scholarly journals "SEEKING PERFORMANCE-BASED ACCOUNTABILITY IN ITALIAN PUBLIC HEALTHCARE ORGANIZATIONS"

2021 ◽  
Vol 63 E ◽  
pp. 151-174
Author(s):  
Domenico RAUCCI ◽  
Tomasz DYCZKOWSKI ◽  
Stefano AGOSTINONE

"Using content and cluster analysis and considering a time span of five years, this study examines the adoption and compliance level of Performance-Based Accountability (PBA) in the Italian Local Healthcare Authorities (LHAs) under the Legislative Decree no. 150/2009. The results showed a barely sufficient level of PBA compliance. Higher levels of citizen involvement in PBA processes, the commitment of Regions, and integration with other accountability systems are three conditions for improving the effectiveness and usefulness for stakeholders of this NPM reform for LHAs."

2020 ◽  
Vol 16 (7) ◽  
pp. 1223-1245
Author(s):  
V.V. Smirnov

Subject. The article focuses on the modern financial system of Russia. Objectives. I determine the limit of the contemporary financial system in Russia. Methods. The study is based on methods of descriptive statistics, statistical and cluster analysis. Results. The article shows the possibility of determining the scope of the contemporary financial system in Russia by establishing monetary relations as the order of the internal system and concerted operation of subsystems, preserving the structure of the financial system, maintaining the operational regime, implementing the program and achieving the goal. I found that the Russian financial system correlated with the Angolan one, and the real scope of the contemporary financial system in Russia. Conclusions and Relevance. As an attempt to effectively establish monetary relations and manage them, the limit of the contemporary financial system is related to the possibility of using Monetary Aggregate M0 to maintain the balance of the Central Bank of Russia. To overcome the scope of Russia’s financial system, the economy should have changed its specialization, refocusing it on high-tech export and increasing the foreign currency reserves. This can be done if amendments to Russia’s Constitution are adopted. The findings expand the scope of knowledge and create new competence in the establishment of monetary relations, order of the internal system and concerted interaction of subsystems, structural preservation of the financial system and maintenance of its operational regime.


Green Farming ◽  
2020 ◽  
Vol 11 (4-5) ◽  
pp. 299
Author(s):  
SURESH ◽  
OM PARKASH BISHNOI ◽  
RENU MUNJAL ◽  
RISHI KUMAR BEHL

Coronaviruses ◽  
2020 ◽  
Vol 01 ◽  
Author(s):  
Saeed Khan ◽  
Tusha Sharma ◽  
Basu Dev Banerjee ◽  
Scotty Branch ◽  
Shea Harrelson

: Currently, Coronavirus disease 2019 (COVID-19) has transformed into a severe public health crisis and wreaking havoc worldwide. The ongoing pandemic has exposed the public healthcare system's weaknesses and highlighted the urgent need for investments in scientific programs and policies. A comprehensive program utilizing the science and technologydriven strategies combined with well-resourced healthcare organizations appears to be essential for current and future outbreak management.


Author(s):  
Christoph Strauss ◽  
Günter Bildstein ◽  
Jana Efe ◽  
Theo Flacher ◽  
Karen Hofmann ◽  
...  

Many studies in research deal with optimizing emergency medical services (EMS) on both the operational and the strategic level. It is the purpose of this method-oriented article to explain the major features of “rule-based discrete event simulation” (rule-based DES), which we developed independently in Germany and Switzerland. Our rule-based DES addresses questions concerning the location and relocation of ambulances, dispatching and routing policies, and EMS interplay with other players in prehospital care. We highlight three typical use cases from a practitioner’s perspective and go into different countries’ peculiarities. We show how research results are applied to EMS and healthcare organizations to simulate and optimize specific regions in Germany and Switzerland with their strong federal structures. The rule-based DES serves as basis for decision support to improve regional emergency services’ efficiency without increasing cost. Finally, all simulation-based methods suggest normative solutions and optimize EMS’ performance within given healthcare system structures. We argue that interactions between EMS, emergency departments, and public healthcare agencies are crucial to further improving effectiveness, efficiency, and quality.


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