The case against choice and competition

2009 ◽  
Vol 4 (4) ◽  
pp. 489-501 ◽  
Author(s):  
DAVID J. HUNTER
Keyword(s):  
Health Care ◽  
Public Service ◽  
Competition Policy ◽  
User Preferences ◽  
Evidence Based ◽  
Policy Makers ◽  
The Public ◽  
Social Purpose ◽  
The Face ◽  
Key Features

Abstract:Choice and competition are central planks of the English government’s health reforms and modernisation programme. Wales and Scotland have chosen a different path, which calls into question the suggestion that in an age of consumerism there is no other way to secure overdue changes in the provision and management of health care to improve their quality and responsiveness to user preferences. Yet pro-market enthusiasts pursue their agenda in the face of evidence that calls into question the claims they make. It is a curious position for a government that is wedded to evidence-based policy to find itself in. The policy puzzle is why, despite the contested nature of the alleged virtues of choice and competition, policy-makers persist with introducing a set of reforms which appear to threaten the very values and principles they profess to uphold. An alternative reform paradigm exists which acknowledges what makes public services public. This paper sets out the key features of what rediscovering public service entails adopting the notion of co-production as a means of bringing about a new relationship between professionals and the public that remains true to the National Health Service’s social purpose.

scholarly journals Work process of an oral health team according to the dentists

2017 ◽  
Vol 65 (4) ◽  
pp. 344-351
Author(s):  
Flávia Martão FLÓRIO ◽  
Mariana Boanova LOURENÇO ◽  
Arlete Maria Gomes OLIVEIRA ◽  
Luciane ZANIN
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Public Service ◽  
Vocational Training ◽  
Dental Hygienist ◽  
Work Process ◽  
The Public ◽  
Health Team ◽  
Legal Provisions

ABSTRACT Objective: The aim of this study, conducted with the participation of the dentists of public service of Campinas, Dental Hygienist Technicians (TSBs) and Oral Health Assistants (ASBs), was to investigate the adequacy of the work process relative to the legal duties and professional limits. Methods: All the 180 dentists linked to the public service in 2014 were invited to take part in the study. Structured and self-administered questionnaires were sent to the these professional and they focused on vocational training and the allocation of functions in routine health care based on the provision of Law 11.889/2008. Results: Considering the respondents, the post-graduation period was 22.1 ± 7.4 years and they had a mean number 16.2 ± 8.9 years of public service. The majority of dentists worked with assistants (82.8%) during the period of study. Regarding the functions delegated to assistants, of the 36 functions identified, it was noted that 14 (38.9%) of the functions delegated diverged from their legal attributes, for most respondents; of these 35.7% (5) denoted extrapolation of ASBs functions, 28.6% (4) extrapolation of TSBs functions and 35.7% (5) underutilization of assistants, in particular TSBs. Conclusion: The authors concluded that most actions were being delegated in a manner consistent with the legal provisions, however, there were still situations of extrapolation of assistant's functions and underutilization of TSBs.

scholarly journals Work Ethics, Values, Attitudes and Performance In The Nigerian Public Service: Issues, Challenges and The Way Forward

2015 ◽  
Vol 5 (1) ◽  
pp. 157
Author(s):  
Bernard Oladosu Omisore ◽  
Oyende Adeleke A.
Keyword(s):  
Public Service ◽  
Data Gathering ◽  
Policy Makers ◽  
Unethical Conduct ◽  
Work Ethics ◽  
The Public ◽  
Service Oriented ◽  
Training Motivation ◽  
The Government ◽  
And Performance

Performance of the Nigerian public service has been a major concern to policy makers and researchers alike. This is because despite all measures put in place to arrest the ugly trend, it seems, it has defied all approaches towards tackling the problem of inefficiency and capacity collapse. Work ethics, attitudes and values can be influenced by the organization, through interventions like training, motivation and coaching, etc. However, they cannot be changed forcibly because they are intrinsic. It is, therefore, of fundamental importance that public functionaries act justly and fairly to all, not only paying lip service to ethical conduct but also ensuring that these are manifestly and undoubtedly seen to be done. This paper discusses the challenges of work ethics, values, attitudes and performance in the Nigerian public service. The major causes of unethical conduct in the public service were identified and the institutional mechanisms established by the government to curb these unethical behaviours were examined. This paper adopted content analysis as a method of data gathering and analysis. It suggested viable options for effective and efficient service-oriented public service. 

