Institutional Variables Research Articles

Influence of Village Funds and Policies on Community Welfare: A Brief Overview

This research investigates the influence of village funds, allocation strategies, policies, and institutional frameworks on community welfare and accountability in village fund management. Utilizing a quantitative approach, a sample of 54 respondents from villages surrounding the Pandaan sub-district was selected using purposive sampling techniques. Data was collected through Google Forms and analyzed using the SmartPLS program, employing both inner and outer model analyses. The findings indicate significant positive effects of village fund variables, allocation strategies, and policies on community welfare. However, village institutional variables were found to have no significant impact on community welfare. These results underscore the importance of effective management strategies and policies in ensuring the welfare of communities in rural settings, thereby informing policymakers and stakeholders involved in local governance and development. Highlights : The study examines the influence of village fund management on community welfare in rural settings. Findings highlight the significance of allocation strategies and policies in enhancing community welfare. Implications underscore the importance of effective management practices for rural development and governance. Keywords: Village funds, Community welfare, Accountability, Rural development, Quantitative study

유아교사의 변인에 따른 상호문화역량 분석

The purpose of this study is to investigate the overall aspects of intercultural competence of early childhood teachers and the differences in intercultural competence according to individual and institutional variables. The participants were 331 kindergarten and childcare teachers located in Busan, Ulsan, and Gyongsangnam-do, and an intercultural competence measurement tool was used. The results of the study are as follows. First, the intercultural competence of early childhood teachers was found to be at a higher level than average, both overall and in sub-factors. Among the sub-factors, conflict management and respect showed similarly high levels, followed by reflection and communication. Second, significant differences were observed in overall intercultural competence and sub-factors such as conflict management, communication, and reflection based on individual variables such as age, teaching experience, and educational background. Specifically, younger and less experienced teachers demonstrated higher overall intercultural competence, as well as higher competence in communication and reflection. Higher educational qualifications were associated with higher competence in conflict management and communication. Third, institutional variables such as teacher qualifications, age group of the assigned class, and institutional size showed significant differences in the sub-factors of intercultural competence, particularly in communication and conflict management. In other words, kindergarten teachers, teachers of younger age groups, and teachers in smaller institutions exhibited higher competence in communication and conflict management. This indicates the need for attention to early childhood teachers' intercultural competence and suggests the necessity to explore supportive measures considering various factors for enhancing intercultural competence.

Economic and institutional determinants of environmental health and sustainability: Spatial and nonlinear effects for a panel of worldwide countries

Research background: This study identifies the key factors influencing environmental health across a global panel of countries, focusing on protection from environmental hazards, as informed by the existing literature, while also shedding light on novel aspects of these causal relationships. Purpose of the article: This study aims to reveal, through a comprehensive review of the relevant literature, the underexplored phenomena of spatial diffusion and contagion of national environmental behaviors and the nonlinear dynamics between environmental performance and its determinants, acknowledging the significant diversity in the characteristics and behaviors of the countries studied. Methods: Spatial analysis and econometric methods, including spatial panel regression alongside dynamic panel models using threshold techniques, were employed to meet the study’s objectives. Findings & value added: This study’s major finding is that environmental performance across nations shows significant clustering influenced by economic and institutional factors. This clustering effect arises from spatial contagion and diffusion processes, as evidenced by spatial panel regression analysis. Furthermore, this study demonstrates that variations in environmental behavior can be attributed to differing levels of development and specific internal conditions within countries. Notably, a country’s gross domestic product and the proportion of industries in its economy have a substantial effect on its environmental health practices, establishing distinct impact thresholds. This research enriches academic dialogue by illustrating, through these thresholds, that in less developed countries, an increased industrial share leads to environmental degradation. Moreover, the influence of the other examined factors varied depending on the category of the country under review, highlighting the nuanced effects of economic and institutional variables on environmental outcomes.

