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Articles de revues sur le sujet "Health services administration – European Union countries"

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Kremastioti, Vasiliki, Athanasios Anastasiou, Panagiotis Liargovas, Dimitrios Komninos et Zacharias Dermatis. « Economic Evaluation of Health Programs – Health Expenditures in the European Union ». Valahian Journal of Economic Studies 9, no 1 (1 avril 2018) : 109–18. http://dx.doi.org/10.2478/vjes-2018-0012.

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Abstract Health Care is a sensitive issue that concerns not only the individual but also society in general. Health economics are a specialization of the economists in the health sector who aim for the proper function of hospital administration. It deals with issues related to the financing and delivery of health services and the role of such services and other personal decisions in contributing to personal health. Many researches refer to the problems that each health unit faces, emphasizing on the resources, programs and health expenditure. Some of these programs, especially the most effective, are mentioned in this research. Their creation was based on the best quality of health services in all OECD countries. With this research, we aim to develop a methodological framework for evaluating the total health expenditure (consists of all expenditures or outlays for medical care, prevention, promotion, rehabilitation, community health activities, health administration and regulation and capital formation with the predominant objective of improving health) in the 23 OECD countries, by creating a panel data regression and analyzing the results, from 2000 to 2014. For this reason, some of the most important variables (macroeconomic and related to the health sector), were used as tools to assess the performance of each country, as far as the resources and the expenditure for the health care are concerned. Every explanatory variable that was used in this sample, but also the combination of a number of these explanatory variables showed a positive correlation with total expenditures as a percentage of GDP in the majority of the equations. Some variables showed a negative correlation with total health expenditures, which doesn’t fit with the economic theory. Financial crisis is the reason for this.
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Halaskova, Martina, Renata Halaskova et Viktor Prokop. « Evaluation of Efficiency in Selected Areas of Public Services in European Union Countries ». Sustainability 10, no 12 (5 décembre 2018) : 4592. http://dx.doi.org/10.3390/su10124592.

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Over the past 40 years, the service sector has become the dominant area of market economies. The public sector and services financed from public financing represent a specific group within the services sector. This paper aims to evaluate the efficiency of EU countries and find the extent to which the volume of public services (and the respective financial allocations) can have an impact on selected economic indicators. To this end, the efficiency of public expenditure in five areas of public services (general public services; health; education; social protection; and recreation, culture, and religion) in 2009 and 2016 was evaluated in relation to selected economic indicators (GDP per capita and employment in services). In addition, the efficiency of public expenditure in EU countries was evaluated in relation to the size of the public sector and traditions of public administration. For cross-country analyses within the 27 European countries, data envelopment analysis and the input-oriented variable returns to scale (VRS) model were applied. The results demonstrated that in 2009, 13 out of 27 countries were efficient as opposed to 2016, where only seven countries were efficient. In countries with bigger size of public sector, the efficiency of public expenditure on services was not established. However, there was a similarity in the efficiency of public expenditure on services between groups of EU countries regarding the tradition of public administration.
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Šašić, Đevad, Merima Tanović et Amel Delić. « Utjecaj dobrog upravljanja na povećanje zadovoljstva građana uslugama javnog sektora / Good Governance Impact on Increasement of Citizen Satisfaction with Public Sector Services ». Pregled : časopis za društvena pitanja / Periodical for social issues 62, no 1 (6 juillet 2021) : 41–57. http://dx.doi.org/10.48052/19865244.2021.1.41.

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Contemporary activities of both private and public sector enacts new methods and principles in terms of adapting to everyday market changes. Public sector organizations, including local self-government institutions, are challenged with new demands that are not always easily achieved. At such a time, the application of contemporary managerial concepts, such as New Public Management and Good Governance, are crucial for the efficiency and effectiveness of the public sector organizations. In transitional countries, and especially those that are candidates for accession to the European Union, such as Bosnia and Herzegovina, the most demanding criterion is public administration reform. That reform includes improvement of organizational and functional efficiency and effectiveness, reorganizing public administration from the state level to local self-government level, and improvement of public services. In this regard, the paper focuses on research of the efficiency of the public sector in Bosnia and Herzegovina and the countries of the Western Balkans, with focus on citizen satisfaction with certain public sector services. Citizen satisfaction with public services and public institutions can be considered as a direct outcome of government’s policy and activities. Also, citizen satisfaction survey results can reveal a lot on the issues of how governments function, both in terms of citizen actual experiences and their expectations. The paper presents the results of Western Balkans countries compared with the results of European Union countries in terms of health services, education, ease of doing business and e-government. Western Balkans countries do not have a sufficiently developed system for monitoring the satisfaction of public service users and harmonizing reform measures, and also they have not developed well a system of functional cooperation with private and civil sectors in order to improve the quality of public services and citizen satisfaction.
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Florio, Massimo. « European and International Perspectives on Benefit-Cost Analysis : Symposium Introduction ». Journal of Benefit-Cost Analysis 12, no 1 (2021) : 55–63. http://dx.doi.org/10.1017/bca.2020.35.

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AbstractThe idea of assessing the costs and benefits of public and private projects is not new to Europe, dating back to studies at the Ecole des Ponts et Chaussees (Paris) in the XIX century. Later on, in the last century, Benefit-Cost Analysis (BCA) in its current form has been more extensively used in the United States than in Europe. In the last two decades, however, there has been a rapid increase in its use in a number of European countries and at the European Union (EU) level. European governments often undertake tasks that would be done by private companies in the United States, such as the provision of transport, energy, water and waste management, health services, etc. In the United States the focus of BCA has often been regulatory impact analysis, rather than public project evaluation. One might, therefore, expect that Europeans might approach some things differently from their American counterparts and that new insights might result from these efforts. The articles in this symposium, taken from the recent European Society for Benefit-Cost Analysis (SBCA) conference in Toulouse, illustrate some of these differences and some converging themes.
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Drobne, Samo, et Marija Bogataj. « Regions for Servicing Old People : Case study of Slovenia ». Business Systems Research Journal 5, no 3 (1 septembre 2014) : 19–36. http://dx.doi.org/10.2478/bsrj-2014-0017.

