scholarly journals Referral management schemes are damaging patients' interests

BMJ ◽  
2007 ◽  
Vol 334 (7585) ◽  
pp. 156.2-156 ◽  
Author(s):  
Peter Lapsley
BMJ ◽  
2017 ◽  
pp. i6856 ◽  
Author(s):  
Gareth Iacobucci

2013 ◽  
Vol 63 (611) ◽  
pp. e386-e392 ◽  
Author(s):  
Jonathan MS Cox ◽  
Nicholas Steel ◽  
Allan B Clark ◽  
Bharathy Kumaravel ◽  
Max O Bachmann

Author(s):  
Yugashree Bhadane ◽  
Pooja Kadam

Now days, wireless technology is one of the center of attention for users and researchers. Wireless network is a network having large number of sensor nodes and hence called as “Wireless Sensor Network (WSN)”. WSN monitors and senses the environment of targeted area. The sensor nodes in WSN transmit data to the base station depending on the application. These sensor nodes communicate with each other and routing is selected on the basis of routing protocols which are application specific. Based on network structure, routing protocols in WSN can be divided into two categories: flat routing, hierarchical or cluster based routing, location based routing. Out of these, hierarchical or cluster based routing is becoming an active branch of routing technology in WSN. To allow base station to receive unaltered or original data, routing protocol should be energy-efficient and secure. To fulfill this, Hierarchical or Cluster base routing protocol for WSN is the most energy-efficient among other routing protocols. Hence, in this paper, we present a survey on different hierarchical clustered routing techniques for WSN. We also present the key management schemes to provide security in WSN. Further we study and compare secure hierarchical routing protocols based on various criteria.


2020 ◽  
pp. 1-19
Author(s):  
Cinalberto Bertozzi ◽  
Fabio Paglione

The Burana Land-Reclamation Board is an interregional water board operating in three regions and five provinces. The Burana Land-Reclamation Board operates over a land area of about 250,000 hectares between the Rivers Secchia, Panaro and Samoggia, which forms the drainage basin of the River Panaroand part of the Burana-Po di Volano, from the Tuscan-Emilian Apennines to the River Po. Its main tasks are the conservation and safeguarding of the territory, with particular attention to water resources and how they are used, ensuring rainwater drainage from urban centres, avoiding flooding but ensuringwater supply for crop irrigation in the summer to combat drought. Since the last century the Burana Land-Reclamation Board has been using innovative techniques in the planning of water management schemes designed to achieve the above aims, improving the management of water resources while keeping a constant eye on protection of the environment.


1986 ◽  
Vol 18 (9) ◽  
pp. 229-242 ◽  
Author(s):  
Khalil H. Mancy

The pollution burden of river discharges in the Mediterranean far exceeds all other sources, e.g. land based sources. The main contributors are the Rhone, Po and Ebro. Contributions from the River Nile are expected to be much less than those from rivers in the European continent. Recent Nile management schemes and irrigation projects in Egypt are posing direct impacts on the Mediterranean. This includes the erosion of the Nile Delta and off-shore pollution due to wastewater discharges. In view of the prevailing circulation patterns in the Mediterranean, these impacts are dominant in the South Levantin region. Cutrent practices of river management do not necessarily include the protection of marine resources. Similarly, sea protection programs do not include pollution from sources in the river basin. Marine management programs are largely concerned with pollution loads at the points of river discharge. In the case of a land-locked sea, such as the Mediterranean, it is particularly important to integrate river basin management schemes in the sea protection program. Under a suitable management plan, it could be possible to determine main sources of sea pollution within the river basin. This should serve as the basis for the implementation of control measures, since the problem is not exclusively within the river basin.


2012 ◽  
Vol 6-7 ◽  
pp. 773-777 ◽  
Author(s):  
Yan Ling Wang

The intense competition of global markets and consumers' high expectations forced enterprises to invest and concentrate on the relationship with their customers and suppliers. The growing interest in supply chain management, both in developed and developing countries in the fisheries. With the catastrophic events in the fisheries supply chain, the diversity of the fisheries risk and insurance issues become increasingly important. However, participants in the supply chain is a separate and independent economic entities, and only consider their own interests. In this article, the fisheries supply chain insurance contract on the basis of the model and the diversity of the fisheries risk and insurance policy issues, the behavior of each participant. In this article, the diversity of the fisheries supply chain risk and insurance process, the lack of sufficient knowledge of the fisheries supply chain contract signing or the exact probability of the insured event, the fisheries supply chain risk insurance companies use the information provided by the fisheries supply chain contract signature the signing of the contract or the behavior of the fisheries supply chain insurers of people insured or fisheries supply chain and fisheries supply chain in order to establish the parameters of the insurance contract of the fisheries supply chain.


Author(s):  
Christy Pu ◽  
Yu-Chen Tseng ◽  
Gau-Jun Tang ◽  
Yen-Hsiung Lin ◽  
Chien-Heng Lin ◽  
...  

To investigate caregivers’ attitudes toward continuity of care (COC) and their willingness to maintain continuity for their children with asthma under a national health insurance (NHI) system without strict referral management. We sampled 825 individuals from six pediatric outpatient departments in different parts of Taiwan from 2017 to 2018. We used a contingent valuation with a payment card method. Post-stratification weighting adjustment and coarsened exact matching were utilized. Multiple logistic regression was used to compare the willingness to pay and spend extra time maintaining continuity by parents. More than 80% of caregivers in the asthma group believed having a primary pediatrician was important for children’s health. Only 27.5% and 15.8% of caregivers in the asthma and control groups, respectively, believed changing pediatricians would negatively affect therapeutic outcomes. Regression analysis showed that the predicted willingness to pay for the asthma and non-asthma groups were NT$508 (SD = 196) and NT$402 (SD = 172), respectively, and there was a significant positive dose–response relationship between household income and willingness to pay for maintaining health care provider continuity. Caregivers’ free choices among health care providers may reduce willingness to spend extra effort to maintain high COC. Caregivers should be educated on the importance of COC.


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