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1

Döbl, Stefanie, and Amy Ross. "Thinking beyond the contract: A journey to collaborative community social work." Aotearoa New Zealand Social Work 25, no. 1 (May 19, 2016): 43–53. http://dx.doi.org/10.11157/anzswj-vol25iss1id97.

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Social workers from two different Wellington-based community service providers, Newtown Union Health Service (NUHS) and St Vincent de Paul (SVDP) Wellington Area discuss their organisations and how they worked together to build an award-winning1 practice model in their community. Their reflection on their work raises important questions regarding our responsibilities and options to meet client needs in a heavily contracted funding environment and presents the learnings and challenges of their collaboration.
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Pullon, Susan, Ben Gray, Monika Steinmetz, and Claire Molineux. "Midwifery-led care embedded within primary care: consumer satisfaction with a model in New Zealand." Journal of Primary Health Care 6, no. 4 (2014): 319. http://dx.doi.org/10.1071/hc14319.

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INTRODUCTION: Providing quality maternity care for high-needs, socially deprived women from ethnic minority groups is challenging. Consumer satisfaction with maternity services is an important aspect of service evaluation for this group. This pilot study aimed to investigate the feasibility of using focus groups and interviews to gauge consumer satisfaction of maternity care by high-needs women, and to explore their perceptions of the Newtown Union Health Service (NUHS) model of a midwifery-led service embedded in primary care in Wellington, New Zealand (NZ). METHODS: Following a previous audit of consumer satisfaction surveys collected over a six-year period, a qualitative pilot study using a thematic analytic approach was conducted at the NUHS in late 2011. The study assessed use of focus groups and interviews, interpreted where necessary, and considered the experiences reported by women about the model of care. FINDINGS: Interviews and focus groups were successfully conducted with 11 women: two NZ European (individual interviews), six Cambodian (five in a focus group, one interview), and three Samoan (focus group). Using a thematic analytic approach, key themes identified from the focus group and interviews were: issues with survey form-filling; importance of accessibility and information; and relationships and communication with the midwifery team. CONCLUSION: Interviews and focus groups were well received, and indicated positive endorsement of the model of care. They also revealed some hitherto unknown concerns. Good quality feedback about satisfaction with a range of maternal and child health services helps service providers to provide the best possible start in life for children in high-needs families. KEYWORDS: Interprofessional; maternity care; New Zealand; patient care team; primary health care
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3

Bach, Stephen. "Employee participation and union voice in the National Health Service." Human Resource Management Journal 14, no. 2 (April 2004): 3–19. http://dx.doi.org/10.1111/j.1748-8583.2004.tb00116.x.

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4

Yanay, Uri. "Service Delivery By a Trade Union—Does It Pay?" Journal of Social Policy 19, no. 2 (April 1990): 221–34. http://dx.doi.org/10.1017/s0047279400002002.

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ABSTRACTA changing socio-economic environment and competition have led trade unions to extend their role and become service providers. This paper examines some of the issues of service delivery which arise. Four central implications are discussed: the trade union's need (1) to adapt to the competitive service provider's market, (2) to enlarge its consumer body, (3) to become an employer of workers, and (4) to expand its interests with business establishments and authorities over non-union matters. The paper focuses on the General Federation of Labour in Israel (the Histadrut), and its comprehensive health insurance scheme (Kupat Holim). The scheme is provided to all union members and their families as part of union membership. Nonetheless, alternative service systems seem sufficiently attractive for many union members to consider ‘deserting’ their union. The union depends on its members—consumers—to secure its broad base, universalistic image, source of income and legitimacy. Trying to attract consumers causes the union to bend some of its principles. Ultimately, service provision forces the union to adopt characteristics alien to, and even contradicting, its traditional, militant role as an organiser of labour.
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White, C. "Public service union mounts legal challenge to government's health white paper." BMJ 341, aug27 1 (August 27, 2010): c4716. http://dx.doi.org/10.1136/bmj.c4716.

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Esomar, Maria J. F., and Baretha Meisar Titioka. "Pearls analysis to assess the health level of Hati Amboina service office (KP) Saumlaki Cooperative Credit Union (CU)." Accounting Journal of Binaniaga 6, no. 1 (June 30, 2021): 19. http://dx.doi.org/10.33062/ajb.v6i1.415.

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Performance measurement of Credit Union is important to do in order to improve and at the same time becomes a way of evaluating achievement in specific periods. It will show level of success of operational activities conducted and create foundation of developing strategy in the coming days. To get a clear view of a financial report, there has to be a financial performance measurement of Credit Union of Hati Amboina KP Saumlaki through financial rasio analysis named PEARLS which is identified as P (Protection), E (Effective Financial Structure), A (Asset Quality), R (Rate of Return & Cost), L (Liquidity), S (Signs of Growth). This research aims to know how healthy the finance of Credit Union of Hati Amboina KP Saumlaki from year of 2017 to 2019 using PEARLS Rasios. The research shows that Credit Union of Hati Amboina KP Saumlaki is good enough in financial health which described in many variables suit PEARLS Rasios. Overall PEARLS Rasios explains that financial condition of Credit Union Hati Amboina KP Saumlaki is healthy enough. To some rasios that fulfill no standard ideally, the Credit Union needs to find proper strategy to raise its financial performance. Keywords: Credit Unions, PEARLS,performing operations
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7

Saunders, Jack. "Emotions, Social Practices and the Changing Composition of Class, Race and Gender in the National Health Service, 1970–79: ‘Lively Discussion Ensued’." History Workshop Journal 88 (2019): 204–28. http://dx.doi.org/10.1093/hwj/dbz023.

