Abstract An explanation of hypertension and the failure to achieve compliance with anti-hypertensive therapy. The paper begins by explaining that hypertension is associated with many factors that have been found to reduce compliance. Factors that reduce compliance to anti-hypertensive therapy include patient and disease characteristics and treatment characteristics. The paper then shows what solutions can be provided by the medical care facility to improve the treatment. The paper includes many direct quotes from medical journals and offers details of the various treatments and therapies available.
From the Paper "The 1988-1991 Third National Health and Nutrition Examination Survey (NHANES-III) found that only about one-half of hypertensive patients in the United States are being treated and less than one-half of those being treated have their blood pressure well controlled (below 140/90 mmHg). A major reason for this shortfall is lack of patient compliance with therapy. This problem persists even though individual programs have shown excellent adherence to and results from both non drug and drug regimens."
Abstract This paper explains that the ultimate irony for the United States' passing of the Sarbanes-Oxley Act and similar acts is that this type of legislation is fueling an entire IT industry that is called upon to deliver both compliance and business process improvement. The author points out that a service-oriented architecture (SOA) platform is the best practice for line-of-business managers, who want to get the most critical information to the sales, service and pricing managers, and still remain in compliance. The paper relates that the greatest motivator for the development of compliance programs and governance in IT management has not been top-line revenue growth but rather having an air-tight set of financial records when Sarbanes-Oxley auditors arrive to look over transactions
From the Paper "Keeping in mind that the majority of IT professionals prefer to view their IT platforms from the context of layered model that has a strong focus on integration and pervasive layers of functionality, and the role of an all encompassing layer of analytics begins to take hold. This alone however does not completely negate the issue of the politicization and siloing of information. What analytics layers do however is force the issue of performance from just within one organization and shows the impacts (or lack thereof) of collaboration across the organization."
Abstract This paper examines how managers gain compliance from their employees and how they get their employees to perform well. The paper discusses the compliance gaming theory, which states that leaders can effectively make use of informal communication strategies to motivate their employees, so that supervisors who encourage employees with positive feedback are most likely to achieve task compliance. The paper quotes various theories used to motivate employees and discusses the game theory, which is part of a group of theories often grouped together under the heading of rational choice theory. In addition, the paper explains that this theory may function either positively or normatively and may provide a contribution to predicting or explaining the behavior of an individual and may result in offering advice to an individual concerning what choice should be made.
Outline:
Introduction
Summary & Conclusion
From the Paper "The work of Kellerman and Cole (1994) entitled: "Classifying Compliance Gaming Messages: Taxonomic Disorder and Strategic Confusion" states that the compliance gaming strategies includes the method of the 'actor takes responsibility' in attempting to gain compliance of others to assist them through offering to do it themselves as a method of getting them to do what is wanted. Another method is referred to as 'altercasting' and is a negative form of attempting to gain compliance of others by noting that only a "bad person would not do what is wanted" intimating that the individual who will not comply is one with negative qualities."
Abstract This paper discusses compliance, and examines its behavioral, social and psychosocial aspects. Several health promotion strategies are discussed. Mediators that prevent compliance also are discussed.
Abstract This paper analyzes the compliance- gaining strategies as described in respect to communications theories. The compliance- gaining strategies will be explored through a concise review of the relevant literature, followed by an investigation into the implications of the compliance- gaining strategy in the active workforce in respect to its relative strengths and weaknesses. An emphasis on the mainstream media is used in order to demonstrate these strategies.
Abstract This paper examines how the violation of the Constitution of the United States, which is formally termed as ?non-compliance?, has been seen throughout the history of the United States and how, specifically, it has occurred during times of war during civil disturbances, with the use of extrajudicial force used to supercede the ordinary process of law. It looks at how one such instance occurred during the Civil War and how the violations, which have occurred during the "War on Terrorism", are some of the most blatant violations of constitutional ideals and principles ever witnessed.
Outline
Statement of Thesis
Introduction
Preamble to the United States Constitution
Definitive of the Language in the Preamble
Historical Incidents of Non-Compliance What Does the Constitution Say?
Conclusion
From the Paper "Although it is understandable for some restrictions during war time in order to keep citizens safe and the country secure it is evident that since September 1, 2001, that the non-compliance to the Constitution which is evidenced by the implementation of the Homeland Security Act and the Patriot Act that the all inclusive powers of the government in spying on citizens is too broad of a scope of powers to be vested in a government of a democracy."
