Relevant bibliographies by topics / Health services regulation

Contents

  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Health services regulation'

Author: Grafiati
Published: 4 June 2021
Last updated: 12 February 2022

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Journal articles on the topic "Health services regulation"

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Dalle, Ambo, Sri Purwantono, and Bahtiar Bahtiar. "Analysis of the Quality of Health Center Services Based on Public Service Regulation by the Government." Health Notions 4, no. 6 (June 30, 2020): 192–95. http://dx.doi.org/10.33846/hn40606.

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Health centers are expected to provide quality health services that meet the needs of the customers. Health centers need to improve services in order to be able to compete, develop, and grow. This study describe the satisfaction of the customers for services provided by Kendal Health Center, Ngawi, Indonesia. The population of this study were community who utilized health services at the Kendal Health Center in 2016. The sample were selected using quota sampling. Each unit of service given a quota of 20 respondents, while auxiliary health center were quota of 10 respondents, because the customer visit at a auxiliary health center were lower. The variable was the satisfaction with services provided by health center. Data were collected by filling out questionnaires, then analyzed descriptively using spiderweb diagram. In general, the results of the study indicate that the quality of health center services was in the good category, and all service units had succeeded in exceeding the predetermined targets. Keywords: health center; service quality; public service
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Tasnim, S. "Menstrual Regulation Services and Post Menstrual Regulation Care in the Context of Bangladesh." Nepal Journal of Obstetrics and Gynaecology 6, no. 2 (September 2, 2012): 53–55. http://dx.doi.org/10.3126/njog.v6i2.6760.

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Menstrual regulation (MR) program is an important component of reproductive health services that had been introduced to prevent abortion related deaths in Bangladesh. The service is provided through a nationwide network of government and non government facilities. Proper selection of cases and maintenance of quality of services are essential to prevent any complication and optimize its use. NJOG 2011 Nov-Dec; 6 (2): 53-55 DOI: http://dx.doi.org/10.3126/njog.v6i2.6760
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Marinho da Silva, Márcia Elizabeth, Eduardo R. Santos, and Denis Borenstein. "Implementing Regulation Policy in Brazilian Health Care Regulation Centers." Medical Decision Making 30, no. 3 (December 29, 2009): 366–79. http://dx.doi.org/10.1177/0272989x09344748.

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The regulation of specialist medical appointments represents one of the problematic areas of the Brazilian Public Health System. In this regulation process, 2 issues stand out: 1) which patients should have the highest attendance priority, and 2) which service suppliers can best resolve the specific health problem of a patient? Based on the consideration of the existing Brazilian context in the field of medical assistance, this study proposes a model designed to aid regulation centers deal with the decisions related to the process of allocating specialist medical appointments. The model integrates multicriteria decision analysis and linear programming for the specialist medical appointment allocation, in which the allocation of patients is defined as a function of the relative significance of a set of criteria related to the notion of effectiveness of the specialist medical care and the capability of the accredited specialist health care units. The integrated model was implemented in a computer-based system and validated using cardiology and vein surgery data from the regulation center in Porto Alegre, Brazil. The validated computational system was applied to mammography services in another regulation center. The system successfully implemented a prioritization scheme, decreasing significantly the examination waiting time of severe cases.
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Kelsall, Afra, and John Devapriam. "Regulation of intellectual disability services." Advances in Mental Health and Intellectual Disabilities 9, no. 3 (May 5, 2015): 101–7. http://dx.doi.org/10.1108/amhid-01-2015-0005.

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Purpose – Winterbourne and Mid-Staffordshire scandals have had a significant impact on how Care Quality Commission inspects and regulates intellectual disability services (IDS). The purpose of this paper is to describe the changes and development of regulation of these services and future work. Design/methodology/approach – The paper is a descriptive paper. Findings – A new regulatory model is currently implemented for IDS. It has been developed in consultation with patients, carers, providers and other stakeholders. There will be ongoing development and refinement of the inspection methodology. Originality/value – This is an original descriptive paper which will provide useful information to readers on how the regulatory process works in IDS.
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Widi, Raharjo. "SJSN HEALTH REVIEW WITH FAMILY DOCTOR SERVICES." JURNAL BORNEO AKCAYA 1, no. 1 (June 30, 2014): 25–36. http://dx.doi.org/10.51266/borneoakcaya.v1i1.7.

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National Social Assurance System (NSAS) has been valid from January 1, 2014 , with PT.ASKES as the Health Social Assurance Agency. The Preparation to welcome the validity of the National Social Assurance System (NSAS) has been doing. Until now the regulation of laws has not come yet to the procedures and technical guidelines. The health services on NSAS primary physician that is comprehensive became a choice by applying the pattern of health care family physician. Based on the regulation of laws, reference books, seminar materials and especially experience as a general practice physician who served patients with pre-paid system for almost 15 years, providing input like problems that can arise and the alternative solutions in order to support NSAS work better, maintained the quality and continuity, seeking the least possible service problems especially on the family physician service
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Sukawinaca, I. Made, Komang Ayu Kartika Sari, and I. Made Ady Wirawan. "Perceptions of patients and providers on the use of acupressure services at Public Health Centres, Tabanan District, Bali." Public Health and Preventive Medicine Archive 5, no. 2 (December 1, 2017): 124. http://dx.doi.org/10.15562/phpma.v5i2.26.

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Background and purpose: Acupressure services are available at some public health centres (PHCs) in Bali, but the service utilisation remains low. The purpose of this study is to explore the perception of patients and service providers on the use of acupressure services at PHC in Tabanan.Methods: This study used a qualitative design based on observation and in-depth interviews with 13 informants consisting of patients, health service practitioners, head of PHC and program manager at Tabanan Health Office. The informants were chosen purposively and the data were analysed thematically.Results: There were different perceptions regarding the benefits of acupressure services between patients utilising the services and those who had not. Patients who had undergone acupressure demonstrated positive perception of the service. Acupressure services are considered to be effective in dealing with patient complaints, have no side effects, and patients reported being satisfied with the services provided by the PHC. Patients who did not utilise acupressure services, view acupressure as an ineffective therapy with potential side effects that may endanger their health. These patients experienced trauma from similar massage techniques. Service providers lamented the absence of government support in the form of local regulations that would enable them to access funding, increase human resources and facilitate promotion of the services.Conclusions: Patient perceptions of acupressure services still vary, with some contraints in the implementation that consist of local regulation, operational fund and human resources. Acupressure services still require synergy between central and local government policies to support its implementation.
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Turnbull, Catherine, Karen Grimmer-Somers, Saravana Kumar, Esther May, Deborah Law, and Elaine Ashworth. "Allied, scientific and complementary health professionals: a new model for Australian allied health." Australian Health Review 33, no. 1 (2009): 27. http://dx.doi.org/10.1071/ah090027.

