance, and the role of the Ministry of Forests. This is reinforced by a close relationship between the bureaucracy and key industry associations. Under the New Democratic Party government of the 1990s, however, the policy relevance of environment, labour, and aboriginal groups increased. The election of the BC Liberals, however, diminished these interests, with the possible exception of First Nations groups. It is also important, however, to acknowledge the significance of international developments. Institutionally, these pressures contributed to bureaucratic restructuring and a changing "culture" within the Ministry of Forests. Industry relations have also been influenced by consolidation of ownership, bilateral lumber disputes with the United States, and the increasing role of non-elected legal representatives. In addition, environment and labour interests were empowered by external funding, high export demands, and a low Canadian dollar. Although these developments have created an increasingly complex policy process, it is apparent that domestic considerations remain dominant, especially traditional participants, such as the Ministry of Forests and other specific setoral interests. Sommaire: Les developements nationaux et internationaux ont des répercussions directes sur la politique forestière en Colombie-Britannique. À l'échelle nationale, le gouvernement de la C.-B. maintient un important contrôle sur le bois d'evre en rai-son de la propriété foncière provinciale, de la dominance de I'exécutif, et du rôle du ministere des ForCts. Ceci est renforcb par des liens étroits entre la bureaucratie et les associations clés de l'industrie. Cependant, sous le gouvernement du Nouveau Parti Démocratique des années 1990, la pertinence des politiques des groupes environne-mentaux, syndicaux et autochtones s'est accrue. L'élection des Libéraux et C.-B. a réduit ces intéréts, a l'exception des groupes des Premières Nations. Cependant, il faut aussi reconnaître l'importance des développements intemationaux. Sur le plan institutionnel, ces pressions ont contribuéà une restructuration bureaucratique et a l'évolution de la « culture » au sein du ministère des Forê Les relations indus-trielles ont aussi été influencées par une consolidation de la propriété, les conflits bilatéraux avec les États-Unis au sujet du bois, et le rde croissant des mandataires légaux non élus. En outre, les intér& environnementaux et de main-d'aeuvre ont vu leurs pouvoirs accrus par le financement externe, les demandes d'exportation Plevees et la faiblesse du dollar canadien. Quoique ces changements aient Créé un processus de politiques de plus en plus complexe, il est évident que les considérations nationales dominent, en particulier celles qui sont préconisées par les participants traditionnels, comme le ministére des Forêts et d'autres intérêts sectoriels particuliers. [source] | ||||||||||||||||