Russian healthcare may pose Putin problems in 2016

Subject Russia's healthcare system. Significance By the end of 2017, Moscow's authorities plan to fire an additional 14,000 workers as part of the government's health reform plan, according to leaked documents seen by Russian news outlet RBC. As budgets are squeezed by the huge rearmament programme and low oil prices, the Kremlin is striving to cut expenditure, attempting to disguise this as health optimisation. Discontent is rising among medical professionals who are being over-stretched; hospitals are closing, numbers of beds decreasing and waiting lists growing. The reform of the Russian national healthcare system, undertaken in adverse economic conditions, threatens to decrease the quality and accessibility of healthcare. Impacts The working population's poor health has a direct negative impact on the economy, increasing paid sick days and reducing productivity. Health reforms have reduced doctor-patient appointments to around 12-15 minutes. The population's distrust of doctors will need to be addressed to improve the quality of the healthcare.

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Monica Consolandi

Purpose Seniors are nowadays at the core of important reflections to understand both how to ensure them a proper quality of life and better recognize their social role, providing them services and proper health care to value them as persons and resources. This paper aims to find a through definition about who is a senior, in the author’s opinion the starting point to help them flourishing. Design/methodology/approach As an example of definitions, an online dictionary and two geriatric text-books are quoted, highlighting qualities and rights referred to seniors especially in the delicate context of the health-care system. Findings The lack of a commonly shared perspective on this delicate kind of patient entails the difficulty to reach a coherent and satisfying definition about who a senior is. Originality/value The lack of a commonly shared definition leads to inevitable misunderstandings and could explain the arduousness of considering seniors in all their aspects. Further investigations are suggested.


2020 ◽  
Vol 20 (3) ◽  
pp. 445-460 ◽  
Author(s):  
Simone Pizzi ◽  
Fabio Caputo ◽  
Andrea Venturelli

Purpose The aim of the paper is to understand the differences between “talking” and “walking” about sustainable development goals (SDGs) in state-owned enterprises (SOEs). Specifically, the authors have conducted an analysis on 202 entities that operate within the Italian National Healthcare System (INHS) to evaluate the overall degree of transparency in term of contribution to the SDG3. Design/methodology/approach The research evaluates the degree of contribution to SDG3 by INHS through the adoption of the theoretical framework proposed by Beck et al. (2010). Specifically, the authors assess the degree of contribution to this goal using an interpretive content analysis that combines the theoretical framework with the 13 targets that composed the SDG3. For the authors’ purposes, they analyze all INHS’s website to evaluate the presence/absence of social reports produced in the periods 2015-2018. Findings Although the great contribution to the SDG3, the INHS is characterized by a low degree of accountability. In fact, only 12.21 per cent of INHS’s entities disclosed at least one social report during the observed period. Moreover, the authors’ results denote how the approach of INHS’s entities to social reporting is different both in term of “quality” and “quantity.” Research limitations/implications The SOEs play a central role within the Agenda 2030 strategies. However, public managers are less oriented than private managers to adopt non-financial reporting tools. Furthermore, the authors’ results highlight the existence of asymmetric information between SOEs and citizens even if in presence of best practices such as the INHS. In this sense, the adoption of non-financial reports tool to engage in a more effective way with citizens could be a strategic driver for the achievement of highest degree of social legitimacy to operate. Practical implications The paper is of use to public managers operating in countries characterized by a high level of contribution to SDGs. Specifically, the authors’ results suggest how the adoption of reporting tools could impact positively in terms of stakeholder’s awareness to SDG themes. Originality/value This paper contributes to the understanding of the central role covered by academics, practitioners and public sectors to SDGs through the adoption of social reporting tools.


