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Barbasch, Tina A., Suzanne H. Alonzo i Peter M. Buston. "Power and punishment influence negotiations over parental care". Behavioral Ecology 31, nr 4 (13.06.2020): 911–21. http://dx.doi.org/10.1093/beheco/araa034.
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Abstract Asymmetries in power (the ability to influence the outcome of conflict) are ubiquitous in social interactions because interacting individuals are rarely identical. It is well documented that asymmetries in power influence the outcome of reproductive conflict in social groups. Yet power asymmetries have received little attention in the context of negotiations between caring parents, which is surprising given that parents are often markedly different in size. Here we built on an existing negotiation model to examine how power and punishment influence negotiations over care. We incorporated power asymmetry by allowing the more-powerful parent, rank 1, to inflict punishment on the less-powerful parent, rank 2. We then determined when punishment will be favored by selection and how it would affect the negotiated behavioral response of each parent. We found that with power and punishment, a reduction in one parent’s effort results in partial compensation by the other parent. However, the degree of compensation is asymmetric: the rank 2 compensates more than the rank 1. As a result, the fitness of rank 1 increases and the fitness of rank 2 decreases, relative to the original negotiation model. Furthermore, because power and punishment enable one parent to extract greater effort from the other, offspring can do better, that is, receive more total effort, when there is power and punishment involved in negotiations over care. These results reveal how power and punishment alter the outcome of conflict between parents and affect offspring, providing insights into the evolutionary consequences of exerting power in negotiations.
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Wessels, Bridgette, Jo Taylor i Lizzie Coates. "Telehealth in Community Nursing: A Negotiated Order". Sociological Research Online 22, nr 4 (13.10.2017): 152–68. http://dx.doi.org/10.1177/1360780417734145.
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Policy makers in the UK are looking to technology such as telehealth as a solution to the increasing demand for long term health care. Telehealth uses digital home monitoring devices and mobile applications to measure vital signs and symptoms that health professionals interpret remotely. The take up of telehealth in community health care is slow because there is uncertainty about its use. Findings from a qualitative study of community healthcare show that community nurses are managing uncertainty through a complex set of negotiations. Drawing on Strauss’ concept of negotiated order the study found three key areas of negotiation, which are ‘supported care interdependencies’, ‘nursing-patient relationships’, and ‘risk management’. The relational, communicative and collaborative working practices of nurses shape these areas of negotiation and the resulting negotiated order. This article focuses on the perspectives of nurses in negotiating telehealth with their patients.
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Larsen, Lill Sverresdatter, Hans Ketil Normann i Torunn Hamran. "Processes of user participation among formal and family caregivers in home-based care for persons with dementia". Dementia 16, nr 2 (27.07.2016): 158–77. http://dx.doi.org/10.1177/1471301215584702.
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Scandinavian health policy supports prolonged home-based care for people with dementia. User participation is expected to reduce family burden. The aim of this study was to explore how formal and family caregivers experience collaboration while providing home-based dementia care, with a focus on user participation. Seventeen qualitative in-depth interviews were conducted among formal and family caregivers in rural municipalities. The theme identified during this process was ‘negotiating participation in decisions’. This theme was analysed using positioning theory. Concepts such as user participation are ambiguous, and caregivers negotiate positions during decision-making processes. Such negotiations are caused by the problematic relationships among patients’ legal consent, undefined spokespersons and pragmatic care practices. These constant negotiations enable or obstruct collaboration in several situations. User participation as a concept might contribute to conflicts during collaborations. Dialogues about user participation that focus on consent and spokespersons could reduce the burden created by negotiations in practice.
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Gilden, Lisa J., i J. Bryan Thomas Puterbaugh. "MANAGED CARE CONTRACTS AND NEGOTIATIONS". Gastroenterology Clinics of North America 26, nr 4 (grudzień 1997): 811–21. http://dx.doi.org/10.1016/s0889-8553(05)70335-6.
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Fitzpatrick, William G., John Renshaw i Paul Batchelor. "Negotiation: A Necessary Art for Dental Practice". Primary Dental Care os19, nr 1 (styczeń 2012): 29–34. http://dx.doi.org/10.1308/135576112798990818.
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This brief paper explains why the art of negotiation has become far more important for general dental practitioners. It explains that negotiations take place with patients, with practice staff, and with funding agencies such as Primary Care Trusts. It sets out the principles for successful negotiation and gives two examples of how they can be applied. It concludes that negotiation is a skill that can be learned and that it will be a key skill as the profession faces future challenges.
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Meng, Qingfeng, Jingxian Chen i Kun Qian. "The Complexity and Simulation of Revenue Sharing Negotiation Based on Construction Stakeholders". Complexity 2018 (2.08.2018): 1–11. http://dx.doi.org/10.1155/2018/5698170.
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This paper focuses on the complexity characteristics of a stakeholder’s revenue sharing for time compression in construction projects, such as adopting a life cycle perspective, the preferences of stakeholders, and the adaptability behaviors in the negotiation process. We build an agent-based model on revenue sharing negotiation. Considering that the agents who are in a weak position not only care about their own benefits but also compare their benefits to others, we design an experimental scenario where a contractor has fairness preference based on China’s reality. According to different sympathy and envy coefficients, we can divide the inequity aversion preference into three typical types, and we research how a contractor’s different types of inequity aversion preferences impact revenue sharing coefficient of agreements, results of successful negotiations, and efficiency in negotiations. Results are as follows: it is advantageous for a contractor to maintain a modest inequity aversion for their own earnings and the degree of sympathy preference in inequity aversion has an important impact on the time to reach consensus while the degree of jealousy preference has no obvious effect. If contractors’ sympathy preference is maintained within a moderate range, it will achieve a higher success rate of negotiations in the negotiation process; the success rate of negotiation is affected largely by the agents’ sympathy preference, though it is also influenced by the jealousy preference, but it is not very sensitive.
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Bowman, Kerry W. "Communication, Negotiation, and Mediation: Dealing with Conflict in End-of-Life Decisions". Journal of Palliative Care 16, nr 1_suppl (październik 2000): S17—S23. http://dx.doi.org/10.1177/082585970001601s05.
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In recent years, it has become possible for the end of life to be a negotiated event, particularly in the intensive care unit. A multitude of often unidentified and poorly understood factors affect such negotiations. These include, family dynamics, ever-changing health care teams, inconsistent opinions about prognosis, and cultural differences between physicians, and patients and their families. When these factors converge, conflict may erupt. This article explores the nature, antecedents, and cost of such conflict. Arguments for the importance of balanced communication, negotiation, and mediation in end-of-life care are put forward.
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Pesonen, Sanna, Pirjo Juvonen-Posti, Hanna-Leena Ristimäki, Elina Weiste, Inka Koskela, Johanna Ruusuvuori i Riitta Seppänen-Järvelä. "Yhteistoimijuus työterveysneuvottelussa". Kuntoutus 44, nr 3 (15.10.2021): 5–20. http://dx.doi.org/10.37451/kuntoutus.111698.
