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LeBaron, Ashley B., Loren D. Marks, Christina M. Rosa und E. Jeffrey Hill. „Can We Talk About Money? Financial Socialization Through Parent–Child Financial Discussion“. Emerging Adulthood 8, Nr. 6 (10.02.2020): 453–63. http://dx.doi.org/10.1177/2167696820902673.
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This multigenerational, qualitative research study explores family financial discussion processes that may lead to better financial preparation for emerging adults. Interviews were conducted with 90 emerging adults from three universities as well as 17 of their parents and 8 of their grandparents. Qualitative analyses revealed two major themes associated with family financial discussion processes. In parent-initiated discussions, principles were taught primarily through vertically structured (top-down) delivery. Three concepts reported across all three generations of respondents included (a) sharing financial experiences, (b) involving children in decisions, and (c) engaging in age-appropriate conversations. In child-initiated discussions, analyses revealed that financial principles were often taught in interactive, conversational, horizontal, and organic ways. Analyses identified two recurring concepts or contexts: (a) children asking financial questions and (b) child-initiated, age-appropriate conversations. These results highlight healthy processes for family financial discussion that may better prepare emerging adults for financial adulthood and reduce financial instability.
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Warin, Nathalie De Marcellis, William Sanger und Thierry Warin. „A network analysis of financial conversations on Twitter“. International Journal of Web Based Communities 13, Nr. 3 (2017): 281. http://dx.doi.org/10.1504/ijwbc.2017.086588.
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Warin, Thierry, Nathalie De Marcellis Warin und William Sanger. „A network analysis of financial conversations on Twitter“. International Journal of Web Based Communities 13, Nr. 3 (2017): 1. http://dx.doi.org/10.1504/ijwbc.2017.10004118.
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Warsame, Rahma M., Aminah Jatoi, Brittany Kimball, Cara Fernandez, Aaron L. Leppin, Ashok Kumbamu und Jon Charles Tilburt. „How costs get discussed (or not) in routine oncology practice.“ Journal of Clinical Oncology 35, Nr. 15_suppl (20.05.2017): 6512. http://dx.doi.org/10.1200/jco.2017.35.15_suppl.6512.
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6512 Background: Cancer patients are nearly 3x more likely to declare bankruptcy than people without cancer. However, little is known about the dynamics of the healthcare provider/patient (pt) conversations around cost issues, the range of topics explored, and the factors that may influence them. We reviewed audio recordings of a cross-section of medical oncology conversations to determine frequency, patterns and attitudes of pts and providers on cost. Methods: We audio recorded conversations between 5/3/2012 & 11/20/2013 for adult patients with any solid tumor malignancy seen in an outpatient medical oncology clinic at one of three sites in the Upper Midwest and Southern California. Basic demographic variables were abstracted from chart review. Recordings were de-identified, reviewed and flagged for any mention of cost. We used descriptive statistics and inductive qualitative content coding methods to further characterize conversation themes. Results: Among 525 recordings, 151 (28%) contained any mention of cost. Median age (range) of pts was 58 years (22-93), and 75% Caucasian, 18% Hispanic, 5% Asian, and 1% Black. Average length of cost discussions was < 2 minutes, and pts usually initiated the discussion (106 /151). Among the 151 conversations, social service referrals were mentioned only 6 times (4%). Through qualitative analysis we identified several key topics: insurance coverage, disability, drug copays, and transportation. The recording dynamics most frequently displayed acknowledging but not taking action on the part of clinicians. Only 25% of clinicians behave confidently in how to address a patients cost concerns. Conclusions: In a diverse cross-section of oncology visits, cost comes up only 1/4 to 1/3 of the time and focuses on insurance coverage, disability and out of pocket drug costs. However clinicians often leave these issues unaddressed. Discussing financial burdens and identifying way to improve existing conversations will be important to mitigate additional financial distress. [Table: see text]
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Agostino, Deborah, und Yulia Sidorova. „A performance measurement system to quantify the contribution of social media: new requirements for metrics and methods“. Measuring Business Excellence 20, Nr. 2 (16.05.2016): 38–51. http://dx.doi.org/10.1108/mbe-05-2015-0030.
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Purpose The purpose of this paper is to focus on measuring the contribution generated by social media when used for business purposes, distinguishing between metrics and methods for data collection and data analysis. Organizations worldwide have widely endorsed social media, but available studies on the contribution generated by these technologies for organizations are fragmented. A performance measurement system (PMS) framework to monitor social media is theoretically derived, highlighting the methods for data collection and data analysis and metrics to quantify social media impacts in terms of financials, network structure, interactions, conversations and users’ opinion. Design/methodology/approach This is a qualitative research based on a literature review of papers in management, information technology, marketing and public relations. Findings A PMS framework to quantify the contribution of social media is theoretically derived, distinguishing between metrics and methods. PMS metrics support the measurement of the financial and relational impact of social media, as well as the impact of social media conversations and users’ opinions. PMS methods comprise different approaches for data collection and data analysis that range from manual to automated data collection and from content to sentiment analysis techniques. Originality/value The PMS framework contributes to the academic literature by integrating a unique model of the available approaches for social media measurement that can serve as a basis for future research directions. The framework also supports practitioners that face necessity to quantify financial and relational contributions of social media as well as the contribution of social media conversation and users’ opinion.
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Henrikson, Nora B., Matthew P. Banegas, Leah Tuzzio, Catherine Lim, Jennifer L. Schneider, Callie Walsh-Bailey, Aaron Scrol und Stephanie M. Hodge. „Clinical workflows to support cost-of-care conversations: Multisite design study.“ Journal of Clinical Oncology 36, Nr. 30_suppl (20.10.2018): 168. http://dx.doi.org/10.1200/jco.2018.36.30_suppl.168.
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168 Background: Patients prefer to discuss costs in the clinical setting, but current workflows are not designed to support cost-of-care conversations. Methods: We conducted a human centered design study to identify clinical workflows that optimize cost of care conversations. We conducted ethnographic observations at primary care departments or oncology clinics at two integrated health systems, assessing barriers and facilitators to discussing costs with patients. We then designed three unique patient experiences of having financial concerns addressed in the clinic setting. We refined these experiences following in-person patient interviews (n = 20). All data was synthesized into (1) a set of clinical workflow requirements and (2) journey maps describing sample workflows for the three patient experiences. Results: Most patient cost concerns take one of three unique pathways, each with workflow implications: (1) informing clinical decision-making, such as alternative treatment selection, mode of administration, or therapy sequence; (2) planning and budgeting concerns for therapy; and (3) addressing immediate financial hardship. Workflow requirements include organizational recognition of the need for clinic-based cost of care conversations; access to cost and benefits data to support each conversation pathway; clear team member roles and responsibilities for addressing cost of care concerns, including the role of the physician; pursuit of a patient experience that includes a clinical culture where cost questions are normal and each patient's values, preferences, and privacy are respected; patients know who to go to with cost questions; patients' concerns are documented to minimize repetition to multiple team members; and patients learn their expected OOP costs before treatment begins. Conclusions: Clinic-based workflows for cost-of-care conversations that optimize patients’ care experience require organizational commitment to addressing cost concerns, clear roles and responsibilities, appropriate and complete data access, and a team-based approach.
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Warsame, Rahma, Cassie C. Kennedy, Ashok Kumbamu, Megan Branda, Cara Fernandez, Brittany Kimball, Aaron L. Leppin et al. „Conversations About Financial Issues in Routine Oncology Practices: A Multicenter Study“. Journal of Oncology Practice 15, Nr. 8 (August 2019): e690-e703. http://dx.doi.org/10.1200/jop.18.00618.
