scholarly journals Feasibility of de-linking reimbursement of antimicrobials from sales: the Australian perspective as a qualitative case study

2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Nadine T Hillock ◽  
Tracy L Merlin ◽  
Jonathan Karnon ◽  
John Turnidge ◽  
Jaklin Eliott

Abstract Background There is a disparity in the economic return achievable for antimicrobials compared with other drugs because of the need for stewardship. This has led to a decline in pharmaceutical companies’ willingness to invest in the development of these drugs and a consequent global interest in funding models where reimbursement is de-linked from sales. Objectives To explore the perspective of stakeholders regarding the feasibility of de-linked reimbursement of antimicrobials in Australia. Methods Semi-structured interviews were conducted with 18 participants sourced from the pharmaceutical industry and individuals representing public-sector payers or regulators. Interviews were transcribed verbatim, coded and thematically analysed using the framework method. Results Five key themes were identified in the interviews: funding silos are a barrier to de-linking reimbursement; varying levels of supporting evidence are (currently) required for funding depending upon setting; funding status or cost is used as a stewardship tool; a de-linked model may cost more; and concerns regarding governance and access to antimicrobials exist in the private sector. Conclusions Australia’s current multi-tiered funding of medicines across different levels of government was perceived as a barrier to de-linked reimbursement. Participants felt that the responsibility for antimicrobial funding and stewardship should be integrated and centralized. Implementing a nationally funded de-linked reimbursement model for new antimicrobials would require a review of funding decision-making criteria, given that most MDR infections are off-label indications and could not then be funded through the Australian Pharmaceutical Benefits Scheme. Findings from this study could be applicable to other countries with reimbursement frameworks similar to Australia.

EL LE ◽  
2020 ◽  
Author(s):  
Gisela Mayr

The present qualitative case study analyses the development of mediation strategies in English TBLL classes. Particular relevance is given to mediation strategies enhanced by cooperative learning and social interaction in the classroom: among these the ability to manage discourse, to work cooperatively and to help structure discourse and turn-taking in order to grant active participation of all members are highlighted. TBLL promotes autonomous learning and problem solving processes, as students interact and negotiate meanings as well as contents to complete tasks and produce an outcome. It is in this pedagogical context that mediation strategies are activated on different levels and support learners in the attempt to handle challenging linguistic and content-related situations. The study was carried out in a third class of a secondary school and 22 students between 15 and 16 years took part in the data collection. English TBLL modules were inserted in curricular English classes and audio-and video registrations were made during the lessons. A discourse analytical approach was applied for the analysis of the audio and video registration, in particular of the negotiating process, and semi-structured interviews were carried out with 5 students at the end of the project.


2021 ◽  
Vol VI (IV) ◽  
pp. 34-41
Author(s):  
Hina Iqbal ◽  
Muhammad Saeed

Academic writing plays a pivotal role in developing research proposals. The present study aimed to explore the grammatical errors that M.Phil/PhDs scholars commit in academic writing. The present study employed a qualitative case study designed to explore the challenges in the English language faced by the M.Phil and PhDs scholars. The 20 Ph.D. and 36 M.Phil scholars were selected by busing purposive sampling technique. Data were collected by using two self-developed semi-structured interviews protocol. Thematic analysis approach was employed for data analysis. The findings revealed that all the participants reported that correct use of tenses was a big hurdle that entailed the other grammatical mistakes and reduced the report quality because all the lexical aspects are linked with these mechanics. The study recommended that English language courses be offered to postgraduate, M. Phil and Ph.D. scholars to learn the technical aspects of the language and provide students with online interactive programming.


2019 ◽  
Vol 33 (4) ◽  
pp. 157-165
Author(s):  
Felicia R. Truong

Up to 75 percent of charter principals in the United States leave the role within five years. Understanding how early-career principals conceptualize the role could help strengthen principal preparation and in-service training. This study analyzed early-career charter principals’ descriptions of the principalship in order to understand their framework for what it means to be a good principal. A qualitative case study was used, focused on semi-structured interviews with 15 charter school principals. Charter school principals in this study primarily defined being a ‘good’ principal using examples and descriptions of soft skills and personality traits.