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Eri toimijoiden välisen yhteistoimijuuden on todettu edesauttavan työuravaikutusten syntymistä. Työterveysneuvottelu on tärkeä työntekijän, työpaikan, työterveyshuollon yhteistyön ja kuntoutuksen yhteistyöfoorumi. Sen tavoitteena on tukea työntekijän työssä jatkamista ja työurien pidentymistä. Tässä artikkelissa tarkastellaan yhteistoimijuuden ilmenemisen tapoja sekä sen toteutumisen esteitä työterveysneuvottelussa.
Tutkimus oli moniaineistoinen monitapaustutkimus. Neljäntoista tapauksen aineiston muodostivat työterveysneuvotteluun osallistuvien ennakkokysely ja neuvottelun jälkeinen haastattelu, neuvottelun videotaltiointi, neuvottelun muistio sekä kyseisen työpaikan työkyvyn tuen kirjalliset mallit. Moninäkökulmainen aineisto kerättiin neuvotteluun osallistuneelta työntekijältä, esihenkilöltä ja työterveyslääkäriltä sekä videotaltioinnin osalta kaikilta neuvotteluun osallistuneilta. Aineisto analysoitiin sisällön- ja keskustelunanalyysillä.
Yhteistoimijuus ilmeni institutionaalisena, emotionaalisena, kommunikatiivisena ja supportiivisena ulottuvuutena. Institutionaalinen ulottuvuus ilmeni esimerkiksi toimijoiden roolien selkeytenä, emotionaalinen ulottuvuus kuulluksi tulemisena, kommunikatiivinen ulottuvuus yhteisenä päätöksentekona ja supportiivinen työntekijän tukemisena. Yhteistoimijuuden toteutumista estivät epäselvyys eri toimijoiden rooleista ja yhteisen näkemyksen tai yhteisen päätöksenteon puuttuminen. Kestävän työhönpaluun onnistumiseksi työntekijän toimijuutta tulisi tukea yhteistoimijuuden keinoin. Yhteistoimijuuden rakentumisen kannalta keskeistä oli tunnistaa työterveysneuvottelutilanne julkiseksi neuvotteluksi.
Abstract
Multi-actor shared agency at joint negotiations on the employee’s return-to-work
Collaboration between workplace, health care and rehabilitation actors has been shown to contribute to the working career impact. Joint negotiations on the employee’s return-to-work solutions is one key forum for co-operation between an employee, workplace’s actors, and actors of occupational health care and rehabilitation services. The aim of this collaboration is to support job retention and to prolong working careers. This article discusses which forms of multi-actor shared agency took place and what kind of obstacles to collaboration were found in the joint negotiations on the employee’s return-to-work.
The study was a multiperspective, multi-data study on multiple, altogether 14 joint negotiation, cases. Data on each case consisted of the questionnaire collected before the negotiation, the video-recorded data of the joint negotiation, three interviews after the negotiation, the negotiation memo and the workplace’s model of work ability support. The questionnaires and interviews were collected from employees, supervisors and occupational health physicians and video-recorded data was collected from all participants in the joint negotiation. The data was analyzed by a multidisciplinary research team with content and discussion analysis.
Multi-actor shared agency was definable to institutional, emotional, communicative and supportive dimensions. New institutional dimension included elements of clarity of the roles of the actors. The emotional dimension included experiences of being heard and of confidentiality. The communicative dimension included elements of collaborative decision-making, and last, the supportive dimension included elements of employee’s support. The lack of clarity regarding the roles of the various actors, secondly, the lack of a shared target and collaborative decision-making prevented the realization of the multi-actor shared agency. In order to succeed in returning to work, the employee's agency should be supported by the multi-actor shared agency means. It was essential for the multi-actor shared agency to recognize that negotiations with workplace actors on return to work are held, instead of internal health care platforms, in a public platform.
Keywords: agency, multi-actor shared agency, collaboration, work-related rehabilitation, joint negotiation, returning to work, vocational rehabilitation, occupational health care, multiple case study, qualitative research
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Parmar, Ambika, Tina Jiao i Kelvin K. Chan. "Drug funding price negotiations: Towards achieving a balance between individual and population gains in health benefits." Journal of Clinical Oncology 37, nr 15_suppl (20.05.2019): 6641. http://dx.doi.org/10.1200/jco.2019.37.15_suppl.6641.
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6641 Background: Drug price negotiation to lower cost to a cost-effectiveness threshold (λ) is a recognized approach to improve health care opportunities for the greater benefit of the population. Critics have raised concerns for this approach given the additional time required and speculated loss of quality-adjusted life-years (QALY) for patients. The current study aimed to quantify the incremental net health benefit (INHB) of publicly funded oncology drugs, if funding occurred at list prices without (w/o) negotiations. Methods: Pan-Canadian Oncology Drug Review submissions were reviewed to identify funded drugs with unique indications. For included drug indications economic guidance panel (EGP) reports were reviewed for incremental costs (ΔC) and ΔQALY from manufacturer’s base case cost-effectiveness analyses, EGP lower (LL) and upper limit (UL) re-analyzed estimates (based on list prices). Number of new cases in Ontario (most populous province in Canada) per indication (2017-18) was obtained from provincial databases. Annual QALY gain for each indication was determined by: (ΔQALY×cases). Provincial QALY gain/loss w/o price negotiations to reference λ was estimated by: (INHB= [ΔQALY− (ΔC/λ)] ×cases). Incremental net monetary benefit demonstrated annual monetary gain/loss w/o price negotiations to reference λ: (INMB= [(ΔQALY×λ) −ΔC] ×cases). Results: 34 drug indications including 4,629 new cases were identified. Annual QALY gain for funded indications using manufacturer, LL and UL estimates was 1,851, 1,617 and 1,301, respectively. At reference λ CAD$100,000/QALY, funding w/o negotiations resulted in loss of 2,176, 2,368, 2,451 QALY, representing budgetary diversions away from other health care interventions. This would result in a provincial net annual loss of 325, 751 and 1,150 QALY, respectively. INMB demonstrated provincial net monetary loss of CAD$32,472,389, $75,113,684 and $115,022,331, respectively. Conclusions: Despite an annual gain in QALY for funded drug indications, a net provincial loss in QALY w/o price negotiations was demonstrated. Thus, supportive evidence exists for drug price negotiations towards the promotion of health benefits for the population.
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Tolhurst, Edward, i Bernhard Weicht. "Unyielding selflessness: Relational negotiations, dementia and care". Journal of Aging Studies 47 (grudzień 2018): 32–38. http://dx.doi.org/10.1016/j.jaging.2018.10.001.
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Corwin, Ronald R. "Salary negotiations". Nursing 28, nr 6 (czerwiec 1998): 9. http://dx.doi.org/10.1097/00152193-199806000-00002.
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Hohmann (formerly Gelder), Ulrike. "Rights, expertise and negotiations in care and education". Early Years 27, nr 1 (marzec 2007): 33–46. http://dx.doi.org/10.1080/09575140601135114.
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Choi, Min Su. "Criteria and limitation on the expansion of visitation rights: Focus on the visitation rights of sibling and a third party". Korean Society Of Family Law 36, nr 2 (31.07.2022): 295–330. http://dx.doi.org/10.31998/ksfl.2022.36.2.295.
