Is Patient Data Better Protected in Competitive Healthcare Markets?

We study the effect of hospital market concentration on the quality of patient data protection practices. We use approximately 200 reported data breaches in US hospitals over the period 2006 - 2011 as a measure of the quality of patient data protection practices. We measure market concentration using the Herfindahl-Hirschman Index (HHI) and estimate our models by exploiting cross-sectional HHI variation. Surprisingly, we find that increased competition is associated with a decline in the quality of patient data protection. Our main result indicates that a 100 point increase in HHI is associated with a 5% decline in the average count of data breach incidents. The results are directionally robust to a number of alternate model specifications. To explain our findings, we posit that hospitals in more competitive markets may be inclined to shift resources to more consumer visible activities from the less consumer visible activity of data protection

Ad Anima: Autobiographical Narratives/Memoirs From Health Professionals

Ad Anima embarks on its maiden voyage at a unique time in medical history. In the shadow of a global pandemic, medicine welcomes distance in a manner and to a degree that it never has before. From routine healthcare visits conducted with miles between patients to online lectures leaving classrooms empty and beyond, space is an evolving aspect of our work and lives.We founded Ad Anima because we wanted to explore the spaces we don’t always get to see ourselves. We wanted to give healthcare practitioners and trainees the opportunity to tell the stories that aren’t always told. We wanted to listen, and we weren’t disappointed.Many more stories than we could put on paper landed before our eyes,written by dedicated physicians, nurses, medical trainees, and others from across the nation. This volume holds just four of these stories which moved us: we could not be more excited to share them with you.I could not have anticipated the immense engagement that followed my proposal for Ad Anima just over a year ago. It is the first free-to-access, free-to-publish, nonfiction literary medical journal affiliated with a university. I merely assumed that supply was low because demand was low. But as the dedicated authors, editors, designers, and media contributors for Ad Anima often reminded me, there is something delightful in being wrong, in overlooking a hidden gem only to have your gaze redirected—re-centered—to what was always there. All My Best,Rajeev DuttaEditor-in-ChiefAcknowledgements: We are grateful to the many supporters at the University of California, Irvine who have made Ad Anima a reality, including (but not limited to) Juliet McMullin, Kathleen Powers, Sarah O’Dell, Clifford Danza, Jennifer Tan, Aaron Frank, and Leonora Naser-Saravia, all of whom played a role in the inception of Ad Anima.EDITOR-IN-CHIEF : RAJ DUTTAUniversity of California IrvineThe authors should be the editorial team, then et. al.,:Editor-in-Chief - Rajeev DuttaLead Designer - Mai-Linh TonManaging Editor - Zohal NooriManaging Editor - Vanessa LeEditor – Kaveri CurlinEditor – Jen Yee LimEditor – Sarah O'DellEditor – Alison LawrenceEditor – Isabella BuenaventuraEditor – Hassan ShaikhEditor – S. Herschel UchitelEditor – Liz StringerEditor – Thuy-Linh TranMedia Contributor - Janet NguyenMedia Contributor - Pirooz Fereydouni The et.al., list of authors continues below:Kaveri CurlinJanet NguyenPirooz FereydouniJen Yee LimSarah O'DellAlison LawrenceIsabella BuenaventuraHassan ShaikhHerschel UchitelLiz StringerThuy-Linh TranIrfan HydariMaya J. SoriniRusty Green

Seperempat Abad Asean

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Perceptions and Experiences of Inequity for Women of Refugee Background Having a Baby during the COVID-19 Pandemic in Melbourne, Australia.

Listening to What Matters is an exploratory descriptive qualitative study that aimed to (1) understand how women of refugee background in Melbourne, Australia experienced access to health information and maternity and/or early parenting care during the COVID-19 pandemic and (2) whether pandemic health directives had an impact on structural inequities for women of refugee background who received maternity and/or early parenting care during the COVID-19 pandemic. Semi-structured interviews were conducted with 41 participants including 17 women of refugee background, who identified as belonging to the Karen, Assyrian Chaldean, Iraqi, Syrian, Afghan, Sudanese, or South Sudanese communities and 24 health and social care professionals who identified as providing pregnancy or early parenting care during the pandemic in the north western suburbs of Melbourne. Interviews with women were conducted in preferred languages by community researchers. Interviews with professionals were conducted in English by researchers. Reflexive thematic data analysis included constructivist positionality and a trauma and violence informed approach. The results reported in this paper include three themes, with four accompanying subthemes, as follows: theme (1), 'Structural inequities and the toll of the pandemic'; theme (2), 'Supportive infrastructure'; and theme (3), 'Cultural safety during the pandemic'. The results demonstrate that cumulative negative impacts such as unequal access to health information, family separation and isolation, inadequate household income, and mental and social health concerns had the potential to amplify pre-existing structural inequities for women of refugee background. Community engagement facilitated by bicultural workers, interpreters, and trusted care providers facilitated fast-paced, two-way communication that built capacity and health literacy for women who were unable to speak English and unfamiliar with the health care system and, improved experiences of care. More research is needed to understand how the intersectional cumulative impacts of structural inequities have affected maternal and neonatal health outcomes for women of refugee background during the pandemic, as well as any differences in maternal and neonatal health outcomes between Australian-born and refugee background women and babies

Having a Say in Research Directions: The Role of Community Researchers in Participatory Research with Communities of Refugee and Migrant Background

Research teams in high-income countries often fail to acknowledge the capacity and contributions of Community Researchers. This qualitative exploratory study used decolonising methodology and the Foundation House 'Refugee Recovery Framework' to understand Community Researchers' perceptions and experiences of their role, and how research teams can integrate the knowledge they bring into research. Purposive sampling was used to facilitate the recruitment of eight Community Researchers from five different community groups working in Melbourne, Victoria. Semi-structured interviews lasting forty to sixty minutes occurred between December 2020 and January 2021. Data were analysed using reflexive thematic analysis. Findings reported in this paper include eight themes: 'nothing about us without us'; 'open the door'; a safe space to share; every step of the way; this does not translate; finding the right way to ask; a trauma-informed approach; and support within the workplace. The knowledge obtained demonstrates that Community Researchers facilitate meaningful participation in research for women, families, and communities of refugee or migrant background. Community Researchers' presence, knowledge, and skills are vital in establishing culturally safe research practices and developing accessible language to facilitate conversations about sensitive research topics across multiple languages. Community Researchers can make important contributions at all stages of research, including data collection and interpretation

Design of the 2k Naming Service

.html, March 1997. [15] P. J. Leach, P. H. Levine, B. P. Douros, D. L. Nelson J. A. Hamilton, and B. L. Stumpf. The Architecture of an Integrated Local Network. IEEE Journal on Selected Areas in Communication, pages 842-857, 1983. [16] M. T. Lin, D. P. Tsoy, and R. C. Lian. Design of a Network Operating System for the Distributed Double-Loop Computer Network. Local Computer Networks, 1982. North Holland Company, IFIP. [17] P. V. Mockapetris and K. J. Dunlap. Developement of the Domain Name System. In Proceedings of the SIGCOMM '88 Symposium on Communications Architectures and Protocols, pages 123-133, 1988. References [1] Steven Bernstein. Inferno Namespaces. Available from: http://www.lucentinferno. com/Pages/Developers/Documentation/WhitePapers/namespace.html, 1997. [2] D. R. Boggs. Internet Broadcasting. PhD thesis, Stanford University, 1983. [3] Christian J. Callsen. Open Heterogeneous Distributed Computing. PhD thesis, Aalborg University, August 1994. Available at: http://www-o..