Policy Literature Research Articles

Guidelines for robotic credentialling in reconstructive and functional urology. Consensus study

AbstractObjectivesThis study aims to define criteria for robotic reconstructive and functional urology credentialing using expert consensus. A recent narrative review identified a lack of standardised minimal requirements for performing robotic‐assisted surgery procedures. The substantial variability or absence of a standardised curriculum and credentialing process within a highly specialised surgical field is often insufficient to guarantee surgeon proficiency and could potentially jeopardise patient safety.Subjects and MethodsThirty‐five international robotic surgery experts in urology and urogynaecology, selected based on surgical and research expertise, were invited to participate as expert panellists. Using a modified Delphi process the experts were asked to indicate their agreement with the proposed list of recommendations that was identified from the literature and review of relevant international credentialing policies in three electronic survey rounds.ResultsFourteen experts participated in round 1 of online surveys, 9 in round 2 and 13 in round 3. From 50 statements presented to the Delphi panel in round 1, a total of 39 recommendations (32 from round 1, 4 from round 2 and 3 from round 3) with median importance (MI) ≥ 7 and disagreement index (DI) < 1 were proposed for inclusion into the final draft set and were reviewed by the project team. Panellists agreed reconstructive and functional urology required its own specific modular training curriculum as the foundation for robotic training and a surgeon must have appropriate training i.e., fellowship or evidence of speciality training in functional urology.ConclusionsThis was the first study to develop preliminary guidelines on credentialing for robotic surgery in reconstructive and functional urology. A Delphi approach was employed to establish comprehensive credentialing criteria for robotic‐assisted surgery. The consistent adoption of these criteria across institutions will foster the proficiency of robotic surgeons and has the potential to bring improvements in patient outcomes.

Health Experiences of LGBTQ+ People Living With Dementia and Their Care Partners: A Scoping Review of Research and Policy.

This scoping review aimed to synthesize research on the health experiences of LGBTQ+ people living with dementia (PLWD) and their caregivers, and the impact of health policies on this population. Six databases were searched for research studies and policy literature. Titles, abstracts, and full texts were reviewed by a three-member team. Data was extracted and thematically analyzed. Feedback from 7 LGBTQ+ adults was collected through a community consultation session. A total of 9257 unique research and 945 policy citations were identified, of which 60 research and 19 policy papers were reviewed. Nine research studies and ten policy papers met eligibility criteria. Themes emerged through the analysis of research findings, the community listening session, and policy findings. Future work needs to disentangle the impact of policies on the health experiences of this population. Dementia-specific and LGBTQ+ inclusive services and policies are needed to address growing health disparities.

A Systematic Review of Privacy Policy Literature

An organization’s privacy policy states how it collects, stores, processes, and shares its users’ personal information. The growing number of data protection laws and regulations, as well as the numerous sectors where the organizations are collecting user information, has led to the investigation of privacy policies with regards to their accessibility, readability, completeness, comparison with organization’s actual data practices, use of machine learning/natural language processing for automated analysis, and comprehension/perception/concerns of end-users via summarization/visualization tools and user studies. However, there is limited work on systematically reviewing the existing research on this topic. We address this gap by conducting a systematic review of the existing privacy policy literature. To this end, we compiled and analyzed 202 papers (published till 31st December, 2023) that investigated privacy policies. Our work advances the field of privacy policies by summarizing the analysis techniques that have been used to study them, the data protection laws/regulations explored, and the sectors to which these policies pertain. We provide actionable insights for organizations to achieve better end-user privacy.

The translation of transformative policy ambitions in funding research for climate change

Abstract This paper addresses how research and innovation (R&I) policy responds to global challenges, which demand fundamental transformations of societies and economies. The paper presents the case of a transnational, European funding call (SOLSTICE) for climate change research led by social sciences and humanities. Both the development of SOLSTICE and the research community’s responses are analysed in relation to the transformative R&I policy literature, identifying potential future avenues for improving the transformative outcomes of this type of funding. The study concludes that unlocking the value of transformative R&I policy concepts and approaches depends on wide stakeholder engagement in the funding instrument design phase and an active and sustained focus on achieving societal outcomes during project implementation. In addition, barriers to the effectiveness of (European) transnational funding programmes are identified, particularly when policies target community-level socio-technical transitions to address global challenges.