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The appearance of the family in modern society has changed due to the increase in divorce and remarriage. Accordingly, the parenting patterns of the children who are members of the family have been diversified. In the end, there has been a steady discussion that the subject of visitation rights under article 837-2 of the civil act, which is recognized only by one parent who does not raise the child after divorce, should be expanded.
Accordingly, the scope of visitation rights was expanded by partial revision of the Civil Act on December 2, 2016, and according to Article 837-2(2) of the revised Civil Act, the subjects of Visitation Rights under the Civil Act are children, non-custodial parents, a lineal ascendant of non-custodial parents.
However, the question of whether siblings, relatives, step parents, a third party who has no kinship but has actually played a role of a parent except parents and grandparents stipulated in civil law should be granted the right to interview with their children.
Article 837-2(2) of the current Civil Act limits the scope of a third party who can request interview negotiations to the a lineal ascendant of one parent and in the case of lineal ascendant, the right of interview and negotiation is recognized only when certain requirements are met. However, compared to foreign legislative cases, the attitude of the Korean Civil Law regarding the subject of this visitation right is a relatively passive position.
Under the current civil law, siblings cannot be the subject of the right to interview and negotiation. If the relationship between brothers and sisters is cut off, such as when the relationship between parents and children is cut off, legislative consideration is needed for this, and in this respect, siblings need to be expanded to the subject of interview negotiation.
In addition, the right of step-parents to negotiate interviews with their step-children is not recognized in the interpretation of the current law (Article 837-2 (1) and (2)). However, if step parents have formed a social- family-relationship based on affection and trust with their stepchildren for a long time, and acknowledging interview negotiations is in line with the welfare of their children, I think it is desirable to admit interview negotiations to step parents. The foster care parent are also not included in the right to interview negotiations, but it is necessary to recognize the right to interview the child’s foster care parent after the family entrustment is terminated.
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Clay-Williams, Robyn, Andrew Johnson, Paul Lane, Zhicheng Li, Lauren Camilleri, Teresa Winata i Michael Klug. "Collaboration in a competitive healthcare system: negotiation 101 for clinicians". Journal of Health Organization and Management 32, nr 2 (9.04.2018): 263–78. http://dx.doi.org/10.1108/jhom-12-2017-0333.
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Purpose The purpose of this paper is to evaluate the effectiveness of negotiation training delivered to senior clinicians, managers and executives, by exploring whether staff members implemented negotiation skills in their workplace following the training, and if so, how and when. Design/methodology/approach This is a qualitative study involving face-to-face interviews with 18 senior clinicians, managers and executives who completed a two-day intensive negotiation skills training course. Interviews were transcribed verbatim, and inductive interpretive analysis techniques were used to identify common themes. Research setting was a large tertiary care hospital and health service in regional Australia. Findings Participants generally reported positive affective and utility reactions to the training, and attempted to implement at least some of the skills in the workplace. The main enabler was provision of a Negotiation Toolkit to assist in preparing and conducting negotiations. The main barrier was lack of time to reflect on the principles and prepare for upcoming negotiations. Participants reported that ongoing skill development and retention were not adequately addressed; suggestions for improving sustainability included provision of refresher training and mentoring. Research limitations/implications Limitations include self-reported data, and interview questions positively elicited examples of training translation. Practical implications The training was well matched to participant needs, with negotiation a common and daily activity for most healthcare professionals. Implementation of the skills showed potential for improving collaboration and problem solving in the workplace. Practical examples of how the skills were used in the workplace are provided. Originality/value To the authors’ knowledge, this is the first international study aimed at evaluating the effectiveness of an integrative bargaining negotiation training program targeting executives, senior clinicians and management staff in a large healthcare organization.
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Christoffersen, Mikkel Gabriel, Annette Daniela Haußmann i Anne Austad. "Caring for–Caring about: Negotiations of Values in Pastoral Care". Religions 15, nr 5 (17.05.2024): 619. http://dx.doi.org/10.3390/rel15050619.
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The term “care” in pastoral care means caring for others. Yet those who care for others in pastoral conversations can also be defined existentially as people who care about the world, that is, people who hold values. This article explores how caring for and caring about commence in pastoral practice, with special attention paid to conflicts of values in pastoral conversations. The article proposes a typology of subjects for value conflicts in pastoral care, and it proposes a set of strategies for navigating those conflicts. We base both proposals on an analysis of German and Norwegian verbatims, i.e., protocols of pastoral caregivers’ memories of pastoral care encounters. These verbatims highlight that while pastoral caregivers and care seekers have different roles and obligations in pastoral care, an existential encounter occurs which has its own potentials and pitfalls. Thereby, we draw attention to the necessary negotiations of values that transpire in pastoral conversations in postsecular societies.
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Keast, Robert K., Stephen G. Maxwell, Sandy Barkman, Stanley Chetcuti, Hakan Oral i Kim A. Eagle. "Cardiovascular Supply Cost Negotiations". Health Care Manager 29, nr 1 (styczeń 2010): 68–74. http://dx.doi.org/10.1097/hcm.0b013e3181cca421.
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Gasperini, Antonella, i Laura Abrami. "Negotiating with the scientific publishers A new experience for the Italian Astronomical Libraries". EPJ Web of Conferences 186 (2018): 12006. http://dx.doi.org/10.1051/epjconf/201818612006.
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In 2016, Italian Astronomical Libraries decided not to renew their subscriptions to electronic journals directly with the most important scientific publishers but to adhere, wherever possible, to the negotiating activities conducted by CARE, a coordinating group within the Libraries Commission, of the Conference of Italian University Rectors (CRUI), the Italian association of state and private universities. Participating in a consortium would have meant better economic conditions for INAF and more favourable contract terms for the final user. Advantages and disadvantages of direct negotiations with the publishers or of participation in a large consortium are analyzed here.
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Liinason, Mia. "“The Loved Home” and Other Exclusionary Care Discourses". Special Issue: Heteroactivism, Homonationalism, and National Projects 22, nr 3 (25.07.2023): 1047–68. http://dx.doi.org/10.7202/1102112ar.
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Based on a conceptualization of heteroactivism as a transnational phenomenon manifesting in local contexts to spread and express resistance to gender and sexual rights, this article aims to illuminate new dimensions of heteroactivism beyond a sole focus on gender and sexuality by bringing its specificities in the Swedish context to the fore. Drawing on digital ethnography with members of the neo-conservative, far-right thinktank Oikos and the ethnonationalist political party the Sweden Democrats (SD), the article shows how heteroactivist forms of resistance seek to reshape the state and the nation through the gender–sexuality nexus and how these resistances enter into negotiation with spatiohistorically established notions of gender equality and sexual rights. Through a multiscalar transnational approach, the article brings forth how heteroactivism connects several levels horizontally—from the local to the national and the transnational—and vertically and establishes linkages among gender, sexuality, the state and the nation. The analysis reveals how care, love and gratitude for the shared home are core elements used in heteroactivist negotiations, with contextually established notions of gender equality and sexual rights as national values. It also demonstrates how the home, which these actors seek to cherish and protect, takes shape as an exclusive and exclusionary space.
