Thèses sur le sujet « Refugees – Services for – Great Britain »
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1
Horne, Fiona. « Explaining British Refugee Policy, March 1938 - July 1940 ». Thesis, University of Canterbury. History, 2008. http://hdl.handle.net/10092/1043.
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The twentieth century has aptly been referred to the century of the refugee.1 In the twentieth century, refugees became an important international problem which seriously affected relations between states and refugee issues continue to play an important part in international relations in the twenty-first century. The refugee crisis created by the Nazis in the 1930s was without precedent and the British government was unsure how to respond. British refugee policy was still in a formative stage and was therefore susceptible to outside influences. This dissertation aims to explain the key factors that drove British refugee policy in the period March 1938 to July 1940, and to evaluate their relative significance over time. I divided the period of study into three phases (March-September 1938, October 1938 to August 1939, September 1939 to July 1940), in order to explore how a range of factors varied in importance in a political and international environment that was rapidly changing. In considering how to respond to the refugee crisis, the British government was hugely influenced by concerns over its relations with other countries, especially Germany. There is little doubt that, during the entire period of this study, the primary influence on the formation and implementation of British refugee policy was the international situation. However, foreign policy did not by itself dictate the precise form taken by British refugee policy. The response of the British government was modulated by economic concerns, domestic political factors, humanitarianism, and by the habits, traditions and assumptions of British political culture. Some factors, like anti-Semitism became less important during the period of this study, while others like humanitarianism increased in importance.
2
Hodson, Christopher G. « Refugees Acadians and the social history of empire, 1755-1785 ». View this thesis online, 2004. http://libraries.maine.edu/gateway/oroauth.asp?file=orono/etheses/37803141.pdf.
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3
Kern, Steven. « Jewish refugees from Germany and Austria in the British Army, 1939-45 ». Thesis, University of Nottingham, 2004. http://eprints.nottingham.ac.uk/12964/.
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This thesis fills a significant gap in secondary literature on the role of Jewish refugee soldiers from Germany and Austria, who served in the British army during the Second World War, 1939-45. It goes further than any previous specialised works in this area by examining the social issues surrounding the refugee soldier's experiences in the army, such as their relationship with British soldiers and their personal attitudes towards the policies of the War Office. There are few surviving documentary sources specifically detailing the service of refugees. To compensate this there has been an emphasis on the gathering of oral testimonies. These interviews, conducted by the author, provided the opportunity to analyse crucial issues left unanswered within other documentary sources, principally the underlying theme of the refugees' religious and national identities. This study examines the development of the refugees' identities from their experiences under Nazi rule, to their service In the British army and eventual naturalisation as British citizens. The thesis is organized into eight chapters. Each analyses key moments and dilemmas experienced during the refugee servicemen's army service. This study demonstrates the dynamic interplay that existed between the refugees' own sense of self, and that which was held by the government in power. It also examines the perception of refugees held by British born soldiers and the general civilian population. These interactions were crucial in determining the lives of these men. The thesis concludes by illustrating that the refugees' Jewish and national identities altered considerably as a consequence of their wartime experiences, and that the British War Office largely remained needlessly suspicious of the refugee soldiers throughout much of the war.
4
Jones, Thomas Chewning. « French republican exiles in Britain, 1848-1870 ». Thesis, University of Cambridge, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.609095.
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Vo, Quyen. « The scope of British refugee asylum, 1933-93 ». Thesis, University of Cambridge, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.609586.
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6
Barnes, Jonavan. « Measuring service quality in the low-cost airline industry ». Thesis, University of Stirling, 2017. http://hdl.handle.net/1893/24938.
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Since the end of World War II, the service sector has expanded to encompass over 80% of the economy of most developed nations. This places an immense importance on the ability to accurately measure service outputs. However, the most precise method of measuring these outputs is still unclear. This thesis examines Service Quality as a measurement of service outputs, and tests this within an industry-specific context: the low-cost sector of the UK airline industry. This is an industry that has been facing serious challenges since market liberalisation began in 1976. This thesis recognises that offering superior quality may allow airlines to gain a competitive advantage; despite this, there is still no preferred method of measuring Service Quality in this specific context. This PhD therefore examines three methods of Service Quality measurement in the context of the low-cost sector of the UK airline industry: a qualitative method (content analysis), a quantitative survey approach (HiQUAL) and an indexing approach (ALSI). The first study provides an in-depth analysis of the determinants of airline quality through a content analysis study. The second study uses a neglected measurement of Service Quality (HiQUAL) to take a quantitative measurement of Service Quality in the low-cost airline industry. The third study uses measurement (ALSI), an indexing approach, to provide an indication of airline quality. The results of this PhD define the determinants of Service Quality in the low-cost airline industry and confirm the hierarchical nature of Service Quality. This PhD also develops a novel objective metric that represents a shift in ontology from subjective to objective measurements of Service Quality.
7
French, Katherine Meriel. « The geography of avoidable and premature mortality in Great Britain : 1981 - 1998 ». Thesis, University of Bristol, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.271979.
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Wiedner, Rene. « The side effects of strategic change : an in-depth case study of an attempt to 'liberate' the English National Health Service ». Thesis, University of Cambridge, 2015. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.709463.
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9
McCall, Vikki. « The 'chalkface' of cultural services : exploring museum workers' perspectives on policy ». Thesis, University of Stirling, 2012. http://hdl.handle.net/1893/9798.
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The difficulties faced by services in the cultural sector have been immediate and challenging. Public services that are cultural in nature have faced funding cuts, closures and redundancies. Museum services are low in political importance and unable to provide clear evidence of their policy impact. Despite these challenges, there has been limited evidence about the policy process at ground-level. This thesis builds on theoretical and empirical ideas in social and cultural policy to present museum workers’ perspectives within a cultural theory framework. Following Lipsky’s (1980) work on street-level bureaucrats, this thesis presents an analysis of street-level workers’ roles in delivering social and cultural policy. Museum workers’ perspectives are presented through a series of case studies (drawing on qualitative interviews and observations) from three local-authority museum services in England, Scotland and Wales. The findings showed evidence that top-down cultural and social policies have had an influence on workers actions, but service-level workers’ understandings were central to the policy process. Museum workers actively shaped museum policy through ground-level interactions with visitors and groups. Workers experienced policy in the cultural sector as fragmented, vague and difficult to engage with at the ground-level. Workers mainly viewed policy as meaningless rhetoric. Despite this, those working at ground-level often utilised policy rhetoric effectively to gain funding and manipulate activities towards their own needs and interpretations. Policy evaluation was also fragmented and underdeveloped within the services studied. Workers found themselves under pressure to fulfil policy objectives but were unable to show how they did this. Furthermore, there was a perceived distance from managers and local authority structures. This allowed a space for workers to implement and shape policy towards their own professional and personal ideals. Vague policies and a lack of formal mechanisms for evaluation led to high levels of worker discretion at ground-level. Economic policy expectations were resisted by workers, who tended to have more egalitarian views. Museum workers effectively managed policy expectations through a mixture of discretion and policy manipulation. Delivery at the ground-level was seen as effective – despite, not because of, cultural sector policies.
10
Ansari, Hina. « Inequities in access to health care by income and private insurance coverage : a longitudinal analysis ». Thesis, McGill University, 2007. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=112378.
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In 1997, the UK's Labour government introduced several health policy changes, including plans for greater collaboration with private providers. Building on previous cross-sectional research, we explore longitudinal inequities in physician access as these policy changes were materializing. Using GEE models we examine the effect of income and private health insurance (PHI) coverage on access to physicians in the general UK population from 1997 to 2003. The study finds no income inequities in GP access. In contrast, those in the highest income quintile are more likely to access consultants overall (OR:1.10, CI: 1.01,1.19), particularly private consultants (OR:2.49, CI:1.80,3.44). Not surprisingly, PHI is a strong predictor of private consultant access (OR:8.72 CI: 7.04,10.82), but a weak predictor of overall consultant access (OR:1.09, CI:1.01, 1.17). None of these findings exhibited significant time trends across the years of study, thus indicating that the existing inequities remained stable in the UK, despite the aforementioned reforms.
11
Cheng, Meng. « Dynamic demand for frequency response services in the Great Britain power system ». Thesis, Cardiff University, 2014. http://orca.cf.ac.uk/74743/.