Evaluating the impact of individual and country-level institutional factors on subjective well-being among entrepreneurs

This study examines entrepreneurs' subjective well-being (SWB) in the form of life satisfaction. It presents a multilevel analysis approach explaining the relationship between individual-level variables (demographics and developed personal characteristics), country-level institutional variables (political stability, corruption perception index, paying tax regulations, and business freedom), and entrepreneurs' SWB. The multilevel mixed-effects logistic regression analysis is used to test the econometric model with data from the Life in Transition Survey III for 34 countries. Findings show that both individual and governing factors play a significant role in shaping entrepreneurs' SWB. The individual-level variables such as job satisfaction, financial situation, generalized trust, optimism, and social standing are the most critical factors driving self-employed life satisfaction. On the institutional level, business freedom and political stability are the most instrumental, followed by the corruption perception index and paying tax regulatory. Overall, this research enhances comprehension regarding SWB within the entrepreneurship domain, yielding significant implications for entrepreneurship theory and practice within the well-being framework, along with providing pertinent recommendations for policymakers.

Innovative multimodal Open Distance e-Learning (ODeL) supervision practices for master’s and doctoral candidates

Open Distance e-Learning (ODeL) is on the rise to cater to non-traditional students. However, the surge in master's and doctoral students opting for ODeL raises concerns about the quality and timely completion of degrees. Existing literature on student attrition in higher education indicates that both student-related factors and institutional variables significantly impact completion rates. Factors such as students' sense of connection or isolation, as well as institutional aspects like supervisor responsiveness to feedback and feedforward, contribute to student persistence. To address this early attrition and extended stays in postgraduate studies, a community of practice (CoP), comprising lecturers and master’s and doctoral students was formed. The CoP employed the Social Learning Theory (SLT) approach to initiate collaborative partnerships designed to promote a research culture and explore alternative approaches to curb master’s and doctoral late completion and attrition. This paper reports on a study undertaken to explore the experiences, perceptions and insights of master’s and doctoral candidates regarding the implementation of innovative multimodal Open Distance e-Learning supervision practices. Grounded in SLT, the exploratory case study employed an open-ended questionnaire to gather data from the students participating in the support programme. The findings revealed the positive impact of innovative practices on candidates' academic development and overall research experience. The findings further demonstrated that virtual communication tools have significantly enhanced collaboration between candidates and supervisors, breaking down geographical barriers and facilitating real-time feedback and guidance. The innovative multimodal OdeL supervision practices gave master’s and doctoral candidates flexibility and increased their learning engagement.

Evaluating the Entrepreneurial Performance in South America. Case of Chile

The research objective is to explore Chile's entrepreneurial landscape by assessing individual characteristics and institutional factors through a 'pillars' framework and compare it against Colombia, and Brazil; to identify socio-economic, individual, and institutional differences using the Global Entrepreneurship Index (GEI); to apply bottleneck approach to highlight areas requiring policy intervention. GEI features individual and institutional stage variables in a method where every variable collaboratively interacts, incorporating 14 foundational elements and three sub-indexes: attitudes, abilities, and aspirations. Ranking 18th on the GEI globally and the best in Latin America, Chile excels in key entrepreneurial pillars, showcasing strengths in innovation and a robust entrepreneurial culture. Brazil closely rivals Chile in competition and networking, emphasizing political and economic influence. Colombia surpasses Chile in internationalization and growth-stimulating policies but faces challenges like historical conflicts and wealth distribution. This study identified areas where immediate policy intervention may be necessary by examining Chiles's entrepreneurial ecosystem. The Penalty for Bottleneck (PFB) technique identified the weakest pillars highlighting process innovation, competition, and internationalization. The primary component identified as a bottleneck for resource allocation is Process Innovation, accounting for 73% of the allocation, followed by Competition at 23%. The findings show that allocating more resources to process innovation may improve greatly the overall GEI score.

