The thesis focused on the field of service user and carer involvement in the assessments of social work students. It examined the positioning of service users and carers in relation to other stakeholders involved in student assessments. Participants' views on what should count as service users and carers' feedback evidence at Continuing Professional Development (CPD) level were also explored. The rationale for the study centred on the relatively limited research studies focusing on service user and carer involvements in students' assessment, in comparison to their involvement in other areas of social work education. Further, the limited studies available appeared to be under theorised. The study is situated in the qualitative research tradition and drew from narrative research methods. It was influenced by the practitioner-doctorate research paradigm (Drake and Heath 2011). The study drew from the theoretical insights of Foucault's (1972; 1980) notion of discourse and power/knowledge theory; and Bourdieu's (1990) concepts of field, capital and habitus, to analyse the dynamic power relations between those involved in the assessments of students. Following ethical clearance from the University of Sussex, a semi-structured individual interview was carried out with 21 people. The sample consisted of service users, carers, social work students, social work employers and social work educators. The voice-centred relational method of data analysis, developed by Gilligan (1982), was used to analyse the research participants' narratives about how they have experienced their involvements in social work students' assessments. Participants' narratives revealed that the field of service user and carer involvement in social work students' assessment is characterised by a complex mix of relationships, different power dynamics and power struggles. On the question of what should count as service user and carer evidence, in relation to what students are expected to demonstrate to service users and carers at CPD level, the research participants reported on qualities such as:  Professionalism, good time-keeping, reliability and honesty  Effective communication skills, such as listening, empathy and kindness  Ability to support service users and carers  Intelligence, ‘structured empathy', mastery of practice and development of practice wisdom. Although important, progressive difference in expectation at CPD level was not acknowledged. The study makes five contributions to knowledge in the field of service user and carer involvement in social work students' assessments, as follows: (1) It adds to the body of research studies looking at service user and carer involvement in social work students' assessments. (2) It sheds some light on what stakeholders involved in social work practice and education thought about the ASYE in 2010 before its implementation in 2012. (3) It contributes to knowledge on what participants feel service users and carers should comment on when assessing social work students at CPD level. (4) It offers theoretical insight into the different power relations, struggles, and power dynamic between stakeholders involved in social work students' assessments from Bourdieusian and Foucauldian perspectives. (5) Feedback of the interim findings was provided to Skills for Care to support the Assessed and Supported Year in Employment (ASYE) assessment in 2011. The study concludes by arguing the case for social work and service user organisations to support service users and carers in their role as assessors of social work students.

Why was an ideal of elite women's virtue promoted in London c. 1580-1630, and why was it based on their reformed piety and charity? To what extent can elite women's piety and charity reveal their religious identity, among an elite characterised as 'puritan' by contemporaries and historians? How did women practise piety and charity in a worldly City, and did they share a civic ethos? This thesis engages with historiographies of urban history, the history of charity and hospitality, and gender history. It concerns over 400 wives and widows of the 331 aldermen elected 1540-1630, and uses 78 widows' wills. Women's wills are analysed qualitatively save to consider widows' public charitable bequests. From preambles to exceptionally diffuse bequests, wills are an intimate source for studying women's religious identity through their piety and charity. They reveal women's understanding of their gender in a patriarchal society that fostered an attitude of sorority that is particularly evident in women's charity and hospitality. To study the piety and charity of aldermen's wives extra-testamentary personal evidence complements the wills. Sources written by women themselves include a household book used to reconstruct a woman's charity and hospitality, portraits, devotional works and letters. Sources of praise and abuse authored by men including Stow's Survay, funeral sermons, verse libel and verbal abuse are used to reconstruct ideals and antitypes of elite female virtue and hypocrisy, and are read critically in comparison with other sources to furnish evidence of female piety and social conduct. Chapter II-VII focus on the conforming female elite, comparing contemporary discussion of female piety, charity and religious identity to women's lives and practice in the household and the community, and Chapter VIII considers three Catholic women to ask to what extent the civic ethos shared by reformed City women could accommodate even their recusant kinswomen.