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Abstract During the 1970s, Britain’s trade unions expanded into new areas of the economy, making considerable progress among the low-paid workers of the expanding welfare state. The Confederation of Health Service Employees (COHSE) and the National Union of Public Employees (NUPE) both made huge strides recruiting women and particularly women of colour in the National Health Service, as the laundry, cleaning, catering and portering services of Britain’s hospitals became union strongholds. This article questions why the increased weight of feminized service work is so marginal in our idea of 1970s workplace activism and why it features so rarely in histories of British trade unionism, despite being one of the movement’s most significant growth areas. Drawing on NUPE’s photographic archive, I argue that by looking at the changing character of worker-activist visual culture in this period we can reinsert women and women of colour back into those histories. This is followed by a close reading of trade-union branch minutes which explores how women re-ordered the gendered hierarchy of both their male-dominated union and their hospital between 1970 and 1979, exercising new-found agency within the highly paternalist setting of the NHS.
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8

TURAN, İdris. "MIGRATION POLICY OF EUROPEAN UNION AND IMMIGRANTS IN EUROPEAN UNION." SOCIAL SCIENCE DEVELOPMENT JOURNAL 7, no. 33 (September 15, 2022): 527–30. http://dx.doi.org/10.31567/ssd.766.

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In this study, European Union’s general migration policy is studied. Also, immigrants in European Union and their problem are mentioned. This study is studied by explanatory approach and literature review method. The problem during the research is that there is not much source about problems of immigrants in European Union. European Union’s policy on immigrants in European Union is based on controlling and integration. Controlling is possible via legal migration. Integration is possible via fill the gaps between cultures. As a brief, common problems of immigrants (asylum seeker, refugee, kids of refugees) in European Union are these: problems because illegal entrance, problem of reaching to education, reaching to health service problem and assimilation problem.
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9

Balabanova, Dina, Martin McKee, Joceline Pomerleau, Richard Rose, and Christian Haerpfer. "Health Service Utilization in the Former Soviet Union: Evidence from Eight Countries." Health Services Research 39, no. 6p2 (December 2004): 1927–50. http://dx.doi.org/10.1111/j.1475-6773.2004.00326.x.

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10

LEE, CHULHEE. "Health, Information, and Migration: Geographic Mobility of Union Army Veterans, 1860–1880." Journal of Economic History 68, no. 3 (September 2008): 862–99. http://dx.doi.org/10.1017/s0022050708000661.

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This article explores how injuries, sickness, and the geographic mobility of Union Army veterans while in service affected their postservice migrations. Wartime wounds and illnesses significantly diminished the geographic mobility of veterans after the war. Geographic moves while carrying out military missions had strong positive effects on their postservice geographic mobility. Geographic moves while in service also influenced the choice of destination among the migrants. I discuss some implications of the results for the elements of self-selection in migration, the roles of different types of information in migration decisions, and the overall impact of the Civil War on geographic mobility.
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11

Váradi, Ágnes. "E-health developments in the system of health services in Hungary and the European Union." Orvosi Hetilap 155, no. 21 (May 2014): 822–27. http://dx.doi.org/10.1556/oh.2014.29913.

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The question of electronic solutions in public health care has become a contemporary issue at the European Union level since the action plan of the Commission on the e-health developments of the period between 2012 and 2020 has been published. In Hungary this issue has been placed into the centre of attention after a draft on modifications of regulations in health-care has been released for public discourse, which – if accepted – would lay down the basics of an electronic heath-service system. The aim of this paper is to review the basic features of e-health solutions in Hungary and the European Union with the help of the most important pieces of legislation, documents of the European Union institutions and sources from secondary literature. When examining the definition of the basic goals and instruments of the development, differences between the European Union and national approaches can be detected. Examination of recent developmental programs and existing models seem to reveal difficulties in creating interoperability and financing such projects. Finally, the review is completed by the aspects of jurisdiction and fundamental rights. It is concluded that these issues are mandatory to delineate the legislative, economic and technological framework for the development of the e-health systems. Orv. Hetil., 2014, 155(21), 822–827.
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12

Curry, Kristen. "Addressing Health Disparities in Cancer through Service-Learning." Undergraduate Journal of Service Learning & Community-Based Research 4 (November 22, 2015): 1–8. http://dx.doi.org/10.56421/ujslcbr.v4i0.193.

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In 1970, cancer was the second leading cause of death in the U.S. and the American people sought answers. In response, at the 1971 State of the Union address Richard Nixon asserted that he would, “Ask for an appropriation of an extra $100 million to launch an intensive campaign to find a cure for cancer, and I will ask later for whatever additional funds can effectively be used. The time has come in America when the same kind of concentrated effort that split the atom and took man to the moon should be turned toward conquering this dread disease. Let us make a total national commitment to achieve this goal” (DeVita). Almost a full year later, in December 1971, Nixon signed the National Cancer Act, which was popularized as “The War on Cancer.” This act allotted $1.5 billion dollars for cancer research over the next three years.
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13

Walsh, Hanna M., Jaakko Nevalainen, Tiina Saari, Liisa Uusitalo, Turkka Näppilä, Ossi Rahkonen, and Maijaliisa Erkkola. "Food insecurity among Finnish private service sector workers: validity, prevalence and determinants." Public Health Nutrition 25, no. 4 (January 24, 2022): 829–40. http://dx.doi.org/10.1017/s1368980022000209.

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AbstractObjective:To examine the prevalence and determinants of food insecurity among private sector service workers in Finland and assess validity of the Household Food Insecurity Access Scale (HFIAS) tool.Design:In this cross-sectional study, food insecurity and background characteristics were collected from Finnish private service workers via electronic questionnaires (2019) and national register data (2018–2019). We conducted univariate and multivariate logistic regression analyses to determine the variables explaining food insecurity. Validity of HFIAS was assessed with rotated principal component analysis and Cronbach’s α.Setting:Members of the trade union for private sector service workers, Service Union United (PAM), from all municipalities in Finland participated in the study in 2019.Participants:The subjects were 6435 private sector workers that were members of the Service Union United (PAM) in Finland. Mean age of participants was 44 years (sd 12·7 years).Results:Two-thirds of the participants (65 %) were food insecure with over a third (36 %) reporting severe food insecurity. Reporting great difficulties in covering household expenses and young age markedly increased the risk of severe food insecurity (OR 15·05; 95 % CI 10·60, 21·38 and OR 5·07; 95 % CI 3·94, 6·52, respectively). Not being married, low education, working in the hospitality industry, being male and living in rented housing also increased the probability of severe food insecurity. The HFIAS tool demonstrated acceptable construct and criterion validity.Conclusions:Severe food insecurity was widespread and associated with low socio-economic status, young age and being male among Finnish private sector service workers, emphasising the need for regular monitoring of food insecurity in Finland.
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14

Rogelj, Aljaž, and Boštjan Brezovnik. "Universal Health Services." Lex localis - Journal of Local Self-Government 11, no. 3 (August 10, 2013): 687–708. http://dx.doi.org/10.4335/11.3.687-708(2013).

