American health care has undergone significant organizational change in recent decades. But what is the state of core medical relationships in the wake of these changes? Throughout ACA-era health care reform, the doctor-patient relationship was targeted as a particularly important focus for improving communication and health outcomes. Recent developments however have shifted the focus from indi...

Social medicine as a term has achieved acceptance in medical education and medical practice, although there is still some question as to its acceptance in reality. The term had its origin in the vigorous nineteenth-century efforts at both medical and social reform, combining the two in a recognition of the intimate connection between social factors and the causation of disease. Henry Ernest Sig...

Several health care reform bills would limit Medicare payments to high-cost medical staffs, that is, physicians in hospitals with a high volume of physician services per admission. In a given year, Medicare's payment to the physicians on each hospital's medical staff could not collectively exceed a limit defined as a certain percentage above the national median. Limits of various forms are used...

This article explores the unevenness of change between! culture and organizational structures. When school leaders and teachers embrace new systems without enough attention paid to the nature of the conver­ sation, and to the way knowledge is learned among the sk:hool's staff, then the sustaining of sound reforms diminishes drastically. By looking at the reforms Mission Middle School leadership...

There is substantial evidence of a need to make computation an integral part of the undergraduate physics curriculum. This need is consistent with data from surveys in both the academy and the workplace, and has been reinforced by two years of exploratory efforts by a group of physics faculty for whom computation is a special interest. We have examined past and current efforts at reform and a v...

abstractthe purpose of this study was to assess organizational and personnel structure in iranian agriculture extension system (iaes). the research instrument was a structural questionnaire including close-ended questions which its validity and reliability was confirmed by using expert panel and cranach’s alpha test, respectively. the statistical population of this research included all public ...

We document a very large increase in agricultural productivity, peasants’ living standards, and industrial development in the 19 century Imperial Russia as a result of the abolition of serfdom. We construct a novel province-level panel dataset of development outcomes and conduct a difference-in-differences analysis relying on cross-sectional variation in the shares of serfs and over-time variat...

A main objective of transformational government (t-government) is to realize public sector reform. Initiatives of public sector reform, commonly referred to as New Public Management (NPM), often failed to achieve the desired results and led to undesired outcomes. Hence, a new reform approach, referred to as Public Value Management (PVM), emerged to overcome these negative effects and to which t...

The purpose for this article is to explore technology education from the perspective of the academic rationalist. Such an exploration is intended to provide information for technology educators who are grappling with education reform since it appears that the reforms of the 1980s are based on academic rationalism curriculum theory. This exploration includes consideration of the theoretical pers...

Are small governments capable of adopting significant administrative reforms? Do they possess the capacity and sufficient organizational resources to adapt to legislative mandates, new technologies or changing environments? This case study explores these questions by examining the development and implementation of a performance budget by Schuyler County, New York’s departmental administrators. ...