Journal articles on the topic 'Public services policy advice and analysis'
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McAlexander, James H., and Debra L. Scammon. "Are Disclosures Sufficient? A Micro Analysis of Impact in the Financial Services Market." Journal of Public Policy & Marketing 7, no. 1 (January 1988): 185–202. http://dx.doi.org/10.1177/074391568800700114.
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Policymakers recognize that investments and investment decisions are vitally important to the financial stability of many families. Poor investment advice may result in decisions which may, in a literal sense, financially cripple a family. With the importance of investment decisions in mind, the purpose of this research is to explore the potential efficacy of public policy proposals designed to remedy the problems consumers have with the investment and financial services markets. To accomplish this purpose, this research takes a micro look at how consumers evaluate and choose investment services, a unique perspective for an impact evaluation.
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Berrett, Tim, Trevor Slack, and Dave Whitson. "Economics and the Pricing of Sport and Leisure." Journal of Sport Management 7, no. 3 (September 1993): 199–215. http://dx.doi.org/10.1123/jsm.7.3.199.
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Although considerable weight has been placed on the economist's advice in many areas of public policy, it is suggested that this has not been the case in the pricing of sport and leisure facilities and services. This paper provides an overview of the extent to which economic analysis can be used in the pricing of publicly funded sport and leisure facilities and services. It is reasoned that such facilities and services display both public-good attributes and positive externalities. As such, market pricing is an inappropriate allocation mechanism. Some problems associated with the practical application of economic models to determine user fees in publicly owned sport and leisure facilities are highlighted. An overview of some of the current issues in public facility management and allocation is offered, along with suggestions for further research.
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Arjon, Sugit. "Conflict Management in Indonesia: Policy Perspective and Analysis." Journal of Indonesian Social Sciences and Humanities 8, no. 1 (June 30, 2018): 1–10. http://dx.doi.org/10.14203/jissh.v8i1.88.
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This article focuses to analyze the roots of violence and this article examines at case studies from Indonesia. This article also aims at answering the effectiveness of policy in the conflict management by analysing the critical factors that involved in violent conflicts and briefly seek alternative solution to prevent it to happen in the future. This article aims to answer two central questions, firstly, how effective the Indonesian government policy on security and conflict. Secondly, what are the roles of NGOs to support the effectiveness of the policy on security and conflict. To prevent the future conflicts, there are three effective strategies that can be implemented and it need the collaboration between the policymakers and society. First, to design an effective early warning mechanism which able to inform a potential friction that can escalate to bigger conflict. Second, an effective policy to prevent conflict, to manage conflict, and peace building mechanisms in post-conflict. Third, urge the participation of non-state actors in conflict management. The Indonesian government and house of representatives have passed the bill on social conflict management written as Law No. 7/2012 or known as UU PKS. However, UU PKS arguably leaves plenty of loopholes. Moreover, the activities of NGOs on the conflict management can be divided into two main categories: public engagement and advocacy. Public engagement activities focus on services to the public while on the advocacy focuses to maintain communication and put pressure to the government. In public engagement activities, the NGOs offer the service to provide psychological and legal assistance, consulting the victims rights, consulting, legal advice, psychosocial support to the victims. Moreover, in the advocacy approach, the NGOs maintain the discussion and lobby to the government to ensure the peace and justice in law enforcement.
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Andrews, Christina. "Integrating public service motivation and self-determination theory." International Journal of Public Sector Management 29, no. 3 (April 11, 2016): 238–54. http://dx.doi.org/10.1108/ijpsm-10-2015-0176.
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Purpose – The purpose of this paper is to present a framework integrating theoretical insights, empirical research and practical advice emerging from public service motivation (PSM) and self-determination theory (SDT). It aims at demonstrating that, while PSM shows the relevance of public values for motivation, SDT explains how context affects it. Taking the two theoretical approaches as complementary to one another and by pointing out their “static” and “dynamic” features, the framework provides a theoretical foundation for organizational practices aimed at enhancing motivation in the public services. Design/methodology/approach – The framework is based on a review of PSM and SDT theoretical concepts and empirical studies; the analysis examines the implications and contributions of each approach to the understanding of motivation in the public services. Findings – The paper demonstrates that PSM and SDT are complementary theoretical approaches and that this complementarity can provide clearer guidance to practitioners and widen the understanding of motivation in the public services. Research limitations/implications – The framework considers only a few features pertaining motivation in the public services, such as public values, basic needs satisfaction, prosocial behaviour and socialization. Further research should explore additional factors. Practical implications – The framework provides an explanation of why some practices are likely to enhance motivation in the public services, while others are likely to deplete it. Originality/value – The framework does not limit itself to proposing the theoretical integration of PSM and SDT, but connects this integration to organizational practices.
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Abayomi, J. C., M. S. Charnley, L. Cassidy, M. T. Mccann, J. Jones, M. Wright, and L. M. Newson. "A patient and public involvement investigation into healthy eating and weight management advice during pregnancy." International Journal for Quality in Health Care 32, no. 1 (February 2020): 28–34. http://dx.doi.org/10.1093/intqhc/mzz081.
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Abstract Objective To conduct patient and public involvement (PPI) to gain insight into the experience of healthy eating and weight management advice during pregnancy. Design PPI in the planning and development of health interventions, aiming to ensure patient-centred care. Optimum nutrition and weight management are vital for successful pregnancy outcomes, yet many services report poor attendance and engagement. Setting Community venues in Liverpool and Ulster (UK). Participants Two PPI representatives were involved in all aspects of the study: design, interview questions, recruitment and collection/analysis of feedback. Intervention Feedback was collected via note taking during group discussions, two in Liverpool (n = 10 & 5); two in Ulster (n = 7 & 9) and an interview (n = 1, in Ulster). Main Outcome Measures Transcript data were collated and thematic analysis was applied in analysis. Results Thematic analysis identified three themes: (i) weight gain is inevitable in pregnancy; (ii) healthy eating advice is important but currently lacks consistency and depth and (iii) expectations regarding the type of knowledge/support. Conclusions PPI provides opportunity to enhance research design and offers valuable insight towards the needs of healthcare users. Pregnant women want positive health messages, with a focus on what they can/should do, rather than what they should not do. Midwives need to consider their communication with pregnant women, to ensure that their unique relationship is maintained, especially when the topics of diet and weight management are addressed. A well-designed digital intervention could improve access to pregnancy-specific nutrition information; empowering midwives to communicate patient-centred, healthy eating messages with confidence. This has the potential to change dietary and weight management behaviour in pregnant women.
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Steel, Emily J., Ricky Buchanan, Natasha Layton, and Erin Wilson. "Currency and Competence of Occupational Therapists and Consumers with Rapidly Changing Technology." Occupational Therapy International 2017 (2017): 1–5. http://dx.doi.org/10.1155/2017/5612843.
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Assistive technology was once a specialised field of practice, involving products designed for populations with specific impairments or functional goals. In Australia, occupational therapists have, at times, functioned as gatekeepers to public funding, prescribing products from a predefined list. An expanding range of accessible mainstream products available via international and online markets has changed the meaning and application of assistive technology for many people with disability. In the policy context of consumer choice and cost-effectiveness, have occupational therapists been left behind? This paper describes the change in context for access to assistive technology resulting in expanded possibilities for participation and inclusion. A case study of environmental control systems is used to explore the overlap of mainstream and assistive products and the funding and services to support their uptake. The analysis describes a future policy and practice context in which assistive technology includes a spectrum of products decoupled from access to independent advice and support services. A broader scope of occupational therapy practice has potential to enhance the occupational rights of people with disability and the efficiency and effectiveness of assistive technology provision.
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Aubin, David, and Marleen Brans. "Policy advisory styles in the francophone Belgian civil service." International Review of Administrative Sciences 86, no. 3 (October 2, 2018): 463–78. http://dx.doi.org/10.1177/0020852318785025.
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In a context of the rising importance of ministerial advisers, this article provides empirical evidence about the nature of involvement of civil servants in policy work. Based on a survey of graduated civil servants in francophone Belgium, it shows that civil servants are much involved in policy work even in a politico-administrative system characterised by strong ministerial cabinets. Belgian francophone civil servants are ‘incidental advisors’. They are less process generalists than issue specialists who mostly deal with policy implementation. Their policy advisory style oscillates between ‘rational technician’ and ‘client advisor’. Despite a low institutionalisation of policy advice in the civil service, civil servants significantly serve the ministers in the policy formulation (for harmonization) phase, supplying information and analysis and participating to the writing of policy-related texts. Points for practitioners The francophone Belgian case shows the importance of policy tasks conducted by civil servants. It also provides evidence about the importance of in-house policy-analytical capacity as it shows that civil servants primarily rely on internal information sources and consultation when involved in policy formulation.
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Godenhjelm, Sebastian, and Jan-Erik Johanson. "The effect of stakeholder inclusion on public sector project innovation." International Review of Administrative Sciences 84, no. 1 (March 14, 2016): 42–62. http://dx.doi.org/10.1177/0020852315620291.
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The delivery of public services in collaborative agency networks has given rise to an increasing use of projects in administering policy and service delivery. Projects are assumed to provide mechanisms by which flexibility can be achieved and innovative solutions produced. The aim of the article is to advance the understanding of collaboration between stakeholders and its effect on innovation. It analyses stakeholders’ influence on the creation of project innovations in 275 European Union-funded projects by using content analyses and logistic regression analyses. The results show that projects can act as hubs where valuable information is produced but that few projects produce innovations. Project stakeholder network, knowledge dissemination and project influence, as well as sources of advice, play a role in predicting project innovations. The article concludes that the overly optimistic view of collaboration as a remedy for a lack of innovation in the public sector can be questioned. Points for practitioners The results of the article help practitioners to compose public sector development projects that foster innovation. The results suggest that it pays to include representatives of research and education facilities among project staff as their inclusion predicts the possibilities of achieving innovations. The empirical findings provide insight into project innovation and indicate which practices to avoid. It is suggested that when managed correctly, stakeholder inclusion has an effect on public sector project innovation.
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Jolly, Andy, Jasber Singh, and Sunila Lobo. "No recourse to public funds: a qualitative evidence synthesis." International Journal of Migration, Health and Social Care 18, no. 1 (March 2, 2022): 107–23. http://dx.doi.org/10.1108/ijmhsc-11-2021-0107.