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PURPOSE: To describe the frequency, content, dynamics, and patterns of cost conversations in academic medical oncology across tumor types. PATIENTS AND METHODS: We reviewed 529 audio recordings between May 3, 2012, to September 23, 2014, from a prospective three-site communication study in which patients at any stage of management for any solid tumor malignancy were seen in routine oncology appointments. Recordings were deidentified, transcribed, and flagged for any mention of cost. We coded encounters and used qualitative thematic analysis. RESULTS: Financial issues were discussed in 151 (28%) of 529 recordings. Conversations lasted shorter than 2 minutes on average. Patients/caregivers raised a majority of discussions (106 of 151), and 40% of cost concerns raised by patients/caregivers were not verbally acknowledged by clinicians. Social service referrals were made only six times. Themes from content analysis were related to insurance eligibility/process, work insecurity, cost of drugs, cost used as tool to influence medical decision making, health care–specific costs, and basic needs. Financial concerns influenced oncology work processes via test or medication coverage denials, creating paperwork for clinicians, potentially influencing patient involvement in trials, and leading to medication self-rationing or similar behaviors. Typically, financial concerns were associated with negative emotions. CONCLUSION: Financial issues were raised in approximately one in four academic oncology visits. These brief conversations were usually initiated by patients/caregivers, went frequently unaddressed by clinicians, and seemed to influence medical decision making and work processes and contribute to distress. Themes identified shed light on the kinds of gaps that must be addressed to help patients with cancer cope with the rising cost of care.
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Edward, Jean. „Effective Cost Conversations: Addressing Financial Toxicity and Cost-Related Health Literacy“. Clinical Journal of Oncology Nursing 24, Nr. 2 (01.04.2020): 209–13. http://dx.doi.org/10.1188/20.cjon.209-213.
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Ragavan, Meera Vimala, Divya Ahuja Parikh und Manali I. Patel. „Comparison of perspectives and practices to mitigate financial toxicity between advance practice providers and attending oncologists.“ Journal of Clinical Oncology 38, Nr. 29_suppl (10.10.2020): 82. http://dx.doi.org/10.1200/jco.2020.38.29_suppl.82.
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82 Background: Characterizing the oncology provider’s role in addressing the growing epidemic of financial toxicity faced by cancer patients is of increasing importance. Advance practice providers (APPs) increasingly serve as primary providers for many cancer patients, but no studies to date have examined their perspectives and practices in addressing financial toxicity, nor compared them to that of attending physicians. Methods: We developed an 18-question electronic, anonymous survey informed by an extensive literature search regarding perspectives on the provider’s role and current practices in addressing financial toxicity. We emailed the survey to 75 attending physicians and 117 APPs at our institution’s cancer center. Responses during the study period 12/12/2018-1/31/2019 were analyzed. Results: 32 attending physicians and 28 APPs completed the survey. Response rates were higher among attending physicians (42%) compared to APPs (24%). Attending physicians were more likely than APPs to agree that providers should openly discuss cost (75% vs. 36%, p = 0.002). APPs were more likely to agree that providers should defer cost conversations to a third party (57% vs. 31%, p = 0.04) and make the same treatment recommendation regardless of cost (50% vs. 25%, p = 0.022). Use of cost-effectiveness (CE) guidelines was higher among APPs compared to attending physicians (71% vs. 31%, p = 0.0019). Awareness of out of pocket costs, frequency of referrals to financial counselors, and ranking of top barriers to cost conversations (price transparency, knowledge of resources, and time) were similar between attending physicians and APPs. Conclusions: While APPs and attending physicians differed considerably in their perspectives on the role oncology providers should take in mitigating financial toxicity, they were more consistent in current practices and identification of barriers to cost conversations. APPs were interestingly more likely to use CE guidelines than attending physicians. Higher response rates among attending physicians may reflect inherently stronger opinions regarding the provider’s role in addressing financial toxicity. Future studies should explore these differences to better inform provider-level interventions to reduce financial toxicity.
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Taylor, Ros. „Married just in time: Deathbed weddings, meaning and magic“. International Journal of Whole Person Care 7, Nr. 1 (15.01.2020): 5. http://dx.doi.org/10.26443/ijwpc.v7i1.209.
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Background :Brave conversations in hospital, often facilitated by the palliative care team, lead to a discovery of what really matters if time is short.Getting married turned out to be high on the agenda for many couples where one partner is facing mortality.There has been little exploration of romance and marriage in the context of advanced illness. Method:7 deathbed weddings in a tertiary cancer centre were analysed. These had taken place over a period of 2 years. Initial conversations, subsequent arrangements, the impact on the couple, and the subsequent reactions in bereavement were explored. Demographics, illness details, reasons for the marriage and logistics of the wedding were recorded Bereaved spouses were subsequently interviewed about the meaning of the wedding. Results:6/7 weddings were identified as ‘goals’ by the palliative care team On average the time from conversation to wedding was 10 days 3/7weddings took place within 1 day of the conversation Wedding outfits ranged from pyjamas to full white wedding on a hospital ward.5/7 brides/grooms died in hospital, on average 16 days after the wedding, In terms of meaning, this ranged from legal and financial reasons, to a statement of love and connection Discussion:Momentous celebrations distracted patients, relatives and healthcare team from the daily tragedy they were immersed in. The focus became one of healing not curing. Teams were uplifted, symptoms improved.The stories reinforced the idea that self-esteem and need for connection are dominant forces even in the face of death.
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Shenker, Jack. „Conversations with Stuart Hall: unravelling and resistance“. Soundings 75, Nr. 75 (01.09.2020): 161–71. http://dx.doi.org/10.3898/soun.75.10.2020.
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This article explores what it's like to live through the unravelling of a political settlement, and reflects on its complicated relationship to resistance. To do so, it discusses two young people who live thousands of miles apart and looks at some of the threads which bind them together. Kamal lives in Cairo, and was an activist in the Egyptian revolution. Kyle, from Greater Manchester, has a suffered from a lack of social care support - directly related to austerity - that caused him to become homeless as a teenager. Each life has been irrevocably marked by the impossibility of sustaining the settlement that existed before the financial crisis. Each young man lives under a government that has no intention of addressing their needs. Each continues, despite everything, to believe in politics. The new landscape of political struggle contains both emancipatory and deeply revanchist possibilities. Understanding its contours will help us to find within it the people, communities and the stories that give cause for optimism.
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Mann, Karely, Austin R. Waters, Perla L. Vaca Lopez, Nicole Ray, Tomoko Tsukamoto, Heydon K. Kaddas, Echo L. Warner et al. „Financial burdens of insured adolescent and young adult cancer patients: A need for crowdfunding platforms, fundraisers, financial grants, and cost conversations with their cancer care team.“ Journal of Clinical Oncology 38, Nr. 29_suppl (10.10.2020): 83. http://dx.doi.org/10.1200/jco.2020.38.29_suppl.83.
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83 Background: Cancer patients in the United States often experience distress surrounding out of pocket costs from treatment. Adolescents and young adults (AYA) are more likely to be underinsured, skip care due to cost, go into debt, and file for bankruptcy after a cancer diagnosis than patients diagnosed at older ages. We conducted semi-structured interviews with AYA cancer patients and survivors to evaluate their experiences with health insurance, cancer costs and use of crowdfunding. Methods: Eligible participants were ages 18-39, diagnosed with cancer, and currently insured. Recruitment occurred largely through patient navigators at two large cancer centers from October 2019 to March 2020. Data was collected via individual semi-structured telephone interviews, which were analyzed for content. Questions were asked pertaining to crowdfunding platforms, fundraisers, satisfaction with current health insurance policy, and cost conversations with their cancer care team. Interviews were analyzed applying two rounds of thematic content analysis. Summary statistics were calculated for demographics. Results: Twenty-four interviews were completed, with more than half of participants being female (58%), most participants being Non-Hispanic White (79%), mean age at 26.5, and currently receiving cancer treatment (79%). Three themes emerged about AYAs’ experience with treatment costs and health insurance: 1) Even with insurance, cancer care was unexpectedly expensive and burdensome on financial wellbeing; 2) Conversations about cost with cancer care teams were brief and rare and 3) Crowdfunding platforms, fundraisers or financial grants were often used as financial safety nets, and did not cover all out of pocket costs. More than half of participants expressed interest in having cost conversations with their oncologist, nurse or social worker. All participants expressed a need for education on managing cancer costs and a particular interest in educational information on appeals and out of pocket costs. Conclusions: AYAs with cancer report unexpected costs and are interested in discussing this with their cancer care team. AYAs often receive money from fundraisers, financial grants or crowdfunding platforms to assist with the expenses of treatment. Discussions between cancer care teams and AYA patients about health insurance policies and cost saving mechanisms may help reduce out of pocket costs and reliance on external financial mechanisms.
