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In traditional foster care, the child welfare system has generally pitted foster mothers and natural mothers against each other as "good" and "bad" mothers, according to the prevailing ideologies about motherhood. This article describes how a progressive Australian foster care agency, with feminist insights into this situation, has attempted to organize foster care in ways that emphasize collaboration, rather than conflict, between the women who are involved.

In this study we assess the implementation and impact of reference-based pricing (RBP) in British Columbia (BC), Canada, and other OECD (Organization for Economic Cooperation and Development) jurisdictions within an evaluative framework. This was accomplished by conducting a review of prior studies and an analysis of secondary utilization and cost data. Our review of previous work found the introduction of RBP in other OECD jurisdictions was followed by a temporary reduction in pharmaceutical expenditure growth but the rate of growth soon returned to those of previous years. Early results from the BC experience show similar declines in expenditures within reference drug categories, but it remains to be seen if this will continue in the long term. Although early results suggest RBP in BC may be achieving its goals, more work is needed before it can be declared a success. A more balanced evaluation will need to address nonmonetary issues such as impact on the quality of patient care or extent of cost shifting to other areas of the health system. The policy questions raised in this study indicate decision makers should be cautious when thinking of any wider application of referencebased pricing.

In this study we assess the implementation and impact of reference-based pricing (RBP) in British Columbia (BC), Canada, and other OECD (Organization for Economic Cooperation and Development) jurisdictions within an evaluative framework. This was accomplished by conducting a review of prior studies and an analysis of secondary utilization and cost data. Our review of previous work found the introduction of RBP in other OECD jurisdictions was followed by a temporary reduction in pharmaceutical expenditure growth but the rate of growth soon returned to those of previous years. Early results from the BC experience show similar declines in expenditures within reference drug categories, but it remains to be seen if this will continue in the long term. Although early results suggest RBP in BC may be achieving its goals, more work is needed before it can be declared a success. A more balanced evaluation will need to address nonmonetary issues such as impact on the quality of patient care or extent of cost shifting to other areas of the health system. The policy questions raised in this study indicate decision makers should be cautious when thinking of any wider application of referencebased pricing.

AbstractDespite knowledge of factors that enable effective system dynamics modeling and organizational change, real‐life application of these tools in community settings remains challenging and often produces mixed results. We undertook a two‐part evaluation of early community use of the ReThink Health Dynamics Model (RTH model). The RTH model is a realistic, but simplified, portrait of a regional health system that supports multisector planning and strategy design. We assessed the contextual characteristics and implementation processes that promoted or undermined effective engagement with the model in five pilot sites. These learnings were used to refine a community readiness framework (Elements Affecting Modeling Use) that was then used to select and design a sixth community engagement. We use the evaluation results to assess the value of this organizing framework to identify communities ready for engagement with validated system dynamics models. Enabling better community–model matches will accelerate model adoption and health system transformation.© 2018 The Authors System Dynamics Review published by John Wiley & Sons Ltd on behalf of System Dynamics Society