Recovering Growth: Rebuilding Dynamic Post-Covid-19 Economies Amid Fiscal Constraints

2021 ◽  
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2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X697193
Author(s):  
David McCaffrey ◽  
Chris O’Riordan ◽  
Felicity Kelliher

BackgroundWhile no normative definition exists, medical professionalism emphasises a set of values, behaviours and relationships that underpin public trust in a physician. The empirical setting for this study is the Irish health care system where GPs receive income through a unique mix of private fee income and state funded capitation. GPs’ income per patient has fallen by 33% under state schemes between 2008 and 2013 due to changes in health policy and national fiscal constraints.AimThis paper examines how general practitioners conceptualise and operationalise medical professionalism and financial self-interest in the Irish healthcare system.MethodTo address this research aim, a historical documentary analysis (2009–2016) of national and medical newspapers was used to investigate GPs’ expressions of medical professionalism and financial self-interest.ResultsThe vagueness of language in differing definitions of medical professionalism may lead to a GP having a fluid interpretation depending on the situation. While general practitioners expressed core humanistic values, such as empathy and compassion, the expression of altruistic values were limited when practitioners indicated there was constraint on the financial resources of a practice.ConclusionCentral to the analysis of a medical practitioner’s treatment of patients and receipt of fee income is the tension between medical professionalism and financial self-interest. Developing an understanding of this tension has implications for those undertaking healthcare policy initiatives and the recruitment and retention of general practitioners in primary care.


2016 ◽  
Vol 2016 ◽  
pp. 1-16 ◽  
Author(s):  
Victor K. Muposhi ◽  
Edson Gandiwa ◽  
Paul Bartels ◽  
Stanley M. Makuza

Trophy hunting has potential to support conservation financing and contribute towards rural development. We conducted a systematic review of the Zimbabwean trophy hunting perspective spanning from pre-1890 to 2015, by examining the following: (1) evolution of legal instruments, administration, and governance of trophy hunting, (2) significance of trophy hunting in conservation financing and rural development, and (3) key challenges, emerging issues in trophy hunting industry, and future interventions. Our review shows that (i) there has been a constant evolution in the policies related to trophy hunting and conservation in Zimbabwe as driven by local and international needs; (ii) trophy hunting providing incentives for wildlife conservation (e.g., law enforcement and habitat protection) and rural communities’ development. Emerging issues that may affect trophy hunting include illegal hunting, inadequate monitoring systems, and hunting bans. We conclude that trophy hunting is still relevant in wildlife conservation and rural communities’ development especially in developing economies where conservation financing is inadequate due to fiscal constraints. We recommend the promotion of net conservation benefits for positive conservation efforts and use of wildlife conservation credits for the opportunity costs associated with reducing trophy hunting off-take levels and promoting nonconsumptive wildlife use options.


Significance Hichilema's surprise win came despite extensive voter suppression and intimidation attributed to former President Edgar Lungu and the ruling Patriotic Front (PF) against supporters of Hichilema’s United Party for National Development (UPND). Impacts The broad scope of Hichilema’s reform programme will pose difficulties of prioritisation, particularly within current fiscal constraints. Higher copper prices may mitigate some of the social costs associated with debt restructuring and spending cuts. The cancellation of a meeting between President Joe Biden and Hichilema over LGBT rights concerns may complicate relations with Washington.


Author(s):  
Marc C. Vielledent

The United States has long enjoyed an essentially unopposed ability to project power and sustain its security forces dispersed throughout the world. However, the uncertainty facing the global security environment, including tenuous alliances, fiscal constraints, and a decline in overseas basing, has increased tensions in emerging areas of potential conflict. These factors are driving change regarding the United States’ defense posture and access agreements abroad. While the preponderance of overseas capability outweighs the preponderance of U.S. forces, deterrence continues to underpin the overarching national security strategy. However, deterrence options impacted by the lack of resilience and investment in distributed logistics and sustainment are generating an additional range of variables and conditions for operators on the ground to consider in shared and contested domains.


<em>Abstract</em> .—The collection and use of data to manage the freshwater fisheries of Australia’s Murray–Darling basin (MDB) has a poor history of success. While there was limited assessment data for early subsistence and commercial fisheries, even after more robust data became available during the 1950s its quality varied across jurisdictions and was often poorly collated, assessments were not completed, and the data were underutilized by management. The fishery for Murray Cod <em>Maccullochella peelii </em> is given as an example, where the fishery declined to the point of closure and then the decline continued to the extent that Murray Cod was listed as a threatened species and all harvest now only occurs through the recreational fishery. Lessons from such poor population assessments have not been fully learned, however, as there remains a paucity of harvest data for this recreational fishery. Without a proper assessment, a true economic valuation of this fishery has not been made. As the MDB is Australia’s food bowl, there are competing demands for water use by agriculture, and without a proper assessment of the worth of the fishery, it is difficult for Murray Cod to be truly considered in either economic or sociopolitical discussions. The poor state of MDB rivers and their fish populations (including Murray Cod) has, however, resulted in political pressure for the development of the sustainable rivers audit, a common assessment method for riverine environmental condition monitoring. This audit undertakes standardized sampling for fish and a range of other variables at a number of fixed and randomly selected sites on a 3-year rotating basis. While the sustainable rivers audit has provided a range of data indicating that the condition of rivers is generally very poor, these data have yet to be fully utilized to determine the potential state of the fisheries (such as Murray Cod) or to set targets for rehabilitation, such as for environmental flows. While, to date, data analyses have been somewhat restricted by fiscal constraints, more comprehensive use of data, together with full fishery valuations, should be seen as the way forward for improved management.


2011 ◽  
pp. 161-181
Author(s):  
Lalita Rajasingham

This chapter contributes to the ongoing discussion on current best practice and trends in e-learning and virtual classes in higher education. With the increasing importance of knowledge as competitive advantage and engine of economic growth in an increasingly interconnected, multicultural and multilingual world, modern universities based on building and transport technologies are assuming virtual dimensions to address the pressures of rising enrolments, increasing fiscal constraints and rapid technological advancements. The Internet and globalisation are changing how we bank, shop, play, and learn. Can universities adapt, or is e-learning going to be an educational fad like educational television of the 1970s? Based on international research, this chapter examines some signposts using pilot projects as a key pedagogical method in the journey from idea to execution and the factors leading to success or failure of e-learning initiatives. Will the e-learning phenomenon represent a new and sustainable university paradigm for the emerging knowledge society?


Author(s):  
Edmund Amann ◽  
Carlos R. Azzoni

This chapter provides context and background for the Handbook. Brazil’s economic development process and challenges are discussed and analyzed in long-term perspective. Referring to subsequent chapters, the introduction highlights the structural obstacles that will need to be overcome if Brazil is to embark on a path of sustainable and inclusive growth. These include, but are not limited to, issues surrounding productivity growth, regional inequality, investment in education and infrastructure, a commodities-centered export sector, and fiscal constraints. Although these challenges are serious they should not obscure the fact that Brazil’s economy has made important strides forward in recent years. In particular, there have been real achievements relating to poverty alleviation and price stability.


Author(s):  
Alexander S. Preker ◽  
Marko Vujicic ◽  
Yohana Dukhan ◽  
Caroline Ly ◽  
Hortenzia Beciu ◽  
...  

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