scholarly journals Assessing the Impacts of Hierarchical Healthcare System on the Accessibility and Spatial Equality of Healthcare Services in Shenzhen, China

2021 ◽  
Vol 10 (9) ◽  
pp. 615
Author(s):  
Zhuolin Tao ◽  
Wenchao Han

The hierarchical healthcare system is widely considered to be a desirable mode of the delivery of healthcare services. It is expected that the establishment of a hierarchical healthcare system can help provide better and more equal healthcare accessibility. However, limited evidence has been provided on the impacts of a hierarchical healthcare system on healthcare accessibility. This study develops an improved Hierarchical two-step floating catchment area (2SFCA) method, which incorporates variable catchment area sizes, distance friction effects and utilization efficiency for facilities at different levels. Leveraging the Hierarchical 2SFCA method, various scenarios are set up to assess the accessibility impacts of a hierarchical healthcare system. The methods are applied in a case study of Shenzhen. The results reveal significant disparity and inequality in healthcare accessibility and also differences between various facility levels in Shenzhen. The overall healthcare accessibility and its equality can be significantly improved by fully utilizing existing facilities. It is also demonstrated that allocating additional supply to lower-level facilities can generate larger accessibility gains. Furthermore, allocating new supply to primary facilities would mitigate the inequality in healthcare accessibility, whereas inequality tends to be aggravated with new supply allocated to tertiary facilities. These impacts cannot be captured by traditional accessibility measures. This study demonstrates the pivotal role of primary facilities in the hierarchical healthcare system. It can contribute to the literature by providing transferable methods and procedures for measuring hierarchical healthcare accessibility and assessing accessibility impacts of a hierarchical healthcare system in developing countries.

ICR Journal ◽  
2017 ◽  
Vol 8 (4) ◽  
pp. 457-472
Author(s):  
Maszlee Malik

In 2015, a group of sidelined and outcast progressive leaders and other activists from Parti Islam SeMalaysia (the Islamic Party of Malaysia, also known as PAS) decided to leave that organisation and form Parti Amanah Negara (AMANAH). The establishment of this new party was linked to efforts at saving the moderate form of Islamic political thought once embraced by PAS; the founders of AMANAH claimed that the new PAS leadership, elected during the 2015 Muktamar (Annual General Assembly), were too conservative and threatened the continuation of this moderate heritage. According to its founders, AMANAH has therefore been established to bring Islamic political activism into a new paradigm, with the hope of shaping a future Islamic discourse in Malaysia that is more inclusive, moderate, democratic and progressive. This article is an attempt to understand the party’s ideology, supposedly a new discourse in political Islam, and evaluate the level of adherence it enjoys amongst AMANAH members. This is done through a qualitative study conducted with 100 party members from different levels.


2018 ◽  
Vol 14 (3) ◽  
pp. 686-697
Author(s):  
Bill Dixon

Abstract In the early 2000s, many police forces in England and Wales set up independent advisory groups (IAGs) following an inquiry into the flawed investigation of the murder of a black teenager, Stephen Lawrence, by London's Metropolitan Police. Members of IAGs were to act as critical friends of the police providing independent advice on policies, procedures and practices, thus ensuring that no section of their local community was disadvantaged through a lack of understanding, ignorance or mistaken beliefs. Based on a case study of an IAG in an English police force, this article reviews the operation of IAGs following the radical changes made to police governance by the introduction of directly elected police and crime commissioners (PCCs). Its main argument is that more thought needs to be given to the role of IAGs in this new landscape and urgent steps taken to clarify their relationships with police forces and PCCs.


2021 ◽  
pp. 096977642110491
Author(s):  
Stig-Erik Jakobsen ◽  
Elvira Uyarra ◽  
Rune Njøs ◽  
Arnt Fløysand

Combining insights from evolutionary economic geography and socio-technical transition studies, this article provides a conceptual framework and a theory-informed empirical analysis of policy dimensions for regional green restructuring. The combination of these two perspectives allows the application and confrontation of analytical concepts with the particularities of regions, with a specific focus on the role of policy to ensure directionality. Empirically our discussion is illustrated by a case study of Western Norway, a specialized industrial region. We focus on the role of policy for the development of new green technology pathways within this region. We observe that different industry transition pathways within a region are influenced by various combinations of policy action, and that policy for regional green restructuring includes complex policy mixes initiated at different levels of governance. Our framework provides a suitable scheme for assessing the role of policy for green restructuring in regions.