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Pisu, Maria, Matthew P. Banegas, Margaret I. Liang, Leah Tuzzio und Nora B. Henrikson. „How, When, and With Whom Should Cost of Care Conversations Occur? Preferences of Two Distinct Cancer Survivor Groups“. JCO Oncology Practice 16, Nr. 9 (September 2020): e912-e921. http://dx.doi.org/10.1200/jop.19.00726.
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PURPOSE: Cost of care (CoC) conversations should occur routinely in oncology practice. However, patient preferences about with whom, when, and how to have these conversations are missing and preferences may vary across patient populations. METHODS: We performed a secondary qualitative analysis of quotes from interviews with 28 cancer survivors from two health care settings (Kaiser Permanente Washington and O’Neal Comprehensive Cancer Center at University of Alabama at Birmingham [UABCCC]). A targeted approach searched for three constructs: (1) Who should have CoC conversations with patients? (2) When should CoC conversations occur? and (3) How should CoC conversations happen? RESULTS: Interviewees were similar in age and education, but UABCCC participants had more racial/ethnic minority representation and financial distress. Within each construct, themes were similar across both groups. As to who should have CoC conversations, we found that (1) providers’ main role is medical care, not CoC; and (2) care team staff members are a more appropriate choice to address CoC needs. About the question of when, we found that (3) individuals have strong convictions about when and if they want to discuss CoC; and (4) CoC information and resources need to be available when patients are ready. About the question of how, themes were (5) provide estimates of anticipated out-of-pocket costs and insurance coverage; (6) provide reassurance, sympathy, and concrete solutions; and (7) because of their sensitivity, conduct CoC conversations in a comfortable, private space. CONCLUSION: These findings offer general guidance as to who should conduct CoC conversations and when and how they should occur, with applicability across different patient populations.
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Brady, Samantha, Julie Miller, Alexa Balmuth, Lisa D'Ambrosio und and Joseph Coughlin. „NAVIGATING FINANCIAL CONVERSATIONS ABOUT STUDENT LOAN DEBT AMONG OLDER BORROWERS AND THEIR FAMILIES“. Innovation in Aging 3, Supplement_1 (November 2019): S299—S300. http://dx.doi.org/10.1093/geroni/igz038.1099.
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Abstract Currently, approximately 44 million people in the United States carry the weight of over 1.4 trillion dollars of student loan debt. As the cost of education continues to rise, the decision of taking on student loans is increasingly a family decision rather than an individual one. While the majority of research focuses on younger borrowers, little research has been done to understand the experiences of parents and grandparents taking on student loans for a loved one. In order to financially and emotionally manage this burden, borrowers may benefit from support from their social networks, including family and friends. For many, navigating these difficult conversations presents a challenge of its own. This presentation will spotlight an MIT AgeLab mixed methods study about how student loan borrowers between the ages of 51 and 75 experience and manage their student loans within family systems and how these loans may impact family dynamics. Data were collected through focus groups and a national survey. Preliminary findings suggest that older borrowers demonstrate several distinct communication typologies within their families in regards to finances, particularly regarding student loan accrual and repayment. Each of the four primary communication styles regarding loans impact borrowers’ financial and emotional wellbeing throughout the life course, as well as perceived relationship dynamics. Moreover, older borrowers are more likely to report family conflict if student loans are less frequently discussed with family members. Findings also suggest strategies to help parents and grandparents facilitate conversations abound student loans based on their unique family communication styles.
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Plotkin, Elana, Marianne Gandee und Lorna Lucas. „Multidisciplinary cancer teams and utilization of resources for metastatic breast cancer (MBC): A landscape analysis.“ Journal of Clinical Oncology 37, Nr. 27_suppl (20.09.2019): 186. http://dx.doi.org/10.1200/jco.2019.37.27_suppl.186.
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186 Background: An estimated 250k Americans are currently living with MBC. While breast cancer is a high-profile disease receiving significant public funding, patients with metastatic breast cancer face unique challenges. ACCC seeks to expand the conversation to address gaps between early & metastatic disease and improve the management of MBC in the community setting. Communication challenges that cancer care teams face with MBC patients include: using a tailored and thoughtful approach, balancing hope and realism, patient engagement during conversations, incorporating principles of shared decision making, patient financial concerns, and family/caregiver involvement. Methods: An environmental scan was completed of nationally available resources. A survey on MBC Communication strategies was administered in a variety of oncology provider settings from Dec. 2018-Jan 2019. Results: Patient psychosocial needs were identified as the top challenge for working with MBC patients vs. Stage 1-3. 57% reported difficulty managing patient expectations, 55% reported patient financial concerns. While 66% of cancer programs offer a general breast cancer support group, only 27% offer a Stage 4 group. 59% of respondents rely on casual conversations with patients to assess what they want, only 34% ask patients to define what quality of life would mean for them. 33% document goals in the EMR. Over 150 free resources specific to MBC were categorized from diagnosis through hospice, resulting in a curated online library that clinicians can use with their patients. Conclusions: This patient population should be given specialized care to address their unique diagnosis and improve communications with their care team. The ACCC Resource Library gives both low and highly resourced programs access to more supportive care tailored to metastatic breast cancer.
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Björklund, Mattias, und Johan Sandahl. „Inviting students to independent judgement: Teaching financial literacy as citizenship education“. Citizenship, Social and Economics Education 20, Nr. 2 (02.07.2021): 103–21. http://dx.doi.org/10.1177/20471734211029494.
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Many financial literacy educational efforts mainly focus on teaching money management. However, money management alone does not address financial prerequisites concerning home ownership, savings or retirement planning since these issues are governed by agents outside households, namely the financial system and policy makers. This study examines students’ response to a financial literacy teaching that treats financial issues as controversial and contextually bounded to the financial and societal systems. Data consists of 36 students’ conversations during a financial literacy teaching intervention. Results show that students are capable of grasping and relating to financial concepts where association to the financial system and policy-making produce elaborate understanding. Furthermore, students that contest given financial concepts and system do not only present constructive alternate solutions for the future, but these students also seem to grasp current financial and societal systems in more advanced ways and thereby demonstrate a possible convergence between financial literacy and citizenship education.
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Kim, Bohyeong. „The ecosystem of a ‘wealth-tech’ culture: the birth of networked financial subjects in South Korea“. Media, Culture & Society 42, Nr. 2 (12.06.2019): 207–24. http://dx.doi.org/10.1177/0163443719853497.
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Starting with an online financial community in South Korea, this article explores the simultaneous production of a new form of subjectivity and a networked ecosystem of financial cultures. Using a multi-sited ethnography to track the movements of users as they moved across different spaces, this article finds that users gifted financial information to each other, blended laity and expertise, and reappropriated financial communities into a third place defined as an informal, public place hosting sociable conversations. Through the grafting of prosocial activities (e.g. sharing, gifting, and social networking) onto financial self-management, users were shaped as networked financial subjects and exhibited a distinctive mode of selfhood informed by both financial subjectivity and neoliberal networked subjectivity. At the same time, their practices spawned countless social, convivial groups as well as entrepreneurial financial gurus. By demonstrating the complex webs of on- and off-line groups, programs, relationships, and social networks, this article illustrates how the networked ecosystem of financial cultures brought the markets and commons into coalescence.
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Omstedt, Mikael. „Reading risk: The practices, limits and politics of municipal bond rating“. Environment and Planning A: Economy and Space 52, Nr. 3 (04.10.2019): 611–31. http://dx.doi.org/10.1177/0308518x19880903.
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This article contributes to the growing literature on the relationship between local governments and financial markets by demystifying the municipal bond rating process. Since the Great Recession, the dynamics of municipal debt have moved to the forefront of American urban politics and the pursuit of high bond ratings has become a key mechanism constraining local policy autonomy. However, we know little about the actual practices of the rating agencies. Drawing on interviews conducted within these organizations, the article examines the criteria, processes and organizational practices that produce ratings. In conversation with calls for bridging the divide between political economy and techno-cultural approaches to markets, the paper shows how bond rating is structured by an ever-present tension between the need to understand localized investment risk in all its place-specific complexity while striving to fit that risk within the standardized grid of the rating scale. Further, the analysis highlights the imperative of budget flexibility through which indebted local governments are pushed into self-disciplining of their finances. As such, the article unpacks a particularly opaque area of local politics and furthers ongoing conversations between financial geography and urban political economy.