Provider incentives are a commonly used policy tool to mold provider behaviors.1 However, while we frequently measure the change in patient outcomes, failure to consistently produce changes in outcomes does not mean that providers are not changing their behavior. This paper focuses on two programs with null or inconsistent quality outcomes to try to identify why such inconsistency occurs. The two programs, both ratified in the Affordable Care Act, are 1) patient-centered medical homes (PCMHs), and 2) the Medicare Hospital Value-Based Purchasing (HVBP) program. Chapter 1: Using data from the Medical Expenditure Panel survey (MEPS), I match provider characteristic surveys to member experience with care in order to evaluate characteristics key to patient-centered medical homes. I find that patient-perceived patient-centeredness of a practice is not related to the number of PCMH attributes a practice reports. However, some characteristics do play specific and significant roles in patient perception and outcomes. For instance, case management is not only associated with increased patient perception of after-hours access to care, but overall costs were reduced. Interestingly, having after hours clinic hours was more common with practices highly consistent with PCMH criteria, but these hours did not result in decreased emergency department use or cost of care. Chapter 2: The second provider incentive studied is the Medicare Hospital Value-Based Purchasing Program (HVBP). This program assigns payment adjustments based on performance on a series of rotating quality metrics. To date, changes in patient outcomes cannot be attributed to the program; however, it should not be concluded that hospitals are not responding at all. I identify changes in staffing by provider type as an early indicator of hospital response to payment incentives. Data come from the Virginia Health Information (VHI) Hospital Cost Report, 2010-2017. Using a generalized linear model, I find that when receiving a penalty, hospitals reduce staffing among the most and least expensive personnel (physicians and nursing aides). Hospitals increase nursing and administrative staff following a bonus. These findings are consistent with hospitals responding to incentives both by aiming to improve efficient use of resources and maintain or improve quality of care. Chapter 3: Finally, I assess potential unintended consequences of the HVBP program, specifically the provision of charity care. Using the VHI cost reports for year 2013 to 2017 with a regression discontinuity model, I find that hospitals receiving a bonus decrease their charity care among the lowest income patients (under 100% federal poverty level (FPL)). Hospitals receiving a penalty tend to reduce charity care among higher income patients (100%-200% FPL). These findings are consistent with two separate responses to the incentives. Hospitals receiving bonuses appear to be cream-skimming healthier, wealthier individuals while hospitals receiving penalties appear to be shifting the focus of their charity care to the most needy, likely in an effort to reduce cost of care levels overall while maintaining their community benefit programs, potentially as a result of goal gradient cognitive bias.

<p>I och med framväxten av samhällsentreprenörer har ett nytt begrepp introducerats påden svenska marknaden. Det handlar om den nya generationen företagare som sermöjligheten i att tjäna pengar samtidigt som de driver verksamheter som skapar ettmervärde för samhället. Samhällsentreprenörerna i Sverige står dock framför ett problem,att på ett hållbart sätt finansiera sin verksamhet.Denna studie syftar till att kartlägga hur finansieringen av svenska samhällsentreprenörerser ut. Undersökningen bygger på en kvalitativ studie där vi har undersökt tresvenska verksamheter, som faller under definitionen ”samhällsentreprenör”. Ämnet ärfortfarande relativt nytt och okänt och det har därför inte bedrivits mycket forskningkring detta. Vi har därför, som underlag för vår undersökning, använt oss av en studiesom gjordes 2003 i Storbritannien.Då vi endast undersökt tre verksamheter har vi inte kunnat dra några generella slutsatserför hela den svenska marknaden. Dock indikerar resultatet av vår undersökning attden svenska marknaden, för att finansiera denna typ av verksamhet, är bristfällig och ibehov av utveckling. För såväl förutsättningarna som efterfrågan på samhällsentreprenörerfinns redan idag och denna grupp företagare ser ut att öka inom den närmasteframtiden.</p>

I och med framväxten av samhällsentreprenörer har ett nytt begrepp introducerats påden svenska marknaden. Det handlar om den nya generationen företagare som sermöjligheten i att tjäna pengar samtidigt som de driver verksamheter som skapar ettmervärde för samhället. Samhällsentreprenörerna i Sverige står dock framför ett problem,att på ett hållbart sätt finansiera sin verksamhet.Denna studie syftar till att kartlägga hur finansieringen av svenska samhällsentreprenörerser ut. Undersökningen bygger på en kvalitativ studie där vi har undersökt tresvenska verksamheter, som faller under definitionen ”samhällsentreprenör”. Ämnet ärfortfarande relativt nytt och okänt och det har därför inte bedrivits mycket forskningkring detta. Vi har därför, som underlag för vår undersökning, använt oss av en studiesom gjordes 2003 i Storbritannien.Då vi endast undersökt tre verksamheter har vi inte kunnat dra några generella slutsatserför hela den svenska marknaden. Dock indikerar resultatet av vår undersökning attden svenska marknaden, för att finansiera denna typ av verksamhet, är bristfällig och ibehov av utveckling. För såväl förutsättningarna som efterfrågan på samhällsentreprenörerfinns redan idag och denna grupp företagare ser ut att öka inom den närmasteframtiden.