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Dynamic Demand Technology (DDT) developed by Open Energi Ltd. adjusts the power consumption of demand to react rapidly to changes in grid frequency without undermining the inherent control of loads. In this thesis, DDT is used to regulate the power consumption of domestic refrigerators and industrial bitumen tanks for grid frequency control. The feasibility of the loads to participate in frequency response services is studied. Refrigerators are connected throughout the power system and thus have great potential to be used for frequency control. A frequency controller based on the DDT is applied to refrigerators so that their power consumption varies with frequency deviations autonomously and proportionally. The technique maintains the temperature control of refrigerators and causes little adverse impact on their cold storage of food. A thermodynamic model of refrigerators is developed and validated through field tests on a number of refrigerators at the premises of the Indesit Company. The refrigerator models equipped with frequency control are then integrated into a simplified Great Britain (GB) power system model to investigate their capability for grid frequency control. Results show that the refrigerators change their power consumption in order to reduce deviations of grid frequency. Approximately 500 MW of frequency response is provided by 40 million refrigerators when frequency dropped to below 49.5 Hz. The frequency control is faster than that provided by frequency-sensitive generation. DDT is also applied to bitumen tanks. Frequency control is developed which is similar to refrigerators. A thermodynamic model of bitumen tanks equipped with the frequency control is developed and validated through field tests. The tank models are then connected to the GB power system model to study the capability of industrial heating loads for grid frequency control. Results show that tanks provide frequency control in a manner similar to and faster than that of frequency-sensitive generation. Approximately 72 MW of frequency response is provided by 5,000 bitumen tanks. A participant in the Firm Frequency Response (FFR) service is required to deliver a minimum response of 10 MW. Loads with low power consumption need to be aggregated in order to participate. The availability of refrigerators and of tanks for ABSTRACT ii frequency response varies over a day and is measured through field tests at different times of the day. Based on the measurements of availability, the number of refrigerators and tanks to be aggregated for delivering more than 10 MW of response over a day is calculated. Simulations are carried out with an aggregation of 591 bitumen tank and 622,980 refrigerator models. Results show that more than 10 MW of response is able to be delivered. For the future GB power system, fast control of frequency is required because of the reduction in system inertia caused by the large-scale use of converter connected generation. A case study is carried out to test the impact of the fast control of loads on the frequency of the future power system. Refrigerator models representing 40 million refrigerators and 500 tank models are connected to the GB power system model with reduced system inertia of 3.1 s. Results show that with the use of DDT, the frequency drop after a sudden loss of 1.8 GW generation is halted quickly and the magnitude of the drop reduced significantly (from 1 Hz to 0.4 Hz).
12
Komporozos-Athanasiou, Aris. « Policies of representation in hybrid space : the case of patient and public involvement ». Thesis, University of Cambridge, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.648199.
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Hubbard, M. M. « School leavers with multiple disabilities : an exploratory study of the issues and problems relating to the planning and provision of formal post-school services ». Thesis, University of Stirling, 1992. http://hdl.handle.net/1893/22864.
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This research is an exploratory study of the issues and problems encountered by Young People with multiple disabilities when they leave school and for whom formal post-school service provision is relevant within the Scottish setting. The research problem is tackled by a qualitative and an empirically grounded study with a central focus was on the way in which decisions about the nature and range of services are made and their potential for making a major impact on quality of life. From conception, the study was innovatory and it was necessary to combine methods of data collection and to analyse in ways that had previously not been used in the field. The design and methods are eclectic with an emphasis on in-depth case-studies. The research process began with the development of a functional classification used to define the sub-population. This was followed by an investigation of the structure and organisation of the Future Needs Assessment process which is central to the planning of formal post-school provision. together with Carer perspectives and opinions of the process. The next phase was to examine the nature and range of formal post-school service provision in relation to the issue of quality of life and in the meeting of developmental needs. Discussion then took place with the Young People and the Carers about their judgements of post-school provision and 'ideal' provision. The final phase developed recommendations on the practical application of, the research findings. The major research findings, derived from the fieldwork evidence. indicate that there is a radical change in emphasis in the transition from school to adult-based formal service provision which result in the limitation of services and of personal choice. There is a major disjunction in the quality of life experienced by the Young People. The Future Needs Assessment process fails to adequately plan for the transition to formal post-school provision which fails to meet individual personal and social development. The major recommendations, derived from the research, state that the Future Needs Assessment process must play a more effective role in identifying the post-school needs of the School-leavers to ensure that formal post-school provision and delivery planning is individually-centred and 'needs-led'. In addition, there should be greater choice of provision which follows the 'independent /enabling /empowering model and which will offer the School leaver the potential to experience a high quality of life.
14
Todd, Rebecca Vera. « An investigation of the dental health and behaviour of Vietmanese refugees in Britain from a cultural perspective ». Thesis, King's College London (University of London), 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.309282.
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Hill, Louise. « Ecological impacts of ash dieback in Great Britain ». Thesis, University of Oxford, 2017. https://ora.ox.ac.uk/objects/uuid:941ee684-798b-47b6-ae51-64baeb5f821e.
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Ash dieback is a severe disease of ash trees (Fraxinus spp.), caused by the invasive fungus Hymenoscyphus fraxineus. In its native East Asia, H. fraxineus is a harmless endophyte, but since its accidental import into Europe in the early 1990s it has infected over 90% of ash trees in some areas, with long-term mortality sometimes exceeding 90%. The disease was discovered in Great Britain in 2012, and has since spread rapidly. This thesis investigates some of the possible impacts on biodiversity, ecosystem functioning, and society, and in doing so identifies ways to alleviate some impacts. Britain has only 13% tree cover (among the lowest in Europe), so may be particularly vulnerable to ash loss. Better understanding of the effects and how to minimise them is critical to deliver an evidence-based response. First, we investigated impacts in woodlands by experimentally killing woodland ash trees by ring-barking. We found no short-term effect of ash loss on ground flora or earthworm communities, or on the regeneration or growth of other woody species. Observational evidence suggested that remaining canopy trees rapidly filled gaps left by ash, perhaps contributing to stability. Our woodlands appeared to be remarkably resilient to ash loss, although there may be long-term effects or impacts on other species that this experiment failed to observe. To investigate broader-scale impacts, we required high-quality abundance maps for ash and other trees across Britain. Using species distribution modelling and random forest regression, we developed a protocol to produce abundance maps from readily available data. We tested the predictive power of the resulting maps using cross validation. Our maps are the best available for abundance of British tree species, and will be useful across a wide range of disciplines. We then used them to model ecosystem vulnerability to ash loss, based on the abundance of ash and other tree species, and their ecological trait similarity. We identified areas at risk of the largest impacts, and produced guidance for positive management actions to minimise ecological change. Lastly, we investigated the financial impacts of ash dieback, estimating the total cost to Britain at £9.2 billion. This figure is many times larger than the value of lost trade if biosecurity were improved to prevent future invasions, questioning the validity of financial arguments against biosecurity. We also found that loss of ecosystem services accounted for less than a third of the total cost, suggesting that ecosystem service assessments may miss a large proportion of the true cost of biodiversity loss. Overall, we found that some impacts may be less than expected, such as local effects on woodland ground flora, and others, such as the economic cost, may be much larger than expected. However, the resilience of ecosystems to a major shock such as loss of a common species, and actions to mitigate the impacts, depend on having a diversity of other trees present. The ash dieback outbreak highlights the importance of preventing other severe pests and diseases of trees from being introduced; something that has been increasing exponentially, largely due to international trade in trees. This thesis provides further firm evidence that there is an ecological and social imperative to halt this trend.
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Egan, Julia. « Exploring the relationship between leadership, leadership behaviours and organisational culture ». Thesis, University of Dundee, 2010. https://discovery.dundee.ac.uk/en/studentTheses/688a2b1d-651b-4fff-931a-c7049b6f50c4.
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This thesis explores the theme of leadership in the NHS, specifically focusing on nursing. Leadership has become an important area in recent years, particularly in relatiion to improving efficiency, effectiveness and quality of services. As nurses provide 80% of care in the NHS, their role is pivotal in achieving any change. Despite the importance placed on leadership in the NHS, literature shows little is known about perceptions of leadership, how leaders function or what importance staff place on the culture and context in which they work. This study is based on the findings of 28 qualitative interviews with leaders in two health boards in Scotland. Through the presentation of informants' perceptions, beliefs and collective accounts, the study illustrates how staff view leadership in the NHS and provides some significant results. Firstly, it proposes that leadership is comprised of two elements; one relating to individuals and one relating to how individuals function in organisations. Secondly, it indicates three models of leadership are particularly relevant and how these differ according to role and hierarchy. Thirdly, it reveals leadership and management as disticnct components. In nursing a number of complexities make these roles challenging, and the culture and context of health borads influence how these fundtion in practice. Finally, this research concludes that staff value a clear set of characteristics, styles and behaviours not related to vision and change but which centre on character, values, integrity and engagement. The study has considerable impolication for emerging work on leadership in the NHS and for the future development of leadership roles in nursing.
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Argouslidis, Paraskevas C. « The service elimination process : an empirical investigation into the British financial services sector ». Thesis, University of Stirling, 2001. http://hdl.handle.net/1893/16787.
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The present study represents an in-depth empirical investigation into the service elimination process in the British financial services sector. It aims to make a contribution towards the concise development of the literature on service elimination and to provide empirically based recommendations, which can improve the way financial service elimination is practised. The theoretical part of the study focused first on a review of the characteristics of services in general and of financial services in particular and of the service range management activities of financial institutions. Second, the literature on product and service elimination was reviewed. The bulk of this material refers to conceptual propositions and empirical evidence on elimination from manufacturing settings, while conceptual and empirical material from service and financial service settings is alarmingly sparse. The presents tudy conceptualisedth e service elimination process as consisting of three broad stages, a) the pre-elimination stage, b) the actual service elimination decision-making process and c) the post-elimination stage. The study adopted a research approach based on the broad hypothesis that service elimination decisions are not made in a vacuum (as the limited literature on service and financial service elimination assumes explicitly or implicitly) but that they are influenced by contextual organisational and environmental characteristics of companies. Based on the above conceptualisations, the research objectives were to a) identify the content of the service elimination process (i. e., the decision variables involved in the various steps of the process) b) measure the relative importance/frequency of use of the above content and c) measure the influence of a set of contextual independent variables on the relative importance/frequency of use of the content of the service elimination process. To meet the above research objectives, a pluralistic research method was adopted. For the identification component of the research objectives qualitative research (in-depth interviews) was conducted, while for the measurement component quantitative research was conducted(mail survey). The findings indicated that service elimination decisions were the outcome of a multi-step process, which with very few exceptions (i. e., the way in which British financial institutions identified financial services as candidates for elimination) was found to be largely informal and unsophisticated. Moreover service elimination was rated as the least important service range management activity and was allocated the least amount of resources (temporal, monetary and human). The findings also suggested that the content of the service elimination process was both similar and different to elimination practice in manufacturing settings. Among the most obvious similarities was the paramount importance of sales and profitability considerations in making products and financial services candidates for elimination. Among the most striking differences was that while a product is fully eliminated, partial elimination was the predominant outcome of the service elimination process in the studied setting. With regards to the contextual influence, it was found that the relative importance/frequency of the decision variables involved in the service elimination process varied in relation to the type and the size of individual financial institutions, the pursued overall business strategy, and degree of market orientation, the degree of formalisation of the service elimination process, the number of services in the range (service diversity), the type of financial service which is considered for elimination, the method of its delivery process, the intensity of competition and of the legislative environment and the volatility of the technological environment. As such, the findings confirmed the hypothesised dynamism of the service elimination decisions and suggested that any attempt to describe the service elimination process in a golden rule way that fits all companies, all financial services and all environmental circumstances would be misleading.
