Surgical services contribute to a large proportion of a hospital’s costs and revenues thus it is important to understand key performance drivers so that resources can be distributed in an informed way. Organizational policies can affect the performance of the peri-operative process, however, there is a lack of knowledge within the health services literature regarding how the organizational policies of a surgical service affect surgeons’ availability to perform operations. Additionally, simulation-based research has largely focused on operating room planning and scheduling, not on how surgeons’ operating time may be affected by organizational policies. The objective of this simulation study was to estimate the effects of organizational policies on surgeons’ availability to operate in the context of cardiac surgical care. The major finding was that surgeons’ availability to operate declines if surgeons are not permitted to be on-call and scheduled in the OR for non-emergency operations on the same day.

No description available.

Two areas of sustainable development were investigated to test the importance of economic development and the planning process on energy consumption and carbon dioxide emissions outcomes between 2000 and 2010 across all sectors in the 100 largest metropolitan statistical areas in the United States. Following this, a model was developed to evaluate the social benefits and costs of solar photovoltaic programs in the City of Atlanta. Results indicated that some econometric models relating emissions to GDP per-capita are poor descriptors over this decade. Planning process and growth in GDP per-capita are shown to be better indicators of performance, although these are also subject to specific contextual differences between regions, notably through adversarial polycentrism. Existing solar photovoltaic programs are also estimated to provide tens to hundreds of millions in cumulative net benefits to the City of Atlanta, although this is likely only a fraction of the potential. These findings suggest that the management of energy consumption and carbon dioxide emissions could be improved through increased participatory planning approaches and through the removal of barriers to realizing cost-effective improvements in energy and carbon performance.

Since its reorganization in the early 1990s, the English School of international relations has emerged as a popular theoretical lens through which to examine global events. Those that use the international society approach promote it as a middle-way of theorizing due to its supposed ability to incorporate features from both systemic and domestic perspectives. A noticeable trend in the School since the end of the Cold War has been its interest with domestic and critical theory concerns, often focusing on individual, discursive or emancipatory issues. As a result, the English School has been able to accommodate the growing trends in international theory more generally, with the decline of problem-solving theory and the rise of critical projects. While the School and its practitioners may, for the most part, see value in discussing how domestic or critical variables impact the society of states, such examinations tend to neglect or overlook the systemic level of analysis. This project takes exception to the decline of the English Schools problem-solving foundations and argues that the School must place more emphasis on the systemic level of analysis if it hopes to be relevant in international theory debates. To this end, the criticisms of American scholars regarding the Schools lack of methodological rigour and explanatory power are addressed by demonstrating the added value to the international society approach if the constraints of the international system are included in theoretical explanations. In order to demonstrate how the systemic level alters English School analyses, two areas of popular examination within the School are explored, namely the role of international institutions and the debate over humanitarian intervention. Ultimately, the contention of this work is that English School scholars can greatly benefit from including systems-level thinking because of what it adds to the Schools explanatory power and also its ability to provide methodological rigour. In doing so, it is more likely the English School can penetrate the mainstream of international theory in the future.

The thesis presents a case study of New Zealand's Alcoholism and Drug Addiction Act 1966 - a civil commitment law used to detain alcoholics and drug addicts for up to two years in state-certified residential treatment facilities. The thesis positions itself as a call for legislative reform. The central argument is that the Act is an anachronistic and potentially draconian piece of social legislation which has no place on the modern-day New Zealand statute book. In the first part of the thesis, Chapter 1 introduces the research, outlines the structure and methodology of the thesis, and locates the study within a wider tradition of scholarship on the management of people with alcohol problems. Chapter 2 summarises the analytical framework that is used to evaluate the Act, attaching particular importance to both the philosophical traditions and the practical strategies of harm minimisation and therapeutic jurisprudence. Chapter 3 gives a positivist reading of the legislation : outlining the evolution of the Act, essaying its major provisions, and noting the efforts that have been made to refine or reform the statute since it was passed in the mid-1960s. Chapter 4 draws on the limited amount of data available to describe how the Act is currently operating 'on the ground'. In the second part of the thesis, the Alcoholism and Drug Addiction Act is put into a comparative context by describing examples of similar-type statutes that exist in two other jurisdictions. Chapter 5 focuses on the New South Wales Inebriates Act 1912; Chapter 6 focuses on the Swedish Act on Care of Addicts in Certain Cases 1989. The final part of the thesis builds a case for reform of the Alcoholism and Drug Addiction Act. Chapter 7 identifies various practical and clinical problems with the Act, which mean that the statute does not work in instrumental terms. It is submitted that the Act cannot be said to make better provision for the care and treatment of alcoholics. Chapter 8 highlights several legal and philosophical difficulties with the Act, which mean that the legislation does not work in value terms. It is submitted that the Act is offensive to the right to refuse treatment and fundamentally conflicts with the principles of individual autonomy and informed consent. Chapter 9 proposes three options for reforming the Act, expressing a preference for the outright repeal of the statute. Finally, Chapter 10 draws conclusions from the preceding discussion, and speculates on the likelihood that the recommended reforms will be implemented.