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Abstract Background: Aging is one of the most serious problems that most developed countries are facing in the 21st century. In the European Union, Member States are responsible for the planning, funding and administration of health care and social protection systems. Local authorities and state governments should undertake research toward developing an appropriate array of community-based care services for old people. Objectives: This study analyses the regions of Slovenia for servicing old people in the 2000-2010 time horizon. Methods/Approach: Sets of functional regions were modelled for each year in the analysed period using the Intramax method. Functional regions were evaluated based on the attractiveness of central places for labour commuters and the propensity to commute between regions. Results: The results show that in addition to the nominally declared regional centres of Slovenia, there are also some other local centres that should be potentially included in the functional areas for servicing old people. Conclusions: The results suggest that the regionalization into seven functional regions is the most convenient for servicing old people in the region. Furthermore, some additional functional regions at a lower level are suggested.
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Лук'янихіна, О. А., В. О. Лук'янихін, І. В. Колесник et К. О. Хамлика. « Encouragement of the Personnel of the State Labor Service of Ukraine to Implement International Experience within Labor Protection Management ». Law and Safety 80, no 1 (19 mars 2021) : 42–48. http://dx.doi.org/10.32631/pb.2021.1.05.

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The subject matter of the research of the motives of state officials are socio-economic and legal relations that arise in the process of improving the activities of the State Labor Service of Ukraine (SLS) in the field of “Labor Protection”. The object of the research is the system of state management of labor protection and technology of personnel incentives in the regional departments of the SLS. The purpose of the work is theoretical substantiation and development of recommendations for improving the activities and increasing motivation of the staff of the SLS of Ukraine in Sumy region, in particular the implementation of the experience of advanced world countries into the management strategies. Implementation of the current regulatory base in the field of labor protection in Ukraine, in accordance with international requirements, requires high qualification and motivation of the staff of the relevant executive authorities, the development of effective tools to stimulate the efficient work of those state officials. The authors have studied the role and place of the SLS of Ukraine regarding the adaptation and implementation of the experience of advanced world countries into the management strategies of labor protection defined in the Conventions of the International Labor Organization and the Directives of the European Union. The authors have determined the subjects of influence in the field of protection of labor rights, labor protection, preservation of life and health of the participants in the production process, in particular the executive authorities of public administration and the Federation of Trade Unions of Ukraine. The authors have developed suggestions on encouraging the staff of the SLS to implement high-quality international labor protection standards on the basis of motivational profiles and their monitoring. Ukraine has chosen an effective model of supervision and control over the compliance with labor legislation. The advantage of this model is the ability of inspections to delegate their powers from central authorities to local agencies. The conducted study is of theoretical and practical interest in regard to the systems of labor inspections in different countries, it allows us to determine the place of national government in the overall system of such inspections. The results of the research can be recommended for implementation in public administration and local self-government agencies in the field of labor protection in Ukraine.
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Kozhura, Liudmila, Svitlana Zadereiko et Andrii Omelchenko. « SYSTEM OF ECONOMIC MEANS OF STATE ADMINISTRATION OF THE RIGHTS OF PEOPLE WITH DISABILITIES TO HEALTHCARE ». Baltic Journal of Economic Studies 7, no 4 (27 septembre 2021) : 101–7. http://dx.doi.org/10.30525/2256-0742/2021-7-4-101-107.

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At the current stage of the development of society the problem of social protection and state support for people with disabilities is particularly relevant and requires reform and improvement. Ukraine, as a country aspiring to join the European Union, should take into account the best foreign experience of the leading countries of the world in the field of state policy to support people with disabilities and its implementation. The process of reforming the national healthcare system demonstrated the ineffective policy in this area, the high level of corruption and the inability to transform this system to the level of world standards of medical care, especially for people with disabilities. The problem of disability in Ukraine is becoming particularly acute. The goal of this article is to investigate the system of economic means of state administration of the rights of people with disabilities to healthcare, to identify the areas of budgetary management and the formation of a new mechanism of economic administration. Scientific analysis was carried out by using the method of systematic approach and analysis, which enabled us to study theoretical aspects of economic methods of state administration of the right of people with disabilities to healthcare, formation of the budget management in Ukraine for the economic security of the rights to healthcare, and features of the new mechanism of the economic administration of the right of people with disabilities to health care. It has been researched that along with administrative methods of state management of the right to health protection of people with disabilities the economic group of methods is important. These include programs of economic development of health care, rehabilitation programs for people with disabilities, implementation of pilot projects to change the mechanism of financial support for operative treatment, etc. Methods of regulating influence (indirect management) are becoming increasingly important, and economical methods of management belong to them. Implementation ensures that the financial and material interests of the management objects are satisfied through the activities of its subjects, which create favorable conditions for achieving the goals and objectives of management. For example, local self-government bodies, within the limits of their competence, can finance local programs for the development and support of community healthcare institutions. In 2019, a new mechanism of rehabilitation support for children with disabilities was introduced based on the principle of "money follows the people", which should ensure targeting, transparency and improve the quality of rehabilitation services. Resources are divided vertically among regional bodies, which divide budgetary funds among local bodies in proportion to the number of children who require rehabilitation measures, according to the place of their residence (location). The national legislation also reflects the norms that created the conditions for the implementation of the right to work of people with disabilities, as well as ratified Convention on the Rights of Persons with Disabilities and the ILO Convention on professional rehabilitation. From the point of view of the Ministry of Healthcare of Ukraine, the funds allocated by the state are extremely insufficient for the uninterrupted functioning of the medical system. In its budget memorandum for 2021 the ministry has allocated twice as much – 296 billion UAH, 225 billion UAH of which for the implementation of the medical guarantee program (which is 5% of GDP, as required by the Law of Ukraine "On State Financial Guarantees of Medical Services to Population"). But the proposals of the Ministry of Health both at the time of formation of the state budget and at the time of its approval were not taken into account. The requirement of the Law of Ukraine "On State Financial Guarantees of Medical Services to the Population" for the establishment of financing of the program of medical guarantees at the level of 5% of GDP was lengthened for one more year.
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Nagy, János, Gergely Harsányi, Orsolya Jánosy, Endre Harsányi et Orsolya Nagy. « The social basis of regional development in the North Great Plain Region ». Acta Agraria Debreceniensis, no 61 (18 septembre 2014) : 57–65. http://dx.doi.org/10.34101/actaagrar/61/2039.