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Kathiravelu, Laavanya, i Tim Bunnell. "Introduction: Urban friendship networks: Affective negotiations and potentialities of care". Urban Studies 55, nr 3 (9.11.2017): 491–504. http://dx.doi.org/10.1177/0042098017737281.
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Issues of integration, assimilation and the place of ‘strangers’ within metropolitan contexts have been overwhelmingly conceptualised within the larger structural frames of ethnicity, nationality, immigration status and socio-economic class. This raises and reflects important issues around strategies of differentiation, urban exclusion and the hierarchies inherent in everyday life within contemporary cities. However, in privileging such modes of analysis, other more dynamic, elastic, latent and surreptitious forms of affinity, relatedness and connection within the urban environment are often left unexamined. Friendship is one of these. The articles in this special issue initiate a deeper and more sustained focus on friendship as a relational modality that characterises many urban interactions, and that also takes on particular forms within demographically diverse city spaces. The particular contribution of this special issue is in bringing together the literature from urban studies, research on diversity, understandings of social capital and networks and contemporary discussions of friendship. This introduction to the special issue argues that adopting alternative frameworks of enquiry such as friendship can serve to unsettle a priori assumptions about co-ethnic solidarity, and provide alternative epistemological starting points in understanding social networks. In doing so, this research not only contributes to contemporary readings of diverse cities but extends understandings of the routine affective and material labour that urban dwellers regularly undertake. Calling for a focus on informal bonds like friendship, this article suggests that it is within such unexplored spheres that possibilities of care and convivial city living exist.
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Hinde, Camilla A., i Rebecca M. Kilner. "Negotiations within the family over the supply of parental care". Proceedings of the Royal Society B: Biological Sciences 274, nr 1606 (26.09.2006): 53–60. http://dx.doi.org/10.1098/rspb.2006.3692.
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Adults provisioning dependent young are in conflict with their partners, who would prefer a greater level of effort, and with their offspring, who would prefer a greater supply of food. To what extent, then should adults negotiate their provisioning behaviour with other family members? We used experimental manipulations of brood size, and targeted playback of begging calls to determine the extent to which adult great tits Parus major adjust their provisioning rates in response to the behaviour of their partner and their brood. We found that males and females behaved similarly, both responding more to each other's behaviour than to chick calling. We also found that the degree to which adults negotiated their provisioning rates with each other varied between years. A review of the literature suggests that the extent of negotiation over provisioning is likely to vary not only between species of diverse taxa, but also between and within (this study) populations of the same species. We suggest that provisioning behaviour lies on a ‘negotiation continuum’, which describes the extent to which parents respond to the actions of other family members. We argue that an individual's location on the ‘negotiation continuum’ is determined partly by the extent to which it can physically respond to the behaviour shown by other members of the family and partly by the quality of information on offer.
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Lehmann, Štěpánka, i Jana Barvíková. "Dynamika vyjednávání o uspořádání péče o děti po rozchodu či rozvodu rodičů". Demografie 66, nr 1 (marzec 2024): 39–57. http://dx.doi.org/10.54694/dem.0333.
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Based on data from a questionnaire survey and in-depth qualitative interviews with parents who have separated, the text describes the dynamics of the negotiations relating to physical custody of a child. When negotiating a custody arrangement, parents develop their strategies in relation to the prevailing model in Czech society of granting mothers sole custody. Most women prefer to maintain this arrangement, while fathers more often seek to move towards an equal division of care. When fathers are granted sole custody it is not usually on the basis of a consensual agreement being reached between parents. Custody arrangements enforced without parental consent are potentially conflictual and unstable.
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Büscher, Andreas, Päivi Astedt-Kurki, Eija Paavilainen i Wilfried Schnepp. "Negotiations about helpfulness - the relationship between formal and informal care in home care arrangements". Scandinavian Journal of Caring Sciences 25, nr 4 (6.04.2011): 706–15. http://dx.doi.org/10.1111/j.1471-6712.2011.00881.x.
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Masson, Judith. "What are Care Proceedings Really Like?" Adoption & Fostering 36, nr 1 (kwiecień 2012): 5–12. http://dx.doi.org/10.1177/030857591203600103.
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Judith Masson explains why care proceedings are like they are and what needs to be done to make them more efficient. She draws on evidence from three research studies and concludes that the present complexity arises from several factors: the failure to appreciate the significance of negotiations before and during hearings; tardiness at all stages of the process; the extensive use of experts; difficult practice area; and assumptions about what is best for children. Recommendations for change are discussed.
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Moretti, Irene. "Kin Enough". Social Analysis 65, nr 4 (1.12.2021): 90–110. http://dx.doi.org/10.3167/sa.2021.650405.
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The moral imperatives of kinship in Italy today articulate state law and market in measurements of closeness for access to resources and care. The negotiations of insurance payouts for road crash victims offer a privileged vantage point to study this articulation and, specifically, how laws and welfare policies are reproduced through financial products. In these negotiations, insurance companies, state agencies, lawyers, and families employ different measurements of kinship as closeness. The notion of ‘kin enough’ indicates thresholds of belonging reached when degrees of closeness measured through different indicators add up. Two case studies show how concrete negotiations of measurement reinforce inequalities of gender, class, and age, and help to moralize kinship according to ideals of middle-class propriety.
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Souralová, Adéla. ""She Gave us Family Life"". Lidé města 15, nr 2 (1.07.2013): 257–78. http://dx.doi.org/10.14712/12128112.3484.
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Vietnamese families in the Czech Republic often recruit Czech women to look after their children. Put in the context of the dominant scholarship, this is quite a unique case of care work in which the employers are immigrants, while the employees are women of the host country. At the same time, it is an exceptional child care solution in the context of the Czech Republic, where only 1-2% of the population seek individual private child care. Drawing upon qualitative research conducted with Czech nannies, Vietnamese mothers, and their children, the article interprets the experience of Vietnamese immigrants with paid child care as an outcome of the post-migratory redefinition of family relations. In so doing, the paper demonstrates how family ties and child care arrangements are negotiated vis-à-vis the new life in the host country, where the different "normal caring biographies" are supported by the common-sense understanding of what care and/or mothering should be, by social policies, and by everyday practice. I argue that recruitment of the nannies is an essential part of these negotiations. I respond to the following questions: What is the role of delegated child care in post-migratory family arrangements? What are the motivations for and consequences of recruiting Czech nannies in the context of Vietnamese immigrants' family lives? In my paper I put forward the thesis that the post-migratory challenges of family life lead to the recruitment of nannies, which further challenges the family lives of both nannies and immigrants. The article focuses both on the negotiations which result in hiring the nanny and the negotiations originating in the recruitment of Czech nannies.
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Zosymenko, O. M. "Terms of the managed entry agreement and particularities of the procedure for concluding such agreements". Analytical and Comparative Jurisprudence, nr 4 (14.09.2023): 137–41. http://dx.doi.org/10.24144/2788-6018.2023.04.21.
