Social Welfare Commons^™

The Price Of Competition: Analyzing Anticompetitive Tactics In Pharmaceutical Markets During The Hatch-Waxman Era, William Ulrich

Notre Dame Journal on Emerging Technologies

Pharmaceutical manufacturers can delay the generic entry for a blockbuster drug. In order to keep the generic system on track, it is critical to expose the various avenues of generic delay. Part I of this Note briefly describes the generic entry process as prescribed by the Hatch-Waxman Act. Part II details four well-known tactics used by brand-name manufacturers to block or delay the entry of generic competition, highlighting how the tactics are successful. Part III concludes by examining the nature of the various problems and arguing that the first step towards ending the different forms of anticompetitive behavior is through …

The High Cost Of Pharmaceutical Acquisitions: Increasing Social Welfare Or Furthering Inequality?, Timothy J. Haltermann

Notre Dame Journal on Emerging Technologies

This note will argue that government and regulatory authorities should focus on easing access to downstream innovation by broadening research exemptions to patent infringement. Part I of this note will focus on the current state of patent protection and exclusivity afforded to pharmaceutical companies. Part II will discuss incentives created that lead rational actors to engage in M&A instead of through internal R&D. Part III will address the development of innovation as a standalone theory of harm in merger review, and the fallacies associated with labeling certain transactions as “killer acquisitions.” Finally, Part IV of the note will look at …

Pervasive Poverty In Puerto Rico: A Closer Look, Carlos Vargas-Ramos, Laura Colon-Melendez, Jorge Soldevilla-Irizarry, Damayra Figueroa-Lazu, Jennifer Hinojosa, Yarimar Bonilla

CUNY Centro, The Center for Puerto Rican Studies

On November 15, 2022, the U.S. House of Representatives Subcommittee on Housing, Community Renewal, and Insurance held a hearing entitled “Persistent Poverty in America: Addressing Chronic Disinvestment in Colonias, the U.S. Territories and the Southern Blackbelt.” Dr. Yarimar Bonilla, then CENTRO’s director, provided testimony concerning Puerto Rico and other U.S. territories. These jurisdictions the subcommittee focused on have historically had high rates of poverty, higher relative to other places in the United States. Puerto Rico’s poverty and overall economic conditions have fluctuated over the decades taking a clear turn for the worse beginning in 2006 with an enduring economic crisis, …

Transforming Impossible Into Possible (Tip) For Financial Capability: Application Of Practice-Based Program Theory And Measures In Intervention Design, Philip Young P. Hong, Alanna Shin, Maria V. Wathen, Theresa Gibbons

Social Work: School of Social Work Faculty Publications and Other Works

Purpose

Financial knowledge often does not translate into financial well-being. This study looks at how knowledge might be converted to well-being for people living in low-income environments, based on a theory called Financial PSS.

Methods

The study tests the validity of the two scales that make up Financial PSS: Perceived Financial Barriers and Financial Hope. Then it examines how these measures along with an intervention measure called TIP are associated with financial capability.

Results

Results validated the Perceived Financial Barrier Scale and Financial Hope Scale. Next, the study found that the Perceived Financial Barriers Scale and the Financial Hope Scale …

Poverty And Commercial Surrogacy In India: An Intersectional Analytical Approach, Sheela Suryanarayanan

Dignity: A Journal of Analysis of Exploitation and Violence

The destination and source countries for commercial surrogacy match world patterns of inequality. India, Nepal, Thailand, Mexico, and Cambodia banned commercial surrogacy, moving the market to other less-developed countries in South Africa and South America. India had a commercial surrogacy boom until exploitative factors led to the passage of the Surrogacy (Regulation) Bill in 2019, which banned the practice. This paper examines surrogacy's monetary, health, and emotional effects on 45 surrogate mothers in Gujarat State, India. The study revealed that a majority (63%) of the very poor women remained very poor post-surgery. Surrogate mothers in poor households had to do …

The Experiences Of Children On Sri Lanka's Tea Plantations: Labor And Sexual Exploitation, Violence, And Inadequate Education, Rathnayake Mudiyanselage Bandaranayake, Glenn M. Miles, Jarrett D. Davis, Madeline Stenersen, Anjum Umrani