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All EU nationals have the right to health services that are affordable for everyone under the same conditions. Sector-specific regulations provide that health services are services of general interest that must be implemented through a national legal framework. The state must design the universal health services in a way that respects the principle of public health service affordability for all citizens. In the study, we focused on understanding the legal framework which serves as foundation the regulating universal health services in Slovenia, sector-specific regulations and other acts, and tried to assess the strengths and weaknesses of the Slovenian legal framework. Our efforts have been directed towards studying the legislative framework of the European Union and defining the legal guidelines that establish the legal framework for universal health service creation.
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15

Hassan, Mostafa Ferdous. "Gender Responsive Budgeting at Union Parishad: Current Status, Potentials and Challenges." Indian Journal of Social Science and Literature 1, no. 5 (September 30, 2022): 1–10. http://dx.doi.org/10.54105/ijssl.e1023.091522.

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While the idea of gender-responsive budgeting has piqued the imagination of individuals all around the world, it is a relatively new phenomenon in Bangladesh. This budgeting technique has been stressed in Bangladesh's previous four National Budget speeches. The government is prioritizing it in order to distribute government funding to all parts of society, especially women. The goal of this research is to establish the level of gender-responsive budgeting at the Union Parishad (UP) and its impact on the responsiveness of UP services, with a focus on health care. Furthermore, it strives to highlight at the union level the opportunities and challenges of gender-responsive budgeting in the health industry. Timeliness in service delivery and level of satisfaction of the service recipients were measured. The impact of gender responsive budgeting, and local political control on budget for UP health services is analyzed. 'The study considers the amount of allocation, flow of fund, continuity of budgetary allocation, responsiveness in service delivery, level of satisfaction of women and level of local autonomy as independent variables to know what services are being provided along with their impacts. The study has opted for a mixed method for data collection and analysis including survey, interview from primary sources along with secondary literature. The study found that most of the local people don’t avail health service from Union Parishad and their expectation is not reflected in service delivery or the UP Plan and budget. Timeliness of service delivery and access to information were also major issues. All UP members were not aware of the allocation amount for women's health issue despite 50% UP members saying consultation with women happens before preparing budget. Overall, the study finds that the budgets are not gender sensitive and there is no priority setting of the budget in health sector It recommends training for the UP officials and government initiatives 10 adopt and implement gender responsive budgeting at the union level.
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16

Aroian, Karen J., Galina Khatutsky, Thanh V. Tran, and Alan L. Balsam. "Health and Social Service Utilization Among Elderly Immigrants from the Former Soviet Union." Journal of Nursing Scholarship 33, no. 3 (September 2001): 265–71. http://dx.doi.org/10.1111/j.1547-5069.2001.00265.x.

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17

Bacon, Nicolas, and Peter Samuel. "Social partnership and political devolution in the National Health Service: emergence, operation and outcomes." Work, Employment and Society 31, no. 1 (July 9, 2016): 123–41. http://dx.doi.org/10.1177/0950017015616910.

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This article explores the emergence, operation and outcomes of social partnership in the National Health Service (NHS) in Scotland and Wales. Social partnership emerged in the NHS following political devolution in 1998 which transferred powers to left-wing governments in Scotland and Wales. These arrangements helped improve health services, modernize industrial relations and enhance staff terms and conditions. In NHS Scotland, union participation in strategic decisions produced extensive co-operation to dismantle the internal health market, improve services and enhance staff terms and conditions. Union participation in NHS Wales was restricted to discussing workforce issues, and although co-operation increased when Welsh governments gained enhanced legislative powers and dismantled the internal health market, it delivered fewer improvements in service and pay levels. Differences in government political positioning (against public sector marketization) and degree of independence (with devolved administrations granted different legislative powers) help explain the operation and outcomes of social partnership.
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18

Wetzel, Kurt. "The Labour Relations of New Zealand's Health Reforms." Journal of Industrial Relations 41, no. 1 (March 1999): 53–71. http://dx.doi.org/10.1177/002218569904100103.

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This paper examines factors contributing to the environment within which reform of New Zealnnd's public health care and its industrial relations system occurred. These include radical state sector; health and labour law reforms that marketised the health sector, decentralised bargaining, the ending of compulsory union membership and the elimination of the requirement that employers bargain 'in good faith'. The paper examines the implementation of these changes and their impact on various unions. Domestic service workers have fared poorly, while medical specialists have benefited from the reforms. The impact on nursing and support staff unions has varied according to regional and market pressures for different occupations. Various union strategies and structures are examined. The paper concludes that reform has ended the exceptionalism of labour relations in New Zealand.
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Bulatova, T. V., and S. T. Zyangirova. "III All-Union Congress of Endocrinologists." Kazan medical journal 70, no. 5 (October 15, 1989): 394–95. http://dx.doi.org/10.17816/kazmj101533.

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The congress was opened by A. N. Demenkov, Head of the Department of Specialized Medical Care of the USSR Ministry of Health. In his report he pointed out radical changes in the structure of the service: reorganization of anti-obesity dispensaries into endocrinology centers; by 1991 they would open in all capitals of Union republics, regional and territorial centers and become organizational and methodological centers. In addition, in 1990 it is planned to establish endocrinology departments, including children's and surgical ones, in all large multidisciplinary hospitals.
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Fagan, Ronald W. "Modern Rescue Missions: A Survey of the International Union of Gospel Missions." Journal of Drug Issues 16, no. 4 (October 1986): 495–509. http://dx.doi.org/10.1177/002204268601600402.