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It is a widely accepted practice in the European Union to break down countries into regions according to their stage of development, their cultural and economic characteristics. The basis of this methodology is the EU-conform MOTS system, which distinguishes territorial units on five levels. Besides the MOTS system, Hungary uses another system, too, which is the basis of our public administration, and whose roots go back to the times of King Saint Stephen: the county system. In Hungary, developmental decisions are taken by a county’s general assembly; at the same time, from an economic point of view the characteristics and competitive advantages of a county can be defined more precisely than those of a region. Szabolcs-Szatmár-Bereg County and Hajdu-Bihaur County may be described with completely different characteristics, albeit both of them are part of the North Great Plain Region. On a county level economically important and justified developmental areas may be mapped more precisely. Hajdu-Bihar County is the 4th most populous county in Hungary. With 80.2% of the population living in cities, the county is significantly urbanized. 2010 statistics show that the birth rate per 1,000 people in the county is practically the same as the birth rate of the country and that of the North Great Plain Region. Following the trends in developed countries, mothers now tend to give birth in an older age. Almost half (44.5%) of the children in Hajdu-Bihar County are born after their mother’s 30th birthday. The general health condition of the population of Hajdu-Bihar County can be described with various indicators. In terms of medical and hospital care no difference can be observed between regional and national data, the county’s health care does not straggle behind. In sum, with the health care system of the county, estimated life expectancy of men is higher than the regional average, and in case of women it is higher than both the regional and national average, according to the given year’s mortality. Children’s ratio among the county’s population is 15.9%, which is more than 1% over the national average. The ratio is higher in case of girls and boys alike. The income of the county’s population depends not only on labour income but also on social benefits. According to the analysis, the proportion of old-age pensioners and those receiving pension-like allowances within the whole population is somewhat lower in the county than the national average. The number of children receiving child-welfare and daytime care is prominent in the county. The number of families and children receiving child-care allowance has not changed significantly in recent years. All important elements of social benefits have increased in the last decade. The quality of life of the county’s population is largely affected by the presence (or absence) of basic infrastructure in their environment. Research conducted at the settlements of the county shows that currently the greater part of the population has access to basic public utility services which form part of everyday services. Although they affect the general quality of life, the network of roads and passenger traffic have their real significance in terms of economic development. The county’s modern, paved road-system had already been built earlier. Roads and pavements in inner-city areas have been paved up to 70%. The technical condition of roads and pavements can seriously impede the population’s mobility and it may hinder the development of certain settlements and districts.
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Stankunas, Mindaugas, Mark Avery, Jutta Lindert, Ian Edwards, Mirko Di Rosa, Francisco Torres-Gonzalez, Elisabeth Ioannidi-Kapolou, Henrique Barros et Joaquim Soares. « Healthcare and aging : do European Union countries differ ? » International Journal of Health Care Quality Assurance 29, no 8 (10 octobre 2016) : 895–906. http://dx.doi.org/10.1108/ijhcqa-09-2015-0110.

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Purpose The purpose of this paper is to evaluate socio-economic inequalities in the use, accessibility and satisfaction with health services amongst 60-84 year old people from seven European urban communities. Design/methodology/approach Data for this study were collected in 2009. The target population was people aged 60-84 years from Stuttgart (Germany), Athens (Greece), Ancona (Italy), Kaunas (Lithuania), Porto (Portugal), Granada (Spain) and Stockholm (Sweden). The total sample comprised 4,467 respondents with a mean response rate across these countries of 45.2 per cent. Findings The study demonstrated that the majority of respondents had contact with a health care provider within the last 12 months. The highest percentages were reported by respondents from Spain (97.8 per cent) and Portugal (97.7 per cent). The results suggest that 13.0 per cent of respondents had refrained from seeking care services. The highest rates were amongst seniors from Lithuania (24.0 per cent), Germany (16.2 per cent) and Portugal (15.4 per cent). Logistic regression suggests that seniors who refrained from seeking health care was statistically significant associated with those with higher levels of education (odds ratios (OR)=1.21; 95 per cent confidence intervals (CI)=1.01-1.25) and financial strain (OR=1.26; 95 per cent CI=1.16-1.37). Furthermore, the majority of respondents were satisfied with health care services. Originality/value The findings from the “Elder Abuse: a multinational prevalence survey” study indicate the existence of significant variations in use, accessibility and satisfaction with health services by country and for socio-economic factors related to organizing and financing of care systems.
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Gerlinger, Thomas, et Rolf Schmucker. « Transnational migration of health professionals in the European Union ». Cadernos de Saúde Pública 23, suppl 2 (2007) : S184—S192. http://dx.doi.org/10.1590/s0102-311x2007001400008.

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The establishment of the European Common Market has involved the free movement not only of capital and goods, but also of persons and services. The principles of free movement also apply to the health care sector, i.e. they allow for the free incorporation of health care providers and the cross-border delivery of services. Since the 1970s, the European Union (EU) has passed numerous regulations to enforce the mutual recognition of qualifications of physicians, nurses, and other health professionals by the Member States, considered an indispensable precondition for the free movement of services. Thus far, the establishment of a European job market for the health care professions has not led to extensive migration among the EU Member States. Likewise, the accession of Central and Eastern European countries to the EU in 2004 did not cause a "brain drain" to the better-off countries of Western and Northern Europe. However, the mobility among health care professions is expected to increase in the coming years.
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Thèses sur le sujet "Health services administration – European Union countries"

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DA, COSTA LEITE BORGES Danielle. « European health systems and the internal market : towards new paradigms and values for the provision of health care services ? » Doctoral thesis, 2013. http://hdl.handle.net/1814/30898.

