Benefits and barriers associated with take-home-naloxone in the view of Italian service providers

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sara Rolando ◽  
Franca Beccaria ◽  
Susanna Ronconi

Purpose Spanning almost 30 years, Italy’s experience with take-home-naloxone (THN) provides an interesting case study on the international scene because of its specific history, regulation and trends in overdose (OD) rates. Accordingly, this study aims to contribute to the evidence base for THN and its delivery in a different setting. Design/methodology/approach The study focuses on service providers’ perceptions of the benefits, risks and barriers associated with THN provision. Data was collected using a mixed-methods approach as follows: an online structured questionnaire (no. of respondents = 63) and two focus groups (no. of total participants = 18). Findings Findings show that service providers believe the benefits of THN far outweigh the risks and accrue to services, as well as users. The study also suggests that the barriers in Italy are mostly ideological and political, and illustrates how resistance to administering THN can re-emerge when ODs are no longer a social emergency. Furthermore, the study found that health and social workers have different attitudes which are also reflected at the level of public and private services, thereby shaping slightly different models of THN supply. Originality/value The study suggests that barriers associated to THN are more ideological and political rather than concrete, which explains why, even where it seems long established, can easily re-emerge once ODs are no longer a social emergency.

2020 ◽  
Vol 27 (2) ◽  
pp. 561-571
Author(s):  
Todor Kolarov

Purpose Using Bulgarian legislation on civil confiscation and analysing the nature of the substantive authority to confiscate unexplained wealth, as well as evaluating research in common and continental law, this paper aims to seek historic parallels for non-punitive civil confiscation of unexplained wealth. Design/methodology/approach The design of this paper is centred on determining whether the substantive authority of the state to confiscate unexplained wealth has a Roman law equivalent. Conducting a review of key elements of the substantive authority for the action in Bulgaria, the research examines the validity of the hypothesis that the right to confiscate has a Roman law equivalent. Findings The research supports the position that the substantive authority to seek civil confiscation relief in Bulgaria has its origin in the overarching principle of unjustified enrichment in Roman law. Considering needed adjustments related to the developed demarcation between public and private law in contemporary law, the action to confiscate unexplained wealth in civil proceedings in the case study jurisdiction has its equivalent in the Roman condictio furtiva. Originality/value This paper sheds light on the theoretical basis for civil asset confiscation of unexplained wealth in one continental law jurisdiction, thus contributing to the on-going debate on the compatibility of civil confiscation of unexplained wealth with the continental law tradition.


2014 ◽  
Vol 31 (8) ◽  
pp. 19-21
Author(s):  
Abdul Mannan Khan ◽  
Mehnaz Siddiqui

Purpose – The purpose of this paper is to examine users’ attitude toward the implementation of information technology (IT) on the library of Sanjay Gandhi Post Graduate Institute of Medical Sciences (SGPGIMS). The paper also aims to explore the hindrances and recommendations for IT-enabled services and find out the present status of automation in the library of SGPGIMS. Design/methodology/approach – A well-structured questionnaire was designed to collect the data for the present study. A thorough survey of the literature was done to examine the findings of the earlier relevant studies. Findings – The results of the survey provide the important information regarding the state-of-the-art of the users of mentioned library. It also finds the barriers due to which overall implication of IT is being delayed. The findings of the study bequeath measures to eradicate the barriers and get the fully automated medical library. Originality/value – The study will have important implications on policymakers, librarians and other higher authorities of SGPGIMS to improve the IT status of their library. It evaluates the users need and points out the measures which can improve the IT status of these libraries.


2014 ◽  
Vol 21 (4) ◽  
pp. 665-674 ◽  
Author(s):  
Rosa Caiazza

Purpose – The purpose of this paper is to investigate the differences and relations between Italy and Egypt and to identify main risks and opportunities for Italian firms that aim to operate in Egypt. Design/methodology/approach – The paper presents a qualitative analysis realized through some semi-structured questionnaire and a case study. Findings – High cultural difference, legal uncertainty and administrative instability are main problems in internationalization process of Italian firms in Egypt. Despite these problems, Italian firms still invest in Egypt because of economic opportunities and possible interactions. Originality/value – While interest towards Southern Mediterranean countries is increasing, there is little written on this topic. This article aims to fill the gap in literature on internationalization in emerging markets.