Author(s):  
Rebecca S. Natow

Background: As calls for evidence-based policymaking become increasingly common, qualitative research has much to offer the policy community. However, policymakers frequently evidence a preference for quantitative research. By discounting the importance of qualitative research in the policymaking process, resulting policies and their target populations miss out on the benefits that qualitative research uniquely offers.Aims and objectives: The purpose of this study was to examine how qualitative research has been perceived and used in the US government’s rulemaking process for creating higher education regulations.Methods: This qualitative case study included data from semi-structured interviews with 34 policy actors involved in higher education rulemaking, rulemaking documents, and research reports cited in several key higher education regulations.Findings: Many policy actors viewed qualitative research favourably, but qualitative studies have seldom been cited in higher education rulemaking. Several respondents discussed validity concerns and some policymakers’ misunderstandings regarding qualitative methods. Moreover, storytelling can influence policy actors’ perspectives about the content of policies, and qualitative research was viewed as effective at identifying compelling stories. Thus, narratives derived from qualitative research may provide an opportunity for qualitative researchers to have their work considered in policymaking processes.Discussion and conclusion: Qualitative research faces challenges with gaining visibility and influence in the development of regulatory policy. However, this study has shown that qualitative research has the potential to be both useful and persuasive to policymakers. Studies that discuss relevant stories may be particularly compelling.


2014 ◽  
Vol 23 (3) ◽  
pp. 538-546 ◽  
Author(s):  
Isabela Silva Cancio Velloso ◽  
Meiriele Tavares Araújo ◽  
Jéssica Dias Nogueira ◽  
Marília Alves

The aim of the present study was to discuss the way visibility constitutes a power device in the everyday practice of the Mobile Emergency Care Service in Belo Horizonte, Minas Gerais, Brazil. A qualitative case study was developed and data were collected through semi-structured interviews with 31 workers of the service (five physicians, 11 nurses, seven nursing assistants and eight ambulance drivers) and submitted to discourse analysis. The analysis of power relations in the service allowed to verify that there is not an only one source from which the power emanates in this organizational structure. Power is exercised through many techniques and their sources are scattered, diffuse, interchangeable and even confusing. Although there is a hierarchical structure formally established, a parallel network to this structure is formed. It was also observed that the visibility generated by radio communication provides constant supervision, which generates tension within the team.


Aquichan ◽  
2019 ◽  
Vol 19 (4) ◽  
pp. 1-11
Author(s):  
Michelle Ferraz Martins Jamarim ◽  
Camila Zucato da Silva ◽  
Gerusa Marcondes Pimentel de Abreu Lima ◽  
Cibele Leite Siqueira ◽  
Claudinei José Gomes Campos

Objectives: To know the most used types of touch and understand their meanings for physical therapists working in a hospital environment, from the perspective of their feelings, attitudes and behaviors during care. Materials and methods: Qualitative case study conducted by physical therapists working at a hospital in Brazil. For data collection, participant observation and semi-structured interviews were used as techniques. Data were analyzed according to the thematic content analysis proposed by Minayo. Results: 16 physical therapists participated in the study and, from the analysis of the empirical material, four thematic categories emerged: Instrumental touch as a fundamental resource of hospital physical therapy assistance; expressive touch: Its little presence does not mean absence of affection; physical therapist’s feelings related to touch and difficulty talking about touch means that there is a deficiency in training. Conclusions: The underuse of expressive touch revealed the lack of knowledge and unpreparedness in the formation of the physical therapist, which, added to the lack of self-knowledge, hinders the affection and the creation of bonds in relationships. All of this justifies the rare studies on affective touch in health, which reflects an area to be explored and the need to sensitize professionals to influence the quality and humanization of care.


Author(s):  
Blanche Ntombizodwa Ndlovu ◽  
Dumsani Wilfred Mncube

This qualitative case study explores early childhood pre-service educators' perceptions of using play-based teaching strategy across the Foundation Phase. A play-based approach promotes a special mode of thinking, sense of possibility, ownership, control, and competence in maths and PE learners. That is why scholars believe that hybrid pedagogical content knowledge that integrates play-based learning sustains learner attention throughout the lesson and promotes problem-solving skills. Therefore, the main objective of this study is to propose alternative pathways that promote the implementation of a hybrid pedagogical teaching strategy in the Foundation Phase. This study draws from a qualitative case study conducted at one of the universities in KwaZulu-Natal to explore the perception of pre-service teachers about using a play-based teaching strategy in pre-Grade R and Grade R classes. Five preservice teachers who teach both mathematics and PE were purposively and conveniently sampled to generate data using narratives and semi-structured interviews to describe their perceptions and experiences. Zoom group meetings and WhatsApp one-on-one semi-structured interviews were used during the data generation process. The findings reveal that pre-service mathematics and PE teachers perceive play-based pedagogies as necessary to provide a wide range of opportunities for learners to learn to count, visualising groups, and problem-solving skills. They underscore the importance of drawing from a hybrid approach that draws strength from play-based learning to complement formal learning.