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Defence date: 1 February 2013.
Examining Board: Professor Marise Cremona, European University Institute (Supervisor); Professor Christopher Newdick, University of Reading (External Co-Supervisor); Professor Claire Kilpatrick, European University Institute; Professor Vassilis Hatzopoulos, Visiting Professor at the College of Europe.
PDF of thesis uploaded from the Library digital archive of EUI PhD theses
Using theories of distributive justice as its point of departure, this thesis deals with the tensions created by the application of the Internal Market rules to the provision of health care services within the European Union (EU). The main aim of the work is to analyse the impact of the Internal Market rules on common values and principles shared by European health systems, such as universality, accessibility, equity and solidarity. Moreover, it also aims to contribute to a more comprehensive and balanced interpretation of the role of the provision of health services in the context of the Internal Market and European Union law. The analysis developed in this thesis is conducted using the specific issue of cross-border health care, which has been chosen to demonstrate how solid values guiding European health systems can be affected by EU law and libertarian ideas. The work is divided into six chapters. The first chapter is devoted to a literature review regarding the questions of the special moral importance of health care and of theories of distributive justice used to justify the allocation of this special good among individuals. The discussion about theories of distributive justice and health care also includes the argument concerning the role of the market in health care provision. The second chapter focuses on the development of social rights of citizenship and its relationship with the welfare state. This includes the analysis of the meaning of solidarity and the concepts of European citizenship, both at national and supranational levels. The third chapter concentrates on the provision of health services at the national level. It begins by presenting a historic overview of the development of welfare services in the field of health care in Europe. Then there is an explanation of the models for financing and delivery of health care as well as their guiding principles. The fourth chapter analyses the framework of health services provision at the European level. It includes the analysis of EU legislation, such as Treaty provisions and secondary legislation, as well as the jurisprudence of the European Court of Justice (ECJ) on health services, as for example, cross-border health care and competition law cases. The fifth chapter looks at human rights law and documents in the field of health, outlining their relationship with theories of distributive justice and the provision of health care. Finally, the last chapter identifies the new paradigms and values introduced by the Internal Market rules in the field of health care, outlining their relationship with a libertarian view of health care. This chapter also examines how these new paradigms and values affect the principles of universality, accessibility, equity and solidarity at the national level, drawing conclusions about the role of the European Union in the realm of health care.
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OLESEN, Jeppe Dørup. « Adapting the welfare state : privatisation in health care in Denmark, England and Sweden ». Doctoral thesis, 2010. http://hdl.handle.net/1814/14504.

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Defence date: 12 June 2010
Examining Board: Jens Blom-Hansen (Aarhus Univ), Pepper Culpepper (EUI), Bo Rothstein (Univ. Gothenborg), Sven Steinmo (EUI) (Supervisor)
First made available online on 8 April 2019
This dissertation deals with the following question: In the past decades some of the countries most dedicated to the universal public welfare state have privatised many of their welfare service provisions. Why is this so? The dissertation takes a close look at privatisation policies in health care in Denmark, Sweden and England in order to figure out how and why the private health care sector has expanded rapidly in recent years. Health care services in Denmark, Sweden and England provide good examples of welfare state service privatisation because these three countries have spent decades building up universal public health care systems that offer free and equal access to all citizens - and these programmes are very popular. In this dissertation I find that the most common explanations for welfare state reform fail to explain these changes: Privatisation policies are not the result of partisan politics, instead they are supported by Social Democratic / Labour parties and in some cases the unions as well. Privatisation is not the result of pressures for fiscal retrenchment; in fact, public health care funding has increased in all three countries over the past decade. Neither is privatisation the straight forward result of new right wing ideas. Certainly, new ideas play a role in this change, but it is difficult to sustain the argument that ideas alone have been the cause of privatisation in these three health care systems. Finally, it has been debated whether privatisation is the result of pressure from EU legislation. This explanation does not hold either for the basic reason of timing. The policies leading to privatisation in Denmark, England and Sweden were all implemented before the European debate over health care services started. Instead, I suggest that privatisation in health care in Denmark, Sweden and England can best be understood as the product of policy makers puzzling over important policy problems (Heclo, 1972). I call this an adaptive process. In this analysis I show that privatisation is the result of several interconnected attempts to adapt health care systems to a changing context. By taking a long historical view of the changes in health care systems, it becomes evident that the changes towards privatisation do not occur overnight or as a result of a ‘punctuated equilibrium’. Rather, the increasing privatisation in health care is the accumulated effect of several small step policy changes, which, over time, result in rising levels of privatisation. Some scholars have suggested that neo-liberal policies, such as privatisation of service provision, will ultimately lead to the end of the welfare state. In this study, I come to a different conclusion. Rather than undermine the welfare state, privatisation in health care may help the welfare state survive. Privatisation can be seen as a way of adapting welfare state services to a changing political context.
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Livres sur le sujet "Health services administration – European Union countries"

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European Observatory on Health Systems and Policies, dir. The changing national role in health system governance : A case-based study of 11 European countries and Australia. Copenhagen, Denmark : European Observatory on Health Systems and Policies, 2013.

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Wismar, Matthias. Cross-border health care in the European Union : Mapping and analysing practices and policies. Copenhagen, Denmark : European Observatory on Health Systems and Policies, 2011.

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Hämäläinen, Riitta-Maija. The europanisation of occupational health services : A study of the impact of EU policies. Helsinki : Finnish Institute of Occupational Health, 2008.

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Essential health and safety for managers : A guide to good practice in the European Union. Aldershot, Hampshire, England : Gower, 1994.

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Ludvigsen, Carole. Health care policies and Europe : The implications for practice. Oxford : Butterworth-Heinemann, 1996.

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Pitrik, J. ózsef, et Gyula Ulcz. Magyarországi társadalmi-gazdasági mozaikok az uniós csatlakozás kapujában : Tanulmánykötet. Pécs : Pécsi Tudományegyetem Természettudományi Kar Földrajzi Intézet, 2003.

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Health care reforms in Europe : Convergence towards a market model ? Baden-Baden : Nomos, 2012.

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Conflict and change in EU budgetary politics. London : Routledge, 2006.

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Pusterla, Francesca. European Union and Humanitarian Crises : Patterns of Intervention. Taylor & Francis Group, 2016.

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Pusterla, Francesca. European Union and Humanitarian Crises : Patterns of Intervention. Taylor & Francis Group, 2016.

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Chapitres de livres sur le sujet "Health services administration – European Union countries"

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Tepandi, Jaak, Carmen Rotuna, Giovanni Paolo Sellitto, Sander Fieten et Andriana Prentza. « The Technical Challenges in OOP Application Across the European Union and the TOOP OOP Architecture ». Dans The Once-Only Principle, 141–63. Cham : Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-79851-2_8.