Shifting the gaze on welfare-state sustainability in Norway: a proposal for a relational global view

Norway is an excellent case for studying the ambiguities and competing interests attached to climate change and global sustainability. The country is at the forefront in the use of “clean energy,” yet has long been one of the world’s largest oil exporters and its dominant ideas have been challenged given the climate-change crisis. The article offers a preliminary review of the historical and current connections that exist between the development of national welfare states in Europe (and Norway in particular) and the long-standing practice of extractivist efforts that have harmed nature in indigenous lands within Norwegian borders and colonized, or previously colonized lands, outside Europe). As a comparative exercise, this article mobilizes the idea of social imaginaries to conceptualize and explore how the Norwegian welfare state has, in the social policy literature and in public discourse, been linked to the notion of sustainability, given the context of rapid climate change. By drawing on three illustrative cases, the article demonstrates how such imaginaries are present in current discussions. It suggests that unpacking such imaginaries within a historical and relational global view may contribute to understanding the role of nationalism and colonialism in Norway’s sustainability narratives, to potentially trigger change in the way we conceptualize welfare-state sustainability.

Policy design and policy feedback in welfare retrenchment: A survey experiment in China

AbstractA growing body of public policy literature examines how welfare retrenchment reform produces attitudinal and behavioral feedback effects. This study adds to the literature on welfare reforms by exploring how different policy designs, combined with individual proximity to reform, produce heterogeneous feedback effects. Bridging the theories of policy feedback and policy design, we theorize how different policy designs shape individuals' self‐interest or sociotropic considerations when they form opinions on welfare reform. The feedback effects of these different policy designs are channeled by individual proximity to the reform, resulting in heterogeneous responses to proposed policy change. Seizing an opportune time window when the Chinese government undertook a public consultation program in 2020 regarding the proposed reform reallocating financial resources in individuals' medical savings accounts, we conducted a survey experiment to examine if two different policy designs led to varying feedback effects. We find that the moderate de facto retrenchment reform indeed triggered public opposition. Unlike previous research that emphasizes partisanship as a major source of heterogeneous feedback effects, our study reveals different sources of heterogeneity—public opposition to the proposed reform varies by the specific policy designs and individuals' past experiences with the existing health insurance policy.

Politico-Administrative Culture and Public Service Reform in Post-Independence Kazakhstan

Classical organizational management literature draws clear parallels between organizational culture and climate and effective use of power and influence as key to successful policy implementation of reforms in public sector organizations. On the other hand, the public policy literature, in particular, policy transfer as a strand within policy studies, emphasizes the role of the national context, more specifically, ‘facilitators’ and ‘constraints’ of ‘‘politico-administrative culture” within the national context, as crucial to understanding processes of transfer, convergence, and diffusion of public policy. There is a plethora of studies by Western scholars of public management who have successfully utilized these theoretical underpinnings to study the effectiveness of public service reforms in mature policy environments such as the UK, the US, Australia, New Zealand, and others. However, the public policy and comparative public management literature only offers a limited number of case studies from developing, middle-/upper-middle countries, which rely on concepts of organizational management in addition to narratives on the impact of policy learning from global doctrines, such as Weberianism, New Public Management (NPM), and New Public Governance (NPG), and national politics, on the implementation of administrative reforms in those contexts. Kazakhstan, as a resource-affluent post-Soviet country and a bastion of modernization and ‘open government’ in Central Asia or the Commonwealth of Independent States (CIS) in the post-Soviet era is a case in point. Based on ethnographic research consisting of interviews with elite academics, civil servants, and think-tank activists, as well as reviews of OECD and government strategy reports in Astana, the findings point to a potential abatement of the impact of context constraints such as large power distance and collectivist behavior by context facilitators such as those surrounding the use of ‘trilingualism’ and public diplomacy towards reforms in Kazakhstan particularly in recent years.