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Purpose This study aims to outlines the findings of the first qualitative evidence synthesis of empirical research on the impact of the No Recourse to Public Funds (NRPF) rule which prevents most temporary migrants from accessing social security benefits in the UK. Design/methodology/approach The review used the 2020 Preferred Reporting Items for Systematic reviews and Meta-Analyses protocol guidelines. Data were analysed by using Thomas and Harden’s (2008) thematic synthesis methodology. An initial 321 articles were identified from 13 databases, of which 38 studies met the inclusion criteria. Findings The key insights were that NRPF causes destitution and extreme poverty and has a disproportionate impact on racialised women. Studies found that support services were underdeveloped, underfunded, inconsistent and had a culture of mistrust and racism towards migrants. Migrants were often fearful of services due to concerns around deportation, destitution and state intervention around children. Research limitations/implications The review focussed on qualitative research. Future empirical and theoretical research is needed in the following areas: NRPF as a practice of everyday bordering, the role of the Home Office in creating and sustaining the policy; differing gendered experiences of NRPF; and a broader geographical scope which includes all four UK nations and takes an international comparative approach. Originality/value Despite an estimated 1.4 million people in the UK with NRPF (Citizens Advice, 2020), there is little policy or theoretical discussion of the experience of having NRPF or the implications of the rule. This lack of analysis is a significant gap in both our understanding of the landscape of poverty in the UK, and the ways in which immigration policies create extreme poverty. To the best of the authors’ knowledge, this paper is the first systematic qualitative review on NRPF, bringing together the research evidence on how NRPF negatively affects outcomes for migrants, local authority and voluntary sector responses to NRPF and theoretical perspectives on NRPF.
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Eronen, Ritva, Helen Calabretto, and Jan Pincombe. "Improving the professional support for parents of young infants." Australian Journal of Primary Health 17, no. 2 (2011): 186. http://dx.doi.org/10.1071/py10062.
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The objective of this study was to discuss ideas for improving child health services on the basis of findings of an observational study that was designed to explore the role of child health nurses in supporting parents during the first 6 months following the birth of an infant. As part of a larger study in a child health service in urban Australia, surveys were used to collect data from two independent samples of both parents and nurses at an 8-month interval. Data were condensed using factor analysis; regression analyses were used to determine which aspects of care were most important for the parents, and importance–performance analysis was used to determine which aspects of care needed improvement. While the majority of parents valued support from child health nurses, a need for improvement was identified in empowering parents to make their own decisions, discussing emotional issues with parents, providing continuity of care and giving consistent advice. Organisations should value and provide support for child health nurses in their invisible, non-quantifiable work of supporting families. The structure of child health services should also provide child health nurses continuity of care with the families they support.
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Mendonça, Patrícia Maria Emerenciano de, Anny Karine de Medeiros, and Edgilson Tavares de Araújo. "Modelos para parcerias entre governos e organizações da sociedade civil: análise comparativa de políticas de AIDS, assistência social e cultura no Brasil." Revista de Administração Pública 53, no. 5 (September 2019): 802–20. http://dx.doi.org/10.1590/0034-761220180049.
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Abstract This study contributes to the research on partnership models by comparing different policy areas, testing the existing typologies and developing new forms of analysis for the Brazilian context. The literature on partnerships regarding the nonprofit sector is focused on the great diversity of these organizations and the types of relationship they establish with the government to provide services. Most empirical studies on this issue seek to establish categories for the partnerships analyzed, usually comparing countries or policy areas on a macro level. This study observes how partnership models help to understand the differences among policy areas, observing cases in the areas of AIDS, social assistance, and culture in Brazil. The research introduced field level variables and organizational variables to establish clearer differences among the models, and to identify where they overlap. Differences among the models helped to test relational variables and use the partnership models to analyze the public policy areas on the interaction design with nonprofits. As for political implications, this study provides recommendations to advance in a governmental agenda on partnerships that can combine general guidelines with particularities related to each policy area. Finally, the study indicates that partnerships should be considered public policy instruments.
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Corr, L., H. Rowe, and J. Fisher. "Mothers’ perceptions of primary health-care providers: thematic analysis of responses to open-ended survey questions." Australian Journal of Primary Health 21, no. 1 (2015): 58. http://dx.doi.org/10.1071/py12134.
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General practitioners and maternal, child and family health nurses have a central role in postpartum primary health care for women and their infants. Positive client-provider relationships are particularly important for women experiencing mental health problems or unsettled infant behaviour. However, little is known about their experiences of postnatal primary health care. The study aimed to describe views of postnatal primary health care among women completing a residential early parenting programme and to identify potential strategies to enhance provider-patient interactions. Participants (n = 138) were women admitted with their infants to a private or a public early parenting service in Melbourne, Australia. Women completed a detailed self-report survey, including open-ended questions about experiences of primary health-care services, and a structured psychiatric interview to diagnose anxiety and depression. Survey responses were analysed thematically. Womens’ experiences of primary health care were influenced by their perceptions of provider competence and the quality of interactions. While similar positive characteristics of doctor and nurse care were valued, medical and nursing practices were judged in different ways. Women described GPs who listened, understood and were thorough as providing good care, and maternal, child and family health nurses were valued for providing support, advice and encouragement. Threats to therapeutic relationships with doctors included feeling rushed during consultations, believing that GPs were not mental health-care providers and the clinician not being ‘good’ with the infant; with nurses, problems included feeling judged or given advice that was inconsistent or lacked an evidence-base. Postpartum primary health care will be improved by unhurried consultations, empathic recognition, encouragement, evidence-informed guidance and absence of criticism.
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Mendonça, Patrícia Maria Emerenciano de, Anny Karine de Medeiros, and Edgilson Tavares de Araújo. "Models for government-nonprofits partnerships: a comparative analysis of policies for AIDS, social assistance and culture in Brazil." Revista de Administração Pública 53, no. 5 (September 2019): 802–20. http://dx.doi.org/10.1590/0034-761220180049x.
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Abstract This study contributes to the research on partnership models by comparing different policy areas, testing the existing typologies and developing new forms of analysis for the Brazilian context. The literature on partnerships regarding the nonprofit sector is focused on the great diversity of these organizations and the types of relationship they establish with the government to provide services. Most empirical studies on this issue seek to establish categories for the partnerships analyzed, usually comparing countries or policy areas on a macro level. This study observes how partnership models help to understand the differences among policy areas, observing cases in the areas of AIDS, social assistance, and culture in Brazil. The research introduced field level variables and organizational variables to establish clearer differences among the models, and to identify where they overlap. Differences among the models helped to test relational variables and use the partnership models to analyze the public policy areas on the interaction design with nonprofits. As for political implications, this study provides recommendations to advance in a governmental agenda on partnerships that can combine general guidelines with particularities related to each policy area. Finally, the study indicates that partnerships should be considered public policy instruments.
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Chadborn, Neil, Chris Craig, Gina Sands, Justine Schneider, and John Gladman. "Improving community support for older people’s needs through commissioning third sector services: a qualitative study." Journal of Health Services Research & Policy 24, no. 2 (April 2019): 116–23. http://dx.doi.org/10.1177/1355819619829774.
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Aim This exploratory study of commissioning third sector services for older people aimed to explore whether service data was fed back to commissioners and whether this could improve intelligence about the population and hence inform future commissioning decisions. Background Third sector services are provided through charities and non-profit community organizations, and over recent years services have developed that assess and advise people for self-management or provide wellbeing support in the community. Third sector services have an opportunity to reach vulnerable populations and to provide intelligence about them. Some third sector services are state funded (commissioned) in the United Kingdom. While evidence is available about the commissioning of statutory health and social care, as well as private providers, there is limited evidence about how third sector health services are funded. Methods Participants were recruited from commissioner organizations and third sector organizations, both with an interest in supporting the independence, self-management and wellbeing of older people. Organizations were recruited from five purposively selected sites within one region of England (East Midlands). Semi-structured interviews explored the relationships between commissioners and providers and the nature of funding arrangements, including co-production. Interviews also explored collection of data within the service and how data were fed back to commissioners. Focus groups were held with older people with the potential to benefit from wellbeing services. Results Commissioning arrangements were varied, sometimes complex, and often involved co-production with the third sector. Commissioners valued third sector organizations for their engagement with the local community, value for money, outreach services and ability to provide information about the community. Assessing the needs and outcomes of individuals was integral to delivery of support and advice to older people. Diverse approaches were used to assess an individual’s needs and outcomes, although there were concerns that some assessment questionnaires may be too complex for this vulnerable group. Assessment and outcomes data were also used to monitor the service contract and there was potential for the data to be summarized to inform commissioning strategies, but commissioners did not report using assessment data in this way, in practice. While the policy context encouraged partnerships with third sector organizations and their involvement in decision making, the relationship with third sector organizations was not valued within contract arrangements, and may have been made more difficult by the tendering process and the lack of analysis of service data. Conclusion This exploratory study has demonstrated a diversity of commissioning arrangements for third sector services across one region of England. Most commissioners invited co-production; that is, the commissioners sought input from the third sector while specifying details of the service. Service data, including assessments of needs and outcomes, were reported to commissioners, however commissioners did not appear to use this to full advantage to inform future commissioning decisions. This may indicate a need to improve measurement of needs and outcomes in order to improve the credibility of the commissioning process.
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Patterson, S. M., C. A. Cadogan, H. E. Barry, and C. M. Hughes. "A survey of the community pharmacy workforce’s preparedness for, and response to, the COVID-19 pandemic in Northern Ireland." International Journal of Pharmacy Practice 30, Supplement_1 (April 1, 2022): i15—i16. http://dx.doi.org/10.1093/ijpp/riac021.021.
