Outpatient consultations form a large part of the healthcare of patients at tertiary hospitals, both as a precursor to in-patient treatment and for the management of on-going health conditions or long-term rehabilitation and monitoring after treatment. These outpatient consultations are generally conducted at the hospitals, most often located in large cities. Patients who live outside these cities face extensive travel to attend these consultations, placing a burden on themselves and on their families or carers. An ability of a tertiary hospital to deliver outpatient consultations in a telehealth mode to regional or remote locations closer to the patients’ homes would potentially relieve much of this burden of travel. Tertiary healthcare is highly complex. It can involve multiple clinicians, can require long time periods for its completion and often includes the patients and their families in the management of the healthcare situation. Outpatient consultations typically involve high levels of interpersonal discussion supported by access to data about the patient. Telehealth methods of delivering these outpatient consultations will be very demanding on the network connection between hospital and remote telehealth nodes. The next generation of Internet or intranet, often referred to as “broadband”, will have the capacity to deliver multiple high-quality, low-latency video streams and to provide shared access to large data sets. The prospective match of the capabilities of broadband networks and the needs of tertiary-level telehealth opens the possibility of effective, tertiary-level outpatient consultations in a telehealth mode of delivery. In this thesis I use a case-study-based approach to evaluate the development and pilot trial of a broadband telehealth system in a tertiary paediatric context. I use the data from these case studies to explore the way that a human-centred approach can be used to evaluate outpatient telehealth trials at a tertiary level of healthcare. My results show that human-centred evaluation for this level of telehealth must take a broad approach; that the telehealth activities must take place in a realistic setting; that qualitative and quantitative responses from participants must be complemented by observational data; that data must be gathered from all the participants; and that their competence to give meaningful responses must be recognised and their multiple, and possibly differing, points of view must be taken into account. Finally, my results show that the researchers must take into account the wider clinical and hospital contexts and in particular the participants’ view of these contexts, when interpreting evaluation data. My overall prediction is that telehealth applications for tertiary-level outpatient consultations will have important, transient phases in their development, and that a human-centred evaluation approach is the appropriate way to evaluate telehealth applications during these phases. These transient phases are not reported in conventional telehealth literature but my analysis of my case studies suggests that they are central to this class of tertiary level telehealth delivery.

Since, June of 1999 The Regulation of Bulk Transfer for Urban Planning has been carried out, which is tried implementing in Taipei & Taipei county until June of 2004. From July 1 of 2005, on all counties and cities implement it in an all-round way. So far, there are only two application cases in Kaohsiung city , since the examining principles have been announced. This research will probe into reference documents of TDR and all the situtations about bulk transfer in this country¡CThrough all these points of view the study aims at probing into the problems of implementing it in Kaohsiung city bulk transfer.The research approach adopts an exploratory case study, including calculating IRR with cases and interviewing real estate, officials and scholars. The goal is to get ¡§generalizing¡¨ , not ¡§ particularizing¡¨ analysis.The result of study is based on construct validity of thesis. It¡¦s analytic generalization not statistical generalization.From the sight of Kaohsiung¡¦s TOD policy we find :In policy direction, for core of the city (Cianjin, Sinsing, Lingya, Sanmin, Yencheng district), there are functions to match up the centeral government¡¦s six years plan for urban renewal.But urban renewal is the most difficult for real estate co. to invest and develop.Nowadays, outside the core of city and in the suburb, vacan lots are preferred to invest.Like this, the policy directions are not combined with the behavior of non-governmental investment.The bulk is needed in the core of city, but it is difficulty to processing. And in the second circle and suburb, there is no bulk transfer encouragement, which is not fit for the development policies.Under the circumstance against policy & both hurting public and private. It¡¦s difficult for the bulk transfer policy to make great achievements.From the reference documents and case data, we farther find that a bulk transfer case should catch with the development trend of the local real estate market in order to succeed.In interviewing , all the interviewees have the same point of view: In Taipei city and county, because of highly urban development, gathering population and high profit of real estate, the bulk transfer already extremely popular. Comparatively, in Kaohsiung city, because of industry depression, purchasing power drop, no population growth and real estate market is difficult to promote the bulk transfer policy. Because, whether the bulk receving lots can create the profit is the key point for bulk transfer to become popular.