Bordering: Australia’s Policy to Border During COVID-19

Why did Australia border earlier than most other states in response to the outbreak of COVID-19? Between mid-January and March 2020, the Australian government adopted increasingly restrictive travel bans that led to the country closing its borders to all non-residents, adopting mandatory hotel quarantines for 14 days and a travel ban on Australians travelling overseas. These actions were in contravention of the World Health Organization advice to states on travel restrictions. Australia’s border closure was one of the strictest and, ultimately, longest in the world. In this article, we complement existing explanations on bordering that include critical border studies, securitization and bio/necropolitics with theoretical approaches from public policy literature to examine the domestic conditions that inform border closure policies and practices. We demonstrate that the decision to border, in this case, was not a rejection of World Health Organization advice but a turn towards the domestic pull factors – including domestic expert advice – to border.

Pragmatism, courage, and ideals of peace in times of war

ABSTRACT After the demise of liberal peacebuilding, the policy literature often views peacebuilding as a project aimed at avoiding relapse into conflict, focusing on prevention, stabilisation and hard security. Also, critical peace scholars have predominantly narrowed peacebuilding down to gradual, small, hybrid, everyday work. There is no enthusiasm for pointing towards new ideals of peace. To this aim, this article engages with the work of the American social worker, feminist, and peace activist of the early twentieth century, Jane Addams, who was the first to theorise what a positive peace may be. According to Addams, a positive peace was about enlarging human relations and already emerging from the ashes of the First World War. Peacebuilding had to be heroic, courageous, and aggressive, substituting the virtues of war. Her pragmatist work is useful for thinking of alternative imaginaries of liberal peace in times when imagination about peace and peacebuilding has dimmed.

QM-ARC: QoS-aware Multi-tier Adaptive Cache Replacement Strategy

Distributed data-centric systems, such as Named Data Networking, utilize in-network caching to reduce application latency by buffering relevant data in high-speed memory. However, the significant increase in data traffic makes expanding memory capacity prohibitively expensive. To address this challenge, integrating technologies like non-volatile memory and high-speed solid-state drives with dynamic random-access memory can form a cost-effective multi-tier cache system. Additionally, most existing caching policies focus on categorizing data based on recency and frequency, overlooking the varying Quality-of-Service (QoS) requirements of applications and customers—a concept supported by Service Level Agreements in various service delivery models, particularly in Cloud computing. One of the most prominent algorithms in caching policy literature is the Adaptive Replacement Cache (ARC), that uses recency and frequency lists but does not account for QoS. In this paper, we propose a QoS-aware Multi-tier Adaptive Replacement Cache (QM-ARC) policy. QM-ARC extends ARC by incorporating QoS-based priorities between data applications and customers using a penalty concept borrowed from service-level management practices. QM-ARC is generic, applicable to any number of cache tiers, and can accommodate various penalty functions. Furthermore, we introduce a complementary feature for QM-ARC that employs Q-learning to dynamically adjust the sizes of the two ARC lists. Our solution, evaluated using both synthetic and real-world traces, demonstrates significant improvements in QoS compared to state-of-the-art methods by better considering priority levels. Results show that QM-ARC reduces penalties by up to 45% and increases the hit rate for high priority data by up to 84%, without negatively impacting the overall hit rate, which also increases by up to 61%.

