Understanding uptake of complex interventions is an increasingly prominent area of research. The interplay of macro (such as changing health policy), meso (re-organisation of professional work) and micro (rationalisation of clinical care) factors upon uptake of complex interventions has rarely been explored. This study focuses on how English General Practitioners and practice nurses make sense ...

BACKGROUND HIV infection rates are increasing among marginalized women in Ontario, Canada. HIV-related stigma, a principal factor contributing to the global HIV epidemic, interacts with structural inequities such as racism, sexism, and homophobia. The study objective was to explore experiences of stigma and coping strategies among HIV-positive women in Ontario, Canada. METHODS AND FINDINGS We...

We develop and present a unified multi-scale model (involving three scales of spatial organisation) to study the dynamics of rigid aggregating particles suspended in a viscous fluid medium and subject to a steady poiseuille flow. At micro-level, the theory of adhesion describing the attachment / detachment kinetics of two rigid spheres coated with binding ligands, is utilized to describe the co...

We propose that a general analytic framework for cultural science can be constructed as a generalization of the generic micro meso macro framework proposed by Dopfer and Potts (2008). This paper outlines this argument along with some implications for the creative industries research agenda.

The problem is how to define the life cycle of an efficient construction manager when a lot of various stakeholders are involved in his activities, when alternative versions of construction management come to hundreds of thousands and when the efficiency changes with the alterations in the personality traits, the micro, meso and macro conditions and the constituent parts of the process in quest...

In general, ICT projects towards development in developing countries are typically guided and designed at the macro level (national strategic), adopted at the meso level (organization), implemented at the micro level (individual/group/ community), and are exclusively dependent on the interests and funding from the international development agencies. Therefore, ICT4D research can be understood a...

The article provides a theoretical overview and empirical summary of the contributions to this collection. The collection makes four contributions to the literature on comparative capitalism. First, its analysis of institutional change adopts a long-term historical perspective that allows us to observe the potentially transformative effects of relatively slow and incremental changes. Second, it...

One area of emerging research focuses on readiness to change, which has a strong impact on many decisions in a change process such as planning, implementation, communication and institutionalization. However, the term ‘readiness’ still creates confusion as it is presented in a simplistic way. This conceptual article aims at increasing our understating of readiness impact on change success by ex...

a r t i c l e i n f o While the gap between need for and access to mental health services is well documented among children of color in foster care, little is known about why they are sustained. To illuminate barriers of service delivery, thirty-six caseworkers participated in one of five focus group meetings in a large urban Mid-Atlantic City. Ground Theory Methods revealed that there are barr...

Chronic conditions are increasingly the primary concern of health care systems throughout the world. In response to this challenge, the World Health Organization has joined with the MacColl Institute for Healthcare Innovation to adapt the Chronic Care Model (CCM) from a global perspective. The resultant effort is the Innovative Care for Chronic Conditions (ICCC) framework which expands communit...