Institutional Constraints Affecting Small Businesses in South Africa

This study explores the perception of institutional constraints in South Africa. It delineates the constraints into critical socio-cultural, political, and economic dimensions that impact entrepreneurs and their micro, small, and medium enterprises (MSMEs). The paper utilises an exploratory interview approach with thirty-two entrepreneurs from Cape Town, Durban, and Johannesburg and the emergent themes generated with ATLAS.ti. The study identified fourteen constraints that might affect the enterprise development process. The paper is original, with three main contributions. It first identifies constraints along institutional dimensions of socio-cultural, political, and economic contexts. Second, deriving the constraints through qualitative methodological inquiries with inductive and deductive analytical tools according to institutional variables is a unique methodological contribution. Third, the paper proposed context-specific focused policy interventions. The findings promote an understanding that South African MSMEs require continuous, needs-based, responsive, and adaptive institutional support.

Foreign direct investment and carbon emissions in ECOWAS: does good governance matter?

PurposeThe present study investigates the effect of foreign direct investment (FDI) and governance quality on carbon emissions in the Economics Community of West African States (ECOWAS).Design/methodology/approachTo achieve the objective of this research, panel data for dependent and explanatory variables over the period 2005–2016, collected in the World Development Indicators (WDI) database and World Governance Indicators (WGI), are analyzed using the generalized method of moments (GMM). Also, the panel-corrected standard errors (PCSE) method is applied to the four segments of the overall sample to analyze the stability of the results.FindingsThe findings of this study are (1) FDI inflows have a negative effect on carbon emissions in ECOWAS and (2) The interaction between FDI inflows and governance quality have a negative effect on carbon emissions. These results show the decreasing of environmental damage by increasing institutional quality. However, the estimation results on the country subsamples show similar and non-similar aspects.Practical implicationsThis study suggests that policymakers in the ECOWAS countries should strengthen their environmental policies while encouraging FDI flows to be environmentally friendly.Originality/valueThe subject has rarely been explored in West Africa, with gaps such as the lack of use of institutional variables. This study contributes to the literature by drawing on previous work to examine the role of good governance on FDI and the CO2 emission relationship in the ECOWAS, which have received little attention. However, this research differs from previous work by subdividing the overall sample into four groups to test the stability of the results.

Assessing the impact of geopolitical, economic, and institutional factors on China's environmental management in the Russian-Ukraine conflicting era

In contemporary times, geopolitical risk, and natural resources prices are susceptible due to the Russian-Ukraine conflict. In the meantime, emerging economies are struggling to explore the factors that could reduce ecological challenges and enhance environmental management. This research aims to analyze several economic, environmental, political, and institutional variables to ascertain their influence on greenhouse gas emissions in China. Covering the latest period from 1990 to 2022, various time series tests, including normality, stationarity, and cointegration tests. The results confirm that the variables studied have a stable pattern over time and are connected in the long run. The non-normal distribution of variables leads to opt novel moment quantile regression, where the results are tested for robustness via parametric approaches. The empirical results asserted that economic growth, natural resource prices, and trade significantly enhance ecological challenges (emissions). However, globalization, geopolitical risk, and institutional quality significantly reduce such environmental challenges. The results are robust, and both unidirectional and bidirectional causal associations confirm the importance of these variables in environmental management. Based on the results, this study recommends engagement in environmentally-friendly trading, investment in clean and green energy, and strengthening institutional quality for the region's environmental recovery.

