BACKGROUND Audit and feedback (A&F) is a common strategy for helping health providers to implement evidence into practice. Despite being extensively studied, health care A&F interventions remain variably effective, with overall effect sizes that have not improved since 2003. Contributing to this stagnation is the fact that most health care A&F interventions have largely been designed without be...

This paper reports a cross-study analysis of four studies, aiming to understand the drivers of parental consulting and clinician prescribing behaviour when children under 12 years consult primary care with acute respiratory tract infections (RTI). Qualitative data were obtained from three primary studies and one systematic review. Purposeful samples were obtained for (i) a focus group study of ...

This paper refracts Gordon Tullock’s The Social Dilemma onto a framework of spontaneous order theorizing, and finds the refraction to work well. The Social Dilemma reveals Gordon Tullock to be a theorist whose conceptualizations are anchored in a societal setting represented better by networks than by fields, and where societal outcomes emerge out of local networked interaction. The theoretical...

This critical examination approaches communication with Marx to uncover the implications of the symbolic reproduction of social relations. The social reproduction of the past is characterized through an onset of parallel themes that run with depictions of the experience of people. Marxist inspired critical research illustrates the perpetuation of the internalization and normalization of ideolog...

yuri lotmn (1993-1922) is the founder of the moscow-tartu school. he has a distinguished role in introducing and developing the “theory of intercultural semiotics”. in lotman’s opinion, cultural semiotics considers each text as a cultural totality. the existing signs in the text could indicate the way in which the significances are produced to achieve a certain specific meanings in a culture. h...

BACKGROUND Since 1965, Medicare has publically financed graduate medical education (GME) in the United States. Given public financing, various advisory groups have argued that GME should be more socially accountable. Several efforts are underway to develop accountability measures for GME that could be tied to Medicare payments, but it is not clear how to measure or even define social accountabi...

ed from assessments and decisions made in the actual conduct of practice. We do not, for example, know whether, and how, these beliefs might influence the case by case performance of practice in the real world. The absence of a focus on social workers’ own construction of parenting and the connection between this construction and social workers’ practice strategies excludes a potential third st...

BACKGROUND This study describes the development of a social marketing campaign for increasing walking in a low income, high crime community as part of the Positive Action for Today's Health (PATH) trial. METHODS Focus groups were conducted with 52 African American adults (ages 18 to 65 yrs), from two underserved communities to develop themes for a social marketing campaign to promote walking....