Administering a Chill Pill? Better Regulation and the Potential for Regulatory Chill in European Union Health Policy

The European Union's “good governance” program, known as Better Regulation, seeks to improve the quality of EU legislation by controlling the policy-making process. Despite its importance, it is rarely accounted for in the EU health policy literature. Seeking to address this gap, this article introduces Better Regulation in the context of health policy making. It conceptualizes a model of regulatory chill, drawn from the literature on international trade, to interrogate the impact of Better Regulation on EU policy-making processes. Using examples from the literature and data from a series of interviews with EU officials, it explores potential pathways of response and anticipatory chill, identifying direct enforcement of Better Regulation, its utilization by corporate actors, interpretation of its provision by officials, and feedback loops as possible routes of influence. The article argues that such an approach not only presents methodological challenges but also offers a valuable way of conceptualizing the relevance of political institutions in general, and Better Regulation specifically, for health. As part of broader calls for attention to the political determinants of health, the article's findings highlight the particular, and often overlooked, importance of metaregulatory policy frameworks.

Nominal GDP growth targeting vs. Taylor rules in a model with financial frictions

Nominal GDP growth targeting has gained favor over the last few decades in monetary policy literature (e.g., Ireland 2020; Garín et al. 2016; Beckworth and Hendrickson 2020). Calibrated, small-scale New Keynesian DSGE models have supported the proposition that nominal GDP growth (NGDP growth) rate targeting will improve welfare as compared with alternative strategies such as inflation targeting and Taylor rules with standard parameter settings. This paper examines that proposition in the context of a medium-scale New Keynesian model having a financial sector with frictions. In that model, NGDP growth rate targeting does poorly as compared with the Optimal Taylor rule and a wide range of Taylor rule settings leading up to the Optimal (representative agent utility maximizing) Taylor rule. The presence of the financial sector reveals that not only is NGDP growth rate targeting the least successful among the alternative targets and rules in creating welfare in this model; NGDP growth rate targeting also creates dramatically higher volatility of the policy rate and most financial variables.

A Conceptual Framework for Workforce Skills for Industry 5.0: Implications for Research, Policy and Practice

Industry 5.0 is a relatively new topic and not yet well-defined. This article’s purpose is to develop understanding of Industry 5.0 by offering a new socio-centric conceptual framework. It extends prevailing perception of Industry 5.0 by integrating workforce skills, labour shortages, and eco-digital shifts. The study explores workforce skill measurement and its implementation. Three methods were combined to develop the conceptual framework: (i) review of academic and policy literature; (ii) scholarly and expert discussions; (iii) consultations with practitioners, companies and networks on Industry 5.0’s relevance. Industry 5.0 expands Industry 4.0's technology-focused approach. This new paradigm emphasises human-centricity, sustainability and resilience, infusing societal values into organisational management. Our findings suggest that, while firmly rooted in EU policy, Industry 5.0 must find integration at national levels and within pertinent ecosystems. This article introduces innovative perspectives on conceptualising and evaluating workforce skills for Industry 5.0. Mitigating skills gaps is crucial in enabling companies and employees to leverage the eco-digital shift, fostering sustainability, resilience and equity across Europe. A limitation to understanding Industry 5.0 is that policy discussions run ahead of collecting empirical data. As a consequence, one must be careful in drawing firm conclusions. While prior research underscores the need for skilled workforces in Industry 5.0, it falls short of elucidating evolving job dynamics in the Industry 5.0 transition. This article addresses this gap by examining the evolving job landscape, skills, and learning trajectories.