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Lockett, Anthony E. « An analysis of the role of state, economy and civil society in the development, management and reform of the NHS, 1948-1997 ». Thesis, University of St Andrews, 1999. http://hdl.handle.net/10023/13343.
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The NHS is the centrepiece of the UK welfare state. For fifty years it has provided the majority of health-care in the UK. However the running of the service has not been marked by a smooth operation. Repeated reforms have occurred since 1948 in attempts to increase the efficiency and effectiveness of the service. These reforms have been credited with varying degrees of success. Even the most radical reforms, initiated in 1990, have been marked by some failures - particularly in respect to the provision of services to 'at risk' groups such as the elderly, leading to criticisms of a lack of coherent policy making. The reasons that underlie the success of the NHS in the midst of failure are complicated, but one hypothesis is that the structure of the NHS does not reflect its basic functions. Those functions can be broken down into 2. First is the relief of suffering from illness; second is the support of the industrial and economic base of the UK. The existence of this pluralistic purpose implies that the management of the service requires balancing the forces of economic, state and civil society requirements for the NHS. This management is embodied in a complicated institutionalisation of care, covered in chapter 1. The empirical evidence gathered in the thesis, in chapters 2 and 3 both from literature and case studies, would indicate that at least part of the problems seen in the NHS result from a failure to balance this institutionalisation. However, the situation is made more complex as the result of this imbalance creates further increased demands from some of the elements in the management of the service. Therefore the failure to balance the interactions that surround the NHS increases the pressures on it which in turn increases the imbalance leading to a feedback loop magnifying the problem. The source and problems of this feedback are best exemplified by a case study of the most recent reforms -covered in chapters 4-11 of this thesis. This case study demonstrates that the way in which the 1990 reforms were formulated and implemented took little notice of the impact of the changes on the street level NHS managers - with the results that the reforms did not represent a coherent policy. The result of the lack of coherence is that the changes have not generated efficiency gains, and in some cases have diverted resources away from those most in need. The underlying cause of this is the predominance of non- market forces in the decision making process - i.e. the values of the purchasers and the power of the providers to influence decision making. The linkages between these features of the post reform NHS are described in chapter 12. It is likely that the only way in which the circle of problems in the NHS can be addressed is re-establishing the corporate relationship that surrounds health care. However unlike previous relationships the evidence suggests that the relationship should be established at a policy level, rather than the current trends for a local level relationship. The NHS is not unique in this aspect, as this is the pattern of change seen in many European Countries.
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De, Aranjo Alexandre G. A. « Assets and liabilities : refugees from Hungary and Egypt in France and in Britain, 1956-1960 ». Thesis, University of Nottingham, 2013. http://eprints.nottingham.ac.uk/13503/.
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This thesis investigates the reception and treatment of the refugees from Hungary and Egypt who arrived in France and in Britain after the Hungarian revolution and the Suez crisis. The thesis argues that the reception of the refugees from Hungary and from Egypt was primarily linked to the French and British immigration policies and influenced by the Cold War context. The first part deals with the creation of the Hungarian refugees and their reception in France and Britain. Chapter two gives a brief account on the Hungarian revolution and what led 200,000 Hungarians to leave their country. Chapter three deals with the reception and treatment of the Hungarian refugees in France, and sets out to demonstrate how the revolution and the refugee situation were first exploited for propagandistic purposes and national political interests. It also examines immigration policy in France and how the Hungarians were to serve France's economic and demographic interests as candidates for immigration. French-Jewish responses to the refugee situation are also explored. Finally, it discusses the effects of the Cold War in the resettlement process. Chapter four explores similar questions about the Hungarians with respect to Britain. The second part of the thesis studies the expulsion of the French, British and stateless Jews from Egypt and their resettlement in France and Britain. Chapter five deals with who the refugees from Egypt were, and the unusual nature of their nationality and cultural background. Chapter six deals with the reception and treatment of refugees from Egypt in France, and focuses on how the French government and administration oscillated between obligation and desire to provide relief to the French Jews of Egypt, as they were not considered to be suitable candidates for resettlement in France according to immigration policies and practices. As most of the refugees from Egypt were Jewish, the chapter also looks at the Jewish specificity of the resettlement policy and how their resettlement made the refugees question their French identity. Chapter seven discusses the reception of the refugees from Egypt in Britain. It analyses the different domestic context regarding the Suez crisis and its impact on the refugees. The question of identity and cultural background is also explored.
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Humphris, Rachel Grace. « New migrants' home encounters : an ethnography of 'Romanian Roma' and the local state in Luton ». Thesis, University of Oxford, 2016. https://ora.ox.ac.uk/objects/uuid:3af69cfa-2cd7-4972-afb2-14d92238d25a.
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This ethnographic study explores how 'Romanian Roma' migrants in the UK, without previous relationships to their place of arrival, negotiate their identity to make place in a diverse urban area. The thesis argues that state forms are (re)produced through embedded social relations. The restructuring of the UK welfare state, coupled with processes of labelling, means that the notion of public and private space is changing. Migrants' encounters with state actors in the home are increasingly important. I lived with three families between January 2013 and March 2014, during a period of shifting labour market regulations and the end of European Union transitional controls in January 2014. Through mapping families' relationships and connections, I identify encounters in the home with state actors regarding children as a defining feature of place-making. The thesis introduces the term 'home encounter' to trace the interplay of discourses and performances between state actors and those they identified as 'Romanian Roma'. Due to the restructuring of UK welfare, various roles assume different 'faces of the state'. These include education officers, health visitors, sub-contracted NGO workers, charismatic pastors and volunteers. The home encounter is presented as a public 'state act' (Bourdieu 2012) where negotiations of values take place in private space determining access to membership and welfare resources. In addition, blurring boundaries between welfare regulations and immigration control mean that these actors' seemingly small decisions have far-reaching consequences. The analysis raises questions of how to understand practices of government in diverse urban areas; the affect of labelling, place and performance on material power inequalities; and processes of discrimination and othering.
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Palacz, Michal Adam. « Polish School of Medicine at the University of Edinburgh (1941-1949) : a case study in the transnational history of Polish wartime migration to Great Britain ». Thesis, University of Edinburgh, 2016. http://hdl.handle.net/1842/31032.
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More than 400 Polish medical refugees were associated with the Polish School of Medicine (PSM) at the University of Edinburgh between 1941 and 1949. This dissertation argues that the history of the PSM can fully be understood only as a part of the refugees’ broader experience of impelled or forced migration during and immediately after the Second World War. The key findings of this case study demonstrate that the opportunity to study or work at the PSM enabled the majority of Polish exiles to overcome, to a varying extent, their refugee predicament, while medical qualifications, transferable skills and trans-cultural competency obtained in wartime Britain allowed them to pursue professional and academic careers in different countries of post-war settlement, thus in turn contributing to a global circulation of medical knowledge and practice, especially between the University of Edinburgh and Poland. This specific case study contributes to the existing knowledge of Polish wartime migration to Britain in three interrelated ways. Firstly, an overarching transnational approach is used to combine and transcend Polish and British scholarly perspectives on, respectively, emigration or immigration. Secondly, the conceptual insularity of the existing literature on the topic is challenged by analysing archival, published and digital sources pertaining to the PSM with the help of various theoretical models and concepts borrowed from forced migration and diaspora studies. Thirdly, the conventional historiography of Polish-British wartime relations is challenged by emphasising the genuinely global ramifications of the PSM’s history. By interpreting the history of the PSM with the help of different analytical tools, such as Kunz’s and Johansson’s models of refugee movement and Tweed’s theory of diasporic religion, this dissertation provides a conceptual blueprint for further research on Polish wartime migration to Britain. In turn, this case study contributes to the development of forced migration and diaspora studies not only by empirically testing the explanatory power of existing theoretical models, but also by suggesting possible new conceptual avenues, such as analysing the pre-existing trans-cultural experiences of both Polish medical refugees and their hosts at the University of Edinburgh, and adding to the ‘triadic relationship’ of diaspora, homeland and host society a fourth dimension, i.e. conflict and cooperation between different migrant or refugee communities within the same host society.
22
Woodburn, Allan G. « The role of logistical structure in the development of rail freight services in Great Britain ». Thesis, Edinburgh Napier University, 2000. http://researchrepository.napier.ac.uk/Output/4875.