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Ahmed, Ahmed, Anna Winterbottom, John Stoves, Shenaz Ahmed und Sunil Daga. „Factors Impacting Conversations with Friends and Family about Living Kidney Donation“. Physician 7, Nr. 1 (27.02.2021): 1–7. http://dx.doi.org/10.38192/1.7.1.3.
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Introduction Living donor kidney transplantation is the optimal modality of renal replacement therapy for advanced kidney disease. It is associated with superior recipient and graft survival, a better quality of life and self-reported health status compared to dialysis. Living kidney donation occurs less frequently in members of Black, Asian and Minority Ethnic (BAME) communities in Western countries. This scoping review explores the factors affecting the ability of patients (and health professionals) to initiate conversations about living kidney donation with family and friends, with a focus on BAME population groups. Methods 208 published articles were identified from online databases using keywords: ‘barriers’, ‘decision making’, ‘living donor’, and ‘kidney transplantation. Studies limited to donors or involving paediatric recipients were excluded, Results There were 25 studies that met the inclusion criteria. Of these, 21 studies included BAME communities. Participants of South Asian ethnicity were underrepresented. Key themes were; 1) lack of knowledge 2) risk perception 3) fear of financial burden on donors 4) guilt 5) religious and cultural influences and 6) mistrust of the medical establishment. There were noticeable differences in ethnicity, in the level of knowledge, risk perception and fear of financial burden. Religious/cultural reservations and medical mistrust were only reported in people from BAME populations. Two studies explored health professionals’ views. Discussion This literature review has identified different barriers to the pursuit of living kidney donation, some of which are linked to ethnicity. This study informs the development of a patient decision aid to support people to have conversations with potential donors, with a particular focus on South Asian groups, the second largest ethnic group in the UK.
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Atmadja, Adwin Surja, Jen-Je Su und Parmendra Sharma. „Examining the impact of microfinance on microenterprise performance (implications for women-owned microenterprises in Indonesia)“. International Journal of Social Economics 43, Nr. 10 (10.10.2016): 962–81. http://dx.doi.org/10.1108/ijse-08-2014-0158.
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Purpose The purpose of this paper is to examine the impacts of microfinance on women-owned microenterprises’ (WMEs) performance in Indonesia. It especially observes how financial, human and social capital influences performance of enterprises. Design/methodology/approach Data were collected from a survey conducted in Surabaya, Indonesia’s second largest city, covering more than 100 WMEs. The ordered probit technique is applied to estimate the performance vis-à-vis financial, social and human capital relationships. Findings This study finds a negative relationship between performance and financial capital, and positive relationships between performance-human capital and performance-social capital. However, with respect to human capital, the level of education has a marginally significant relationship with performance. Practical implications Microcredit for the purposes of enhancing business performance might not necessarily be a good idea, if it is unable to generate higher returns. As a business develops, the volume of microcredit should be reduced, and replaced by owners’ own savings and retained profits. Regarding the non-financial factors, it might be useful for policy makers to contemplate providing incentives for spouse involvement in microenterprises run by women, and to consider them in designing credit policies. Group meetings activities should be extended to facilitate members to engage in business-related conversations and to develop social relationships. The ability of loan officers and group leaders to facilitate such conversations appears important. Originality/value To the best of the authors’ knowledge, this study provides the first in-depth understanding of the role of microfinance programmes in the case of performance of WMEs in Indonesia, one of the world’s most populous economies.
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Phillips, Stephen. „‘Never let a good crisis go to waste’ – The 2020 Business Information Review Survey: Part I“. Business Information Review 38, Nr. 1 (11.02.2021): 8–14. http://dx.doi.org/10.1177/0266382121991997.
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In its 30th year, the Business Information Review Survey captures insights from conversations with leading information managers in the UK and US. The participants include class leading information services leaders from a range of sectors, including financial services, law, professional services, manufacturing, mining and technology. The conversations took place in Q4 2020, covering corporate structure, staffing trends, the operating environment, the impact of technology, content delivery, vendor and client engagement. Respondents were also invited to share their strategic priorities for 2021, teeing up the 2021 survey which will invite the contributors to reflect on their achievements and the evolution of their services. Due to the quality and volume of information gathered, the survey is broken down into two parts. Part I introduces the survey, provides a detailed insight into the methodology, a high level summary of the participants, and detailed insights into the organisational structure and current staffing trends.
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Pelzer, Peter, Roger Hildingsson, Alice Herrström und Johannes Stripple. „Planning for 1000 Years: The Råängen Experiment“. Urban Planning 6, Nr. 1 (26.03.2021): 249–62. http://dx.doi.org/10.17645/up.v6i1.3534.
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While traditional forms of urban planning are oriented towards the future, the recent turn towards experimental and challenge-led urban developments is characterized by an overarching presentism. We explore in this article how an experimental approach to urban planning can consider the long-term through setting-up ‘conversations with a future situation.’ In doing so, we draw on a unique experiment: Råängen, a piece of farmland in Lund (Sweden) owned by the Cathedral. The plot is part of Brunnshög, a large urban development program envisioned to accommodate homes, workspaces, and world-class research centers in the coming decades. We trace how Lund Cathedral became an unusual developer involved in ‘planning for thousand years,’ deployed a set of art commissions to allow reflections about values, belief, time, faith, and became committed to play a central role in the development process. The art interventions staged conversations with involved actors as well as publics geographically and temporally far away. The Råängen case illustrates how long-term futures can be fruitfully brought to the present through multiple means of imagination. A key insight for urban planning is how techniques of financial discounting and municipal zoning plans could be complemented with trust in reflective conversations in which questions are prioritized over answers.
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Lasa-Álvarez, Begoña. „Young Girls on the Move in Charlotte Smith’s Didactic Miscellany Collections“. ES Review. Spanish Journal of English Studies, Nr. 41 (26.10.2020): 57–75. http://dx.doi.org/10.24197/ersjes.41.2020.57-75.
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This paper analyses the didactic miscellany collections for young female readers by the English writer Charlotte Smith. In these texts, through dialogues and conversations, the young protagonists are seen to learn from their daily experiences of walking in the natural world. Smith’s texts also offer remarkable examples of girls on the move in another sense, in that some of the young female protagonists appear to be escaping from distressing family and financial circumstances, in search of better life opportunities.
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Manoli, Argyro Elisavet, Georgios A. Antonopoulos und Michael Levi. „Football clubs and financial crimes in Greece“. Journal of Financial Crime 23, Nr. 3 (04.07.2016): 559–73. http://dx.doi.org/10.1108/jfc-06-2015-0030.
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Purpose The purpose of the current article is to provide an account of the financial crimes that are committed within the football clubs in Greece. Design/methodology/approach First, ethnographic research with two football clubs in Greece was conducted. Additional information on the issues at stake was obtained through interviews with informed actors from the realm of Greek football. Moreover, the telephone conversations that were available as the result of wiretapping by the Greek National Intelligence Agency, in relation to the latest football match-fixing scandal (2011) were used. Finally, published media sources were used. These provided information not only on the process behind financial crimes within football clubs but also on the key actors involved. Findings A number of financial (and finance-related) crimes committed within football clubs were identified in the study. These include: ticket “tricks”, fake tax certificates, crimes related to the players’ salary payments, owing money, money laundering and match-fixing. Issues around financial crimes within football clubs must be located within the overall football-related context in the country, which is, of course, an extension of the general financial, entrepreneurial and political landscape in the country. Originality/value This is the first article on football clubs and financial crimes in Greece. Although this is a case study from Greece, it constitutes a potential template for research on an international level. By using the case of football and football clubs in Greece, this article adds to understandings of the complexity of the broader motivational context of financial crime.
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Sakr, Naomi. „Growing PSM organically: International initiatives to support national conversations in new contexts“. Interactions: Studies in Communication & Culture 11, Nr. 2 (01.07.2020): 269–75. http://dx.doi.org/10.1386/iscc_00024_7.