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Abstract Introduction Community pharmacy is one of the most accessible sectors in the health service and played a key role in responding to COVID-19 (1). Efforts to tackle COVID-19 have required an immediate response from the community pharmacy workforce. Aim To examine views and experiences of community pharmacists regarding changes in practice/processes in preparation for and response to the COVID-19 pandemic. Methods A telephone questionnaire was conducted across a geographically stratified sample of community pharmacists in Northern Ireland (NI). Based on the total number of pharmacies (N=528) and an anticipated response rate of 30%, up to 433 pharmacies were to be contacted to achieve a target sample size of n=130 (sampling fraction 24%). The questionnaire sections comprised: (1) measures taken to prevent COVID-19 infection; (2) response to the pandemic, i.e. immediate actions taken, effect on service provision and new/innovative ways of working; (3) pandemic preparedness; (4) communication with GPs and patients; (5) professional knowledge; (6) recovery and future outlook. Data were coded, entered into SPSS v27, and analysed descriptively. Free-text comments were summarised using thematic analysis. Results One hundred and thirty community pharmacists (175 approached) completed the questionnaire (74% response rate). Pharmacists responded comprehensively to implementing infection control measures, e.g. management of social distancing in the shop (n=125, 96.2%), making adjustments to premises, e.g. barriers/screens (n=124, 95.4%), while maintaining medicines supply (n=130, 100.0%) and advice to patients (n=121, 93.1%). Patient-facing services such as minor ailments and smoking cessation were initially stopped by 115 (88.5%) and 93 (71.5%) pharmacies respectively during the first wave of the pandemic (March-May 2020); by the second wave (Sep-Dec 2020), modified services had resumed in 121 (93.1%) and 104 (79.9%) pharmacies respectively. Newly commissioned services were provided, e.g. emergency supply service (n=121, 93.1%), flu vaccination for healthcare workers (n=101, 77.7%) and volunteer deliveries to vulnerable people (n=71, 54.6%); new initiatives were developed, e.g. measures to flag/assist patients with sensitive issues (n=73, 56.2%). Pharmacies with a business continuity plan increased from 85 (65.4%) pre-pandemic to 101 (77.7%) during the second wave. Free-text responses indicated how pharmacists adapted practice in the front line to reassure and advise the public and maintain essential medicines supply. Pharmacists were least prepared for the increased workload and patients’ challenging behaviour, but 126 (96.9%) reported that they felt better prepared during the second wave. Telephone was the main method of communication with patients (n=107, 82.3%) and GPs (n=114, 87.7%). Pharmacists felt they had sufficient training resources available (n=113, 86.9%) to maintain professional knowledge. Pharmacists agreed/strongly agreed that they would be able to re-establish normal services (n=114, 87.7%), were willing to administer COVID-19 vaccines (n=105, 80.7%) and provide COVID-19 testing (n=79, 60.8%) in the future. Conclusion The high response rate is a strength of the study, but the impact is limited by not including patients or service commissioners. The pharmacy workforce remained accessible and maintained supply of essential medicines and advice to patients throughout the pandemic. Provision of modified and additional services such as vaccination reinforced the clinical and public health role of pharmacy. Reference (1) Cadogan CA, Hughes CM. On the frontline against COVID-19: Community pharmacists’ contribution during a public health crisis. Res Soc Adm Pharm. 2020; 17: 2032–2035.
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Salami, Bukola, Benjamin Denga, Robyn Taylor, Nife Ajayi, Margot Jackson, Msgana Asefaw, and Jordana Salma. "Access to mental health for Black youths in Alberta." Health Promotion and Chronic Disease Prevention in Canada 41, no. 9 (September 2021): 245–53. http://dx.doi.org/10.24095/hpcdp.41.9.01.
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Introduction The objective of this study was to examine the barriers that influence access to and use of mental health services by Black youths in Alberta. Methods We used a youth-led participatory action research (PAR) methodology within a youth empowerment model situated within intersectionality theory to understand access to health care for both Canadian-born and immigrant Black youth in Alberta. The research project was co-led by an advisory committee consisting of 10 youths who provided advice and tangible support to the research. Seven members of the advisory committee also collected data, co-facilitated conversation cafés, analyzed data and helped in the dissemination activities. We conducted in-depth individual interviews and held four conversation café-style focus groups with a total of 129 youth. During the conversation cafés, the youths took the lead in identifying issues of concern and in explaining the impact of these issues on their lives. Through rigorous data coding and thematic analysis as well as reflexivity and member checking we ensured our empirical findings were trustworthy. Results Our findings highlight key barriers that can limit access to and utilization of mental health services by Black youth, including a lack of cultural inclusion and safety, a lack of knowledge/information on mental health services, the cost of mental health services, geographical barriers, stigma and judgmentalism, and limits of resilience. Conclusion Findings confirm diverse/intersecting barriers that collectively perpetuate disproportional access to and uptake of mental health services by Black youths. The results of this study suggest health policy and practice stakeholders should consider the following recommendations to break down barriers: diversify the mental health service workforce; increase the availability and quality of mental health services in Black-dominated neighbourhoods; and embed anti-racist practices and intercultural competencies in mental health service delivery.
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Martin-Ortega, Olga, and Claire Methven O'Brien. "Advancing Respect for Labour Rights Globally through Public Procurement." Politics and Governance 5, no. 4 (December 14, 2017): 69–79. http://dx.doi.org/10.17645/pag.v5i4.1073.
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Governments are mega-consumers of many manufactured products and services. As such they should in principle be able to influence workers’ rights abroad via the terms of purchase contracts. Yet to date little attention has been paid to the potential of public procurement to promote respect for labour rights globally besides the international trade law framework. Building on a limited emerging scholarship and policy developments, this article addresses this gap. Section 2 considers legal definitions of public procurement and distinguishes primary and secondary aims of procurement under key international and regional procurement regimes. This highlights that, although historically used to advance labour rights domestically, these regimes have restricted public buyers’ scope to advance labour rights beyond national borders. Section 3 explores new international policy frameworks on responsible global value chains and supply chains which by contrast appear to augur the greater use of public procurement to promote labour rights globally in future. Section 4 argues, supported by analysis of the limited examples available, that public buying has the potential to positively influence enjoyment of labour rights in practice. Concluding, Section 5 reflects on what the more specific impacts of public procurement in this context may be, and how public buying should complement other mechanisms for improving labour conditions across supply chains, such as social clauses in trade agreements. Finally, we outline issues for further research and the future policy agenda.
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Avery, Mark, Allan Cripps, and Gary D. Rogers. "Assessing Quality of Healthcare Delivery When Making Choices: National Survey on Health Consumers’ Decision Making Practices." Asia Pacific Journal of Health Management 16, no. 1 (February 28, 2021): 11–20. http://dx.doi.org/10.24083/apjhm.v16i1.599.
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Objective: Choices and quality decisions made by consumers in relation to their healthcare have been associated with personal experience of those services, interpersonal engagement and reliance on third-party information, as well as the subsequent satisfaction with the service. The purpose of this research was to understand current information sources, determinants of quality discernment and decision-making factors by consumers in the Australian community in relation to healthcare. Method: Conventional content analysis research was undertaken in the form of a national telephone survey of 200 consumers. Open-ended questions were used to elicit information from the general community. Results: Reputation and other key interpersonal and structural elements are utilised in determining quality of healthcare services as well as in deployment as key factors in decision-making regarding use of healthcare services. While most respondents valued and used key information about provider relationships, outcomes performance and performance rankings, up to 20% of respondents did not know or could not identify ways in which they would assess and evaluate the quality of healthcare services. Conclusion: This research identifies that consumers use a range of information and advice relating to experience, interpersonal engagement and information from third-party sources. If healthcare providers develop clearer communications around their technical, procedural and conduct principles, consumers will be in a better position to evaluate reputation and make decisions about their healthcare needs and the health system.
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Douglas, Pamela S., Yvette Miller, Anne Bucetti, Peter S. Hill, and Debra K. Creedy. "Preliminary evaluation of a primary care intervention for cry-fuss behaviours in the first 3-4 months of life (‘The Possums Approach’): effects on cry-fuss behaviours and maternal mood." Australian Journal of Primary Health 21, no. 1 (2015): 38. http://dx.doi.org/10.1071/py13011.
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Problem crying in the first few months of life is both common and complex, arising out of multiple interacting and co-evolving factors. Parents whose babies cry and fuss a lot receive conflicting advice as they seek help from multiple health providers and emergency departments, and may be admitted into tertiary residential services. Conflicting advice is costly, and arises out of discipline-specific interpretations of evidence. An integrated, interdisciplinary primary care intervention (‘The Possums Approach’) for cry-fuss problems in the first months of life was developed from available peer-reviewed evidence. This study reports on preliminary evaluation of delivery of the intervention. A total of 20 mothers who had crying babies under 16 weeks of age (average age 6.15 weeks) completed questionnaires, including the Crying Patterns Questionnaire and the Edinburgh Postnatal Depression Scale, before and 3−4 weeks after their first consultation with trained primary care practitioners. Preliminary evaluation is promising. The Crying Patterns Questionnaire showed a significant decrease in crying and fussing duration, by 1 h in the evening (P = 0.001) and 30 min at night (P = 0.009). The median total amount of crying and fussing in a 24-h period was reduced from 6.12 to 3 h. The Edinburgh Postnatal Depression Scale showed a significant improvement in depressive symptoms, with the median score decreasing from 11 to 6 (P = 0.005). These findings are corroborated by an analysis of results for the subset of 16 participants whose babies were under 12 weeks of age (average age 4.71 weeks). These preliminary results demonstrate significantly decreased infant crying in the evening and during the night and improved maternal mood, validating an innovative interdisciplinary clinical intervention for cry-fuss problems in the first few months of life. This intervention, delivered by trained health professionals, has the potential to mitigate the costly problem of health professionals giving discipline-specific and conflicting advice post-birth.
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Pisani, Domenico, Pasquale Pazienza, Enrico Vito Perrino, Diana Caporale, and Caterina De Lucia. "The Economic Valuation of Ecosystem Services of Biodiversity Components in Protected Areas: A Review for a Framework of Analysis for the Gargano National Park." Sustainability 13, no. 21 (October 23, 2021): 11726. http://dx.doi.org/10.3390/su132111726.
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Protected areas play an important role in the conservation and protection of biodiversity of particular territories, especially of ecosystems that provide resources for living organisms, including human beings. Different studies highlight the importance of biodiversity and its associated benefits in terms of ecosystem services of protected areas. The economic assessment of ecosystem services and biodiversity becomes a viable solution to help the policy maker to make decisions on the environmental preservation of these areas according to the Agenda 2030 for Sustainable Development. Nonetheless, very few studies provide an economic evaluation of the benefits of protected areas. To advance the current debate on the economic evaluation of the benefits provided by protected areas, the present paper purposes an integrated approach. It presents an overview of main ecosystem services’ mapping techniques currently available to researchers and policy makers and offers a systematic review carried out for the period 2015–2020 at an international level. The main findings are particularly attractive for the Gargano National Park (GNP) in the south of Italy, which is recognised as being a biodiversity hot spot at global level. The current study provides useful guidance for the assessment of trade-offs, the support to policy makers, and the provision of efficient allocation of public resources for protected areas.
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Syamsir, Syamsir. "The Influence of Public Service Motivation on Service Quality of Civil Servants in West Sumatra Indonesia." European Journal of Economics and Business Studies 5, no. 1 (August 30, 2016): 33. http://dx.doi.org/10.26417/ejes.v5i1.p33-41.
