scholarly journals Impact of Urgent and Emergency Care Vanguards on Delayed Transfers of Care in England

2020 ◽  
Author(s):  
Gintare Malisauskaite ◽  
Karen Jones ◽  
Stephen Allan ◽  
Daniel Roland ◽  
Yvonne Birks ◽  
...  

Abstract Objectives: To assess the relationship between Urgent and Emergency Care (UEC) Vanguards, which include as an aim the integration of healthcare and social care sectors, and Delayed Transfers of Care (DTOC) at Local Authority level in England. Methods: Difference-in-difference pooled cross section, fixed and random effects panel estimations were used to compare DTOC between UEC partner site Local Authorities with non-UEC Local Authorities employing quarterly data on days of DTOC from Local Authorities in England for the period 2010 to 2017. Robustness checks included employing a range of sample and variable specifications and synthetic control estimations.Results: A statistically significant negative relationship was found between UEC Vanguards and DTOC rates that is robust to various specification checks with no indication of UEC participant sites having lower DTOC rates prior to the start of the initiative. Conclusions:UEC Vanguards appear to be associated with up to 40.5% lower DTOC rates at 1% significance level compared with other English Local Authorities. The empirical evidence indicates a statistically significant impact; however, more research is required to explain the reasons for this relationship.

2020 ◽  
Author(s):  
Gintare Malisauskaite ◽  
Karen Jones ◽  
Stephen Allan ◽  
Daniel Roland ◽  
Yvonne Birks ◽  
...  

Abstract Objectives: To assess the relationship between Urgent and Emergency Care (UEC) Vanguards, which include as an aim the integration of healthcare and social care sectors, and Delayed Transfers of Care (DTOC) at Local Authority level in England. Methods: Difference-in-difference and fixed effects panel estimations were used to compare DTOC between UEC partner site Local Authorities with non-UEC Local Authorities employing quarterly data on days of DTOC from Local Authorities in England for the period 2010 to 2017. Robustness checks included employing Ordinary Least Squared (OLS) and synthetic control estimations; differences between the UEC and non-UEC sites were checked prior to the start of the Vanguards. Results: A statistically significant negative relationship was found between UEC Vanguards and DTOC rates that is robust to various specification checks with no indication of UEC participant sites having lower DTOC rates prior to the start of the initiative. Conclusions: UEC Vanguards appear to be associated with 40.5% lower DTOC rates at 1% significance level compared with other English Local Authorities. The empirical evidence indicates a statistically significant impact; however, more research is required to explain the reasons for this relationship.


2021 ◽  
Author(s):  
Elham Abdullah Ghobain ◽  

This study observes a particular group of students learning medical terms (MT) implicitly through studying medical subjects. That is, based on the policy followed in the context of the study, students shall not receive any deliberate terms instruction. This paper investigates their experiences and attitudes towards acquiring MT in such a situation. Students’ acquisition and proficiency, hypothesizing a positive relationship between the two constructs, are self-assessed through pre- and post-test surveys. The surveys included 114 and 95 students in each phase, respectively. Prior to the surveys, focus group discussions were conducted, according to which the questionnaire was developed. A statistical correlational Pearson test was done to examine the relationship between students’ proficiency and incidental terms acquisition. The results indicated a significant negative relationship between the two constructs tested. The study also tested the effect of time on increasing acquisition through conducting a paired independent t-test between the two sets of data. The results found that a more extended period was significant to incidental acquisition. Overall, through comparing the means, modes, and medians in the two phases (pre- and post-test), the findings reveal an increase in the students’ terms acquisition volume. However, students seem not to favour the approach and still advocate explicit instruction for technical terms.