Dignity: A Journal of Analysis of Exploitation and Violence

This article explores the difficulties faced by children living in Sri Lanka’s tea plantation areas. Data from 150 children reveal high rates of poverty, violence, and school dropout. Children in tea plantation schools report bullying and stigma from teachers and students. Many children do not envision completing school due to inadequate resources, family income pressures, and the need to work. Children who drop out of school face abusive labor conditions and poor pay. Over 30% of all children report experiencing sexual abuse, often in their own homes. Those working face discrimination, physical abuse, and wage theft. Initiatives are needed to …

Applying Structural Equation Modeling To Better Understand The Relationship Between Stressors, Social Support And Wellbeing In The Lives Of Spouse Dementia Caregivers, Craig Holden

Dissertations, Theses, and Capstone Projects

Applying Structural Equation Modeling to Better Understand the Relationship Between Stressors, Social Support and Wellbeing in the Lives of Spouse Dementia Caregivers considers the utility of Pearlin et al.’s (1990) stress process model in understanding the needs of spouse caregivers. Data were drawn from eight biennial waves of the University of Michigan Health and Retirement Study (HRS) and analyzed using structural equation modeling. The final study sample comprised 774 spouses, average age 73, who were categorized based on Alzheimer’s Disease and Related Dementia (ADRD) and non-ADRD caregiver status. Results showed that for the study sample as a whole, social support …

The Promise Of Universalism Deferred: Political Economy Of Social Policy In 21st Century Latin America, Juan C. Ferre

Dissertations, Theses, and Capstone Projects

In the first decade and half of the 21st century, most Latin American countries experienced a long-overdue reduction in income inequalities and significant social policy expansion. While this welfare expansion has been widely documented, scholars have paid less attention to the persistent or increasing segmentation: inequalities in transfers and in the quality of services across population groups continued unabated. This dissertation employs mixed-methods to respond to the following questions: have governments in Latin America, and Left governments in particular, made significant progress toward universal social policy?

For 17 Latin American countries in the period 2000-2020, I measure three dimensions …

Behavioural Normative Economics: Foundations, Approaches And Trends, Malte Dold

Pomona Faculty Publications and Research

This article summarises the theoretical foundations, main approaches and current trends in the field of behavioural normative economics. It identifies bounded rationality and bounded willpower as the two core concepts that have motivated the field. Since the concepts allow for individual preferences to be context-dependent and time-inconsistent, they pose an intricate problem for standard welfare analysis. The article discusses the ways in which two prominent approaches - the preference purification approach and the opportunity approach - have tackled the problem. It argues that shortcomings in each of these approaches motivate an agency-centric perspective. The article presents two concrete policy proposals …

Child Care Costs In The Mountain West, 2021, Mohit Pande, Vanessa Booth, Caitlin J. Saladino, William E. Brown Jr.

Economic Development & Workforce

This fact sheet examines data on child care costs in five Mountain West states: Arizona, Colorado, Nevada, New Mexico, and Utah, from the Child Care Aware of America’s (CCAoA) report “Price of Care: 2021 Child Care Affordability.” The original report includes data on the cost of child care and the percent of yearly income allocated to child care for married and single parents. The report analyzes single family respondents and the impact of child care on work schedules. The report also provides information on the state of the child care workforce, including annual incomes of child care workers and the …

Job Crafting, Sarah Stepanek, Megan Paul

Umbrella Summaries

What is job crafting?

Job crafting is defined as “the physical and cognitive changes individuals make in the task and relational boundaries of their work” (Wrzesniewski & Dutton, 2001, p. 179). Job crafting is a proactive work behavior by which individuals adapt their job or their perceptions of their job in order to change their identity, shape their job tasks to their liking, and alter the meaning of their work (Wrzesniewski & Dutton, 2001).

Job crafting is most often conceptualized along four categories of increasing structural job resources (i.e., expanding one’s autonomy or variety of resources), increasing social job resources …

Job Design, Sarah Stepanek, Megan Paul

Umbrella Summaries

What is job design?