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While the skid-row rescue mission has been an institution for over a century, modern missions are experiencing many changes. We conducted a survey of the International Union of Gospel Missions, the largest organization of missions in the United States. Missions still relied almost exclusively on private, individual contributions though some missions accepted state, federal, and United Way funds. The missions continued to offer “soap, sleep, soup, and salvation,” but they also offered medical care, psychological counseling, vocational training, benefits counseling, and alcoholism treatment. Most missions required attendance at a religious service to receive service including alcoholism treatment. About half of the missions had alcoholism treatment programs. Most of the programs used psychological counseling, but some programs also offered vocational training and Alcoholics Anonymous. Most of the programs were professionally staffed. The programs emphasized spiritual conversion as the key to successful rehabilitation. Many missions were serving new populations.
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Kristó, Katalin. "Health care services in the European Union – and Hungarian practice." Revista Jurídica de la Universidad de León, no. 10 (December 22, 2022): 167–72. http://dx.doi.org/10.18002/rjule.i10.7442.

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The functioning of the single market is guaranteed by four principles. Under one of them, the free movement of people, EU citizens and their family members can settle down, work and study in the territory of another EU Member State. As the design and operation of social security systems fall within the exclusive competence of the Member States, the enforcement of the coordination between the various social security systems in the Member States is the task of the European Union in order to enforce the rights of EU citizens, thus providing the smooth operation of the free movement of people. Due to the coordination regulation, EU citizens have the right to use the healthcare service of another Member State at the expense of the social security system of the country where the contributions are paid. The study presents the EU and Hungarian rules for accessing healthcare abroad in light of the EU regulations on the coordination of social security systems.
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COSTA-FONT, JOAN. "The National Health Service at a Critical Moment: when Brexit means Hectic." Journal of Social Policy 46, no. 4 (July 14, 2017): 783–95. http://dx.doi.org/10.1017/s0047279417000344.

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AbstractLeaving the European Union (so-called ‘Brexit’) is a ‘critical moment’ for health policy reform which can pave the way to different pathways, including, a ‘critical juncture’. Given that Brexit cannot be undone without a second referendum, it opens up opportunities to elude European constraints for reform along the lines of equity, employment rights and patient choice. Brexit deepens the financial crisis of the National Health Service (NHS) by increasing hiring costs and imposing new transaction costs to accommodate patient cross-border mobility and international public health needs. Given the weak sustainability of the NHS, it could lead to major system reform.
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Agnes Ongiri,, Nyakiba,, Dr James Muya, PhD,, and Prof Phylisters Daizy Matula,. "Moderating Influence of Employee Engagement in the Relationship Between Union Organizing Activity and Employee Performance Among Public Service Medical Doctors in Nairobi County, Kenya." International Journal of Economics, Business and Management Research 08, no. 06 (2024): 126–47. http://dx.doi.org/10.51505/ijebmr.2024.8609.

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The study’s general objective was to establish the moderating influence of employee engagement in the relationship between union organizing activity and employee performance among doctors in the public service health sector in Nairobi County, Kenya. The study was anchored on revolutionary theory of trade union. The study used mixed methods research approach, Pragmatism world view and convergent parallel mixed methods design. Mixed methods, quantitative and qualitative, was used to collect, analyze and interpret data. The target population was 789 medical doctors and 21 top managers. Probability's stratified sampling technique was used to classify the population into strata based on specialization and simple random sampling to pick327 doctors. Non-probability's purposive sampling technique was used to pick 21 top managers. Aclosed-ended questionnaire was utilized to gather quantitative data from the doctors while an open-ended interview guide was used to interview top managers. Cronbach alpha coefficient established the questionnaire's' reliability and validity was determined through face, criterion, content and construct validities. Reliability of the guide was upheld through consistency in the use of detailed field notes and verbatim description of participants' versions techniques while triangulation and respondent validation techniques were used to check its validity and maintain trustworthiness. Quantitative data was statistically analyzed using descriptive (means& standard deviation) and inferential tools (Pearson correlation and regression analysis) with the aid of SPSS (Version 26.0). Qualitative data was thematically analyzed using text. The study found that union organizing had a positive and significant influence on the performance of doctors in public service health sector. Further, results showed that the relationship between union organizing activity and employee performance was significantly moderated by employee engagement. The study recommended that labour relations partners in the public service health sector should formulate more innovative and practical mechanisms that guarantee appreciation of union organizing activity and the moderation effect of employee engagement as pillars of employee performance. The study contributes to existing knowledge by pointing out union organizing activity as a determinant of employee performance. In addition, the study has provided evidence of employee engagement as moderator in relationship between union organizing activity and employee performance.
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Nordeng, Zuzana, and Frode Veggeland. "The implementation of European Union (EU) rules on cross-border care: moving towards convergence?" Health Economics, Policy and Law 15, no. 2 (August 30, 2018): 141–59. http://dx.doi.org/10.1017/s174413311800035x.

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AbstractThis article studies the implementation of the European Union (EU)’s Patients’ Rights Directive in Germany and Norway. The objective of the Directive was to allow EU member states to have a say in the regulatory work, ensure predictability and uniformity in the application of EU rules on cross-border care, and enhance a move towards EU harmonisation in this area. So far, the implementation processes in Norway and Germany have mixed results regarding the likelihood of achieving uniformity and harmonisation. Although the Directive has had convergent effects on certain areas of cross-border care, such as setting up National Contact Points and providing patients with the basic right to treatment abroad, implementation also shows divergent patterns. In both countries, adapting to EU rules has strengthened patients’ rights to choose freely among health-service providers in a wider European health-service market. However, due to legal discretion and country-specific institutions within which the new rules are applied, divergent patterns prevail.
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González Leonor, María del Carmen, Carlos del Castillo Rodríguez, and Antonio González Bueno. "Euthanasia in Spain. Analysis compared with other legal regulations of the European Union." Anales de la Real Academia Nacional de Farmacia 87, no. 87(03) (2021): 265–74. http://dx.doi.org/10.53519/analesranf.2021.87.03.05.

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The publication of Organic Law 3/2021 regulating euthanasia (BOE 03.25.2021), converted Spain in the fourth country in the European Union to decriminalize such practice. In this article we analyze this rule and the introduction of euthanasia in the Health Service of the Spanish National Health System, which guarantees access to the provision. On the other hand, we will carry out a comparative study of other legal systems in the European Union in which this practice is allowed or penalized.
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Nikolić, Bruno. "Slovenian Complementary Health Insurance as a Service of General Economic Interest." Central European Public Administration Review 13, no. 1 (March 25, 2015): 49–67. http://dx.doi.org/10.17573/ipar.2015.1.03.