2016 ◽  
Vol 24 (5/6) ◽  
pp. 300-312 ◽  
Author(s):  
Michael Clark ◽  
Charlie Murphy ◽  
Tony Jameson-Allen ◽  
Chris Wilkins

Purpose The purpose of this paper is to promote discussion about, and the development of the evidence-base underpinning integrated working for intergenerational working. It discusses perspectives on intergenerational work in general and specifically draws on case experiences of the use of intergenerational reminiscence based on sporting memories to highlight issues pertaining to integrated working. Design/methodology/approach The paper presents a general discussion of issues of intergenerational projects and integrated working, with case discussions of the use of sporting memories as an intervention for focusing intergenerational contact. Findings It is concluded that intergenerational work has much to offer but that it is far from clear how best to organise integrated working for this type of work. There are interesting lessons to be drawn for intergenerational interventions and integrated working from the case study discussions. Research limitations/implications Although case studies can provide crucial in-depth knowledge they can be limited in developing evidence we can be sure is more generalisable across contexts. Hence, further research is required into the impact of intergenerational projects, and how best to maximise this through effective integrated working. Practical implications The discussion and case study materials suggest there is much potential in using intergenerational projects to achieve a range of possible outcomes but it is not clear how integrated working is best operationalised in such work. Care is required about clarity concerning the aims of specific projects, but practitioners and others should be encouraged to carefully explore this area of work. Social implications The challenges of an ageing society are significant, as is the need to maintain intergenerational contact, mutuality and the implicit social contract across generations. Specifically developing opportunities for such contact may help achieve this and a range of other positive outcomes. Originality/value This paper brings together a discussion of intergenerational projects with consideration of the challenges of integrated working, and adds specific case study lessons from the use of sports-based reminiscence.


2015 ◽  
Vol 13 (4) ◽  
pp. 366-390 ◽  
Author(s):  
Adedayo Johnson Ogungbile ◽  
Ayodeji Emmanuel Oke

Purpose – This paper aims to assess the facility management (FM) practices in public and private buildings, and compare the practices in both the buildings. This paper critically analysed the current FM practices and explored the range of contributions that the facility manager could offer in both public and private buildings. Design/methodology/approach – A case study of 19 public and 20 private buildings in Ibadan and Akure cities was carried out in this paper. Findings – The paper revealed that the state of FM awareness is higher in private buildings than in public buildings and that FM practices in the two types of buildings are significantly related, but the extent of usage of FM methods are significantly different in the buildings. It was also observed in the research that corrective and responsive FM practices are the order of the day in both public and private buildings. Practical implications – The paper acknowledged that the involvement of the facility manager with the integrated design team if implemented efficiently will contribute in reducing the need for major repairs and alterations in the lifespan of the facility and that the practices of preventive, planned and immediate responsive approaches would better the life of buildings. Social implications – The paper recommended that stricter action should be taken to mitigate against the poor handling and misuse of buildings by users, as it affects negatively the success story of FM in the country. Originality/value – This paper reached out to address the lack of proper FM in the country.


2017 ◽  
Vol 30 (4) ◽  
pp. 490-507 ◽  
Author(s):  
Vanessa Marques Daniel ◽  
Mauricio Pozzebon de Lima ◽  
Ângela Maria Ferrari Dambros

Purpose Considering the importance of services and innovation for the modern economy and the peculiarities that differentiate services from tangible goods, the purpose of this paper is to better understand how, based on the capabilities approach, innovation takes place in services. Design/methodology/approach A qualitative multi-case study was conducted in five instances of innovation in the fitness market, using a semi-structured questionnaire as devised in Zawislak et al. (2014). Findings The results show that the traditional capabilities framework is limited in explaining service innovation, as there are many levels of intangibility and non-linearity in service provision. Cases show that it is not possible to think of capabilities linearly in the service context. The authors propose that capabilities overlap, and the results show that this is a more accurate way of describing service dynamics. An alternative framework is suggested based on field findings, and a set of propositions are made for future research. Originality/value For many years, services were perceived as non-innovative, complementary activities, geared mainly towards the production of goods. The value of this study is to investigate a topic (innovation) that is widely studied in the industrial sector in a service context, contributing to a largely unexplored field.