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Background ¬– Most of PSM studies tend to conclude that PSM cases and theories are cross-culturally viable. Besides, so far, most PSM research focuses more on employees (public and private) in the Western and developed countries; and almost no study of the PSM in developing countries. In addition, most of the PSM theories tended to generalize the assumptions of the PSM among employees and often ignore cultural dimensions in their analysis, including in relation to the effect of PSM on the quality of work. Purpose – The purpose of this study was to find out the influence of Public Service Motivation (PSM) on service quality of civil servants in a wide range of government agencies in the province of West Sumatra. Design/methodology/approach – This study used quantitative methods. Data were collected through proportional stratified random sampling from a sample consisted of 1,270 respondents from some government institutions in West Sumatra province. Data were analyzed with multiple regression analysis. Finding – The finding of this study indicated that the overall public service motivation significantly influenced on the service quality of civil servants in a wide range of government agencies in West Sumatra province. Besides, the results of this study also indicated that the PSM dimension associated with commitment to public interest have a greater influence than the other dimensions of PSM, namely attraction to public policy making, compassion, and self sacrifice. Practical Implications – This study would be offering a consideration and advice to the local government about the need to consider the aspects of public service motivation in improving the service quality of civil servants, especially in West Sumatra Indonesia.
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Fung, Thomas, Penelope Abbott, Amit Arora, Ajesh George, Amy Villarosa, and Jennifer Reath. "Oral health care in urban general practice: what are the support and training needs?" Australian Journal of Primary Health 27, no. 4 (2021): 265. http://dx.doi.org/10.1071/py20239.
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Patients with oral health problems often attend GPs instead of dentists, particularly in rural areas. There has been little research exploring challenges in providing oral health care in urban general practice. A cross-sectional survey of GPs in Greater Western Sydney explored their experiences, knowledge, confidence, and their oral health educational needs. Descriptive statistics and content analysis was undertaken. Forty-nine GPs reported experience of a wide range of oral health presentations. Approximately 60% were confident to undertake oral health examinations and determine the cause of acute toothache. Although 87% were confident providing preventative oral health advice, most did not include this in routine health assessments. Only 41% were confident explaining eligibility for public dental services. Barriers to providing oral health care were time constraints, lack of equipment and limited oral health training. Our research highlights oral health support and training needs in urban Australian general practice, as well as the need for systems-wide change to oral health training in outer urban settings to tackle health inequity, similar to those advocated in rural Australia.
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Bakari, Hamis, and Gladys Reuben Mahiti. "Factors for Late Initiation of Antenatal Care in Kahama Municipal, Tanzania." European Journal of Clinical Medicine 3, no. 1 (January 4, 2022): 1–10. http://dx.doi.org/10.24018/clinicmed.2022.3.1.149.
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Background: Maternal mortality is a major public health issue in developing countries due to its shocking magnitude and lower declining pattern, 295 000 women died of pregnancy or childbirth related complications in 2017. Late initiation of Antenatal Care (ANC) services in most low-income countries like Tanzania has been reported as a major problem which increase maternal mortality rate (MMR). However, different factors for late initiation of antenatal care are not well identified. Therefore, this study aimed to identify factors for late initiation of antenatal care both individual factors and health policy factors as per pregnant women and health care providers opinions in Kahama Municipal, Tanzania.
Broad Objective: The study focused on assessment of factors for late initiation of Antenatal Care (ANC) in Kahama Municipal, Tanzania.
Materials and Methods: This study was conducted using a qualitative method with exploratory approach which was carried out to explore factors for late initiation of antenatal care in Kahama Municipal. An in-depth interview (IDI) and Focus Group Discussion (FGD) were methods used to collect data. The study comprised of 14 in-depth interviews (IDIs) with pregnant women with age range of 18 years to 49 years attending antenatal care clinics in two health facilities and 4 in-depth interviews (IDIs) with health care providers attending pregnant women during antenatal care clinic visit. Furthermore, two Focus Group Discussions (FGDs), one from each health facility with pregnant women were conducted.
Data Analysis: Thematic analysis was conducted through use of inductive approach. The audio recordings were conducted using the Swahili language then transcribed and translated into the English language where themes were obtained after translation.
Results: Findings obtained from this study were factors for late initiation of antenatal care as reported by both pregnant women and health care providers. Factors for late initiation of antenatal care were under guidance of Health Behavioral Modal (HBM): Factors mentioned by pregnant women included pregnant women education level, negligence of pregnant women to attend clinic, unplanned pregnancy among couples, distance from pregnant women settlement to the facility, pregnant women misconceptions related to antenatal care services, use of local herbs, pregnancy complications, , unfriendly services and unequal gender power relation within a family. Factors mentioned by health care providers based on health policy and managerial factors such as Partner accompanying policy, distant allocation of health facility from people’s settlement and unfriendly services provided by health care providers. Conclusion: This study focused on assessing factors for late initiation of antenatal care in Kahama municipal council in Shinyanga, Tanzania. Different factors for late initiation of antenatal care were reported which included pregnant women and health care providers. Pregnant women education level, negligence of pregnant women to attend clinic, unplanned pregnancy among couples, and distance from pregnant women settlement to the facility, pregnant women misconceptions related to antenatal care services, use of local herbs, pregnancy complications. Health policy and managerial related factors were partner accompanying policy, unfriendly services, and allocation of health facility.
Recommendation: However different improvement made on maternal health services in Tanzania but still some of pregnant women are not utilizing it efficiently because of different obstacles like distance from people’s settlement to the health facility, Partner accompanying policy and unfriendly services provided by health care providers. Through such obstacles as a policy maker, I would like to advice Government through Ministry of Health to allocate health facility nearby people’s settlement, providing outreach program to educate the community about antenatal care rather than relying on partner accompanying policy and lastly is provision of refresher training related to client’s rights during health care services provision to all staff.
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Chilman, Natasha, Nicola Morant, Brynmor Lloyd-Evans, Jane Wackett, and Sonia Johnson. "Twitter Users’ Views on Mental Health Crisis Resolution Team Care Compared With Stakeholder Interviews and Focus Groups: Qualitative Analysis." JMIR Mental Health 8, no. 6 (June 29, 2021): e25742. http://dx.doi.org/10.2196/25742.
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Background Analyzing Twitter posts enables rapid access to how issues and experiences are socially shared and constructed among communities of health service users and providers, in ways that traditional qualitative methods may not. Objective To enrich the understanding of mental health crisis care in the United Kingdom, this study explores views on crisis resolution teams (CRTs) expressed on Twitter. We aim to identify the similarities and differences among views expressed on Twitter compared with interviews and focus groups. Methods We used Twitter’s advanced search function to retrieve public tweets on CRTs. A thematic analysis was conducted on 500 randomly selected tweets. The principles of refutational synthesis were applied to compare themes with those identified in a multicenter qualitative interview study. Results The most popular hashtag identified was #CrisisTeamFail, where posts were principally related to poor quality of care and access, particularly for people given a personality disorder diagnosis. Posts about CRTs giving unhelpful self-management advice were common, as were tweets about resource strains on mental health services. This was not identified in the research interviews. Although each source yielded unique themes, there were some overlaps with themes identified via interviews and focus groups, including the importance of rapid access to care. Views expressed on Twitter were generally more critical than those obtained via face-to-face methods. Conclusions Traditional qualitative studies may underrepresent the views of more critical stakeholders by collecting data from participants accessed via mental health services. Research on social media content can complement traditional or face-to-face methods and ensure that a broad spectrum of viewpoints can inform service development and policy.
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Quynh Mai, Vu, Hoang Van Minh, Nguyen Truong Nam, Hoang Thao Anh, Nguyen Minh Van, Nguyen Thi Trang, and Donna Shelley. "Cost Analysis of Community-Based Smoking Cessation Services in Vietnam: A Cluster-Randomized Trial." Health Services Insights 14 (January 2021): 117863292110309. http://dx.doi.org/10.1177/11786329211030932.
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The study aimed to estimate the cost for developing and implementing 2 smoking cessation service delivery models that were evaluated in a 2-arm cluster randomized trial in Commune Health Centers (CHCs) in Vietnam. In the first model (4As) CHC providers were trained to ask about tobacco use, advise smokers to quit, assess readiness to quit, and assist with brief counseling. The second model included the 4As plus a referral to Village Health Workers (VHWs) who were trained to provide multisession home-based counseling (4As + R). An activity-based ingredients (ABC-I) costing approach with a healthcare provider perspective was applied to collect the costs for each intervention model. Opportunity costs were excluded. Costs during preparation and implementation phase were estimated. Sensitivity analysis of the cost per smoker with the included intervention’ activities were conducted. The cost per facility-based counseling session ranged from USD 9 to USD 11. Cost per home-based counseling session at 4As + R model was USD 4. The non-delivery cost attributed to supportive activities (eg, Monitoring, Logistic, Research, General training) was USD 107 per counseling session. Cost per smoker ranged from USD 6 to USD 451. The study analyzed and compared cost of implementing and scaling community-based smoking cessation service models in Vietnam.
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Sokolskaya, Maria A., Vladimir A. Shvartz, Eleonora A. Hugaeva, and Olga L. Bockeria. "The demand and interest of patients with cardiosurgical pathology in remote dynamic follow up using Internet services." HEALTH CARE OF THE RUSSIAN FEDERATION 65, no. 3 (July 12, 2021): 222–29. http://dx.doi.org/10.47470/0044-197x-2021-65-3-222-229.
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Modern medicine develops rapidly in the digital direction, and new information and telemedicine technologies are actively introduced in clinical practice. Purpose. To identify the category of cardiac surgical patients interested in the remote dynamic follow-up after the discharge from the hospital, using the Internet services and the factors that affect this. Material and methods. The study was conducted at the base of the department of surgical treatment of interactive pathology of the Bakoulev National Medical Research Center for Cardiovascular Surgery of the Russian Federation. The study was prospective. Before the discharge, patients answered a series of questions combined into an anonymous questionnaire. The questions concerned education, social status of the patient, age, gender, patient interest in remote follow up after discharge, use of the Internet and social networks, satisfaction with the treatment. Results. The study included 652 patients with a mean age of 58±12.5 years. 44% of them were women, 56% were men. More than 85% of patients expressed a positive opinion about such an initiative as using web services for remote consulting. Further analysis was aimed to identify possible differences between those patients who answered positively about remote follow up and those who were not interested. Statistically significant differences were revealed in the following indicators: education, sex, age, frequency of Internet use, use of social networks, place of residence and work status. Conclusions. The study confirms the demand among patients for the availability of services for their remote follow-up, which would perform the function of providing expert advice and the storage of archives of patients’ medical documents. Younger patients who are active Internet users and who have university education are potentially interested in this service. Such services would allow the patient to keep in touch with the doctor of the Department where surgical treatment was carried out, which would undoubtedly increase patients’ adherence to the treatment and recommendations.