Texte intégralRésumé :
Modal shift from road to rail for freight movements is a potential means by which the negative environmental and social impacts of such transport can be reduced. As such it features strongly in contemporary transport policies in Great Britain. This thesis examines the interactions between logistical structure and freight modal choice, to determine the extent to which rail's mode share is likely to be increased. The research assesses the influence of recent logistical changes both within companies and along supply chains on mode choice and identifies the likelihood of future changes resulting in greater rail usage. A combined approach involving a postal questionnaire survey and in-depth company interviews was adopted. Further, to consider the interactions between the supply of rail freight services and their level of uptake, original databases of rail freight services at the disaggregated level have been constructed and analysed for the years 1991, 1997, 1998, 1999 and 2000. The research thus provides a greater understanding of the importance of modal choice in individual firms' logistical decision-making processes, as well as through supply chains from source to customer. Key logistical issues that have affected, and are likely to affect, mode choice are identified and utilised to assess the potential for rail. Significant potential for modal shift is found to exist though many obstacles are also identified for many types of movement, relating to both supply- and demand-side factors. The importance of a coherent transport policy to deal with these obstacles to allow rail freight to meet its potential is highlighted.
23
Buckley, L. C. « Going through changes : a single point of access for health and social care ». Thesis, Coventry University, 2013. http://curve.coventry.ac.uk/open/items/7345dede-9192-4dad-827e-9b4ddd4503fa/1.
Texte intégralRésumé :
Background: Integrated working between health and social care services within England has been encouraged by Government policy in the last decade, and has been argued to provide a seamless, joined up experience for service users (Department of Health 2011). One way of integrating care is through the use of a single point of access to health and social care services. A single point of access to services has been trialled in mental health and learning disability services to improve access, and following on from policy (e.g. Department of Health 2007) and support from literature (Rogers, Entwistle & Pencheon 1998; Lovell & Richards 2000; Raine, Carter, Sensky & Black 2005) a single point of access to health and social care for older adults has been implemented in parts of the UK. This thesis examines the implementation of one such single point of access. Objectives: The aim of the study was to examine the single point of access and whether it had any impact upon integrated working within a county in England, UK. Methods: An ethnographic approach was taken, using a combination of methods including interviews, focus groups and observations. This was complemented by a grounded theory approach to analysis. Findings: The single point of access had an adverse effect upon integration. The poor management of change and lack of communication led to issues within the single point of access such as failure of IT systems and duplication. Staff became frustrated and disengaged from the process, and consequently reported feeling disempowered, retreating back to their professional 'tribes'. Conclusion: Firm conclusions about the efficacy of a single point of access with regard to its effect upon integrated working could not be reached. However, the findings suggest that clear communication, continued change management and recognition of professional culture are decisive factors when attempting to integrate health and social care. Further research into the impact of a single point of access upon integration as well as outcomes for service users is recommended.
24
Pearsall, Robert. « Improving healthy living in adults with serious mental illness ». Thesis, University of Oxford, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.669927.
Texte intégral
25
Peconi, Julie Patricia. « The epidemiology of demand for, and outcomes of, contacts with telephone based healthcare, with particular reference to ward deprivation scores : analysis of calls to NHS Direct Wales, 2002-2004 ». Thesis, Swansea University, 2014. https://cronfa.swan.ac.uk/Record/cronfa42858.
Texte intégralRésumé :
NHS Direct Wales (NHSDW) is a nurse-led 24-hour health advice and information line. This study estimated the effect of deprivation on the demand for, and outcome of, direct calls to NHSDW after controlling for potentially confounding factors. The author analysed anonymous data from NHSDW on 410,000 calls over 2.5 years, including patient characteristics (age, gender, relationship to caller, ward of residence) and call characteristics (whether for triage or information, day of call). To each call she added ward data including: the corresponding Welsh Index of Multiple Deprivation score; population density; and distance from nearest Emergency Department (ED). She used multiple linear regression to model the relationship between deprivation and demand and binary logistic regression to model the relationship between deprivation and outcome. Confounding variables explained 33.0% of variation in advice call rates; and 27.5% of that in information call rates (both significant at 0.1% level). Deprivation was not a statistically significant predictor of these rates (significance levels 0.158 and 0.244 respectively). Deprivation had more effect on outcomes: an increase in deprivation from one fifth to the next fifth increased by 13% the probability of receiving advice to call 999 emergency care within triage calls [Odds ratio (OR) 1.127; 95% confidence interval (Cl) from 1.113 to 1.143]; and that of receiving advice to seek care face to face rather than self care by 5% (OR 1.049; Cl from 1.041 to 1.058) for triage calls and by 3% (OR 1.034; Cl from 1.022 to 1.047) for information calls. In short, deprivation had no detectable effect on demand for calls, but a positive effect on the outcome of the call. While it is possible that the data underestimated the ‘need’ of deprived patients for healthcare, they yield no evidence that NHSDW should seek to improve access from those patients.
26
Bertram, Christine. « Caught in the middle : how employment advisers mediate between user needs and managerial demands in UK services ». Thesis, University of Stirling, 2010. http://hdl.handle.net/1893/2723.
Texte intégralRésumé :
Traditionally, employment advice and guidance services in the UK have occupied distinct realms despite government efforts to align and integrate the education and skills and welfare-to-work frameworks. Conceptually, studies of front-line service delivery have often adopted a street-level perspective. This study offers a governance approach that focuses on how adviser behaviour is steered through managerial methods and how advisers steer user behaviour through the use of discretion and trust. The study explored how advisers mediated the tensions between managerial concerns and user needs to achieve policy goals, among others to turn service users into more active citizens. Based on 38 semi-structured interviews with service managers and advisers in combination with service characteristics and policy aims, a service typology was developed which was then applied to eight case study services. The analysis showed that employment advisers in the different service types applied very diverse strategies to achieve an outcome for the service user, but that within service types the strategies were similar. Due to the different service structures and advisers’ varying ability to apply discretion, various kinds of trust could be established, which potentially allowed the advisers to influence a change of service user behaviour. This could range from highly coercive methods to empowering individuals. The findings showed that advisers were subject to similar pressures as they applied to service users when mediating managerial influences. There was evidence that ability to use discretion was a vital pivot point in how advisers mediated tension between the service demands and user needs. This in turn was related to the adviser’s ability to achieve sustainable outcomes for the service user.
27
Whitworth, Adam. « Work, care and social inclusion : lone motherhood under New Labour ». Thesis, University of Oxford, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.670080.
Texte intégral
28
Orchard, Philip. « A right to leave : refugees, states, and international society ». Thesis, University of British Columbia, 2008. http://hdl.handle.net/2429/1261.
Texte intégralRésumé :
This dissertation investigates regime-based efforts by states to cooperate in providing assistance and protection to refugees since 1648. It argues from a constructivist perspective that state interests and identities are shaped both by other actors in the international system - including norm entrepreneurs, non-governmental organizations, and international organizations - and by the broader normative environment. Refugees are a by-product of this environment. Fundamental institutions - including territoriality, popular sovereignty, and international law - formed a system in which exit was one of the few mechanisms of survival for those who were religiously and politically persecuted.
This led states to recognize that people who were so persecuted were different from ordinary migrants and had a right to flee their own state and seek accommodation elsewhere. States recognized this right to leave, but did not recognize a requirement that any given state had a responsibility to accept these refugees. This contradiction creates a dilemma in international relations, one which states have sought to solve through international cooperation.
The dissertation explores policy change within the United States and Great Britain at the international and domestic levels in order to understand the tensions within current refugee protection efforts. Three regimes, based in different normative understandings, have framed state cooperation. In the first, during the 19th century, refugees were granted protections under domestic and then bilateral law through extradition treaties. The second, in the interwar period, saw states taught by norm entrepreneurs that multilateral organizations could successfully assist refugees, though states remained unwilling to provide blanket assistance and be bound by international law. These issues led to the failure of states to accommodate Jewish refugees fleeing from Germany in the 1930s. The third, since the Second World War, had a greater consistency among its norms, especially recognition by states of the need for international law. Once again, this process was shaped by other actors, including the United Nations High Commissioner for Refugees (UNHCR). This regime has been challenged by increased refugee numbers and restrictions on the part of states, but its central purpose remains robust due to the actions of actors such as the UNHCR.
29
Carter, Holly R. « The Effects of Age, Sex, and Class Stratification and the Use of Health Care Services among Older Adults in the United Kingdom ». Thesis, University of North Texas, 1999. https://digital.library.unt.edu/ark:/67531/metadc2256/.
Texte intégralRésumé :
As the population ages, providing health services for the growing number of older people will become an increasingly difficult problem. In countries where the health services are provided by the government, these problems are involved with complicated issues of finance and ethics. This is the case of the National Health Service, the government institution providing health care for the citizens of the United Kingdom. Knowing what social factors influence health care usage can be a link to match usage and funding. Literature has shown that health care utilization can be predicted by social factors, as well as the medical model, and from this orientation social variables were drawn from the 1994 General Household Survey. Social factors were analyzed to determine relationships that exist between certain types of health care use and these factors. Age, sex, and class, the three main factors shown in literature to affect usage, were then analyzed to determine if services are allocated on the basis of these factors or the basis of need from illness and disability. Results of the study show that of the predisposing variables, age, sex, and class, are associated with most types of health care use. From the enabling variables, both source of income and visits from friends and relatives are associated with most types of health care. Of the illness determinants, disability, limiting illness, restricted activity days and eyesight difficulty were all related to health care use. When intervening control variables were introduced, the intervening control variables of difficulty with activities of daily living and difficulty with instrumental activities of daily living had an explanatory effect on the use of home help, district nursing, consultations with a general practitioner at home, consultations with a general practitioner at a surgery or health clinic, and inpatient stays. These services were offered more according to need than the factors of age, sex, and class.