Every job has an inherent design—the collection of duties, responsibilities, required competencies, environment, relationships, and resources involved in the job. This design may be intentional or unintentional. The concept of job design, however, is a more purposeful process of shaping a job’s characteristics with the goal to increase employee motivation, performance, and job satisfaction as well as lower turnover and absenteeism in the workplace (Hackman & Oldham, 1976). According to Job Characteristics Theory, this is done through enhancing the five core job dimensions of skill variety, task identity, task significance, job autonomy, and feedback from the …

Meaningful Work, Sarah Stepanek, Megan Paul

Umbrella Summaries

What is meaningful work?

Meaningful work is defined as “work experienced as particularly significant and holding more positive meaning for individuals” (Rosso et al., 2010, p. 95). In general, meaningful work is considered to be work and work accomplishments that are viewed as valuable, worthwhile, and aligning with one’s values (Allan et al., 2018). Current theory suggests that meaningful work tends to result from self-actualization or from working towards a higher purpose (Lepisto & Pratt, 2016). More specifically, meaningful work may come from feeling a sense of unity with other people, serving others, from developing oneself, or from working towards …

Emotional Distress During Covid-19 By Mental Health Conditions And Economic Vulnerability: Retrospective Analysis Of Survey-Linked Twitter Data With A Semisupervised Machine Learning Algorithm, Michiko Ueda-Ballmer, Kohei Watanabe, Hajime Sueki

Center for Policy Design and Governance

The brief summarizes "Emotional Distress During COVID-19 by Mental Health Conditions and Economic Vulnerability: Retrospective Analysis of Survey-Linked Twitter Data With a Semisupervised Machine Learning Algorithm," co-authored by Michiko Ueda-Ballmer, Kohei Watanabe, and Hajime Sueki in the Journal of Medical Internet Research.

Personality Tests, Sarah Stepanek, Megan Paul

Umbrella Summaries

What are personality tests?

In an employment context, personality tests are tools that assess candidates’ or employees’ enduring dispositional traits, for the purpose of hiring, training, or employee development. Personality is generally thought to reflect one’s authentic personal disposition and lasting mental structure (Allport & Odbert, 1936). Although individuals may behave differently in different conditions and environments and may experience passing moods, personality is thought to be displayed through broad patterns of behavioral tendencies over time in each individual (Allport & Odbert, 1936). Though there are hundreds of individual personality traits and measures in existence, the majority of those that …

Social Networks, Access To Healthcare, And The Health-Related Quality Of Life Of Young Informal Workers In Nigeria’S Construction Industry, Ayomide Oluwaseyi Oladosu

Lingnan Theses (MPhil & PhD)

Young informal workers in Nigeria face a significant decline in their health-related quality of life (HRQoL) due to their lack of control over their employment conditions. This problem is particularly pronounced among young informal workers in the construction industry, given its precarious and hazardous nature. To enhance HRQoL, these workers primarily rely on their social networks for support. However, given the level of hazards they encounter in the construction industry, social networks alone may not be sufficient to directly improve their HRQoL. Nevertheless, social networks can facilitate access to healthcare, which in turn may enhance HRQoL. Unfortunately, limited research has …

Caregiver Burden: Support Needed For Those Who Support Others And The National Health Service, Michael Stephanou

Patient Experience Journal

This literature review focuses on the complexities and inequalities of informal caregiving in the UK and was inspired by the story of the following individual: EL is a 68-year-old Caucasian lady who attended Movement Disorder Clinic and was diagnosed with Parkinson's Disease Dementia following many years of symptoms. The diagnosis came as a big relief to EL and her daughter (SL) who were eager to get treatment started as soon as possible. EL lives alone with SL and solely relies on her for care and support. SL does not have children and devotes her daily routine to looking after her …

Meaningful Work, Sarah Stepanek, Megan Paul, Danielle Crawford

Umbrella Summaries

What is meaningful work?

