PPP’s Application in Greek Health Infrastructure and Personnel’s Response

2011 ◽  
Vol 3 (4) ◽  
pp. 1-15 ◽  
Author(s):  
Georgios N. Chatzipoulidis ◽  
Georgios N. Aretoulis ◽  
Glykeria P. Kalfakakou
Keyword(s):  
Positive Response ◽  
Health Sector ◽  
National Health System ◽  
Legal Framework ◽  
Strategic Decision ◽  
The Public ◽  
Health Infrastructure ◽  
Current Survey ◽  
Legislative Framework ◽  
High Level

Financial crisis is particularly acute in Greece. Public Private Partnerships (PPPs), under these conditions, appear as a “reasonable” strategic decision. A PPP’s project implementation requires a high level of preparation, especially in the sensitive area of the National Health System (NHS). The implementation of PPPs projects in Health Sector, has recently initiated in Greece, while the relevant legal framework has been already voted since 2005. Many people express reservations about the extent and the content of this implementation. The aim of the current survey was to measure the satisfaction of health professionals in the public sector from the existing infrastructures and the assessment of their attitude to the prospect of PPP’s application to upgrade health infrastructure and health services. Results focus on the response of the hospital executive personnel towards PPP’s implementation. The research found a generally positive response to PPPs, while at the same time this approach is being characterized as a last resort. The positive reaction was identified in the involvement of the private sector, in providing support services during the contract, according to the current legislative framework. On the other hand, there is a significant opposition towards any prospect of transferring to the private investor, services related to medical and nursing care.

Sanitaristas, Petistas, and the Post-Neoliberal Public Health State in Porto Alegre

2016 ◽  
Vol 43 (2) ◽  
pp. 153-171 ◽  
Author(s):  
Christopher L. Gibson
Keyword(s):  
Public Health ◽  
Health Sector ◽  
Health State ◽  
Structural Constraints ◽  
Porto Alegre ◽  
Critical Dimensions ◽  
The Public ◽  
Governance Institutions ◽  
America Latina ◽  
High Level

Scholars of the post-neoliberal state in Latin America commonly trace universal social policies to ruling left parties and deepened democracy. Yet, such accounts often overlook how subnational politics in highly decentralized democracies like Brazil’s can mediate this relationship. Examining such politics in the Brazilian município of Porto Alegre since 1988 suggests that structural constraints and competing programmatic agendas of Partido dos Trabalhadores (Workers’ Party—PT) governments complicated expansion of the public health sector. The município’s surprisingly modest delivery of such services is traceable to enduring deemphasis on critical dimensions of state building in this sector by several PT administrations and the integration of civil society actors into multiple participatory governance institutions with little power over this process. Even in such contexts, far-reaching participatory democratic institutions are no panacea for fulfilling the universal social policy ambitions of local post-neoliberal states that depend heavily upon high-level political appointees for their effectiveness.Estudiosos do Estado pós-neoliberal na América Latina frequentemente associam políticas sociais universais aos partidos governantes de esquerda e à solidificação da democracia. Contudo, tais narrativas ignoram como a política subnacional em democracias muito descentralizadas, como a brasileira, mediam esse relacionamento. Um exame dessa dinâmica política no município de Porto Alegre desde 1988 sugere que restrições estruturais e agendas programáticas competitivas de governos do Partido dos Trabalhadores (PT) ampliou a complexidade de expansão do setor de saúde pública. A modesta oferta de serviços de saúde naquele município pode ser atribuída a um esvaziamento contínuo das dimensões criticas da ingerencia do Estado nesse setor por parte de várias administrações petistas e à integração de atores da sociedade civil em múltiplas instituições de governança participatória com pouco poder de decisão sobre tal processo. Mesmo nesses contextos, instituições democráticas com alcance amplo não constituem uma panacéia que realize as ambições sociais universais de Estados locais pós-neoliberais, os quais dependem muito de políticos do alto escalão em cargos comissionados para serem eficientes.