2015 ◽  
Vol 14 (6) ◽  
pp. 234-236
Author(s):  
Barry Moseley

Purpose – The purpose of this paper is to explore the importance of being aware of current tax regulations for both the public and private sector. Design/methodology/approach – This paper uses some of the recent news around large corporations and their tax systems to support the argument for more awareness of tax avoidance. Whilst using the recent UK regulations into reporting of non PAYE workers as a case study. Findings – More needs to be done to ensure businesses are aware and comply to the regulations around non-PAYE employees. Originality/value – Entirely original content, citing examples from government regulation and private companies experience.


2018 ◽  
Vol 120 (2) ◽  
pp. 255-268
Author(s):  
Miroslava Bavorova ◽  
Diana Traikova ◽  
Juliane Doms

Purpose The purpose of this paper is to examine the factors that influence consumers’ shopping behaviour from farm shops. Design/methodology/approach The study is based on the theory of planned behaviour (TPB). Data were gathered in 2015 and 2016 via a quantitative written survey of 135 pedestrians in a structured questionnaire in Naumburg, East Germany. The authors use the variance-based, partial least squares subfamily of structural equation models for the analysis, allowing the authors to investigate the causes of the formation of attitudes, social norms and perceived behavioural control (PBC) related to buying from farm shops. Findings Seen through the TPB prism, the most powerful explanatory construct in the model is PBC. This is followed by favourable attitudes towards buying at the farm gate. Interestingly, the injunctive norms construct is not significant, while the descriptive norms construct is. This means that the observed behaviour of relevant peers is more strongly linked to buying at the farm gate than what significant others want respondents to do. Originality/value Farm shops are one of the innovative distribution channels used by farmers to sell regional products directly to consumers. Studies that analyse the factors that have an effect on consumer behaviour when buying food from farm shops are very scarce. This paper fills this gap and the findings have implications for communications to consumers and labelling.


2015 ◽  
Vol 23 (5) ◽  
pp. 8-11 ◽  
Author(s):  
Daniel Ozarow ◽  
Trevor Gibson ◽  
Arun Batra ◽  
Sam Mercer

Purpose – Argues that merely complying with legislation is not sufficient to accomplish genuine diversity and that, rather than assuming its benefits will naturally be derived and accepted, diversity must be approached strategically and its advantages communicated effectively to stakeholders to ensure desired outcomes. Design/methodology/approach – Considers the business case for diversity, presents a case study of barristers and examines the role of the national equality standard. Findings – Advances the view that multi-layered approaches to diversity are essential for its successful implementation. Practical implications – Highlights the strong business case for diversity in the workforce, as well as possible social repercussions from failing to ensure that workforces are diverse. Social implications – Underlines how young people in European and Anglo-Saxon countries are increasingly demanding to work with colleagues from varied ethnicities, nationalities and sexual orientations who are similar to the peers they socialize with. Diverse workforces have thus become central to talent attraction. Originality/value – Presents an interesting case study of barristers and diversity.


2021 ◽  
Vol 26 (4) ◽  
pp. 449-466
Author(s):  
Annemarie Groot-Kormelinck ◽  
Jacques Trienekens ◽  
Jos Bijman

Purpose The aim of this paper is to study the influence of quality standards on contract arrangements in food supply chains. Design/methodology/approach A qualitative double case study was conducted on the dairy and citrus sectors in Uruguay. A transaction cost theoretical framework was used. All current public and private quality standards applied by processors were studied in relation to contract arrangements between processors and upstream producers as well as downstream buyers for each sector. Findings Quality standards complement contract arrangements for upstream transactions, leading to hierarchy-type contract arrangements. Quality standards substitute contract arrangements for downstream transactions, leading to market- or hybrid-type contract arrangements. Research limitations/implications Longitudinal studies that measure changes in contract arrangements over time are recommended. Practical implications Supply chain actors can reduce transaction costs by aligning quality standards with appropriate contract arrangements – further supported by public instruments. Originality/value Quality standards have differential influence on underlying transaction characteristics, and therefore on contract arrangements, depending on the location of the transaction in the supply chain.


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