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AbstractThe Once-Only Principle requires the public administrations to ensure that citizens and businesses supply the same information only once to the Public Administration as a whole. Widespread use of the Once-Only Principle has the potential to simplify citizens’ life, make businesses more efficient, and reduce administrative burden in the European Union. The Once-Only Principle project (TOOP) is an initiative, financed by the EU Program Horizon 2020, to explore the possibility to enable the cross-border application of the Once-Only Principle by demonstrating it in practice, through the development of selected piloting applications for specific real-world use cases, enabling the connection of different registries and architectures in different countries for better exchange of information across public administrations. These piloting ICT systems are designed as a result of a pan-European collaboration and they adopt a federated model, to allow for a high degree of independence between the participating parties in the development of their own solutions. The main challenge in the implementation of an OOP solution is the diversity of organizations, procedures, data, and services on all four main levels of interoperability: legal, organizational, semantic, and technical. To address this challenge, TOOP is developing and testing the TOOP Reference Architecture (TOOPRA) to assist organizations in the cross-border implementation of the OOP. The paper outlines the TOOPRA users, principles, and requirements, presents an overview of the architecture development, describes the main views of TOOPRA, discusses architecture profiling, and analyses the TOOPRA sustainability issues.
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Chen, Yu-Che. « Managing IT Outsourcing for Digital Government ». Dans IT Outsourcing, 1916–23. IGI Global, 2010. http://dx.doi.org/10.4018/978-1-60566-770-6.ch121.

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IT outsourcing has become an increasingly important strategy in meeting the demand for digital government services in many developed countries. In the United States, government IT outsourcing is expected to become the fastest-growing segment of the overall federal IT market.1 In 2002, the federal government spent US$55 billion on IT service contracts (Harris, 2003). The European Union also witnessed mega government IT outsourcing deals. One of the most visible deals is the British government’s National Health Service modernization plan, which features a host of multi-year IT outsourcing contracts whose total exceeds £5 billion (Collins, 2004). Government interest in IT outsourcing will likely be sustained by growing interest in creating value for citizens (Accenture, 2002). The confluence of many factors has made IT outsourcing an appealing option for governments around the world. Governments around the world are facing the challenge of delivering more services with fewer resources to meet the demands of their citizens and businesses. Information technology is able to increase efficiency in service production and delivery. However, alone, governments find it difficult to provide the financial resources and competitive wages which attract needed IT talent to deploy e-government services (National Academy of Public Administration, 2001). Against this background, outsourcing becomes a value proposition for government. With outsourcing, government can gain access to IT expertise while gaining efficiency derived from private-sector economies of scale. Nevertheless, good management is needed to realize IT outsourcing’s potential for creating value. This article focuses on IT outsourcing in the public sector, analyzing management issues, and offering practical solutions. The background section defines IT outsourcing as well as its associated benefits and risks. The next section offers a process-oriented practical methodology as a tool for public managers to navigate the entire life cycle of IT outsourcing projects. More importantly, this process provides a structured way to maximize benefits and minimize costs associated with IT outsourcing. Then, a discussion of future trends examines IT outsourcing issues on the horizon. This article concludes with a general set of recommendations.
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Schininá, Guglielmo, et Geertrui Lanneau. « Migration and mental health care in the European Union ». Dans Oxford Textbook of Migrant Psychiatry, sous la direction de Dinesh Bhugra, Oyedeji Ayonrinde, Edgardo Juan Tolentino, Koravangattu Valsraj et Antonio Ventriglio, 343–50. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198833741.003.0040.

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This chapter analyses legal and factual aspects of the provision of mental health care for migrants in the European Union (EU), framing migrants’ access to mental health care within the wider contexts of migration in the EU, the EU’s policies for migrants’ integration and access to health care, and EU policies on mental health care for all. The rates of various psychiatric disorders may vary across migrant groups and host populations. The issue of how services can be made more accessible for migrants is to be considered within the context of the provision of mental health care for all in the EU, where mental disorders are a serious public health concern. Various gaps are identified, and various options are suggested that policymakers and healthcare professionals can take into account, bearing in mind facts and figures of migration in Europe—with a particular focus on migration from non-EU countries—and the consideration of mental health care as a right for all migrants.
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Popescu, Decebal, Nirvana Popescu et Ciprian Dobre. « E-Frameworks to Optimize Public Administration Services ». Dans Strategic and Pragmatic E-Business, 267–96. IGI Global, 2012. http://dx.doi.org/10.4018/978-1-4666-1619-6.ch012.

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Public administration is subject to major changes affecting many countries, such as the need to implement the European Union Services Directive within the entire EU area. This chapter presents theoretical and practical approaches to developing e-Services and e-Government solutions and real experiences in developing two successful projects with great potential to improve complex Government procedures. The Point of Single Contact is an electronic means through which service providers can find information and complete the formalities necessary to doing business there. Each EU member state must have its own PSC, which should be a reliable source of electronic processing of information that should facilitate the interaction of citizens with the public administration. The design and implementation details of an e-Framework for optimizing the relationship between Governments and citizens using eServices will be presented. Evaluation results obtained by integrating a real-life workflow for opening a business in the Romanian environment are shown. Also, in order to optimize automatic data transfers, document workflows, and business reporting of business organizations, an e-Services system is used.
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Popescu, Decebal, Nirvana Popescu et Ciprian Dobre. « E-Frameworks to Optimize Public Administration Services ». Dans Digital Democracy, 438–65. IGI Global, 2012. http://dx.doi.org/10.4018/978-1-4666-1740-7.ch022.

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Public administration is subject to major changes affecting many countries, such as the need to implement the European Union Services Directive within the entire EU area. This chapter presents theoretical and practical approaches to developing e-Services and e-Government solutions and real experiences in developing two successful projects with great potential to improve complex Government procedures. The Point of Single Contact is an electronic means through which service providers can find information and complete the formalities necessary to doing business there. Each EU member state must have its own PSC, which should be a reliable source of electronic processing of information that should facilitate the interaction of citizens with the public administration. The design and implementation details of an e-Framework for optimizing the relationship between Governments and citizens using eServices will be presented. Evaluation results obtained by integrating a real-life workflow for opening a business in the Romanian environment are shown. Also, in order to optimize automatic data transfers, document workflows, and business reporting of business organizations, an e-Services system is used.
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Jøsendal, Anette Vik, Trine Strand Bergmo et Anne Gerd Granås. « Multidose Drug Dispensing in Primary Care : A Review of the Literature ». Dans Medication Safety in Municipal Health and Care Services, 321–48. Cappelen Damm Akademisk/NOASP, 2022. http://dx.doi.org/10.23865/noasp.172.ch15.