Meaningful work is defined as “work experienced as particularly significant and holding more positive meaning for individuals” (Rosso et al., 2010, p. 95). In general, meaningful work is considered to be work and work accomplishments that are viewed as valuable, worthwhile, and aligning with one’s values (Allan et al., 2018). Current theory suggests that meaningful work tends to result from self-actualization or from working towards a higher purpose (Lepisto & Pratt, 2016). More specifically, meaningful work may come from feeling a sense of unity with other people, serving others, from developing oneself, or from working towards …

Navigating The Legal Landscape Of Mental Health In The Workplace: Insights For The Dental Practice, Gary Chamberlin Milr, Jd

The Journal of the Michigan Dental Association

Dealing with an employee’s mental health situation poses complex challenges for human resource professionals. Dental practices, typically run by busy dentists or administrative managers, often lack a human resource professional and the legal expertise needed to navigate the intricacies of employment laws pertaining to mental health disabilities. Moreover, mental health issues in the workplace are sensitive, private matters that intersect with disability and leave laws and are still associated with cultural stigmas despite evolving societal attitudes. This article provides specific scenarios that give insights into the legal issues when managing dental office employees with mental health conditions. Readers should address …

Mental Health Care Health Professional Shortage Areas (Hpsas) In The Mountain West, Nicole Diaz Del Valle, Caitlin J. Saladino, William E. Brown Jr.

Health

Using data from the Kaiser Family Foundation’s “Mental Health Care Health Professional Shortage Areas (HPSAs)” 2022 report, this fact sheet looks at the mental health care health professional shortage area (HPSA) designations for Mountain West states: Arizona, Colorado, Nevada, New Mexico, and Utah.

The State Of Homelessness In Nevada, 2020, Annie Vong, Mae Ling Catayong, Christine Guardian, Abigail Boron, Maria Jerinic, Caitlin J. Saladino, William E. Brown Jr.

Demography

This fact sheet examines data on homelessness in Nevada between 2007 and 2020. The original report, “State of Homelessness,” by the National Alliance to End Homelessness includes the number of homeless individuals that slept outside on any given night, how many beds in shelters went empty, and the number of homeless individuals per 10,000 individuals in each continuum of care in Nevada.

Differentials And Predictors Of Food Insecurity Among Federally Qualified Health Center Target Populations In Philadelphia: A Cross-Sectional Study, Galicano Kai Inguito, Brandon Joa, James Gardner, Eric N Fung, Laura Layer, Karen Fritz

Department of Medicine Faculty Papers

BACKGROUND: Over the past decade, the prevalence of food insecurity declined in the United States but curiously climbed in Philadelphia, Pennsylvania, a sizable metropolitan area where many households experience food insecurity and are dependent on programs like SNAP. Therefore, we aimed to determine the burden of food insecurity among populations near Philadelphia Federally Qualified Health Center (FQHC) clinic sites.

METHODS: This cross-sectional study was conducted in North Philadelphia, a populous and impoverished section of Philadelphia with many zip codes reporting 30-45% or more of the population below the federal poverty line. Students and clinicians affiliated with a local FQHC conducted …

Competency-Based Personnel Selection Oklahoma - Key Findings, Quality Improvement Center For Workforce Development

Other QIC-WD Products

Background

The QIC-WD began working with Oklahoma Human Services (OKDHS) in 2017. At that time OKDHS had an average turnover rate of 25% among Child Welfare Specialist (CWS) I and IIs. Agency leaders expressed a desire to better understand turnover rates with an eye toward increasing the retention of more competent performers. A thorough needs assessment led to the decision to design and implement a competency-based personnel selection intervention to address inconsistencies in hiring and better identify candidates with the desired competencies to be hired as a CWS. The evaluation was designed to include an implementation evaluation; a validation …

Organizational Change Process Milwaukee - Key Findings, Quality Improvement Center For Workforce Development

Other QIC-WD Products

Background

The QIC-WD team engaged with the Department of Milwaukee Child Protective Services (DMCPS) in 2017 to conduct a thorough needs assessment to understand the root causes underlying a high turnover rate among Initial Assessment Specialists. In 2016, the overall turnover rate, including both external turnover and internal movement, was just under 49%, with a little over 11% due to internal movement and 37% due external turnover. The Organizational Social Context (OSC) baseline survey showed that there were several aspects of both culture and climate that were in need of improvement, including: 1) a hierarchical decision-making structure, 2) high …