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The article is devoted to the study of managed access agreements and some peculiarities of the procedure for their conclusion. The author analyses the current legislation on the terms and conditions that must be included in a managed entry agreement and the main stages of the managed entry agreement procedure.The article’s author focuses on the fact that in the context of the global trend of increasing prices for medicines, particularly for innovative medicines, the use of managed entry agreements in the practice of states is reaching a new level. Achieving a balance between healthcare expenditures and access to new medicines in the face of rising budgetary costs is a challenge for many national governments, indicating this issue’s global nature.The use of this type of agreement helps to curb healthcare costs, save budgetary funds and provide the population with access to treatment with innovative medicines.Budgetary savings are achieved by, among other things, setting the price in the contract. The procedure for determining the price and other terms of the managed entry agreement is the result of agreements between the parties to the agreement, starting from the stage of forming a negotiation team, preparing for negotiations on the conclusion of the managed entry agreement, holding consultations, negotiations, determining the type and terms of such an agreement, etc.The author establishes that pre-contractual work, the procedure for concluding this type of agreement, and the terms of the managed entry agreement itself have their own peculiarities.In this article, the author classifies the terms and conditions of a managed entry agreement: 1) general terms and conditions that are common to most agreements; 2) special terms and conditions that are special due to their use in managed access agreements; 3) terms and conditions used in certain agreements, in particular, supply agreements, agreements for the supply of medicines, etc.
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Wells, Helen. "Grey areas and fine lines: negotiating operational independence in the era of the police and crime commissioner". Safer Communities 14, nr 4 (12.10.2015): 193–202. http://dx.doi.org/10.1108/sc-06-2015-0023.
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Purpose – The purpose of this paper is to explore the negotiation of boundaries of strategic vs operational responsibility between Chief Constables and Police Crime Commissioners (PCCs). Design/methodology/approach – The discussion reflects on interviews with Chief Constables (n=11) and PCCs (n=11) in matched pairs, exploring the relationship between the two figures, specifically in relation to the issue of the operational independence of the Chief Constable in the new accountability structure. Findings – The findings demonstrate that experiences vary and depend on the particular personalities and experience of the individuals involved. PCCs were particularly likely to test the boundary of operational vs strategic responsibility in relation to issues which had been brought to their attention by members of their electorate. Research limitations/implications – Future research could seek a larger sample as it is possible that those areas where real tensions existed declined to participate. Given the findings, it would also be informative to revisit the topic in the run-up to the next PCC elections. Social implications – The (re)negotiation of boundaries may become the norm given that both roles are subject to reassignment at short notice, and may become particularly salient in the run-up to future PCC elections. Crucial policing decisions which affect everyone are inevitably influenced by these background negotiations. Originality/value – Previous research has not been based on interviews with both PCCs and their respective Chief Constables, and hence there is dearth of material which reflects on the relationships between these two powerful individuals and their ongoing negotiations of issues with real practical and conceptual implications.
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Canady, Valerie A. "Kaiser agrees to historic settlement to overhaul its BH care system". Mental Health Weekly 33, nr 41 (22.10.2023): 1–3. http://dx.doi.org/10.1002/mhw.33828.
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After more than a decade of complaints and multiple strikes by Kaiser Permanente therapists over the need for timely access to care and ways to address severe understaffing, all while enduring constant negotiations over the bargaining table, the largest health care service plan in California has agreed to a $200 million settlement to make significant changes to the plan's delivery of behavioral health care services.
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Johnson, Ian, i Terri Lewinson. "Reinventing Housing Care: Environmental Negotiations Made in Congregate Settings During COVID-19". Innovation in Aging 5, Supplement_1 (1.12.2021): 375. http://dx.doi.org/10.1093/geroni/igab046.1456.
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Abstract The COVID-19 pandemic prompted an urgent reconsideration of space and place within congregate housing. Research has only underscored the need for health-promoting physical alterations to residential environments (Peters & Halleran, 2020), but also generated lasting questions about the relationships between congregate environments and their residents, visitors, and workforce —among them, what ways can environments be negotiated to reduce risk (Dosa et al., 2020)? How can environments enact care for formal caregivers (Chen & Chavalier, 2021)? Who might be challenged by this care which may question the dangers associated with proximity (Lynn, 2020)? This symposium focuses on the ways stakeholders within congregate housing observed, related to, and negotiated changes to space and place during the pandemic. Paper 1 presents an organizational case study investigating provider perspectives of how housing and healthcare responses to COVID have shaped palliative care with unhoused patients during the pandemic. Paper 2 highlights the collaborative work of a multi-sector coalition working to address timely needs of residents in low-income senior buildings. Paper 3 reflects on the formation of a cross-national senior housing network and the interdisciplinary exchange of best practices and policy recommendations that emerged. The collective findings of these papers challenge previous notions of care in congregate environments, illuminate how provider networks respond to crises and share emergent knowledge, and consider how institutional decisions about the pandemic have re-placed and re-spaced provider and patient experiences. This symposium offers observations and strategies that may assist in envisioning successful congregate care during COVID-19 and beyond.
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Machado, Cristiani Vieira, Luciana Dias de Lima, Ana Luiza d'Ávila Viana, Roberta Gondim de Oliveira, Fabíola Lana Iozzi, Mariana Vercesi de Albuquerque, João Henrique Gurtler Scatena, Guilherme Arantes Mello, Adelyne Maria Mendes Pereira i Ana Paula Santana Coelho. "Federalism and health policy: the intergovernmental committees in Brazil". Revista de Saúde Pública 48, nr 4 (sierpień 2014): 642–50. http://dx.doi.org/10.1590/s0034-8910.2014048005200.
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OBJECTIVE To analyze the dynamics of operation of the Bipartite Committees in health care in the Brazilian states.METHODS The research included visits to 24 states, direct observation, document analysis, and performance of semi-structured interviews with state and local leaders. The characterization of each committee was performed between 2007 and 2010, and four dimensions were considered: (i) level of institutionality, classified as advanced, intermediate, or incipient; (ii) agenda of intergovernmental negotiations, classified as diversified/restricted, adapted/not adapted to the reality of each state, and shared/unshared between the state and municipalities; (iii) political processes, considering the character and scope of intergovernmental relations; and (iv) capacity of operation, assessed as high, moderate, or low.RESULTS Ten committees had advanced level of institutionality. The agenda of the negotiations was diversified in all states, and most of them were adapted to the state reality. However, one-third of the committees showed power inequalities between the government levels. Cooperative and interactive intergovernmental relations predominated in 54.0% of the states. The level of institutionality, scope of negotiations, and political processes influenced Bipartite Committees’ ability to formulate policies and coordinate health care at the federal level. Bipartite Committees with a high capacity of operation predominated in the South and Southeast regions, while those with a low capacity of operations predominated in the North and Northeast.CONCLUSIONS The regional differences in operation among Bipartite Interagency Committees suggest the influence of historical-structural variables (socioeconomic development, geographic barriers, characteristics of the health care system) in their capacity of intergovernmental health care management. However, structural problems can be overcome in some states through institutional and political changes. The creation of federal investments, varied by regions and states, is critical in overcoming the structural inequalities that affect political institutions. The operation of Bipartite Committees is a step forward; however, strengthening their ability to coordinate health care is crucial in the regional organization of the health care system in the Brazilian states.
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Rodwin, Marc A. "Strains in the Fiduciary Metaphor: Divided Physician Loyalties and Obligations in a Changing Health Care System". American Journal of Law & Medicine 21, nr 2-3 (1995): 241–58. http://dx.doi.org/10.1017/s009885880000633x.
