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Freedom of choice or cost efficiency? The implementation of a free-choice market system in community mental health services in Sweden

This case study investigates the implementation of a free-choice market system in community mental health services using the example of day centres for people with psychiatric disabilities. It was conducted in a major city that was about to implement a free-choice market system due to a new legislation that made it feasible. Eighteen semi-structured interviews were conducted. Agents situated in di

Frames for choice and market characteristics – a Swedish case study of community mental health services in change

The aim of this study was to describe and analyse structural frames for choice, as well as characteristics of a free-choice market, implemented in community mental health services in Sweden. Day centres were focused. A case study was conducted. Documents were collected and semi-structured interviews were conducted with twenty-eight agents involved in the implementation process. Content analysis of

The Challenge of Cultural Competency in the Multicultural 21st Century: A Conceptual Model to Guide Occupational Therapy Practice

Background: Occupational therapists increasingly encounter clients from diverse cultural backgrounds and need to meet their professional obligation of delivering culturally competent practice. Yet the process of cultural competency is poorly understood in occupational therapy practice. There is a need for a clear understanding of the meaning and process of cultural competency as it is enacted in p

Value of a QALY and VSI estimated with the chained approach

The value of a quality-adjusted life-year (QALY) and the value of a statistical injury (VSI) are important measures within health economics and transport economics. Several studies have, therefore, estimated people's willingness to pay (WTP) for these estimates, but most results show scale insensitivity. The 'original' chained approach (CA) is a method developed to mitigate this problem by combini

Spatially coupled turbo-like codes : A new trade-off between waterfall and error floor

Spatially coupled turbo-like codes (SC-TCs) have been shown to have excellent decoding thresholds due to the threshold saturation effect. Furthermore, even for moderate block lengths, the simulation results demonstrate a very good bit error rate performance in the waterfall region. In this paper, we discuss the effect of spatial coupling on the performance of TCs in the finite block-length regime.

Within-Host Adaptation Mediated by Intergenic Evolution in Pseudomonas aeruginosa

Bacterial pathogens evolve during the course of infection as they adapt to the selective pressures that confront them inside the host. Identification of adaptive mutations and their contributions to pathogen fitness remains a central challenge. Although mutations can either target intergenic or coding regions in the pathogen genome, studies of host adaptation have focused predominantly on molecula

Body composition and growth in full-term small for gestational age and large for gestational age Swedish infants assessed with air displacement plethysmography at birth and at 3-4 months of age

Background Being born small for gestational age (SGA) or large for gestational age (LGA) has short and long term metabolic consequences. There is a growing interest in the extent to which body composition, both in the short and the long term, differs in infants born at the extremes of these birth weights. Methods Body composition in 25 SGA and 25 LGA infants were assessed during the first days of

Physicians’ gender bias in the diagnostic assessment of medically unexplained symptoms and its effect on patient–physician relations

Nonspecific, functional, and somatoform (NFS) syndromes is an umbrella term for various diagnoses with medically unexplained symptoms. These syndromes are more prevalent among women than among men, and associated with negative preconceptions that can impede rehabilitation. In two studies, we quantitatively assess how patients’ gender affects the diagnostic assessment of NFS syndromes, as well as t

Digital Humanities in Sweden and Its Infrastructure : Status Quo and the Sine Qua Non

The article offers a state-of-the-art overview of a number of Digital Humanities (DH) initiatives that have emerged in Sweden over the past decade. We identify two major developments that seem to be taking place within DH, with a specific focus on the infrastructural aspects of the development: (1) a strive to open up and broaden the research output and (2) multi-disciplinary collaboration and its

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Extended AbstractIn this paper, I examine why the Gallipoli War narrative has become increasingly important in the discourse of the JDP (Justice and Development Party) governments over the last two decades, and how this visible tendency is related to the construction and protection of the neoliberal government in Turkey. I frame the discussion by utilizing Loïc Wacquant’s concept of the “centaur s

Roots of tolerance among second-generation immigrants

Tolerance – respecting individual choice and differences among people – is a prominent feature of modern European culture. That immigrants embrace this kind of liberal value is arguably important for integration, a central policy goal. We provide a rigorous study of what factors in the ancestral countries of second-generation immigrants – including formal and informal institutions – predict their