Doctor shopping for methylphenidate as a proxy for misuse and potential abuse in the 67 million inhabitants in France

2021 ◽  
Author(s):  
Benjamin Rolland
Keyword(s):  
Doctor Shopping ◽  
Potential Abuse

The Use of Health Legislation to Deal with Abuse of Community Based Elderly People with Dementia

1997 ◽  
Vol 37 (1) ◽  
pp. 41-45
Author(s):  
Colm Cooney ◽  
Walid A. Hamid
Keyword(s):  
Elderly People ◽  
Community Based ◽  
Current Health ◽  
People With Dementia ◽  
Potential Abuse ◽  
Health Legislation ◽  
Legal Processes

This paper describes current health legislation used to deal with actual and potential abuse of elderly people with dementia living in the community. Recent recommendations made regarding updating existing legal processes and creating new provisions are also outlined.

scholarly journals Pengawasan Orang Asing terhadap Pemberlakuan Bebas Visa Kunjungan pada Kantor Imigrasi Kelas 1 Khusus Ngurah Rai

2021 ◽  
Vol 2 (1) ◽  
pp. 93-98
Author(s):  
Ni Made Putri Kartika Jati ◽  
I Wayan Arthanaya ◽  
I Nyoman Sutama
Keyword(s):  
Special Class ◽  
Class I ◽  
Foreign Workers ◽  
Bilateral Relations ◽  
Tourism Sector ◽  
Potential Abuse ◽  
The Republic ◽  
The Government ◽  
Tourism Economy ◽  
Legal Consequences

Free visit visa is a visa granted to foreigners upon arrival in Indonesia without paying a visa for a period of 30 days and cannot be extended. Visit visa free can be given at several Immigration Examination Sites (TPI) spread throughout Indonesia. The Ngurah Rai Special Class I Immigration Office personally supervises an Immigration Checkpoint, namely I Gusti Ngurah Rai International Airport. Regarding the implementation of a visit visa-free policy, the efforts made by the immigration ranks include: increasing the number of personnel, increasing supervision of landings and entry permits for foreigners, monitoring the use of residence permits by foreigners in various places, especially in the tourism sector and in various entertainment venues, there is cooperation between agencies in preventing prevention of visa-free use to minimize potential abuse of rules. The purpose of this study was to determine the application of visa-free policies at the Ngurah Rai Special Class I Immigration Office and to find out the legal consequences of the visa-free policy at the Ngurah Rai Special Class I Immigration Office. The research method uses empirical descriptive. The results of the study indicate that the application of a visa-free policy at the Ngurah Rai Special Class I Immigration Office is in accordance with the latest regulations, namely the Republic of Indonesia Presidential Regulation Number 21 of 2016 concerning Visit Visa Free. There are 169 countries around the world whose citizens can visit Indonesia without using a visa. It aims to improve bilateral relations, especially in terms of the tourism economy where the number of foreign tourists to Indonesia is targeted by the government of 20 million tourists by 2019. Legal Consequences Caused From Visa-Free Policies At the Ngurah Rai Special Class I Immigration Office, where according to one of the immigration functions is to select every intention of arriving foreigners, there are several cases of violations of law which can be easier to enter Indonesia such as foreign workers who work without complete permission in Indonesia.

Building a Social Conversational Pedagogical Agent

2011 ◽  
pp. 128-155 ◽  
Author(s):  
Agneta Gulz ◽  
Magnus Haake ◽  
Annika Silvervarg ◽  
Björn Sjödén ◽  
George Veletsianos
Keyword(s):  
Intelligent Tutoring Systems ◽  
Social Relationship ◽  
Intelligent Tutoring ◽  
Development Project ◽  
Pedagogical Agents ◽  
Pedagogical Agent ◽  
Ongoing Research ◽  
Tutoring Systems ◽  
Potential Abuse ◽  
Design Challenges