30
Finney, Nissa Ruth. « Asylum seeker dispersal : public attitudes and press portrayals around the UK ». Thesis, Swansea University, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.515729.
Texte intégral
31
Skelcher, Christopher Kefford. « The governance and management of public services : an analysis of three rationalities ». Thesis, University of Birmingham, 1998. http://etheses.bham.ac.uk//id/eprint/3936/.
Texte intégralRésumé :
The search for enhanced rationality in the governance and management of UK public services is an enduring theme of reform programmes. Three modes of rationality had a significant impact during the period 1977-1997: the rationality of disengagement, which suggests that there are benefits to be derived from the governance of public services by boards of appointed individuals operating at arm's-length to the democratic process; the rationality of integration, which concerns the advantages to be gained from the development of interrelationships between agencies around particular public policy objectives; and the rationality of congruence, which stresses the need for local authorities' policies and service delivery processes to reflect the views and preferences of their communities. The origins and characteristics of these three themes are examined and their effect on public services assessed. Together, they have produced a significant transformation of the management and governance of UK public services. The analysis suggests that, at a macro level, the underlying problems of governance and management each rationality seeks to address recycles over a period of time. Reform strategies materialise through a 'garbage-can' model in which current problems are attached to the prevailing fashionable solutions. However, there is also a developmental process in operation. The intersection of the three rationalities offers an agenda for future research.
32
White, Christopher P. « NHS resource allocation 1997 to 2003 with particular reference to the impact on rural areas ». Thesis, St Andrews, 2009. http://hdl.handle.net/10023/825.
Texte intégral
33
Mahendran, Kesini. « Gainful unemployment : using a dialogical psychology to intervene in unemployment ». Thesis, University of Stirling, 2003. http://hdl.handle.net/1893/1945.
Texte intégralRésumé :
This qualitative inquiry built on a relational and dynamic epistemology, distinguishes between four psychologies of unemployment, agency-deprivation, social perception, self-perception and finally dialectical. Within a dialectical psychology of unemployment a dialogical analysis is developed which takes the locus of intervention in unemployment as the interaction between unemployed people, those that work with them and the social knowledge that surrounds the phenomenon. The inquiry uses a longitudinal participatory action approach with two training and guidance centres in Central Scotland, 'Strategic Delivery' and the 'Young Person's Centre' between 1999 and 2001. This involved participant observation on the New Deal and Skillseekers; training programmes, meetings and interviews with managers, unemployed clients and front-line staff. 14 young people were followed through their pre-vocational training between January 2ooo and April 2ooo and follow up interviews were carried out in February and March 2ool. The study also involved social consultancy on measuring soft skills at SD and developing a person-centred approach at the YPC, where the YPC became understood as a multi-voiced organization[Bakhtin (1986)]. The inquiry produced actions, recommendations to the organizations and interpretative findings around the use of a dialogical analysis. Three co-created 'actions' on self-assessment measures for unemployed people are described. The study recommends that two key foundational concepts in the area of unemployment 'social inclusion' and 'employability' need to be reconsidered for this cohort of young people where 42.9% remain unemployed at the end of the research. Finally in making sense of organizational change the study explores the extent to which managers within the YPC were in a dialogue with the socio-political discourse and the movement in meaning of the term 'person-centred'. The study points to the importance of organizations developing an authentic dialogue with their client group. It assesses the role that psychology is playing in the current dominance of a self-perception psychology of unemployment.
34
Hawthorne, Kamila. « Overcoming cross-cultural differences in diabetes management : making diabetes health education relevant to a British South Asian community ». Thesis, University of Manchester, 1997. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.674726.
Texte intégral
35
Monahan, Ann Corneille. « Day care for people with dementia--the importance of communicating a safe and uncritical environment to clients and facilitating stimulating activity ». Thesis, University of Stirling, 2005. http://hdl.handle.net/1893/270.
Texte intégralRésumé :
Exploratory case studies investigated the day care benefit from the multiple perspectives of the person with dementia, caregiver, and day care worker. The routines, daily processes, and factors promoting benefit were reported. The day care client was also queried to explore their ability to contribute useful information about their care environment. The adult day care is primarily a social occasion for its clients, who enjoy the benefits of companionship and interaction. Day cares were differentiated by the environmental features: worker:client ratio, size, suitability of the site for intended purpose, quality of client-worker relationships, and quality of the activities offered. The quality of each of these features is an important component in the day care environment. All components at their highest quality are not necessary for the environment to be beneficial. The most important factors contributing to day care quality were workers who (1) communicated safety to the client through a relaxed, uncritical environment, and (2) facilitated client stimulation through activity and personal interaction, satisfying the clients’ basic needs to be safe and occupied. This evaluation was comprised of: two sets of case studies. Each evaluation was concurrently conducted and consistently designed. Participant observation and survey were the primary methods of data collection. Informed consent was sought from day care clients with dementia, family caregivers, and day care workers.
36
Chan, Yu-sin, et 陳如[xian]. « A historical review of recovery movement and mental health policy : from asylum to community care in UK and Hong Kong ». Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/206553.
Texte intégralRésumé :
Background A psychiatric disorder influences one’s affect, mind and behaviors and psychiatric symptoms, such as disorganized speech, bizarre behaviors, delusion that influence one’s motivation, social interest, independence and self-care. Therefore, society stereotypically labels the mentally ill patients as “weak” and “dangerous”, a special group to be taken care of, treated and controlled. As a result, asylums and institutions become necessary for the mentally ill patients. Reviewing the asylums and institution period, it was shown that the care and treatment was inhuman and very limited. Starting 1950s’, there was a voice criticizing that it violated the patients’ human right to keep them in hospital after they had recovered from the acute stage. Consequently, deinstitutionalization and the community care were developed in this period. These policies also led to the consumer movement in 1970s’. Over time, the mental health policy has changed continuously. However, the stigma from society and the consumer movement were still apparent as shown by various patterns.
Aims This study explores the core factors of the mental health services through systematic historical review of the recovery movement and mental health policy, and intends to find out the important insight to improve the mental health services in Hong Kong.
Methodology This study chooses England as an example since the earliest recovery movement started from England. Before 1997, Hong Kong was a Crown colony, so its mental health policy was influenced by England. This study sets out to review related records and documents, including the literature, journals, government documents, reports, newspapers, yearbooks, files and textbooks. After collecting the information and analyzing the contents, the themes will be integrated to find out the core influence factors of the mental health services.
Results After reviewing the overall history of rehabilitation movement in mental health in England and Hong Kong, it is concluded that the development pathway should focus on “Treatment and Care” and “De-stigmatization”.
Conclusions “Treatment and Care” and “De-stigmatization” are the key influence factors, judging from history of the recovery movement and mental health policy development. Thus, a good mental health service should solve these two problems.published_or_final_version
Psychological Medicine
Master
Master of Psychological Medicine
37
Mallinson, Saran Michelle. « Dispersal : a barrier to integration ? : the UK dispersal policy for asylum seekers and refugees since 1999 : the case of Iraqi Kurds ». Thesis, University of Warwick, 2006. http://wrap.warwick.ac.uk/2445/.
Texte intégralRésumé :
The large rise in the number of asylum seekers coming to Britain in the 1990s and since then has made asylum policy and associated matters an increasingly important issue for the government. On the one hand, the government has wished to deter asylum seekers but on the other, it recognises the importance of integrating those who are given permission to settle. Issues surrounding asylum seekers have become highly political as the media, local authorities and local people have all become involved in trying to influence the content and delivery of asylum policy. This thesis focuses on the effect of the current dispersal policy on asylum seeker and refugee integration. In this piece of research, an asylum seeker is an individual who reaches the UK through his/her own means and submits a request for asylum to the Immigration and Nationality Directorate (IND) at the Home Office. Asylum seekers who are granted permission to reside in the UK are defined as refugees in this thesis, whether they be Convention refugees or individuals possessing Humanitarian Protection (HP) or Discretionary Leave (DL). This study uses the approach to integration developed by Ager and Strang (2004a) and in particular their four main components of asylum seeker and refugee integration. My major hypothesis is that dispersal exercises a negative impact on the four dimensions of integration studied because this policy sends asylum seekers to localities where there are no settled co-ethnics, hostile host-community members, limited employment opportunities and inadequate dwellings. In order to test this hypothesis, I compare the significantly different integration opportunities encountered by asylum seekers and refugees in two contrasting dispersal cities, Newcastle and Birmingham. Given the national, ethnic and socio-economic heterogeneity of the group under study, I also adopt a case study approach and focus on the experiences of Kurds from Iraq. Significantly, asylum seekers and refugees possess different rights and for this reason, their experiences of dispersal and integration are analyzed separately. I chose semi-structured interviewing with asylum seekers and refugees because this method reflects my structured research strategy as well as my commitment to remain alert to unexpected findings. Furthermore, this technique helps the researcher appreciate the standpoint of the group studied, an important objective in my study. The in-depth nature of the qualitative data produced also assists with the understanding of the complex processes tied to the effect of the dispersal policy on integration. A non-probability sampling technique, snowball sampling, customarily used when a population is elusive, was employed to select the sample of asylum seekers and refugees. Semi-structured interviews were also carried out with national policy-makers and local service providers as well as Kurdish community workers and businessmen. These interviews helped the researcher understand the standpoints of central and local government, the voluntary and private sector as well as the perspective of influential Iraqi Kurds. The findings suggest that asylum seekers and refugees' experiences of dispersal and their process of integrating into UK society are not necessarily contradictory phenomena. In fact, in some instances, the dispersal policy has introduced members of this group to better integration opportunities than they would otherwise have encountered in their voluntarily chosen, traditional areas of concentration, in London and the South East of England. The conclusions also highlight several gaps in Ager and Strang's (2004a) integration framework, namely the absence of an intra-national spatial dimension, the failure to incorporate the ambivalent, non-linear effect of the passage of time and finally, the lack of reference to the idea that success in one sub-area of integration can reduce progress in another.