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Slovenian legislation defines complementary health insurance as an activity of the public interest, which represents an inseparable and essential element of healthcare system and as such pursues objectives identical to those of compulsory health insurance – financial security of population against high healthcare expenses and appropriate and fair access to efficient and quality healthcare. EU Member States often introduce different regulatory measures to safeguard the public interest in the field of economic activities. These measures often contravene the Union acquis (the rules on the functioning of the internal market and competition law), which is in principle unacceptable. This article aims to define Slovenian complementary health insurance as a service of general economic interest, which opens up new prospects for the Member States’ adoption of the regulatory measures that are not compliant with therules on the functioning of the internal market and EU competition law.
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Salize, Hans Joachim, Peter Lepping, and Harald Dressing. "How harmonized are we? Forensic mental health legislation and service provision in the European Union." Criminal Behaviour and Mental Health 15, no. 3 (September 2005): 143–47. http://dx.doi.org/10.1002/cbm.6.

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Yuan, Bocong, and Jiannan Li. "The Policy Effect of the General Data Protection Regulation (GDPR) on the Digital Public Health Sector in the European Union: An Empirical Investigation." International Journal of Environmental Research and Public Health 16, no. 6 (March 25, 2019): 1070. http://dx.doi.org/10.3390/ijerph16061070.

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The rapid development of digital health poses a critical challenge to the personal health data protection of patients. The European Union General Data Protection Regulation (EU GDPR) works in this context; it was passed in April 2016 and came into force in May 2018 across the European Union. This study is the first attempt to test the effectiveness of this legal reform for personal health data protection. Using the difference-in-difference (DID) approach, this study empirically examines the policy influence of the GDPR on the financial performance of hospitals across the European Union. Results show that hospitals with the digital health service suffered from financial distress after the GDPR was published in 2016. This reveals that during the transition period (2016–2018), hospitals across the European Union indeed made costly adjustments to meet the requirements of personal health data protection introduced by this new regulation, and thus inevitably suffered a policy shock to their financial performance in the short term. The implementation of GDPR may have achieved preliminary success.
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Nieminen, Irja, Shulamit Ramon, Ian Dawson, Paz Flores, Eithne Leahy, Maria Louise Pedersen, and Marja Kaunonen. "Experiences of Social Inclusion and Employment of Mental Health Service Users in a European Union Project." International Journal of Mental Health 41, no. 4 (December 2012): 3–23. http://dx.doi.org/10.2753/imh0020-7411410401.

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30

Salmaso, S. "European Union inventory of resources and means of control of communicable diseases." Eurosurveillance 3, no. 5 (May 1, 1998): 51–2. http://dx.doi.org/10.2807/esm.03.05.00109-en.

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The Istituto Superiore di Sanità (ISS) in Rome, in collaboration with the Public Health Laboratory Service (PHLS) in London, and the Swedish Institute for Infectious Diseases Control (SIIDC) in Stockholm, is conducting a scientific and technical analysis
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Kozyaruk, S. "Interaction of the trade union organization with internal stakeholders of educational institution." New Collegium 2, no. 104 (April 1, 2021): 49–53. http://dx.doi.org/10.30837/nc.2021.2.49.

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This article analyzes the interaction of the trade union organization with the internal stakeholders of the educational institution on the example of the experience of the People's Ukrainian Academy. The internal stakeholders of the educational and scientific complex have been identified: the staff (teachers, teaching and support staff), students, graduates, public organizations and councils of the academy; structural subdivisions, medical service, labor protection service; departments, sports club, etc. The main directions of the work of the trade union organization are allocated: care of health preservation; labor protection; social protection; help in acute life situations; catering; conducting cultural and sports programs; explanatory and consulting work (health care, pension issues, etc.). The structure of the integral part of the Trade Union Organization of the PUA - Trade Union of Students is considered and its main functional responsibilities are indicated: creation of a pro-staff in each academic group and organization of its work; conducting projects and programs to maintain a healthy lifestyle; patronage of senior courses over juniors and schoolchildren of the Specialized School of Economics and Law; assistance to students in solving educational and housing problems; organization of cultural and sports creative projects; holding a competition for the "Best Room" in the hostel; assistance in the organization of rest and improvement of students during the winter and summer vacations. The experience of the trade union committee in using the capabilities of all internal stakeholders of KhUH "PUA" to achieve a synergistic effect that facilitates the process of human adaptation to the conditions of constant change is presented.
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32

Isralowitz, Richard E., Shulamith L. A. Straussner, and Andrew Rosenblum. "Drug Abuse, Risks of Infectious Diseases and Service Utilization Among Former Soviet Union Immigrants." Journal of Ethnicity in Substance Abuse 5, no. 1 (March 8, 2006): 91–96. http://dx.doi.org/10.1300/j233v05n01_06.

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33

Duke, Simon. "The European External Action Service: Antidote against Incoherence?" European Foreign Affairs Review 17, Issue 1 (February 1, 2012): 45–68. http://dx.doi.org/10.54648/eerr2012003.

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The literature on coherence in European Union (EU) external action often fails to consider coherence at the level of services. This contribution aims to complement the existing literature by considering coherence in EU external action in the post-Lisbon Treaty institutional setting, with a specific emphasis upon the role of the European External Action Service (EEAS) and its responsibilities in this context. The core argument is that a number of practical steps can be taken to enhance coherence in both its vertical and horizontal domains and that there is some urgency to this. Failure to do so will only lead to incoherence, not only at the level of services but also beyond.
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34

Ozcan, Gizem, and Ayse Ozkaraman. "Is Health Literacy Clue on the Self-Efficacy of Diabetes Patients?" Annals of Medical Research 29, no. 9 (2022): 1. http://dx.doi.org/10.5455/annalsmedres.2022.02.069.