2016 ◽  
Vol 28 (4) ◽  
pp. 658-680 ◽  
Author(s):  
Bienvenido Ortega

Purpose The purpose of this paper is to analyse whether hotels that use a revenue management system (RMS) outperform non-RMS-users in a context of decreasing demand. Design/methodology/approach A database of chain hotels with a rating of three or more stars was used to estimate MANOVA and ANOVA models to analyse the role of RMSs in hotel performance. Findings In a context of strong competition in prices and surplus capacity, the findings suggest that RMSs have been more effective in improving occupancy than in achieving higher rates. Also, the use of RMSs did not have a significant impact on hotel labour productivity. Research limitations/implications Managers may believe that they have adopted an RMS when, in fact, they have not fully done so. In addition, establishment-level unobserved heterogeneity, such as the quality of management or unobserved quality of service, cannot be fully controlled because of the nature of the data used. The main implication of this paper is that the potential of RMSs as revenue enhancer might be influenced by unstable market and economic conditions. However, the absence of significant effects on RevPAR performance might be also the result of firms’ adopting inadequate RM strategies. Further research could investigate whether the findings are context-specific or whether firms are failing to implement effective RMSs for other reasons. Originality/value The approach used in this paper is new to the literature, given that it uses statistical methods to analyse the impact of implementing an RMS on hotel performance under specific economic conditions and using alternative indicators.


2017 ◽  
Vol 72 (4) ◽  
pp. 411-428 ◽  
Author(s):  
Tiia Annika Wahlberg ◽  
Nelson Ramalho ◽  
Ana Brochado

Purpose Hostels’ competitiveness relies heavily on unique and genuine service and, thus, counts on employees actively creating a social, welcoming environment and, at the same time, caring about – and being loyal to – their hostel. This paper aims to investigate whether retaining employees who care about their hostel and refrain from destructive behaviours implies that these workers need to have a better quality of working life, as well as whether work engagement mediates this relationship. Design/methodology/approach A survey was conducted with 98 employees from 40 hostels in Lisbon. An analysis of the survey data was performed to test the research hypotheses. The model was estimated by means of partial least squares structural equation modelling. Findings The results reveal that quality of working life has a strong negative impact on employees’ exit behaviours and a positive effect on their loyalty. In addition, work engagement was found to mediate fully the relationship between quality of working life and both employee voice and neglect, as well as partially mediating exit intentions. Originality/value This study extended prior research in two ways. First, most theoretical and empirical studies in the hospitality and tourism industry have focused on hotels, so this research targeted a new context (i.e. hostels). Second, this study offers a clear indication of the relationship between employees’ quality of working life, work engagement and behaviours, thus offering valuable insights for management and hostel staff.


2018 ◽  
Vol 23 (2) ◽  
pp. 134-148 ◽  
Author(s):  
Shadrack Katuu

Purpose A healthcare system in any country is rarely the product of one logical policy-making experience, but rather a manifestation of many years of historical development. The purpose of this paper is to examine the characteristics, components, and variables of South Africa’s healthcare system in the context of global patterns. It leverages a dynamic period in South Africa since 1994, and applies a comparative health systems analysis to explain where the country’s healthcare system is, and where it is potentially going. Design/methodology/approach This paper reviews literature related to South Africa’s healthcare system, outlines its historical development, and discusses three fundamental challenges experienced in the country. This paper also reviews the literature on healthcare system typologies and identifies three framework models that have been used to categorise national healthcare systems since the 1970s. This paper then discusses the categorisation of South Africa’s healthcare system in these models, in comparison to Canada and the USA. Findings This paper finds that the framework models are useful tools for comparative analysis of healthcare systems. However, any use of such typologies should be done with the awareness that national healthcare systems are not isolated entities because they function within a larger context. They are not static, since they are constantly evolving with many nuances, even with very similar healthcare system categorisations. Originality/value This paper charts the trajectory of change in the South African healthcare system, and demonstrates that the change process must keep internal conditions in mind if the outcome is to be successful. Imitating policies of countries with well-functioning systems, without regard to local realities, may not work, as the government attempts to usher in changes within a short span of time.