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With an international debate under way about how to resolve the financial and political crisis affecting independent media everywhere, can international efforts enhance the prospects for promoting the principles of public service media (PSM) in national contexts where they have never been applied? Informed by discussions that contributed to a CAMRI Policy Brief published in March 2020, recommending incremental, non-media-centric approaches to laying the groundwork for PSM in challenging environments, this article considers how internal and external interests mesh in underpinning mechanisms to foster PSM values. It shows how regional and international mechanisms, including for example the UN’s Sustainable Development Goal 16, along with proposals for an International Fund for Public Interest Media and Social Media Councils, rely for their credibility and effectiveness on national institutions and national representatives working with them towards the principles that underlie PSM.
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de Vries, Brian, Gloria Gutman, Áine Humble, Jacqueline Gahagan, Line Chamberland, Patrick Aubert, Janet Fast und Steven Mock. „End-of-Life Preparations Among LGBT Older Canadian Adults: The Missing Conversations“. International Journal of Aging and Human Development 88, Nr. 4 (14.03.2019): 358–79. http://dx.doi.org/10.1177/0091415019836738.
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LGBT (lesbian, gay, bisexual, and transgender) older adults are more likely than their heterosexual peers to age with limited support in stigmatizing environments often poorly served by traditional social services challenging their preparedness for end of life. Fourteen focus groups and three individual interviews were conducted in five Canadian cities with gay/bisexual men (5 groups; 40 participants), lesbian/bisexual women (5 groups; 29 participants), and transgender persons (3 interviews, 4 groups; 24 participants). Four superordinate themes were identified: (a) motivators and obstacles, (b) relationship concerns, (c) dynamics of LGBT culture and lives, and (d) institutional concerns. Several pressing issues emerged including depression and isolation (more common among gay and bisexual men), financial/class issues (lesbian and bisexual women), and uncomfortable interactions with health-care providers (transgender participants). These findings highlight the challenges and complexities in end-of-life preparation within LGBT communities.
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Filstad, Cathrine. „The politics of sensemaking and sensegiving at work“. Journal of Workplace Learning 26, Nr. 1 (04.02.2014): 3–21. http://dx.doi.org/10.1108/jwl-03-2012-0016.
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Purpose – The aim of this paper is to investigate how political activities and processes influence sensemaking and sensegiving among top management, middle management and employees and to examine its consequences for implementing new knowledge. Design/methodology/approach – Data were collected in a Norwegian bank using in-depth interviews with middle managers and financial advisers. Observations of meetings, informal conversations and verbatim notes were also used in data collection among top managers. A practice-based approach was used as an analytical lens. Findings – Top managers' political activities of excluding others from the decision process affect their sensemaking and resulted in sensegiving contradictions between spoken intent and how to change practice. Middle managers' political activities were to accept top managers' sensegiving instead of managing themselves in their own sensemaking to help financial advisers with how to change their role and practice. As a result, middle managers' sensemaking affects their engagement in sensegiving. For financial advisers, the political processes of top and middle managers resulted in resistance and not making sense of how to change and implement new knowledge. Research limitations/implications – A total of 30 in-depth interviews, observations of five meetings and informal conversations might call for further studies. In addition, a Norwegian study does not account for other countries' cultural differences concerning leadership style, openness in decisions and employee autonomy. Originality/value – To the author's knowledge, no studies identify the three-way conceptual relationship between political activities, sensemaking and sensegiving. In addition, the author believes that the originality lies in investigating these relationships using a three-level hierarchy of top management, middle management and employees.
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Gollob, Justin. „An Honest Conversation: An In-Class Tool to Help Pre-Law Students Determine Their Compatibility with Law School and a Legal Career“. PS: Political Science & Politics 51, Nr. 01 (Januar 2018): 194–96. http://dx.doi.org/10.1017/s1049096517001937.
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ABSTRACT At a time when a single semester of law school can be a significant financial investment, the decision to attend law school should not be made casually. Instead, decisions should be influenced by data, reflection, and an understanding of real-world outcomes. In this article, I present The Legal Career Compatibility Project; a tool to help students make an informed decision about pursuing a career in law. Using Bolles (2003), Phases 1 and 2 help prospective law students determine whether they should pursue a legal career. Phase 3 helps students determine where and how to apply to law school. Considering that the odds of gaining admission to law school are high, conversations about whether one should attend law school are equally, if not more, important than conversations about how to gain admission. The purpose of the project is to influence how decisions to attend law school are made, not to encourage or discourage students from a career in law.
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Camilleri, Mark Anthony. „Using the balanced scorecard as a performance management tool in higher education“. Management in Education 35, Nr. 1 (30.04.2020): 10–21. http://dx.doi.org/10.1177/0892020620921412.
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This article presents a critical review of the relevant literature on managerialism and performance management in higher education. Afterwards, it features an inductive research that involved semi-structured interview sessions with academic members of staff. The interpretative study relied on the balanced scorecard’s (BSC) approach as it appraised the participants’ opinions and perceptions on their higher education institution’s (HEI) customer, internal, organizational capacity and financial perspectives. The findings have revealed the strengths and weaknesses of using the BSC’s financial and non-financial measures to assess the institutional performance and the productivity of individual employees. In sum, this research reported that ongoing performance conversations with academic employees will help HEI leaders to identify their institutions’ value-creating activities. This contribution implies that HEI leaders can utilize the BSC’s comprehensive framework as a plausible, performance management tool to regularly evaluate whether their institution is (i) delivering inclusive, student-centred, quality education; (ii) publishing high-impact research; (iii) engaging with internal and external stakeholders; and (iv) improving its financial results, among other positive outcomes.
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Preda, Alex. „In the Enchanted Grove: Financial Conversations and the Marketplace in England and France in the 18th Century“. Journal of Historical Sociology 14, Nr. 3 (September 2001): 276–307. http://dx.doi.org/10.1111/1467-6443.00147.
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Yaskorska-Shah, Olena. „Data-Driven Dialogue Models: Applying Formal and Computational Tools to the Study of Financial And Moral Dialogues“. Studies in Logic, Grammar and Rhetoric 63, Nr. 1 (01.09.2020): 185–208. http://dx.doi.org/10.2478/slgr-2020-0034.
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AbstractThis paper proposes two formal models for understanding real-life dialogues, aimed at capturing argumentative structures performatively enacted during conversations. In the course of the investigation, two types of discourse with a high degree of well-structured argumentation were chosen: moral debate and financial communication. The research project found itself confronted by a need to analyse, structure and formally describe large volumes of textual data, where this called for the application of computational tools. It is expected that the results of the proposed research will make a contribution to formal systems modelling and the evaluation of communication from the point of view of argument soundness.
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Judge, Katherine, und Sam Fazio. „Development of an Innovative Financial Literacy and Preparedness Program for Family Caregivers“. Innovation in Aging 4, Supplement_1 (01.12.2020): 357. http://dx.doi.org/10.1093/geroni/igaa057.1148.
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Abstract Informal caregivers provide the bulk of daily care and assistance to older adults needing help. Tasks range from assisting with transportation, coordinating care and appointments, household tasks, emotional and social support, and personal care. Caregivers also assist with financial care-related issues. This assistance ranges from helping pay bills, making health-care decisions, to paying out-of-pocket care expenses. Research on financial care-related issues greatly lags behind other areas of caregiving. Additionally, few programs have been developed that specifically address these financial issues and how best to provide timely and personalized information for families. The following poster will present an innovative program that addresses these gaps within the literature and fills the void facing families in navigating key financial care-related decisions. Funded by the Administration on Community Living, the evidence-informed program was developed based on findings from a comprehensive literature review, an environmental scan, market analysis, and feedback from focus groups. The program includes educational information, skills-training, and resources for caregivers across the following content areas: Introduction to Costs of Caregiving, Benefits of Early Planning, Avoiding Financial Abuse and Fraud, Conversations about Finances, Assessing Financial Needs, Creating Action Plans, and Finding Financial Support. The program also addresses specific financial needs facing caregivers of individuals with Alzheimer’s disease and related dementias. Discussion will highlight key aspects of the program, including the standardized yet flexible and tailored approach for addressing families’ specific financial care-related needs, along with next steps in program implementation and evaluation.