2017 ◽  
Vol 25 ◽  
pp. 114
Author(s):  
Rukmini Becerra Lubies ◽  
Simona Mayo González

The Intercultural and Bilingual Education program in Chile requires intercultural and bilingual preschools to work collaboratively with Mapuche communities to offer a relevant education for Indigenous children; however, no researchers have studied this partnership. In this context, the main objective of this study is to examine the relationships within the communities that have emerged around intercultural and bilingual preschools in Región Metropolitana, Chile. Using the notion of contact zone (Pratt, 1992) we analyze characteristics of the ties developed between members of the preschool institution and the participants of the Mapuche communities. To address this goal, we conducted a qualitative case study, and with ethnographic techniques we collected data using semi-structured interviews, participant observation and group conversations in two preschools; data were codified and categorized with thematic analysis. The main findings show that in this contact zone, the Mapuche communities participate primarily in cultural events, the Educators of Indigenous Language and Culture (ELCIs) are poorly valued and, outside the classrooms these partnerships are seen as learning spaces by the preschool teachers.


ForScience ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. e00753
Author(s):  
Diny Gabrielly de Miranda Martins ◽  
Dandara Lorrayne do Nascimento

Foi realizado um estudo de caso qualitativo, com 24 alunos de um curso técnico em Recursos Humanos, com o objetivo de verificar quais são os modelos mentais que esses estudantes possuem sobre cálculos para folhas de pagamento. Ao utilizar um questionário e realizar entrevistas semiestruturadas, a fim de investigar os possíveis níveis de evolução dos modelos mentais dos estudantes, as análises mostraram que 17% dos alunos são não modeladores, ou seja, não possuem nenhuma estratégia de pensamento sobre o tema, mesmo que este já tenha sido ministrado ao longo do Ensino Fundamental e Médio. Além disso, foi observada a importância em considerar as estratégias de raciocínio dos alunos, não considerando apenas os “erros” ou “acertos” nas questões propostas. Pode-se considerar que dentro do mesmo curso diversos alunos apresentaram modelos mentais diferentes uns dos outros mesmo recebendo a mesma instrução. Esse resultado mostra a importância da reflexão sobre as práticas didático-pedagógicas utilizadas em sala de aula, uma vez que o intuito é proporcionar a todos os alunos uma aprendizagem efetiva e de qualidade que perdure ao longo da vida. Palavras-chave: Modelos mentais. Curso técnico. Matemática.   Mental models related to calculus learning for payrolls in a technical course Abstract A qualitative case study was carried out with 24 students from a technical course in Human Resources, with the objective of verifying what are the mental models that these students have on payroll calculations. When using a questionnaire and conducting semi-structured interviews, in order to investigate the possible levels of evolution of the students' mental models, the analyzes showed that 17% of the students are non-modelers, in other words they do not have any thinking strategy on the theme, even ifit has already been taught throughout Elementary and High School. In addition, the importance of considering the students' reasoning strategies was observed, not only considering the “mistakes” or “successes” in the proposed questions. It can be considered that, within the same course, several students presented different mental models from each other even receiving the same instruction. This result shows the importance of reflecting on the didactic-pedagogical practices used in the classroom, since the aim is to provide all students with effective and quality learning that lasts throughout their lives. Keywords: Mental models. Technical Course. Mathematics.


2021 ◽  
Author(s):  
◽  
Helen Pentecost

<p>After three years of schooling, some primary students are behind the expected levels for spelling achievement. This qualitative case study sought an insider view from 12 Year 4 students on the strategies they used to spell words within the context of classroom writing programmes. The students in the study attended three primary schools. Half the students had been identified by their teachers as achieving below the expected level in spelling for their year group and half at the expected level. Data were collected through a series of semi-structured interviews with groups of students and individual interviews with teachers from their schools. Data were also gathered from analysis of the students' writing samples. A comparison was made between the data gathered from the two groups of students, searching for similarities and differences in their strategies and understandings about spelling. Data from the students were also compared to the teachers' views about how students learn to spell. The average-achieving students viewed new words as problems that can be solved through using a combined repertoire of strategies. These included drawing on visual memory, using phoneme-grapheme relationships and morphological strategies to spell challenging words. In contrast, the below average achievers had a more limited range of strategies, tending to use only one strategy at a time and did not readily making links to their prior knowledge. If teachers are aware of these strategies and how successful spellers combine appropriate strategies, they can assist students to improve their spelling by giving specific instruction and feedback on their use.</p>


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