Divya Pamnani | The University Of Michigan (original) (raw)
Books by Divya Pamnani
Papers by Divya Pamnani
Whose water is it anyway?
Indian Journal of Medical Ethics, 2009
Behavioral Treatment of Obesity
Psychiatric Clinics of North America, Mar 1, 2005
An industry without borders
Indian Journal of Medical Ethics, 2010
IDR Explains | Development Impact Bonds
India Development Review, 2018
In just six minutes and five questions, get a quick introduction to Development Impact Bonds—what... more In just six minutes and five questions, get a quick introduction to Development Impact Bonds—what they are, how they work, and why there is so much debate around them.
Clinical trials watch
Indian journal of medical ethics
This is a case study on Educate Girls, a Rajasthan-based non-profit that strengthens government p... more This is a case study on Educate Girls, a Rajasthan-based non-profit that strengthens government primary schools and brings girls into the education system in the worst gender-gap districts of India. It is a case study that demonstrates how EG was able to harness the potential of impact assessment as a learning tool to improve program design and delivery, strengthen its model, and grow effectively. An account of EG's measurement journey offers valuable lessons for social organizations working across diverse sectors, at different stages of growth. For funders, EG's story is an affirmation of the importance of investing in measurement.
Background: Culture change initiatives propose to improve care by addressing the lack of manageri... more Background: Culture change initiatives propose to improve care by addressing the lack of managerial supports and prevalent stressful work environments in the industry; however, little is known about how culture change facilities differ from facilities in the industry that have not chosen to affiliate with the resident-centered care movements. Purpose: The aim of this study was to evaluate representation of organizational culture values within a random sample of U.S. nursing home facilities using the competing values framework and to determine whether organizational values are related to membership in resident-centered culture change initiatives. Design and Methods: We collected reports of cultural values using a well-established competing values framework instrument in a random survey of facility administrators and directors of nursing within all states. We received responses from 57% of the facilities that were mailed the survey. Directors of nursing and administrators did not differ significantly in their reports of culture and facility measures combined their responses. Findings: Nursing facilities favored market-focused cultural values on average, and developmental values, key to innovation, were the least common across all nursing homes. Approximately 17% of the facilities reported that all cultural values were strong within their facilities. Only high developmental cultural values were linked to participation in culture change initiatives. Culture change facilities were not different from non-culture change facilities in the promotion of employee focus as organizational culture, as emphasized in group culture values. Likewise, culture change facilities were also not more likely to have hierarchical or market foci than non-culture change facilities. Practice Implications: Our results counter the argument that culture change facilities have a stronger internal employee focus than facilities more generally but do show that culture change facilities report stronger developmental cultures than non-culture change facilities, which indicates a potential to be innovative in their strategies. Facilities are culturally ready to become resident centered and may face other barriers to adopting these practices.
We examined how organizational culture in nursing homes affects staff turnover, because culture i... more We examined how organizational culture in nursing homes affects staff turnover, because culture is a first step to creating satisfactory work environments. Design and Methods: Nursing home administrators were asked in 2009 to report on facility culture and staff turnover. We received responses from 419 of 1,056 administrators contacted. Respondents reported the strength of cultural values using scales from a Competing Values Framework and percent of staff leaving annually for Registered Nurse (RN), Licensed Practice Nurse (LPN), and nursing aide (NA) staff. We estimated negative binomial models predicting turnover. Results: Turnover rates are lower than found in past but remain significantly higher among NAs than among RNs or LPNs. Facilities with stronger market values had increased turnover among RNs and LPNs, and among NAs when turnover was adjusted for facilities with few staff. Facilities emphasizing hierarchical internal processes had lower RN turnover. Group and developmental values focusing on staff and innovation only lowered LPN turnover. Finally, effects on NA turnover become insignificant when turnover was adjusted if voluntary turnover was reported. Implications: Organizational culture had differential effects on the turnover of RN, LPN, and NA staff that should be addressed in developing culture-change strategies. More flexible organizational culture values were important for LPN staff only, whereas unexpectedly, greater emphasis on rigid internal rules helped facilities retain RNs. Facilities with a stronger focus on customer needs had higher turnover among all staff.