2019 ◽  
Vol 6 (2) ◽  
pp. 146
Author(s):  
Azizah Fitriah

Every human being will one day experience a tense period in the short term when facing known problems such as career pressures, family disputes or quarrels, material pressures, and personal despair, and we will think that this is depression, which is not is an important problem because it will resolve itself, but none of these fleeting conditions is depression. Good emotional intelligence can reduce aggression, especially in adolescents. Therefore, if emotions are managed successfully, the individual will be able to entertain themselves when overwritten by sadness, can release anxiety, moodiness or offense and rise quickly again from it all. This research is field research with a correlational approach, exploring the relationship between depression and emotional intelligence in married students. The results of the hypothesis test show that between emotional intelligence and depression in married students has a significant negative relationship (XY = -0.411; sig = 0.014 <0.05). This is in accordance with the data obtained from the SPSS 19 for Windows program, stating that r table 0.334 and r xy (r hit) -0.411, said to be significant if r xy = 0.411> r table = 0.334. In other words, the higher the emotional intelligence of students who are married, the lower the possibility of depression.


Author(s):  
Roman Fiala ◽  
Martin Prokop ◽  
Iva Živělová

The article deals with an investigation of the relationship between inter-organizational trust and performance. Using data obtained in a questionnaire survey in 373 organizations with more than 20 employees with their seat in the Czech Republic, we found the relationship between inter-organizational trust and supplier performance, mediated by the level of conflict. Also, the statistically significant negative relationship between inter-organizational trust and costs of negotiation and the statistically significant positive relationship between supplier performance and perceived performance were confirmed. The hypothesis on the statistically significant relationship between inter-organizational trust and negotiating costs was not confirmed. The structural equation modelling technique was used in the calculations. The calculated model fit indices (CFI, NFI, NNFI) with values over 0.9 demonstrate a very good quality of the model.


2020 ◽  
Vol 13 (8) ◽  
pp. 35
Author(s):  
Lijing Lin

In the second language acquisition domain, researchers have devoted tremendous efforts to studying the relationship between L2 learning and some socio-affective factors, such as anxiety, motivation, etc. However, little research has been done to examine whether and how perfectionism, a psychological trait, affects L2 learning and L2 performance. The present study aims to fill this gap and investigate the relationship between the level of perfectionism and L2 performance among Chinese EFL college learners. Two specific questions are raised: (1) What is the relationship between perfectionism and L2 writing performance in terms of linguistic complexity, accuracy, and fluency? (2) What is the relationship between the six dimensions of perfectionism (Concern over Mistakes, Personal Standards, Parental Expectations, Parental Criticism, Doubts about Actions, Organization) and L2 writing performance in terms of linguistic complexity, accuracy, and fluency? To answer these questions, forty second-year students from Guangdong University of Foreign Studies majoring in English participated in the present study. The participants were required to compose a piece of English argumentative writing on the online system and then complete a 35-item Multidimensional Perfectionism Scale online immediately. The collected data were then processed and analyzed through SPSS (v. 17). The results of the analysis revealed that: (1) one of the measures of syntactic complexity has a significant negative relationship with perfectionism; (2) Personal Standards, one of the six dimensions of perfectionism, has a significant negative relationship with the participants&rsquo; L2 writing performance; (3) both Parental Expectations and Parental Criticism are found negatively correlated with the fluency aspect of the writing performance and the relationships have a significant effect. The implications of the findings are suggested for pedagogy and L2 learning.


2019 ◽  
Vol 1 (3) ◽  
pp. 314-323
Author(s):  
Leni DarmaWanti ◽  
Margaretta Erna Setianingrum

This study aims to determine the relationship between self-efficacy with anxiety facing matches in athletes at the Apac Inti soccer school. Anxiety will arise when faced with something new such as facing a match. Athletes who master physical, technical, and good tactics, but if an athlete's mind is disturbed by excessive negative things, it can interfere with concentration and not optimal in the competition, causing athletes to feel anxious. The population in this study were 40 male students of Apac Inti aged 15-18 years. This research uses a quantitative correlational method with saturated sampling technique. Based on the research results obtained correlation coefficient (r) = -0.547; p <0.05 and it can be concluded that there is a significant negative relationship between self-efficacy with anxiety facing the match in athletes at Apac Inti soccer school.


Author(s):  
Adrian Bonner

This introductory chapter provides an overview of the relationship between health and housing, regional disparities and responses across England, Wales, and Scotland in the provision of health and social care and local authority commissioning. It considers how the Municipal Corporations Act (1835) led to the establishment of elected town councils. In the mid- to late 20th century, municipalisation gave way to centralised government, which subverted the autonomy of local authorities. Currently, social care is provided and funded by local authorities and private funders. The main objective of social care is to help people to live well and happily, and live as long as they can. This person-centred approach is in contrast to the systems that have been developed to support the health care needs of people. In 2020, poverty still remains a key driver of poor health and wellbeing.