El Hospital de Caridad de Cartagena fue fundado en 1693. Objetivo: determinar su área de influencia, los problemas sanitarios, enfermedades y lesiones más frecuentes y otros aspectos. La fuente principal ha sido el archivo del Hospital. Entre 1900 y 1936 el Hospital experimenta un gran auge. El 58% de enfermos proceden de la Ciudad, siguiéndole la zona minera (19%). Existe una correlación negativa entre los ingresos y la estancia media. Enfermedades más frecuentes: aparato digestivo (21%), respiratorias (15%), circulatorias (10%) y genitourinarias (9%). Enfermedades infecto-contagiosas más frecuentes: tuberculosis (20%), difteria (19%), paludismo (17%), sífilis (16%), fiebres tifoideas (4%) y viruela (3%). La tasa más elevada de hospitalización por paludismo corresponde a la zona húmeda de “El Hondón”. Existe una correlación negativa entre consumo de pan y de carne por estancia y número de estancias. Entre las urgencias predominan las heridas (59%), traumatismos osteoarticulares (24,3%), quemaduras (3,3%) y cuerpos extraños (2,6%). / The “Hospital de Caridad” in Cartagena was founded in 1693. Objective: to determine its area of influence, health problems, most common diseases and injuries and other aspects. The archive of the Hospital has been the main information source. Between 1900 and 1936 the Hospital experiences a great development. 58% of patients are from the City followed by those from the mining zone (19%). A negative correlation was observed between admissions and average length of inpatient hospital stay. Most frequent diseases: digestive system (21%), respiratory system (15%), cardiovascular system (10%) and genitourinary system (9%). Most frequent infect-contagious diseases: tuberculosis (20%), diphtheria (19%), malaria (17%), syphilis (16%), typhoid fever (4%) and smallpox (3%). The main zone affected by malaria is the wetland area called “El Hondón”. A negative correlation was observed between bread and meat consumption per hospital stay and average length of stay. Most common emergencies are wounds (59%), osteoarticular traumatisms (24.3%), burns (3.3) and foreign bodies (2.6%).

This dissertation critically examines why mid-Victorian fiction often dismisses or complicates monetary transactions and monetary charity, even as it negatively portrays differences in social status and wealth. I argue that the novel uses representations of failed charity to reconstruct, however briefly, a non- monetary and non-economic source of value. Further, I examine how the novel uses techniques of both genre and style to predict, form, and critique alternate, non-economic, social models. While tension surrounding the practice of charity arises in the late eighteenth century, the increasing dominance of political economy in public discourse forced Victorian literature to take a strong stance, for reasons of both ethics and genre. This stance is complicated by the eighteenth-century legacy that sees charity as a kind of luxury. If giving to the poor makes us feel good, this logic suggests, surely it isn’t moral. Thus, while much eighteenth- and nineteenth-century literature remains dedicated to the ethics of charity, the practice becomes immensely complex. By discussing the works of Tobias Smollett, Charles Dickens, Elizabeth Barrett Browning, and George Eliot, this project exposes a wide variety of responses to this deep cultural anxiety. These authors are, ultimately, strongly invested in redefining the meaning of benevolence as a valid form of social action by moving that benevolence away from monetary gifts and toward abstractly correct moral feelings, though their individual solutions vary widely. / text