38
Nasar, Saima. « Subjects, citizens and refugees : the making and re-making of Britain's East African Asians ». Thesis, University of Birmingham, 2016. http://etheses.bham.ac.uk//id/eprint/6685/.
Texte intégralRésumé :
Considerable historical attention has been paid to the end of Empire in Britain’s East African colonies and the consequences of this for postcolonial states. The forced migration of minority South Asian populations from the new nation-states of East Africa has received considerably less attention. South Asians remain at the margins of African and British national histories, constructed variously as either fringe opponents of anti-colonial nationalist movements or marginalised minorities. Yet re-assessing the history of these ‘refugee’ communities has the potential to enhance scholarly understanding of both colonial and postcolonial power relations and migrant-refugee identity formulation and re-formulation. Moreover, studies of migrant communities in Britain have tended to treat South Asians as a homogenous group, paying relatively little attention to the specific identity trajectories of those who were expelled from the new nation-states of East Africa. In contrast, this research takes as its starting point the transnational experiences of East African Asians as multiple migrants, exploring the reformulation of political and cultural identities during the course of their expulsion, migration and resettlement in and between postcolonial states.
39
Honey, Stephanie Ann. « Participation by proxy : how bilingual support workers aid the participation of minority ethnic users in the North West region of the National Health Service ». Thesis, University of Manchester, 2001. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.673818.
Texte intégral
40
Adams, Jane M. « The mixed economy for medical services in Herefordshire c. 1770 - c. 1850 ». Thesis, University of Warwick, 2003. http://wrap.warwick.ac.uk/2640/.
Texte intégralRésumé :
This study considers the mixed economy for medical services in Herefordshire between 1770 and 1850. Medical services were an integral part of wider systems of welfare and were provided within a mixed economy that included private practice, state provision, philanthropic activities and mutual societies. Significant resources were spent within the sector and influence over their deployment was of direct interest to parishes, the municipal council, magistrates, philanthropists and individual members of the elite. Four types of medical services are reviewed. These are the provision of personal care by medical practitioners in the private, public and charitable sectors, the establishment of Hereford General Infirmary, changes in institutional services for the insane and developments in public health. Two underlying themes are discussed throughout the thesis. The first of these is the complexity of the mixed economy for medical services. Important changes over the period are identified and the interrelationships between the various sectors investigated. The dominance of public, private or charitable provision shifted in the period as a result of both national and local factors. The second theme explored is the interplay between politics and the systems and institutions providing medical services. The importance of political considerations in shaping local policy towards medical services is demonstrated through detailed case studies. These include examining the link between the launch of the subscription appeal for Hereford Infirmary and the parliamentary election campaign in 1774, approaches taken towards the management of the cholera epidemic of 1832 and the campaign to establish a public lunatic asylum in the late 1830s.
41
Turner, Janice. « Who killed the primary care strategy ? : a socio-material analysis ». Thesis, University of Stirling, 2011. http://hdl.handle.net/1893/3602.
Texte intégralRésumé :
This study places the intended creation and implementation of an inter-professional education strategy at the intersection of three networks. The networks in question are cultural historical activity theory (CHAT), actor network theory (ANT), and a complex healthcare organisation (NHSX). CHAT and ANT, whilst both socio-material in origin, afford quite different readings of NHSX: therefore, the former has been used to identify, distil, and decompose the organisational activity systems, and the latter has been used to problematise them. The strategy was created in 2005 and had ceased to exist by 2010. This study therefore employs CHAT and ANT accounts to trace the lifespan of the strategy through the organisation, in particular through organisational working, learning, and boundary crossing, in an attempt to explain its untimely demise. It is envisaged that this study will provide an aid to framing how socio-material approaches can be combined to support inter-professional policy construction and implementation in a way that will allow flexibility for others to adapt to their own distinctive circumstances
42
Matthews, Jean Isabel. « Power, management and complexity in the NHS : a Foucauldian perspective ». Thesis, University of South Wales, 2009. https://pure.southwales.ac.uk/en/studentthesis/power-management-and-complexity-in-the-nhs(bb92809f-944d-4bfd-8502-7ffd0791a35a).html.
Texte intégralRésumé :
This thesis is a critical and post-structural exploration of the discourse of managerialism in the NHS secondary care sector in Wales. Its central intent is to destabilise the dominant thinking about NHS management practice and to evoke intellectual debate about alternative discourses of management that ontologically perceive the organisation as a complex adaptive human system. The emergent theoretical framework conjoins the discipline of Complexity with post-structural conjecture, posing a novel conceptualisation of a fractal self where relations of power are seen as essential for harmonising diverse influences and legitimising a local discourse that informs and regulates practice. Using Foucault’s insights on power and knowledge the thesis critiques the strategic nature of NHS discourse, exposing the discursive dominance of managerialism and its inherent relations of power and debates what this predicates for a local negotiation and a flexible, safe and innovative environment. The methodological approach employs a reflexive and micro-level interpretative strategy to emphasise the singularity of agents and to explore the way in which the discursive constitution of the self influences agent practice. My profound experience of the secondary care system requires I situate my self reflexively within the context where I explore and liberate my own voice in conjunction with my participants. The research adopts a biographical narrative method of data collection and uses Foucauldian discourse analysis as a framework for exploring the underlying discourse in agent stories. The findings demonstrate the polyphonic nature of the secondary care context and reveal the demonstrate the polyphonic nature of the secondary care context and reveal the diverse ways in which agents legitimise, negotiate or resist the conflicting truth claims of various discourse in order to strategically sustain an image of health care historically constituted in their self. The results portray a web of discourses that endorse conformity or complicity through oppressive mechanisms of disciplinary control and surveillance, perpetuating authoritative and dualist structures, dissipating relations of trust and removing intellectual thinking from the front-line. The conclusion asserts that this significantly jeopardises the ability of agents to legitimise local ‘discourse’, severely limiting their capacity for adaptive practice and the generation of new order.
43
Rait, Greta. « The adaptation and performance of screening instruments for depression and cognitive impairment for use with older African-Caribbean and South Asian populations in the United Kingdom ». Thesis, University of Manchester, 2001. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.673820.
Texte intégral
44
Lehane, Maria. « No frills : the governance of children and family services ». Thesis, University of Kent, 2015. https://kar.kent.ac.uk/54556/.
Texte intégralRésumé :
No Frills is a grounded case study enquiry based on a Local Authority in the South of England. The research question asked ‘How do the governance arrangements and the organisational structures of education and children’s social care services inhibit or support transdisciplinary working?’ No Frills raises the varied social location and categorisation of children historically and now, as occupying various policy positions, either as part of, or separate to, family. Children have been, and still are, labelled as socially constructed subjects dependent upon wide ranging and frequently contradictory societal norms, values and expectations. These social constructs have played their part in shaping how organisations have worked with children and their families both in the past and in the more recent policy imperatives to Working Together No Frills is contextualised by the New Labour Government’s policy of Every Child Matters (ECM) and the Common Assessment Framework (CAF) and focus’ upon safeguarding children through the job roles of the wider children’s workforce and the ‘Working Together’ agenda to include parents. The nature of ‘transdisciplinary’ as a form of working together is identified and explored with particular reference to the concept of role release (McGonigel 1994; King 2009), whereby professionals share their expertise with, and release roles to, paraprofessionals, and parents as part of a transdisciplinary team. The literature regarding role release in transdisciplinary work is from the perspective of professionals who release aspects of their job role. In No Frills, the released aspect focused upon is the assessment of children deemed to be in need of safeguarding. The boundaries between safeguarding, prevention and protection are not always clear and this creates uncertainty and concern for members of the wider children’s workforce. No Frills examines the perspective of members of the wider children’s workforce at the receiving end of role release, through the contribution of participants from a cross section of staff, and service users. The role of power in ‘Working Together’ is identified as a pivotal relational dynamic affecting both members of staff and service users in the governance of role release in transdisciplinary working together. The governance of role release obscures the location of responsibility and accountability in children’s safeguarding services. Members of the wider children’s workforce find themselves increasingly responsible for assessing and meeting the needs of children that have complex needs. Members of the wider children’s workforce are not always confident in assessing the ever increasing complexities of need for children’s safeguarding through the CAF. Staff faced with such assessment complexities, often refer children to statutory social care services, which could be seen as an inappropriate referral because of the high threshold criteria to access children’s social care services. This dynamic illustrates that the role of assessment and monitoring has been released to the wider children’s workforce through an auditable outcome based governance. Contextualised by prevailing neoliberal value systems the governance of role release ‘repackaged’ (Newman 2005:4) children’s safeguarding and protection needs into quantifiable categories ‘through the imposition of codified and proceduralised, efficiency-related knowledge’ (Keeping 2008:139).
