Potential Conflicts of Interest in Private Rehabilitation: Identification and Resolution

1981 ◽  
Vol 12 (1) ◽  
pp. 15-18 ◽  
Author(s):  
Ralph E. Matkin ◽  
V. Robert May

The potential for conflicts of interest to arise in the private for-profit rehabilitation sector has been a major concern among professionals in the field for a number of years. Central to the issue have been factors such as the strong profit motive, the diversity of background and qualification levels among private practitioners, and the lack of regulations to govern the activities of the private rehabilitation sector. As the field of rehabilitation continues to strive toward attaining professional status, efforts by the private sector to reduce potential conflicts of interest are necessary. Development of enforceable ethical codes, enhanced professional authority, and the use of program evaluation are among the measures suggested to reduce potential conflicts of interest in the private sector.

2018 ◽  
Vol 6 (7) ◽  
pp. 65
Author(s):  
P. Anbarasan

The study comprehensively analysis going green policy as a tangible approach to achieving sustainable development in any enterprise. Although business is conducted for profit motive sustaining the profit and enterprise competitive advantage is mainly related to an enterprise vision and values that incorporate in their management policies, hence the study analyzes the complex structure that related to sustainability and policy through causal loop diagram (CLD) of system dynamics and put forth capability advancement for sustainable development policy initiatives. Finally, the growth strategy and future scope of the study is discussed.


2005 ◽  
Vol 61 (1) ◽  
Author(s):  
H. Van Aswegen ◽  
J. Patterson

Objective: A pilot study was conducted to determine the currentscope of practice of South African physiotherapists working in intensive care units in the government and the private sectors. These findings were compared to the findings from a European survey with regard to the role of the physiotherapist in European intensive care units.Methodology: Ninety questionnaires were distributed nationwide to secondary and tertiary government hospitals as well as to private practitioners involved in cardiopulmonary physiotherapy. The private practitioners included in this survey were listed in the Private Practitioners Association Official Members Directory. Junior and senior physiotherapists working in the intensive care units of their respective hospitals participated in completing the questionnaire. Comparisons between government and private sector data and between the South African survey and the European survey were carried out using the 2test for non-parametric data. A p-value of less than 0.05 was considered to be statistically significant.Results: Fifty-four questionnaires were analyzed and represented 60% of questionnaires sent out. Respondents to the South African survey reported 28% percent of all ICUs had between 9 - 12 beds; 83% physiotherapists indicated the availability of an on-call service during the night and 96% physiotherapists had a weekend physiotherapy service. Ninety-two percent of physiotherapists working in the government sector supervised students compared to 44% of physiotherapists in the private sector. Between 9% and 27% of physiotherapists in government and private hospitalsactively participated in research in ICU. There were no statistically significant differences in the use of respiratory physiotherapy, mobilization and positioning between respondents to the European survey and those of the South African survey respectively.Conclusion: The response rate to this questionnaire was good. It was evident from this pilot survey that the scope of practice of physiotherapy in ICU didn’t differ significantly between the government and private sector in South Africa. The role of the intensive care physiotherapist in South Africa was similar to that of the European physiotherapist  working in ICU.


2011 ◽  
Vol 72 (6) ◽  
pp. 568-582 ◽  
Author(s):  
Jinnie Y. Davis ◽  
Mignon Adams ◽  
Larry Hardesty

For-profit schools constitute the fastest-growing sector of higher education institutions in the United States.1 Yet accompanying the phenomenal growth of these proprietary colleges and universities has been considerable controversy over the role that the profit motive should play in higher education.2 The literature of higher education contains increasingly more works about proprietary schools. The library literature, however, offers little in this arena. Through this article, the authors seek to introduce the library readership to U.S. for-profit colleges and universities. We summarize their history and their characteristics, and we explore reasons for their success and present areas in which these schools appear to excel. With regard to their library services and resources, we focus on issues of concern based specifically on our experience with academic libraries in proprietary schools operating in the state of Ohio. Finally, we suggest ways in which these for-profit institutions can address the challenges faced by their libraries.


2018 ◽  
Vol 53 (4) ◽  
pp. 1547-1579 ◽  
Author(s):  
Eric de Bodt ◽  
Jean-Gabriel Cousin ◽  
Richard Roll

Surprisingly few papers have attempted to develop a direct empirical test for overbidding in merger and acquisition contests. We develop such a test grounded on a necessary condition for profit-maximizing bidding behavior. The test is not subject to endogeneity concerns. Our results strongly support the existence of overbidding. We provide evidence that overbidding is related to conflicts of interest, but also some indirect evidence that it arises from failing to fully account for the winner’s curse.