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There is no standard or agreed definition of ?allied health? nationally or internationally. This paper reviews existing definitions of allied health, and considers aspects of allied health services and service delivery in order to produce a new model of allied health that will be flexible in a changing health service delivery workforce. We propose a comprehensive model of allied, scientific and complementary (ASC) health professionals. This model recognises tasks, training, organisation, health sectors and professional regulation. It incorporates traditional and new services which are congruent with allied health foci, allegiances, responsibilities and directions. Use of this model will allow individual organisations to describe their ASC health workforce, and plan for recruitment, staff training and remuneration.
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Suminah, Suminah, and Nasser Kelly. "Implementation minimal service standards in outpatients hospital district Bogor." SOEPRA 5, no. 1 (August 2, 2019): 77. http://dx.doi.org/10.24167/shk.v5i1.1633.

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Minimum Service Standards were made to serve as guidance for regions in organizing hospitals. The standards were then used as working indicators by the hospital management. In the field of health, the Minimum Service Standards were regulated by Health Minister’s Decree Nr. 43 of 2016. It was used as a tool to ensure even basic services access and quality to the community that was established and accountable to the Central Government. The Minimum Health Service Standards were very important for hospital’s outpatients in relation with the services provided and were closely related to the outpatient’s protection. This research applied socio-legal approach having analytical-descriptive specification. The data were gathered by having interviews to some resources, namely Head of Health Office of Bogor District, Director of Mary Hospital of Cileungsi Hijau, Unit Head of Sentosa Hospital of Parung.The results of the research showed that the Health Minister’s Decree Nr. 43 of 2016 on Minimum Service Standards in Health Field had not well implemented. The absence of minimun service standards setting issued by the Local Government, namely Bogor District, had made the health services run the minimum service standards in accordance with the existing regulations that referred to Health Office’s Strategic Planning (Renstra) and Health Minister’s Regulation on Hospital Classification and Permit. Bogor District should refer to the Health Minister’s Decree Nr. 43 of 2016 on Minimum Service Standards in Health Field so that the implementation of minimum services standards to outpatients could be well performed.
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Moore, Jean. "Health professions regulation in the United States." Revista de Direito Sanitário 19, no. 2 (December 11, 2018): 131–55. http://dx.doi.org/10.11606/issn.2316-9044.v19i2p131-155.

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The regulation of health professions in the United States is a primary responsibility of states. The structure and content of the specific regulations of each state impact the provision of health services, affecting costs, quality and access. There is concern that current state-based and profession-specific regulatory structures cannot serve as a basis for the innovations the health workforce needs for health reform. This paper reviews aspects of state-based health professions regulations that limit the effective use of health workers and also one of its key advantages: their ability to provide local solutions to address access problems. The paper describes elements that generate changes in the demand for health services and health care providers. Finally, strategies are recommended to improve decision-making related to practice including: standardization of practice scopes between different states; permanent updating of specific acts of professional practice in each state, in accordance with the evolution of professional competencies; use of the best evidence to authorize new professions or expand the scope of practice of the existing ones and, when this evidence does not exist, to promote programs to test new modalities of work. Taking into account the pace of changes in the health system in the United States, there is a growing urgency for reforms to ensure adequate size and training of the workforce for the future.
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Yerdavletova, Farida, and Temirkhan Mukhambetov. "Quality of medical services: problems, evaluation and regulation." Verslas: Teorija ir Praktika 16, no. 3 (October 1, 2015): 243–51. http://dx.doi.org/10.3846/btp.2015.487.

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One of the most acute problems in the healthcare industry – the problem of the quality of medical services. In this area, there is no established definition of medical services or approaches to quality management. The aim of the article is to analyze the existing definitions of “quality of medical services,” as well as development approach to managing medical organization. At the same time the management of the medical organization should be focused on ensuring the quality as the most important criterion for the organization. Methodology of the study is based on analysis and grouping of existing definitions of medical services, the factorial approach to evaluating the quality and organization of the process approach to management of the medical organization. Noting the versatility and diversity concepts of quality of care the authors suggest grouping of direct and indirect factors affecting the quality of medical services. However, it is important, according to the authors, to move from functional management to management based on the process approach, which provides better control over the processes of customer service. Is given process model of quality management of health services and highlights the main groups of processes in the medical organization.
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Dissertations / Theses on the topic "Health services regulation"

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Hamid, Mir Ajmal. "Regulation of private health care in Pakistan." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2001. http://researchonline.lshtm.ac.uk/682255/.

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The private health sector in Pakistan has been expanding rapidly, largely unregulated and partly at the expense of the public sector. While there have been previous attempts at formulating policies for the regulation of this sector, these have not always been based on ground realities, with the result that they never reached the stage of implementation. The objectives of the thesis were: 1) to describe and evaluate the existing regulatory framework governing health care provision in general and private health care provision in particular both at federal & provincial levels; 2) to explore the views and perceptions of key stakeholders regarding existing regulations and the reasons for their effectiveness/non-effectiveness; 3) to identify whether and how regulatory mechanisms can be made to work effectively; and 4) to explore the views of stakeholders regarding the potential for alternative mechanisms for ensuring the quality of formal private medical services, including the role of information dissemination to service users/the public. The methods adopted to achieve the stated objective were mapping of the existing legislations and a stakeholder analysis. The results showed that the existing legislations on regulation of health care provision were scanty, weak and inadequate and required radical re-structuring. The stakeholder analysis demonstrated the conflicting interests of the state and the private providers, the role of the powerful medical community and the views of the service users, who were shown to be the ultimate victims. Avenues for alternative regulatory mechanisms, including one based on information dissemination were explored and their feasibility discussed. It is hoped that the information gained from this study, by reflecting the views of the various actors in this process, will contribute towards the formulation of a policy for regulation of private health care provision in Pakistan, which is realistic, feasible and sustainable.
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Hemingway, C. A. "The regulation of women detained under mental health legislation." Thesis, University of Oxford, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.264817.

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Button, Catherine. "WTO review of national health regulations." Thesis, University of Oxford, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.273098.

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Ross, Gabrielle Catherine. "Sustaining menstrual regulation policy : a case study of the policy process in Bangladesh." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2002. http://researchonline.lshtm.ac.uk/1742272/.

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Bangladesh introduced menstrual regulation (early abortion) into its national family planning program in 1979, and for more than 20 years women with unwanted pregnancies have been able to avail themselves of a relatively safe and accessible service. Over the years, however, concern has been expressed about deficiencies in the implementation of the policy, and by the mid-1990s, the menstrual regulation (MR) policy was approaching a critical juncture. The introduction of health sector reforms and the waning of international and domestic support raised questions regarding the sustainability of the policy. This study was conducted to determine the factors that influenced the development of and support for the MR policy in Bangladesh, in order to explore how far those factors might influence future sustainability. The study used an analytic framework based on literature from the policy field to test what factors were important in the policy process in Bangladesh. Qualitative data was gathered from interviews and documents in an inductive approach to determine the development of the MR policy, which was then subjected to a retrospective analysis of the entire life cycle of the MR policy-how it came to be placed on the policy agenda, how and why it was formulated the way it was, and why it was not implemented as well as it could have been. Data gathered from interviews and document reviews were then used in a political mapping exercise undertaken in a prospective analysis for the policy, providing insights in relation to the future sustainability of the MR policy. The research suggested that the analytic framework used was helpful in providing a systematic analysis of contextual conditions, agenda-setting circumstances, and policy characteristics that could explain much of the variability in the policy process. The role of international donors and attitudes toward religion were found to be particularly relevant to explaining the policy process. The study concluded that the MR policy would likely not be sustained in the future unless purposeful action were taken to mobilise additional bureaucratic and political resources in support of the policy.
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Dell'Aera, Anthony D. "Prescription drug regulation and the art of the possible : reconciling private interest and public good in American health care policy." View abstract/electronic edition; access limited to Brown University users, 2008. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3318305.