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Chino, Fumiko, David M. Brizel und Yvonne Marie Mowery. „Patient Reported Outcomes and Financial Toxicity in Head and Neck Cancer (PaRTNer): Baseline financial toxicity and attitudes toward costs from a pilot study.“ Journal of Clinical Oncology 39, Nr. 28_suppl (01.10.2021): 56. http://dx.doi.org/10.1200/jco.2020.39.28_suppl.56.
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56 Background: Cancer patients face considerable financial burden, but few studies have explored associations between radiation therapy (RT) and financial toxicity. This study assessed financial toxicity, patient-reported outcomes, and attitudes/perspectives on the role of cost in treatment decisions. Methods: In a prospective, survey-based, longitudinal study (NCT3506451), eligible patients were adults with newly diagnosed non-metastatic head and neck cancer (HNC) undergoing RT as part of their definitive cancer treatment. Surveys collected demographics, cancer details, the COmprehensive Score for financial Toxicity (COST) score to measure financial toxicity, and patient attitudes regarding cost conversations. Results: 60 patients were enrolled (2019-2021), and 58 completed the baseline survey prior to the start of RT. Most were white (75.9%) and non-Hispanic (98.1%). Median age was 61 (range 42-86). Most were married or in long term partnerships (67.0%), had completed at least some college (70.7%), and had employer sponsored private insurance (55.2%). Half were working at least part time, and most earned > $60,000/yr (55.4%). Oropharynx (48.3%) was the most common disease site; almost half (48.1%) received concurrent chemotherapy. Median baseline COST score was 25 (range 0-44), indicating borderline financial toxicity. 37.7% had reduced spending on leisure items, and 30.9% had reduced spending on basics like food or clothing to pay for cancer care. 10.5% had skipped doses of medications to make them last longer, and 21.1% had not filled a prescription because it was too expensive. 19.6% had borrowed money, and 36.4% had used either all or part of their savings (or had no savings at all) to pay for care. Of those employed at diagnosis, 38.9% took extended leave or reduced hours to part time. 25.9% felt their treatment costs/financial situation should be a factor in treatment decisions. 50.8% wanted the less costly treatment, assuming equal effectiveness. 46.6% felt they should receive cost information from their doctor, and 63.8% wanted a financial assistance counselor or social worker to provide cost information. 46.6% felt that discussing their costs would make them feel more involved in their care. While 43.1% felt that talking about cancer-related costs would reduce their anxiety, 36.2% felt it would increase their anxiety. The majority (63.8%) had little or no understanding about the costs of their cancer care, and 69.0% felt that educational materials about costs would be helpful. Conclusions: Despite borderline baseline financial toxicity scores, some HNC patients had already made significant sacrifices in order to afford care before RT had even started. There was little baseline knowledge of cancer costs and overall mixed attitudes toward cost conversation. Most patients felt that cost education would be helpful. Clinical trial information: NCT03506451.
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Moore, Louella. „Revisiting the Firm, Reporting Entity, and Going Concern Concepts in Light of Financial Crisis“. Accounting and the Public Interest 17, Nr. 1 (01.09.2017): 130–43. http://dx.doi.org/10.2308/apin-51919.
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ABSTRACTContemporary accounting conceptual frameworks depict reporting entities as self-evident stand-alone units whose current activities are likely to continue. That representation is revisited in light of Veblen's (1904) sabotage thesis that managers routinely utilize mechanisms that disrupt underlying markets. Credit default swaps played a significant role in the 2008 subprime financial crisis, blurring the boundaries of entities to create entanglements that threatened the global financial infrastructure. The reporting entity and going concern concepts developed in a climate of philosophical pragmatism operating from a flawed premise that a scientific approach assures objective, value-free data. The conventional treatment of reporting entities is contrasted with emerging conversations that paint “the firm” as a legal fiction functioning within a dynamic and potentially unstable matrix. The paper argues that a distorted view on the underlying nature of the firm masks significant public interest issues, making it difficult to address problems inherent in interdependent institutional structures.
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La Berge, Leigh Claire. „Money is time: On the possibility of critique after neoliberalism“. Finance and Society 4, Nr. 2 (30.11.2018): 199–204. http://dx.doi.org/10.2218/finsoc.v4i2.2874.
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What is the relationship now, and what should the relationship be, between a social-theory oriented critique of neoliberalism, such as the one Konings provides, and other disciplines? In this review essay, I suggest some of the conversations we might form between Konings’ text and texts of a more Marxist variety, including Alfred Sohn-Rethel’s Intellectual and Manual Labor: A Critique of Epistemology, as well as contemporary literary studies texts, including Mary Poovey’s Genres of the Credit Economy and Fredric Jameson’s “Culture and Finance Capital”. In each potential pairing, I suggest a possible relationship between historical time, financial time, and narrative itself.
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Kelly, John, und David Stark. „Crisis, Recovery, Innovation: Responsive Organization after September 11“. Environment and Planning A: Economy and Space 34, Nr. 9 (September 2002): 1523–33. http://dx.doi.org/10.1068/a35176.
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After the attack on the World Trade Center on September 11, many firms, directly affected by the attack, resumed trading when markets reopened less than a week later. How were these companies able to respond, working under conditions of fear and grief, so quickly and effectively? Drawing on conversations with executives and employees in financial service firms with offices in the World Trade Center and adjacent buildings, this report documents the importance of strong personal ties, lateral self-organization, and nonhierarchical relations in the recovery process. As a response to uncertainty, organizational factors that explain recovery are similar to those that generate innovation.
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Martin, Jimmy W. „Zar, Inc.: A Case in Earnings Quality“. Issues in Accounting Education 17, Nr. 4 (01.11.2002): 419–29. http://dx.doi.org/10.2308/iace.2002.17.4.419.
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Zar, Inc., a high-tech company, has recently experienced turnover in its CEO and CFO positions. Zar, like other firms in its industry, is undergoing a down year due to the declining economy. Thomas Brown, who has recently been hired as the CFO, quickly realizes that there is little he can do to avoid the firm's first loss in many years. However, Thomas also understands that there are things that he can do to pave the way toward greater profits in the future. You are invited to listen in on three separate conversations that the CFO has with the CEO, the firm's audit committee, and finally with Zar's independent auditor. After hearing each conversation, you will be asked to evaluate the CFO's ideas as well as those of other parties to the dialogue. Some of the questions are rather straightforward and can be answered by recalling or researching specific accounting standards. Other questions are more open-ended and will require your best judgment based on the facts given in the case. Some questions may require you to provide additional information before making a definite decision. All of the scenarios focus on earnings quality and should enhance your understanding of this critical and controversial issue that pervades financial reporting today.
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Shand, Wayne, und Sarah Colenbrander. „Financing the inclusive city: the catalytic role of community savings“. Environment and Urbanization 30, Nr. 1 (01.03.2018): 175–90. http://dx.doi.org/10.1177/0956247817751340.
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Global conversations around financing urban development typically neglect the importance of coordinating the activities of different stakeholders behind a shared vision for their city. In particular, low-income and other marginalized groups must be seen as entrepreneurs and partners in service delivery to enhance the efficacy of resource use and to reduce poverty. This paper explores the creation of non-traditional business models and alliances to invest in informal settlements. It presents examples from India, Kenya, Pakistan, Thailand and Zimbabwe, where local authorities, commercial banks and other formal actors have co-financed and co-delivered urban plans, housing and infrastructure through collaborations with organized groups of the urban poor. These groups make three critical contributions: financial resources, detailed information on the composition of informal settlements, and capabilities for collective decision-making and action. These contributions are underpinned by the financial and social capital developed through collective saving, and enable the delivery of complex urban improvements at scale.
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Carr, Deborah. „COVID-19 and the Long-Standing Vulnerabilities of Older Adults“. Current History 119, Nr. 820 (20.10.2020): 323–25. http://dx.doi.org/10.1525/curh.2020.119.820.323.
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The COVID-19 pandemic has taken a devastating toll on the lives of older adults, intensifying long-standing challenges in the US health care system. Persistent health and mortality disparities on the basis of race and socioeconomic status, staffing shortages and insufficient financial resources at some nursing homes, and a reluctance among Americans to make formal plans for their end-of-life health care are problems of heightened magnitude in the pandemic era. Policy solutions like extending Medicare benefits to younger people, increasing Medicaid reimbursement rates, and facilitating formal conversations regarding end-of-life care may help Americans to age and die with dignity.