scholarly journals The Role of Public Authorities During Mobilization

2018 ◽  
Vol 24 (2) ◽  
pp. 243-247
Author(s):  
Alexandru Stoian
Keyword(s):  
Armed Forces ◽  
Legal Framework ◽  
National Defense ◽  
Public Authorities ◽  
The Public ◽  
Global Context ◽  
National Values ◽  
High Level ◽  
Political Economic ◽  
The Military

Abstract Imposed by states in order to defend its own territory and national values during the time of crisis, mobilization of armed forces in a contemporary global context creates new challenges for the public authorities, designers of the national legal framework and for the military authorities. In this regard, extraordinary measures can be taken in political, economic, social, administrative, diplomatic, legal and military fields, planned and prepared in peacetime. The Romanian National Defense System consists of the forces intended for defense, the resources of the national defense and the territorial infrastructure and provides a stable foundation for all types of actions related to mobilization, as long as the procedures involved are implemented at a high level of efficiency

scholarly journals (A286) Safe Hospital Program and Safe Medical Unit in Mexico

2011 ◽  
Vol 26 (S1) ◽  
pp. s79-s79
Author(s):  
F. Cruz Vega ◽  
P. Cruz Flores
Keyword(s):  
Health Sector ◽  
Fire Detection ◽  
Legal Framework ◽  
International Standards ◽  
Civil Protection ◽  
Medical Unit ◽  
General Law ◽  
Health Council ◽  
Evacuation Routes ◽  
High Level

Safe Hospital Program and Safe Medical Unit in Mexico. The program was established in 2006 within the General Coordination of Civil Protection of the Department of Government and includes a National Evaluation, Diagnosis and Certification integrated of all the institutions of the Public Health Sector, Private and Social. They have about 700 accredited assessors more than 2,700 who have taken the training. There have been more than 1,700 self-assessments and have been assessed in 205 hospitals. The legal framework has been integrated the Safe Hospital Program in the Civil Protection General Law, is included in the Official Mexican Standard that relates to health facilities, has gained access to the Disaster Prevention Fund that manages the Interior Secretary and has established that prior to the Certification of Quality Health Council General (including international standards of the Joint Commission) is evaluated as Safe Hospital. Of the hospitals classified as unsafe have been evacuated two (which will be demolished) with alternative of building new high level of security. In a large number of hospitals have improved fire detection systems, evacuation routes and emergency stairs, as others.

scholarly journals Health Sector Allocationin India’s Budget (2021–2022): A Trick or Treat?

2021 ◽  
pp. 251660262110173
Author(s):  
Mrigesh Bhatia ◽  
D. P. Singh
Keyword(s):  
Health Sector ◽  
Well Being ◽  
Healthcare Systems ◽  
Public Healthcare ◽  
The Public ◽  
Finance Minister ◽  
Public Health Infrastructure ◽  
Health Infrastructure ◽  
The Government ◽  
Health And Well Being

The Finance Minister of India Nirmala Sitharaman announced the Budget in February 2021, giving health and well-being as a top priority for the government, with an impressive increase of 137% over the previous year’s health sector budget. The need to strengthen primary, secondary and tertiary public healthcare systems was a clear message from the budget statement. The authors analyse the current budget in the context of chronic underinvestment in health and question whether this allocation will make any meaningful impact on the public health infrastructure as the impressive headline allocation appears to be more of a trick than a treat to the health sector.

scholarly journals The Privatization of the Italian National Health System and its Impact on Health Emergency Preparedness and Response: The COVID-19 Case

2021 ◽  
pp. 002073142110249
Author(s):  
Maria Luisa Buzelli ◽  
Tammy Boyce
Keyword(s):  
Health System ◽  
Health Systems ◽  
National Health ◽  
Emergency Preparedness ◽  
Critical Role ◽  
Health Sector ◽  
National Health System ◽  
Lessons Learned ◽  
Future Health ◽  
The Public