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Trip, Ilse, Sherie George, Micheal Thomson, Russell D. Petty, and Mark A. Baxter. "Cancer Treatment Helpline: a retrospective study of the NHS Tayside experience." BMJ Open Quality 10, no. 2 (June 2021): e001488. http://dx.doi.org/10.1136/bmjoq-2021-001488.
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BackgroundTreatment-related toxicity and delays in the management of this toxicity can impact the outcomes of patient with cancer. In Scotland, a national cancer helpline was established to provide triage assessment for patients receiving systemic anticancer therapy (SACT) in an attempt to minimise delays in toxicity management. In this article, we describe the use and impact of the helpline in our region over the last 5 years.MethodsPatients who contacted the NHS Tayside cancer helpline between 1 January 2016 and 31 December 2020 were retrospectively identified. Patient demographics as well as the reason and outcome of each call was recorded. A descriptive analysis was performed.Results6562 individual patients received SACT and 8385 calls were recorded during the time period. Median age of callers was 63 years (range 17–98) and 59.2% were women. Use of the helpline increased by 83.6% between 2016 and 2020, driven by an increase in in-hours calls. 41% of calls required review by a healthcare professional only, 24% required review and admission and the remaining 35% telephone advice only. The majority of cases (85%) were either assessed or advised solely by oncology. The proportional use of general practitioner services has decreased.ConclusionsThe helpline provides a way for patients to report symptoms directly to their clinical team and receive appropriate specialist advice at an early stage. We demonstrate that most of these calls can be managed solely by our oncology team. This system can reduce pressure on other parts of the local health system.
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Greer, Scott L., Ellen Stewart, Angelo Ercia, and Peter Donnelly. "Changing health care with, for, or against the public: an empirical investigation into the place of the public in health service reconfiguration." Journal of Health Services Research & Policy 26, no. 1 (July 19, 2020): 12–19. http://dx.doi.org/10.1177/1355819620935148.
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Objectives This study sought to understand the different approaches taken to involving the public in service reconfiguration in the four United Kingdom health systems. Methods This was a multi-method study involving policy document analysis and qualitative semi-structured interviews in England, Northern Ireland, Scotland and Wales. Results Despite the diversity of local situations, interview participants tended to use three frames within which they understood the politics of service reconfigurations: an adversarial approach which assumed conflict over scarce resources (change against the public); a communications approach which defined the problem as educating the public on the desirability of change (change for the public); and a collaborative approach which attempted to integrate the public early into discussions about the shape and nature of desirable services (change with the public). These three framings involved different levels of managerial time, energy, and resources and called on different skill sets, most notably marketing and communications for the communications approach and community engagement for the collaborative approach. Conclusions We argue that these framings of public involvement co-exist within organisations. Health system leaders, in framing service reconfiguration as adversarial, communicative or collaborative, are deciding between conceptions of the relationship between health care organisations and their publics in ways that shape the nature of the debates that follow. Understanding the reasons why organisations adopt these frames would be a fruitful way to advance both theory and practice.
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Islam, Ishrat, Anthony Byrne, and Annmarie Nelson. "27 Understanding public attitudes: a crucial component for developing palliative care services." BMJ Supportive & Palliative Care 8, no. 3 (September 2018): 370.1–370. http://dx.doi.org/10.1136/bmjspcare-2018-mariecurie.27.
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IntroductionA major challenge in developing new models of palliative care is to identify the current needs of the public patients and carer (Dixon 2015). There is a lack of evidence on people’s attitudes towards end of life care (EoLC) in Wales.AimTo increase understanding of people’s feelings views knowledge and preferences around EoLC.MethodAn online survey was conducted using an electronic survey tool. Descriptive statistics and thematic analysis were used to perform data analysis.Results2210 people (Age: Mean +SD; 55+14 years) participated in the survey 43% of those were members of the general public 29% were patients/carers and 23% were health professionals. 49% of respondents thought that available palliative care was inadequate and 92% believed that end of life care for dying people should have equal priority for the NHS. 95% of respondents thought that expressing preferences around EoLC in advance was important but only 13% had done this in practice and 60% did not know how to plan their EoLC. However the top three needs in EoLC were identified as having a trained carer (84%) access to other professionals (59%) and emergency care (44%). The top three preferences for EoLC were being surrounded by loved ones (62%) maintaining dignity (55%) and a feeling of peace (40%). Just 24% respondents would chose to be at home while receiving EoLC.ConclusionsUnderstanding public attitudes is essential to understanding changing contexts of care. Developing a need-based palliative care model enhances an effective service delivery.Reference. Dixon J, et al. Equity in the provision of palliative care in the UK: Review of evidence2015;pg. 1–145. London: Personal Social Services Research Unit. Available at: https://www.mariecurie.org.uk/globalassets/media/documents/policy/campaigns/equity-palliative-care-uk-report-full-lse.pdf
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Tawfiq, Essa, Sayed Ali Shah Alawi, and Kayhan Natiq. "Effects of Training Health Workers in Integrated Management of Childhood Illness on Quality of Care for Under-5 Children in Primary Healthcare Facilities in Afghanistan." International Journal of Health Policy and Management 9, no. 1 (September 3, 2019): 17–26. http://dx.doi.org/10.15171/ijhpm.2019.69.
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Background: Training courses in integrated management of childhood illness (IMCI) have been conducted for health workers for nearly one and half decades in Afghanistan. The objective of the training courses is to improve quality of care in terms of health workers communication skills and clinical performance when they provide health services for under-5 children in public healthcare facilities. This paper presents our findings on the effects of IMCI training courses on quality of care in public primary healthcare facilities in Afghanistan. Methods: We used a cross-sectional post-intervention design with regression-adjusted difference-in-differences (DiD) analysis, and included 2 groups of health workers (treatment and control). The treatment group were those who have received training in IMCI recently (in the last 12 months), and the control group were those who have never received training in IMCI. The assessment method was direct observation of health workers during patient-provider interaction. We used data, collected over a period of 3 years (2015–2017) from primary healthcare facilities, and investigated training effects on quality of care. The outcome variables were 4 indices of quality care related to history taking, information sharing, counseling/medical advice, and physical examination. Each index was formed as a composite score, composed of several inter-related tasks of quality of care carried out by health workers during patient-provider interaction for under-5 children. Results: Data were collected from 733 primary healthcare facilities with 5818 patients. Quality of care was assessed at the level of patient-provider interaction. Findings from the regression-adjusted DiD multivariate analysis showed significant effects of IMCI training on 2 indices of quality care in 2016, and on 4 indices of quality care in 2017. In 2016 two indices of quality care showed improvement. There was an increase of 8.1% in counseling/medical advice index, and 8.7% in physical examination index. In 2017, there was an increase of 5.7% in history taking index, 8.0% in information sharing index, 10.9% in counseling/medical advice index, and 17.2% in physical examination index. Conclusion: Conducting regular IMCI training courses for health workers can improve quality of care for under-5 children in primary healthcare facilities in Afghanistan. Findings from our study have the potential to influence policy and strategic decisions on IMCI programs in developing countries.
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Straw, Sarah, Erica Spry, Louie Yanawana, Vaughan Matsumoto, Denetta Cox, Erica Cox, Sally Singleton, Naomi Houston, Lydia Scott, and Julia V. Marley. "Understanding lived experiences of Aboriginal people with type 2 diabetes living in remote Kimberley communities: diabetes, it don't come and go, it stays!" Australian Journal of Primary Health 25, no. 5 (2019): 486. http://dx.doi.org/10.1071/py19021.
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This study aimed to explore the lived experiences of Kimberley Aboriginal people with type 2 diabetes managed by remote Aboriginal Community Controlled Health Services using phenomenological analysis. Semi-structured interviews formulated by Aboriginal Health Workers, researchers and other clinicians were used to obtain qualitative data from 13 adult Aboriginal patients with type 2 diabetes managed in two remote communities in the Kimberley. Together with expert opinion from local Aboriginal Health Workers and clinicians, the information was used to develop strategies to improve diabetes management. Of 915 regular adult patients in the two communities, 27% had type 2 diabetes; 83% with glycated haemoglobin A >10%. Key qualitative themes included: the need for culturally relevant education and pictorial resources; importance of continuous therapeutic relationships with healthcare staff; lifestyle management advice that takes into account local and cultural factors; and the involvement of Aboriginal community members and families in support roles. Recommendations to improve diabetes management in the remote communities have been made collaboratively with community input. This study provides a framework for culturally relevant recommendations to assist patients with diabetes, for collaborative research, and for communication among patients, Aboriginal Health Workers, community members, researchers and other clinicians. Interventions based on recommendations from this study will be the focus of further collaborative research.
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Huemer, Matthias, Daniela Jahn-Kuch, Guenter Hofmann, Elisabeth Andritsch, Clemens Farkas, Walter Schaupp, Eva Katharina Masel, Philipp J. Jost, and Martin Pichler. "Trends and Patterns in the Public Awareness of Palliative Care, Euthanasia, and End-of-Life Decisions in 3 Central European Countries Using Big Data Analysis From Google: Retrospective Analysis." Journal of Medical Internet Research 23, no. 9 (September 20, 2021): e28635. http://dx.doi.org/10.2196/28635.
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Background End-of-life decisions, specifically the provision of euthanasia and assisted suicide services, challenge traditional medical and ethical principles. Austria and Germany have decided to liberalize their laws restricting assisted suicide, thus reigniting the debate about a meaningful framework in which the practice should be embedded. Evidence of the relevance of assisted suicide and euthanasia for the general population in Germany and Austria is limited. Objective The aim of this study is to examine whether the public awareness documented by search activities in the most frequently used search engine, Google, on the topics of palliative care, euthanasia, and advance health care directives changed with the implementation of palliative care services and new governmental regulations concerning end-of-life decisions. Methods We searched for policies, laws, and regulations promulgated or amended in Austria, Germany, and Switzerland between 2004 and 2020 and extracted data on the search volume for each search term topic from Google Trends as a surrogate of public awareness and interest. Annual averages were analyzed using the Joinpoint Regression Program. Results Important policy changes yielded significant changes in search trends for the investigated topics. The enactment of laws regulating advance health care directives coincided with a significant drop in the volume of searches for the topic of euthanasia in all 3 countries (Austria: −24.48%, P=.02; Germany: −14.95%, P<.001; Switzerland: −11.75%, P=.049). Interest in palliative care increased with the availability of care services and the implementation of laws and policies to promote palliative care (Austria: 22.69%, P=.01; Germany: 14.39, P<.001; Switzerland: 17.59%, P<.001). The search trends for advance health care directives showed mixed results. While interest remained steady in Austria within the study period, it increased by 3.66% (P<.001) in Switzerland and decreased by 2.85% (P<.001) in Germany. Conclusions Our results demonstrate that legal measures securing patients’ autonomy at the end of life may lower the search activities for topics related to euthanasia and assisted suicide. Palliative care may be a meaningful way to raise awareness of the different options for end-of-life care and to guide patients in their decision-making process regarding the same.