45
Wang, Fang. « Local assessment of needs for consumer information and advice services in Great Britain : the development of a scientific conceptual model of assessment ». Thesis, Queen Margaret University, 2010. https://eresearch.qmu.ac.uk/handle/20.500.12289/7319.
Texte intégralRésumé :
UK consumers are facing a high level of detriment. Much of the detriment can be avoided or reduced by making consumers informed and well equipped with suitable levels of knowledge and skills thus become empowered. As one important element to consumer empowerment, there is a strong case that consumers need suitable consumer information and advice services (CIAS). In an attempt to improve the local CIAS provision in Great Britain, the Consumer Support Network (CSN) initiative was launched in 1999 to join up the existing local CIAS providers. A local CIAS needs assessment was required for each CSN to achieve full establishment status (Brennan and Galloway 2002). It was discovered during the period that there was a lack of a scientific local CIAS needs assessment model available for local agencies to employ. This triggered this research project which is aimed to fill this gap. Due to the fact that Northern Ireland was not included in the CSN initiative, it was decided that this research targeted Great Britain, namely England, Scotland and Wales, although the literature would be drawn from the UK to inform the research. In the UK, the majority of CIAS is publicly funded and provided by public and voluntary sectors. Due to the funding nature of local CIAS provision, the needs for CIAS can be defined as needs for public services in this research. A review of the existing literature provided detailed background on the UK consumer landscape and the consumer empowerment agenda. Two broader categories of issues surrounding the concept of needs for public services and needs assessment were also identified: the theoretical debate on needs for public services and needs assessment and specific practical issues concerning local CIAS needs and needs assessment. The research is focused on the latter, since the purpose of a local CIAS needs assessment is to provide practical guidance to assist local agencies to design and improve their services. This research aims to investigate and develop a scientific conceptual local CIAS needs assessment model. This aim was achieved by identifying the relevant practical issues surrounding local CIAS needs and needs assessment involving two research populations: the CIAS professionals, who are responsible for the delivery of local CIAS, and the general public, who are the recipients of CIAS. Due to the characteristics of these two research populations, a combination of qualitative and quantitative research methods was chosen in this research. The CSN coordinators were chosen to represent the CIAS professionals in the first phase qualitative research. The transcriptions of 18 semi structured in-depth interviews were collected and analysed to generate the initial assessment model. The important part of the initial model, the needs for CIAS and its components, was tested and then modified in the second phase quantitative research based on the analysis of the data collected from 585 on-street questionnaire surveys of the general public in Great Britain which was chosen as the research population in the second phase. A purposive sampling was employed to ensure a good level of representativeness considering the resource constrains to this research. The employment of combined research methods ensures the assessment model is scientific by comparing and contrasting data from both local CIAS professionals and the recipients of local CIAS. The scientific attribute of the assessment model is also assured by employing scientific qualitative and quantitative data collecting and analysing techniques and procedures. The results of the two phases enabled this research to produce a scientific conceptual assessment model. The main product of this thesis, the new local CIAS needs assessment model, is evidence based, tailor-made, and ready to be employed by local CIAS agencies. This model consists of two sections, left and right: the needs assessment process and the practical issues of local CIAS needs. The left section includes the main stages of a local CIAS needs assessment and highlights the key issues associated with each stage. The right section illustrates the key components of CIAS needs and factors influencing CIAS needs: consumer knowledge and shopping patterns and their key components. The two effective means of local consumer segmentation, consumer disadvantage and consumer age, are also identified and illustrated in the section. The scientific CIAS assessment model could assist the professionals to gather evidence on local CIAS needs more effectively and systematically. The evidence could be used to improve the existing CIAS provision and design new CIAS to target any unmet needs identified. The evidence gathered, together with the relevant findings of this research, could also strengthen the case of local CIAS provision and better coordination with national CIAS provision such as Consumer Direct. The model could also benefit the professionals, policy makers and academia by comprehensively illustrating the components of CIAS need, the key relating factors and effective means for local consumer segmentation. The outcomes of the research also shed a light on the gaps in the literature thus identifies the possible areas of future research.
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Favell, Margaret Elizabeth, et n/a. « Power, control and accountability in a voluntary organisation : the implications for professional staff and service delivery ». University of Otago. Department of Social Work and Community Development, 2007. http://adt.otago.ac.nz./public/adt-NZDU20071003.101609.
Texte intégralRésumé :
Over the last decade government policy has transformed many aspects of the welfare state and contracted out to private or voluntary non-government organisations many of the services previously provided by the state. Currently there is very little research on the benefits or disadvantages regarding standards of professional practice and delivery of these services when controlled by voluntary organisations and this research is a case study investigating these concerns.
By using the case study method it is possible to understand issues by incorporating concrete examples of practice within the context that it takes place, as it is only when seen in its proper setting that the general and conceptual significance of practice is understood.
This case study explores the relationships of power, control and accountability in one such non-governmental organisation, the Royal New Zealand Plunket Society and the implications these have for professional staff in the delivery of the service. The study uses the archaeology and genealogy methods suggested by Foucault. Archival material was gained from the Minutes of the meetings of the Plunket executive (1917-1984), constitution and rules. These serve to demonstrate the historical power relationships in the organisation, Plunket nurses� working conditions and how some nurses were treated. The dominant discourse in the archaeology contains two major themes, one being volunteers� autonomous 'ownership' of the organisation, and the other, the subordination of professionalism through the discipline and management of the nursing workforce.
Those same themes are also dominant in the contemporary data studied in the genealogy, which highlights the constraints imposed by volunteer 'ownership' in the contemporary period. It is a feature of the "path dependency" of the organisation that the belief that volunteers had a right to discipline and control the nursing workforce has remained largely unchanged in the contemporary period.
The practice and the context are personalised through interviews with some nurses so that their real-life experiences may give an in-depth understanding of the processes going on for them as professionals. This is one of multiple sources of evidence, including reports, reviews and research, used to triangulate the findings. Through the totality of these methods, insight into Plunket�s decision-making is made possible.
These serve to underline the continuing lack of accountability for service delivery of nonprofessional 'owners' of the voluntary organisation and the negative impact it can have on the delivery of professional services although the greater depth in the contemporary data also highlights two new subsidiary themes; the dominance of lay knowledge over both professional and managerial knowledge, and volunteers� motives for volunteering.
The contemporary interview data demonstrated how the historical culture of the organisation enabled this process to continue through poor workplace conditions, high staff attrition and, in some cases, severe personal pressure akin to workplace bullying.
This study exposes the significance of the culture of organisations, and reveals that the substance of apparent altruistic voluntary organisations may be much more complex and problematic than the ideology would lead us to believe. In a field such as this, where an NGO has sole national responsibility for such an important area and where the outcomes are so poor, change must be considered. While a path dependency explanation is pessimistic about change, it is argued that the only option for professional standards of service for this, and other NGOs, lies in much more accountability and democracy in stakeholder relationships. Recommendations are made in that direction.
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Roberts, Ann Elizabeth. « Health care performance management : insights from applications of data envelopment analysis ». Thesis, University of Stirling, 2001. http://hdl.handle.net/1893/2400.
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The comprehensive measurement of efficiency and performance in the Health Service in the UK has become one of the most important managerial developments of recent years. The reasons for this development were examined, particularly in relation to the difficulties involved with performance assessment in such a context. The most widely utilised techniques were evaluated from the perspective of the Health Care Manager and a number of serious limitations were identified. In response to these limitations, the technique of Data Envelopment Analysis was evaluated as an alternative. It has been proposed as an appropriate and useful tool for the assessment of efficiency, although the literature on DEA showed limited practical application to public sector services in the UK. The many facets of the technique were investigated and literature on its application to hospital data was reviewed. A two-stage application procedure for the DEA technique was developed in response to this evaluation, to be used in the measurement hospital efficiency. The procedure was based on a deep theoretical understanding of the DEA methodology. The most important elements of the process were related to selection of the initial sample, the identification of the variables to be included in the DEA model and the definition of the weight restrictions to be incorporated. Input from Health Care Managers was used to guide the application and data from a sample of acute hospitals in Scotland was utilised in the analysis. The application procedure showed how the practicalities of the DEA technique could be enhanced, in particular through the inclusion of weight restrictions. This led to the development of efficiency strategies for the inefficient hospitals, which could be related to the policy objectives or managerial structure of the hospitals in the sample. It was concluded that there were many potential benefits of the DEA approach to efficiency assessment and the two-stage application procedure defined here, which could be seen to fulfil many of the requirements of the Health Care Manager. It was determined that combining theoretical and practical issues can enhance the applicability of the DEA methodology.
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Fitzpatrick, David. « Hypoglycaemic emergencies attended by the Scottish Ambulance Service : a multiple methods investigation ». Thesis, University of Stirling, 2015. http://hdl.handle.net/1893/21854.