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HURLEY, KAREN, MARY BREHENY und KEITH TUFFIN. „Intergenerational inequity arguments and the implications for state-funded financial support of older people“. Ageing and Society 37, Nr. 3 (01.12.2015): 561–80. http://dx.doi.org/10.1017/s0144686x1500135x.
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ABSTRACTAs population demographics shift towards an older population structure in the Western world, concerns about the future costs of pensions are apparent in politics, media and everyday conversations. In New Zealand, the universal state-funded pension paid to all citizens over the age of 65 years is often considered to be unsustainable in the context of population ageing. To examine the arguments surrounding universal superannuation, rhetorical analysis was undertaken on two New Zealand newspaper articles that discussed the future cost of pensions, and the 233 public responses these articles generated. The cost of superannuation was used to emphasise the different characteristics of each generational cohort and the ways that this produced inequity across generations. Claims of intergenerational inequity generated antagonism and widened divisions between generational groups. Foregrounding generational inequity in the discussion of superannuation has profound implications for state-funded income support for older people which relies upon widespread public support. Intergenerational inequity ignores the significant inequity in health and social circumstances in retirement among older New Zealanders and overlooks the significant impact of universal superannuation on protecting older New Zealanders from poverty in later life.
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Przymuszała, Piotr, Patrycja Marciniak-Stępak, Magdalena Cerbin-Koczorowska, Martyna Borowczyk, Katarzyna Cieślak, Lidia Szlanga, Łucja Zielińska-Tomczak und Ryszard Marciniak. „‘Difficult Conversations with Patients’—A Modified Group Objective Structured Clinical Experience for Medical Students“. International Journal of Environmental Research and Public Health 18, Nr. 11 (27.05.2021): 5772. http://dx.doi.org/10.3390/ijerph18115772.
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This study presents a modified Group Objective Structured Clinical Experience (GOSCE) focused on difficult conversations, in which, due to limited time and financial resources, only some students could actively participate in scenarios. We aimed to evaluate the intervention, including differences between them and observers. The intervention was organized for sixth-year medical students at a Polish medical university. The study protocol assumed a pre-post analysis of students’ attitudes and self-efficacy of communication skills and their opinions about the intervention. Complete questionnaire pairs were returned by 126 students. The pre-post analysis revealed a significant improvement in their self-efficacy levels of almost all skills as well as their affective attitudes and belief in outcomes of communication learning. The improvement was significant among both the active participants and observers. It also showed a decrease in the motivation score, significant only in females. Regardless of their roles, students had positive opinions about the course and its particular aspects. The modified GOSCE may be an enjoyable and effective learning experience for students, especially in the light of limited resources. However, changes in their motivation score suggest the necessity to increase the importance of communication learning in the curriculum.
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Race, Digby, Supriya Mathew, Matthew Campbell und Karl Hampton. „Are Australian Aboriginal Communities Adapting to a Warmer Climate? A Study of Communities Living in Semi-Arid Australia“. Journal of Sustainable Development 9, Nr. 3 (30.05.2016): 208. http://dx.doi.org/10.5539/jsd.v9n3p208.
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<p>Communities around the world adapt to warming climates in a number of ways. Adaptations can often be energy intensive or dependent on expensive infrastructure to cope with harsh weather, so the use of renewable energy and energy efficient housing is becoming an increasing feature in conversations about climate change adaptation. The cost of energy for households continues to increase, with this cost adding considerable financial pressure on low-income households in both developed and developing countries. The concept of ‘energy poverty’ is gaining utility around the world to highlight the prevalent dilemma faced by low-income households that they cannot afford the level of energy use to maintain their desired livelihood. In regions of the world with extended periods of extreme weather, households can allocate as much as 20 per cent of their budget on energy consumption to maintain comfortable housing. Research by the authors indicates that effective adaptation must not add to the financial burden on low-income households, if the liveability of Australia’s semi-arid region is to be sustained.</p>
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Lee, Ju Seong. „Challenges of International Students in a Japanese University: Ethnographic Perspectives“. Journal of International Students 7, Nr. 1 (01.01.2017): 73–93. http://dx.doi.org/10.32674/jis.v7i1.246.
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The author investigates what challenges four international students (Vietnamese, Filipino, Brazilian, and Chinese) faced and how they coped with these dilemmas in a Japanese language program during the first semester in 2014. Multiple apparatuses (e.g., field notes, face-to-face oral interviews, focal group conversations, and semi-structured written interviews) were employed to triangulate the data. The findings show four major challenges: Personal psychological issues, general living issues, sociocultural issues, and Japanese language issues. Additionally, supporting group, positive attitude, interaction with Japanese friends, financial assistance, and useful learning strategies are identified as coping strategies. The results will provide implications for international students as well as language instructors and program coordinators in a higher education institution to better assist the international students.
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Lebedev, Pavel. „Management Accounting Maturity Levels Continuum Model: a Conceptual Framework“. European Journal of Economics and Business Studies 5, Nr. 1 (30.04.2019): 24. http://dx.doi.org/10.26417/ejes.v5i1.p24-36.
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Until now, in the financial domain, there were only few attempts made to develop maturity models – a useful tool to identify strengths and weaknesses of certain domains of an organization. The aim of this paper is to present a maturity model for management accounting. The method used to develop the model is an interpretive approach, in which an exploratory sequential mixed method research design was applied to broadly explore and understand data on management accounting systems in various settings and in its historical perspective. This study extends my previous research on development of management accounting and financial leadership (Lebedev, 2014, 2015, 2016, 2018, 2019b, 2019a). The framework traces 10 prototype roles of management accounting along their continuum of maturity (from “non-existent” to “strategic leadership”). Each maturity level reflects the extent to which management accounting creates value for its users based on the support provided for “conversations” among stakeholders, the deepness of leadership “embodied” into the management accounting function, and the effectiveness of management accounting principles and management accounting practices (MAPs) employed. This study contributes to the theory of management accounting by offering a framework for understanding of the evolution of financial function and management accounting. In practical terms, the results of the research could be applied to support decisions in transformation of financial function along its maturity continuum (both conducted internally by managers and/or with external support of consultants and advisors), supporting the process of reconciliation of current practices of a company being transformed to a proposed transformational strategy and chosen direction of implementation.
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Mahmood, Kahkashan, Yasser Barghathi und Alhashmi Aboubaker Lasyoud. „Exploring the potentials of clawbacks to check earnings management practices and enhance financial reporting quality: perceptions from the UAE“. Qualitative Research in Financial Markets 13, Nr. 3 (09.06.2021): 359–82. http://dx.doi.org/10.1108/qrfm-05-2020-0081.
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Purpose For investors to wholeheartedly entrust their finances to the supposed executives, there is the need to set up policies to checkmate the excesses of such executives, hence clawback policy. This study aims to explore the perceptions of professionals regarding the impact of clawback provisions on earnings management (EM) and financial reporting quality in the context of the United Arab Emirates (UAE). Design/methodology/approach The application of a qualitative approach in an EM is of great significance in this study. For convenience, perceptions of the professionals were collected through semi-structured face-to-face interviews, internet forums and telephone conversations from which the data were initially transcribed and analyzed using thematic analysis. Findings The findings of the study indicate that clawbacks will have a significant impact on EM and financial reporting quality, and apart from this, other firm-level factors have also been supporting clawbacks. Practical implications EM has been a widespread practice; this research may potentially assist directors and regulatory bodies to comprehend factors that should be considered to reduce it. It may also provide practical insights from professionals regarding clawbacks and their bearing on EM and the quality of financial information from an emerging economy perspective. Originality/value A significant gap in the contemporary literature regarding the impact of clawback provisions on EM and financial reporting quality has been filed by this work, in the context of the UAE economy. Consequently, it provides a great insight into the effect of clawback in a business setting and how it can help checkmate the excesses of company executives.
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Manyozo, Linje, Goretti Nassanga Linda und Claudia Lopes. „Models of and approaches to the station management of six African community radio broadcasters“. MedieKultur: Journal of media and communication research 28, Nr. 52 (30.03.2012): 21. http://dx.doi.org/10.7146/mediekultur.v28i52.5489.