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Farquharson, Barbara. "How people present symptoms of Acute Coronary Syndrome to health services : an analysis using the Commonsense Model of Self-Regulation." Thesis, University of Stirling, 2007. http://hdl.handle.net/1893/244.

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Acute Coronary Syndrome (ACS) is common and associated with high mortality. Effective treatments are available but require prompt administration. Studies have consistently demonstrated that delays to treatment are common, with patient decision time accounting for most delay. Interventions aimed at reducing delay have had little success. Evidence suggests that psychological factors, in particular illness representations (Leventhal’s Commonsense Model of Self-Regulation (CS-SRM)) might be important in relation to patient decision time. This thesis describes a two-stage investigation, undertaken within NHS 24, exploring the content and timing of people’s initial presentations with possible symptoms of ACS. The first stage comprised a CS-SRM-guided content analysis of peoples’ initial symptom presentations. The second stage utilised the Illness Perception Questionnaire-revised (IPQ-R) to explore how illness representations relate to patient decision time. Results show that the components of illness representations accounted for 95% of participants’ initial presentations. The components most related to behaviour and outcome were volunteered least (cause, consequences, cure/control and coherence). Decision time for most participants (89%) was out-with the ideal and appraisal time accounted for most of the delay. Appraisal delay was shorter for those with fewer symptoms and high emotion. Illness delay was longer where the person making the call reported high treatment control. Interventions may need to raise awareness of the range of possible presentations and of the consequences associated with delay. Interventions should also provide guidance as to an appropriate time-limit for self-care. Individuals may benefit from being informed about how to respond to strong emotional responses. Interventions aimed at bystanders may need to differ from those for patients. People at high risk of ACS should be informed about how and when to access healthcare out-of-hours.
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Germundsson, Frida, and Nicole Kvist. "MDR 2017/745 - New EU Regulation for Medical Devices: A Process Description for EHR Manufacturers on How to Fulfill the Regulation." Thesis, KTH, Medicinteknik och hälsosystem, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-279137.

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On the 26th of May 2021 the new regulation for medical devices, MDR 2017/745, will come into force. The underlying incentives to go from the medical device directive (MDD 93/42/EEC) to MDR are a series of adverse events involving medical devices. The main goal of MDR is to strengthen and improve the already existing legislation and thus will entail large changes for manufactures, one of them being manufacturers of Electronic Health Record (EHR) systems. For medical software, such as EHR systems, the new regulation will imply an upgrade in risk classification. This upgrade will bring additional requirements for EHR manufacturers. Furthermore, the released guidelines have been insufficient regarding the specific requirements for medical device software and thus EHR manufacturers are in need of tools and guidance to fulfill MDR. This thesis examines the new regulation for medical devices and thus identifies main requirements for EHR manufacturers. A qualitative approach was conducted comprising a literature study as well as a document study of the medical device regulation along with interviews with experts within the field of medtech regulatory affairs and quality assurance. The information gathered was analyzed to create a process description on how EHR manufacturers are to fulfill MDR. The process description is a general outline and presents the main steps on the route to be compliant with MDR in a recommended order of execution. The main steps are: divide the system into modules, qualify the modules, classify the modules, implement a quality management system, compile a technical documentation, compile the declaration of conformity, undergo a conformity assessment and finally, obtain the CE-mark. To each of the main steps additional documentation provides further information and clarification. The process description functions as a useful tool for EHR manufacturers towards regulatory fulfillment. Even though the process description is created for EHR manufacturers, it can be useful for other medical device software manufacturers. The process description provides an overview of the path to a CE mark and functions as a guidance. It can be used in educational purposes as well as to serve as a checklist for the experienced manufacturer to make sure everything is covered. However, it is not sufficient to rely solely on the process description in order to be in full compliance with MDR. Moreover, there is still a need for further clarifications from the European Commission regarding specific requirements on medical device software.
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Barcelos, Gabriela Miron. "Aproveitamento de vagas de consultas eletivas em um hospital universitário." Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/17/17157/tde-29032017-155338/.

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A garantia do acesso dos usuários do Sistema Único de Saúde (SUS) em todos os níveis de atenção em tempo adequado e a criação de fluxos de assistência à saúde que opere de forma sincronizada são uns dos grandes desafios do SUS. O HCFMRP-USP oferta serviços de nível terciário dentro do sistema, sendo referência dentro de sua Regional de Saúde trabalha para otimizar suas vagas ofertadas aos Departamentos Regionais de Saúde e absorver o maior número possível de pacientes que necessitam de atendimento terciário. Objetivo: Avaliar o aproveitamento das vagas de consultas para novos pacientes ofertadas pelo HCFMRP - USP aos Departamentos Regionais de Saúde de sua região de abrangência, no período de 2006 a 2014. Metodologia: Foi realizado um estudo descritivo com dados secundários do banco de dados do HCFMRP-USP, a partir das informações do Serviço de Agendamento e Controle de Pacientes Ambulatoriais. Foram calculadas no período de 2006 até 2014, a Taxa de Agendamento, Taxa de Falta, Taxa de adequação da Referência e Taxa de Aproveitamento Global. Resultados: A taxa geral de agendamento foi 76%, a taxa de falta de pacientes novos teve a média de 17%, a Taxa média de Adequação da Referência foi de 92%. A taxa de aproveitamento global foi 57%, ano de 2014 das 37.830 vagas disponibilizadas pelo HCRP apenas 21.170 foram efetivamente aproveitadas. CONCLUSÕES: As iniciativas para o HCFMRP-USP se consolidar como um hospital terciário vem sendo gradativamente concretizadas, todas as taxas avaliadas tiveram uma melhora significativa se compararmos com o estudo anteriormente realizado que avaliou os anos de 2000-2005, mas ainda existem muitos desafios. Os gestores precisam avaliar os dados e buscarem mudanças em suas práticas de gestão, sendo necessários investimentos na formação recursos humanos e na integração entre gestores para que seja possível o integral aproveitamentos das vagas disponibilizadas.
Ensuring access of users of the Unified Health System (UHS) at all levels of care in a timely manner and the creation of health care flows that operate synchronously are one of the great challenges of UHS. The HCFMRP-USP offers tertiary services within the system, being a reference within its Regional Health activity to optimize their vacancies offered to the Regional Health Departments and the largest possible number of patients who need tertiary care. Objective: Evaluate the use of vacancies consultations for new patients offered by HCFMRP - USP to Regional Departments of Health within the respective coverage area in the period 2006-2014. Methodology: A descriptive study of secondary data from HCFMRP- USP database was conducted from information of the Scheduling and Ambulatory Patient Control Service. There were calculated in the period of 2006 until 2014: the Schedule Rate, Lack Rate, Adequacy Rate Reference and Global Utilization Rate. Results: The overall Schedule Rate was 76%, the Lack Rate of new patients had an average of 17%, the average Reference Adequacy Rate 92%. The Global Utilization Rate was 57%, in the year of 2014 37,830 vacancies provided by HCFMRP-USP only 21,170 were actually utilized. Conclusions: The initiatives for HCFMRP-USP consolidate as a tertiary hospital has been gradually implemented, all measured rates had a significant improvement when compared to the previously conducted study that evaluated the years 2000-2005, but there are still many challenges. Managers need to evaluate the data and seek changes in their management practices and the necessary investments in training human resources and integration of managers for the full exploitations of available vacancies is possible.
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Sitonio, Fabianny Tomaz. "Acesso ao tratamento oncológico no município de São Paulo: o câncer de mama como condição traçadora." Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/6/6135/tde-10032016-144758/.

