scholarly journals Cancer Burden in Nigeria; Possibility of a New Hope in a New Political Dispensation

2021 ◽  
Vol 9 (4) ◽  
pp. 163-181
Author(s):  
Aisagbonhi Henry
Keyword(s):  
Health Care ◽  
General Health ◽  
Federal State ◽  
Leadership Positions ◽  
National Elections ◽  
Partnership Quality ◽  
Incidence And Mortality ◽  
Ministerial Leadership ◽  
State And Local Government ◽  
State And Local

Nigeria looks forward to the emergence of another political dispensation. National elections are soon to take place with resultant political changes in ministerial leadership positions across the nation at federal, state, and local government levels’ including the ministry of health; however, in this article, the concern was with the general health care in Nigeria and with a focus on the prevailing situation of Cancer health care in Nigeria. Statistics showed that there is a rising global cancer epidemic in Nigeria. The level of Cancer incidence and mortality counts in Nigeria as of 2012 and still counting’ was severely high amongst women– 64709 (63%) and 40647(57%) compared to men 37370(36.6%) and 30924(43%), respectively. The emergence of a new political dispensation in 2023 ushers in a possibility and awakening of new hope in general health care. Therefore, this article highlighted the observed challenges and proffered solutions for the purpose of informed decisions. Based on staff and patient perspective interviews and discussion, the following major aspects, including a critical review of health governing boards, administration, technology, specialty expansion via partnership, quality assurance, health funding, were identified, addressed and solutions proffered.

scholarly journals Concordance and Patient-Centered Care in Medicaid Enrollees’ Care Experience With Providers

2021 ◽  
Vol 8 ◽  
pp. 237437352110340
Author(s):  
Iwimbong Kum Ghabowen ◽  
Neeraj Bhandari
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Patient Centered Care ◽  
Care Utilization ◽  
Federal State ◽  
Patient Centered ◽  
Care Experience ◽  
Centered Care ◽  
State And Local ◽  
Privately Insured

Patient-centered care is at the nexus of several overlapping institutional reforms to improve health care system performance. However, we know little regarding Medicaid patients’ experience with their doctors along several key dimensions of patient-centered care, and how their experience compares with Medicare and privately insured patients. We studied 4 outcomes using the 2017 National Health Interview Survey: patient–provider concordance on racial/sexual/cultural identity, respectful provider attitude, solicitation of patient opinion/beliefs during the care encounter, and patient-centered communication (PCC). The primary independent variable was Medicaid enrollee status. We dichotomized responses and ran multivariate logistic regressions for each type of care experience outcome, controlling for sociodemographic factors, health care access, and health care utilization of respondents. Compared to Medicare and privately insured enrollees, Medicaid enrollees reported much lower odds of seeing providers who treated them with respect (OR = 1.91, P < .001; OR = 1.62, P < .01) and who offered PCC (OR = 1.35, P < .05; OR = 1.35, P < .01), but similar odds of seeing concordant providers (OR = 0.78, P = .96; OR = 0.96, P = .72). Importantly, Medicaid enrollees reported higher odds of seeing providers who solicited their opinion/beliefs/preferences than their Medicare or privately insured counterparts (OR = 0.82, P < .05; OR = 0.87 P < .10). Medicaid enrollees report less patient-centered experiences in some important facets of their provider interaction than their Medicare or privately insured counterparts. Federal, state, and local policies and practices directed at improving these facets of patient–provider interaction are needed and should be aimed squarely at Medicaid providers, especially those working in geographic areas and settings with a disproportionate number of racial, gender, cultural, and linguistic minorities.