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Chen, Mengwei, Dianhai Wang, Yilin Sun, Chengxi Liu, and Zhen Bai. "Service Evaluation of Public Bicycle Scheme from a User Perspective: A Case Study in Hangzhou, China." Transportation Research Record: Journal of the Transportation Research Board 2634, no. 1 (January 2017): 28–34. http://dx.doi.org/10.3141/2634-04.
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In late 2005, in an attempt to solve the last-mile problem, China started implementing public bikesharing programs. The effort quickly grew to a massive scale. An estimated 400,000 public bicycles now are in use in China, which is more than in all other countries that have implemented public bicycle schemes (PBSs). As with any emerging service that develops rapidly, an understanding of user behavior and satisfaction is lacking. Factors that influence the frequency of public bicycle use were studied in Hangzhou, China. Online and intercept surveys were conducted with PBS users. Willingness to use the PBS as well as satisfaction with and concerns about the PBS were investigated. Analysis of variance was conducted to identify the six factors that affect a user’s decision to rent: car ownership, bicycle ownership, travel purpose, having or lacking familiarity with the rental process, level of satisfaction with the PBS, and level of familiarity with the distribution of docking stations. Binary logistic regression analysis was used to elucidate details of key factors in the group of most frequent users—that is, survey respondents who did not own a car, rented a bicycle primarily for shopping or going out for business, and were familiar with the rental process and the distribution of docking stations. Based on study findings, advice is presented for implementing policy in developing countries. Suggestions include publicizing the PBS more, attracting more commuters to bicycling to reduce congestion, enhancing the accessibility of docking stations to accommodate more potential users, and improving bicycle quality to encourage more participation and make it easier for elderly citizens to participate.
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Topothai, Chompoonut, Thitikorn Topothai, Rapeepong Suphanchaimat, Walaiporn Patcharanarumol, Weerasak Putthasri, Yupayong Hangchaowanich, and Viroj Tangcharoensathien. "Breastfeeding Practice and Association between Characteristics and Experiences of Mothers Living in Bangkok." International Journal of Environmental Research and Public Health 18, no. 15 (July 26, 2021): 7889. http://dx.doi.org/10.3390/ijerph18157889.
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Although the benefits of breastfeeding are widely recognized, only 14% of mothers in Thailand exclusively breastfed their children during the first six months of their lives in 2019, which dropped from 23% in 2016. This study aimed to assess the prevalence of exclusive breastfeeding (EBF) up to six months, current breastfeeding patterns, and key determinants that influence six-month EBF among mothers residing in Bangkok, Thailand. A cross-sectional study was conducted using a self-administered questionnaire survey. In total, 676 healthy mothers living in Bangkok, whose most recent child was between 6 and 18 months old, were recruited. Descriptive statistics, univariable analysis by Chi-square test, and multivariable logistic regression were performed to assess the association between six-month EBF and maternal characteristics and experiences of using maternal health services. The prevalence of six-month EBF of infants in Bangkok was 41%. The key determinants that influenced six-month EBF included: maternal age of more than 30 years; higher education level; higher maternal income; multi-parity; exposure to breastfeeding advice during pregnancy; intention to breastfeed for a long duration (≥6 months) during pregnancy; experience of six-month EBF in the previous child. This study draws health professionals’ and policy makers’ attention to further promote breastfeeding in particular types of mothers.
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Loewenson, Rene, Sue Godt, and Pascalina Chanda-Kapata. "Asserting public health interest in acting on commercial determinants of health in sub-Saharan Africa: insights from a discourse analysis." BMJ Global Health 7, no. 7 (July 2022): e009271. http://dx.doi.org/10.1136/bmjgh-2022-009271.
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The actors influencing the commercial determinants of health (CDOH) in sub-Saharan Africa (SSA) have different interests and lenses around the costs and benefits of market influences in health. We analysed the views and priorities on CDOH in the discourse of global and regional agencies, SSA governments, private investors and companies, civil society and academia through a desk review of online publications post-2010, validated by purposively selected key informant interviews.The most polarised views were between civil society and academia on one hand, focused more on harms, and private business/investors on the other, almost exclusively focused on benefits. Others had mixed messaging, encouraging partnerships with commercial actors for health benefits and also voicing cautions over negative health impacts. Views also differed between transnational and domestic business and investors.Three areas of discourse stood out, demonstrating also tensions between commercial and public health objectives. These were the role of human rights as fundamental for or obstacle to engaging commercial practice in health; the development paradigm and role of a neoliberal political economy generating harms or opportunities for health; and the implications of commercial activity in health services. COVID-19 has amplified debate, generating demand for public sectors to incentivise commercial activity to ‘modernise’ and digitise health services and meet funding gaps and generating new thinking and engagement on domestic production of key health inputs.Power plays a critical role in CDOH. Commercial actors in SSA increase their influence through discursive and agential forms of power and take advantage of the structural power gained from a dominant view of free markets and for-profit commerce as essential for well-being. As a counterfactual, we found and present options for using these same three forms of narrative, agential and structural power to proactively advance public health objectives and leadership on CDOH in SSA.
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Hearn, Lydia, and Linda Slack-Smith. "Engaging dental professionals in residential aged-care facilities: staff perspectives regarding access to oral care." Australian Journal of Primary Health 22, no. 5 (2016): 445. http://dx.doi.org/10.1071/py15028.
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The limited access to oral care for older people living in residential aged care facilities (RACFs) has been noted repeatedly in the literature. The aim of this study was to explore RACF staff perspectives on how to engage dental professionals in the provision of oral care for RACF residents. Semi-structured interviews were conducted with 30 staff from six purposively selected RACFs located in high socioeconomic areas to gain understanding of the multidimensional issues that influenced the engagement of dental professionals from a carer perspective. Analysis revealed that staff perceived tensions regarding affordability, availability, accessibility and flexibility of dental professionals as significant barriers to better oral care for their residents. Participants raised a series of options for how to better engage dental professionals and reduce these barriers. Their ideas included: the engagement of RACF staff in collaborative discussions with representatives of public and private dental services, dental associations, corporate partners and academics; the use of hygienists/oral health therapists to educate and motivate RACF staff; the promotion of oral health information for troubleshooting and advice on how to deal with residents’ dental pain while waiting for support; the encouragement of onsite training for dental professionals; and the importance of gerodontology (geriatric dentistry). Findings highlighted the need to explore alternative approaches to delivering oral care that transcend the model of private clinical practice to focus instead on the needs of RACFs and take into account quality of end-of-life oral care.
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Astromskė, Kristina, and Eimantas Peičius. "Protection of Human Dignity at the End of Life of the Terminally Ill: Ethical and Legal Considerations about the Law and Policy on Advance Directives in Lithuania." Baltic Journal of Law & Politics 14, no. 2 (December 1, 2021): 26–48. http://dx.doi.org/10.2478/bjlp-2021-0009.
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Abstract Recently amended legal regulations established the opportunity of application of advance directives for terminally ill patients in Lithuania. Provisionally, advance directives should enhance patient’s rights while making complex end of life decisions, however, implications for legal and moral responsibility to empower a patient’s autonomy are not clearly established yet. The article discusses the legal and ethical justification of implementation of advance directives and, in their absence, the surrogate decision making for the best interests of the patient and the best representation of the patient’s will. The reflections of recent empirical studies indicate the importance of a patient-centered approach that can provide the hints for harmonization of the national legal system, including a supportive decision-making culture, raising public awareness and confidence, more effective professional communication, and broader public involvement into end-of-life deliberations. Analysis of legal and ethical arguments imposes the conclusion that the specific question of respect of dignity in the end of life is not just a problem of health care management or the quality of health care services, but a fundamental challenge of human rights that should be discussed at the policy decision making level. Overall, we assume that application of advance directives should be elaborated in accordance with the case-law of the European Court of Human Rights (ECHR), the ideals of welfare society, and other national laws as well as public interests.
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Schütze, Heike, Elizabeth F. Rix, Rachel A. Laws, Megan Passey, Mahnaz Fanaian, and Mark F. Harris. "How feasible are lifestyle modification programs for disease prevention in general practice?" Australian Journal of Primary Health 18, no. 2 (2012): 129. http://dx.doi.org/10.1071/py10106.
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Vascular disease is a leading cause of death and disability. While it is preventable, little is known about the feasibility or acceptability of implementing interventions to prevent vascular disease in Australian primary health care. We conducted a cluster randomised controlled trial assessing prevention of vascular disease in patients aged 40–65 by providing a lifestyle modification program in general practice. Interviews with 13 general practices in the intervention arm of this trial examined their views on implementing the lifestyle modification program in general practice settings. Qualitative study, involving thematic analysis of semi-structured interviews with 11 general practitioners, four practice nurses and five allied health providers between October 2009 and April 2010. Providing brief lifestyle intervention fitted well with routine health-check consultations; however, acceptance and referral to the program was dependent on the level of facilitation provided by program coordinators. Respondents reported that patients engaged with the advice and strategies provided in the program, which helped them make lifestyle changes. Practice nurse involvement was important to sustaining implementation in general practice, while the lack of referral services for people at risk of developing vascular disease threatens maintenance of lifestyle changes as few respondents thought patients would continue lifestyle changes without long-term follow up. Lifestyle modification programs to prevent vascular disease are feasible in general practice but must be provided in a flexible format, such as being offered out of hours to facilitate uptake, with ongoing support and follow up to assist maintenance. The newly formed Medicare Locals may have an important role in facilitating lifestyle modification programs for this target group.
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Anderson, Karl, Samuel D. Blanchard, Derek Cheah, and Drew Levitt. "Incorporating Equity and Resiliency in Municipal Transportation Planning: Case Study of Mobility Hubs in Oakland, California." Transportation Research Record: Journal of the Transportation Research Board 2653, no. 1 (January 2017): 65–74. http://dx.doi.org/10.3141/2653-08.
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This paper presents a multicriteria suitability analysis framework to aid municipal governments in efforts to determine optimal siting of mobility hubs in their jurisdictions. Mobility hubs are agglomerations of transportation modes that concentrate emerging shared mobility services in well-defined locations, delivering several benefits to users. These benefits include primarily increased connectivity among modes and augmentation of public transit with improved first- and last-mile connections. The framework was applied to a case study in Oakland, California. The presented methodology has the potential for broader use by transportation planners and policy makers to advance various qualitative values in their practice, including equity and resiliency, and can quantitatively inform geographic, values-oriented outcomes.