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Acompanhando a tendência mundial, o Brasil apresenta um processo de envelhecimento de sua população, caracterizado pelo aumento das condições crônicas, inclusive do câncer. O quadro convoca mudanças profundas nos sistemas de saúde, demandando a implantação de Redes de Atenção, a fim de garantir acesso a todos os níveis de atenção, superando a fragmentação do cuidado. Com o intuito de conhecer os avanços no que se refere à atenção oncológica em rede, analisou-se o acesso ao tratamento do câncer em São Paulo, especialmente a partir do surgimento da Lei dos sessenta dias. Foram considerados os sistemas de monitoramento da atenção oncológica no município, além de analisados os itinerários assistenciais de usuárias, utilizando o câncer de mama como condição traçadora. Não foi possível identificar uma redução do tempo de espera para iniciar o tratamento, a partir do banco do Registro Hospitalar de Câncer de são Paulo, considerando que não há completude na base a partir de 2013, sendo observado que o tempo indicado na lei foi ultrapassado nos dois anos anteriores. Da mesma forma, notou-se um aumento da proporção de estádios avançados nesse período. Ainda com relação à variável tempo, as informações no SIGA demonstraram que, em 2013, o tempo médio para uma consulta em Onco-mastologia nos serviços de gestão municipal que estão sob regulação foi de apenas 4 dias. Por meio dos Sistemas de Informação Ambulatorial e Hospitalar, observou-se um aumento estatisticamente significativo na produção de radioterapia e de cirurgias oncológicas entre os anos 2011 e 2014, e uma tendência de redução dos procedimentos quimioterápicos. O Sistema de Informação sobre Câncer de Mama demonstrou aumento no percentual de mamografias alteradas, aspecto que, ao ser analisado em conjunto com o aumento da proporção de estadiamentos avançados, pode ser indicativo de maior dificuldade no acesso ao diagnóstico precoce do câncer de mama. Observou-se que a judicialização esteve muito relacionada a acesso a medicamentos quimioterápicos, de prescrição após a entrada nos serviços especializados, o que confirma que o acesso ao tratamento de câncer de mama no município não apresenta grandes barreiras. Um importante efeito visualizado com o surgimento da Lei foi a padronização dos protocolos de acesso aos serviços de gestão municipal e estadual. Entretanto, a rede de oncologia em São Paulo continua fragmentada dentre seus componentes estruturais, as ações permanecem no plano da construção de fluxos de encaminhamento, ficando restrita à atenção especializada. A atenção oncológica na cidade é atravessada pelo setor privado, o que deixa na dependência dos prestadores a disponibilização de vagas para acesso e o fluxo interno de cada serviço. O poder ainda continua com os grandes prestadores, não sendo bem conhecidos os caminhos para o acesso a algumas instituições, nem publicizadas as informações sobre fila e tempo de espera. A legislação sozinha não é indutora de melhoria de acesso, nem muito menos de garantia de integralidade. Um importante desafio para o SUS é a integração dos serviços e a construção de redes de atenção com centralidade na APS, garantindo, acima de tudo, o diagnóstico em tempo oportuno e a efetiva gestão sobre os serviços privados contratados de média e alta complexidade.
Following the global trend, Brazil has an aging process of the population, characterized by an increase in chronic conditions, including cancer. The framework calls for changes in health care systems, demanding the implementation of Healthcare Networks to ensure access to all levels of healthcare, overcoming the fragmentation of health care delivery. In order to know the progress in relation to cancer care network, because of the urgent need for integrated access to cancer treatment, it was analyzed the access to cancer treatment in Sao Paulo, particularly since the advent of Law \"of sixty days. Thus, it was considered the monitoring system of cancer care, as well as analyzed the assistance itineraries of the patients, using breast cancer as a tracer. From the São Paulos database Hospital Cancer Registry, it was not possible to identify a reduction in the waiting time to start the treatment, considering that the data base is not complete from 2013, and observed that the time specified in the law was passed in the previous two years. Likewise, it was noted an increase in the proportion of advanced stages during this period. Through the Outpatient clinical and hospital Information Systems Database, there was a statistically significant increase in the production of radiotherapy and cancer surgery between the years 2011 and 2014 and a trend of reduced chemotherapy procedures. Breast Cancer Information Systems Database demonstrated an increase in the percentage of abnormal mammograms, aspect which can be indicative of greater difficulty in access to diagnosis of breast cancer, when it is analyzed with the increase in the proportion of advanced stages of tumors. It was observed that the Litigation was closely related to access to chemotherapeutic drugs, from prescription after entry into the specialized services, which confirms that the access to breast cancer treatment in the municipality does not present major barriers. It was observed that the law organized the access to cancer treatments flows, standardizing the protocols between the state and the municipality in health management. However, Oncology care network in São Paulo is disjointed from its structural components and away from other healthcare networks, besides it is very strongly crossed by the private health assistance and dedicated to specialized healthcare sector. We understand that the law might be dispositif\" of changing for improving access to oncology services, because it built parameters to the society. However, only the law by itself is not an inducer of improving health services accessibility, and it doesnt guarantee of an integrative care. Finally, the emergence of the law is still very recent, it is not possible to visualize many related effects, which necessitates the continuation of observations in order to associate if the kind of strategy results benefit to public policies in the country.
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Sugarman, Philip A. "A model of integrated healthcare governance." Thesis, University of Northampton, 2009. http://nectar.northampton.ac.uk/2716/.

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The history of psychiatry is littered with serious failures of governance, to the detriment of mentally disordered people, especially those resident in psychiatric hospitals. Current mental health providers, increasingly focussed on community care, have also struggled to develop effective internal governance systems. Nine peer-reviewed research papers, published by the author (mostly with others) and the wider literature, reveal deficits in mental health governance at a jurisdictional, professional, and corporate level. In this thesis new governance solutions are developed against this background, built on contemporary principles in mental health and healthcare management. A new model of mental health governance is presented, based on the key demands of the strategic and regulatory environment, articulated as rights, risks and recovery. This integrated healthcare governance approach, covering provider policy, staff training and service audit, can monitor and ensure the protection of patients’ rights, as well as those of others; it also promotes the management of clinical risks, and of patients’ recovery outcomes. Rights-based risk-reduction training is the core interventional element of the model, whilst the monitoring element can be formalised as part of a Balanced Scorecard reporting system. This thesis makes a contribution to research methodology, theory and practice in mental health, human rights, healthcare management and governance. The model generates specific propositions for testing in mental health governance, with the potential for application in wider settings of service provision.
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Books on the topic "Health services regulation"

1

Rogers, Peter. National enforcement priorities for local authority regulatory services. London: Better Regulation Executive, 2007.