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Background: Changing service demands require United Kingdom ambulance services to redefine their role and response strategies, in order to reduce unnecessary Emergency Department attendances. Treat and Refer guidelines have been developed with this aim in mind. However, these guidelines have been developed in the absence of reliable evidence or guiding mid-range theory. This has resulted in inconsistencies in clinical practice. One condition frequently included in Treat and Refer guidelines is hypoglycaemia. Therefore this thesis aimed to investigate prehospital hypoglycaemic emergencies in order to develop an evidence base for future interventions and guideline development. Research approach: A pragmatic and inductive applied health services research approach was employed. Multiple methods were used in a sequential explanatory design. Three linked studies were undertaken with the results of previous studies informing the development of the next. Study one: A scoping review of prehospital treatment of hypoglycaemic events. Aims: i) To describe the demographics of the patient population requiring ambulance service assistance for hypoglycaemic emergencies; ii) To determine the extent to which post-hypoglycaemic patients with diabetes, who are prescribed oral hypoglycaemic agents (OHA), experience repeat hypoglycaemic events (RHE) after being treated in the prehospital environment. Methods: A scoping literature review was conducted using an overlapping retrieval strategy that included both published and unpublished literature. Findings: Twenty-three papers and other relevant material were included. Hypoglycaemia related ambulance calls account for 1.3% to 5.2% of ambulance calls internationally. Transportation rates varied between studies (25%-73%). Repeat hypoglycaemic emergencies are experienced by 2-7% of patients within 48 hours. There was insufficient detail to determine any relationship between repeat events and OHA. The low quality of included papers means that the results should be cautiously interpreted. The safety of leaving patients on OHA at home post hypoglycaemic emergency is unknown. Consequently patients taking OHAs who experience a hypoglycaemic emergency should be transported to hospital for observation. There was a lack of knowledge about the Scottish demographics of the patient population. Study two: A retrospective cross-sectional observational study of diabetes related emergency calls. Aims: To investigate i) the patient demographics and characteristics of hypoglycaemia related emergency calls; ii) the incidence of repeat hypoglycaemic events; and iii) the factors associated with emergency calls that result in individuals being left at home. Methods: A retrospective observational cross-sectional study conducted using Medical Priority Dispatch System® call data from West of Scotland Ambulance Control Centre over a 12 month period. Data were extracted on age, gender, dispatch code, time of call, deprivation category, and immediate outcome (home or hospital). Multiple regression analysis was used to determine predictors of remaining at home. Findings: 1319 calls for hypoglycaemia were received. Patient demographics were similar to the scoping review findings. Most patients remained at home (N = 916 vs N = 380; p < .001). RHE’s were experience by 3.1% within 48 hours, and 10.6% within two weeks. The most significant independent predictor for patients remaining at home was a prior call to the ambulance service (OR of 2.4 [95%CI 1.5 to 3.7]). Patients’ reasons for remaining at home and the causes of subsequent severe events are unknown. It is likely that non-clinical factors may explain some of this behaviour. Study 3: Investigating patients’ experiences of prehospital hypoglycaemic care. Aim: To investigate the experiences of patients who are attended by ambulance clinicians for a hypoglycaemic emergency. Methods: In-depth interviews with adults with diabetes who had recently experienced a hypoglycaemic emergency treated by ambulance clinicians. Participants were recruited from Greater Glasgow and Clyde and Lanarkshire Health Board areas. Data were analysed using Framework Analysis. Findings: Twenty six patients were interviewed. Three key themes were developed. Firstly, an explanation for help seeking behaviour; patients’ impaired awareness of hypoglycaemia as well as the inability of friends and relatives to cope can contribute to an ambulance call-out. Secondly, the perceptions of ambulance service care; patients felt the service provided was good; however ambulance clinicians’ advice was inconsistent. Thirdly, the influences on uptake of follow-up care; patient preferences for follow-up care were influenced by previous experiences of home, hospital and primary care. Post-hoc analysis identified three psychological theories that may explain these findings and provide a useful basis for intervention development: Common Sense Model (Leventhal et al, 1998); Health Belief Model (Rosenstock, 1966); Ley’s cognitive hypothesis model of communication (Ley and Llewelyn, 1995; 1981). Conclusion: Most people treated for severe hypoglycaemia by ambulance clinicians remain at home and do not follow-up their care. A few experience repeat hypoglycaemic emergencies. Key causal, but modifiable factors, contributing to this include:- impaired awareness of hypoglycaemia; inconsistent delivery of ambulance clinician referral advice; and patients’ perceptions of the costs and benefits of follow-up care. Ambulance services cannot address all these factors in isolation. The studies in this thesis have generated an evidence base and identified plausible candidate theories. This will support the future development of novel interventions to improve severe hypoglycaemic emergency follow-up.
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Abidin, Shamharir. « Audit market concentration and auditor choice in the UK ». Thesis, University of Stirling, 2006. http://hdl.handle.net/1893/119.
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Auditing has an important role in the corporate governance process and is essential in ensuring confidence in the reliability of financial information. It is important to understand the reasons why, given the costs involved, companies change their auditor and choose a particular level of audit assurance. To date, however, only a limited number of studies on auditor choice issues are available, especially in the UK setting. Further, since the downfall of Andersen, the audit market environment has changed significantly, creating a new audit environment to be researched. In light of these recent developments, the objectives of this thesis are to address both concentration and auditor choice issues. It is divided into two separate but interrelated parts. The first part of this thesis provides evidence on audit market concentration in the UK domestic listed company market from 1998 to 2003. The effect of Andersen’s demise on both audit market concentration and audit fees is examined. Using four different size measures (number of audits, audit fees, clients’ total assets and sales), three measures of concentration are calculated. Results show that the UK audit market has now clearly surpassed the tight oligopoly threshold and, despite auditing significantly fewer clients in 2003 than in 1998, the B5/4 managed to increase their fee dominance. In particular, the decline in B5/4 ‘number of clients’ market share was mainly due to their lower share of the newly-listed companies audit market. On the other hand, the slight increase in B5/4 audit fee market share was due to the net impact of leavers concentrating the B5/4 share and joiners diluting it. Voluntary switches to/from the B5/4 had a relatively small impact on B5/4 market share for both measures. Following Andersen’s acquisition by Deloitte & Touche, market levels of audit fee and audit fee rate (audit fee scaled by total assets) have increased markedly, suggesting that more audit effort is being expended as a way to restore confidence about audit quality after the damage caused by Andersen’s alleged misconduct. The acquisition has also contributed to a further increase in ‘audit fee’ market concentration for the 4-firm concentration ratio (CR4) and in the overall Hirschman-Herfindahl Index measure. Although, Deloitte & Touche gained significant market share in terms of both audit fees and number of audits through its acquisition of Andersen, it is PricewaterhouseCoopers that continues to hold the largest market share. Deloitte & Touche retained 93 former Andersen clients (74%), 21 (17%) moved to another B5/4 auditor and 11 (9%) chose a non-B5/4 firm. While former Andersen clients paid higher audit fees, in aggregate, the increase was, perhaps surprisingly, less than for the market as a whole. At the industry level, the B4 firms dominated all sectors, the highest non-B5/4 market share in any industry being just 8%. In 2003, PricewaterhouseCoopers was the leader in 18 out of 34 sectors. The second part of the thesis is divided into two separate studies – auditor change determinants and new auditor selection determinants. These studies use a sample of non financial auditor change companies to test logistic regression models of the determinants of auditor change and new auditor selection. The determinant variables include auditee, auditor and audit characteristics. This part also examines the sensitivity of results to alternative functional forms of the basic model specification. Two definitions of auditor quality – brand name auditor and specialism, are employed. Internal governance issues such as audit committee independence, the duality of chairman/CEO as well as the size/quality of the incumbent auditor were found to be significant determinants of auditor change. Expected future growth in the company, rather than past growth, and audit fee reduction were positively related to audit change probability. Result also suggests that companies changed auditor to improve the perception of auditor independence. By contrast, in the new auditor selection models, corporate governance variables did not appear to be important in determining a different quality (brand-name) auditor. Only the chairman/CEO duality variable was weakly and negatively significant, suggesting that duality is associated with a change to a lower quality auditor. Growing companies are more likely to change to a brand name auditor, consistent with the inability of smaller firms to provide services across an international market. Contrary to agency theory predictions, the results show that a company experiencing increased leverage is less likely to choose a B5/4 auditor, suggesting that B5/4 auditors are being selective in avoiding risky clients. Higher audit fees are paid to new auditors by companies that changed from non-B5/4 to B5/4, reflecting a B5/4 fee premium. However, the higher NAS fee result is contrary to initial expectations. Typically, far fewer variables were significant in the models with audit quality proxied by industry specialism. For the specialism models based on audit fee market share, there is counter-intuitive evidence that a company with a large number of subsidiaries is less likely to move to a specialist auditor from a non-specialist. New specialist auditors were more likely to be preferred when a company experienced an increase in current accruals or a reduction in leverage. In general, the results for these models were less strong and were dependent upon the specialist definition adopted. Finally, the thesis provides evidence that the choice of time variant model (ex-ante, contemporaneous or ex-post) made no significant difference to the overall results. The one exception concerns the ‘growth’ variable, where companies are found to change auditor in anticipation of future growth, rather than as a response to past growth. Further, the use of alternative proxy variables does not greatly influence the regression results. One important exception to this general observation concerns the brand name proxy. When brand name was defined as tier12 (to include Grant Thornton and BDO) the significance level was improved in all models. This suggests that, to some degree, Grant Thornton and BDO are viewed as quality service providers closer in quality to B5/4 than to other smaller audit firms.
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McEldowney, Rene P. « A century of democratic deliberation over American and British national health care : extending the Kingdon model / ». Diss., This resource online, 1994. http://scholar.lib.vt.edu/theses/available/etd-06062008-164612/.
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