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Patterson, Susan M., Cathal A. Cadogan, Heather E. Barry, and Carmel M. Hughes. "’It stayed there, front and centre’: perspectives on community pharmacy’s contribution to front-line healthcare services during the COVID-19 pandemic in Northern Ireland." BMJ Open 12, no. 9 (September 2022): e064549. http://dx.doi.org/10.1136/bmjopen-2022-064549.
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ObjectivesTo explore community pharmacists and key stakeholders’ perspectives and reflections on the community pharmacy workforce’s preparedness for, and response to, COVID-19, including lessons for future public health crises.Design, setting and participantsQualitative study using semistructured interviews (via telephone or online videoconferencing platform), with community pharmacists and a range of key stakeholders (representing other health professions, professional/governing organisations concerned with community pharmacy and patient advocacy groups) from across Northern Ireland. Data were analysed using thematic analysis and constant comparison.ResultsThirty interviews were conducted with community pharmacists (n=15) and key stakeholders (n=15). Four themes were identified: (1) adaptation and adjustment (reflecting how community responded quickly to the need to maintain services and adjusted and adapted services accordingly); (2) the primary point of contact (the continuing accessibility of community pharmacy when other services were not available and role as a communication hub, particularly in relation to information for patients and maintaining contact with other healthcare professionals); (3) lessons learnt (the flexibility of community pharmacy, the lack of infrastructure, especially in relation to information technology, and the need to build on the pandemic experience to develop practice); and (4) planning for the future (better infrastructure which reinforced concerns about poor technology, coordination of primary care services and preparing for the next public health crisis). There was a general view that community pharmacy needed to build on what had been learnt to advance the role of the profession.ConclusionsThe strengths of community pharmacy and its contribution to healthcare services in the COVID-19 pandemic were noted by community pharmacists and acknowledged by key stakeholders. The findings from this study should inform the policy debate on community pharmacy and its contribution to the public health agenda.
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Imison, Candace, Lara Sonola, Matthew Honeyman, Shilpa Ross, and Nigel Edwards. "Insights from the clinical assurance of service reconfiguration in the NHS: the drivers of reconfiguration and the evidence that underpins it – a mixed-methods study." Health Services and Delivery Research 3, no. 9 (March 2015): 1–154. http://dx.doi.org/10.3310/hsdr03090.
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BackgroundOver the life of the NHS, hospital services have been subject to continued reconfiguration. Yet it is rare for the reconfiguration of clinical services to be evaluated, leaving a deficit in the evidence to guide local reconfiguration of services.ObjectivesThe objectives of this research are to determine the current pressures for reconfiguration within the NHS in England and the solutions proposed. We also investigate the quality of evidence used in making the case for change, any key evidence gaps, and the opportunities to strengthen the clinical case for change and how it is made.MethodsWe have drawn on two key sources of evidence. First, we reviewed the reports produced by the National Clinical Advisory Team (NCAT) documenting its reviews of reconfiguration proposals. An in-depth multilevel qualitative analysis was conducted of 123 NCAT reviews published between 2007 and 2012. Second, we carried out a search and synthesis of the literature to identify the key evidence available to support reconfiguration decisions. The findings from this literature search were integrated with the analysis of the reviews to develop a narrative for each specialty and the process of reconfiguration as a whole.ResultsThe evidence from the NCAT reviews shows significant pressure to reconfigure services within the NHS in England. We found that the majority of reconfiguration proposals are driving an increasing concentration of hospital services, with some accompanying decentralisation and, for some specialist services, the development of supporting clinical networks. The primary drivers of reconfiguration have been workforce (in particular the medical workforce) and finance. Improving outcomes and safety issues have been subsidiary drivers, though many make the link between staffing and clinical safety. Policy has also been a notable driver. Access has been notable by its absence as a driver. Despite significant pressures to reconfigure services, many proposals fail to be implemented owing to public and/or clinical opposition. We found strong evidence that some specialist service reconfiguration including vascular surgery and major trauma can significantly improve clinical outcomes. However, there are notable evidence gaps. The most significant is the absence of evidence that service reconfiguration can deliver significant savings. There is also an absence of evidence about safe staffing models and the interplay between staff numbers, skill mix and outcomes. We found that the advice provided by the NCAT reflects the current evidence, but one of the NCAT’s most valuable contributions has been to encourage greater clinical engagement in service change.ConclusionsThe NHS is continuing to concentrate many district general hospital services to resolve financial and workforce pressures. However, many proposals are not implemented owing to public opposition. We also found no evidence to suggest that this will deliver the savings anticipated. There is a significant gap in the evidence about safe staffing models and the appropriate balance of junior and senior medical as well as other clinical staff. There is an urgent need to carry out research that will help to fill the current evidence gap. There is also a need to retain some national clinical expertise to work alongside Clinical Senates in supporting local service reconfiguration.FundingThe National Institute for Health Research Health Services and Delivery Research programme.
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Punaji, Reflianto*,, Punaji Setyosari, Dedi Kuswandi, and Utami Widiati. "Reading Comprehension Skills: The Effect of Online Flipped Classroom Learning and Student Engagement During the COVID-19 Pandemic." European Journal of Educational Research 10, no. 4 (October 15, 2021): 1613–24. http://dx.doi.org/10.12973/eu-jer.10.4.1613.
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<p style="text-align: justify;">The Coronavirus disease (COVID-19) pandemic outbreak in the Indonesians nowadays, the public education department established the policy of the online education system to all education levels. Most educators employ an online flipped learning method to support the policy. Research aimed to measure the effect of online based-flipped classroom learning between using Microsoft Team and WhatsApp and student engagement on reading comprehension skills. The research approach was a quasi-experimental model with a 2 x 3 factorial pre-test-post-test non-equivalent control group design. The sample of this investigation was early period undergraduates of the management economics study program. Data analysis employed a two-way ANOVA test. The result confirmed that the online flipped learning scheme using Microsoft Team was better than WhatsApp in improving student engagement and reading comprehension skills. We advise English lecturers to apply better online media services, pay attention to the completeness of the learning features and train their competence in implementing distance learning to use compatible synchronous flipped classroom teaching based on internet technologies.</p>
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Rahman, Akim M. "Tech-advancement Vs. Online Sexual Activities Country-wise: Market Economic Assessment under Welfare Analysis." Journal of Economics and Technology Research 3, no. 4 (November 7, 2022): p11. http://dx.doi.org/10.22158/jetr.v3n4p11.
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Internet is a blessing for humankind where one can have all good-things rather bad-things from it. It is easy to get stuck into dark-&-ugly world of civilization with just a click to online-sexual-activities—Pornography and Online-live-sex. Besides emotional-problems, it has linkages with today’s high-rise-rate of divorce, rape, family-conflicts in society country-wise such as Bangladesh. For policy-guidance, this study analyses basic issues of Online-sex-market in terms of marginal-damage analysis under neoclassical partial equilibrium demand-supply theory. It further analyses the reasons of disparity between social-cost and private-cost by conventional marginal-damage analysis. Findings show that because of online-sex-activities, marginal social-costs are higher than marginal private-costs. Continuation of increasing it in Bangladesh, results a higher welfare-loss incurred from higher social-costs. Because of its high rise demand due to continuation of rising per-capita-income and having easy-access to supportive-factors, prices of services are becoming upward-trends, which dominate producer-surplus. Service-providers generate high revenues and consumers face high market-prices, which create higher deadweight-losses. Thus, there is an urgency for national policy-design. Probable-policies can advance in three-folds a) how to quit online-sex b) how to perform treatment of online-sex-addiction and c) how to prevent newcomers. Besides having effective-monitoring, raising awareness and engaging public, Internet-companies & officials, calling for Conferences may play significant-roles country-wise.
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Zelepukin, Roman Valerevich. "Legal nature, content and social services standard significance." Current Issues of the State and Law, no. 11 (2019): 325–35. http://dx.doi.org/10.20310/2587-9340-2019-3-11-325-335.
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We raise the topic of the social services current system, the place and importance of nonprofit organizations in it. It is noted that the tendency of social services nonprofit sector transfer to the population with the subsequent reimbursement of expenses from the budget. We analyze various barriers of nonprofit organizations participation in the social services provision in the context of which it is proposed to provide an advance mechanism for reimbursement of nonprofit organizations for the social services provision. The importance of the social services standard is emphasized, its content is revealed and an attempt is made to reveal the legal nature of the standard of social services. We note the content of the standard established by the federal legislation; also we draw attention to the fact that the procedure approval for the social services provision by social service providers is attributed to the powers of public authorities of the subjects of the Russian Federation. We present the analysis of the social services provision standard in the Tambov Region by forms of social services approved by the order of Social Protection and Family Policy Department of the Tambov Region dated April 1, 2016 no. 463-ф. The points requiring adjustment from the point of view of legal technique are revealed, and also other offers on modification of the specified regulatory legal act are specified. As a result, we conclude that the social services standard, firstly, expresses the amount of social assistance guaranteed by the state, secondly, it is an exhaustive set of requirements for the service itself, allowing to plan activities and resources, and, thirdly, it is a set of requirements for quality control of social services and protection of the rights and legitimate interests of their recipients.
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Shamieh, O., A. Mansour, R. Harding, M. Tarawneh, and S. Payne. "National Home Care Initiative in Jordan: A Demonstration Project." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 242s. http://dx.doi.org/10.1200/jgo.18.97300.