2015 ◽  
Vol 9 (2) ◽  
pp. 177-194 ◽  
Author(s):  
Samuel Jebaraj Benjamin ◽  
Mazlina Mat Zain

Purpose – This paper aims to furnish incremental insights on dividends and corporate governance (CG) by addressing the relationship between board meeting frequency and board independence with dividend payout. In particular, this study aims to investigate whether CG attributes are substitutes to control agency problem within the Malaysian context. Design/methodology/approach – This paper examines panel data on a sample of 114 Malaysian firms (798 observations) for seven years from 2002 to 2008. Findings – Based on 798 firm-year observations for the period from 2002 to 2008, the results show significant negative relationship between CG (board independence, board meeting frequency) and dividend payout. This suggests that CG and dividend payout are substitutes in reducing agency costs. Our study provides empirical evidence consistent with the “substitution argument”, indicating that firms with weak CG need to establish reputation by paying more dividends. Specifically, the findings indicate that firms with a higher proportion of independent directors and boards of director that meet more frequent pay lower dividends. Originality/value – This paper provides evidence on previously untested governance characteristics in relation to how they act as substitute mechanisms with dividends for reducing agency costs. The results builds a strong case for the fresh strand of knowledge on dividends and CG which tests each CG variables to understand each of its unique relationship with dividends in line with the dividends outcome or substitute theory.


2018 ◽  
Vol 5 (1) ◽  
pp. 19-25
Author(s):  
Md Shiduzzaman ◽  
Humyra Akhter ◽  
Mohammad Bashir Ahmed ◽  
Md Matiul Islam

Vermicompost is very useful manure which is becoming popular day by day. However, its perception by the farmers is not yet assessed in the southwestern region of Bangladesh. The main objectives of this study were to determine the farmers’ perception of beneficial effects and limitations of vermicompost and to explore the relationship between selected characteristics of the farmers’ and their perception of beneficial effects and limitations of vermicompost. Data were collected using an interview schedule from randomly selected 60 respondents. Locale was three villages namely Lokhpur, Bollokhpur and Vobna under Fakirhat upazila of Bagerhat district. Faceto- face interview was conducted during 7 to 29 May, 2016. Farmers’ perception regarding the beneficial effects and limitations of vermicompost was measured using 5- point Likert type scale. Data were analyzed using SPSS software and farmers’ perception index was calculated. Majority (66.7 percent) of the respondents had moderate perception while 18.3 percent and 15 percent of them had less and high perception, respectively, on the beneficial effects and limitations of vermicompost. Among seven selected characteristics of the respondents, age showed a significant negative relationship with their perception of beneficial effects and limitations of vermicompost while training experience of the respondents showed a significant positive relationship with their overall perception. Thus, arrangement of training could pave the way of high perception of beneficial effects and limitations of vermicompost.Res. Agric., Livest. Fish.5(1): 19-25, April 2018


1979 ◽  
Vol 134 (5) ◽  
pp. 488-493 ◽  
Author(s):  
Paul Collins ◽  
Ian Lee ◽  
Peter Tyrer

SummaryFinger tremor and extrapyramidal side-effects (EPSEs) were measured in seven patients before and during neuroleptic drug treatment to assess the relationship between the onset of EPSEs and changes in finger tremor spectra. Tremor and EPSEs were also measured in twelve patients stabilized on neuroleptic drugs to determine whether tremor could provide a reliable index of the presence and severity of extrapyramidal system disturbance. A downward shift in peak tremor frequency was noted within 48 hours of starting neuroleptic drug therapy, usually before the onset of EPSEs, and a significant negative relationship between the severity of EPSEs and tremor frequency (but not tremor amplitude). The peak frequency of finger tremor is thus a sensitive index of extrapyramidal disturbance and might be of value in predicting which patients taking neuroleptic drugs need anti-parkinsonian therapy.


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