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Objective: This research was conducted to evaluate the relationship between health literacy level and self-efficacy in patients with diabetes mellitus. Methods: This cross-sectional study was conducted inpatient and outpatient clinic of internal medicine at the city hospital. The sample of the study consisted of 700 conscious patients diagnosed with diabetes mellitus for at least one year. The data of the study were collected using the Health Literacy Questionnaire-European Union Scale and Type 2 Diabetes Self-Efficacy Scale. Data were analyzed using regression analysis and correlation analyses. Results: In this study, the level of health literacy general index was sufficient level, and the average of the self-efficacy scale was high. It was observed that health promotion and health service literacy level were effectived in estimating the self-efficacy level of diabetes patients. As the health literacy level of patients for health service and health promotion increased, general self-efficacy level increased. Conclusion: Health promotion and health service literacy level are effective in estimating the self-efficacy level of diabetes patients.
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35

Langen, Tommy, Vimala Nunavath, and Ole Henrik Dahle. "A Conceptual Framework Proposal for a Noise Modelling Service for Drones in U-Space Architecture." International Journal of Environmental Research and Public Health 19, no. 1 (December 25, 2021): 223. http://dx.doi.org/10.3390/ijerph19010223.

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In recent years, there has been a rapid growth in the development and usage of flying drones due to their diverse capabilities worldwide. Public and private sectors will actively use drone technology in the logistics of goods and transporting passengers in the future. There are concerns regarding privacy and noise exposure in and around the rural and urban environment with the rapid expansion. Further, drone noise could affect human health. European Union has defined a service-orientated architecture to provide air traffic management for drones, called U-space. However, it lacks a noise modelling service (NMS). This paper proposes a conceptual framework for such a noise modelling service for drones with a use case scenario and verification method. The framework is conceptualized based on noise modelling from the aviation sector. The NMS can be used to model the noise to understand the accepted drone noise levels in different scenarios and take measures needed to reduce the noise impact on the community.
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36

Givan, Rebecca Kolins, and Stephen Bach. "Workforce Responses to the Creeping Privatization of the UK National Health Service." International Labor and Working-Class History 71, no. 1 (2007): 133–53. http://dx.doi.org/10.1017/s0147547907000373.

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AbstractWhen the British National Health Service was founded in 1948, professional employees and support staff, with the exception of family doctors, worked directly for the state. Since the 1980s, private employment in the National Health Service (NHS) has steadily grown. Beginning with the outsourcing of support services, the number of privately-employed workers in the National Health Service has gradually increased. This paper argues that marketization in the health sector has increased dramatically under the New Labour government. As policymakers have moved from ideological to pragmatic justifications for marketization, union opposition has similarly become more pragmatic and less ideological. With unions unable to stop these reforms, they have turned to the practical concerns of their members in partially-privatized workplaces under complex employment arrangements. This article shows that while ideologically opposing marketization, unions and employees have been forced into a more pragmatic position. Research at two privately-funded public hospitals shows that unions in the workplace have used their resources to protect their members, as thwarting the involvement of the private sector is nearly impossible.
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37

Koivusalo, Meri Tuulikki. "The Future of European Health Policies." International Journal of Health Services 35, no. 2 (April 2005): 325–42. http://dx.doi.org/10.2190/x120-pjfg-v1an-e2j7.

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The role of the European Union in health policies is changing. The European social model is under threat due to shifts in E.U. policies on liberalization of service provision, limited public budgets, a focus on the health sector as a productive sector in the context of broader European policies and the Lisbon strategy, and changes in the context of the new Constitutional Treaty. These changes are evident in a new reflection paper on European health strategy and its focus. E.U. health policies are at a critical juncture. The danger is that the current processes will lead European health policies and the health systems of member states more in the direction of U.S. health policies and the commercialization of health systems than toward improvement of the current situation.
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38

Ding, Xuhui, Zhongyao Cai, Wei Zhu, and Zhu Fu. "Study on the Spatial Differentiation of Public Health Service Capabilities of European Union under the Background of the COVID-19 Crisis." Healthcare 8, no. 4 (September 24, 2020): 358. http://dx.doi.org/10.3390/healthcare8040358.

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Access to public health services is a cause that benefits the people and concerns the vital interests of the people. Everyone has access to basic health care services. The continuous improvement in people’s health is an important indicator of the improvement in people’s quality of life. This paper selects data from the European Union (EU) on aspects of public health expenditure, medical care resources, and government emergency coordination capacity from the period 2008 to 2017. Principal component analysis and factor analysis are used to measure their public health service capacity scores and conduct a comparative analysis. On this basis, the TOBIT model is adopted to explore the driving factors that lead to the spatial differentiation of public health service capabilities, and to combine it with the data of the COVID-19 epidemic as of 8 August 2020 from the official announcements of the World Health Organization and governments for further thinking. The results indicate that the public health service capacity of countries in the EU is showing a gradual increase. The capacity in Western Europe is, in turn, higher than that of Northern Europe, Southern Europe and Eastern Europe. In addition, the overall capacity in Western Europe is relatively high, but it is not balanced and stable, while Northern Europe has remained stable and balanced at a high level. Population density, degree of opening up, education level, economic development level, technological innovation level, and degree of aging have a positive effect on public health service capabilities. The level of urbanization has a negative effect on it. However, in countries with strong public health service capabilities, the epidemic of COVID-19 is more severe. The emergence of this paradox may be related to the detection capabilities of countries, the high probability of spreading thCOVID-19 epidemic, the inefficient implementation of government policy, the integrated system of the EU and the adverse selection of youth. This paper aims to improve the ability of the EU to respond to public health emergencies, improve the utilization of medical and health resources, and better protect people’s health from the perspective of public health service capacity.
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39

Devi, Reetu, and Jasvinderjit Kaur. "Assessment of Attitude of Customers Towards Service Quality Dimensions in Health Insurance Sector in Punjab and Chandigarh." Journal of Technology Management for Growing Economies 13, no. 2 (October 1, 2022): 43–54. http://dx.doi.org/10.15415/jtmge.2022.132001.