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Dixon, Anna. Economic regulation in health care: What can we learn from other regulators? London: The King's Fund, 2011.

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Auditor, Nevada Legislature Legislative. Audit report, State of Nevada, Department of Health and Human Services, Health Division, inspection programs. Carson City, Nev: Legislative Counsel Bureau, 2009.

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Rizzo, John Arthur. Optimal regulation of multiply-regulated industries: The case of physician services. Cambridge, MA: National Bureau of Economic Research, 1994.

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Washington (State). In-Home Services Agencies Round Table. State regulation of home health, hospice, home care (Chapter 70.127 RCW). Olympia, Wash: Washington State Dept. of Health, 1999.

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service), SpringerLink (Online, ed. Evidence-Based School Mental Health Services: Affect Education, Emotion Regulation Training, and Cognitive Behavioral Therapy. New York, NY: Springer Science+Business Media, LLC, 2011.

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Ridenour, Amy. Shattered lives: 100 victims of government health care. Washington, D.C: National Center for Public Policy Research, 2009.

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Ryan, Balis, and National Center for Public Policy Research., eds. Shattered lives: 100 victims of government health care. Washington, D.C: National Center for Public Policy Research, 2009.

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Opportunities, United States Congress House Committee on Small Business Subcommittee on Regulation and Business. Rural health care: Hearing before the Subcommittee on Regulation and Business Opportunities of the Committee on Small Business, House of Representatives, One Hundredth Congress, second session, Baker, OR, August 18, 1988. Washington: U.S. G.P.O., 1988.

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Mant, D. C. Building regulation and health: A report to the Building Research Establishment concerning the influence on health of building fabric and services controlled or controllable by Building Regulations. Watford: Building Research Establishment, 1986.

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Book chapters on the topic "Health services regulation"

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Macklem, Gayle L. "Importance of Emotion Regulation Training for Children and Adolescents." In Evidence-Based School Mental Health Services, 85–106. New York, NY: Springer New York, 2010. http://dx.doi.org/10.1007/978-1-4419-7907-0_5.

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Macklem, Gayle L. "Emotion Regulation Training at Tiers 1, 2, and 3." In Evidence-Based School Mental Health Services, 107–40. New York, NY: Springer New York, 2010. http://dx.doi.org/10.1007/978-1-4419-7907-0_6.

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Rochaix, L. "Joint Price and Quantity Regulation in the Market for Physicians’ Services: The Quebec Experiment." In Incentives in Health Systems, 202–23. Berlin, Heidelberg: Springer Berlin Heidelberg, 1991. http://dx.doi.org/10.1007/978-3-642-76580-3_15.

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Wright, Caroline F., and Ron L. Zimmern. "Quality Issues in the Evaluation and Regulation of Genetic Testing Services: A Public Health Approach." In Quality Issues in Clinical Genetic Services, 267–75. Dordrecht: Springer Netherlands, 2010. http://dx.doi.org/10.1007/978-90-481-3919-4_27.

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Adongo, Philip Baba, James F. Phillips, and Colin D. Baynes. "Addressing Men’s Concerns About Reproductive Health Services and Fertility Regulation in a Rural Sahelian Setting of Northern Ghana: The “Zurugelu Approach”." In Critical Issues in Reproductive Health, 59–83. Dordrecht: Springer Netherlands, 2013. http://dx.doi.org/10.1007/978-94-007-6722-5_4.

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Troshani, Indrit, and Nilmini Wickramasinghe. "Regulating Pervasive e-Health Services." In Pervasive Health Knowledge Management, 27–41. New York, NY: Springer New York, 2012. http://dx.doi.org/10.1007/978-1-4614-4514-2_4.

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Pauly, Mark V. "Paying Physicians as Agents: Fee-For-Service, Caption, or Hybrids?" In Health Care Policy and Regulation, 163–80. Boston, MA: Springer US, 1995. http://dx.doi.org/10.1007/978-1-4615-2219-5_9.

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Vroegindewey, Gary. "National Veterinary Services Roles and Responsibilities in Preparing for and Responding to Nuclear and Radiological Emergencies." In Nuclear and Radiological Emergencies in Animal Production Systems, Preparedness, Response and Recovery, 1–11. Berlin, Heidelberg: Springer Berlin Heidelberg, 2021. http://dx.doi.org/10.1007/978-3-662-63021-1_1.

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AbstractNational Veterinary Services have a wide range of regulatory and operational responsibilities as directed by their respective countries including: animal health, animal welfare, food safety, zoonotic disease surveillance and control, import and export regulations, trade in livestock and livestock products, disaster management, and other functional areas. These services can utilize numerous guidelines and standards to prepare for and respond to nuclear and radiologic events. In addition to their national and regional guidelines, there are resources developed by the United Nations International Atomic Energy Agency, United Nations Food and Agriculture Agency, the World Organization for Animal Health and other entities to support disaster risk reduction, preparedness and response. National Veterinary Services can utilitze all these resources to effectively and effeciently respond to nuclear and radiological emergencies.
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O’Brien, Cathie. "Specialist ServicesWorking with Children in Care and Residential Schools (a Whole Service/Systems Approach to Emotion-Regulation)." In Child and Adolescent Mental Health, 616–23. 3rd ed. Third edition. | New York, NY: Routledge, 2021.: CRC Press, 2021. http://dx.doi.org/10.4324/9781003083139-95.

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Wegner, Laila, Yana Houben, Martina Ziefle, and André Calero Valdez. "Fairness and the Need for Regulation of AI in Medicine, Teaching, and Recruiting." In Digital Human Modeling and Applications in Health, Safety, Ergonomics and Risk Management. AI, Product and Service, 277–95. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-77820-0_21.

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Conference papers on the topic "Health services regulation"

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Li, Peilong, Chen Xu, Yan Luo, Yu Cao, Jomol Mathew, and Yunsheng Ma. "CareNet: Building Regulation-Compliant Home-Based Healthcare Services with Software-Defined Infrastructure." In 2017 IEEE/ACM International Conference on Connected Health: Applications, Systems and Engineering Technologies (CHASE). IEEE, 2017. http://dx.doi.org/10.1109/chase.2017.121.

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Samar Brenčič, Neja, Malcolm Fisk, and Uroš Rajkovič. "How Can an AI Supported, Self-Assessment Tool Raise Standards of Digital Health Services During COVID-19 Emergency?" In Values, Competencies and Changes in Organizations. University of Maribor Press, 2021. http://dx.doi.org/10.18690/978-961-286-442-2.62.