Hospitals play a critical role in providing essential care during emergencies; however, this essential care can overwhelm the functional capacity of health systems. In Italy, substantial cuts in funding have drastically reduced the resources of the National Health Service (NHS) and contributed to the expansion of the private health sector which, unlike the public health system, does not have the capacity to deal with a health emergency such as coronavirus disease 2019 (COVID-19). The purpose of this article is to show how the privatization of the NHS contributed to making Italy more vulnerable and unprepared to tackle the COVID-19 pandemic. The available capacity and resources in the public and private emergency services systems in Italy are compared, including a focus on the numbers of hospital staff, hospitals, and hospital beds. The reduced funding and subsequent shortfalls in services in the NHS are reasons why extreme measures were needed to increase these resources during the COVID-19 pandemic. A public NHS in Italy would be better prepared for future health emergencies. The lessons learned from the COVID-19 pandemic can help to inform future health systems strategies, to halt the current financial decline and performance loss of national health systems, and to enable better preparation for future health emergencies.

scholarly journals Status and Infrastructure of the Health Sector in Karnataka

2012 ◽  
Vol 11 (3) ◽  
pp. 15 ◽  
Author(s):  
Siddu V H ◽  
Keshava Murthy K D ◽  
R Revankar
Keyword(s):  
Health Status ◽  
Health Sector ◽  
Health Facilities ◽  
Good Service ◽  
The Public ◽  
Health Infrastructure ◽  
The Government ◽  
Basic Infrastructure ◽  
Regional Imbalance ◽  
Quality Infrastructure

Karnataka is closer to the average of India in case of health status and health facilities, but compared to the states like Kerala, it stands too low. The most striking problem, related to the health infrastructure and health status arises out of the regional imbalance. The study shows that the Gulbarga and Belgaum divisions of Karnataka show a poor status in health infrastructure and health status. Among these, the Gulbarga division (means Hyderabad Karnataka) lies in the lower position. It is well known that Hyderabad Karnataka is underdeveloped in most of the sectors compared to the rest of the regions. Lesser health infrastructure facilities in this region clearly indicate the neglect of the government intervention/ interest to develop basic infrastructure facilities in this region. For better health, health facilities should be improved. For better health facilities, public health expenditure is very important. At present, the Karnataka government is spending very less amount of money on health, which is about 2 per cent of the NSDP. This amount has to be increased. Increasing the public expenditure alone, cannot serve the purpose, unless it is properly used for delivering quality infrastructure and good service mechanization.Keywords: Health Sector, Health Infrastructure.

scholarly journals The Public and Private Health Sectors in Kyrgyzstan and Prospects for their Cooperation

2013 ◽  
Author(s):  
Damira Japarova
Keyword(s):  
Health Care ◽  
Health Status ◽  
Public Sector ◽  
Private Sector ◽  
Health Sector ◽  
Public And Private ◽  
Private Partnership ◽  
The Public ◽  
Health Infrastructure ◽  
Payment Rate

The public sector does not provide funding for the program of state guarantees. Private sector where high levels of profitability and higher prices. The purpose of public-private partnerships in health care – the preservation and improvement of the health status of the population. In Kyrgyzstan, the investment in health infrastructure of the state are planned. The private investor can build a building and provide meals for patients as required by the hospital. Require opening a public-private laboratories for urgent tests at each hospital and clinic. To finance the public-private partnership in the health sector can be used in co-financing, guarantee the payment rate for OMS services.

Evaluating Health Futures in Aotearoa

2019 ◽  
Vol 11 (4) ◽  
pp. 379-395
Author(s):  
Malcolm Bruce Menzies ◽  
Lesley Middleton
Keyword(s):  
New Zealand ◽  
Health Sector ◽  
Decision Makers ◽  
Strategic Decision ◽  
General Context ◽  
Scenario Development ◽  
Diverse Range ◽  
Time Period ◽  
High Level

