What is the role of political entrepreneurship in fostering regional demands for autonomy from national/central administration? Political, public (managerial and administrative) as well as economic actors are examined in their attempt at devising policies relevant to their respective localities/regions. Standard definitions of political entrepreneurship (i.e. Schneider, Mintrop) are employed in...

BACKGROUND Despite the high prevalence of bladder cancer, research on optimal bladder cancer care is limited. One way to advance observational research on care is to use linked data from multiple sources. Such big data research can provide real-world details of care and outcomes across a large number of patients. We assembled and validated such data including (1) administrative data from the De...

We propose a novel approach to evaluating the empirical importance of individual managerial characteristics: We analyze different managerial positions (CEO and CFO) jointly and ask whether a managerial bias (overconfidence) matters for decisions under the control of the manager, but not for decisions outside the manager’s core duties. Using a new data set on CEO and CFO overconfidence, we show ...

BACKGROUND Health care organizations exert significant influence on the manner in which clinicians practice and the processes and outcomes of care that patients experience. A greater understanding of the organizational milieu into which innovations will be introduced, as well as the organizational factors that are likely to foster or hinder the adoption and use of new technologies, care arrange...

BACKGROUND In service to its core mission of improving the health and well-being of veterans, Veterans Affairs (VA) leadership is committed to supporting research best practices in the VA. Recognizing that the behavior of researchers is influenced by the organizational climates in which they work, efforts to assess the integrity of research climates and share such information with research lead...

We conducted this study to document the female participation in the administrative and academic affairs of the Indian Academy of Pediatrics (IAP). Of 45 IAP Presidents till date, 7 (15.6%) were women. Females comprised 6% (2/31), 8.8% (3/31), 5.4% (2/37), and 2.3% (1/44) of IAP executive board members in 1990, 1995, 2000, and 2005, respectively. Only once (out of 10), a woman was appointed as t...

Veterans are a significant subpopulation in criminal justice populations, comprising between 9% and 10% of arrestee, jail, prison, and community-supervision populations. In order to address the needs of justice-involved veterans, the U.S. Department of Veterans Affairs (VA) Veterans Justice Programs (VJP) offer services to veterans at multiple points in their involvement in the criminal justice...

BACKGROUND Although the term STAT conveys a sense of urgency, it is sometimes used to circumvent a system that may be too slow to accomplish tasks in a timely manner. We describe a quality-improvement project undertaken by a US Department of Veterans Affairs (VA) hospital to improve the STAT medication process. METHODS We adapted A3 Thinking, a problem-solving process common in Lean organizat...