Policy capacity and evidence-based policy in the public service

2016 ◽  
Vol 19 (2) ◽  
pp. 157-174 ◽  
Author(s):  
Joshua Newman ◽  
Adrian Cherney ◽  
Brian W. Head
Keyword(s):  
Public Service ◽  
Evidence Based ◽  
The Public ◽  
Policy Capacity ◽  
Evidence Based Policy

scholarly journals Fact-Checking, a Public Service Value in the Face of the Hoaxes of the Healthcare Crisis

Tripodos ◽  
2021 ◽  
Vol 1 (47) ◽  
pp. 87-104
Author(s):  
María José Ufarte-Ruiz ◽  
Belén Galletero-Campos ◽  
Ana María López-Cepeda
Keyword(s):  
Public Service ◽  
Fake News ◽  
Web Content ◽  
The Public ◽  
Service Value ◽  
The Face ◽  
Healthcare Crisis ◽  
The Media ◽  
Fact Checking ◽  
Public Entity

The dissemination of fake news is an increasing issue in the media ecosys­tem, which has worsened with the current healthcare crisis. Pandemic-re­lated hoaxes challenge media, which have not hesitated to implement dif­ferent plans to combat these contents. The objective of this research is to ana­lyse the structure, make-up and proce­dures of fact-checking units that have been created in the newsrooms of the public service media (PSM) in Spain to refute false and unreliable information related to coronavirus. Two initiatives were studied: RTVE Verifica, belonging to the Spanish Radio and Television Corporation, and Coronabulos, from the public entity of the Basque govern­ment, EiTB. The method used is based on case studies, web content analysis and in-depth semi-structured inter­views with those responsible for these departments. Such a triangulation of techniques has allowed us to draw conclusions and provide interesting ex­amples to the research. The results re­veal that these sections use traditional techniques and technological applica­tions to verify content related mainly to healthcare and pseudoscientific infor­mation, which are published on corpo­rate websites and social media. Keywords: hoaxes, coronavirus, healthcare crisis, fact-checking, public service media.

scholarly journals The Shared Principles of Primary Care: A Multistakeholder Initiative to Find a Common Voice

2019 ◽  
Vol 51 (2) ◽  
pp. 179-184
Author(s):  
Ted Epperly ◽  
Christine Bechtel ◽  
Rosemarie Sweeney ◽  
Ann Greiner ◽  
Kevin Grumbach ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Consensus Building ◽  
Patient Centered Medical Home ◽  
Multiple Stakeholders ◽  
Patient Centered ◽  
Policy Makers ◽  
The Public ◽  
Seven Principles ◽  
Family Centered

As America’s health care system continues to transform, the foundational importance of primary care becomes more clear. The Joint Principles of the Patient Centered Medical Home are now more than a decade old. As delivery reform continues, the importance of seven essential shared principles have emerged from a dynamic, collaborative, and iterative process of consensus building across multiple stakeholders. These seven principles will help the public, policy makers, payers, physicians, and other clinical providers speak with a unified voice about these core principles that define the enduring essence and value of primary care. The seven shared principles of primary care consist of: (1) person and family centered, (2) continuous, (3) comprehensive and equitable, (4) team based and collaborative, (5) coordinated and integrated, (6) accessible, and (7) high value. When used together, these shared principles provide a solid platform on which to build all further health care reform.

A review of literature and perspectives on management knowledge

2018 ◽  
Author(s):  
Ewan Ferlie ◽  
Sue Dopson ◽  
Chris Bennett ◽  
Michael D. Fischer ◽  
Jean Ledger ◽  
...  
Keyword(s):  
Health Care ◽  
Public Management ◽  
The Political ◽  
Evidence Based ◽  
Science Literature ◽  
Knowledge Use ◽  
The Public ◽  
Management Knowledge ◽  
Political Economic ◽  
Based Medicine

This chapter presents the different theoretical texts that informed our study and interpretation of empirical data. We review selected health services and social science literature to provide insights on the mobilization of knowledge in the health care sector, with specific attention to practice-based examples. We include a critical reading of perspectives on evidence-based management (EBMgt) which takes its lead from evidence-based medicine (EBM). Drawing on insights from the strategic management literature, and the Resource-Based View (RBV), we discuss how knowledge is understood as a valuable asset, and explore some implications for public services and health care settings. We conclude by contributing a novel perspective on the political economy of public management knowledge production—a macro-level analysis that seeks to explore how interactions at the political, economic, and policy levels shape the institutional context for management knowledge use in the public sector.

Americans’ View of the Impact of COVID-19: Perspectives on Racial Impacts and Equity

2021 ◽  
Author(s):  
Katherine Carman ◽  
Anita Chandra ◽  
Carolyn Miller ◽  
Christopher Nelson ◽  
Jhacova Williams
Keyword(s):  
Health Care ◽  
African Americans ◽  
Access To Health Care ◽  
The Public ◽  
Equity And Access ◽  
Access To Health ◽  
The Face ◽  
Nationally Representative ◽  
The Impact ◽  
Over Time

Abstract Context: The COVID-19 pandemic has had a disparate effect on African Americans and Latino groups. But it is unknown how aware the public is of these differences, and how the pandemic has changed perceptions of equity and access to health care. Methods: We use panel data from nationally representative surveys fielded to the same respondents in 2018 and 2020 to assess views and changes in views over time. Findings: We found that awareness of inequity is highest among Non-Hispanic Black respondents and higher income and higher educated groups, and that there have been only small changes in perceptions of inequity over time. However, there have been significant changes in views of the government’s obligation ensure access to health care. Conclusions: Even in the face of a deadly pandemic, one that has killed disproportionately more African Americans and Latinos, many in the U.S. continue not to recognize that there are inequities in access to health care and the impact of COVID-19 on certain groups. But policies to address inequity may be shifting. We will continue to follow these respondents to see whether changes in attitudes endure over time or dissipate.

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