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- Sloot, Frea, et al.
(författare)
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Inventory of current EU paediatric vision and hearing screening programmes
- 2015
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Ingår i: Journal of Medical Screening. - : SAGE Publications. - 0969-1413 .- 1475-5793. ; 22:2, s. 55-64
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To examine the diversity in paediatric vision and hearing screening programmes in Europe. Methods: Themes for comparison of screening programmes derived from literature were used to compile three questionnaires on vision, hearing, and public health screening. Tests used, professions involved, age, and frequency of testing seem to influence sensitivity, specificity, and costs most. Questionnaires were sent to ophthalmologists, orthoptists, otolaryngologists, and audiologists involved in paediatric screening in all EU full-member, candidate, and associate states. Answers were cross-checked. Results: Thirty-nine countries participated; 35 have a vision screening programme, 33 a nation-wide neonatal hearing screening programme. Visual acuity (VA) is measured in 35 countries, in 71% of these more than once. First measurement of VA varies from three to seven years of age, but is usually before age five. At age three and four, picture charts, including Lea Hyvarinen, are used most; in children over four, Tumbling-E and Snellen. As first hearing screening test, otoacoustic emission is used most in healthy neonates, and auditory brainstem response in premature newborns. The majority of hearing testing programmes are staged; children are referred after 1–4 abnormal tests. Vision screening is performed mostly by paediatricians, ophthalmologists, or nurses. Funding is mostly by health insurance or state. Coverage was reported as >95% in half of countries, but reporting was often not first-hand. Conclusion: Largest differences were found in VA charts used (12), professions involved in vision screening (10), number of hearing screening tests before referral (1–4), and funding sources (8).
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- Sloot, Ruth N.F., et al.
(författare)
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Change in a project-based organization: The mutual shaping of institutional logics and change programs
- 2024
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Ingår i: International Journal of Project Management. - 0263-7863. ; 42:3
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Tidskriftsartikel (refereegranskat)abstract
- Modern organizational transformations increasingly rely on change programs led by the introduction of new information technology. Managing these information technology-based change programs within project-based organizations presents unique challenges due to the division between ongoing business processes and temporary project activities. This study uses an institutional logics perspective to understand how a project-based organizational context shaped and was shaped by an information technology-based change program. Through a three-year longitudinal case study on the interaction between a project-based organization and its information technology program, our findings reveal that institutional logics prevailing in the project-based organization significantly influenced the program's implementation. In turn, the information technology program acted as a catalyst for change, creating a competitive environment where two primarily segmented logics—a project organizing logic and an asset management logic—competed for dominance. The conflict between these logics led to new beliefs, values, and practices being dominant, marking a shift in balance between the two logics. Our findings contribute to increasing understanding of the dynamic interplay between project-based organizations and information technology-based change programs, shedding light on their mutual evolution over time and offering a deeper understanding of transformative change within project-based organizations.
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