abstract: In recent years, the world has debated the idea of biofuels as a solution to energy security, energy independence, and global climate change. However, as the biofuels movement has unfolded, crucial issues emerged regarding biofuels efficacy and efficiency. The deployment of biofuels of marginal benefit has raised questions about how countries like the USA may have found themselves so invested in a potentially failing technology. In order to better understand and evaluate these issues, this study utilizes the Ostrom Institutional Analysis and Development (IAD) framework to better evaluate these issues and analyze interacting institutions that shape US biofuel policy. The IAD framework is a model that enables one to study, conceptualize, compare, and make connections across decision arenas that would otherwise be distinct from each other. By analyzing the interactions of relevant institutions, one can see how different dynamic interests interacted to shape biofuel policy in the USA today. Conclusions from this analysis include: the IAD framework is ideal for analyzing the political and economic case for biofuels. The five action arenas identified in this thesis are sufficient to understand corn bioethanol policy. A compelling case for supporting bioethanol is not made. An international agreement to reduce GHG emissions could change the landscape for biofuels. Finally, there is little prospect for biofuels playing a significant role in the near term without greater alignment among the action arenas. / Dissertation/Thesis / M.S. Sustainability 2010

The number of women incarcerated in Canadian federal penitentiaries and segregation units has steadily increased over the last decade. Out of the total admissions to segregation, Indigenous women are over-represented, accounting for 31% of the cases (Office of the Correctional Investigator, 2015). To address issues of inequity and social injustice exemplified through the over-representation of women, especially Indigenous women, in segregation, this thesis provides an Intersectionality-Based Policy Analysis (IBPA) which examines the experience of federally sentenced women as documented in reports published by the Office of the Correctional Investigator and statements published by the British Columbia Civil Liberties Association. I explore the gendered and racialized ways in which the CSC interprets the behaviours, attitudes, and even personalities of the women they place in segregation. Through examining mental health, gender and culturally responsive policy within the context of risk/need management, I conclude that the CSC does not protect marginalized women via policy, but rather converts the needs of marginalized groups into risks to be managed. Through omitting any mention of the intersecting social locations that shape women’s experiences, the CSC perpetuates a ‘one-size-fits-all’ understanding that fails to disrupt the stigmatization and over surveillance of ‘unfeminine’ and racialized women. I identify and examine alternative policy responses and solutions by developing a strategic plan specifically aimed at producing the social and structural changes necessary to reduce inequities and promote social justice. The steps in the strategic plan reflect current priorities of the government, CSC, academics, and legal/medical professionals.

Few policies carry more controversy than voter photo identification requirements. First passed in 2003, these laws require voters to present government-issued ID’s, such as a driver’s license, state identification card, military ID, or qualifying student ID. This paper examines the discursive politics in Wisconsin’s photo ID, seeking to understand how state policymakers justified the law against accusations of voter suppression. Put broadly, this paper seeks to understand the intersection of politics and policy, exploring how irrational policies are formed, implemented, and evaluated.

abstract: The presence of drug cartels within Mexico impacts U.S. national security, foreign policy, U.S. crime rates, and public health policy. Due to the direct and indirect effects that the cartels have on the United States, this paper examines the Mérida Initiative, the current U.S. anti-cartel policy, and makes several recommendations for future policy directions. Using official documents as well as current academic research, this paper examines the outcomes of past comparable policies that the United States has implemented in Colombia and Afghanistan to address the issue of drug trafficking. The paper then builds on the present successes of the Mérida Initiative by recommending several policies in the areas of international cooperation, agricultural development, Mexican targeting and enforcement, and U.S. law enforcement. This paper recommends that information sharing between countries should be increased to reduce the likelihood that pressure place on cartels will cause displacement; crop eradication cease and alternative crop development be implemented to reduce illicit crop growth; the joint Mexican-U.S. enforcement focus should move from high-value targets to more highly connected members; the United States should increase vetting for gun purchases to help keep guns out of the hands of cartel members; and domestic drug policies should shift toward treatment and demand-focused policies. By implementing the recommended policies, this paper suggests that the influence of cartels within Mexico as well as the United States may be reduced. / Dissertation/Thesis / M.S. Criminology and Criminal Justice 2014

Masters in Public Administration - MPA / This study focuses on the contradictory ways officials frame the problem of providing water services in Kampala with specific emphasis on the debates about framing of key factors that constrain delivery. Perceptions about and framing of policy issues implicitly suggest the causes of problems. Policy scholars acknowledge that formulating policy is “messy” and that it is about values, and not as “evidence-based” as is often assumed. Using a social constructionist perspective that stresses that perceptions tell one how people define situations, this study demonstrates the often contradictory ways that state officials see public problems. Drawing on debates about rational and muddling-through approaches, the study uses thirty structured questionnaires and several semi-structured in-depth interviews to explore the narratives of government officials regarding policy formulation in water delivery. The thesis found that almost all officials see rapid growth in population density in informal areas coupled with unplanned settlements as the single biggest combined issue inhibiting progress. Officials favoured market-related solutions even though their diagnosis of the problem suggested more concerted and comprehensive public planning of urban development.