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Owen Barfield, the British solicitor and literary scholar, reminds us that many legal concepts have their origin as metaphors and legal fictions. We often fail to see the nature of legal metaphors, Barfield argues, because over time they ossify and we read them literally rather than figuratively. Look closely at changes in law over time, Barfield advises us, to see how effectively metaphor works in law and language. Many legal categories and procedures we now use had their origin in using a metaphor that revealed a new way of looking at a problem or that helped solve a legal problem. Legal metaphors also help us to identify critical limits and strains in adapting to new facts and circumstances.George Annas has pointed out that our choice of metaphors for medicine can reframe our debates about health policy reform. And Analee and Thomas Beisecker remind us that patient-physician relations have been viewed through many metaphors. These include parent-child relations (paternalism); seller-purchaser transactions (consumerism); teacher-student learning (education); relations among partners or friends (partnership or friendship); or rational parties entering into negotiations or contracts (negotiation or rational contract).
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EZZ, ESMAT A. "Medical Knowledge—An Important Factor in Disarmament Negotiations and Increased International Cooperation". Journal of Trauma: Injury, Infection, and Critical Care 28, Supplement (styczeń 1988): S1—S4. http://dx.doi.org/10.1097/00005373-198801001-00002.
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Verma, Rajat, Murali Kallummal i Poornima Varma. "Doha Round Sectoral Negotiations: A Study on Health-care Sector in India". Foreign Trade Review 48, nr 3 (sierpień 2013): 399–411. http://dx.doi.org/10.1177/0015732513496621.
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Vale, Beth, Rebecca Hodes i Lucie Cluver. "Negotiations of Blame and Care among HIV-positive Mothers and Daughters in South Africa's Eastern Cape". Medical Anthropology Quarterly 31, nr 4 (12.03.2017): 519–36. http://dx.doi.org/10.1111/maq.12351.
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Iswanto, Agus. "Keraton Yogyakarta dan Praktik Literasi Budaya Keagamaan Melalui Media Digital". Jurnal Lektur Keagamaan 17, nr 2 (20.02.2020): 321–48. http://dx.doi.org/10.31291/jlk.v17i2.598.
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Cultural literacy is important because of the diversity of Indonesian culture, and the challenges of globalization and the digital revolution. Cultural literacy can be done through various media and institutions, but there are not many institutions and media care to this cultural literacy. Yogyakarta Palace is one of the traditional institutions that practice cultural literacy through digital media. This article aims to identify the types of digital media that are used as a vehicle for literacy practices in Islamic religious culture, describe the Islamic religious culture that is displayed and interpret aspects of Islamic religious teachings of the religious culture. In addition, this article discusses the negotiation and adaptation of the Yogyakarta Palace in the practice of literacy through digital media. This study found that, in addition to education about the treasures of Islamic religious culture, the practice of literacy of Islamic religious culture through digital media carried out by the Yogyakarta Palace also showed negotiations and adaptations. Negotiations and adaptations arise in two ways. The first is negotiation and adaptation of tradition with digital technology, namely the Yogyakarta Palace presenting traditional culture (including religious culture) in digital space. Second, negotiation and adaptation of Javanese Islamic identity to the understanding of Islam that does not accept cultural elements in practicing Islamic teachings.Keywords: Literacy practice, religious cultural literacy, digital media, Yogyakarta Palace Literasi budaya penting karena keragaman budaya Indonesia serta tantangan globalisasi dan revolusi digital. Literasi budaya dapat dilakukan melalui berbagai media dan institusi, tetapi tidak banyak institusi dan media yang memperhatikan literasi budaya ini. Keraton Yogyakarta adalah salah satu institusi tradisional yang mempraktikkan literasi budaya melalui media digital. Artikel ini bertujuan untuk mengidentifikasi jenis-jenis media digital yang digunakan sebagai wahana praktik literasi dalam budaya agama Islam, menggambarkan budaya agama Islam yang ditampilkan dan menafsirkan aspek-aspek ajaran agama Islam dari budaya agama. Selain itu, artikel ini membahas negosiasi dan adaptasi Keraton Yogyakarta dalam praktik literasi melalui media digital. Studi ini menemukan bahwa, selain pendidikan tentang khazanah budaya agama Islam, praktik literasi budaya agama Islam melalui media digital yang dilakukan oleh Istana Yogyakarta juga menunjukkan negosiasi dan adaptasi. Negosiasi dan adaptasi muncul dalam dua cara. Pertama adalah negosiasi dan adaptasi tradisi dengan teknologi digital, yaitu Keraton Yogyakarta menghadirkan budaya tradisional (termasuk budaya agama) di ruang digital. Kedua, negosiasi dan adaptasi identitas Islam Jawa dengan pemahaman Islam yang tidak menerima unsur budaya dalam mempraktikkan ajaran Islam.Kata Kunci: Praktik literasi, literasi budaya keagamaan, media digital, Keraton Yogyakarta
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Iswanto, Agus. "Keraton Yogyakarta dan Praktik Literasi Budaya Keagamaan Melalui Media Digital". Jurnal Lektur Keagamaan 17, nr 2 (20.02.2020): 321–48. http://dx.doi.org/10.31291/jlka.v17i2.598.
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Cultural literacy is important because of the diversity of Indonesian culture, and the challenges of globalization and the digital revolution. Cultural literacy can be done through various media and institutions, but there are not many institutions and media care to this cultural literacy. Yogyakarta Palace is one of the traditional institutions that practice cultural literacy through digital media. This article aims to identify the types of digital media that are used as a vehicle for literacy practices in Islamic religious culture, describe the Islamic religious culture that is displayed and interpret aspects of Islamic religious teachings of the religious culture. In addition, this article discusses the negotiation and adaptation of the Yogyakarta Palace in the practice of literacy through digital media. This study found that, in addition to education about the treasures of Islamic religious culture, the practice of literacy of Islamic religious culture through digital media carried out by the Yogyakarta Palace also showed negotiations and adaptations. Negotiations and adaptations arise in two ways. The first is negotiation and adaptation of tradition with digital technology, namely the Yogyakarta Palace presenting traditional culture (including religious culture) in digital space. Second, negotiation and adaptation of Javanese Islamic identity to the understanding of Islam that does not accept cultural elements in practicing Islamic teachings.Keywords: Literacy practice, religious cultural literacy, digital media, Yogyakarta Palace Literasi budaya penting karena keragaman budaya Indonesia serta tantangan globalisasi dan revolusi digital. Literasi budaya dapat dilakukan melalui berbagai media dan institusi, tetapi tidak banyak institusi dan media yang memperhatikan literasi budaya ini. Keraton Yogyakarta adalah salah satu institusi tradisional yang mempraktikkan literasi budaya melalui media digital. Artikel ini bertujuan untuk mengidentifikasi jenis-jenis media digital yang digunakan sebagai wahana praktik literasi dalam budaya agama Islam, menggambarkan budaya agama Islam yang ditampilkan dan menafsirkan aspek-aspek ajaran agama Islam dari budaya agama. Selain itu, artikel ini membahas negosiasi dan adaptasi Keraton Yogyakarta dalam praktik literasi melalui media digital. Studi ini menemukan bahwa, selain pendidikan tentang khazanah budaya agama Islam, praktik literasi budaya agama Islam melalui media digital yang dilakukan oleh Istana Yogyakarta juga menunjukkan negosiasi dan adaptasi. Negosiasi dan adaptasi muncul dalam dua cara. Pertama adalah negosiasi dan adaptasi tradisi dengan teknologi digital, yaitu Keraton Yogyakarta menghadirkan budaya tradisional (termasuk budaya agama) di ruang digital. Kedua, negoÂsiasi dan adaptasi identitas Islam Jawa dengan pemahaman Islam yang tidak menerima unsur budaya dalam mempraktikkan ajaran Islam.Kata Kunci: Praktik literasi, literasi budaya keagamaan, media digital, Keraton Yogyakarta
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Burkle, Frederick M. "Character Disorders among Autocratic World Leaders and the Impact on Health Security, Human Rights, and Humanitarian Care". Prehospital and Disaster Medicine 34, nr 1 (15.01.2019): 2–7. http://dx.doi.org/10.1017/s1049023x18001280.