Once and Future Trees

2008 ◽  
Author(s):  
Howard G. Wilshire ◽  
Richard W. Hazlett ◽  
Jane E. Nielson
Keyword(s):  
Flood Control ◽  
Forest Ecology ◽  
Urban Pollution ◽  
The United States ◽  
Federal State ◽  
National Forest ◽  
Biological Interactions ◽  
State And Local Government ◽  
State And Local ◽  
Forest Lands

Along the Colorado Plateau’s high-standing Mogollon Rim in northern Arizona’s Coconino National Forest stands a small patch of big trees that matured well before Europeans came to North America. Massive ponderosa pines, and even pinyon pines and western junipers, tower above the forest floor, shutting out all but the most shade-tolerant competitors. Few places like this one still exist anywhere in the United States, even on national forest lands. A tourist hoping to see all the diversity that earliest European arrivals found commonplace in the western landscape must seek out a wide scattering of isolated enclaves across the region. Western forests no longer contain the grand glades and lush thickets that our forerunners encountered because most woodlands, especially those owned by the public, largely serve a wide variety of human purposes, as campsites or home sites, board-feet of lumber, potential jobs, recreational playgrounds, and even temples of the spirit. We also rely on forests to maintain habitat for endangered species and seed banks for restoring depleted biodiversity—and to provide us with clean air and water, stable hillside soils, and flood control in wet years. Forests must perform these roles while being consumed, fragmented by roads, and heavily eroded. But there is no guarantee that these most beloved and iconic of natural resources can sustain such a burden. Federal, state, and local government agencies oversee and regulate western U.S. forest lands and their uses, trying to manage the complex and only partly understood biological interactions of forest ecology to serve public needs. But after nine decades of variable goals, and five decades of encroaching development, western woodlands are far from healthy. Urban pollution and exotic tree diseases, some brought by humans, are killing pines, firs, and oaks. Loggers have more than decimated the oldest mountainside forests—most valuable for habitat and lumber alike—with clearcutting practices that induce severe soil erosion. Illegal clearings for marijuana farms are increasing.

An Analysis of Small Business Administration's Surety Bond Guarantee Program

1977 ◽  
Vol 2 (1) ◽  
pp. 1-11
Author(s):  
Lalit Gadhia ◽  
Jack J. Tawil
Keyword(s):  
Small Business ◽  
Business Administration ◽  
Small Business Administration ◽  
Federal State ◽  
Construction Costs ◽  
Trade Off ◽  
State And Local Government ◽  
State And Local ◽  
The Cost ◽  
Government Construction

This paper reviews the performance of the Surety Bond Guarantee Program of the Small Business Administration in terms of its impact on small and minority contractors, Federal, state and local government construction costs, employment, and the cost to the taxpayer. With a formalized model, it identifies conditions under which sureties have an incentive to use the program to bond conventionally bondable contractors, and demonstrates how SBA can alter variables within its control to remove these conditions, taking into account the trade-off between discouraging bondable and encouraging unbondable contractors’ participation in the program.

Continuity of Operations planning: Meeting the standard of care

2008 ◽  
Vol 6 (5) ◽  
pp. 17
Author(s):  
Robin J. Clark, JD ◽  
Megan H. Timmins, JD
Keyword(s):  
Local Government ◽  
Emergency Preparedness ◽  
Local Governments ◽  
Planning Process ◽  
World Trade Center ◽  
Standard Of Care ◽  
Federal State ◽  
Continuity Of Operations ◽  
State And Local Government ◽  
State And Local

Recent disasters have increased the public’s awareness of the lack of emergency preparedness of state and local governments. The attacks on the World Trade Center in 2001 highlighted failures in government agency coordination, while the anthrax attacks that followed and the more recent natural disasters of Hurricanes Katrina and Rita in 2005 have deepened concerns that our government is unprepared for emergencies. Partially in response to the public’s concern, the federal government has encouraged Continuity of Operations (COOP) planning at the federal, state, and local government levels.Public attention, government engagement, and the promulgation of federal directives and guidance are leading to an increase in the standard of care for all public sector planning efforts, thus creating potential liabilities in the areas of COOP planning, testing, training, and maintenance. At this point, COOP planning is becoming the norm for state and local government agencies, and while the process of COOP planning may itself expose agencies to certain liabilities, there is also an increase in the potential liability for agencies that do not undertake COOP planning efforts. Further, it appears that the potential liability of agencies that do not engage in COOP planning far exceeds any liabilities incurred through the planning process.