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It is understandable that digital health services are now being developed in the context of a global emergency. However, it is crucial that standards are in place for these services to support their operation in a way that accommodates common interests and objectives and recognises the level of their importance for all stakeholders involved (including service recipients or users). We believe that it is necessary to establish and maintain quality standards for digital health products and services in these conditions. Furthermore, even after the pandemic, the need to integrate digital health services into traditional health and social services will remain a priority. Therefore we consider whether multi-criteria, self assessment tools, supported with artificial intelligence, can raise standards of digital health services that are rapidly developing as a consequence of the COVID-19 pandemic. We believe that such digital services are no longer just an alternative form of health care. It follows that frameworks for the development of standards, accreditation and regulation must also be included as national (or supra-national) priorities. These will help ensure not only technological but also service quality.
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Samuel, Liji. "TRANSFORMING THE HEALTHCARE SYSTEM: THE PUBLIC-PRIVATE HEALTHCARE DICHOTOMY IN INDIA IN THE ERA OF DIGITAL HEALTH." In International Conference on Public Health. The International Institute of Knowledge Management, 2021. http://dx.doi.org/10.17501/24246735.2020.6103.

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Digital health initiatives have become popular in all jurisdictions across the globe. The digital health move, though it is envisioned as a cost-effective way to ensure the availability of health care services especially for the people who live in rural areas, its success depends on the response of the health care system and the state control and regulation. India lacks a comprehensive statesponsored or state-regulated health care system and more than 70 percent of people utilise the private sector medical services. In this backdrop, the implementation of the National Digital Health Mission (NDHM), announced by the Government of India very recently, will be critical. Thus, this research paper strives to bring out the public-private disjunction in the availability and utilisation of public and private health care facilities, issues of health care financing and legal regulation of clinical establishments in the public and private sector. This study uses the doctrinal method and analyses the Five-Year Plans, National Sample Survey Reports, National Health Profile, National Health Accounts Estimates for India and other Government Reports and independent studies to detail the public-private dichotomy. However, this study finds limitations in presenting the current position of private health care service providers due to the unavailability of updated authoritative government reports/ studies/ surveys. On reviewing the currents trends in the public and private health care sector, the study finds that the private sector has surpassed the public sector in all means, including health provisioning, utilisation, and financing. The NDHM is a laudable initiative to ensure affordable health care to millions of people in India. However, any move to implement it, leaving the fundamental issue of deep-rooted public-private dichotomy existing in the healthcare sector will be detrimental. It will result in a digital divide in the public and private healthcare sector and gross violation of patients’ rights and mismanagement of health information. Keywords: digital health, National Digital Health Mission, private healthcare sector, utilisation of healthcare service
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Japarova, Damira. "Health Economics: Problems and Prospects in Kyrgyzstan." In International Conference on Eurasian Economies. Eurasian Economists Association, 2012. http://dx.doi.org/10.36880/c03.00404.

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Given paper studied the health care system in Kyrgyzstan during the transition period to the market . The market of medical services in the Kyrgyz Republic is in the state of early childhood. It was studied the sources and principles of allocation of financial resources in health care system. The main problems are shown as a lack of financial resources and inefficient use of them, a lack of motivation of quality health care. Therefore related proposals to improve state regulation of health care in Kyrgyzstan were given.
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Spassov, Alexander, Bernard Braun, Dragan Pavlovic, and Hartmut Bettin. "79 The impact of orthodontic treatment regulation in the german public health sector on the overuse of orthodontic services." In Preventing Overdiagnosis, Abstracts, August 2018, Copenhagen. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/bmjebm-2018-111070.79.

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Japarova, Damira. "Formation of a Market Model in the Financing of Health Care in the Kyrgyz Republic." In International Conference on Eurasian Economies. Eurasian Economists Association, 2019. http://dx.doi.org/10.36880/c11.02235.

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Due to the collapse of the Union, there was a reduction in funding for health care costs, as well as deterioration in the infrastructure and quality of medical services. The transitional economy in the Kyrgyz Republic has identified additional features in the health system. The main ones are the low level of funding, the presence of the shadow market of medical services, inefficient structure and the prevalence of high-cost hospital treatment. The market mechanism is developing, however, without state regulation. The Kyrgyz Republic continues to reform its health-care system. The task was to improve the methods of their financing. New mechanisms for financing medical services have been introduced. Despite the reduction in the number of hospitals, the number of patients treated in hospitals has increased.
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Japarova, Damira. "Legalization of Paid Services - The Source of Increasing Salaries of Medical Workers." In International Conference on Eurasian Economies. Eurasian Economists Association, 2015. http://dx.doi.org/10.36880/c06.01389.

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The main reason for the existence of informal payments in health care in Kyrgyzstan is low wages. On preferential treatment of patients is used 94% of funds allocated by the state. The financing of medical services largely transferred to the citizens themselves. Replacement free assistance paid services, in the absence of government regulation, acts as a natural addition to the market price, it is impossible to cancel or destroy. Promote the quality of work does not go beyond payroll. Kyrgyzstan should be legalized paid medical services. The source of the additional accrual of wages may become fund clinics, hospitals generated by paid services.
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Khalil, Essam E. "Holistic Approach to Green Buildings From Construction Material to Services." In ASME 2012 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2012. http://dx.doi.org/10.1115/detc2012-70283.

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Attempts to adequately design an optimum HVAC airside system that furnishes comfort and air quality in the air-conditioned spaces with efficient energy consumption represent a great challenge. Air conditioning identifies the conditioning of air for maintaining specific conditions of temperature, humidity, and dust level inside an enclosed space. The conditions to be maintained are dictated by the need for which the conditioned space is intended and comfort of users. So, the air conditioning embraces more than cooling or heating. The comfort air conditioning is defined as “the process of treating air to control simultaneously its temperature, humidity, cleanliness, and distribution to meet the comfort requirements of the occupants of the conditioned space”. Air conditioning, therefore, includes the entire heat exchange operation as well as the regulation of velocity, thermal radiation and quality of air, as well as the removal of foreign particles and vapors. Achieving occupant comfort and health is the result of a collaborative effort of environmental conditions, such as: Indoor air temperature; relative humidity; airflow velocity; pressure relationship; air movement efficiency; Contaminant concentration; Illumination and visual comfort; and sound and noise; and other factors. In the holistic approach, the totality of the effects of the heat sink and sources in the building and the technical building systems that are recoverable for space conditioning, are typically considered in the calculation of the thermal energy needs. As the technical building thermal systems losses depend on the energy input, which itself depends on the recovered system thermal sources, iteration might be required. The present paper reviews the status quo and critically analyses the appropriate approaches to sustainability.
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Santamaria-Varas, Mar, and Pablo Martinez-Diez. "New Data-driven Analysis and Policies to Regulate Commerce and Tourism: The Examples of Barcelona and Madrid." In 2018 ACSA International Conference. ACSA Press, 2018. http://dx.doi.org/10.35483/acsa.intl.2018.5.