Sustainable economic growth and energy security nexus: A stochastic frontier analysis across OECD countries

This study aims to provide a comprehensive picture of the sustainable economic growth undertaken by 22 OECD countries from 2005 to 2021. Sustainable economic growth is conceived as environmental-economic efficiency, that is the ability to increase GDP while reducing greenhouse gas (GHG) emissions. An efficiency effect frontier model is employed to simultaneously estimate the production frontier, technical inefficiency, and the effects of a composite set of institutional drivers that includes environmental taxation, economic globalization, and energy security. This study makes several contributions. Firstly, it expands upon the traditional single-output stochastic frontier model by incorporating a multi-output distance function. Secondly, it includes GHG emissions as an undesirable output in the analysis, providing unbiased assessments of sustainable economic growth. Thirdly, it explores the effects of an under-investigated institutional variable that has become crucial amid the current geopolitical uncertainty: the energy self-sufficiency represented by the energy import independence. Empirical results shed light on a decreasing trend in environmental-economic efficiency that started in 2009 and worsened during the Covid-19 pandemic. Furthermore, environmental taxation and economic globalization have curbed efficiency. Lastly, energy self-sufficiency has been revealed as a crucial driver to enhance the green growth of OECD countries.

Institutional and Regional Variation in Opioid Prescribing for Hospitalized Infants in the US

High-risk infants, defined as newborns with substantial neonatal-perinatal morbidities, often undergo multiple procedures and require prolonged intubation, resulting in extended opioid exposure that is associated with poor outcomes. Understanding variation in opioid prescribing can inform quality improvement and best-practice initiatives. To examine regional and institutional variation in opioid prescribing, including short- and long-acting agents, in high-risk hospitalized infants. This retrospective cohort study assessed high-risk infants younger than 1 year from January 1, 2016, to December 31, 2022, at 47 children's hospitals participating in the Pediatric Health Information System (PHIS). The cohort was stratified by US Census region (Northeast, South, Midwest, and West). Variation in cumulative days of opioid exposure and methadone treatment was examined among institutions using a hierarchical generalized linear model. High-risk infants were identified by International Statistical Classification of Diseases and Related Health Problems, Tenth Revision codes for congenital heart disease surgery, medical and surgical necrotizing enterocolitis, extremely low birth weight, very low birth weight, hypoxemic ischemic encephalopathy, extracorporeal membrane oxygenation, and other abdominal surgery. Infants with neonatal opioid withdrawal syndrome, in utero substance exposure, or malignant tumors were excluded. Any opioid exposure and methadone treatment. Regional and institutional variations in opioid exposure. Overall, 132 658 high-risk infants were identified (median [IQR] gestational age, 34 [28-38] weeks; 54.5% male). Prematurity occurred in 30.3%, and 55.3% underwent surgery. During hospitalization, 76.5% of high-risk infants were exposed to opioids and 7.9% received methadone. Median (IQR) length of any opioid exposure was 5 (2-12) cumulative days, and median (IQR) length of methadone treatment was 19 (7-46) cumulative days. There was significant hospital-level variation in opioid and methadone exposure and cumulative days of exposure within each US region. The computed intraclass correlation coefficient estimated that 16% of the variability in overall opioid prescribing and 20% of the variability in methadone treatment was attributed to the individual hospital. In this retrospective cohort study of high-risk hospitalized infants, institution-level variation in overall opioid exposure and methadone treatment persisted across the US. These findings highlight the need for standardization of opioid prescribing in this vulnerable population.

The Utilization of Press-Fit Total Knee Arthroplasty is Not Evenly Distributed: A National Registry Review.