Abstract This paper explains that compliance, or taking the right amount of the prescribed medicine at the right time, has emerged in recent years as a most significant, costly and serious problem in the healthcare industry. The author stresses that the current state of research is lacking in this area, and additional research is needed to examine thoroughly the problem and to implement a successful solution. The paper relates that the purpose of the study is to enable physicians to monitor effectively and to control medication compliance by enabling patients to remember what the physician considers most important and what will have the most significant impact on their health; questionnaires will be used to gather data.
Table of Contents
Introduction
Background Information
Statement of the Problem
Hypothesis
Research Contributions of Proposed Study
From the Paper "Existing research indicates that many factors are involved in patient non-adherence. These factors are related to the characteristics of the disease, medication side effects, duration of treatment, frequency of expected intake, complexity of treatment, and severity of the disease. Research also indicates that patients are less likely to continue their medication regimen over long periods and are less likely to be adherent when the daily doses increase from 1 pill to 4 pills (Gottlieb, 2000). In a study of patients who had seizures, those who were required to take only 1 pill a day showed 81 percent adherence rates, those who were required to take 3 pills a day adhered 77 percent of the time, and those who were required to take 4 doses a day showed adherence rates of 39 percent."
Abstract This paper discusses the global trend towards ensuring corporate compliance of financial and accounting regulations. Recent measures in Australia, England and Canada as well as the United States are examined. Particularly Sarbanes-Oxley in the United States is examined with its corresponding influence on cost of compliance and convergence of IT and finance department functions.
From the Paper "The global perspective on corporate governance has evolved with the pace of globalization itself; and justifiably so. With the pace of global expansion and the increasingly complex integration of the world's major economies, corporate governance and oversight are necessary measures to ensure an equitable, level playing field for all participants in the global economy. As Tarantino points out, most of the world's major economies outside of the U.S. may view the Sarbanes-Oxley Act as a gross over reaction yet none would fail to observe that U.S. economic growth is generally outperforming Europe's major economies (2005). He goes on to say that: Forward-thinking public and private companies in the U.S. have taken a proactive approach to regulatory requirements to improve internal controls. They view them as a best practice that will increase their profitability and provide a strategic competitive advantage."
Abstract The paper discusses a company's executive management team's need to have a company-wide compliance management system in place. The paper highlights that this is an important responsibility for small and large organizations. The paper discusses two important regulations, the Sarbanes-Oxley Act (SOX) and the Health Information Portability and Accountability Act (HIPAA) with which companies must comply. The paper reviews the situations of 12 individual companies in the corporate world and its efforts to comply with government rules and regulations.
Outline:
Corporate Compliance: CareNet West
The Department of Veterans Affairs
Firestone Tires and Rubber Company
Burger King
Cleveland Clinic
Buco de Pepo
From the Paper "The Department of Veterans Affairs' Inspector General was not aware of his staff breaking company policy by taking confidential information home. Although it is not believed that the staff had any malicious intent, immediate action was necessary by the Department upon knowledge of the incident. Even if the incident did not go public, the VA Inspector General would have probably taken the same precautions. Firestone Tires on the other hand has no intent of rectifying the situation at hand. Profit seems to drive the company, and the best interest of the workers and environment seem to have no consequence. "
Abstract The paper explores the need for proper education and motivation of the healthcare workers in enforcing hand hygiene compliance. The paper looks at multidisciplinary strategies and their intervention that will help to improve compliance by healthcare workers. The paper also emphasizes how hand hygiene is an inexpensive intervention that can save lives.
From the Paper "For generations, hand washing with soap and water has been considered a measure of personal hygiene (CDC, 2002). Traditional hand hygiene, such as washing hands before and after contact with patient, is said to be the single most important way of reducing infections (CDC, 2002). An estimated 5% of patients in the United States develop healthcare-associated infection at a cost of 4.5 billion USD per year (Gould, 2007). Numerous studies over the past decade have demonstrated that compliance with recommendations on hand hygiene was poor and interventions were not effective (Teare, 1999). This was beside the report that while about 80% of the direct care patients receive and often involve personal and intimate care activities, most healthcare-associated infection is spread through direct contact, especially via the hands of health workers (Wade, 1995)."