Roles for Health Educators in a Time of Health Care Cutbacks: Preventive and Ameliorative Approaches

1984 ◽  
Vol 4 (4) ◽  
pp. 293-302 ◽  
Author(s):  
E. Richard Brown
Keyword(s):  
Health Care ◽  
Low Income ◽  
Health Care Access ◽  
Community Organization ◽  
Public Health Care ◽  
Federal State ◽  
Health Educators ◽  
Care Access ◽  
State And Local ◽  
The Impact

Cutbacks in public health care programs at federal, state, and local levels have reduced the health care access of many low-income persons. Based on findings from several California studies, this article suggests several roles for health educators intended to prevent cutbacks or mitigate their impact. Methods of preventing cutbacks rely on community organization methods and coalitions including health education professional groups. When preventive actions are unsuccessful, health educators may ease the impact of cutbacks by developing adequate education interventions for users of affected services and community organization strategies to improve access to remaining services. Specific methods are suggested and discussed.

City Managers’ Job Satisfaction and Frustration

2010 ◽  
Vol 41 (6) ◽  
pp. 670-685 ◽  
Author(s):  
Yahong Zhang ◽  
Xiang Yao ◽  
Jong One Cheong
Keyword(s):  
Job Satisfaction ◽  
Local Government ◽  
City Government ◽  
Federal State ◽  
City Managers ◽  
Community Influence ◽  
City Population ◽  
Hygiene Factors ◽  
State And Local Government ◽  
State And Local

As an organizational objective and social value, job satisfaction is important in itself. Various studies have investigated job satisfaction of government employees at the federal, state, and local government levels. This study focuses on job satisfaction of city managers. In particular, it develops Herzberg’s motivator-hygiene theory in the context of local government to identify distinct sets of motivators and hygiene factors for city managers. Using survey data collected from city managers in Georgia, this study suggests that performance of city government and managers’ community influence are important motivators for city managers. Salary and city population are hygiene factors, whereas managers’ policy-making influence, relationship with the council, and effectiveness of council exert significant impact on both satisfaction and frustration. Implications and suggestions are provided.

The Practitioners' Perspective

1975 ◽  
Vol 8 (04) ◽  
pp. 376-380
Author(s):  
Stuart Nagel ◽  
Marian Neal
Keyword(s):  
Local Government ◽  
Political Science ◽  
Federal State ◽  
Government Agencies ◽  
Good Group ◽  
Government Work ◽  
Science And Government ◽  
State And Local Government ◽  
State And Local

This article is designed to summarize the findings of a questionnaire directed to APSA members who indicated they held government positions when they completed a form for the 1973 APSABiographical Directory. The questionnaire was designed to determine how political science has been and can be used in federal, state, and local government agencies and in administrative, legislative, and judicial positions.A. The Respondents and the QuestionsIn January, 1975, the questionnaire was mailed to the 425 APSA members who held government positions as of 1973. These persons were chosen as a good group of people to ask about the relevance of political science to government work since they are likely to be knowledgeable about both political science and government work, and are likely to be responsive to such a survey.

scholarly journals Niemiecka polityka zdrowia publicznego w okresie pandemii COVID-19. Widziane z perspektywy Dolnej Saksonii

2020 ◽  
Vol 18 (1) ◽  
pp. 65-74
Author(s):  
Izabela Czuba
Keyword(s):  
Federal State ◽  
Federal Law ◽  
Lower Saxony ◽  
State Laws ◽  
Federal States ◽  
German States ◽  
General Rules ◽  
State And Local Government ◽  
Coronavirus Infection ◽  
State And Local

Due to the federal system in Germany, we find different forms of organization of healthcare in each of 16 federal states. In addition to the federal law being in force in all German states, there are state laws that only apply in a given state. The federal, state and local government institutions as well as their competences, functions and tasks will be described in the context of the Covid-19 epidemic. The statistical data from the federal states, particulary of the state of Lower Saxony, allow to observe the differences in the intensity of the spread of coronavirus infection cases, cures and death rate. The document “Lower Saxony everyday life in the context of Covid 19” is indicating a gradual exit from lockdown. Information about assistance measures, but also restrictions, bans and general rules as well as a reflection on social reactions, habits and moods will complete the whole picture.

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