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Multidose drug dispensing (MDD) is an adherence aid that provides patients with machine-dispensed medicines in disposable unit bags, usually for a 14-day period. The system has been implemented in primary care in some European countries. This review aims to summarize the current evidence on the MDD system’s effect on patient safety in home-dwelling patients. We found 60 peer-reviewed articles from five different countries. The studies indicate that MDD has both positive and negative effects on patient safety, and can affect all steps in the medication-use process: prescribing, dispensing, administration and monitoring. Specifically, MDD can increase medication adherence and reduce discrepancies in medication records for patients in primary care. However, it also seems to result in more inappropriate prescribing and more medication errors during discharge from hospitals. In order to improve the MDD system, it is necessary to involve all actors in the medication-use process and define their responsibilities. Specifically, we see that there is a need for better systems to identify patients during care transitions, and increased involvement of the patients themselves.
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« Market-Based Governance in Public Healthcare Delivery ». Dans Advances in Healthcare Information Systems and Administration, 1–35. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-7998-3928-6.ch001.

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This chapter analyses the market-based reforms introduced in the UK. From 1979 onwards, it is clear that market governance has been central in the delivery of public healthcare services in the UK. The move towards using private sector techniques to run public health services has been reinforced over the last few decades, and New Public Management (NPM) reforms have often been more pronounced than in many other European countries. The chapter considers how public health services have been reconfigured within the changing boundaries between the state and its citizens. The government still continues to play a major role in the running of health services and decision making, even in the new configuration of public health services and the extension of informal networks, but health policy is also now formulated through a variety of different actors. This chapter will finish by presenting how healthcare is organised today in the UK following these reforms.
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Işık, Abdülkadir, Seda Suat, Özge Selvi Yavuz, Gamze Yıldız Şeren et Berkay Habiboğlu. « An Evaluation of Oral and Dental Health Services in Turkey and in the Member States of the EU in Terms of Economy ». Dans Oral Healthcare and Technologies, 494–514. IGI Global, 2017. http://dx.doi.org/10.4018/978-1-5225-1903-4.ch013.

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Dental health expenditures are a big part of general health expenditures. In Turkey, oral health services are provided by both private practitioners and government sections. In 2012, approximately 7 million fillings were made by government clinics. According to Turkish Dental Association data, in the same year, the number of fillings that Turkish citizens needed was 247 million. Even if the entire budget of the Health Ministry of Turkey were spent for these fillings, it is impossible to handle this demand. In 2012, in the European Union with 24 member countries, dental health spending was close to 74 billion Euro. Because of this financial burden, Turkey and the other countries are trying to find cost-effective methods to minimize dental health spending. This chapter emphasizes dental health conditions of both Turkey and European Union, firstly, and then successful and cost-effective strategies are discussed.
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Işık, Abdülkadir, Seda Suat, Özge Selvi Yavuz, Gamze Yıldız Şeren et Berkay Habiboğlu. « An Evaluation of Oral and Dental Health Services in Turkey and in the Member States of the EU in Terms of Economy ». Dans Regional Economic Integration and the Global Financial System, 110–29. IGI Global, 2015. http://dx.doi.org/10.4018/978-1-4666-7308-3.ch010.

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Dental health expenditures are a big part of general health expenditures. In Turkey, oral health services are provided by both private practitioners and government sections. In 2012, approximately 7 million fillings were made by government clinics. According to Turkish Dental Association data, in the same year, the number of fillings that Turkish citizens needed was 247 million. Even if the entire budget of the Health Ministry of Turkey were spent for these fillings, it is impossible to handle this demand. In 2012, in the European Union with 24 member countries, dental health spending was close to 74 billion Euro. Because of this financial burden, Turkey and the other countries are trying to find cost-effective methods to minimize dental health spending. This chapter emphasizes dental health conditions of both Turkey and European Union, firstly, and then successful and cost-effective strategies are discussed.
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Matei, Ani, et Dincă Dragoș Valentin. « Comparative Study on Public Electronic Employment Services : Austria, Spain, Estonia, Romania ». Dans E-Service [Working Title]. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.97052.

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Jobs around the world are affected by the current health crisis. European Commission, governments are concerned with finding measures to ensure the protection of employees. As such, on October 21, 2020 the European Commission issued an inaugural set of obligations with a social impact under the EU SURE Instrument of the European Union. Amounting to EUR 17 billion, instrument intended to help protect jobs and keep up employment. Under this framework, this chapter analyzes public employment services in four European countries to identify the extent to which they have adapted to the global pandemic situation. Measures to protect jobs and support workers in identifying new jobs are a permanent concern for most countries. Additionally, we are witnessing an accelerated digitalization of overall public services, public employment services too. The way in which employment services are organized, the degree of digitalization does not necessarily infer the conclusion that workers’ protection is ensured but only that the premises for the health crisis mitigation effects are provided.
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Actes de conférences sur le sujet "Health services administration – European Union countries"

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Kamber, Krešimir, et Lana Kovačić Markić. « ADMINISTRATION OF JUSTICE DURING THE COVID-19 PANDEMIC AND THE RIGHT TO A FAIR TRIAL ». Dans EU 2021 – The future of the EU in and after the pandemic. Faculty of Law, Josip Juraj Strossmayer University of Osijek, 2021. http://dx.doi.org/10.25234/eclic/18363.