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AbstractThe development of autocratic leaders in history reveals that many share severe character disorders that are consistently similar across borders and cultures. Diplomats and humanitarians negotiating for access to populations in-need and security of their programs, especially in health, must understand the limitations placed on the traditional negotiation process. These shared character traits stem from a cognitive and emotional developmental arrest in both childhood and adolescence resulting in fixed, life-long, concrete thinking patterns. They fail to attain the last stage of mental and emotional development, that of abstract thinking, which is necessary for critical reasoning that allows one to consider the broader significance of ideas and information rather than depend on concrete details and impulses alone. These autocratic leaders have limited capacity for empathy, love, guilt, or anxiety that become developmentally permanent and guide everyday decision making. Character or personality traits that perpetuate the lives of autocratic leaders are further distinguished by sociopathic and narcissistic behaviors that self-serve to cover their constant fear of insecurity and the insatiable need for power. Human rights, humanitarian care, and population-based health security are examples of what has consistently been sacrificed under autocratic rule. Today, with the worst global loss of democratic leadership ever seen since WWII, leaders with these character traits now rule in major countries of the world. While history teaches us of battles and conflicts that result from such flawed leadership, it lacks explanations of why autocratic behaviors consistently emerge and dominate many societies. Building multidisciplinary capacity and capability in societies among democracies to limit or cease such authoritarian dominance first begins with a developmental understanding of why autocrats exist and persist in externalizing their pathological behaviors on unsuspecting and vulnerable populations, and the limitations they place on negotiations.“…once in power, a leader with an Antisocial Personality Disorder thrives on continuing conflict and never seeks peace.” Daedalus Trust, London, 2016BurkleFMJr.Character disorders among autocratic world leaders and the impact on health security, human rights, and humanitarian care. Prehosp Disaster Med. 2019;34(1):2–7.
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Sjenicic, Marta, i Marko Milenkovic. "Legal reforms in the field of public health and the accession of the Republic of Serbia to the European Union - a review of regulatory standards". Srpski arhiv za celokupno lekarstvo 147, nr 7-8 (2019): 506–12. http://dx.doi.org/10.2298/sarh19050482s.
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Accession to the European Union (EU) is a comprehensive process of reforms and harmonization of legislation with EU regulations, which must be accompanied by the implementation of EU standards. Although the EU competencies in the field of health care are limited, and health law does not represent a large part of the EU legislation, harmonization and further reforms are needed in a number of areas. The main focus of this paper is the negotiation Chapter 28 within the EU accession process, which covers a number of thematic areas in the field of public health encompassing various legislative and strategic acts of the EU. At the moment, the EU has still not opened the negotiations in this field with Serbia. In order to introduce health professionals in Serbia to current developments, the paper analyzes the most important aspects of alignment with EU legislation and the need for further regulatory reforms.
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Riva, Silvia. "Congolese Literature as Part of Planetary Literature". Journal of World Literature 6, nr 2 (22.06.2021): 216–44. http://dx.doi.org/10.1163/24056480-00602006.
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Abstract Historically and economically, the Congo has been considered one of the most internationalized states of Africa. The idea that African cultural plurality was minimized during the colonial era has to be reconsidered because textual negotiations and exchanges (cosmopolitan and vernacular, written and oral) have been frequent during and after colonization, mostly in urban areas. Through multilingual examples, this paper aims to question the co-construction of linguistic and literary pluralism in Congo and to advocate for the necessity of a transdisciplinary and collaborative approach, to understand the common life of African vernacular and cosmopolitan languages. I show that world literature models based on Pierre Bourdieu’s notion of negotiation between center and periphery thus have to be replaced by a concept of multilingual global history. Finally, I propose the notion of “planetary literature” as a new way of understanding the interconnection between literatures taking care of the world.
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Marckmann, Georg, i Jürgen in der Schmitten. "Financial Toxicity of Cancer Drugs: Possible Remedies from an Ethical Perspective". Breast Care 12, nr 2 (2017): 81–85. http://dx.doi.org/10.1159/000471506.
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Spiraling costs of cancer treatments have become a major concern for the payers in the health care system and for individual patients suffering from the cancer drugs' financial toxicity. This article discusses possible solutions from an ethical perspective. First, it gives some orientation about what constitutes a fair price for innovative anticancer agents. While a definitive answer remains difficult, there are good reasons to enter into price negotiations with the pharmaceutical companies to align the price with the R&D costs and the added value of the product. Information about the drug's cost-effectiveness should be available, a fixed threshold, however, seems ethically problematic. Rather, a ‘signal cost-effectiveness threshold' should indicate when the drug price requires special justification. Further strategies include an improved benefit assessment after market authorization by independent publicly financed studies, which will provide a valid basis for price negotiations and clinical decision-making at the micro level. Last but not least, cancer treatments should be tailored not only to the biology of the tumor but also to the preferences of the patient. Primarily mandated by the respect for autonomy, promoting patient-centered care has the potential to improve quality of care and enable a wise use of scarce health care resources.
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Ellis, Walter L. "Parental Custody Negotiations and Health Insurance Access for Children". Families in Society: The Journal of Contemporary Social Services 84, nr 2 (kwiecień 2003): 223–28. http://dx.doi.org/10.1606/1044-3894.94.
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Family practitioners who provide divorce education programs should be aware that a child in a sole-custody household (especially one headed by the father) is highly likely to lack insurance coverage for access to health care services for healthy development. Examining 543 divorce records in New Hampshire, the author analyzed coverage across divergent family types following custody negotiations and found that a child in a sole-custody household was at higher risk for lacking coverage than was one in a shared-custody household. These results were confirmed by a chi-square test and logical regression statistical analysis. In a multivariate analysis, the author found that teenagers, children whose parents earned high incomes, and those with working mothers were likely to be covered, although the likelihood was lower in the case of daughters.
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Lewis, Matthew S., i Kevin E. Pflum. "Diagnosing Hospital System Bargaining Power in Managed Care Networks". American Economic Journal: Economic Policy 7, nr 1 (1.02.2015): 243–74. http://dx.doi.org/10.1257/pol.20130009.