This thesis addresses two case studies of two large state-owned manufacturing companies in Libya. The study focuses on management accounting and control system (MACS) changes within the two companies. The study is motivated by the paucity of literature on management accounting practices in the developing countries in general and in Libya in particular. The case study approach adopted in conducting the present research was useful in exploring the dynamics of the MACS in the two organizations. Data were collected from three sources of evidence. Firstly, semi-structured interviews were conducted with managers, heads of offices and accountants of each company. The participants were selected from different backgrounds and managerial levels so as to provide broader understanding of the operations of the MACS. Secondly, observations include the direct observation and the participant observation. Finally, various documents were reviewed to provide supporting evidence for the interview results. New institutional sociology (NIS) perspective provided the theoretical framework to interpret and analyze the findings. NIS provided explanations regarding how the MACS in the two companies were shaped by various external and internal factors. The main factors identified in shaping the operations of the MACS were the need to comply with the political pressures, the Libyan government’s laws and regulations, the instructions imposed by the management committee in both companies, leading organizations’ pressures (ISO), customers’ satisfaction (coercive isomorphism), the influence of professional associations (normative isomorphism) and the need to imitate efficient organizations in order to be more legitimate and successful (mimetic isomorphism). The study also investigates the interplay between the institutional forces, market forces and intra - organizational power relationships. This analysis is essential to overcome the criticism of NIS that it downplays the role of market forces and intra - organizational power relations. The findings of the study have implications for understanding the operations of MACS in developing countries.

The concept of strategic entrepreneurship has received increased attention over the past ten years. Viewed as the intersection of entrepreneurship and strategy, this field of research is populated by conceptual studies which focus mainly on the nature and perceived benefits of strategic entrepreneurship. Similarly, the study of entrepreneurship in a public sector context has gained increasing support in recent years, but also remains underexplored. To address these gaps, this thesis considers: What are the underlying elements and financial implications of strategic entrepreneurship in New Zealand’s state-owned enterprises [SOEs]? New Zealand’s SOE sector, comprising 17 government-owned, commercially focused organisations, is considered to be a prime subject for this research. Well known for their implementation of new public management [NPM], many New Zealand SOEs have also been publicly recognised as both innovative and entrepreneurial. The research question is addressed by first developing a preliminary framework of strategic entrepreneurship from literature on entrepreneurship and strategy. This framework is then examined in the context of case studies on activity which is entrepreneurial and/or strategic within 12 of the 17 SOEs operating in New Zealand as at 2006. Transcripts from a series of interviews, and publicly available documents are analysed thematically. SOEs’ financial statements over a five year period are also analysed. The thesis contributes in two broad areas. First, much-needed empirical support is lent to the concept of strategic entrepreneurship. Key elements of strategic entrepreneurship identified include opportunity identification, innovation, acceptance of risk, flexibility, vision, growth, and leveraging from core skills and resources such that existing knowledge and skills are transferred and applied to create new products, services, and markets. Important supporting elements identified include an open, flexible, and progressive culture, operational excellence, and cost minimisation. The nature of each of these elements is also investigated. A detailed understanding of the relationship between strategic entrepreneurship and wealth creation reveals various internal and external factors which may influence the nature and strength of the relationship. These factors include changes within the organisation, as well as changes in the economic and political environment, and are important influences on the resulting returns realised. Second, this thesis offers valuable evidence in support of emerging change in the public sector towards the adoption of strategic entrepreneurship. Support for the value of NPM is provided, with clear evidence of financial returns from New Zealand’s SOE sector. Further, a key finding is the structured and systematic approach to entrepreneurial activity within the context of NPM in several New Zealand SOEs. Such behaviour is referred to in this thesis as new public entrepreneurship. This form of activity offers the potential for competitive advantage and financial gain traditionally associated with entrepreneurial activity, but also limits the respective risks through its structured, systematic approach.