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Background: The success of any corporation depends upon the availability of products and quality of service provided to its customers. Service quality in health insurance depends upon the capacity of the companies to fulfil the expectation of the customers. So, it becomes necessary for the health insurance companies to provide better services to its customers. Purpose: This study aims to measure the level of service quality in selected health insurance companies in Punjab and Chandigarh. Methodology: The data has been collected from 460 customers residing in Punjab and the Union Territory of Chandigarh who had the health insurance policy from different public and private sector companies. SERVPERF scale given by Cronin and Taylor (1992) consisting of 22 statements of the perceptions of service quality has been used in the present study to measure the level of service quality of the health insurance companies. Results: The findings highlighted that the customers have moderate level of positive attitude about the different dimensions of service quality namely tangibility, reliability, responsiveness, assurance and empathy of health insurance services provided by the selected companies. Conclusions: From the managerial point of view, the study would help health insurance companies to improve their service quality on all the dimensions namely tangibility, reliability, responsiveness, assurance and empathy to be successful and to survive for a long term in the market.
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40

Grubovic, Rada M., Emilija Velkova, Primoz Rozman, and Henk W. Reesink. "Strengthening of the Blood Safety System in the National Blood Transfusion Service - Implementation of the European Union IPA Project - at the Institute for Transfusion Medicine of the Republic of Macedonia." Open Access Macedonian Journal of Medical Sciences 2, no. 3 (September 15, 2014): 506–9. http://dx.doi.org/10.3889/oamjms.2014.091.

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The Safety of the Blood Supply in any country is of utmost importance to safeguard patients from serious adverse events of blood transfusion. Implementation of a Quality System in the Blood Transfusion Service, with support of Government and Ministry of Health is a key element to guarantee safe blood. The IPA TAIB 2009 project - Strengthening of the Blood Safety System executed in 2013/14 provided the means to start implementing a Quality System in the Institute for Transfusion Medicine of the Republic of Macedonia. This project aimed to ultimately bring the Blood Transfusion Service to European Union standards, allowing the exchange of blood components and all other types of collaboration with other European Union countries in future. The project put the basis for unification of blood transfusion standards and operating procedures in the whole country as well as set up essential education of blood transfusion personnel.
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41

Rigby, Michael J., Catherine E. Chronaki, Shalmali S. Deshpande, Peter Altorjai, Maria Brenner, and Mitch E. Blair. "European Union initiatives in child immunization— the need for child centricity, e-health and holistic delivery." European Journal of Public Health 30, no. 3 (October 23, 2019): 468–74. http://dx.doi.org/10.1093/eurpub/ckz199.

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Abstract Background Low childhood immunization rates in Europe are causing concern and have triggered several EU initiatives. However, these are counter-factual as they make immunization a stand-alone issue and cut across best practice in integrated child health services. They also focus unduly on ‘anti-vax’ pressures, generalize ‘vaccine hesitancy’ and overlook practical difficulties and uncertainties encountered by parents in real world situations about presenting children for immunization. Meanwhile European expertize in child health electronic record systems and relevant standards are ignored despite their being a potentially sound foundation ripe for enhancement. Methods Situation and literature reviews, and cohesion of two European research projects, led to shared investigation. As a result, two cross-sectoral expert workshops were held to consider digital health standards for harmonizing integrated preventive child health including immunization, and the work of other stakeholders such as the World Health Organisation and the European Centre for Disease Control. Results Progress in child health information models and digital health standards was assessed, areas needing further standards development identified and desirable steps towards innovation in service delivery and record keeping agreed. Conclusion The European Commission, member states and child health stakeholders should take an integrated approach to child health with immunization as a component. Service delivery should be sensitive to parental concerns and challenges, and the way child- and family-centric data are recorded and used should be enhanced. Services should be enabled by the International Patient Summary and related electronic health record standards and linkages, and evaluated to assess most effective systems and practice.
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42

Kamper, David. "Organizing in the Context of Tribal Sovereignty: The Navajo Area Indian Health Service Campaign for Union Recognition." Labor Studies Journal 30, no. 4 (January 2006): 17–39. http://dx.doi.org/10.1177/0160449x0603000402.

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43

Kamper, David. "Organizing in the Context of Tribal Sovereignty: The Navajo Area Indian Health Service Campaign for Union Recognition." Labor Studies Journal 30, no. 4 (2006): 17–39. http://dx.doi.org/10.1353/lab.2005.0081.

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44

Davydovich, A. R., S. V. Grinenko, A. S. Karamova, and O. P. Fesenko. "STRATEGIC DIRECTIONS FOR THE COMPETITIVENESS OF PRIMARY HEALTH CARE ORGANIZATIONS." Problems of Social Hygiene, Public Health and History of Medicine 30, no. 5 (December 15, 2022): 740–45. http://dx.doi.org/10.32687/0869-866x-2022-30-5-740-745.

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The article analyzes the current state of the medical service market of the Russian Federation, including: an assessment of the volume of paid medical services to the population, monetary expenses of households to pay for medical services, expenses of the consolidated budget of the Russian Federation for healthcare, investments in the fixed assets in healthcare, the volume of the pharmaceutical market in Russia and the imports of medicines and medical equipment.The rating of the largest non-governmental medical organizations in Russia in terms of revenue, the number of branches, the cost of initial admission and the number of patients was presented, the total revenue of the top 20 non-governmental medical organizations was analyzed.Negative trends affecting the current state of the medical service market were studied, the risks from the imposition of the sanctions and opportunities for further development of the medical services market were determined; measures of state support for health care in the context of sanctions were discussed.The conclusion presents perspectives for the development of the medical service market in the context of the sanctions imposed on the Russian Federation by the European Union, the United States and other states in connection with the special military operation in Ukraine.
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45

Wild, Claudia, Sue Simpson, Karla Douw, Sabine Geiger-Gritsch, Stefan Mathis, and Thomas Langer. "Information service on new and emerging health technologies: Identification and prioritization processes for a European Union–wide newsletter." International Journal of Technology Assessment in Health Care 25, S2 (December 2009): 48–55. http://dx.doi.org/10.1017/s0266462309990687.