This dissertation is a collection of three essays in the fields of environmental and public economics. The first essay assesses the effect of government spending on charitable donations to environmental causes. Using a theoretical model, I solve for changes in private donations due to increased government spending and contrast this with changes due to direct grants to nonprofit organizations. Depending on the nonprofit’s fundraising response, government spending may result in the crowding out or in of private giving. I empirically investigate this topic using data from the tax returns of environmental charities as well as a panel survey data set on the philanthropic behavior of individuals. My results indicate that government expenditures on the environment actually crowd in private giving, partly due to the increased fundraising response by charities. The second essay examines the incidence of a pollution tax scheme in which tax revenue is returned to low-income workers. Using a general equilibrium model with both skilled and unskilled labor, a decomposition of the real net wage effects shows the effect of the tax rebate, the effect on the uses side of income (higher product prices), and the effect on the sources side of income (relative wage rates). Numerical examples show that returning the revenue to the low-skilled workers is still not enough to offset the effect of higher product prices; in almost all cases, the rebate does not prevent a reduction in the real net wage. The third essay studies the distributional effects of the SO2 allowance market. Even if low-income households do not have large budget shares for the polluting good, grandfathered permit systems may still be regressive since the permit rents accrue disproportionately to wealthy shareholders in the polluting industry. I estimate the burden imposed on different income groups under a grandfathered permit policy and compare this with the burden under an auctioned policy. Using Monte Carlo techniques, I calculate the 5th and 95th percentiles of the distribution of possible results. I find evidence of regressivity for grandfathered permits whereas an emissions tax/auctioned permit system can be progressive if the scarcity rents are distributed in lump sums. / text

In response to the German occupation of Belgium in World War I, future U.S. president Herbert Hoover and a handful of his colleagues in the mining engineer industry founded the Commission for Relief in Belgium (CRB). The CRB engineered one of the greatest relief movements in history partly on account of its successful public appeals; nevertheless, the success of these appeals has never been fully explained due to a remarkable dearth of scholarship on the topic. This paper seeks to fill in the gap by analyzing salient documents in the Mudd Family Papers, located in Honnold/Mudd Library’s Special Collections section. The artifacts ultimately evince that the CRB tailored its appeals to the American upper and middle classes, appropriating their respective motifs and lexicons to successfully mobilize both groups; that rumors of wartime atrocities against Belgian children augmented its appeals to the middle class; and that it issued targeted messages to its American supporters after the United States’ entry into World War I, maintaining vital public support. The findings of this paper promise to add invaluable knowledge to an exceedingly understudied historical subject.

Brand Trust is the trust consumers have in brands and have been previously proven to be affected negatively by dark patterns (i.e. design patterns used in websites to deceive their customers). This study is aimed to find out if Brand Trust is affected negatively by dark patterns when used for charity. The study is a between-group to determine Brand Trust based on six different scenarios (three using dark patterns for profit, three using dark patterns for charity) using the Brand Trust Scale that is divided into two dimensions, Fiability and Intentionality. This was measured in the form of two questionnaires. There were two groups that completed the questionnaires, one group that watched the scenarios for profit (for profit) and one that watched the scenarios for charity (for charity). The study consisted of 69 participants in total (37 completed the for-profit questionnaire; 32 completed the for-charity questionnaire). The hypothesis was that the group for-charity would have a higher value of Brand Trust. The results showed no significant difference between the two groups to support the hypothesis, however, an exploration of the results indicated that men have a higher Brand Trust in the dimension Intentionality and that the participants who valued themselves as really good at being source critical had a higher Brand Trust in the dimension Fiability. / Det förtroende konsumenter har för varumärken kallas varumärkesförtroende och har tidigare visat sig påverkas negativt av dark patterns som är designmönster som webbsidor använder för att lura sina kunder. Denna studie syftar till att ta reda på om varumärkesförtroendet fortfarande kommer att påverkas negativt om dark patterns används för välgörenhet. Studien är en mellangruppsstudie för att fastställa Brand Trust baserat på sex olika scenarier (tre använder dark patterns för vinst, tre använder dark patterns för välgörenhet) med hjälp av Brand Trust Scale som är uppdelad i två dimensioner, Fiability och Intentionality. Detta mättes i form av två frågeformulär. Det var två grupper som fyllde i frågeformulären, en grupp som tittade på scenarierna för vinst (för vinst) och en som tittade på scenarierna för välgörenhet (för välgörenhet). Studien bestod av totalt 69 deltagare (37 fyllde i frågeformuläret för vinst; 32 fyllde i frågeformuläret för välgörenhet). Hypotesen var att gruppen för välgörenhet skulle ha ett högre värde av Brand Trust. Resultaten visade ingen signifikant skillnad mellan de två grupperna för att stödja hypotesen, dock indikerade en utforskning av resultaten att män har ett högre varumärkesförtroende i dimensionen Intentionality och att deltagarna som värderade sig själva som riktigt bra på att vara källkritiska hade en högre Brand Trust i dimensionen Fiability.