Reality check on oral insulin
Though Big Pharma seems to have given up on oral insulin, a few biotechnology companies continue ... more Though Big Pharma seems to have given up on oral insulin, a few biotechnology companies continue research in this direction. Express Pharma reviews the research
Trends in Diabetes Research
Against the increasing diabetes disease burden, the insulin and OAD (Oral-Anti-diabetic) drug seg... more Against the increasing diabetes disease burden, the insulin and OAD (Oral-Anti-diabetic) drug segments are bound to see robust growth. Divya Pamnani reviews the current market scenarios for each segment and profiles research trends that are driving the billion dollar diabetes industry
The Low-down on Gefitinib
With the rising incidence of lung cancer there is an unmet need to provide effective therapy for ... more With the rising incidence of lung cancer there is an unmet need to provide effective therapy for advanced lung cancer that does not have the toxicity burden of conventional chemotherapy and radiotherapy. Divya Pamnani reviews Gefitinib as a treatment option for lung cancer, in addition to evaluating the research backing it up
The Battle Continues
The days for an oncologist to prescribe chemotherapy for all cancer patients are numbered. With t... more The days for an oncologist to prescribe chemotherapy for all cancer patients are numbered. With the alarming rates of cancer incidence, more and more treatment candidates are in the cancer kitchen, lending immense promise to the future of personalised cancer treatment. Divya Pamnani provides an insight into translational cancer research
On the edge of tomorrow
The Indian Genome Variation Consortium (IGVC) set out on a mission to provide a genetic basis for... more The Indian Genome Variation Consortium (IGVC) set out on a mission to provide a genetic basis for the complicated case of the Indian setting. Divya Pamnani reviews the IGVC project and its implications for the future of pharmacogenomics in India
A new look at the cardiovascular crisis in India
Cardiovascular disease in India has quadrupled in the last 40 years and WHO estimates that by 202... more Cardiovascular disease in India has quadrupled in the last 40 years and WHO estimates that by 2020 close to 60 percent of cardiac patients worldwide will be Indian. The established risk factors of cardiovascular disease include lack of exercise, poor diet, and smoking. The emerging field of environmental cardiology addresses exposures to chemicals and other environmental substances that also have a profound impact on heart health. Divya Pamnani reviews the research and its implications for developing countries including India
Spinning the money: An insight into the imaging diagnostic market in India
Behavioral Treatment of Obesity
Clinical Obesity in Adults and …
Modest weight loss improves many of the health complications of obesity, as demonstrated by the D... more Modest weight loss improves many of the health complications of obesity, as demonstrated by the Diabetes Prevention Program (DPP) and the Look AHEAD (Action for Health and Diabetes) study [1,2] . The DPP randomized 3200 overweight individuals with impaired ...
Whose water is it anyway?
Indian Journal of Medical Ethics, 2009
Behavioral Treatment of Obesity
Psychiatric Clinics of North America, Mar 1, 2005
An industry without borders
Indian Journal of Medical Ethics, 2010
IDR Explains | Development Impact Bonds
India Development Review, 2018
In just six minutes and five questions, get a quick introduction to Development Impact Bonds—what... more In just six minutes and five questions, get a quick introduction to Development Impact Bonds—what they are, how they work, and why there is so much debate around them.
Clinical trials watch
Indian journal of medical ethics
This is a case study on Educate Girls, a Rajasthan-based non-profit that strengthens government p... more This is a case study on Educate Girls, a Rajasthan-based non-profit that strengthens government primary schools and brings girls into the education system in the worst gender-gap districts of India. It is a case study that demonstrates how EG was able to harness the potential of impact assessment as a learning tool to improve program design and delivery, strengthen its model, and grow effectively. An account of EG's measurement journey offers valuable lessons for social organizations working across diverse sectors, at different stages of growth. For funders, EG's story is an affirmation of the importance of investing in measurement.
Background: Culture change initiatives propose to improve care by addressing the lack of manageri... more Background: Culture change initiatives propose to improve care by addressing the lack of managerial supports and prevalent stressful work environments in the industry; however, little is known about how culture change facilities differ from facilities in the industry that have not chosen to affiliate with the resident-centered care movements. Purpose: The aim of this study was to evaluate representation of organizational culture values within a random sample of U.S. nursing home facilities using the competing values framework and to determine whether organizational values are related to membership in resident-centered culture change initiatives. Design and Methods: We collected reports of cultural values using a well-established competing values framework instrument in a random survey of facility administrators and directors of nursing within all states. We received responses from 57% of the facilities that were mailed the survey. Directors of nursing and administrators did not differ significantly in their reports of culture and facility measures combined their responses. Findings: Nursing facilities favored market-focused cultural values on average, and developmental values, key to innovation, were the least common across all nursing homes. Approximately 17% of the facilities reported that all cultural values were strong within their facilities. Only high developmental cultural values were linked to participation in culture change initiatives. Culture change facilities were not different from non-culture change facilities in the promotion of employee focus as organizational culture, as emphasized in group culture values. Likewise, culture change facilities were also not more likely to have hierarchical or market foci than non-culture change facilities. Practice Implications: Our results counter the argument that culture change facilities have a stronger internal employee focus than facilities more generally but do show that culture change facilities report stronger developmental cultures than non-culture change facilities, which indicates a potential to be innovative in their strategies. Facilities are culturally ready to become resident centered and may face other barriers to adopting these practices.
