Improving fairness in coverage decisions: performance expectations for quality improvement

Patients and physicians often perceive the current health care system to be unfair, in part because of the ways in which coverage decisions appear to be made. To address this problem the Ethical Force Program, a collaborative effort to create quality improvement tools for ethics in health care, has developed five content areas specifying ethical criteria for fair health care benefits design and administration. Each content area includes concrete recommendations and measurable expectations for performance improvement, which can be used by those organizations involved in the design and administration of health benefits packages, such as purchasers, health plans, benefits consultants, and practitioner groups.     

The effect of track position on absenteeism

Absenteeism is one of the major problems facing America's schools. Absenteeism disrupts the learning environment, is related to lower levels of achievement, and is associated with problems of crime and delinquency. While previous research has identified many of the determinants of absenteeism, the role of a student's position in the tracking structure within a school has not been explored. The purpose of this paper is to explore this relationship. Ordinary least squares (OLS) regression results reveal that students who are in the lower tracks within the tracking structure in a school are more likely to be absent than other students and that Black and female students in low tracks are more adversely affected by the low-track environment that non-Black and male students. These results suggest that track position must be taken into consideration when dealing with the problem of absenteeism. The author would like to thank Maureen Hallinan for the use of her data set and for her comments and suggestions on previous drafts. The author would also like to thank Richard Williams and Kathryn Schiller for their comments and suggestions.     

Rethinking women's ways of knowing: Gender commonalities and intersections with postformal thought

Belenky, Clinchy, Goldberger, and Tarule (1986) identified five ways of knowing in women: silent, received, subjective, procedural, and constructed. This study examined the extent to which they were used by both women and men and their intersection with postformal, relativistic thought (Sinnott, 1989b). As listed, the ways of knowing fall along a continuum of increasingly complex thought; hence, overlap between constructed knowing and relativistic thought was expected. Thirty female and 30 male university students (aged 27 to 43 years) completed a structured interview about ways of knowing, solved two hypothetical everyday problems, and completed the Bem Sex Role Inventory. Age predicted neither ways of knowing nor relativistic thought; increasing education was predictive of relativistic thought but not constructed knowing. Neither women nor men relied on received knowing; women used subjective knowing more than men did, while the opposite was true for procedural knowing. While there were no gender differences in relativistic thought or constructed knowing, femininity was associated positively with both. Finally, procedural knowing decreased while constructed knowing increased with increasing evidence of relativistic thought.     

Stress,coping, and resources in mothers of adults with developmental disabilities

This study examined the relationship of various stressors, coping resources, and coping strategies on the level of stress reported by 147 mothers of adults with delayed development. A sense of mastery and the mother's health as well as financial well-being were significantly negatively related to stress. Coping behaviours of reframing of the problem and acquisition of social support were also significantly negatively related to stress. Implications of the results of this study for service providers are discussed.     

Reducing online application redundancy: Effects on applicant attrition and quality

Job applications have long been a staple of the hiring process and online applications have rapidly become the new norm. The ability to examine applicant attrition—those who start the application but do not finish—and applicant quality are the two benefits of online applications. This study evaluates the effect of reducing application redundancy (not making applicants re‐enter information contained on their resumes) on applicant attrition and quality, with hypotheses derived from signaling theory and economics (cost/benefits). Results demonstrate that reducing redundancy leads to a reduction in applicant attrition across jobs, with the largest magnitude of change found in computer‐related jobs. This reduced attrition does not reduce applicant quality and some evidence suggests that applicant quality may even increase.     

Gendered Capital: Childhood Socialization and the ??Boy Crisis?? in Education

This study examined the effect of gender socialization on kindergarten grades using data from the Early Childhood Longitudinal Study- Kindergarten Cohort. The sample consisted of 6,394 children (3,177 girls; 3,217 boys) from across the United States. MANOVA and follow-up tests revealed that both boys and girls tend to participate in gender-typed activities. Girls are more likely to have positive school attitudes and exhibit positive social behavior; boys are more likely to have negative school attitudes. Regression analyses indicated that participation in ??female?? activities and positive social behavior positively affect grades; participation in ??male?? activities has no direct effect. Positive attitudes positively affect the grades of girls; negative attitudes negatively affect the grades of boys. Teacher evaluation practices are also considered.     

Thinking groups: Rhetorical enactment of collective identity in three Israeli Kibbutzim

The present paper reports a case study about public deliberations in three Israeli kibbutzim regarding a disputed school issue: whether to maintain a traditional in-kibbutz high school despite a heavy financial burden or to close it and send kibbutz youths to a public regional school The results served as a demonstration of a 'thinking group' (i.e. of how the collective aims of a group are achieved by the coordinated rhetorical behaviour of individuals according to the formal rules of the collective deliberations). First, video-recordings of six general assembly meetings in which the issue was discussed was analyzed as to their argumentative content. Second, the extracted arguments were presented to a sample of 342 kibbutz members to capture the distribution of opinions in the population. It is proposed that most kibbutz members were willing to preserve their collective living and saw the closure of their in-kibbutz school as a threat to their traditional collective identity. We observed a distinct form of public rhetoric during the deliberations in the general meetings which provides a podium for the disputed opinions, preserves the kibbutz shared identity representation and avoids social friction.     

WHAT IS A SCIENTIFIC WORLD VIEW,AND HOW DOES IT BEAR ON THE INTERPLAY OF SCIENCE AND RELIGION?

Abstract. What is a scientific worldview, and why should we care? One worldview can knit together various notions, and therefore understanding a worldview requires analysis of its component parts. Stripped to its minimum, a scientific worldview consists strictly of falsifiable components. Such a worldview, based solely on ideas that can be tested with empirical observation, conforms to the highest levels of objectivity but is severely limited in utility. The limits arise for two reasons: first, many falsifiable ideas cannot be tested adequately until their repercussions already have been felt; second, the reach of science is limited, and ethics, which compose an inevitable part of any useful worldview, are largely unfalsifiable. Thus, a worldview that acts only on scientific components is crippled by a lack of moral relevance. Organized religion traditionally has played a central role in defining moral values, but it lost much of its influence after the discovery that key principles (such as the personal Creator of Genesis) contradict empirical reality. The apparent conundrum is that strictly scientific worldviews are amoral, while many long‐held religious worldviews have proven unscientific. The way out of this conundrum is to recognize that nonscientific ideas, as distinct from unscientific ideas, are acceptable components of a scientific worldview, because they do not contradict science. Nonscientific components of a worldview should draw upon scientific findings to explore traditional religious themes, such as faith and taboo. In contrast, unscientific ideas have been falsified and survive only via ignorance, denial, wishful thinking, blind faith, and institutional inertia. A worldview composed of both scientific components and scientifically informed nonscientific components can be both objective and ethically persuasive.