Tags: infections, alcohol, pumps, dispensers, soap, water
A paper which discusses the forced detention of tuberculosis sufferers and the urgency for a solution to be found to the problem of non-compliance with medical protocols.
Abstract The paper shows that most tuberculosis sufferers are homeless or substance abusers and by not complying with medical protocols on TB treatment, they are endangering the general public. The paper questions the right of the State to detain these people by force in an attempt to protect the public, and further outlines a research proposal designed to determine how medical professionals could better work with patients to produce a higher level of compliance with medical protocols for the treatment of tuberculosis.
From the Paper "People often have very good reasons for being non-compliant, and in fact their non-compliance often results from the failure of medical staff to be empathetic towards their problems. One reason, for example, that people fail to comply with drug protocols is due to side effects. Medical staff who do not adequately explain the severity of possible side effects, who do not express concern for the patient's experience with these side effects, and who do not treat these side effects as effectively and vigorously as possible are themselves contributing to non-compliance in those patients. This is clearly part of the process of treatment in which nurse's behavior can be changed and the effects of these changes studied."
Abstract This essay explains the difference between Error Management and Safety Compliance in aviation accidents. Error Management, it is argued, provides a greater likelihood for proactive outcomes when errors due occur. Because errors and accidents are impossible to eliminate, EM is premised on a complex information gathering system that allows those involved in accidents to better understand what happened. It creates a more intervention-focused environment for crew, and avoids issues of blame and punishment, and thus provides the crew with a different responsibility for error prevention.
Abstract This paper provides two essays on compliance with NCAA regulations and bylaws. The first essay describes the issue of drug abuse at Baylor University and discusses the NCAA penalties imposed as a result. The second essay studies the University of Nebraska's violation of NCAA gambling regulations and bylaws.
Abstract This paper explores the changes in corporate compliance brought about by the enactment of The Comprehensive Environmental Response, Compensation and Liability Act and the Sarbanes-Oxley Act of 2002. The paper relates that both of these comprehensive legislative initiatives were brought about by infamous events in American Corporate history, and were aimed at preventing such corporate transgressions in the future. They brought personal liability for the actions of the corporation to its directors, officers and management.
From the Paper "The corporate veil was a thick impenetrable barrier that protected Officers, Directors, Management and shareholders from personal liability from the acts of the corporation. The immunity granted by the legislative progenitors of these modern day immortals are now chipping away at the corporate shield, and have created large holes where the long arms of personal liability can now reach. As with all things political, seminal events brought about these fundamental changes in corporate law. The pollution scandal of Love Canal brought about The Comprehensive Environmental Response, Compensation and Liability Act (CERCLA), among other provisions brought about criminal liability to Officers and Management for willful violations (Darragh, 1997, n.p.). The corporate financial scandals associated with the "Dot Bomb" era of the late 1990's resulted in the Sarbanes-Oxley Act of 2002, establishing personal liability to the corporate officers in the reporting of financial data to the Security and Exchange Commission (SEC) (Hein, Neimeth, Rosner & Watts, 2002, n.p.). The spectacular misdeeds of a very few in the corporate world brought about increase personal liability and risk to those that run corporations in America."
Abstract This paper describes and analyzes a study that was set up to examine the correlation between self-monitoring and compliance to help. In the study, participants are placed in situations that manipulate self-monitoring by presenting a mirror in front of them to bring about more self-awareness in the participant. The study's hypothesis is that participants will be more likely to comply to help, once placed in a high self-monitoring situation. The writer shows that the results of the experiment supported the hypothesis that participants are more likely to comply to help, when placed in a high self-monitoring situation. The writer then suggests that more tests be done with a variety of age groups, neighborhoods and cultures to get a better representation of the effects of self-monitoring in the general population. The writer concludes that such studies might be used to deter people from destructive actions such as stealing.
From the Paper "Our hypothesis is that participants will be more likely to comply to help, once placed in a high self-monitoring situation. We tested our hypothesis by randomly choosing every third person that walked across the Diag to take part in our experiment. While either holding a mirror directly behind the questioner or having no mirror, we asked the participant if they would take a questionnaire. We ran our experiment on 6 males and 6 females. Three of the six males would be given the mirror condition and 3 of the 6 females would also be given the mirror condition. We found that 4 of the 6 people tested with the mirror present were willing to take the questionnaire and only 1 of the 6 people tested with no mirror present were willing to take the questionnaire."