We examined how organizational culture in nursing homes affects staff turnover, because culture i... more We examined how organizational culture in nursing homes affects staff turnover, because culture is a first step to creating satisfactory work environments. Design and Methods: Nursing home administrators were asked in 2009 to report on facility culture and staff turnover. We received responses from 419 of 1,056 administrators contacted. Respondents reported the strength of cultural values using scales from a Competing Values Framework and percent of staff leaving annually for Registered Nurse (RN), Licensed Practice Nurse (LPN), and nursing aide (NA) staff. We estimated negative binomial models predicting turnover. Results: Turnover rates are lower than found in past but remain significantly higher among NAs than among RNs or LPNs. Facilities with stronger market values had increased turnover among RNs and LPNs, and among NAs when turnover was adjusted for facilities with few staff. Facilities emphasizing hierarchical internal processes had lower RN turnover. Group and developmental values focusing on staff and innovation only lowered LPN turnover. Finally, effects on NA turnover become insignificant when turnover was adjusted if voluntary turnover was reported. Implications: Organizational culture had differential effects on the turnover of RN, LPN, and NA staff that should be addressed in developing culture-change strategies. More flexible organizational culture values were important for LPN staff only, whereas unexpectedly, greater emphasis on rigid internal rules helped facilities retain RNs. Facilities with a stronger focus on customer needs had higher turnover among all staff.
Reality check on oral insulin
Though Big Pharma seems to have given up on oral insulin, a few biotechnology companies continue ... more Though Big Pharma seems to have given up on oral insulin, a few biotechnology companies continue research in this direction. Express Pharma reviews the research
Trends in Diabetes Research
Against the increasing diabetes disease burden, the insulin and OAD (Oral-Anti-diabetic) drug seg... more Against the increasing diabetes disease burden, the insulin and OAD (Oral-Anti-diabetic) drug segments are bound to see robust growth. Divya Pamnani reviews the current market scenarios for each segment and profiles research trends that are driving the billion dollar diabetes industry
The Low-down on Gefitinib
With the rising incidence of lung cancer there is an unmet need to provide effective therapy for ... more With the rising incidence of lung cancer there is an unmet need to provide effective therapy for advanced lung cancer that does not have the toxicity burden of conventional chemotherapy and radiotherapy. Divya Pamnani reviews Gefitinib as a treatment option for lung cancer, in addition to evaluating the research backing it up
The Battle Continues
The days for an oncologist to prescribe chemotherapy for all cancer patients are numbered. With t... more The days for an oncologist to prescribe chemotherapy for all cancer patients are numbered. With the alarming rates of cancer incidence, more and more treatment candidates are in the cancer kitchen, lending immense promise to the future of personalised cancer treatment. Divya Pamnani provides an insight into translational cancer research
On the edge of tomorrow
The Indian Genome Variation Consortium (IGVC) set out on a mission to provide a genetic basis for... more The Indian Genome Variation Consortium (IGVC) set out on a mission to provide a genetic basis for the complicated case of the Indian setting. Divya Pamnani reviews the IGVC project and its implications for the future of pharmacogenomics in India
A new look at the cardiovascular crisis in India
Cardiovascular disease in India has quadrupled in the last 40 years and WHO estimates that by 202... more Cardiovascular disease in India has quadrupled in the last 40 years and WHO estimates that by 2020 close to 60 percent of cardiac patients worldwide will be Indian. The established risk factors of cardiovascular disease include lack of exercise, poor diet, and smoking. The emerging field of environmental cardiology addresses exposures to chemicals and other environmental substances that also have a profound impact on heart health. Divya Pamnani reviews the research and its implications for developing countries including India
Spinning the money: An insight into the imaging diagnostic market in India
Behavioral Treatment of Obesity
Clinical Obesity in Adults and …
Modest weight loss improves many of the health complications of obesity, as demonstrated by the D... more Modest weight loss improves many of the health complications of obesity, as demonstrated by the Diabetes Prevention Program (DPP) and the Look AHEAD (Action for Health and Diabetes) study [1,2] . The DPP randomized 3200 overweight individuals with impaired ...