2020 ◽  
Vol 10 (2) ◽  
pp. 76-90
Author(s):  
Madhura Manish Bedarkar ◽  
Mahima Mishra ◽  
Ritesh Ashok Khatwani

This article explores the role of social media in facilitating women entrepreneurs in India. It adopts a case study approach to explore the effectiveness of social media platforms in supporting women entrepreneurs. PULA (Pune Ladies), a closed Facebook Group, set up in 2015 for women in Pune, was selected as a case study. Fifteen in-depth interviews were conducted among 15 active women entrepreneurs of this group to explore the benefits received in terms of visibility, marketing opportunities, revenue generation, psychological benefits (sense of belongingness, self-confidence, motivation), and counselling to name a few. Their responses were analyzed for commonalities and divergences. The article finds that PULA not only offers a cost-effective platform for women entrepreneurs to showcase their products/services but also helps them in enhancing the visibility and financial performance of their businesses. The findings of this study will guide women entrepreneurs in leveraging social media platforms through greater visibility, networking and marketing their products/ services more efficiently.


2002 ◽  
Vol 124 (2) ◽  
pp. 90-96 ◽  
Author(s):  
Carl Trygve Stansberg ◽  
Harald Ormberg ◽  
Ola Oritsland

An overview of challenges within hydrodynamic verification of deep-water offshore structures is given first. The role of model testing in the verification, as well as a range of relevant measured responses, are discussed. Various solutions for experimental verification of deep-water structures are considered. In particular, the combination of model tests with truncated set-up and computer simulations—the hybrid approach—is discussed. Two basic groups of hybrid methods are identified: Active (on-line) and passive (off-line). Most published works are on passive systems, of which a particular method is described. Case study examples with this procedure are reviewed and discussed, and future challenges are commented.


2013 ◽  
Vol 3 (1) ◽  
pp. 158 ◽  
Author(s):  
Rhoda Cynthia Bakuwa ◽  
Francis Chasimpha ◽  
Joyce Masamba

Given the importance of human resources as a source of competitive advantage and the fact that staff turnover is inevitable, the retention of skilled staff is vital in any organizational set up. In the health sector, particularly in developing countries, staff retention is regarded as an important human resource management issue. Any critical shortages prevent the delivery of quality healthcare services. Therefore, it is imperative for managers to identify factors that employees’ value and which consequently influence their intention to continue working for an organization. It is against this backdrop that this paper attempted to examine the key determinants of staff retention in developing countries based on a case study of an NGO in the health sector in Malawi. Using survey data collected from 299 employees, the results of this study revealed that it was the non financial/intangible rewards and not the financial package that significantly contributed to employees’ feelings of satisfaction and their intention to continue working for the case NGO. These results imply that when designing retention strategies, it is not just about money, but rather, it is important to factor in intangible rewards which could provide psychological satisfaction and may indeed have a deeper and longer lasting effect.


Pharmacy ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 239
Author(s):  
Neha Shah ◽  
Yogini Jani

“Smart” infusion pumps include built in drug error reduction software which uses a drug library. Studies have reported the drug library build should be undertaken by a multidisciplinary team, including a pharmacist; however, the extent or nature of the input required by the pharmacist for greatest benefit is unknown. This review aimed to identify key factors for the implementation of the smart infusion pumps, with a focus on the role of pharmacists and compare this to the experience from a case study. A literature review was conducted using Embase and Ovid Medline, and 13 eligible papers were found. Predominant themes relating to the pharmacist’s role and successful implementation of the smart infusion pumps were determined. Key factors for success included team involvement across the entire process from procurement, set-up through to implementation including risk assessment and device distribution, and training, which were comparable to the case study experience. Few studies described the extent or details of the pharmacist’s responsibilities.


Author(s):  
Irena Silinevica

<p>Research of different studies related to collaboration municipality ─ university allows to establish a fact that it is very important for both partners and has distinctive forms. The core questions of this research are as follows: Is the regional university significant player in regional sustainable tourism development? What forms of collaboration among regional university and municipality are possible? The aim of this research is to examine the experience of regional university in sustainable tourism development in regional area. This research is performed on the illustration of collaboration among regional university (Rezeknes Augstskola ) and Dagda county, which is one of the 19-th rural county in Latgale region. A new approach to the collaboration municipality ─ regional university is offered taking into account the possibilities of regional university in improvement of human resources capacity, in improvement of municipality administrative capacity, and in development of sustainable tourism products. The offered approach was set up by taking into account the interests of all stakeholders in this area.</p>


2009 ◽  
pp. 2198-2213
Author(s):  
Claudio Agostino Ardagna ◽  
Ernesto Damiani ◽  
Fulvio Frati ◽  
Salvatore Reale

The widespread diffusion of online services provided by public and private organizations, firstly driven by e-commerce and more recently by egovernment applications, has stressed the need of secure ways to authenticate users who need to access online resources. The huge number of resources accessible on the Web leads to different authentication mechanisms implementations that often require multiple log-on actions also in intradomain multiservices scenario. In case of high sensitive services, users’ authentication plays a role of paramount importance. In this article is presented a case study that gives a roadmap of authentication mechanisms implemented at different levels of services’ software structure. The discussion starts by illustrating different authentication solutions implemented at operating system, application server or components level to conclude with Single Sign-On approach. For each solution, pros and cons are discussed. The SSO system, called CAS++, developed as an extension to Yale University’s CAS, is then presented.


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