This study evaluates trends of cemented versus press-fit total knee arthroplasty (TKA). We hypothesized that press-fit TKA is more common in younger and obese patients. There may also be racial, geographic, and institutional variation. The American Joint Replacement Registry was used to conduct a retrospective review of primary TKA procedures for osteoarthritis in the United States between January 2019 and March 2022. The objective was to identify differences in incidence, demographics, body mass index (BMI), Charlson Comorbidity Index (CCI), and institutional teaching status (teaching vs. non-teaching) between press-fit and cemented TKAs. Two hundred ninety-seven thousand four hundred two patients (61% female, average age 68 years, 88.3% White) underwent cemented TKA versus 50,880 patients (52% female, average age 65 years, 89% White) underwent press-fit TKA. Overall, 20.8% of press-fit versus 19.9% of cemented TKA had a BMI of 35 to 39.9 and 15.2% of press-fit versus 12.5% of cemented TKA had BMI >40 ( P < 0.001). Patients undergoing press-fit TKA were less likely Black (OR = 0.727; P < 0.0001), Asian (OR = 0.651, P < 0.0001), and Native Hawaiian/other Pacific Islander (OR = 0.705, P < 0.02) with White as the reference group. Northeastern and Southern United States were more likely to use press-fit TKA than the Midwest (OR = 1.89 and OR = 1.87, P < 0.0001) and West (OR = 1.67; and OR = 1.65; P < 0.0001). Press-fit TKA incidence in 2019 was 9.9% versus 20.6% in 2022 ( P < 0.001). Press-fit TKA is increasingly more common in Northeastern and Southern United States, and patients are older than expected. Patients with BMI >35 had a slightly higher rate of undergoing press-fit than cemented TKA. Notable racial differences also exist. Additional research addressing racial disparities and evaluating longevity of press-fit designs is needed.

Pengaruh Kepemilikan Institusional dan Profitabilitas terhadap Audit Delay

This research aims to determine the negative influence between institutional ownership and profitability on audit delays in technology companies listed on the Indonesian stock exchange in 2020-2022. So that the delivery of company financial reports will no longer occur delays or delays. The research has a population of 44 technology companies listed on the Indonesian Stock Exchange in 2020-2022 with a total sample of 21 companies obtained from the purposive sampling method then multiplied by 3 periods to become 63 samples of technology companies that will be analyzed. The research method uses quantitative with a causal associative explanation level with SEM-PLS data analysis using Smart PLS 3.0 software. The results of this research are that the institutional ownership variable has no influence on audit delay in technology companies listed on the Indonesian Stock Exchange in 2020-2022. Meanwhile, the profitability variable has a negative influence on audit delay in technology companies listed on the Indonesian Stock Exchange in 2020-2022.

Perceived Barriers Toward Patient-Reported Outcome Implementation in Cancer Care: An International Scoping Survey.

Implementation of patient-reported outcomes (PROs) collection is an important priority in cancer care. We examined perceived barriers toward implementing PRO collection between centers with and without PRO infrastructure and administrators and nonadministrators. We performed a multinational survey of oncology practitioners on their perceived barriers to PRO implementations. Multivariable regression models evaluated for differences in perceived barriers to PRO implementation between groups, adjusted for demographic and institutional variables. Among 358 oncology practitioners representing six geographic regions, 31% worked at centers that did not have PRO infrastructure and 26% self-reported as administrators. Administrators were more likely to perceive concerns with liability issues (aOR, 2.00 [95% CI, 1.12 to 3.57]; P = .02) while having nonsignificant trend toward less likely perceiving concerns with disruption of workflow (aOR, 0.58 [95% CI, 0.32 to 1.03]; P = .06) and nonadherence of PRO reporting (aOR, 0.53 [95% CI, 0.26 to 1.08]; P = .08) as barriers. Respondents from centers without PRO infrastructure were more likely to perceive that not having access to a local PRO expert (aOR, 6.59 [95% CI, 3.81 to 11.42]; P < .001), being unsure how to apply PROs in clinical decisions (aOR, 4.20 [95% CI, 2.32 to 7.63]; P < .001), and being unsure about selecting PRO measures (aOR, 3.36 [95% CI, 2.00 to 5.66]; P < .001) as barriers. Heat map analyses identified the largest differences between participants from centers with and without PRO infrastructure in agreed-upon barriers were (1) not having a local PRO expert, (2) being unsure about selecting PRO measures, and (3) not recognizing the role of PROs at the institutional level. Perceived barriers toward PRO implementation differ between administrators and nonadministrators and practitioners at centers with and without PRO infrastructure. PRO implementation teams should consider as part of a comprehensive strategy including frontline clinicians and administrators and members with PRO experience within teams.

Student Health Services at Historically Black Colleges and Universities and Predominantly Black Institutions in the United States.