During the previous years there has been a lot of focus on e-commerce in the fashion and clothing industry and that everything will be bought online in the future. However, several e-commerce companies have decided to expand into offline retail. This dissimilarity between theory and reality creates an interest for further research and a curiosity of how the future within retail will develop. The purpose of this research is to understand why Swedish online fashion retailers expand through an offline strategy. An Expansion Theme Model, which emerged from the theoretical framework, is used throughout the research to create a cohesive presentation of the material. In this research two case studies were conducted with e-commerce companies that are moving towards offline retail, one that is planning to open their own offline store and the other that is selling to external offline retailers. The findings present the reasons for expanding into offline retail according to the respondents in the two cases. Two reasons that were discussed in both cases were to enhance the brand image and use offline retailing as a marketing tool to reach a larger customer group and ultimately enhance the company’s profit. The findings present several problems within each case that can be solved by expanding into offline retail. The first problem is about suppliers that protect offline retailers. The second problem is about how to reach the minimum quantities that the suppliers require. The third problem is how to achieve a better negotiation power with the suppliers. The fourth problem discusses the challenge of displaying products online. The view of the future within retail is also presented, where all of the respondents agreed that the two selling channels will be more integrated in the future. Finally, the transition towards offline retail creates many new possibilities in the world of retail that is yet undiscovered and it is therefore exciting to follow this development.

The concept of strategic entrepreneurship has received increased attention over the past ten years. Viewed as the intersection of entrepreneurship and strategy, this field of research is populated by conceptual studies which focus mainly on the nature and perceived benefits of strategic entrepreneurship. Similarly, the study of entrepreneurship in a public sector context has gained increasing support in recent years, but also remains underexplored. To address these gaps, this thesis considers: What are the underlying elements and financial implications of strategic entrepreneurship in New Zealand’s state-owned enterprises [SOEs]? New Zealand’s SOE sector, comprising 17 government-owned, commercially focused organisations, is considered to be a prime subject for this research. Well known for their implementation of new public management [NPM], many New Zealand SOEs have also been publicly recognised as both innovative and entrepreneurial. The research question is addressed by first developing a preliminary framework of strategic entrepreneurship from literature on entrepreneurship and strategy. This framework is then examined in the context of case studies on activity which is entrepreneurial and/or strategic within 12 of the 17 SOEs operating in New Zealand as at 2006. Transcripts from a series of interviews, and publicly available documents are analysed thematically. SOEs’ financial statements over a five year period are also analysed. The thesis contributes in two broad areas. First, much-needed empirical support is lent to the concept of strategic entrepreneurship. Key elements of strategic entrepreneurship identified include opportunity identification, innovation, acceptance of risk, flexibility, vision, growth, and leveraging from core skills and resources such that existing knowledge and skills are transferred and applied to create new products, services, and markets. Important supporting elements identified include an open, flexible, and progressive culture, operational excellence, and cost minimisation. The nature of each of these elements is also investigated. A detailed understanding of the relationship between strategic entrepreneurship and wealth creation reveals various internal and external factors which may influence the nature and strength of the relationship. These factors include changes within the organisation, as well as changes in the economic and political environment, and are important influences on the resulting returns realised. Second, this thesis offers valuable evidence in support of emerging change in the public sector towards the adoption of strategic entrepreneurship. Support for the value of NPM is provided, with clear evidence of financial returns from New Zealand’s SOE sector. Further, a key finding is the structured and systematic approach to entrepreneurial activity within the context of NPM in several New Zealand SOEs. Such behaviour is referred to in this thesis as new public entrepreneurship. This form of activity offers the potential for competitive advantage and financial gain traditionally associated with entrepreneurial activity, but also limits the respective risks through its structured, systematic approach.

Community-university partnerships have become more prevalent to support community-based research, especially as a collaborative approach to research with Aboriginal Peoples in Canada. One practice is the activation of a community-based research steering committee to initiate, govern, and review research pertaining to their local community. Within literature related to community-based research, perspectives on capacity strengthening and co-learning from the members of a community-based research steering committee are under-represented. A qualitative case study approach was used to explore the research question: What are the experiences of the Alexander Research Committee (ARC) members in defining and operationalizing capacity strengthening and co-learning across multi-sectoral research projects? Nine current and past members of the ARC participated in individual semi-structured interviews and five of these ARC members also participated in a subsequent focus-group discussion. Analysis of these qualitative data indicated that foundational relationships and a conducive learning environment are key factors for a community-based research committee to experience co-constructed knowledge and learning. The findings of this study highlight the importance of an operational foundation of trusting relationships in order to establish and sustain a working environment where a community-based research committee can learn together and from each other. This study also yielded insights about how this community-based research committee predicated capacity strengthening from the understanding that ‘we are all learners’, with each member bringing forward unique strengths, questions and growth to the research processes. / Graduate

