Predicament of Emerging Collaborative Governance: National Policy, Local Experiments, and Public Hospital Reforms in China

In the European Union (EU), employment policy is a prerogative of the member states. Therefore the EU’s ability to govern in this area depends on its capability to involve national governments and relevant stakeholders in a collaborative effort to formulate and implement shared policy objectives. Drawing an analytical distinction between cooperation, coordination and collaboration, the chapter analyses the formulation and implementation of EU employment policies. It concludes that while the formulation of policy objectives and the discussion of national policy approaches do involve elements of collaboration, the implementation phase mainly consists in the less demanding forms of cooperation and coordination.

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Universal neonatal hearing screening in a public hospital in Brazil: parents participation

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.920 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

C Gonçalves ◽

L Crispin ◽

D Luders ◽

C Bellia

Keyword(s):

Public Hospital ◽

Screening Program ◽

National Policy ◽

Hearing Screening ◽

Parental Participation ◽

Risk Indicator ◽

Active Search ◽

Neonatal Hearing Screening ◽

Lack Of Information ◽

Universal Neonatal Hearing Screening

Abstract Background The National Policy for Hearing Health Care in Brazil proposes that all newborns in the country undergo hearing screening in the first month of life.The Universal Neonatal Hearing Screening Program being extremely important for the early intervention of deafness. However, many parents/guardians do not return to the auditory retest, interrupting the neonatal protocol and making early auditory diagnosis impossible. Objective:To analyze the reasons for the non-attendance to retest of the Hearing Screening of a hospital in Curitiba. Methods This study was carried out in a Public Hospital, with live births from August 2017-May 2018. All the born were considered for the variables gender, risk for hearing loss, age at birth, results of Hearing Screening. Failed babies were analyzed, including the active search of those who did not attend the retest, through contact with parents/guardians to collect the reasons for faults. Results 2,531 infants were born, male had a prevalence of 1,275 (50.38%), term born 1,734(68.51%) and ICU stay as the most common risk indicator - 118(79.73%). 2,261(89.33%) infant passed on both ear; among those who failed only 94(40.0%) attended the retest. An active search was performed by phone, and 78(55.31%) could not establish contact, totaling 47(54.02%) mothers contacting. These motherś age was 19 to 24 years, 56.92% of whom had high school. The majority of those in charge are aware of the result of the test of the ear of their son (82.97%), was directed to test again (87.23%), were not able to answer the reason for not attending (27.65%) or had forgotten about this commitment (19.14%). Conclusions The data analyzed showed the lack of information that parents / guardians of the newborns give to the Hearing Screening, which compromises the integrality of health actions in newborns, making it necessary to seek other ways to ensure family adherence to the Program. Key messages Babies at risk of deafness need constant monitoring. Without parental participation, there is no success in health programs.

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Study on the Influence of Pharmaceutical Management on Rational Drug Use under Chinese Health Strategy

BCP Business & Management ◽

10.54691/bcpbm.v13i.93 ◽

2021 ◽

Vol 13 ◽

pp. 180-185

Author(s):

Lijuan Cheng

Keyword(s):

Drug Use ◽

Management System ◽

Public Hospital ◽

Collaborative Governance ◽

Public Hospitals ◽

Inappropriate Drug ◽

Control Group ◽

Observation Group ◽

Hospital System ◽

Pharmaceutical Management

In order to better promote the implementation of the healthy China strategy and the innovation of public hospital system management, we can explore a modern public hospital management system that can meet the needs of the people in the new era from the aspects of medical service supply mode, collaborative governance design of public hospitals and internal management system of public hospitals. In this paper, 300 prescriptions in our hospital before and after May, 2020 were selected as research objects, and were randomly divided into two groups, one group was the control group (300 cases) without pharmaceutical management, and the other group was the observation group (300 cases) with pharmaceutical management. Then, the drug satisfaction, irrational drug use and inappropriate drug use of the two groups were compared. The results showed that the satisfaction of medication in the observation group was significantly better than that in the control group, and the irrational and inappropriate medication was lower than that in the control group, with statistical differences (P <0.05). It shows that the implementation of pharmaceutical management measures under the strategy of Healthy China can effectively improve patients' satisfaction with medication and prevent irrational medication.

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The fuzzy concept of collaborative governance: A systematic review of the state of the art

Central European Journal of Public Policy ◽

10.2478/cejpp-2019-0008 ◽

2019 ◽

Vol 13 (2) ◽

pp. 28-39 ◽

Cited By ~ 2

Author(s):

Agnes Batory ◽

Sara Svensson

Keyword(s):

Literature Review ◽

Policy Making ◽

State Of The Art ◽

Grey Literature ◽

National Policy ◽

Collaborative Governance ◽

Political Systems ◽

Policy Documents ◽

Academic Literature ◽

Cultural Connotations

Abstract This article contributes to the consolidation and synthesis of scholarship on collaborative governance by expanding our knowledge of how the term is used in the academic literature and policy documents in a range of European countries. It adds value to the existing reviews of the field by conducting a systematic literature review on a corpus of over 700 article abstracts and a traditional literature review identifying five key analytical dimensions. The article also provides an exploratory analysis of grey literature hitherto outside the purview of researchers and considers the linguistic and cultural connotations that alter the meaning of the term when translated into new contexts in ten EU/EFTA countries. Findings indicate heterogeneity and fuzziness in the way the concept is used. The article argues that explicit positions with respect to five main analytical dimensions and taking into account the national connotations that the term carries across political systems would inject more clarity into the academic discourse. This, in turn, will help policymakers to make informed use of the concept, especially in multi-national policy-making arenas.

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