2018 ◽  
Vol 8 (2) ◽  
pp. 67-74
Author(s):  
Tamrin ◽  
Zulfan Saam ◽  
Sofyan H. Siregar

The research was done in December 2016 to March 2017 and located in Pasir Keranji Village, Pasir Penyu Districts, Indragiri Hulu Regency. The purpose of this research is analizing the impacts of sandstone mining activities against erosion in Indragiri River, quality of Indragiri River water and local socio-economic conditions. Based on the reasearch, sand-stone mining in Indragiri River causes erosion so that the river body widened and the depth of the river is shallower due to sedimentation. Other than that, quality of Indragiri River water such as brightness, turbidity, TSS, DO and BOD5 including the polluted category. This is caused by sand-stone mining activities, waste from palm factory and gold mining along the Indragiri River. Socially and economically, the sand-stone mining activities have a positive impact in improve the living standards of local communities and have a negative impact on environmental quality


Author(s):  
A. V. Kolokolov

One of the most urgent areas of Russian health care is the organization of medical care in the new socio-economic conditions, aimed at providing affordable high-quality and safe medical care to the population, therefore, a new approach to the formation of control over both the quality of medical care and its safety is of particular interest. At all stages of the treatment and diagnostic process, serious mistakes can be made that can have a negative impact on the life and health of patients.The article discusses the methodological aspects of assessing the quality of medical care at all stages of the treatment and diagnostic process. Requirements for the formation of an expert opinion, which is prepared based on the results of the examination of the quality of medical care, have been formulated. In order to effectively manage the quality of medical care, the author proposes the creation of a digital “smart” system for monitoring defects in medical care.


Subject Health plans. Significance President Andres Manuel Lopez Obrador (AMLO) on December 14 announced changes to the public health sector to expand coverage, improve quality of care and guarantee access to free medicines. His plans will see the federal government assume responsibilities previously the remit of state-level authorities. Impacts The overhaul will take place as key institutions in the sector are decentralised, compounding implementation challenges. Without greater investment in prevention in addition to medical attention, improvements in the population’s health will be limited. Centralisation of decision-making and resource allocation will improve monitoring and accountability but not necessarily stop corruption.


2020 ◽  
Vol 20 (4) ◽  
pp. 353-369
Author(s):  
Linda Bell ◽  
Rachel Herring ◽  
Fizz Annand

Purpose The purpose of this paper is to review the following research questions from the available literature: What evidence is there to suggest that substance misuse specifically by fathers (including alcohol and other drugs) causes wider harms, including child welfare concerns? substance misuse, recovery, parents, fathers, fathering, drugs/ alcohol services. How do professionals respond specifically to substance misuse by fathers? Do interventions aimed at parental substance misuse (particularly in the UK) include both mothers and fathers and if so how? Design/methodology/approach A scoping literature review was conducted which identified 34 papers (including scoping reviews published in 2006 and 2008, covering the period 1990-2005) and 26 additional studies published between 2002 and 2020. Findings The review in this paper is organised into six themes: Negative impact of men’s substance misuse problems on their parenting behaviours; quality of the relationship between parents affected by substance misuse of the fathers, in turn affecting the parenting behaviour and outcomes for children; importance to fathers of their fathering role (for example, as a financial provider); difficulties fathers may face in developing their fathering role; sidelining of the fathering role in substance misuse services; and professionals tending to focus on the mother’s role in parenting inventions and services. Originality/value This paper focusses on fathers and substance misuse, which is an under-researched field within the wider contexts of fathering research and research into parental substance misuse.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  

Purpose Previous studies examined the effects of diversity according to gender, race and age, whereas the present study focused on nationality. The authors wanted to find out the impact of workplace diversity on job satisfaction. Design/methodology/approach The analysis relied on two data sources. The first was the 2013 survey of “Working Conditions and the Quality of Work Life” in Luxembourg. The sampling plan was based on data from Luxembourg’s social security administration. There were four variables: The first was the size of the firm (less than 15 employees, between 15 and 49, and more than 50). The second was employee status (blue collar worker, or employee). The other variables were gender and age. Findings Results showed workplace diversity has a negative impact on job satisfaction. But the data also revealed job satisfaction increased for the minority nationalities when a certain threshold for diversity was reached. The authors said this might be because when there were enough workers “like themselves”, satisfaction grew. Originality/value The authors said their study would become increasingly important as globalization increased the proportion of foreign workers inside firms. They said that from a managerial perspective, it was crucial to know if national diversity was linked to employees’ attitudes.


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