Student health services are associated with improved health outcomes and academic success, particularly among under-resourced college populations. This study compared student health services at Historically Black Colleges and Universities (HBCUs) and Predominantly Black Institutions (PBIs) and identified factors associated with the availability of comprehensive health services (CHS). We conducted a secondary analysis of 2022 data from the Integrated Postsecondary Education Data System (IPEDS), the Minority Serving Institutions (MSIs) Directory, and the websites of HBCUs and PBIs (n=167). Bivariate and multivariate logistic regression analyses were undertaken to identify institutional variables associated with providing CHS. Institutional variables included college type (public vs. private), MSI category (HBCU vs. PBI), undergraduate enrollment, location, and proportion of Pell grant recipients. Approximately 13% of HBCUs and 26% of PBIs offered no student health services; 65% of HBCUs and 39% of PBIs offered on-campus CHS with prescribing providers. Four-year HBCUs were five times more likely than 4-year PBIs to have CHS (p=0.014). Institutions with more Pell Grant recipients were less likely to offer CHS. Access to health care is an important social determinant of health, academic persistence, and achievement for college students. HBCUs were significantly more likely than PBIs to offer CHS. HBCUs are more likely than PBIs to have resources from federal funding, donors, and endowments that may support the development of student health centers and services. Increased funding for PBI health centers could improve access and promote health equity among the most vulnerable student populations.

Sources of Algeria's economic growth, 1979–2019: Augmented growth accounting framework and growth regression method

This paper examines the sources of economic growth in Algeria, studying the key drivers of their slow and weak economic performance, during the period of 1979–2019 from the perspective of the augmented growth accounting framework and the growth regression method. More specifically, the paper uses the augmented growth accounting framework to decompose the aggregate growth of an individual economy to determine the contribution of various inputs and the total factor productivity. The growth regression method, then, links the growth performance of a given country to a set of economic, social, and institutional variables to identify the deep drivers of its economic growth. Results of the accounting framework show that Algeria's growth performance has been weak and modest for decades. This is due, mainly, to labor growth with weak gain in capital accumulation and to sharp losses in the total factor productivity growth. Furthermore, results of the econometrics study stress the importance of the political, institutional, and economic variables and the macroeconomic stability as potential factors that may affect growth in Algeria. These findings highlight the need for policymakers to identify and to target these determinants to improve the long‐run economic growth in Algeria.

Impact of institutional and individual factors on students' academic integrity

The purpose of the study was to determine how specific institutional and individual variables determine the academic integrity of students in high schools. These factors are school location and type, religion, and course of study. In the extant research literature, these factors have not been given adequate attention with regards to their relationship with students' academic integrity in the same way that their interaction with academic achievement has been researched. The survey research design was used in the study. The authors did not manipulate or interfere in any way with the subjects, but they were allowed to respond freely to the Academic Integrity Measurement Instrument (AIMI), which is a standardized instrument. The sample consisted of 3142 males and 3708 female students in their final year of senior secondary school in Nigeria. Data was analyzed with an ANOVA. The findings revealed that students' academic integrity significantly varies based on school location and type, religion, and course of study. Each of these variables impacts students' academic integrity to the extent that preventive measures against academic dishonesty should consider these factors. The implications of the findings are that parents, school administrators, teachers, guidance counsellors, and examination bodies should collaborate to restore academic integrity in educational assessments, especially at the high school level, by beaming their searchlights on school locations, school type, and students’ religions and courses of study as potential frameworks for preventing cheating in school examinations.