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We investigate the impact of hospital system membership on negotiations between hospitals and managed care organizations (MCOs). Previous research finds that system hospitals secure higher reimbursements by exploiting local market concentration. By leveraging system membership in the bargaining game, however, system hospitals may also extract a higher percentage of their value to an MCO. Our findings reveal that more of the observed price gap between system and nonsystem hospitals can be attributed to bargaining power differences than to differences linked to relative concentration. These results highlight the importance of explicitly modeling the bargaining process when evaluating negotiated-price markets more generally. (JEL C78, I11, I13, L14)
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Alemi, Farrokh, Peter Fos i William Lacorte. "A Demonstration of Methods for Studying Negotiations Between Physicians and Health Care Managers". Decision Sciences 21, nr 3 (wrzesień 1990): 633–41. http://dx.doi.org/10.1111/j.1540-5915.1990.tb00340.x.
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Chung, Hae Young. "State Care Is Not Free: Extended Negotiations and Resettled Peasants’ Practices of Rights". Journal of Modern China Studies 25, nr 1 (30.06.2023): 155–88. http://dx.doi.org/10.35820/jmcs.25.1.5.
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Campbell, Mobola, Vanessa Ramirez-Zohfeld, Anne Seltzer i Lee A. Lindquist. "Training Hospitalists in Negotiations to Address Conflicts with Older Adults around Their Social Needs". Geriatrics 5, nr 3 (14.09.2020): 50. http://dx.doi.org/10.3390/geriatrics5030050.
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Hospitalists care for a growing population of older patients with unique social needs that can often be addressed by providing caregiver help in the home. The importance of addressing social needs is well-recognized, yet older patients sometimes refuse these services. This refusal of services may result in rehospitalization and increased morbidity for patients. We aimed to overcome this refusal of social support through an innovative workshop training hospitalists in negotiation and dispute resolution. Hospitalists at a tertiary care, urban academic medical center completed a one-hour interactive workshop on negotiation and dispute resolution focused on addressing older patients’ refusal of social services. One month post workshop, participants reported increased confidence in engaging patients and families in conflicts and felt empowered to negotiate in both their clinical practice and personal lives. Training hospitalists to negotiate with older adults needing social services is feasible and positively impacts the ability to provide geriatric care.
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Roberts, Pamela. "What Now? Cremation without Tradition". OMEGA - Journal of Death and Dying 62, nr 1 (luty 2011): 1–30. http://dx.doi.org/10.2190/om.62.1.a.
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Although cremation is an increasingly popular method of body disposal, there is little research on ash disposition, particularly the decisions and negotiations underlying the process. Americans who have recently encountered the cremation of loved ones for the first time have not been studied at all; the present research describes 87 of their cremation experiences. Adults who were actively involved in cremation and ash disposition decisions were interviewed about these processes at every stage, from the decision to cremate through the performance of final rituals for their dead. Results detail family and friends' active negotiations over cremation and ash disposition, the surprises they encountered, and the personally meaningful rituals they created for their loved ones. As in other emerging postdeath rituals, the enactment of individualized rituals for the dead was seen as a positive experience; accordingly, most participants preferred to be cremated and honored through nontraditional rituals themselves.
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Skjæveland, Asbjørn. "Parliamentary negotiations in Denmark". Politica 56, nr 1 (1.02.2024): 82. http://dx.doi.org/10.7146/politica.v56i1.143240.
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Negotiation theory tells us how we should negotiate if we want to negotiate wisely. We learn how to make the cake larger and how to get as big a bite as possible. Negotiations are key in politics. Even so, not many scientific studies apply the negotiation theory framework to legislative negotiations, including Danish legislative negotiations. On the other hand, there is a literature that describes actual legislative negotiations in Denmark. To what extent do the negotiations literature and the described real-life negotiations match each other? Danish politicians can learn from negotiation theory to varying degrees, and negotiation theory can learn from Danish legislative negotiations. The dominant role of the minister in parliamentary negotiations substantially reduces the complexity problems normally associated with multiparty negotiations.
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Wannan, Gary, i M. E. Jan Wise. "Are psychiatrists only fools and horses to be open all hours?" BJPsych Bulletin 39, nr 6 (grudzień 2015): 265–67. http://dx.doi.org/10.1192/pb.bp.114.050070.
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SummaryThe UK government's proposal for 24-hour healthcare means effectively asking doctors to work more unsociable hours for relatively little financial gain. In our opinion, psychiatry is particularly vulnerable to deterioration owing to negotiations of the terms of the current Consultant Contract that ensures fewer antisocial hours, whereas without parallel appropriate internal team and intra-agency working, provisions for which are not included in the government's proposals to extend care, patient care is vulnerable. Clarification and a narrower redefinition of what constitutes a psychiatric emergency is called for.
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Twamley, Katherine. "‘Cold intimacies’ in parents’ negotiations of work–family practices and parental leave?" Sociological Review 67, nr 5 (30.11.2018): 1137–53. http://dx.doi.org/10.1177/0038026118815427.
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This article aims to assess the contention that a ‘feminist’ ideology is associated with a ‘cooling’ of intimacy in heterosexual relationships, as argued by scholars such as Arlie Hochschild and Eva Illouz. According to this thesis, such an ideology, ‘abducted’ by a commercial spirit, encourages women to disengage from warm intimate bonds with others and to prioritize their own personal fulfilment and parity in care and housework. Drawing on two qualitative empirical studies exploring couples’ intimate lives and their feminist and egalitarian preferences and practices in leave, care and housework, this article examines in detail the basis of this thesis, and its effectiveness in explaining the lived experiences of parent couples’ negotiations of this terrain. The data were collected through focus group discussions with parents not sharing leave and a detailed ethnography with couples sharing leave. The comparison shows that, far from observing a clear dichotomy between ‘cold’ feminists and ‘warm’ traditional couples, both sets of parents present a more complex picture of ‘warm’ and ‘cold’ relations. The analysis enables a critical appreciation of sociological theorizing about gender equality and intimacy, contributing to sociological debates around individualism, feminism and family life.
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Craft, Justin T., Kelly E. Wright, Rachel Elizabeth Weissler i Robin M. Queen. "Language and Discrimination: Generating Meaning, Perceiving Identities, and Discriminating Outcomes". Annual Review of Linguistics 6, nr 1 (14.01.2020): 389–407. http://dx.doi.org/10.1146/annurev-linguistics-011718-011659.
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Humans are remarkably efficient at parsing basic linguistic cues and show an equally impressive ability to produce and parse socially indexed cues from the language(s) they encounter. In this review, we focus on the ways in which questions of justice and equality are linked to these two abilities. We discuss how social and linguistic cues are theorized to become correlated with each other, describe listeners' perceptual abilities regarding linguistic and social cognition, and address how, in the context of these abilities, language mediates individuals’ negotiations with institutions and their agents—negotiations that often lead to discrimination or linguistic injustice. We review research that reports inequitable outcomes as a function of language use across education, employment, media, justice systems, housing markets, and health care institutions. Finally, we present paths forward for linguists to help fight against these discriminatory realities.