Supportive Supervision And Resiliency Ohio - Key Findings, Quality Improvement Center For Workforce Development

Other QIC-WD Products

Background The Ohio Department of Job and Family Services (ODJFS) started working with the QIC-WD in October 2017 to better understand its turnover problem. Eight counties volunteered to be part of the entire study. They participated in a thorough needs assessment process which led to creation of Coach Ohio, a multi-level blend of two interventions that addressed key needs across the counties regarding work-related traumatic stress and supportive supervision. Four counties and half of the largest county participated in the intervention while three counties and the other half of the largest county participated as comparison counties. Among these counties the …

Addressing Work-Related Traumatic Stress Nebraska - Key Findings, Quality Improvement Center For Workforce Development

Other QIC-WD Products

Background

Nebraska’s Department of Child and Family Services (DCFS) started working with the QIC-WD in 2017 to better understand its turnover problem and found that, among workers who left the agency in 2017, it typically happened within the first two years and the turnover rate in 2017 was about 30%. The team examined many contributing factors through a needs assessment and designed CFS Strong to improve employee retention by addressing work-related traumatic stress among the child welfare workforce.

According to the Secondary Traumatic Stress (STS) scale administered in December 2017, the overall presence of STS symptoms in DCFS staff was …

Frontline Job Redesign Louisiana - Key Findings, Quality Improvement Center For Workforce Development

Other QIC-WD Products

Background

In 2017, the QIC-WD began working with the Louisiana Department of Children and Family Services (DCFS). At that time DCFS had an average turnover rate of 24% across the state with one region having a rate of 51% and another with a low of 8%. A thorough needs assessment identified that high caseloads and a large number of administrative tasks were barriers to caseworkers’ ability to effectively engage in the clinical aspects of their work and led to the decision to redesign the frontline caseworker job.

The intervention created a new job, the Child Welfare Team Specialist (CWTS), …

What Explains Spatial Cariations Of Covid-19 Vaccine Hesitancy?: A Social-Ecological-Technological Systems Approach, Arun Pallathadka, Heejun Chang, Daikwon Han

Geography Faculty Publications and Presentations

While COVID-19 vaccines have been available since December 2020 and efforts have been made to vaccinate the maximum population, a large number of people are continuing to be hesitant, prolonging the pandemic in the US. While most previous studies investigated social, economic, and demographic variables that are associated with COVID-19 vaccine hesitancy, we added ecological and technological variables to better understand the spatial variations of vaccine rates in the contiguous United States using spatial regression and geographically weighted regression (GWR) models. We aim to identify spatially varying social, ecological, and technological factors that are associated with COVID-19 vaccination rates, which …

Psu Student Housing Insecurity Interim Report, Jacen Greene, Homelessness Research & Action Collaborative, Portland State University

Homelessness Research & Action Collaborative Publications and Presentations

EXECUTIVE SUMMARY

Project Background

This study on student housing insecurity and homelessness was funded as part of a HUD FY2023 Community Project Funding Opportunity awarded to Portland State University. Phase 1 of the study, which led to this report by PSU’s Homelessness Research & Action Collaborative (HRAC), includes a literature review; a summary of PSU student survey results; a description of PSU programs based on interviews with staff and administrators; an analysis of programs at other institutions; and a set of recommendations for better addressing student housing needs. Phase 2 of the study will include the results of a comprehensive …

Extreme Heat Vulnerability Among Older Adults: A Multi-Level Risk Index For Portland, Oregon, Jacklyn N. Kohon, Katsuya Tanaka, Dani Himes, Paula Carder, Eiji Toda, Bryant Carlson

Institute on Aging Publications

Background and Objectives

Extreme heat is an environmental health equity concern disproportionately impacting low-income older adults and people of color. Exposure factors, such as living in rental housing and lack of air conditioning, and sensitivity factors, such as chronic disease and social isolation, increase mortality risk among older adults. Older persons face multiple barriers to adaptive heat mitigation, particularly for those living in historically temperate climates. This study measures two heat vulnerability indices to identify areas and individuals most vulnerable to extreme heat and discusses opportunities to mitigate vulnerability among older adults.

Research Design and Methods

We constructed two heat …