Localization and developmentality: Policy pragmatism in pandemic times

AbstractMotivationLocalization is increasingly invoked in debates about how to reform international aid: to improve aid effectiveness and address ethical concerns by turning hierarchical aid relations on their head. This has proved to be easier said than done. The COVID‐19 pandemic produced logistical impediments to aid practitioners, which translated into a renewed, if temporary, interest in localization.PurposeThe initial scope of the research engaged with the notion of partnership during COVID‐19, but almost all informants drew attention to the concept of localization. The article maps and analyses the challenges and advantages of localization, as seen from the practitioners' perspective.Approach and methodsThe article draws on 24 interviews conducted in Oslo with representatives of various Norwegian development and humanitarian non‐governmental organizations and government agencies, in addition to policy and grey literature review.FindingsThe article shows that the re‐emergence of the localization debate during COVID‐19 occurred not because of any ambition to reform aid, but as a pragmatic and temporary response to the logistical impediments caused by the pandemic. Reflections from the interviewees on the pros and cons offer more substantial insights into why localization fails to change practice, while at the same time localization enables a form of indirect governance related to accountability regimes. This is analysed as developmentality, reflecting the logic that localization takes place when recipients do as donors want, but they do so voluntarily, which suggests that localization counterintuitively may reinforce existing power structures.Policy implicationsLocalization is poorly conceptualized. While a definition could be helpful in practice, one that is too rigid could undermine the diversity of actors and knowledge that localization aims to advance. At the operational level, localization requires greater flexibility and slack throughout the aid chain, especially in the audit and accountability regimes of donor and funding authorities, which permeate and uphold lopsided aid relations.

Sustainable finance, water governance, and water policy objectives in Ontario municipalities

ABSTRACT Sustainable finance is an important part of the water governance landscape that has not received sufficient attention in the water governance and policy literature. In this paper, we approach sustainable finance as a ‘non-water’ factor that influences water governance situations. Two key water policy objectives in Ontario municipalities provide the focus: water system financial sustainability, and industrial water use reduction. We find that sustainable finance as a sector has significant potential to drive future decision-making around water in municipalities in the context of chronic underfunding and the transition to low-carbon economies.

Implications of peri-urban land reform programs on urban land markets: a case study of Harare, Zimbabwe

Zimbabwe implemented the Fast-Track Land Reform Program (FTLRP) in the year 2000. This program has had far-reaching implications on urban development, especially on urban land markets in cities and towns. This paper highlights the implications of the land reform program on urban land markets, using Harare as a case study. The paper is based on document review (policy, academic and development literature) and interviews with key informants with experience and knowledge of the land reform and its associated implications on urban land markets. Our analysis demonstrates that the land reform process in peri-urban spaces was complex and largely driven by political interests. The land reform process distorted the urban planning processes, leading to disparities in the land markets. Such disparities include informal and uncontrolled processes of accessing land and, ultimately, rapid development of informal settlements in the city. Political elites and land barons took advantage of the land reform program extorting money from desperate home-seekers. We conclude that the distortion of urban land markets by politically driven land reform processes negatively affects sustainable urban development. Overall, the paper makes a valuable contribution to the growing literature on land reforms and peri-urban development in Africa, demonstrating the complex and multidimensional implications of land reform programs on peri-urban land markets. Based on the study findings, the paper provides a set of policy recommendations aimed at improving the effectiveness and equity of land reform programs in African peri-urban areas.

Populations Digitally Excluded from Education: Issues, Factors, Contributions and Actions for Policy, Practice and Research in a Post-Pandemic Era

AbstractThis conceptual paper draws on a wide range of research and policy literature, providing a contemporary view of issues, factors and practices that affect education for digitally excluded populations. Concern for how education for digitally excluded populations can be supported is focal to this paper, with different sections offering key related perspectives. From an analysis of issues, factors and practices, actions for policy, practice and research are identified. Given a key finding that power issues can have major effects on plans, implementation processes and outcomes when addressing needs of education for digitally excluded populations, the paper concludes by offering frameworks to support and enable key discussions, to involve representatives from an excluded population as well as those from policy (government and industry), practitioners (teachers and learners) and researchers.

Pharmacy practice and policy research in Türkiye: a systematic review of literature.

