The article analyzes the strengths, weaknesses, potential opportunities and threats in the process of forming and making appropriate management decisions to integrate health facilities into united ...territorial communities (UTC) infrastructure, or other options, in the process of decentralization. The basic package of new legislative and regulatory documents has been worked out, which envisages radical changes and systemic reforms, decentralization of power - transfer from the executive bodies to local self-government bodies of a considerable part of powers, resources and responsibilities. A number of reform changes have been identified, which may lead to the expected institutional, organizational and structural-functional changes of the existing public health management system in Ukraine and changes in the individual functional characteristics of the entities of this system. The differences between medical reforms in terms of administrative reform, the role of UTC in this process, in relation to a number of other European countries are considered. On this basis, possible options for the development of events in the context of territorial governance of these processes in the system of health in Ukraine have been proposed. In order to continue scientific research in this direction, the next stage of the evolution of the formation and adoption of appropriate management decisions in the UTC is to consider the cooperation of the UTC in the creation of joint infrastructure medical facilities, their governing bodies, implementation of projects of activity, financing and maintenance.
Conclusion Stone-Johnson, Corrie
Educational research for policy and practice,
10/2018, Letnik:
17, Številka:
3
Journal Article
This special issue interrogates the contexts in which reforms are developed as well as the contexts to which they spread in order to understand the factors that influence the potential for reforms to ...be scaled up. Four articles from around the world address this understudied role of context. In our analysis of these articles, we take an ecological view, one that encompasses each of these challenges to explore the interplay between educators’ experiences, beliefs, and their contexts regarding reform. We begin to elaborate a theory of scale derived from medical research that develops a seed and soil application to educational research. In this theory, we describe how a discrete focus on the content of reform is no longer adequate; rather, an approach that also addresses the context and whether and to what extent it is supportive of change must also be considered. The features of supportive contexts are enumerated, including size, locus of control, norms, sociocultural context, and socioeconomic context. Three reforms are analyzed using these features as a framework. We conclude that the extent to which these conditions are prevalent may point to the capacity of a system to support a new reform.
This article seeks to analyze the time-being by means of the possibilities to reform public policies (at national and European level) which concern the economic and social area. The national and ...European social and economic well-being depends on the sustainability of the economic and social policies and on the determination to reform the system. We are considering the analysis of the evolution of the governmental policies regarding the status and evolution of labor force, the pension system and the assumption of the key structural reforms for economy and public administration. The economic resources required for the reform are affected by the new challenges emerged internationally: a potential new economic crisis, the management of the developments emerged on the energy markets, the management of the withdrawal of the United Kingdom from the European Union, etc.
This book offers a timely account of health reform struggles in developed democracies. The editors, leading experts in the field, have brought together a group of distinguished scholars to explore ...the ambitions and realities of health care regulation, financing, and delivery across countries. These wide-ranging essays cover policy debates and reforms in Canada, Germany, Holland, the United Kingdom, and the United States, as well as separate treatments of some of the most prominent issues confronting policy makers. These include primary care, hospital care, long-term care, pharmaceutical policy, and private health insurance. The authors are attentive throughout to the ways in which cross-national, comparative research may inform national policy debates not only under the Obama administration but across the world.
The following study is based on the comparison of the actual transition processes in Estonia and Slovenia in 1991-2000 with the aim of testing two conceptual models (shock therapy versus gradualism) ...of transition theory in practice. This article has two main goals, closely interlinked with each other. The first task is to analyse whether the reform paths undertaken by Estonia and Slovenia followed the theoretical concepts of 'shock therapy' and 'gradualism', the models the states are often symbolising in theoretical debates. The second task is to evaluate the ability of the theoretical models to correctly allocate the classical country examples to the shock therapy and gradualist models. This research study is also interested in what are the advantages and disadvantages of a polarised approach to transition theory models and how these models can be improved.