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The regulation of economic activity is a question of the utmost relevance in urban planning as urbanism meants to support coexistence of citizens necessities while preserving the health of the commercial economic fabric. In this context, the model of diversity embodied by the city of Barcelona (paradigm of other European cities where commercial and leisure activities play a fundamental role in constructing the social, civic and economic values) is under discussion from the urban and political perspective. The saturation of public access activities, food retailers and tourist services -consequence of previous boosting liberal policies- is affecting the habitability and the quality of life of the residents. Using the new land-use plan of Ciutat Vella (Barcelona, Spain, 2018) as a case study, we intend to frame the regulation of public access and commercial activities in an international context, explain how this particular type of plan works and discuss the circumstances of its implementation.
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Lutz, Robert J., and Raymond Schneider. "The Health of Risk-Informed Regulation." In 16th International Conference on Nuclear Engineering. ASMEDC, 2008. http://dx.doi.org/10.1115/icone16-48898.

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Ten years ago, risk-informed regulation was proclaimed by many to be the future of regulatory activity. The three options for using risk in the regulatory arena had been defined in SECY-98-300 and efforts were initiated to develop the first regulatory changes. However, regulatory change has been slow. The revised 50.44 rule, which was supposed to be non-controversial, was not finalized until September of 2003, five years after it was started. The new 50.69 rule, which embodied the STP graded quality assurance principles, was not finalized until November of 2004 and the Pressurized Water Reactor Owners Group (PWROG) pilot plant application is still under review by the Nuclear Regulatory Commission (NRC). The 50.46a rule change, admittedly a very difficult and controversial undertaking, is still not finalized. On the other hand, the NRC has increased the use of plant risk insights and results in the Regulatory Oversight Process, particularly through the Significance Determination Process (SDP) and the Mitigating System Performance Index (MSPI). While the industry has been working on the major regulatory initiatives described above, they have also successfully initiated a significant number of risk-informed programs within the existing regulations. Significant among these industry efforts are the risk-informed changes to the Technical Specifications and the risk-informed changes to in-service inspection and in-service testing. One bright spot on the horizon is the use of NFPA-805, which uses fire risk insights, as an alternative to the Appendix R requirements for fire protection. The industry and the NRC are working together to develop an acceptable methodology for implementing this alternative. The increasing requirements for scope and quality of the probabilistic risk assessments (PRAs) that are used as the basis for many risk-informed activities has resulted in a major slow-down in licensee implementation of new risk-informed activities. The publication of industry consensus standards is resulting in significant resource expenditures to upgrade the scope and quality of the PRAs. Once the scope and quality of the plant-specific PRAs is completed, there should again be significant implementation of risk-informed applications. In summary, risk-informed regulation has already produced significant increases in safety and has potentially reduced licensee regulatory burdens. However, the promise of risk-informed changes to regulations is still an unfulfilled expectation and will likely remain so in the near future. Once the scope and quality of PRAs is upgraded to satisfy the industry consensus standards, there should be renewed activity in implementing risk-informed programs.
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Reports on the topic "Health services regulation"

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Sturzenegger, Germán, Cecilia Vidal, and Sebastián Martínez. The Last Mile Challenge of Sewage Services in Latin America and the Caribbean. Edited by Anastasiya Yarygina. Inter-American Development Bank, November 2020. http://dx.doi.org/10.18235/0002878.

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Access to piped sewage in Latin America and the Caribbean (LAC) cities has been on the rise in recent decades. Yet achieving high rates of end-user connection between dwellings and sewage pipelines remains a challenge for water and sanitation utilities. Governments throughout the region are investing millions in increasing access to sewage services but are failing in the last mile. When households do not connect to the sewage system, the full health and social benefits of sanitation investments fail to accrue, and utilities can face lost revenue and higher operating costs. Barriers to connect are diverse, including low willingness to pay for connection costs and/or the associated tariffs, liquidity and credit constrains to cover the cost of upgrades or repairs, information gaps on the benefits of connecting, behavioral obstacles, and collective action failures. In contexts of weak regulation and strong social pressure, utilities typically lack the ability to enforce connection through fines and legal action. This paper explores the scope of the connectivity problem, identifies potential connection barriers, and discusses policy solutions. A research agenda is proposed in support of evidence-based interventions that have the potential to achieve higher effective sanitation coverage more rapidly and cost-effectively in LAC. This research agenda must focus on: i) quantifying the scope of the problem; ii) understanding the barriers that trigger it; and iii) identifying the most cost-effective policy and market-based solutions.
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Cicala, Steve, Ethan M. J. Lieber, and Victoria Marone. Cost of Service Regulation in U.S. Health Care: Minimum Medical Loss Ratios. Cambridge, MA: National Bureau of Economic Research, April 2017. http://dx.doi.org/10.3386/w23353.

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Sabogal-Cardona, Orlando, Lynn Scholl, Daniel Oviedo, Amado Crotte, and Felipe Bedoya. Not My Usual Trip: Ride-hailing Characterization in Mexico City. Inter-American Development Bank, August 2021. http://dx.doi.org/10.18235/0003516.

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With a few exceptions, research on ride-hailing has focused on North American cities. Previous studies have identified the characteristics and preferences of ride-hailing adopters in a handful of cities. However, given their marked geographical focus, the relevance and applicability of such work to the practice of transport planning and regulation in cities in the Global South is minimal. In developing cities, the entrance of new transport services follows very different trajectories to those in North America and Europe, facing additional social, economic, and cultural challenges, and involving different strategies. Moreover, the determinants of mode choice might be mediated by social issues such as the perception of crime and the risk of sexual harassment in public transportation, which is often experienced by women in large cities such as Mexico. This paper examines ride-hailing in the Metropolitan Area of Mexico City, unpacking the characteristics of its users, the ways they differ from users of other transport modes, and the implications for urban mobility. Building on the household travel survey from 2017, our analytical approach is based on a set of categorical models. Findings suggest that gender, age, education, and being more mobile are determinants of ride-hailing adoption. The analysis shows that ride-hailing is used for occasional trips, and it is usually done for leisure and health trips as well as for night trips. The study also reflects on ride-hailings implications for the way women access the city.
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Coelho Resende, Noelle, Renata Weber, Jardel Fischer Loeck, Mathias Vaiano Glens, Carolina Gomes, Priscila Farfan Barroso, Janine Targino, Emerson Elias Merhy, Leandro Dominguez Barretto, and Carly Machado. Working Paper Series: Therapeutic Communities in Brazil. Edited by Taniele Rui and Fiore Mauricio. Drugs, Security and Democracy Program, Social Science Research Council, June 2021. http://dx.doi.org/10.35650/ssrc.2081.d.2021.