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<p>This article is a political economy critique that contributes to current scholarship on community radio and development by examining the question of the management of six networks from Mali, Mozambique and Uganda. This discussion argues that understanding the models and functions of management committees will go a long way towards contributing to conversations on how community radios could achieve social, institutional, financial and ideological sustainability. The article also examines how management committees approach their work in the age of new Information Communication Technologies (especially mobile phones, computers and the Internet), and whether there is a gender digital divide within such committees. At the centre of the<br />current discussion, therefore, is an attempt to understand the flow and contestation of power within community radio management committees.</p>
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Tucker, K. „End-of-life care: Empowering cancer patients with information and choices“. Journal of Clinical Oncology 27, Nr. 15_suppl (20.05.2009): e20739-e20739. http://dx.doi.org/10.1200/jco.2009.27.15_suppl.e20739.
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e20739 Background: Terminally ill patients want information and choices, including aid in dying, as they confront death due to cancer and other terminal illnesses. Physicians treating such patients want to feel safe in having candid conversations with patients about their wishes and to provide aid in dying when appropriate. Methods: Review the law governing end of life decision making, including aid in dying. Review the data from Oregon, which has more than 10 years experience with a regulated practice. Review what has been learned in OR, and how that is transferring to other states making aid in dying an end of life option. Results: Oregon's experience shows that when aid in dying is a legal option for mentally competent terminally ill patients overall end of life care improves. Conversations between physicians and patients are more open and candid; Referrals to hospice increase and occur earlier; clinician enrollment in CE for pain and symptom management increase; rx of strong pain medication increase; more patients die at home; patients are comforted to have aid in dying as an option; there is no negative impact on the practice of medicine. Conclusions: Terminally ill patients should be able to recieve comprehensive counseling about all end of life options. There is a growing trend of support for expanding end of life options to include aid in dying for mentally competent terminally ill patients who find themselves trapped in an unbearable dying process. No significant financial relationships to disclose.
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Silva, Luciene Santos, und Diva Valério Novaes. „Educação financeira e educação socioemocional integradas para discutir armadilhas psicológicas em decisões financeirasIntegrating financial and socioemotional education to discuss psychological pitfalls in financial decisions“. Educação Matemática Pesquisa : Revista do Programa de Estudos Pós-Graduados em Educação Matemática 23, Nr. 1 (11.04.2021): 713–40. http://dx.doi.org/10.23925/1983-3156.2021v23i1p713-740.
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ResumoDescreveremos o desenvolvimento de uma sequência didática elaborada para apresentar conceitos de educação financeira e educação socioemocional a alunos do primeiro ano do ensino médio de uma escola no litoral norte de São Paulo. A inserção, no contexto de vida dos alunos, de conceitos de planejamento financeiro, custo de oportunidade, relatividade financeira, autogestão, porcentagem, juros simples e juros compostos possibilitou aprendizado significativo, promovendo reflexão sobre armadilhas psicológicas envolvidas nas decisões financeiras e no mundo econômico. Discutimos maneiras de lidar com o dinheiro de forma equilibrada e consciente. Os registros e as rodas de conversa apontaram que houve percepção dos principais erros financeiros e indicaram aquisição de criticidade nos aspectos econômicos.Palavras-chave: Autoconhecimento, Gestão das emoções, Saúde financeira e ambiental, Metodologia ativa.AbstractThis article describes the application of a teaching sequence designed to introduce concepts of financial and socioemotional education to 1st-grade high school students on the northern coast of the state of São Paulo, Brazil. The introduction of concepts of financial planning, opportunity cost, financial relativity, self-management, percentages, and simple and compound interest in real-life contexts commonly experienced by the students promoted significant learning, triggering reflections on the psychological pitfalls involved in financial decisions and the economic world. Ways of dealing with money in a balanced, conscious fashion were discussed. Classroom records and group conversations revealed gains in perception of major financial mistakes and acquisition of critical thinking in economic issues.Keywords: Self-knowledge, Emotion management, Financial and environmental health, Active methodology.ResumenAbordamos el desarrollo de una secuencia didáctica, con el objetivo de insertar conceptos de educación financiera y educación socioemocional para estudiantes de 1er año de secundaria de una escuela de la costa norte del estado de São Paulo. La inserción de conceptos de planificación financiera, costo de oportunidad, relatividad financiera, autogestión, porcentaje, interés simple e interés compuesto, en el contexto de la vida de los estudiantes, posibilitó un aprendizaje significativo, promovió la reflexión sobre las trampas psicológicas involucradas en las decisiones financieras y en el mundo económico. Discutimos formas de lidiar con el dinero de manera equilibrada y consciente. Los registros y círculos de conversación señalaron que existía una percepción de los principales errores financieros y la adquisición de criticidad en los aspectos económicos.Palabras clave: Conocimiento de sí mismo, Manejo de emociones, Salud financiera y ambiental, Metodología activa.
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Eschenfelder, Kristin R., Kalpana Shankar, Rachel D. Williams, Dorothea Salo, Mei Zhang und Allison Langham. „A nine dimensional framework for digital cultural heritage organizational sustainability“. Online Information Review 43, Nr. 2 (08.04.2019): 182–96. http://dx.doi.org/10.1108/oir-11-2017-0318.
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Purpose The purpose of this paper is to report on how library and information science (LIS) as a field operationalizes the concept of organizational sustainability for managing digital resources, projects and infrastructures such as digital libraries and repositories over time. It introduces a nine dimensional framework for organizational sustainability in the digital cultural heritage community. Design/methodology/approach Content analysis of publications from three LIS databases (2000–2015). Findings Comparing the articles to the nine dimension framework shows that most LIS articles discuss technology, financial or management dimensions. Fewer articles describe disaster planning, assessment or policy dimensions. Research limitations/implications Three LIS databases might not include all relevant journals, conferences, white papers and other materials. The data set also did not include books; library management textbooks might include useful material on organizational sustainability. Claims about the prevalence of themes are subject to methodological limits of content analysis. Practical implications Organizations that steward digital collections need to be clear about what they mean when they are referring to organizational sustainability so that they can make appropriate decisions for future-proofing their collections. The analysis would also suggest for a greater need to consider the full range of dimensions of organizational sustainability. Originality/value By introducing a new nine dimensional framework of organizational sustainability the authors hope to promote more and better conversations within the LIS community about organizational sustainability. The authors hope these conversations will lead to productive action and improvements in the arrangements of people and work necessary to keep digital projects and services going over time, given ongoing challenges.
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Holland, John. „A new approach to research and theory development for financial firms-building a “house with windows”“. Journal of Financial Regulation and Compliance 27, Nr. 2 (13.05.2019): 215–42. http://dx.doi.org/10.1108/jfrc-10-2017-0088.
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Purpose The paper aims to rethink empirical models and theory used in explaining banks and financial institutions (FIs) and to enhance the process of theory construction. This is a provisional response to Colander et al. (2009) and Gendron and Smith-Lacroix’s (2013) call for a new approach to developing theory for finance and FIs. Design/methodology/approach An embryonic “behavioural theory of the financial firm” (BTFF) is outlined based on field research about banks and FI firms and relevant literature. The paper explores “conceptual connections” between BTFF and traditional finance theory ideas of financial intermediation. It does not seek to “integrate” finance theory and alternative theory in “meta theory” and has a more modest aim to improve theory content through “connections”. Findings The “conceptual connections” provide a means to develop ideas proposed by Scholtens and van Wensveen (2003). They are part of a “house with windows” intended to provide systematic means to “take data from the outside world” whilst continuously recognising “the complexities of the context” (Keasey and Hudson, 2007) to both challenge and build the core ideas of FT. Research limitations/implications The BTFF is a means to create “conversations” between academics, practitioners and regulators to aid theory construction. This can overcome the limitations of such an embryonic theory. Practical implications The ideas developed create new opportunities to develop finance theory, propose changes in banks and FIs and suggest changes in the focus of regulation. Originality/value Regulators can use the expanded conceptual framework to encourage theory development and to enhance accountability of banks and FIs to citizens.