School of Social and Political Sciences - Research Publications
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ItemNo Preview AvailableFollowing Zudima in Dima Hasao(The Locovore, 2023-05-23)
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ItemDigital authoritarianism and the devolution of authoritarian rule: examining Syria's patriotic hackers(ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD, 2023-03-24)Given the sensitive nature of cybersecurity in authoritarian regimes, the existence of semi-autonomous patriotic hackers raises questions about their function because no security-adjacent actor can survive without at least tacit regime approval. Reflecting the attention that the phenomenon has received from scholars of defence and cybersecurity, the hackers’ presence has to date been viewed as a pragmatic strategy that either compensates for autocrats’ own lack of technological capacity, or that deflects blowback from high-stakes cyber operations. But less is known about how the hackers’ presence relates to authoritarian stabilization and survival agendas. This prompts this article to ask: How does the devolution of cybersecurity functions to patriotic hackers influence regime stabilization and survival agendas? Observing patriotic hacking in Syria through work on authoritarian devolution, space and cybersecurity, the article argues that while there is much precedent for authoritarian power devolution, digital devolution has novel mechanisms and effects. This is because the internet enables regimes to consciously and instrumentally manipulate the process, thereby creating a sense of constantly shifting space between themselves and the hackers that facilitates new opportunities for authoritarian stabilization and survival.
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ItemIntegrating interprofessional electronic medical record teaching in preregistration healthcare degrees: A case study(ELSEVIER IRELAND LTD, 2023-01-01)BACKGROUND: Electronic medical record (EMR) adoption across healthcare necessitates a purposeful curriculum design to prepare graduates for the delivery of safe and effective patient care in digitally-enabled environments. OBJECTIVE: To describe the design and development of an Interprofessional Electronic Medical Record (iEMR) subject that introduces healthcare students to its utility in clinical settings. METHODS: A six-stage design-based educational research framework (Focus, Formulation, Contextualisation, Definition, Implementation, Evaluation) was used to instigate the iEMR design and development in nursing and five allied health graduate entry to practice (preregistration) degrees at an Australian university. RESULTS: In the Focus process, the concept and interdisciplinary partnerships were developed. The Formulation process secured grant support for subject design and development, including a rapid literature review to accommodate various course and curriculum structures. Discipline-specific subject themes were created through the Contextualisation process. During the Definition process, learning objectives and content resources were built. The Implementation process describes the pilot implementation in the nursing program, where assessment tasks were refined, and interdisciplinary clinical case studies originated. DISCUSSION: The design and development of an iEMR subject is underpinned by internal support for educational innovation and in alignment with digital health strategies in employer organisations. Identified barriers include faculty-level changes in strategic support for teaching innovation, managerial expectations of workload, the scope of work required by academics and learning designers, and the gap between the technology platform required to support online learning and the infrastructure needed to support simulated EMR use. A key discovery was the difficulty of finding EMR software, whether designed for teaching purposes or for clinical use, that could be adapted to meet the needs of this project. CONCLUSION: The lessons learned are relevant to educators and learning designers attempting a similar process. Issues remain surrounding the sustainability of the iEMR subject and maintaining academic responsibility for ongoing curriculum management.
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ItemThe Beharell Patrol of 1938: The First Government Patrol Across the Land of Kubo People (Nomad District, Western Province, Papua New Guinea)(ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD, 2023-04-03)
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ItemHealth policy and COVID-19: path dependency and trajectory(Oxford University Press (OUP), 2022-03-01)The coronavirus disease (COVID-19) pandemic has tested the mettle of governments across the globe and has thrown entrenched fault lines within health systems into sharper relief. In response to the outbreak of the pandemic, governments introduced a range of measures to meet the growth in demand and bridge gaps in health systems. The objective of this paper is to understand the nature and extent of the changes in health systems triggered by the COVID-19 crisis. The paper examines changes in the role of governments in (1) sector coordination, (2) service provision, (3) financing, (4) payment, and (5) regulations. It outlines broad trends and reforms underway prior to the pandemic and highlights likely trajectories in these aspects in the future. The paper argues that while the pandemic has accelerated changes already underway before the crisis, it has made little headway in clearing the path for other or deeper health policy reforms. The reform window that COVID-19 opened has not been wide enough to overcome the entrenched path dependency and structural interests that characterize the sector.
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ItemActive stewardship in healthcare: Lessons from China's health policy reforms(WILEY, 2022-06-22)Governments across the globe have made repeated attempts to reform their health systems in recent decades with the purpose of improving access while containing costs. What is the role of government in contemporary health policy in achieving these somewhat contradictory goals? This paper conceptualises this role as one of “active stewardship” wherein the government is a central actor steering and coordinating the sector through a portfolio of diverse policy tools. In this conceptualisation, the government is not a passive participant—in merely financing, delivering, or regulating the sector—but a steersman at the helm that sets policy objectives and actively pursues them. We argue that active stewardship is central to achieving contemporary health policy priorities of universal healthcare. We apply this conceptualisation to China's recent healthcare forms and show that the role of the government in governing the sector has changed substantially over time, particularly since 2009, and the changes are showing promising results. China's experience suggests that governments need to more actively guide and shape the behaviour of both public and private players in order to achieve the goals of universal health coverage. It also suggests that a high degree of policy capacity is essential if active stewardship is to be effective.