2019 ◽  
Vol 16 (1) ◽  
pp. 37-46 ◽  
Author(s):  
Qingliang Tang ◽  
Lie Ming Tang

ABSTRACT Greenhouse gas (GHG) emissions control requires coordinated efforts and collaboration at all levels of governmental bodies, non-for-profit organizations, and private sectors. However, the target is difficult to achieve due to challenges arising from conflicts of interest and lack of trust between stakeholders. Thus, we propose a distributed carbon ledger (DCL) system using blockchain technology. Our analysis suggests that the adoption of DCL not only strengthens the corporate accounting system for carbon asset management but also fits within existing market-based emissions trading schemes (ETSs). Blockchain-enabled DCL allows the integration of national emission trading schemes (ETSs) and corporate carbon asset management into a synthetic single mechanism. JEL Classifications: M41; O44.


Author(s):  
Angelika Rettberg

During the Colombian civil war, businesses undertook both civil and uncivil actions, but the civil action of a “pro-peace coalition” was among the many factors moving the conflict toward its (uneasy) settlement in 2016. This chapter documents the civil action efforts of a pro-peace coalition, explores how support for these efforts changed over time—particularly in the last two attempts to negotiate peace, in Caguán (1998–2002) and in Havana, Cuba (2012–2016), and focuses on the motivations behind them. Contrary to simplistic analyses, it demonstrates that the profit motive alone cannot explain business strategies in contexts of conflict and peacebuilding. Contextual factors, the type of organization, and access to politics are important in understanding how business factions respond to armed conflict, including those participating in civil action within the “pro-peace coalition” and those aligning themselves with armed actors. The explanation of Colombian business strategies to address armed conflict holds lessons for understanding business-led civil action in other countries.


BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e026586 ◽  
Author(s):  
Alayne Mary Adams ◽  
Rushdia Ahmed ◽  
Tanzir Ahmed Shuvo ◽  
Sifat Shahana Yusuf ◽  
Sadika Akhter ◽  
...  

ObjectivesThis paper explores the underlying motivations and strategies of formal small and medium-sized formal private for-profit sector hospitals and clinics in urban Bangladesh and their implications for quality and access.MethodsThis exploratory qualitative study was conducted in Dhaka, Sylhet and Khulna City Corporations. Data collection methods included key informant interviews (20) with government and private sector leaders, in-depth interviews (30) with clinic owners, managers and providers and exit interviews (30) with healthcare clients.ResultsProfit generation is a driving force behind entry into the private healthcare business and the provision of services. However, non-financial motivations are also emphasised such as aspirations to serve the disadvantaged, personal ambition, desire for greater social status, obligations to continue family business and adverse family events.The discussion of private sector motivations and strategies is framed using the Business Policy Model. This model is comprised of three components:products and services, and efforts to make these attractive including patient-friendly discounts and service-packages, and building ‘good’ doctor-patient relationships;the market environment, cultivated using medical brokers and referral fees to bring in fresh clientele, and receipt of pharmaceutical incentives; and finally,organisational capabilities, in this case overcoming human resource shortages by relying on medical staff from the public sector, consultant specialists, on-call and less experienced doctors in training, unqualified nursing staff and referring complicated cases to public facilities.ConclusionsIn the context of low public sector capacity and growing healthcare demands in urban Bangladesh, private for-profit engagement is critical to achieving universal health coverage (UHC). Given the informality of the sector, the nascent state of healthcare financing, and a weak regulatory framework, the process of engagement must be gradual. Further research is needed to explore how engagement in UHC can be enabled while maintaining profitability. Incentives that support private sector efforts to improve quality, affordability and accountability are a first step in building this relationship.


2015 ◽  
pp. 8-10
Author(s):  
Andres Bernasconi

For-profit higher education is controversial. The legitimacy of the profit motive in education is called into question by those who believe that a trust-based relationship cannot be mediated by economic gain. Proponents of education as a legitimate business, for their part, argue that competition and market discipline are at once good for business and for quality education. They also maintain that in the absence of profit-seeking entrepreneurship we would not be seeing the enormous expansion of enrollments characteristic of higher education in the developing world. At any rate, if the nature of the institution is to be a choice for students, they need to be properly informed about whether the institution of their choice is for-profit.


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