Vehicles searching for on-street parking create environmental and economic externalities through increasing network traffic flow and congestion, heightening pollutant emission levels, creating additional noise, giving rise to time delays for through vehicles, and leading to potential safety hazards caused by vehicles manoeuvring into or out of on-street spaces. Despite extensive negative impacts on individual drivers and on society, parking search is an under-researched area, particularly in more recent years and within the UK. Furthermore, current statistical modelling techniques applied to parking search time have not utilised a more comprehensive analysis in which hierarchically structured data on multiple levels could be addressed. The aim of this thesis, therefore, is to investigate and compare the factors that influence drivers urban on-street parking search time and its policy implications. A mixed methods approach was applied that comprised qualitative interviews conducted with local government authority Council Officers and a quantitative revealed preference on-street parking survey (sample size, 1,002 observations) undertaken in four cities in the East Midlands region of the UK in order to obtain individual driver-level socio-economic and other parking related factors that may influence parking search time. Statistically significant variables for each of the cities were identified by employing separate linear regression models. A multilevel mixed-effects model in which drivers (Level 1) are nested within streets (Level 2) was then applied to the pooled dataset. Significant factors in the multilevel (street level) model were identified as: time of arrival at a parking place (for which every time period after the 07:00-07:59 reference case indicated increased search time); parking habit; parking tariff; the number of parking places previously visited (on the same trip); trip time from origin to parking place; area type; trip purpose; weather; vehicle type; and walking time from a parking place to a destination. Comparison of the factors that influence parking search time revealed important differences in statistically significant variables and coefficient values between the single-level and multilevel regression modelling approaches. Policy recommendations based upon the findings of the parking survey, modelling analysis, and further interviews conducted with local authority Council Officers, focus around time of arrival at a parking place, area type, parking charges and the potential technological advances that, if implemented, could have a considerable effect on parking search times within urban areas. Robust data collection and subsequent monitoring of parking search activity within each city should be undertaken in order to provide an evidence base which would support the introduction of future policy measures to reduce parking search activity.

The purpose of this study was to investigate the impact standards-based aligned computer-assisted writing instruction had on improving writing scores for eighth-grade students that attend an urban middle school. The researcher wanted to remedy the problem of low writing achievement of eighth-grade students and determine if writing across the curriculum along with differentiated instruction through the integration of technology better prepared students for state level assessments. The data gathering instruments were Standardized Testing, Scholastic Achievement Manager Reading Reports, and open-ended format questions. Three research questions guided this study. 1. What is the impact of computer-assisted instruction and use of technology on improving eighth-grade students’ writing in an urban middle school? 2. What are eighth-grade students’ perceptions and experiences with computer-assisted writing? What is the pedagogical significance of computer assisted learning from students’ perspective? 3. What are eighth-grade teachers’ perceptions and experience with computer-assisted writing? What are the challenges and benefits? A qualitative case study approach revealed the need for better integration of technology in order to support student learning. There were similar perceptions on the use of instructional technology pointed out in the participants’ responses on the questionnaire. Archived assessment data showed a prevalent need for consistency of computer-assisted instruction and group efforts to write across the curriculum. Student and teacher participants agreed that they felt more operational technology was needed to increase student engagement and academic achievement. The findings can be used to inform stakeholders of effective instructional technology when deciding on computer-based programming designed to increase student writing scores.

Current literature has indicated a concern about standards of maternity care experienced by pregnant asylum seeking women. As the next generation of midwives, it would appear essential that students are educated in a way that prepares them to effectively care for pregnant asylum seekers. Consequently, this study examined the way in which midwifery students constructed a pregnant asylum seeker's health and social needs, the discourses that influenced their constructions and the implications of these findings for midwifery education. For the duration of year two of a pre-registration midwifery programme, eleven midwifery students participated in the study. Two focus group interviews using a problem based learning (PBL) scenario were conducted. In addition, three students were individually interviewed and two students' written reflections on practice were used to construct data. Following a critical discourse analysis, dominant discourses were identified which appeared to influence the way that pregnant asylum seekers were perceived. The findings suggested an underpinning discourse around the asylum seeker as different and of a criminal persuasion. In addition, managerial and medico-scientific discourses were identified, which appeared to influence how midwifery students approach their care of women in general, at the expense of a woman centred, midwifery perspective. The findings from this study were used to develop 'the pregnant woman within the global context' model for midwifery education and it is recommended that this be used in midwifery education, to facilitate the holistic assessment of pregnant asylum seekers' and other newly arrived migrants' health and social needs.