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Background and context: The home healthcare market in Jordan is nascent with little service offered. It suffers from a highly fragmented and underregulated landscape. The limited access to qualified trustworthy home care services, lack of professional home care training, and lack of home health care insurance coverage have added to the heavy in-patient bed demand and delayed hospital discharges especially for disabled or terminally ill patients. Aim: To establish a comprehensive national home care program to improve the delivery of palliative and home care services in Jordan, and to conduct a situational analysis and generate policy recommendations. Strategy/Tactics: We used multiple strategies to reach our objectives. 1. Expansion of home care services at King Hussein Cancer Center (KHCC) to create a local demonstration project. 2. Building health care professional capacity by offering variety of educational programs. 3. Improving quality of service delivery by generating clinical practice guidelines, such as standards operating procedures and patient and family educational materials. 4. Use the pilot operational and financial data to generate an economic model to inform the development of similar home health care units in hospitals across Jordan. 5. National advocacy and building effective partnership with all related stakeholders to advance national policy. Program/Policy process: Between May 2016 and May 2017, 7818 home care visits were conducted by KHCC. For capacity building; 678 health care professionals were trained in palliative and home care, out of which 366 participants were females (54%). Palliative care was successfully recognized as a specialty by the Jordan Nursing Council and recognized as a subspecialty by the Jordan Medical Council. The palliative and home care standards of practice were included in the health care accreditation council. The analysis of economic evaluation data suggested that home care services decreased in-patient utilization and costs which is advantageous to a country with limited resources. As a result of the advocacy stream and a collaborative network, the national palliative and home care strategic framework was generated, and endorsed by the Ministry of Health. Outcomes: The NHCI resulted in a very successful pilot project and achieved specialty and subspecialty recognition. Furthermore, we were able to build the capacity of health care professionals and policy makers in the palliative and home care sector from public, private and academic institutions. In the advocacy and policy dimension, the Minister of Health officially approved and adapted the palliative and home care strategic framework that was developed by this initiative. What was learned: Cross-sector collaboration and effective partnership resulted in system change and policy advancement. Developing effective economic systems is essential in low resourced countries. The initiative was supported by a joint grant from the USAID and KHCC.
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Tsekeris, Theodore. "Disaggregate Analysis of Gasoline Consumption Demand of Greek Households." Engineering Economics 23, no. 1 (February 15, 2012): 41–49. http://dx.doi.org/10.5755/j01.ee.23.1.1226.
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The expenditure on private vehicle usage is an important aspect of the budget allocation process of households, which has important implications for the sustainable urban development and transport, energy and environmental policy making. This paper examines the gasoline consumption demand of Greek households using cross-sectional micro-data from a country-wide Household Budget Survey (HBS) during the period 2004/05. The two-step Heckman modeling methodology is adopted to jointly estimate the probability of selecting to use private vehicle and the amount of using it. In this way, it can help to identify and better explain factors for which some private vehicle owners/holders do (not) actually consume that mode. The results offer valuable insight into the existence of feedback relationship between the decision-making mechanisms of selecting to use private vehicle and amount of usage, in terms of the amount of money spent for gasoline consumption. They also indicate the statistically significant impact of region-specific fixed effects, which implies that unobserved or omitted factors associated with each Region have a different impact on the decision to choose and the amount of using private vehicle. The income variable has a statistically significant positive impact on the selection and usage of a private vehicle. The estimated income elasticity suggests that a private vehicle travel is relatively inelastic (normal and necessity good). Its value reflects the increased car dependence and it is within the range of other income elasticities found in the literature. The male gender of household head, the amount of cars owned, the participation of family members in the labour market, the family size (a single-parent or couples with at least one child older than 18 years-old) and the expenditure on communication and tourism increase the probability of private vehicle gasoline consumption. The latter finding verifies that private vehicle constitutes an important means of transport during vacation. The use of communication devices, especially a mobile phone, reinforces the use of private vehicle, as it weakens the need for short-range activity planning in advance and the range and extent of social networking. On the contrary, the high population densities, the connection to the internet and the aging of household head reduce the probability of private vehicle gasoline consumption. The above results signify the role of personal and intra-household constraints, mostly related to size and aging structure, on the selection and use of a private vehicle. The expenditure on most other transport categories, such as an urban public transport, taxi, coach and rail negatively and statistically significantly affect private vehicle gasoline consumption. This outcome stresses the competitive relationship between the private vehicle and other transport modes which are mainly used in urban areas (urban bus, metro, and taxi). The study findings suggest the design of more sustainable leisure travel services, focussed on upgrading the quality of public transport modes servicing tourist resort areas. Policy measures to manage private vehicle use must be spatially targeted, accounting for the local climate, residential densities, infrastructure and accessibility conditions and the service quality of alternative modes in each Region. These measures can be supplemented with the adoption of suitable information and communication technologies to reduce the demand for private vehicle travel and increase the level of public transport services, as well as investments in clean vehicle technologies.DOI: http://dx.doi.org/10.5755/j01.ee.23.1.1226
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Saxton, Peter J. W., and Susan M. McAllister. "Enumerating the population eligible for funded HIV pre-exposure prophylaxis (PrEP) in New Zealand." Sexual Health 16, no. 1 (2019): 63. http://dx.doi.org/10.1071/sh18058.
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Background Pre-exposure prophylaxis (PrEP) became publicly funded in New Zealand (NZ) on 1 March 2018. PrEP could have a substantial population-level effect on HIV transmission if scaled up rapidly. An accurate estimate of the size of the PrEP-eligible population would guide implementation. Methods: We drew on nine sources to estimate the PrEP-eligible population, namely Statistics NZ data, Pharmaceutical Management Agency (PHARMAC) data on adults receiving funded antiretroviral treatment (ART), expert advice, estimates of the HIV care cascade, surveillance of undiagnosed HIV in a community sample of gay and bisexual men (GBM), surveillance of HIV diagnoses, NZ Health Survey data on sexual orientation among males, behavioural surveillance among GBM and behavioural data among people living with HIV (PLWH) from the HIV Futures NZ study. From these sources we derived three estimates relating to GBM, non-GBM and total eligible population. Sensitivity analyses examined different assumptions (GBM denominators, proportion PLWH diagnosed, proportion of diagnosed PLWH treated). Results: We estimated that 17.9% of sexually active HIV-negative GBM would be eligible for PrEP, equating to 5816 individuals. We estimated that 31 non-GBM individuals would be eligible for PrEP. Thus, in total, 5847 individuals would be eligible for PrEP, comprising 99.5% GBM and 0.5% non-GBM. Sensitivity analyses ranged from 3062 to 6718 individuals. Conclusions: Policy makers can use enumeration to monitor the speed and scale in coverage as implementation of publicly funded PrEP proceeds. Sexual health and primary care services can use enumeration to forecast PrEP demand and plan accordingly. Better quality data, especially on transgender adults in NZ, would improve the accuracy of estimates.
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Saxton, Peter J. W., and Susan M. McAllister. "Corrigendum to: Enumerating the population eligible for funded HIV pre-exposure prophylaxis (PrEP) in New Zealand." Sexual Health 16, no. 1 (2019): 99. http://dx.doi.org/10.1071/sh18058_co.
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Background:Pre-exposure prophylaxis (PrEP) became publicly funded in New Zealand (NZ) on 1 March 2018. PrEP could have a substantial population-level effect on HIV transmission if scaled up rapidly. An accurate estimate of the size of the PrEP-eligible population would guide implementation. Methods: We drew on nine sources to estimate the PrEP-eligible population, namely Statistics NZ data, Pharmaceutical Management Agency (PHARMAC) data on adults receiving funded antiretroviral treatment (ART), expert advice, estimates of the HIV care cascade, surveillance of undiagnosed HIV in a community sample of gay and bisexual men (GBM), surveillance of HIV diagnoses, NZ Health Survey data on sexual orientation among males, behavioural surveillance among GBM and behavioural data among people living with HIV (PLWH) from the HIV Futures NZ study. From these sources we derived three estimates relating to GBM, non-GBM and total eligible population. Sensitivity analyses examined different assumptions (GBM denominators, proportion PLWH diagnosed, proportion of diagnosed PLWH treated). Results: We estimated that 17.9% of sexually active HIV-negative GBM would be eligible for PrEP, equating to 5816 individuals. We estimated that 31 non-GBM individuals would be eligible for PrEP. Thus, in total, 5847 individuals would be eligible for PrEP, comprising 99.5% GBM and 0.5% non-GBM. Sensitivity analyses ranged from 3062 to 6718 individuals. Conclusions: Policy makers can use enumeration to monitor the speed and scale in coverage as implementation of publicly funded PrEP proceeds. Sexual health and primary care services can use enumeration to forecast PrEP demand and plan accordingly. Better quality data, especially on transgender adults in NZ, would improve the accuracy of estimates.
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Ohemeng, Frank L. K., Emelia Amoako-Asiedu, and Theresa Obuobisa Darko. "The relationship between leadership style and employee performance." International Journal of Public Leadership 14, no. 4 (November 12, 2018): 274–96. http://dx.doi.org/10.1108/ijpl-06-2017-0025.
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Purpose The purpose of this paper is to advance critical theoretical insights into the idea of “relational bureaucratic leadership” and its implications for public administration in developing countries (DCs). In doing so, the paper sets out new agendas for public service governance in DCs that recognizes the changing nature and emerging complexities of both the public service and society. Design/methodology/approach This is an exploratory study which synthesises literature in management, human resources, leadership studies and public administration, to understand the limitations of mainstream approaches to bureaucratic leadership in DCs, particularly SSA, with a view of identifying alternative practices. Findings Findings from this paper suggest that public service governance in DCs are embedded in complex dynamics between power relations, complexity and social norms, and bureaucratic leaders should, therefore, focus on building relationships as a means of deepening trust and enhancing cooperation among critical actors. The case for a shift in focus to “relationality” reflects changes in the broader global political economy, including emerging wicked and multi-faceted policy problems that require heterodox and context-sensitive responses from governments and greater collaboration among key stakeholders. Originality/value The analysis of the limitations of traditional approaches to public service governance in this essay reveals the importance of a shift from a preoccupation with conventional organizational forms and functions, to place greater emphasis on social networks and relationships, as a way of improving leadership efficiency in the public services of DCs.
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Tariq, Haleema, and Muqqadas Rehman. "An Empirical Analysis of Organizational Performance of Construction Companies in Pakistan through Mediating Role of Conflict Management Effectiveness." Review of Economics and Development Studies 6, no. 2 (June 15, 2020): 571–84. http://dx.doi.org/10.47067/reads.v6i2.224.
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This paper aims to examine the impact of organizational factors and verify mediating role of conflict management effectiveness on perceived performance of registered construction companies in Pakistan. The study adopts a survey research design using a well-structured questionnaire of 450 employees from construction companies located in Lahore and Karachi. The construction industry is characterized by performance setbacks for decades. Descriptive statistics and mediation analysis were employed to analyze the conceptual model. The research paper concludes that distortions in reduced workforce productivity and relationship conflicts should be overcome by capable professional & administrative services. The analysis depicts that socio-economic and political factors play a significant role to maintain the quality in local construction industry. The findings reveal that performance of construction companies is significantly related to internal factors i.e. workforce productivity, decentralization, perceived organizational politics and relationship conflict. The study provides guidelines to organizational decision-makers and government policy-makers for public reforms in infrastructure to improve their output. The present study was undertaken to provide new horizons and advance understanding on organizational performance (OP) of construction companies in Pakistan. The most significant part of this study is the comprehensive five-factor organizational performance model designed to test mediation among variables using partial least square structural equation modelling (SEM).