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On 11 March 2020 the World Health Organization announced the Covid-19 (coronavirus) to be a pandemic. To combat the pandemic, many countries had to adopt emergency measures and some of these measures have affected the judicial system, especially the functioning of courts. The pandemic has been characterised as far as the judiciary is concerned by complete or partial closure of court buildings for the parties and for the public. It is clear that the functioning of national judicial systems has been severely disrupted. This limited functioning of courts impacted the individuals’ right to a fair trial guaranteed, in particular, under Article 6 of the European Convention on Human Rights. The aim of this article is to examine the manner of the administration of justice during the Covid pandemic and its impact on the due process guarantees. Focus is put on the extent to which different Covid measures, in particular remote access to justice and online hearings have impacted the guarantees of the right to a fair trial and the due process guarantees in general, notably in detention cases. In this connection, the article provides a comparative overview of the functioning of the European legal systems during the pandemic. It also looks into the way in which the two European courts – the European Court of Human Rights and the Court of Justice of the European Union functioned, as well as the way in which the Croatian courts, including the Constitutional Court, organised their work during the pandemic. The article then provides an insight into the issue of online/remote hearings in the case-law of the European Court of Human Rights and in the Croatian Constitutional Court’s case-law. On the basis of this assessment, the article identifies the differences in the use of remote/online hearings between and within jurisdictions. In conclusion, the article points to some critical considerations that should be taken into account when devising the manner in which any Covid pandemic experience with the administration of justice (notably with regard to remote/online hearings) can be taken forward.
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Zyder, Vaclav, Marian Piecha et Daniela Mosova. « PROCESSING AND DISPOSAL OF MUNICIPAL WASTE OF A SELECTED COMPANY ». Dans 22nd SGEM International Multidisciplinary Scientific GeoConference 2022. STEF92 Technology, 2022. http://dx.doi.org/10.5593/sgem2022/4.1/s18.27.

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Municipal waste is defined as waste from households and other sources, such as retail, administration, education, health, accommodation and food services and other services and activities, which is similar in nature and composition to household waste. Municipal waste should therefore include, inter alia, waste from park and garden maintenance, such as leaves, grass and tree clippings, and waste from market and street cleaning, such as the contents of rubbish bins and rubbish, with the exception of materials such as sand, stones, mud or dust. The rules and guidelines for municipal waste management are, of course, set by the relevant legal regulations, first of all the regulations and directives of the European Union, then the laws, government regulations and decrees. The Czech Republic is obliged to implement all EU regulations. The number of regulations adopted at the level of the European Union has been so great in recent years that they no longer even "roll over" into Czech Act No. 1852001 Coll. on waste, but only references to the relevant EU standards are inserted. The aim of the presented article is to define the procedures for waste treatment of a selected municipal company operating in the city of Havirov.
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Tucak, Ivana, et Anita Blagojević. « COVID- 19 PANDEMIC AND THE PROTECTION OF THE RIGHT TO ABORTION ». Dans EU 2021 – The future of the EU in and after the pandemic. Faculty of Law, Josip Juraj Strossmayer University of Osijek, 2021. http://dx.doi.org/10.25234/eclic/18355.

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The COVID - 19 pandemic that swept the world in 2020 and the reactions of state authorities to it are unparalleled events in modern history. In order to protect public health, states have limited a number of fundamental human rights that individuals have in accordance with national constitutions and international conventions. The focus of this paper is the right of access to abortion in the Member States of the European Union. In Europe, the situation with regard to the recognition of women's right to abortion is quite clear. All member states of the European Union, with the exception of Poland and Malta, recognize the rather liberal right of a woman to have an abortion in a certain period of time after conception. However, Malta and Poland, as members of the European Union, since abortion is seen as a service, must not hinder the travel of women abroad to have an abortion, nor restrict information on the provision of abortion services in other countries. In 2020, a pandemic highlighted all the weaknesses of this regime by preventing women from traveling to more liberal countries to perform abortions, thus calling into question their right to choose and protect their sexual and reproductive rights. This is not only the case in Poland and Malta, but also in countries that recognize the right to abortion but make it conditional on certain non-medical conditions, such as compulsory counselling; and the mandatory time period between applying for and performing an abortion; in situations present in certain countries where the problem of a woman exercising the right to abortion is a large number of doctors who do not provide this service based on their right to conscience. The paper is divided into three parts. The aim of the first part of the paper is to consider all the legal difficulties that women face in accessing abortion during the COVID -19 pandemic, restrictions that affect the protection of their dignity, right to life, privacy and right to equality. In the second part of the paper particular attention will be paid to the illiberal tendencies present in this period in some countries of Central and Eastern Europe, especially Poland. In the third part of the paper, emphasis will be put on the situation in Malta where there is a complete ban on abortion even in the case when the life of a pregnant woman is in danger.
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Pelse, Modrite, et Maira Lescevica. « Analysis of digitalization referred to in strategic policy documents in the lifelong education context ». Dans 21st International Scientific Conference "Economic Science for Rural Development 2020". Latvia University of Life Sciences and Technologies. Faculty of Economics and Social Development, 2020. http://dx.doi.org/10.22616/esrd.2020.54.030.

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Previous research studies on digitalization as an important driver of development has been largely discussed in the context of entrepreneurship, determining its effects on economic growth. Over the past decade, the role of digitalization in public administration – in providing quality and user-friendly services – has been stressed, with less emphasis being placed on its importance in strategic planning. The driving force of change is digital transformation, which requires digital skills and knowledge. The digital literacy of European Union residents has improved, yet in seven EU Member States it was rated as low or very low. Lifelong education helps to deal with this problem, and it has become a necessity for the entire society. The aim of the present research is to determine the role of digitalization in strategic policy documents in the context of lifelong education. The paper analysed the National Development Plan of Latvia 2021-2027 (final version), the Digital Agenda 2020 for Estonia and the Progress Strategy “Lithuania 2030”. The mentioned strategic documents have set a number of goals and objectives directly relating to the implementation of digitalization in order to facilitate the work of society, enterprises and public administration. The policy documents refer to digitalization in lifelong education as mostly a communication and information tool requiring adequate digital skills to be provided by educational institutions. The research employed the monographic, content analysis and descriptive methods. The strategic policy documents of Latvia have been compared with the corresponding documents of the other Baltic States, as the historical and economic development of the countries has followed a relatively similar scenario, and all the Baltic States are EU Member States.
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Kralj, Danijela. « Odpornost zdravstvenega sistema na nove pandemije in krizne razmere ». Dans Society’s Challenges for Organizational Opportunities : Conference Proceedings. University of Maribor Press, 2022. http://dx.doi.org/10.18690/um.fov.3.2022.33.