Severe and persistent mental illnesses are among the most pressing health and social problems in contemporary America. Recent estimates suggest that more than three million people in the U.S. have ...disabling mental disorders. The direct and indirect costs of their care exceed 180 billion dollars nationwide each year. Effective treatments and services exist, but many such individuals do not have access to these services because of limitations in mental health and social policies.For nearly two centuries Americans have grappled with the question of how to serve individuals with severe disorders. During the second half of the twentieth century, mental health policy advocates reacted against institutional care, claiming that community care and treatment would improve the lives of people with mental disorders. Once the exclusive province of state governments, the federal government moved into this policy arena after World War II. Policies ranged from those focused on mental disorders, to those that focused more broadly on health and social welfare.In this book, Gerald N. Grob and Howard H. Goldman trace how an ever-changing coalition of mental health experts, patients' rights activists, and politicians envisioned this community-based system of psychiatric services. The authors show how policies shifted emphasis from radical reform to incremental change. Many have benefited from this shift, but many are left without the care they require.
In many African countries, mental health issues, including the burden of serious mental illness and trauma, have not been adequately addressed. These essays shed light on the treatment of common and ...chronic mental disorders, including mental illness and treatment in the current climate of economic and political instability, access to health care, access to medicines, and the impact of HIV-AIDS and other chronic illness on mental health. While problems are rampant and carry real and devastating consequences, this volume promotes an understanding of the African mental health landscape in service of reform.
Gresham's Law, the oft-quoted aphorism that 'bad money drives out good', is a theoretical lens through which coinage reforms and their effects are usually interpreted. However, as the wealth of ...evidence available to us continues to increase, it is becoming clear that this can no longer be stated with certainty. The extent to which the public was aware of and reacted to coinage reforms is a continuing point of contention, as is the impact of these responses on monetary policy and the wider economy. My research aims to begin to fill this deficiency in modern scholarship through a large-scale examination of silver coin hoarding patterns from across the Roman Empire, alongside select studies of hoards from beyond the frontiers. This study is being carried out in conjunction with new analyses of the composition of Roman silver coinage, currently being undertaken by Professor Kevin Butcher and Dr Matthew Ponting. By examining changes to the way people hoarded coins, we can begin to investigate the extent of public knowledge of reform and the nature of any ensuing reaction. This in turn can help to shed new light on a variety of subjects, from the nature of hoarding and Roman conceptions of value to the role of coinage reforms in precipitating the so-called 'Crisis of the Third Century.' The reforms of Nero, Domitian and the Severan emperors are examined in detail through an analysis of coin hoards and their contents, before the similarities and differences between each series of events are discussed. A repeating pattern of debasement, popular reaction, renewal and recall is identified, suggesting commonalities between coinage reforms across a two-hundred-year time span. This in turn demonstrates the value of carefully considered large scale coin hoard studies to students of the Roman world.
Public silence in policymaking can be deafening. When advocates for a disadvantaged group decline to speak up, not only are their concerns not recorded or acted upon, but also the collective strength ...of the unspoken argument is lessened-a situation that undermines the workings of deliberative democracy by reflecting only the concerns of more powerful interests. But why do so many advocates remain silent on key issues they care about and how does that silence contribute to narrowly defined policies? What can individuals and organizations do to amplify their privately expressed concerns for policy change? InHealthy Voices, Unhealthy Silence, Colleen M. Grogan and Michael K. Gusmano address these questions through the lens of state-level health care advocacy for the poor. They examine how representatives for the poor participate in an advisory board process by tying together existing studies; extensive interviews with key players; and an in-depth, first-hand look at the Connecticut Medicaid advisory board's deliberations during the managed care debate. Drawing on the concepts of deliberative democracy, agenda setting, and nonprofit advocacy, Grogan and Gusmano reveal the reasons behind advocates' often unexpected silence on major issues, assess how capable nonprofits are at affecting policy debates, and provide prescriptive advice for creating a participatory process that adequately addresses the health care concerns of the poor and dispossessed. Though exploring specifically state-level health care advocacy for the poor, the lessons Grogan and Gusmano offer here are transferable across issue areas and levels of government. Public policy scholars, advocacy organizations, government workers, and students of government administration will be well-served by this significant study.
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