Analisis Pengaruh Kualitas Institusi, Keterbukaan Perdagangan, Inflasi, Ukuran Pasar dan Infrastruktur Terhadap Foreign Direct Investment di Negara-Negara ASEAN

The main problem for any country, especially in developing countries in the process of economic development, is the level of output produced is low as a result of limited capital flows. To be able to increase economic development, one way that can be done is by attracting foreign direct investment. This study aims to analyze the determinants of foreign direct investment (FDI) in terms of institutional and macroeconomic factors in ASEAN countries in the period 2003-2019. This research uses panel data regression analysis method with Fixed Effect Model (FEM) approach.The results of this study show that institutional quality variables such as political stability and the absence of violence/terrorism, government effectiveness have a positive and significant influence on FDI inflows. Then, the control of corruption has a negative and significant effect on FDI inflows. Meanwhile, macroeconomic variables such as trade openness, market size, infrastructure have a positive and significant influence on FDI inflows in ASEAN countries. On the other hand, inflation has a negative and significant effect on FDI inflows. With these results, the quality of institutions and macroeconomic conditions in the ASEAN region plays an important role in attracting FDI inflows.

Do selected board governance mechanisms strengthen the link between institutional and macroeconomic variables and the financial flexibility of corporations? Empirical evidence from an emerging economy

PurposeThis study aims to explore the relationship between institutional and macroeconomic factors and corporate financial flexibility while also investigating the moderating impact of selected board governance mechanisms on this relationship.Design/methodology/approachThe sample of the study comprises 174 firms listed on the Colombo Stock Exchange for a period of eight years, from 2014 to 2021. Data were collected from secondary sources, and both descriptive and inferential statistical techniques were used for analyses.FindingsCorporate financial flexibility is notably affected by profitability as an institutional factor and by gross domestic product growth rate and banking sector development as macroeconomic factors. Furthermore, the relationship between a company’s profitability and corporate financial flexibility is found to be moderated by selected board governance mechanisms. However, these governance mechanisms do not influence the relationship between corporate financial flexibility and other institutional factors (i.e. other than profitability) and macroeconomic factors considered in this study.Originality/valueThis study adds a fresh perspective to the existing body of knowledge in the field of corporate finance by emphasizing the interaction effect of board governance mechanisms on the association between macroeconomic and institutional variables and financial flexibility of firms. The findings are expected to be useful for business decision-makers in managing their corporate financial flexibility effectively and maximizing the use of their financial resources.

Institutional Variability in Anesthesia Time for Mehta Casting in Early-Onset Scoliosis (EOS).

Mehta casting is a potentially curative intervention for early-onset scoliosis (EOS) that typically requires multiple anesthetics. The Food and Drug Administration (FDA) reported that >3 hours of anesthesia under the age of 3 years old may alter brain development; however, no standard exists for the duration of anesthesia during casting. The purpose of this study is to quantify the variability in anesthesia during Mehta casting. We hypothesize that significant institutional variability exists and may be attributed to modifiable factors. An EOS registry was used to identify patients who underwent at least one Mehta casting procedure. Anesthesia exposure was quantified, and site variability was assessed by patient characteristics, cast placement, procedure type, and equipment used. Our cohort consisted of 208 patients from 5 institutions (age 2.6±1.4y). There were 1097 Mehta casting procedures, with 5.4±3.6 castings per patient. Of these patients, 106 (51%) were female, with an average age of 2.11±1.29 years old at the time casting was initiated. Patient etiologies included 154 idiopathic (74.0%), 22 syndromic (10.6%), 18 congenital (8.7%), 11 neuromuscular (5.3%), and 3 unknown (1.4%). Anesthesia time was 69±31 minutes and varied significantly between sites (59±14 to 117±46min; P <0.001). Cumulative anesthesia time for patients under 3 years was 320±197 minutes with 120/161 (74.5%) patients exceeding 3 hours. Anesthesia time was lower after the FDA warning in 2016 compared with pre-2016 (71±30 vs. 66±32, P =0.008). Patients undergoing Mehta casting are at significant risk of exceeding 3 hours of anesthesia, which the FDA has stated may be harmful for children <3 years. Significant site variability indicates that standardization protocols should be developed to encourage best practices and minimize anesthetic times. Prognostic Level II.