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The COVID-19 pandemic has cut deep into people’s lives. With the complexity of measures to prevent the spread of infection and the danger of consequences, in addition to health systems, it has tested humanity, solidarity and resilience, and good governance of society as a whole in crisis situations. People have always been exposed to the dangers of infectious diseases and other sources of uncertainty, but never before with such complexity and rapidity that, so to speak, at one point covered the entire world community and countries. Against this background, the need for responsive, resilient and effective health systems is recognized in both the European Union and the World Health Organization (WHO), as only a responsive and resilient health system is able to effectively absorb shocks while delivering seamless health services and transition. a state of socalled new normality. The experience with COVID-19 also points to the risks of new pandemics. At the same time, with reasonable caution, it calls for systemic, interdisciplinary thinking on new approaches to increase the resilience of health systems through the ability to respond effectively and respond to crises.
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Dauster, Manfred. « Criminal Proceedings in Times of Pandemic ». Dans The 8th International Scientific Conference of the Faculty of Law of the University of Latvia. University of Latvia Press, 2022. http://dx.doi.org/10.22364/iscflul.8.2.18.

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COVID-19 caught humanity off guard at the turn of 2019/2020. Even when the Chinese government sealed off Wuhan, a city of millions, for weeks to contain the epidemic, no one in other parts of the world had any idea of what specifically was heading for the countries. The ignorant and belittling public statements and tweets of the former US president are still fresh in everyone's memory. Only when the Italian army carried the coffins with the COVID-19 victims in northern Italy, the gravesites spread in the Bergamo region, as well as the intensive care beds filled in the overcrowded hospitals, the countries of the European Union and other parts of the world realised how serious the situation threatened to become. Together with the World Health Organisation (WHO), the terms changed to pandemic. Much of the pandemic evoked reminiscences originating in the Black Death raging between 1346 and 1353 or in the Spanish flu after the First World War. Meanwhile, life went on. The administration of justice in criminal cases could not and should not come to a standstill. Emergency measures, such as those that began to emerge in February 2020, are always the hour of the executive. In their efforts to stop the spread of the virus, in Germany, governments particularly reflected on criminal proceedings. Neither criminal procedural law nor the courts and court administrations applying this procedural law were adequately prepared for the challenges. Deadlines threatened to expire, access to court buildings and halls had to be restricted to reduce the risk of infection, public hearings represented a potential source of infection for both the parties to the proceedings and the public, virtual criminal hearings via conference calls had not yet been tested in civil proceedings, but were legally possible, but not so in criminal cases. The taking of evidence in criminal cases in Germany is governed by the rules of strict evidence and is largely not at the disposal of the parties to the proceedings. Especially in criminal cases, fundamental and human rights guarantees serve to protect the accused, but also the victims and witnesses. Executive measures of pandemic containment might impact these guarantees. Here, an attempt will be made to discuss at some neuralgic points how Germany has attempted to balance the resulting contradictory interests in the conflict between pandemic control and constitutional requirements for criminal court proceedings.
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Rinaldi, Alessandra, et Kiana Kianfar. « Design-enabled innovation in smart city context. Fostering social inclusion through intercultural interaction ». Dans 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1001878.

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Generating design-enabled innovation implies the identification of social, technological, and cultural changes taking place nowadays and of the opportunities offered by the digital transformation, which enters these processes, playing an important role in all areas of contemporary life, from urban, domestic, health and services in general.In our era, the ambient intelligence pervades objects such as cities; electronic perception systems collect information and data from us, trying to understand our needs and give us answers. Cities are real living laboratories for experimenting new technologies on an urban scale.Big Data management represents one of the critical points of the ongoing revolution. The data can give information about people, understand behaviors, change city policies and so on. Big Data represent a qualitative leap in digital culture; nothing exists in Big Data before questions, explained De Kerckhove [1].“It is also and above all a cognitive revolution, where the answer no longer comes from the question. The large amount of data that comes from the pervasive use of technology already contains all the answers, but it has no value if it is not interrogated with the right questions. As McLuhan says, when all the answers are at hand, it's only the question that matters" [1].The perspective is then reversed: the first step in making society smarter is not to collect as much data as possible or develop an infallible algorithm, but it is necessary to identify the relevant expectations and needs in and for that society and ask the right questions, and to investigate what it represents, in the collective imagination, the quality of life and what technology can generate as a response.The project presented starts from the observation that we are faced with a strong migratory and global tourism flows that are affecting European cities, placing us in front of a growing multiculturalism in urban areas, with consequent issues related to the inclusion of cultural diversity and dialogue. The landscape of cities in many European countries has changed significantly, and the use of public space and services is no longer suited to the needs of multicultural citizens. This phenomenon has developed rapidly, without an adaptation of social policies, services, and spaces to emerging needs, creating evident problems of inclusion and dialogue between different cultures.Digital technologies and ubiquitous computing systems offer many opportunities for designing products and services aimed at increase interaction, collect, and share information, knowledge, emotions, experiences, through platforms that support the increase of social awareness.The research investigates how to use digital technologies and which design strategies and creative, communicative and process paths can be used to promote inclusion through interaction and communication between the different cultures that coexist in the same smart city context.Promoting interaction in public spaces, between citizens with different cultural backgrounds, becomes a crucial element to support social cohesion and to facilitate coexistence between different cultures. Opportunities to mix people in daily life reinforce shared values and goals.One of the best approaches that can be adopted for the design of new urban spaces and services is co-design, which indicates collective creativity as it is applied throughout a design process and involves all stakeholders, encouraging and supporting them to take an active role in this process.Following the indications of Findeli [2], this design research was carried out with the tools of design, and above all with its most original and specific characteristic, the project, developing in this specific case a pilot product-service.The project, funded within the H2020 framework program, made it possible to experiment with design tools to foster the engagement of different cultures present in the urban environment and encourage them to interact with each other, also including other types of stakeholders, from public administration to small/medium enterprises and to third sector associations.All the areas of cultural heritage, tangible, and intangible, where every culture has many stories to tell, have emerged as the most suitable areas for experimenting with new ways of interacting and communicating through which diversity can be encountered and compared. Five design for storytelling strategies guided the project: i) building relevance; ii) design for experience; iii) interactivity; iv) immersion; v) inclusion.[1] De Kerckhove Derrick, Psicologie connettive, Milano, Egea, 2014.[2] Findeli Alain, “Design research-Introduction”, Design Issues n. 15(2), 1999.
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