This article describes a high-level evaluation of a scenario exercise that took place in the New Zealand health sector in 1997 and derives some lessons for future evaluations. By extension, such an evaluation tests the efficacy of scenario development and futures thinking (foresight) in general. Context for the evaluation is provided by a brief reflection on scenarios as a technique, both generally and in the health field. Then a discussion of the process used in 1997 to develop five scenarios is followed by a description of the logic and methodology for the evaluation itself. Findings suggest that the process used to develop the 1997 scenarios was valuable in opening up decision-makers’ minds to possibilities without them needing to feel threatened or defensive, but it may not have been inclusive enough for the New Zealand context. Using criteria identified by Schoemaker the scenarios themselves were relevant, credible, and coherent, but not particularly archetypal or long term. Their impact on strategic decision-making was short-lived, but they were prescient in many respects and have been referred to within academia. Future considerations of health futures should be clearer as to purpose, get more explicit buy-in of key decision-makers and draw on a more diverse range of inputs. We also suggest that rather than being carried out during a discrete time period, scenario development should be a continuous and constantly updated process.

scholarly journals CORRUPTION IN THE SYSTEM OF PUBLIC ADMINISTRATION AND ECONOMY OF UKRAINE: CURRENT STATUS AND TRANSFORMATION

2021 ◽  
pp. 438-451
Author(s):  
A. Kofanov ◽  
N. Pavlovska ◽  
M. Kulyk ◽  
Yu. Tereshchenko ◽  
H. Strilets
Keyword(s):  
Public Administration ◽  
Information Exchange ◽  
System Analysis ◽  
Legal Framework ◽  
Current Status ◽  
Public Authorities ◽  
The Public ◽  
Governmental Organizations ◽  
Non Governmental Organizations ◽  
High Level

The article deals with a number of issues of investigation and prevention of corruption crimes in the field of public administration. The purpose of this paper is to analyze challenges in investigating and preventing corruption crimes in the field of public administration. The relevance of this study lies in the fact that the variety of forms of bribery, its penetration into various spheres of activity: economic, financial, entrepreneurial, educational, requires new ways to prevent and counteract these criminal manifestations, the creation of pragmatic recommendations aimed at improving their prevention and investigation. The study was carried out based on the method of system analysis and generalization of information obtained in the course of the study, questionnaires of different categories of law enforcement officers. They conduct pre-trial investigation of these crimes, as well as reports of the Expert Service of the Ministry of Internal Affairs of Ukraine, the National Police of Ukraine, the National Anti-Corruption Bureau of Ukraine, and Forensic Science Institutes of the Ministry of Justice of Ukraine for 2016-2019, the legal framework on liability for corruption offenses. The most relevant motives and methods of committing corruption crimes have been analyzed and it has been established that bribery and corruption rank first among economic crimes, and the high level of corruption of state bodies in various spheres of public life contributes to the increase in the number of such crimes. The study found that civil servants through abuse of office, as well as obtaining undue benefits predominantly commit corruption crimes. The ways of improving the forms of combating corruption in public authorities are proposed, which will reduce the level of corruption in the public administration system, in particular, the implementation of measures aimed at enhancing information exchange between non-governmental organizations, the media, the public and local authorities, and public authorities.

Radiological safety and assessment of the performance of X-ray systems in veterinary facilities

2020 ◽  
Author(s):  
S. Economides ◽  
C.J. Hourdakis ◽  
C. Pafilis ◽  
G. Simantirakis ◽  
P. Tritakis ◽  
...  
Keyword(s):  
Decision Making ◽  
Radiation Protection ◽  
Atomic Energy Commission ◽  
Atomic Energy ◽  
Regulatory Control ◽  
Continuous Training ◽  
X Ray ◽  
The Public ◽  
Radiological Safety ◽  
High Level

This paper concerns an analysis regarding the performance of X-ray equipment as well as the radiological safety in veterinary facilities. Data were collected from 380 X-ray veterinary facilities countrywide during the on-site regulatory inspections carried out by the Greek Atomic Energy Commission. The analysis of the results shows that the majority of the veterinary radiographic systems perform within the acceptable limits; moreover, the design and shielding of X-ray rooms as well as the applied procedures ensure a high level of radiological safety for the practitioners, operators and the members of the public. An issue that requires specific attention in the optimization process for the proper implementation of veterinary radiology practices in terms of radiological safety is the continuous training of the personnel. The above findings and the regulatory experience gained were valuable decision-making elements regarding the type of the regulatory control of veterinary radiology practices in the new radiation protection framework.

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