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Objectives: EUnetHTA WP 7 (Strand B) aimed to promote sharing information on new and emerging technologies. The task was to develop a prototype of a newsletter and pilot the processes of production.Methods: The EuroScan database served as information source on pertinent technologies. To prioritize, a set of criteria for scoring the potential impact and for selecting the technologies for articles was applied and a pilot newsletter was produced.Results: Being objective and transparent about the content of a newsletter required a method for prioritizing health technologies. Using significance criteria, members of the prioritization panel selected twelve technologies for articles of different length and depth. Potential recipients, surveyed on relevance, content, timeliness, and readability responded mostly positive, but requested more information on cost effectiveness and criticized timeliness.Conclusions: Dissemination of an EU-wide newsletter would be feasible, but time-consuming. Although a newsletter appears to fulfill a need for information on emerging and new health technologies, it is not considered the right tool to avoid duplication of effort in the present international constellation of horizon scanning for new health technologies. Other options will be pursued as part of future collaborative actions, for example, a core set of early awareness information, or an on-demand electronic information system.
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46

Noeske, J., A. Mzembaba, Y. Assoumani, S. Maoulida, and A. Makpenon. "Evaluating TB diagnosis and care in the Union of the Comoros." Public Health Action 13, no. 1 (March 21, 2023): 23–27. http://dx.doi.org/10.5588/pha.22.0057.

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<sec> <title>SETTING:</title> The Union of the Comoros has experienced a persistent notification gap in TB cases despite several strategic changes, including molecular diagnosis and contact investigation. We therefore performed a TB patient pathway analysis (PPA) under the National Tuberculosis Programme (NTP). </sec> <sec> <title>OBJECTIVE:</title> To assess the alignment of healthcare-seeking behaviour and TB service availability to clarify the reasons for these missing cases. </sec> <sec> <title>DESIGN:</title> Three primary data sources, including a national list of health facilities, TB surveillance data and care-seeking behaviour data, were analysed at the national and regional levels to determine access to TB diagnosis and the initial point of care-seeking. Summary data were visualised using the standardised PPA Wizard programme, and the analysis was completed using demographic and socio-economic data. </sec> <sec> <title>RESULTS:</title> At the initial point of care-seeking, 18% of patients had access to TB services, available only in nine centralised public health facilities. Furthermore, 30% of patients initially consulted in the informal sector and 45% in the formal public or private sector in health facilities, both of which lacked the capacity for TB diagnosis or first-line treatment. </sec> <sec> <title>CONCLUSION:</title> The concentration of and limited access to TB services at the intermediate and central levels of care indicate a need for decentralisation efforts. </sec>
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47

Gatti, Mauro. "The EEAS in Multilateral Fora: Impact on EU Coherence at the UN General Assembly." European Foreign Affairs Review 26, Issue 1 (February 1, 2021): 157–76. http://dx.doi.org/10.54648/eerr2021013.

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The European External Action Service (EEAS) should coordinate the Union external action and, thus, enhance coherence in the EU’s participation in multilateral fora. This article verifies the EEAS’ practical impact on EU voting cohesion and unity of representation in multilateral fora over its first ten years of existence, through an analysis of empirical data regarding the EU’s performance at the UN General Assembly. The data suggest that the EEAS has not had a significant impact on EU Member States’ voting cohesion. However, the EEAS has promoted unity in the EU’s international representation: indeed, EU delegations – which are part of the EEAS – have become the main Union representatives at the UN General Assembly and their representative role is unchallenged by EU institutions and Member States. Despite the persisting divisions in EU foreign policy, the EEAS is likely to ensure an effective Union representation in multilateral fora in the future. EEAS, international institutions, international organisations, diplomacy, coherence, coordination, cooperation, representation, votes, statements
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48

YILDIRIM, Yavuz, and Sahin KAVUNCUBASI. "Comparison of Expectations and Perceptions of Resident European Union (EU) Citizens about Hospital Service Quality in Their Home Countries and Turkey." Revista de Cercetare si Interventie Sociala 71 (December 1, 2020): 285–304. http://dx.doi.org/10.33788/rcis.71.18.

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The aim of this research is to reveal the assessment of EU (European Union) citizens residing in Alanya regarding the quality of hospital services in both their own countries and Alanya. The study was carried out face-to-face with a survey method with 295 resident EU (European Union) citizens between June and August 2018 in Alanya. The analysis was done with the SPSS 22.0 package program. 229 (76.60%) of the participants are women and 66 (22.40%) are men, 159 (54%) are German citizens and 30 (10.22%) are British citizens. Expectations of EU citizens regarding hospital service quality are empathy, reliability and assurance, particularly physical assets and accountability. It was found that quality expectations of EU citizens were met in terms of accountability and reliability, whereas expectations related to other dimensions were not satisfied. The overall perception levels of EU citizens regarding hospitals in their own countries are higher than the overall levels of perception of hospitals in Alanya. For this, Hospital managers in Alanya need to pay particular attention to assurance, physical assets and empathy dimensions for better quality health service delivery.
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Degrand-Guillaud, Anne. "Characteristics of and Recommendations for EU Coordination at the UN." European Foreign Affairs Review 14, Issue 4 (November 1, 2009): 607–22. http://dx.doi.org/10.54648/eerr2009041.

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Abstract. This paper is the second article of a series of two papers focused on European Union (EU) coordination at the United Nations. It analyses characteristics of EU coordination through insider observations and suggests a set of recommendations for improving and simplifying some of the current ways of proceeding. This would be of particular interest for the future external action service of the EU, which will provide back up and support to the High Representative for the Union in Foreign Affairs. This new configuration should streamline and increase the impact and the coherence of the EU’s external action. The audience for this article is diplomats and professional negotiators at Member States and European level.
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Bakanov, Mikhail, Roger Bloor, Vasily Emptsov, and David Pearson. "A 7-year partnership between psychiatric services in Russia and the UK." Psychiatric Bulletin 29, no. 4 (April 2005): 144–46. http://dx.doi.org/10.1192/pb.29.4.144.

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Historically, relationships with mental health professionals working in Russia have been difficult to sustain due to problems with access and perceived human rights infringements that existed earlier (Poloahij, 2001). This has resulted in many Russian psychiatric institutions having little opportunity to collaborate in international research or to take part in exchanges of information on service development. However, with the dissolution of the Soviet Union in 1991, Russia has been brought back into spheres of international cooperation in healthcare.
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