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Spread across Brazil and attaining an unparalleled political force, therapeutic communities are as inescapable in the debate on drug policy as they are complex to define. Although they are not a Brazilian creation, they have been operating in that country for decades, and their dissemination intensified in the 1990s. In 2011, they were officially incorporated into Brazil's Psychosocial Care Network (Rede de Atenção Psicossocial, or RAPS). Since then, therapeutic communities have been at the center of public debates about their regulation; about how they should—or even if they should—be a part of the healthcare system; about the level of supervision to which they should be submitted; about their sources of funding, particularly whether or not they should have access to public funding; and, most importantly, about the quality of the services they offer and the many reports of rights violation that have been made public. However, a well-informed public debate can only flourish if the available information is based on sound evidence. The SSRC’s Drugs, Security and Democracy Program is concerned with the policy relevance of the research projects it supports, and the debate around therapeutic communities in Brazil points to a clear need for impartial research that addresses different cross-cutting aspects of this topic in its various dimensions: legal, regulatory, health, and observance of human rights, among others. It is in this context that we publish this working paper series on therapeutic communities in Brazil. The eight articles that compose this series offer a multidisciplinary view of the topic, expanding and deepening the existing literature and offering powerful contributions to a substantive analysis of therapeutic communities as instruments of public policy. Although they can be read separately, it is as a whole that the strength of the eight articles that make up this series becomes more evident. Even though they offer different perspectives, they are complementary works in—and already essential for—delineating and understanding the phenomenon of therapeutic communities in Brazil.
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5

Aalto, Juha, and Ari Venäläinen, eds. Climate change and forest management affect forest fire risk in Fennoscandia. Finnish Meteorological Institute, June 2021. http://dx.doi.org/10.35614/isbn.9789523361355.

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Forest and wildland fires are a natural part of ecosystems worldwide, but large fires in particular can cause societal, economic and ecological disruption. Fires are an important source of greenhouse gases and black carbon that can further amplify and accelerate climate change. In recent years, large forest fires in Sweden demonstrate that the issue should also be considered in other parts of Fennoscandia. This final report of the project “Forest fires in Fennoscandia under changing climate and forest cover (IBA ForestFires)” funded by the Ministry for Foreign Affairs of Finland, synthesises current knowledge of the occurrence, monitoring, modelling and suppression of forest fires in Fennoscandia. The report also focuses on elaborating the role of forest fires as a source of black carbon (BC) emissions over the Arctic and discussing the importance of international collaboration in tackling forest fires. The report explains the factors regulating fire ignition, spread and intensity in Fennoscandian conditions. It highlights that the climate in Fennoscandia is characterised by large inter-annual variability, which is reflected in forest fire risk. Here, the majority of forest fires are caused by human activities such as careless handling of fire and ignitions related to forest harvesting. In addition to weather and climate, fuel characteristics in forests influence fire ignition, intensity and spread. In the report, long-term fire statistics are presented for Finland, Sweden and the Republic of Karelia. The statistics indicate that the amount of annually burnt forest has decreased in Fennoscandia. However, with the exception of recent large fires in Sweden, during the past 25 years the annually burnt area and number of fires have been fairly stable, which is mainly due to effective fire mitigation. Land surface models were used to investigate how climate change and forest management can influence forest fires in the future. The simulations were conducted using different regional climate models and greenhouse gas emission scenarios. Simulations, extending to 2100, indicate that forest fire risk is likely to increase over the coming decades. The report also highlights that globally, forest fires are a significant source of BC in the Arctic, having adverse health effects and further amplifying climate warming. However, simulations made using an atmospheric dispersion model indicate that the impact of forest fires in Fennoscandia on the environment and air quality is relatively minor and highly seasonal. Efficient forest fire mitigation requires the development of forest fire detection tools including satellites and drones, high spatial resolution modelling of fire risk and fire spreading that account for detailed terrain and weather information. Moreover, increasing the general preparedness and operational efficiency of firefighting is highly important. Forest fires are a large challenge requiring multidisciplinary research and close cooperation between the various administrative operators, e.g. rescue services, weather services, forest organisations and forest owners is required at both the national and international level.
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6

Bedford, Philip, Alexis Long, Thomas Long, Erin Milliken, Lauren Thomas, and Alexis Yelvington. Legal Mechanisms for Mitigating Flood Impacts in Texas Coastal Communities. Edited by Gabriel Eckstein. Texas A&M University School of Law Program in Natural Resources Systems, May 2019. http://dx.doi.org/10.37419/eenrs.mitigatingfloodimpactstx.

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Flooding is a major source of concern for Texas’ coastal communities. It affects the quality of infrastructure, the lives of citizens, and the ecological systems upon which coastal communities in Texas rely. To plan for and mitigate the impacts of flooding, Texas coastal communities may implement land use tools such as zoning, drainage utility systems, eminent domain, exactions, and easements. Additionally, these communities can benefit from understanding how flooding affects water quality and the tools available to restore water bodies to healthy water quality levels. Finally, implementing additional programs for education and ecotourism will help citizens develop knowledge of the impacts of flooding and ways to plan and mitigate for coastal flooding. Land use tools can help communities plan for and mitigate flooding. Section III addresses zoning, a land use tool that most municipalities already utilize to organize development. Zoning can help mitigate flooding, drainage, and water quality issues, which, Texas coastal communities continually battle. Section IV discusses municipal drainage utility systems, which are a mechanism available to municipalities to generate dedicated funds that can help offset costs associated with providing stormwater management. Section V addresses land use and revenue-building tools such as easements, eminent domain, and exactions, which are vital for maintaining existing and new developments in Texas coastal communities. Additionally, Section VI addresses conservation easements, which are a flexible tool that can enhance community resilience through increasing purchase power, establishing protected legal rights, and minimizing hazardous flood impacts. Maintaining good water quality is important for sustaining the diverse ecosystems located within and around Texas coastal communities. Water quality is regulated at the federal level through the Clean Water Act. As discussed in Section VII, the state of Texas is authorized to implement and enforce these regulations by implementing point source and nonpoint source pollutants programs, issuing permits, implementing stormwater discharge programs, collecting water quality data, and setting water quality standards. The state of Texas also assists local communities with implementing restorative programs, such as Watershed Protection Programs, to help local stakeholders restore impaired water bodies. Section VIII addresses ecotourism and how these distinct economic initiatives can help highlight the importance of ecosystem services to local communities. Section VIX discusses the role of education in improving awareness within the community and among visitors, and how making conscious decisions can allow coastal communities to protect their ecosystem and protect against flooding.
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7

Perceptions of community pharmacists, patent and proprietary medicine vendors, and their clients regarding quality of family planning services: The IntegratE Project. Population Council, 2021. http://dx.doi.org/10.31899/rh17.1016.

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The IntegratE Project is a four-year initiative (2017–21) implemented by the Population Council and partners that seeks to increase access to contraceptive methods by involving the private sector (community pharmacists [CPs] and patent and proprietary medicine vendors [PPMVs]) in family planning (FP) service delivery in Lagos and Kaduna States, Nigeria. The project aims to establish a regulatory system with the Pharmacists Council of Nigeria to ensure that CPs and PPMVs provide quality FP services, comply with FP regulations, and report service statistics to the Health Information Management System (HMIS). To achieve this, the project is implementing: a pilot three-tiered accreditation system for PPMVs; a supervisory model to ensure standard drug-stocking practices; building the capacity of CPs and PPMVs to provide a wider range of FP services and data report to the HMIS. This brief focuses on quality of care received by women voluntarily seeking FP services from CPs and PPMVs. CPs and PPMVs and their clients appear to be satisfied with the FP services offered by CPs and PPMVs; on-going learning opportunities, and a supportive supervision system that is properly coordinated should be sufficient to maintain the quality of services offered by CPs and PPMVs.
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