This chapter discusses design challenges encountered when developing a conversational pedagogical agent. By tracing the historical roots of pedagogical agents in Intelligent Tutoring Systems (ITS), we discern central developments in creating an agent that is both knowledgeable and fosters a social relationship with the learner. Main challenges faced when attempting to develop a pedagogical agent of this kind relate to: i) learners’ expectations on the agent’s knowledge and social profile, ii) dealing with learners’ engagement in off-task conversation and iii) managing potential abuse of the agent. We discuss these challenges and possible ways to address them, with reference to an ongoing Research & Development project, and with a focus on the design of a pedagogical agent’s visual embodiment and its conversational capabilities.

scholarly journals Impact of the abolition of copayments on the GP-centred coordination of care in Bavaria, Germany: analysis of routinely collected claims data

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e035575
Author(s):  
Michaela Olm ◽  
Ewan Donnachie ◽  
Martin Tauscher ◽  
Roman Gerlach ◽  
Klaus Linde ◽  
...  
Keyword(s):  
Routine Data ◽  
Secondary Outcome ◽  
Coordination Of Care ◽  
Coordinated Care ◽  
Specialist Care ◽  
Doctor Shopping ◽  
Specialist Services ◽  
Number Of Patients ◽  
Time Series Analyses ◽  
Insured Patients

ObjectivesIn 2012, Germany abolished copayment for consultations in ambulatory care. This study investigated the effect of the abolition on general practitioner (GP)-centred coordination of care. We assessed how the proportion of patients with coordinated specialist care changed over time when copayment to all specialist services were removed. Furthermore, we studied how the number of ambulatory emergency cases and apparent ‘doctor shopping’ changed after the abolition.DesignA retrospective routine data analysis of the Bavarian Association of Statutory Health Insurance Physicians, comparing the years 2011 and 2012 (with copayment), with the period from 2013 to 2016 (without copayment). Therefore, time series analyses covering 24 quarters were performed.SettingPrimary care in Bavaria, Germany.ParticipantsAll statutorily insured patients in Bavaria, aged ≥18 years, with at least one ambulatory specialist contact between 2011 and 2016.Primary and secondary outcome measuresPrimary outcome was the percentage of patients with GP-coordinated care (every regular specialist consultation within a quarter was preceded by a GP referral). Secondary outcomes were the number of ambulatory emergency cases and apparent ‘doctor shopping’.ResultsAfter the abolition, the proportion of coordinated patients decreased from 49.6% (2011) to 15.5% (2016). Overall, younger patients and those living in areas with lower levels of deprivation showed the lowest proportions of coordination, which further decreased after abolition. Additionally, there were concomitant increases in the number of ambulatory emergency contacts and to a lesser extent in the number of patients with apparent ‘doctor shopping’.ConclusionsThe abolition of copayment in Germany was associated with a substantial decrease in GP coordination of specialist care. This suggests that the copayment was a partly effective tool to support coordinated care. Future studies are required to investigate how the gatekeeping function of GPs in Germany can best be strengthened while minimising the associated administrative overhead.

Characteristics of “Doctor-Shopping” Patients in the Emergency Department

2013 ◽  
Vol 62 (4) ◽  
pp. S92
Author(s):  
S.G. Weiner ◽  
C.A. Griggs ◽  
P.M. Mitchell ◽  
B.K. Langlois ◽  
F.D. Friedman ◽  
...  
Keyword(s):  
Emergency Department ◽  
Doctor Shopping

The adult guardianship dilemma in Hong Kong

2019 ◽  
Author(s):  
Rebecca Lee
Keyword(s):  
Hong Kong ◽  
Cognitive Impairment ◽  
Frail Elderly ◽  
Legal Institution ◽  
Potential Abuse ◽  
Global Concern

Abstract Today, there is worldwide consensus that ageing has become an issue of global concern. The frail elderly, together with other vulnerable sections of the community, may turn to adult guardianship, a mechanism for planning for and the protection of individuals with cognitive impairment. There is, however, an inherent tension at the heart of the legal institution of adult guardianship: although it protects individuals with cognitive impairment from potential abuse and exploitation, that protection is often provided by subjecting individuals to the plenary authority of their guardians. Against this backdrop, this article critically examines the struggle with the tension within the adult guardianship regime in Hong Kong and, drawing on reforms in major jurisdictions with long-standing experience of guardianship experimentation, explores the features of a guardianship system that tackles this dilemma.

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