In recent decades, there has been an interest in clinical pharmacy practice in Türkiye with emerging studies in this area. Despite the recent emergence of diverse pharmacy practice studies in Türkiye, a comprehensive assessment of overall typology of studies and impact has not been conducted thus far. This systematic review aims to document and assess pharmaceutical policy and practice literature published within the last 5 years in Türkiye. The other aim is to summarise the expected impact of published studies on policy and practice research. The systematic review was conducted according to the guidelines described in the PRISMA Statement. A comprehensive search approach, incorporating Medical Subject Headings (MeSH) queries and free-text terms was employed to locate pertinent literature related to pharmacy practice and policy in Türkiye. The search covered the period from January 1, 2019, to January 1, 2024, and involved electronic databases including PubMed, Medline Ovid, Scopus, ScienceDirect, Springer Link, PlosOne, and BMC. In the final grouping, 73 articles met the inclusion criteria and were selected for this review. Among the quantitative studies, majority studies were cross-sectional survey studies. Through the rigorous thematic content analysis seven research domains were developed from the selected literature: drug utilisation and rational drug use, the emerging role of pharmacist, access to medicines and generic medicines, community pharmacy practice, pharmacovigilance/adverse drug reactions, and pharmacoeconomic studies. The pharmacist role is evolving; however, several challenges remain in fully realising the potential of pharmacists. These include regulatory barriers, limited public awareness of pharmacists' expanded roles, workforce capacity issues, and the need for ongoing professional development and training. Research studies are needed in the areas of generic prescribing, medicine adherence, intervention studies in community and hospital pharmacy practice, and on pharmacoeconomics and pharmacovigilance.

Impacts of economic development, globalization, and gross capital formation on natural resources rents: Evidence from India

Natural resources are a country's wealth, and resources economics and policy literature has extensively researched how to utilize this richness as a determinant of the country's growth. However, the primary challenges reside in establishing economic development as a driver for natural resource rents. Given this context, this study explores the association between economic development, globalization, gross capital formation, and natural resources rents in India. For the empirical research, the study employed Dynamic Auto-Regressive Distributive Lag (DARDL) simulation and Kernel-based Regularized Least Squares (KRLS) approaches on yearly data from 1990 to 2020. The present research used a unit root test to ascertain the stationary state across all variables, establishing their long-term cointegration connection. Results suggest that capital formation and economic development positively impact rents derived from natural resources in India, while globalization negatively affects natural resources rents. Unidirectional causation of economic development, globalization, and gross capital creation to natural resources rents has been established in this study using the Toda-Yamamoto causality model. Our findings have important policy implications and support the idea that sustainable economic growth models inherently rely on factors like the efficient utilization of natural resources and globalization.

Food Tax Substitution Effects

Diet-related illness in the U.S. has risen to crisis levels, with today’s parents projected—for the first time—to enjoy longer lives than their children. Policymakers have responded with a range of novel proposals, many revolving around the assumption that increasing the relative price of unhealthful foods via taxes on soda, fat, sugar or caloric density will encourage more healthful eating. Yet there is little evidence that diet-targeted price interventions have had a meaningful impact on health outcomes. The reason for this, I argue, is both expected and largely overlooked in the academic and policy literatures: consumers have been motivated by price interventions to eat differently, but differently isn’t necessarily better. Price interventions created and crafted solely on the basis of the nutritional value of the targeted dietary item(s) are vulnerable to health-neutral substitution effects, wherein a price intervention motivates consumers to substitute items of similar dietary value—candy or beer for soda, for example—leading to little net change in overall dietary quality. This Article proposes a novel food tax strategy, one that focuses on substitution effects. Instead of targeting foods with the least or most nutritional value, legislators and other policymakers should direct taxes to foods with the least or most relatively healthful substitutes. As proof of concept, this Article introduces a specific substitution-based food tax proposal, supported with empirical results from an original randomized controlled trial: food taxes should seek to motivate substitution between grocery food and the relatively less healthful option of restaurant food. The health impact of such a shift will likely exceed that of a direct tax on soda, fat, sugar or calories given the high cross-elasticity of demand for restaurant food and its significant health inferiority. And because this shift may be accomplished by subsidizing groceries, by lowering taxes on groceries or by increasing taxes on restaurants, it presents a more politically flexible intervention than traditional consumer-side food taxes.